Health Risk & Society最新文献_第10页

‘There’s a before and an after’: effects of a personal history of cancer on perception of cancer risks and adoption of behaviours “有前有后”:个人癌症病史对癌症风险认知和行为的影响

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-08-12 DOI: 10.1080/13698575.2019.1652729

M. Genton, J. Carretier, A. Gafni, Patricia Medina, C. Charles, N. Moumjid

{"title":"‘There’s a before and an after’: effects of a personal history of cancer on perception of cancer risks and adoption of behaviours","authors":"M. Genton, J. Carretier, A. Gafni, Patricia Medina, C. Charles, N. Moumjid","doi":"10.1080/13698575.2019.1652729","DOIUrl":"https://doi.org/10.1080/13698575.2019.1652729","url":null,"abstract":"In this article, we aim to better understand how a personal history of cancer influences perceptions of environmental risk factors for cancers and adoptions of health-related behaviours. Semi-structured individual and group interviews were conducted with French individuals with (n = 21) and without (n = 16) a personal history of cancer using the same topic guide. Interviews were transcribed, coded and analysed using a comparative approach. Our participants with and without a history of cancer tended to perceive the same environmental factors as causes of cancers, in particular pesticides and smoking. However, individuals without a history of cancer emphasised electromagnetic waves and sun exposure as causes of cancers while participants with a history of cancer emphasised unbalanced diet and stress/negative emotions. Our participants with a history of cancer tended to mention more factors than participants without. Finally, participants with a personal history of cancer all described themselves as adopting at least one behaviour mentioned as ‘healthier’, often following their cancer experience, while very few participants without a history of cancer mentioned adopting these behaviours. Participants with a history of cancer tended to be more concerned about environmental risk factors for cancers and about preventing cancers through adopting risk-reducing health-related behaviours than participants without a history of cancer. Our findings are consistent with and develop the idea that a personal experience of cancer can alter an individual’s 'experience and life world'. We also observed similarities between individuals with and without a personal history of cancer. Our contextual findings need to be confirmed by further research.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"6 1","pages":"246 - 267"},"PeriodicalIF":2.1,"publicationDate":"2019-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86474712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The biomedicalisation of reproductive ageing: reproductive citizenship and the gendering of fertility risk 生殖老龄化的生物医学化:生殖公民和生育风险的性别化

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-08-07 DOI: 10.1080/13698575.2019.1651256

Kylie Baldwin

{"title":"The biomedicalisation of reproductive ageing: reproductive citizenship and the gendering of fertility risk","authors":"Kylie Baldwin","doi":"10.1080/13698575.2019.1651256","DOIUrl":"https://doi.org/10.1080/13698575.2019.1651256","url":null,"abstract":"The demographic shift currently being observed across many Western countries towards older-parenthood has contributed to increasing concerns about the risks posed by age-related fertility decline, particularly in women. These concerns pertain to the increased risk of infertility, pregnancy loss, and genetic abnormalities occurring in the foetus as well as greater physical risks to the potential mother during pregnancy and birth. Concerns about the effects of reproductive ageing have occurred alongside the emergence of variety of ‘fertility monitoring’ and ‘fertility extension’ technologies (FMETs) such as ovarian reserve testing and social egg freezing. In this paper I will explore the emergence of these new FMETs and will demonstrate how these new technologies are part of, and are contributing towards, a shift in the way reproductive ageing is perceived and represented, not as a natural inevitability but as a pathological liability in need of monitoring and management. I will show how, by rendering fertility risk ‘visible’, new and highly gendered anxieties are emerging creating new burdens and responsibilities on women to consider drawing upon highly commercialised biomedical interventions in the pursuit of biogenetic motherhood. I will also examine how, in the current neoliberal moment, these fertility risk individualising technologies can be experienced as highly compelling for potential users due to the ways in which they offer women the opportunity to achieve the goals of hegemonic femininity whilst demonstrating ideals associated with reproductive citizenship.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"109 1","pages":"268 - 283"},"PeriodicalIF":2.1,"publicationDate":"2019-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80670782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 18

The influence of parents’ information processing on childhood vaccine acceptance after a vaccine crisis in China 疫苗危机后父母信息处理对儿童疫苗接受的影响

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-05-22 DOI: 10.1080/13698575.2019.1619672

Jing Yan, Jiuchang Wei, Z. Ouyang, A. Vinnikova, Dingtao Zhao, Haibo Zhang

{"title":"The influence of parents’ information processing on childhood vaccine acceptance after a vaccine crisis in China","authors":"Jing Yan, Jiuchang Wei, Z. Ouyang, A. Vinnikova, Dingtao Zhao, Haibo Zhang","doi":"10.1080/13698575.2019.1619672","DOIUrl":"https://doi.org/10.1080/13698575.2019.1619672","url":null,"abstract":"Drawing upon the protective action decision model and the heuristic-systematic model, this study investigated the determinants of parents’ response to the 2016 vaccine crisis in Shandong Province, China. A survey was conducted from Anhui Province (N = 456). The findings showed that both perceived vaccine knowledge and perceptions of risk from the vaccine crisis were vital in predicting parents’ information insufficiency (the perceived discrepancy between actual and desired levels of vaccine knowledge), information seeking, information processing (where parents make a judgement about information validity), and their intentions towards childhood vaccination. In addition, information insufficiency and information seeking also significantly facilitated parents’ information processing. When parents described processing information systematically, they were more likely to accept childhood vaccination. On the other hand, seeking more information about the crisis did not influence reported childhood vaccination practices. Implications and suggestions for health-related crisis communication research are discussed.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"29 1","pages":"284 - 303"},"PeriodicalIF":2.1,"publicationDate":"2019-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75814606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 18

What disasters can reveal about techno-medical birth: Japanese women’s stories of childbirth during the 11 March, 2011 earthquake 技术医疗分娩的灾难启示:2011年3月11日地震中日本妇女分娩的故事

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-05-19 DOI: 10.1080/13698575.2019.1643827

Tsipy Ivry, Rika Takaki-Einy, J. Murotsuki

{"title":"What disasters can reveal about techno-medical birth: Japanese women’s stories of childbirth during the 11 March, 2011 earthquake","authors":"Tsipy Ivry, Rika Takaki-Einy, J. Murotsuki","doi":"10.1080/13698575.2019.1643827","DOIUrl":"https://doi.org/10.1080/13698575.2019.1643827","url":null,"abstract":"Social researchers of childbirth have argued that techno-medical routines of managing childbirth risk are underpinned by worst case scenarios involving disastrous deliveries, with catastrophic consequences for maternal and neonatal health and life. This article looks into childbirth stories that ended safely amidst serious ruptures in techno-medical surveillance. We draw on the childbirth stories of women who gave birth during the 11 March 2011 disasters recorded by the first author in February 2016 and on an array of childbirth stories published in a journalistic book in 2012. The stories reveal the navigations of women and care providers between two different types of risks: risks associated with birth in the techno-medicalised model of care and risks associated with earthquakes. Underlying the safety management imperatives of each are divergent space and time lines. Significantly, the techno-medical surveillance of risk associated with childbirth proved to be secondary to the earthquake risk. Rather than high technologies, it was low-tech necessities and human care that proved crucial for the management of safe births. Though women interpreted the safe conclusion of their birth as miracle, their stories suggest that childbirth, especially when attended by skilled birth attendants, can take place relatively safely, even in the direst of conditions. Accounts of childbirth in the midst of disasters offer evidence and important insights in developing a critique of technological birth in the social scientific and midwifery literature.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"3 1","pages":"164 - 184"},"PeriodicalIF":2.1,"publicationDate":"2019-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85154145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 8

Conceiving of risk in childbirth: obstetric discourses, medical management and cultural expectations in Switzerland and Jordan 设想分娩风险:瑞士和约旦的产科话语、医疗管理和文化期望

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-05-19 DOI: 10.1080/13698575.2019.1621996

Irene Maffi, Solène Gouilhers

{"title":"Conceiving of risk in childbirth: obstetric discourses, medical management and cultural expectations in Switzerland and Jordan","authors":"Irene Maffi, Solène Gouilhers","doi":"10.1080/13698575.2019.1621996","DOIUrl":"https://doi.org/10.1080/13698575.2019.1621996","url":null,"abstract":"In highly industrialised societies, risk shapes representations and practices surrounding childbirth. However, few studies examine the impact of the transnational diffusion of risk in medium and low income societies, where, despite the adoption of biomedical protocols on an institutional level, women and birth attendants often seem to follow different rationales in their practices. In this article, we are interested in the various components of the notion of risk, which shall be understood and examined in relation to specific socio-economic, political and cultural configurations. Drawing on two ethnographic studies conducted, respectively, in a Swiss university hospital and in three Jordanian government hospitals, we investigate how surveillance and medical interventions are deployed in pregnancy and childbirth in unequally structured health systems and describe negotiations and appropriations surrounding this management. These two contrasting cultural, socio-economic and health ‘system’ contexts reveal important differences in the way birth attendants and women consider the notion of risk in childbirth in that it is seldom present in clinicians’ and women’s discourses and practices in Jordan, whereas it plays a pertinent role in Switzerland. We argue that the heterogeneous configurations of risk mobilised by the participants in these studies reveal that dissimilar histories in terms of medical institutions and health care service provisions, political regimes, economic conditions, and social configurations shape the cultural and techno-medical arrangements of the institutions we studied. Comparing our Jordanian and Swiss ethnographies, we show that the mobilisation of biomedical risk does not happen in a vacuum but rather intertwines with specific social arrangements, eliciting resistance and adaptation that fashion the discourses and behaviours of birth attendants and pregnant women.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"49 1","pages":"185 - 206"},"PeriodicalIF":2.1,"publicationDate":"2019-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77739162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Caesarean or vaginarean epidemics ? Techno-birth, risk and obstetric practice in Turkey 剖腹产还是宫产流行病?土耳其的技术分娩、风险和产科实践

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-05-19 DOI: 10.1080/13698575.2019.1641588

S. Topçu

{"title":"Caesarean or vaginarean epidemics ? Techno-birth, risk and obstetric practice in Turkey","authors":"S. Topçu","doi":"10.1080/13698575.2019.1641588","DOIUrl":"https://doi.org/10.1080/13698575.2019.1641588","url":null,"abstract":"Caesarean sections (C-sections) have become a substitute for vaginal birth in a number of developing and emerging economies. Often in these contexts, the promotion of caesarean delivery as a safe or even zero-risk and zero-pain alternative to vaginal birth continues to serve as a powerful discursive tool in governing childbirth, despite growing international evidence on the iatrogenic effects of C-sections. These caesarean ‘epidemics’ are often explained in terms of obstetricians’ individual preferences for C-sections. Drawing on ethnographic research conducted in one private and one public hospital in western Turkey, I argue that there are a wide range of factors influencing obstetricians’ risk conceptualisations, discourses and practices. I also contend that the medical justifications for C-sections and their public popularity can best be understood by looking at the ways in which both caesarean and vaginal births are organised. In the settings examined, the processes around caesarean and vaginal births were blurred to such an extent that vaginal delivery was, in its technicised and closely monitored nature, transformed into what I propose to call ‘vaginarean’ birth. Recent state regulations in Turkey aiming to prevent ‘caesarean abuse’ had only had limited effects on obstetricians’ practices. The notion of risk continued to operate as a major driving force in that an institutional risk colonisation came to compete with medical framings of risk, while deficiencies in the national obstetric care system were made invisible. I conclude that regulations aimed at eradicating a caesarean epidemic, such as those implemented in Turkey since 2012, are unlikely to be effective unless they also aim to combat the vaginarean epidemic.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"5 1","pages":"141 - 163"},"PeriodicalIF":2.1,"publicationDate":"2019-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75609743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Health regulations and social experiences of ‘high-risk’ pregnancies among young working-class women in Brazil 巴西年轻工人阶级妇女“高危”怀孕的卫生法规和社会经验

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-05-19 DOI: 10.1080/13698575.2019.1638890

Alfonsina Faya Robles

{"title":"Health regulations and social experiences of ‘high-risk’ pregnancies among young working-class women in Brazil","authors":"Alfonsina Faya Robles","doi":"10.1080/13698575.2019.1638890","DOIUrl":"https://doi.org/10.1080/13698575.2019.1638890","url":null,"abstract":"In conjunction with aims to reduce infant and maternal mortality, antenatal care in Brazil is based on risk assessment and monitoring. Exploring the reliance of pregnancy management policies on a distinction between ‘low’ and ‘high-risk’ pregnancies, I conducted two ethnographic studies of pregnant women from a working-class background in Recife and Rio de Janeiro, Brazil. In addition to in-depth interviews with women and professionals, observations were made in public maternity wards and neighbourhood health units. With an approach focused on notions of governance and subjectivity, my data show that risk becomes not only a technique for regulating pregnancies, but also an important dimension of the reproductive experience of women. However, tensions appear between these two dimensions (regulation and experience) of risk. An analysis of my data sheds light on three tensions in particular. Firstly, the notion of risk appears to be a cultural resource for health professionals to transmit norms of parenthood to certain categories of women. Secondly, it allows for distinctions between two registers of care: medicalisation and healthisation. While on one hand the risk approach is aligned with a process of technicisation and pathologisation of pregnancies, it also introduces behavioural and psycho-social perspectives on pregnancy. Thirdly, the risk approach promotes an individualising tendency in the management of pregnancy. Women’s experiences lead them to make pragmatic adjustments to regulations. Women circumvent certain norms and easily articulate the registers of medicalisation and healthisation according to the situation, simultaneously incorporating their experience of risk in a social network of mutual help. This article thus shows that the analysis of pregnancy risk management must take into consideration the difference between expectations regarding the effect of regulations implemented by institutions and the de facto experience of women in a specific socio-cultural context.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"41 1","pages":"100 - 121"},"PeriodicalIF":2.1,"publicationDate":"2019-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88836042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The impact of technology on pregnancy and childbirth: creating and managing obstetrical risk in different cultural and socio-economic contexts 技术对怀孕和分娩的影响:在不同文化和社会经济背景下产生和管理产科风险

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-05-19 DOI: 10.1080/13698575.2019.1649922

S. Topçu, P. Brown

引用次数: 18

Birth models in and between Italy and Senegal: a cross-cultural inquiry on the risks related to childbirth and birth technologies 意大利和塞内加尔的生育模式及其之间:关于生育和生育技术相关风险的跨文化调查

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-05-19 DOI: 10.1080/13698575.2019.1640352

Chiara Quagliariello

{"title":"Birth models in and between Italy and Senegal: a cross-cultural inquiry on the risks related to childbirth and birth technologies","authors":"Chiara Quagliariello","doi":"10.1080/13698575.2019.1640352","DOIUrl":"https://doi.org/10.1080/13698575.2019.1640352","url":null,"abstract":"In Western societies, such as Italy, a positive representation of birth technologies as the main remedy to fight against the uncertainties of physiology and biological risks associated with pregnancy and childbirth has prevailed since the eighteenth century. This process has experienced a strengthening and an acceleration in the last fifty years. Although the (bio)medical discourse has replaced previous representations of childbirth-related risks, other risk categorizations, and search for remedies, have emerged and persist. Relying on the findings of a multi-sited ethnographic work focused on Italy, Senegal and the migratory experience from Senegal to Italy, this article investigates how the representation of childbirth-related risks changes in these three contexts. Working in a risk perception framework, I argue that birth technologies and medical interventions are understood by some groups of Italian women as a risk to be avoided compared to the possibility of experiencing a natural birth. At the same time, through an anthropological perspective, the article investigates how the relatively low level of medicalization in Senegal shapes a discourse on birth based on a very different understanding of health and risk. Unlike the biomedical discourse, childbirth-related risks in Senegal are only partially explained by the physical materiality of the birth process. Finally, stressing the strong interconnection between risk logics and material culture, the article analyses the multiple challenges connected to both the ‘fascination’ for technological births and the transfer of non-biomedical risk models from Senegal to Italy through the migratory process.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"31 1","pages":"207 - 225"},"PeriodicalIF":2.1,"publicationDate":"2019-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77502539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Buying reassurance: uptake of non-invasive prenatal testing among pregnant women of advanced maternal age in China 购买保证:中国高龄孕妇接受无创产前检查

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-05-19 DOI: 10.1080/13698575.2019.1639636

Jifang Qiu

{"title":"Buying reassurance: uptake of non-invasive prenatal testing among pregnant women of advanced maternal age in China","authors":"Jifang Qiu","doi":"10.1080/13698575.2019.1639636","DOIUrl":"https://doi.org/10.1080/13698575.2019.1639636","url":null,"abstract":"Despite much ethical debate concerning non-invasive prenatal testing to abort or to detect genes, research on the experience of those who choose this new technology in China is limited, especially after the introduction of the Two-child Policy. In this article I analyse qualitative data from 25 interviews with pregnant women of advanced maternal age (pregnancy after 35) under the Two-child Policy, conducted in 2014 to 2016, as well as observational data from a 6-month, in-hospital participant observation in 2016. These data were collected with the aim to examine how non-invasive prenatal testing affects pregnant women’s risk perceptions and why this technology is widely accepted by pregnant women of advanced maternal age in China. I conclude that the women in my study accepted their ‘high-risk’ identity within prenatal care, and that non-invasive prenatal testing was integrated in this care. Women’s interactions with genetic counsellors, their husbands and close friends and community doctors produced anxieties, with women feeling responsible for the health of their foetuses. Consequently, the women in my study were willing to ‘buy’ this test for reassurance. The consumption of this new technology by pregnant women after the Two-child Policy lays a foundation for the market development of this technology in urban China.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"16 1","pages":"122 - 140"},"PeriodicalIF":2.1,"publicationDate":"2019-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85040392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 7