Health Sociology Review最新文献_第9页

Resignation, goal orientation or cultural essentialism? Health care practitioners’ approaches to interventions on childhood obesity 辞职、目标导向还是文化本质主义?卫生保健从业者对儿童肥胖的干预方法

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-04-19 DOI: 10.1080/14461242.2018.1465352

Kia Ditlevsen

{"title":"Resignation, goal orientation or cultural essentialism? Health care practitioners’ approaches to interventions on childhood obesity","authors":"Kia Ditlevsen","doi":"10.1080/14461242.2018.1465352","DOIUrl":"https://doi.org/10.1080/14461242.2018.1465352","url":null,"abstract":"ABSTRACT This qualitative study investigates health care practitioners’ approaches to early childhood obesity in Denmark and their view on their own ability to initiate processes of change in affected families, and it asks the overall question of whether perceived barriers become real through practitioners’ reluctance to intervene in families labelled as ´problematic’. The paper identifies three approaches in the practitioners’ narratives: the socially oriented, the individually oriented, and the mixed. The individually oriented approach was based on a logic resembling individualistic explanatory models of behaviour change, and was related to a positive perspective on their own ability to move families towards healthier habits by health care practitioners. The socially oriented approach borrowed elements from a sociological perspective, which seemed to lead to resigned pessimism in the face of the complexity of the problem of childhood overweight and a reluctance to address early childhood overweight in some families. In practitioners of all three types, widespread cultural essentialism was found. Non-western, ethnic minority background was seen as determining family habits and making preventive action especially difficult. Based on this, the current paper discusses whether individual actions and choices are being ascribed too much explanatory power, and the health system's biased perceptions too little.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"231 - 247"},"PeriodicalIF":3.6,"publicationDate":"2018-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1465352","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42001988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food insecurity, psychological distress and alcohol use: understanding the salience of family roles for gender disparities 粮食不安全、心理困扰和酗酒:了解家庭在性别差异中的突出作用

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-04-16 DOI: 10.1080/14461242.2018.1461574

Gabriele Ciciurkaite, R. Brown

{"title":"Food insecurity, psychological distress and alcohol use: understanding the salience of family roles for gender disparities","authors":"Gabriele Ciciurkaite, R. Brown","doi":"10.1080/14461242.2018.1461574","DOIUrl":"https://doi.org/10.1080/14461242.2018.1461574","url":null,"abstract":"ABSTRACT The goal of this paper was to expand upon research documenting the adverse mental health effects of food insecurity by assessing the explanatory role of gender differences in family roles and arrangements among a nationally-representative sample of U.S. adults. Using data from the combined 2011–2012 and 2013–2014 cycles of The National Health and Nutrition Examination Survey (NHANES), we estimated a series of models using adult food insecurity measures and self-reported gender as main predictors of depressive symptoms and alcohol use. Our results demonstrate that marriage is protective against greater depressive symptomatology among women and men, and higher alcohol consumption among men. However, the protective effects of marriage against high alcohol use are reduced within the context of food insecurity among men. Further, the results indicate that parenthood is protective against greater depressive symptoms and alcohol consumption among women, but not men. The protective effects of having children are, however, diminished among women in food insecure households. These findings add to the growing literature on the mental health consequences of household food insecurity, and extend this work by clarifying ways in which family roles come to bear on gender differences in the association between food insecurity and psychological and behavioural outcomes.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"294 - 311"},"PeriodicalIF":3.6,"publicationDate":"2018-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1461574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45142013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Exploring the emergence of traditional healer organizations: the case of an ethno-medical association in Bolivia 探索传统治疗师组织的出现：以玻利维亚的一个民族医学协会为例

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-03-29 DOI: 10.1080/14461242.2018.1452624

Deby Babis

{"title":"Exploring the emergence of traditional healer organizations: the case of an ethno-medical association in Bolivia","authors":"Deby Babis","doi":"10.1080/14461242.2018.1452624","DOIUrl":"https://doi.org/10.1080/14461242.2018.1452624","url":null,"abstract":"ABSTRACT The purpose of this research was to explore the phenomenon of the emergence of ethno-medical organisations among traditional healers from the late twentieth century. A case study was carried out on the Bolivian organisation Kallawayas sin Fronteras (KASFRO). According to the findings, KASFRO has been founded to demand formal recognition and inclusion in the national health system. Following historical discrimination against traditional medical heritage and the supremacy of the allopathic medical system, new trends of worldwide legitimisation of indigenous people's rights, as well as the worldwide acceptance of non-Western medical systems, were identified as crucial factors in the emergence of KASFRO. As a civil society organisation, KASFRO has been found to be a platform of social capital development which enables both, bonding within the Kallawaya community as well as with other traditional healer organisations (THO's), and bridging with governmental entities, which eventually led to the recognition of traditional doctors as professionals in Bolivia. These findings corroborate the roles of nongovernmental and nonprofit organisations as agents of political and social change, serving the preservation of medical ancestral cultures.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"136 - 152"},"PeriodicalIF":3.6,"publicationDate":"2018-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1452624","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45906220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Rehabilitation capital: a new form of capital to understand rehabilitation in a Nordic welfare state* 康复资本:一种理解北欧福利国家康复的新形式的资本*

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-02-07 DOI: 10.1080/14461242.2018.1434808

R. Guldager, I. Poulsen, I. Egerod, L. Mathiesen, Kristian Larsen

{"title":"Rehabilitation capital: a new form of capital to understand rehabilitation in a Nordic welfare state*","authors":"R. Guldager, I. Poulsen, I. Egerod, L. Mathiesen, Kristian Larsen","doi":"10.1080/14461242.2018.1434808","DOIUrl":"https://doi.org/10.1080/14461242.2018.1434808","url":null,"abstract":"ABSTRACT Social, educational and health related equality is an ideal in the Nordic welfare states. However studies have shown that well-positioned patients achieve better treatment and more services, for example time and examinations, than others do. This article examines how patients and relatives mobilise resources in decision-making in a stroke unit. In particular, it focuses on the challenges in optimising the rehabilitation process faced by patients and relatives, and the strategies they use. Data were generated using participant observation and semi-structured interviews. Qualitative content analysis was applied to investigate the patients’ and relatives’ experiences of decision-making. We present a field-specific form of capital: An individual or a family's resources that are valued in the field of rehabilitation as physical, behavioural and cognitively embedded attitudes and practices. Rehabilitation capital consists of four closely interrelated components: Performative Participation (Cognitively Embedded Performance and Self-initiating Activities), Bodily Progression, Institutional Acceptance and Institutional Potential. It is a resource potentially benefitting patients and relatives during inpatient rehabilitation and may provide patients with an advantage, to ensure the best rehabilitation. The possession of Rehabilitation capital (high or low) contributes explanations for unequal practices and treatments at a micro-level in healthcare institutions.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"199 - 213"},"PeriodicalIF":3.6,"publicationDate":"2018-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1434808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46703029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Making sense of the abortion pill: a sociotechnical analysis of RU486 in Canada 理解堕胎药：加拿大RU486的社会技术分析

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-02-07 DOI: 10.1080/14461242.2018.1426996

Patricia Campbell

{"title":"Making sense of the abortion pill: a sociotechnical analysis of RU486 in Canada","authors":"Patricia Campbell","doi":"10.1080/14461242.2018.1426996","DOIUrl":"https://doi.org/10.1080/14461242.2018.1426996","url":null,"abstract":"ABSTRACT In January 2017, the ‘abortion pill’ was finally used legally in Canada. This paper provides a sociotechnical analysis of the controversy surrounding RU486 in Canada, focusing on its entry into public discourse, 1990–1995. The case study draws primarily on statements made about the pill, both in Canadian media and in various actors’ print communications. Using approaches from science and technology studies, the analysis identifies the multiple human and nonhuman actors, their discursive mobilizations of RU486 and each other, and their contingent alliances, illustrating how RU486 mediates and shapes the communication that attempts to define it. Unpacking the network's complexity illuminates how these sense-making practices established the early setting of the technology's path, a first step in understanding why Canada has been a laggard in making the pill available. The discussion illustrates the tensions, instabilities, and reversals in the network that have hindered RU486′s movement from development to diffusion. Finally, the paper suggests a framework for future sociological research on controversial reproductive technologies in their shift from discursive to material diffusion, one that recognises the integral role of women as users.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"121 - 135"},"PeriodicalIF":3.6,"publicationDate":"2018-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1426996","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45002130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Cultural capital and gender differences in health behaviours: a study on eating, smoking and drinking patterns 健康行为中的文化资本和性别差异:关于饮食、吸烟和饮酒模式的研究

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1321493

Filippo Oncini, Raffaele Guetto

{"title":"Cultural capital and gender differences in health behaviours: a study on eating, smoking and drinking patterns","authors":"Filippo Oncini, Raffaele Guetto","doi":"10.1080/14461242.2017.1321493","DOIUrl":"https://doi.org/10.1080/14461242.2017.1321493","url":null,"abstract":"ABSTRACT It is widely acknowledged that people with higher socioeconomic positions and women smoke less, avoid alcohol abuse, and eat more healthily. Yet far less is known about the interaction of socioeconomic status with gender, especially in the Italian context. Here we address this issue by employing Abel’s adaptation of Bourdieu’s cultural capital theory and Courtenay’s theory of gender construction and health. Using 2012 data from the Multipurpose survey on Daily Life, we first show that cultural capital is better than social class in predicting an adult’s compliance with health recommendations, although this does not hold true for alcohol intake. We then look at the interaction of gender with cultural capital measures in order to determine how gendered forms of consumption change with increasing levels of cultural capital. The results show that the gender gap diminishes at higher levels of cultural capital following a twofold pattern: most often men’s marginal benefit increases at a higher rate than that of women; however, we also find evidence that the gap diminishes because women start adopting unhealthy behaviours as their level of cultural resources increases. Overall, these findings indicate that cultural capital plays an important role in reconstructing gender role models.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"15 - 30"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1321493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45205578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 28

Relational approaches to fostering health equity for Indigenous children through early childhood intervention* 通过幼儿干预促进土著儿童健康公平的关系方法*

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2016.1231582

A. Gerlach, A. Browne, M. Suto

{"title":"Relational approaches to fostering health equity for Indigenous children through early childhood intervention*","authors":"A. Gerlach, A. Browne, M. Suto","doi":"10.1080/14461242.2016.1231582","DOIUrl":"https://doi.org/10.1080/14461242.2016.1231582","url":null,"abstract":"ABSTRACT This paper reports on key findings of a critical qualitative inquiry undertaken with an Indigenous early child development (ECD) program in Canada, known as the Aboriginal Infant Development Program (AIDP). In depth, semi-structured interviews were used to obtain the perspectives of: Indigenous caregivers and Elders, AIDP workers, and administrative leaders. The findings centre on: (1) a relational perspective of family wellbeing that emphasises the inseparability between child health inequities and the impact of structural social factors on families’ lives, and (2) how AIDP workers’ enact relational accountability to families by: (a) fostering cultural connections; (b) creating networks of belonging and support; (c) responding to caregivers’ self-identified priorities; (d) mitigating racism in healthcare encounters, and (e) deferring an ‘ECD agenda’. Rather than a one-size-fits-all model, these findings illustrate relational approaches to early intervention, characterised by a broader and socially responsive scope of practice and the deferral of a normative ‘ECD agenda’. This study has relevance in a variety of international contexts and to a broad range of disciplines and programs that serve families and children impacted by structural inequities.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"104 - 119"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2016.1231582","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43782979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

Conflicted hope: social egg freezing and clinical conflicts of interest 冲突的希望:社会卵子冷冻和临床利益冲突

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1349545

C. Mayes, Jane H Williams, W. Lipworth

引用次数: 14

Negotiating trust and struggling for control: everyday narratives of unwanted disclosure of HIV status among people with HIV in Australia 协商信任和为控制而斗争:澳大利亚艾滋病毒感染者中不受欢迎的艾滋病毒状况披露的日常叙述

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2016.1271282

S. Bell, P. Aggleton, S. Slavin

{"title":"Negotiating trust and struggling for control: everyday narratives of unwanted disclosure of HIV status among people with HIV in Australia","authors":"S. Bell, P. Aggleton, S. Slavin","doi":"10.1080/14461242.2016.1271282","DOIUrl":"https://doi.org/10.1080/14461242.2016.1271282","url":null,"abstract":"ABSTRACT Despite the frequent occurrence of unwanted disclosure of HIV status in Australia, there is little understanding of its determinants and consequences. This paper offers an analysis of lived experiences of unwanted disclosure amongst 28 people with HIV in urban settings in Australia. Of the 28 individuals interviewed, 17 men and 8 women had experienced unwanted disclosure of their HIV status by other people in work, health, social and other settings. Through the lenses provided by the concepts of habitus and agentic practice, this paper focuses on unintentional and deliberate practices of unwanted disclosure, and the consequences that may arise from this. Findings reveal how unwanted disclosure may lead to reflexive and agentic action among people with HIV as they struggle to reclaim control over their lives and how they are perceived. Despite what is sometimes assumed, the negative social responses the HIV epidemic has given rise to persist in Australia. Some 30 years into the epidemic, findings highlight the need to establish a social climate that is intolerant of unwanted disclosure, and which recognises the damage it may cause.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"1 - 14"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2016.1271282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47112211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Cutting through the discussion on caesarean delivery: birth practices as social practices 切入剖宫产的讨论:作为社会实践的生育实践

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1411206

Natalie Jolly

{"title":"Cutting through the discussion on caesarean delivery: birth practices as social practices","authors":"Natalie Jolly","doi":"10.1080/14461242.2017.1411206","DOIUrl":"https://doi.org/10.1080/14461242.2017.1411206","url":null,"abstract":"ABSTRACT Women are finding appeal in (or, at minimum, a lower level of resistance to) caesarean delivery despite the health risks that it poses, and I investigate how this decision figures into a broader pattern of women's gender socialisation within a culture that is deeply anxious about women's bodies. I review scholarship on caesarean delivery, and use social practice theory to map possible contact points between theories of embodiment, a sociology of gender, and the specific practice of caesarean section. I consider caesarean delivery as a component of a social practice, and adopt a practice framework to analyze women's motivation for selecting (or consenting to) caesarean delivery. I detail the materiality of the hospital, the medicalisation of women's bodies, and women's antagonistic body relationship to reveal some of the less immediately apparent reasons why caesarean delivery has been normalised and rendered invisible as part of the pattern of modern childbirth. Interventions to address the further escalation of caesarean delivery might consider how this decision aligns with other social practices. I conclude that activism addressing the social conditions that make caesarean delivery so attractive may radiate out to other aspects of women's lives where the practices of normative femininity have proven equally restrictive.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"31 - 44"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1411206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46135148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5