Health Risk & Society最新文献_第4页

Conceptualising the experience of health risk: the case of everyday management of elevated cholesterol 健康风险经验的概念化:高胆固醇日常管理的案例

IF 2.1 4区医学

Health Risk & Society Pub Date : 2022-02-09 DOI: 10.1080/13698575.2022.2037523

M. Jauho

{"title":"Conceptualising the experience of health risk: the case of everyday management of elevated cholesterol","authors":"M. Jauho","doi":"10.1080/13698575.2022.2037523","DOIUrl":"https://doi.org/10.1080/13698575.2022.2037523","url":null,"abstract":"Public health and individual health care are increasingly oriented towards managing risks. This ‘surveillance medicine’ does not target present illnesses but aims to prevent possible future conditions, greatly expanding the number of people implicated in medical interventions. In this paper, I interrogate the everyday experience of being at risk of illness. First, I suggest that we lack a comprehensive account of this experience, because current ways to characterise this phenomenon tend to equate risk with (chronic) illness and patient status. I then report a case study designed to avoid this starting point. I conducted interviews with laypersons with varying levels of elevated cholesterol, a common risk factor for cardiovascular diseases, who were recruited from a consumer panel in Finland in 2015. I found three elements that structure the health risk experience: the intangible nature of risk, the probabilistic character of risk estimates, and the ambivalent status of risk in terms of health and illness. While these findings overlap with previous literature in many ways, detaching health risk from illness foregrounds health management instead of patient behaviour. These findings call for caution in approaching health risk uncritically through illness categories or patient status, and I invite researchers to critically examine such elements in other cases and contexts.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"40 1","pages":"109 - 126"},"PeriodicalIF":2.1,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84814553","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

‘Polony panic’: News values and risk messages in news coverage of the South African listeriosis outbreak of 2017–2018 “波兰恐慌”:2017-2018年南非李斯特菌病疫情新闻报道中的新闻价值和风险信息

IF 2.1 4区医学

Health Risk & Society Pub Date : 2022-02-07 DOI: 10.1080/13698575.2022.2033177

C. Lamprecht, Lars Guenther, M. Joubert

{"title":"‘Polony panic’: News values and risk messages in news coverage of the South African listeriosis outbreak of 2017–2018","authors":"C. Lamprecht, Lars Guenther, M. Joubert","doi":"10.1080/13698575.2022.2033177","DOIUrl":"https://doi.org/10.1080/13698575.2022.2033177","url":null,"abstract":"During food-borne disease outbreaks, people get most of their information about food safety and risk from the news media. Best practice in risk messaging requires the rapid sharing of information to minimise harm, while expressing empathy, accountability, and commitment. The journalistic processes through which news is shaped can prioritise information differently, potentially limiting informed decision-making. The South African listeriosis outbreak (2017–2018) was the biggest in global history and generated considerable media attention. Using ‘social attenuation of risk theory’ and ‘gatekeeping theory’, combined with ‘crisis and emergency risk communication best practices’ as guiding principles, in this study we aimed to analyse which components of risk message content and which news factors were prioritised by news media during the outbreak. Content analysis of 91 listeriosis-related newspaper articles revealed that the most common risk messaging practices included were information about ‘what is known’ and ‘which foods to avoid’. News factor analysis indicated ‘relevance’ was omnipresent, and ‘controversy’ was the second most frequently encountered factor. Overall, our findings suggest that only some best practices featured in the risk message media content, while others were mostly absent. This should be considered when developing future risk communication strategies related to food safety.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"31 1","pages":"67 - 91"},"PeriodicalIF":2.1,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83504745","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

‘It’s like getting your car checked’: the social construction of diabetes risk among participants in a population study “这就像检查你的车一样”:在一项人口研究中，参与者对糖尿病风险的社会建构

IF 2.1 4区医学

Health Risk & Society Pub Date : 2022-01-31 DOI: 10.1080/13698575.2022.2028742

Guri Annesdotter Norddal, Å. Wifstad, O. Lian

{"title":"‘It’s like getting your car checked’: the social construction of diabetes risk among participants in a population study","authors":"Guri Annesdotter Norddal, Å. Wifstad, O. Lian","doi":"10.1080/13698575.2022.2028742","DOIUrl":"https://doi.org/10.1080/13698575.2022.2028742","url":null,"abstract":"In western industrialised societies, asymptomatic individuals are increasingly labelled as at-risk of future illness and targeted for public health interventions. These at-risk people are identified through health checks, population studies and national screening programs. The main purpose of communicating such risk to individuals is to motivate them to make lifestyle changes. Many of these risk-labels are controversial, both medically and ethically. Based on the relational theory of risk and a thematic analysis of qualitative interviews, we explore how individuals defined as at-risk perceive and conceptualise information about risk of developing diabetes. The interviews were conducted in 2019 with 26 participants from an ongoing population study in Norway. After participating within the screening, participants were informed that they had elevated or intermediate glycated haemoglobin values, and therefore at risk of developing type 2 diabetes. Our data reveal an ambiguous situation: while receiving information about being at-risk may function as a vulnerability-reminder that might motivate lifestyle changes, it can also create unnecessary fear over a disease that may never occur. Danger and uncertainty were interrelated aspects in the ways in which our participants conceptualised risk. Participants risk perceptions seemed to be regulated by fear, followed by a need for reassurance. Differences in risk perceptions and accounts of lifestyle changes depended on people’s trust in expert information versus their own experiences. Trust in medical expertise played a significant role in the ways in which participants constructed their risk, as well as their accounts of lifestyle changes.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"3 1","pages":"93 - 108"},"PeriodicalIF":2.1,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80947330","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: 2

Is my risk lower than yours? The role of compared risk, illness perceptions, and self-efficacy as determinants of perceived risk for COVID-19 我的风险比你的低吗?比较风险、疾病认知和自我效能作为COVID-19感知风险的决定因素的作用

IF 2.1 4区医学

Health Risk & Society Pub Date : 2022-01-30 DOI: 10.1080/13698575.2022.2031911

M. Figueiras, David Dias Neto, J. Marôco, Elisa Kern de Castro

{"title":"Is my risk lower than yours? The role of compared risk, illness perceptions, and self-efficacy as determinants of perceived risk for COVID-19","authors":"M. Figueiras, David Dias Neto, J. Marôco, Elisa Kern de Castro","doi":"10.1080/13698575.2022.2031911","DOIUrl":"https://doi.org/10.1080/13698575.2022.2031911","url":null,"abstract":"Risk perception is a psychological construct influenced by the available information about specific illnesses or conditions and several psychosocial variables. In the context of the COVID-19 pandemic, it is important to understand people´s perceptions about the illness and their subsequent behaviour. In the present study we aimed to assess risk and illness perceptions about COVID-19 at the beginning of the pandemic in a community sample and to assess whether illness perception dimensions, dispositional optimism, compared risk and perceived self-efficacy are predictors of individual risk perception for COVID-19. The participants were 549 Portuguese adults not infected by COVID-19 who completed an online survey. Our findings showed that individual and compared risk perceptions about COVID-19 were high as well as concern, negative emotional representation, and perceived consequences. The predictive model showed that 54% of the variance of the perceived individual risk was explained by compared risk, followed by concern, emotional representation, and self-efficacy. These findings highlight the importance of comparative risk (unrealistic comparative optimism) in the formation of individual risk perception. Social comparison can be an important factor for risk perception and the adoption of protective behaviours for COVID-19.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"160 3-4 1","pages":"54 - 66"},"PeriodicalIF":2.1,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77216963","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

Anxiety and trust in times of health crisis: How parents navigated health risks during the early phases of the COVID-19 pandemic in Denmark 健康危机时期的焦虑和信任:在丹麦COVID-19大流行的早期阶段，父母如何应对健康风险

IF 2.1 4区医学

Health Risk & Society Pub Date : 2022-01-23 DOI: 10.1080/13698575.2022.2028743

Barbara Fersch, Anna Schneider-Kamp, K. Breidahl

{"title":"Anxiety and trust in times of health crisis: How parents navigated health risks during the early phases of the COVID-19 pandemic in Denmark","authors":"Barbara Fersch, Anna Schneider-Kamp, K. Breidahl","doi":"10.1080/13698575.2022.2028743","DOIUrl":"https://doi.org/10.1080/13698575.2022.2028743","url":null,"abstract":"In this article, we investigate how parents of children in primary school navigated risks in the context of COVID-19 mitigation policies during the early stages of the COVID-19 pandemic. In Denmark, this group found itself at the front line of the reopening after an early lockdown, as primary schools were among the first institutions to reopen. This situation was discussed by the parents amid much controversy, which prompted us to investigate the strategies of different groups of parents within their institutional contexts. Based on qualitative interviews with 30 key informants, supplemented by a qualitative survey completed by 31 parents, collected between April and July 2020, we find three main types of strategies for dealing with pandemic health risks: (1) those involving trust, especially in schools and in teachers; (2) those primarily characterised by prioritising other aspects, such as the work-life balance; (3) and those containing overt or covert resistance strategies. Our findings demonstrate the pivotal role of the perceived trustworthiness of institutions (mainly schools) and professionals (mainly teachers) at the frontline for shaping parental risk navigation strategies. As our sample included asylum seekers whose resistance – unlike that of other parents employing resistance strategies – was met by an intervention, our analysis also sheds light on how social exclusion manifests itself in the Danish welfare state context during a pandemic.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"54 1","pages":"36 - 53"},"PeriodicalIF":2.1,"publicationDate":"2022-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83039728","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

The role of culture in the (re)production of inequalities of acceptable risk exposure: a case study in Singapore 文化在可接受风险暴露不平等(再)产生中的作用:新加坡的案例研究

IF 2.1 4区医学

Health Risk & Society Pub Date : 2021-12-01 DOI: 10.1080/13698575.2021.2003306

Anna Anderson

{"title":"The role of culture in the (re)production of inequalities of acceptable risk exposure: a case study in Singapore","authors":"Anna Anderson","doi":"10.1080/13698575.2021.2003306","DOIUrl":"https://doi.org/10.1080/13698575.2021.2003306","url":null,"abstract":"The relationship between risk and inequality has become a key area of research and theoretical debate in sociology and risk studies more broadly. My aim in this paper is to explore the role culture plays in the (re)production of inequalities of risk exposure. More specifically, I examine the ways cultural systems shape and animate judgements about acceptable standards of risk exposure for different groups within a society. The case study examines divergent policy judgements about acceptable risk exposure to road accident injury and death between a group of temporary visa workers and all other private passengers in Singapore. A key objective of the paper is to demonstrate the conceptual and empirical utility of Mary Douglas’ cultural perspective for studying interconnections between risk and inequality. In particular, how taking up the problem of ‘risk acceptability’ is an effective way of approaching and studying the ways risk and inequality operate as mutually constitutive relations. In the discussion I show that what counts as risk and how acceptable or not risk is judged to be depends on the cultural system of classification used and the stratified social order it (re)produces. In the conclusion I consider the broader utility and significance of this critical approach for studying relations between risk and inequality through the problem of risk acceptability. A utility that may take on a particular significance in the present time of the COVID-19 pandemic.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"33 1","pages":"1 - 16"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87476492","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: 4

Plus ça change? The COVID-19 pandemic as continuity and change as reflected through risk theory 加上a的变化?COVID-19大流行是风险理论所反映的连续性和变化性

IF 2.1 4区医学

Health Risk & Society Pub Date : 2021-11-17 DOI: 10.1080/13698575.2021.2016656

A. Alaszewski

引用次数: 7

Covid-19, pandemic risk and inequality: emerging social science insights at 24 months 2019冠状病毒病、大流行风险和不平等:24个月的新社会科学见解

IF 2.1 4区医学

Health Risk & Society Pub Date : 2021-11-17 DOI: 10.1080/13698575.2021.2016288

P. Brown, J. Zinn

{"title":"Covid-19, pandemic risk and inequality: emerging social science insights at 24 months","authors":"P. Brown, J. Zinn","doi":"10.1080/13698575.2021.2016288","DOIUrl":"https://doi.org/10.1080/13698575.2021.2016288","url":null,"abstract":"In this editorial, we introduce a special thematic collection of articles published in this current issue, and earlier in 2021, which develop a range of social science approaches to studying and theorising pandemic risk, largely focused on the COVID-19 pandemic. We structure this editorial essay in two parts. First, we consider the challenges of theorising pandemics with an attentiveness to inequality. We consider what different theoretical approaches have brought and can bring to studying risk and inequality, before developing a more in-depth consideration of the work of Mary Douglas for this purpose. We draw out key features of Douglas’s work on ‘centre and periphery’, alongside the related group dynamics and tensions which are configured by, and help reproduce, social inequalities. Second, we then develop a dialogue between these analytical sensibilities around inequality, drawn from Douglas, and various conceptualisations and findings emerging in the eight studies published on pandemics in Health, Risk and Society this year (4 in this issue, 4 appearing earlier in the year). Douglas’s work, which has often been neglected in studies of inequalities and risk, provides valuable insights into institutional dynamics of culture and power. The eight recent studies in the journal include some conducted in contexts, and by researchers, located towards the global economic and academic periphery. This diversification, beyond the usual social and governmental contexts, and alongside the growing involvement of different epistemic communities, introduces and cultivates valuable insights, for the field of risk, inequality and health more generally, and for grasping the global phenomena of the pandemic.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"1 1","pages":"273 - 288"},"PeriodicalIF":2.1,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77217922","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

Reconfiguration of the boundaries of occupational risk prevention observed during the COVID-19 pandemic: the case of personal protective equipment and collective protection in France COVID-19大流行期间观察到的职业风险预防边界的重新配置:以法国的个人防护装备和集体防护为例

IF 2.1 4区医学

Health Risk & Society Pub Date : 2021-11-17 DOI: 10.1080/13698575.2021.2003305

T. Bonnet, Éric Drais, Mireille Lapoire-Chasset, Julie Primerano, K. Rossignol

{"title":"Reconfiguration of the boundaries of occupational risk prevention observed during the COVID-19 pandemic: the case of personal protective equipment and collective protection in France","authors":"T. Bonnet, Éric Drais, Mireille Lapoire-Chasset, Julie Primerano, K. Rossignol","doi":"10.1080/13698575.2021.2003305","DOIUrl":"https://doi.org/10.1080/13698575.2021.2003305","url":null,"abstract":"During the COVID-19 pandemic, national risk management scenarios took an unexpected course at different individual and collective scales. In France, in the field of occupational risk, long-established practices, rules, and categories have been disturbed and placed ‘under stress’. The field of prevention of occupational risk, which has constituted a distinct field in health policies, with its own bodies, missions and approaches, was similarly disturbed. To describe and analyse these social phenomena, we propose using two complementary concepts: the British ‘risk work’ and the French ‘prevention work’ [‘travail de prévention’]. We show some of the empirical manifestations of risk work associated with prevention work and their effects on the boundaries instituted in the field of prevention at work. Our investigation used data from documentation and interviews in order to explore the experiences of two categories of professionals – physicians specialising in occupational health and home care aides – concerned with prevention during an acute phase of the pandemic. We point out that the question of protective means and equipment has been a central issue, in a context characterised by tensions between knowledge and available material resources. We also show that contradictions and points of tension between actors reveal the subjects under discussion and the more or less porous nature of the boundaries. Amid these processes, however, the principles underlying occupational health were reaffirmed, along with the need for a cooperation between workers and prevention professionals.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"69 1","pages":"339 - 358"},"PeriodicalIF":2.1,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89788623","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: 3

Risk and intersectional power relations: an exploration of the implications of early COVID-19 pandemic responses for pregnant women 风险和交叉权力关系:探讨早期COVID-19大流行应对对孕妇的影响

IF 2.1 4区医学

Health Risk & Society Pub Date : 2021-11-12 DOI: 10.1080/13698575.2021.1994933

T. Manca

{"title":"Risk and intersectional power relations: an exploration of the implications of early COVID-19 pandemic responses for pregnant women","authors":"T. Manca","doi":"10.1080/13698575.2021.1994933","DOIUrl":"https://doi.org/10.1080/13698575.2021.1994933","url":null,"abstract":"The World Health Organization and many national health authorities identifie pregnant women as requiring extra protections during the COVID-19 global pandemic. Nevertheless, many initial responses to the COVID-19 pandemic were implemented in ways that have disrupted the care and support women receive and provide during pregnancy. In this article, I apply an intersectional approach to explore the unintended implications of discourses and practices targeting universal risks of COVID-19 for pregnant women. I discuss three overlapping topics. First, pandemic responses that aimed to negate the universal risk of COVID-19 transmission created obstacles to maternal health care that disproportionately impacted low-income women and regions. For example, rapidly changing public health mandates that were intended to protect the population from the universal threat of COVID-19 have produced unintended results of restricting public transportation, and consequently, access to maternal care. Second, overly precautious healthcare practices aimed at protecting foetuses and new-borns from possible risks can harm women and their new-borns. Recommendations, such as separating women from their new-borns at birth to prevent the spread of COVID-19, are shown to be often entangled with racism and colonialism. Third, in neoliberal contexts, dominant discourses have constructed privileged women as ‘normal’ in a way that responsibilised all women to minimise health risks for their foetuses. Such recommendations ignore inequalities in women’s living conditions and ability to follow public health advice about COVID-19. I argue that responses to COVID-19 were (dis)organised within pre-existing economic, racial, colonial, and patriarchal power relations that disadvantaged some pregnant women more than others.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"21 1","pages":"321 - 338"},"PeriodicalIF":2.1,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79441227","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