{"title":"(En)gendering risk: gender dynamics, trust and risk negotiations among drug-using couples","authors":"Ediomo-ubong E. Nelson","doi":"10.1080/13698575.2020.1862066","DOIUrl":"https://doi.org/10.1080/13698575.2020.1862066","url":null,"abstract":"Although intimate partnerships where both partners inject drugs have emerged as the focus of research and interventions, the gender dynamics characterising risk behaviours in injecting partnerships have largely been neglected. This study explored qualitative interview accounts focusing on the ways gender dynamics that reflect power differences between male and female injecting partners influenced risk perception and management. It drew upon a qualitative study of risk negotiation practices of injecting partners (n = 16) in Uyo, Nigeria. Analysis highlighted three key themes: ‘caring and drug-using partnerships’; ‘risk reduction and production’, and ‘male dominance and gendered violence’. Although the intimate partnerships of PWID provided emotional and social support in a high-risk environment, factors operating within these partnerships, including affection, trust, and gendered violence, undermined agency and risk-reducing behaviours, creating conditions that increased vulnerability to HIV particularly for women. The findings support calls to move beyond individual risk factors and privilege a relationship orientation in HIV prevention work. In particular, the analysis highlights a need for intervention models that build and maintain trust among drug-using partners, while improving communication skills, preventing violence and promoting HIV prevention through the adoption of risk-reducing measures.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"1 1","pages":"456 - 471"},"PeriodicalIF":2.1,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84342270","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}
{"title":"Health and illness as drivers of risk language in the news media – a case study of The Times","authors":"J. Zinn","doi":"10.1080/13698575.2020.1862065","DOIUrl":"https://doi.org/10.1080/13698575.2020.1862065","url":null,"abstract":"Since the 1980s, a growing body of scholarship suggests that societal concerns and management of risk have become a central feature of modernising societies. Most prominently Ulrich Beck has asserted that modern societies were increasingly confronted with the side-effects of social progress challenging the modern machinery, such as science and insurance, to manage risk. Since this early focus on technological advancement and environmental degeneration, there have been little systematic empirical analyses of the forces that drove the proliferation of risk in the public sphere. Following suggestions by Luhmann, among others, that the risk semantic is central to modernisation and Skolbekken’s description that since 1945 medical journals have experienced a ‘risk epidemic’, this article examines the developments and events responsible for the social proliferation of health risk. In particular, I utilise The Times corpus (1790–2009) provided by the Corpus Approaches to Social Sciences research centre at Lancaster University, and the corpus linguistics tool CQPweb, for a detailed quantitative and qualitative analysis of language in its social contexts. I argue that the occurrence and increasingly widespread use of the ‘at risk’-expression indicate a transformation of public consciousness related to a growing social prominence of health and well-being, the normalisation of rational management of health, and the definition of social reality by its ‘at risk’-status.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"14 1","pages":"437 - 455"},"PeriodicalIF":2.1,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74909480","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}
{"title":"‘The more you go to the mountains, the better parent you are’. Migrant parents in Norway navigating risk discourses in professional advice on family leisure and outdoor play","authors":"Raquel Herrero-Arias, Ellie Lee, Ragnhild Hollekim","doi":"10.1080/13698575.2020.1856348","DOIUrl":"https://doi.org/10.1080/13698575.2020.1856348","url":null,"abstract":"Abstract Drawing on data from a study with Southern European parents living in Norway, this article discusses the experiences of migrant parents with professional advice on family leisure and outdoor play. The study is situated broadly in research about the contemporary parenting role and the social construction of parents as risk-managers. Within this construction, parents are understood as continually managing a ‘double-bind’, in which they are asked to both protect children from multiple risks, and expose them to risk to develop resilience. Norway provides an interesting context for further investigation, given its institutionalised emphasis on the importance of outdoor life and play. This is embedded in public provision for children and in dominant understandings of how families should use leisure time and how children should play. We explore how migrant parents respond to the associated discourses of risk in their encounters with kindergarten professionals and community health nurses. Participants navigated risk discourse in professional advice on family leisure and children’s outdoor play in three ways: contesting discourses of risk; feigning cooperation; and accepting professional intervention and advice in either collaborative or compliant relationships. Migrant parents experienced professional constructions of risk-management as implying a form of individual responsibility, which typically recognised risks to children’s wellbeing linked with their lifestyle choices. Although some found ways to negotiate risk and accommodate, parental experience was characterised by tension and difficulties in encountering the double-bind, which deserves further attention.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"32 1","pages":"403 - 420"},"PeriodicalIF":2.1,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91197203","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}
{"title":"Risk at the boundaries of social work a special issue of Health, Risk & Society","authors":"R. Crath, J. Dixon, J. Warner","doi":"10.1080/13698575.2020.1843937","DOIUrl":"https://doi.org/10.1080/13698575.2020.1843937","url":null,"abstract":"Risk is a central theme in social work. Some scholars take a normative approach, looking at the strengths and weaknesses of risk assessments and how they can be best applied. Others adopt a critica...","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"48 1","pages":"377 - 378"},"PeriodicalIF":2.1,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75982764","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}
{"title":"Hopes, hesitancy and the risky business of vaccine development","authors":"M. Calnan, T. Douglass","doi":"10.1080/13698575.2020.1846687","DOIUrl":"https://doi.org/10.1080/13698575.2020.1846687","url":null,"abstract":"Recent policy conversations about vaccination programmes primarily target the problem of vaccine hesitancy and the lack of public participation at the level required for community immunity, or herd immunity. In this editorial, we will first explore the nature of public vaccine hesitancy, review what is known and demonstrate the significance of understanding vaccine hesitancy in the COVID-19 context. We argue that sociological research indicates that to sufficiently grasp vaccine hesitancy in the twenty-first century it is necessary to consider several aspects: the nature of medical decision-making, trust, risk and social responsibility, and the role of information technology and various forms of media. There are also questions about what influences the (successful) development and provision of a vaccine – issues that have been brought sharply into focus by the COVID-19 pandemic. As such, in the second half of the editorial, we move to consider the supply side of vaccination. We examine what shapes this configuration and consider the role of key players such as those who manufacture the vaccines and, in turn, those who regulate development, again with a focus on the COVID-19 pandemic.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"59 1","pages":"291 - 304"},"PeriodicalIF":2.1,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90471182","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}
{"title":"‘Can you sleep tonight knowing that child is going to be safe?’: Australian community organisation risk work in child protection practice","authors":"Sarah Maslen, Sharynne L. Hamilton","doi":"10.1080/13698575.2020.1828303","DOIUrl":"https://doi.org/10.1080/13698575.2020.1828303","url":null,"abstract":"ABSTRACT Risk averse practice has dominated the child protection field for decades, with high-profile child deaths, ever-tightening surveillance, and regulation of families. In this context, the practice of social work as ‘risk work’ including the use of risk assessment tools has been subject to substantial scholarly investigation. Less attention has been paid to the community organisations that play a central role in supporting child protection-involved parents. Based on interviews with Australian community workers, we examine their negotiation of the parent support/parent risk dichotomy. From the perspective of community workers, the overly reductive, process-oriented risk judgements of child protection workers lead to both false positives and false negatives, with harmful impacts on the health and wellbeing of children and their families. Community workers resisted such approaches. Perceived failures of justice and care drove some to take liberties in their mandatory reporting obligations to guide outcomes. We argue that including the expertise of community workers in child protection assessments would better support child and family wellbeing.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"59 1","pages":"346 - 361"},"PeriodicalIF":2.1,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84462740","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}
{"title":"Health, risk-taking and well-being: doing gender in relation to discourses and practices of heavy drinking and health among young people","authors":"J. Törrönen, E. Samuelsson, F. Roumeliotis","doi":"10.1080/13698575.2020.1825640","DOIUrl":"https://doi.org/10.1080/13698575.2020.1825640","url":null,"abstract":"In the last 20 years, adolescents’ heavy drinking in many western countries has declined. Simultaneously, researchers have identified an increased interest in health among young people. The paper compares adolescents’ gendered discourses and practices on intoxication and health in order to clarify the role gender plays in their current low alcohol consumption. The data consists of semi-structured interviews about alcohol, health and leisure activities among adolescents aged between 15 and 19 (N = 56). In the coding of the material, we have singled out two approaches to health and well-being among the participants, which we name the ‘social’ and ‘physical health’ approaches. By drawing on Butler’s work on ‘gender as performativity’, Connell’s understanding of gendered identities as ‘multidimensional’ and Bourdieu’s concept of ‘habitus’, we analyse how the participants align with, negotiate or oppose the hegemonic masculinities and femininities in these approaches, and examine the everyday practices that the two approaches are embedded in. Our analysis shows that the participants’ gendered performances in the ‘physical health’ approach are more variable, reflective and critical than those in the ‘social health’ approach. Moreover, the physical health approach modifies young people’s risk-taking practices of heavy drinking and helps to reinforce practices that favour young people’s low alcohol consumption. We propose that the move from doing gender in relation to risk-taking by heavy drinking towards doing it more through health- and physical appearance-related activities may generate processes that narrow the gender gap between masculinities and femininities and encourage new kinds of interaction and gender blending between them.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"26 1","pages":"305 - 323"},"PeriodicalIF":2.1,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80918859","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}
Davina B Lohm, Mark D M Davis, A. Whittaker, P. Flowers
{"title":"Role crisis, risk and trust in Australian general public narratives about antibiotic use and antimicrobial resistance","authors":"Davina B Lohm, Mark D M Davis, A. Whittaker, P. Flowers","doi":"10.1080/13698575.2020.1783436","DOIUrl":"https://doi.org/10.1080/13698575.2020.1783436","url":null,"abstract":"As antibiotics have become increasingly ineffective against bacteria, antibiotic stewardship has been introduced across a variety of settings world-wide. Members of the public have been entreated to use antibiotics strictly as prescribed. We interviewed ninety-nine participants who shared their understandings of antibiotics and reflections on antibiotic resistant bacteria. Some participants were eager consumers of antibiotics whilst others sought to avoid them. Overall, the participants expressed their desire to act in a responsible manner in relation to antibiotic usage. However, we also found considerable confusion regarding responsible action linked with risk management and trust in expert advice. Despite the encouragement of personal responsibility for health decisions, sick individuals are urged to enact a Parsonian-like sick role that abdicates personal decision-making powers and invests trust in the expertise of prescribers. We find this assumption of a responsible, knowledgeable patient and expert clinician is disrupted by 1) patients’ contingencies when circumstances force them to seek and use antibiotics despite their misgivings, 2) patients’ own embodied knowledge and assessment of their vulnerability and progression of infections and 3) doubts in the expert knowledge of clinicians, as considered in light of scientific debate. Accordingly, lay publics are left entangled in contrary expectations of responsibility and trust regarding the use of antibiotics with significant implications for antimicrobial stewardship.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"145 1","pages":"231 - 248"},"PeriodicalIF":2.1,"publicationDate":"2020-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89023673","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}
{"title":"Determinants of environmental risk information seeking: an emphasis on institutional trust and personal control","authors":"Jisoo Ahn, G. Noh","doi":"10.1080/13698575.2020.1813261","DOIUrl":"https://doi.org/10.1080/13698575.2020.1813261","url":null,"abstract":"The release of Fukushima’s radioactive water has important consequences for public health in Japan, the wider region and further afield. Whereas earlier studies of information seeking on risks and trust have tended to relate to risk governance at the national level, this case poses more international dimensions, such as how those in South Korea consider and seek risk information, given Korea’s close proximity to Japan. In this study we examine the South Korean public’s motivation to seek information about risks related to Fukushima’s radioactive water, through analysis of primary survey data. A total of 1,500 Korean residents, recruited via a national survey company, participated in this study. Our findings indicate that negative affect such as anxiety and anger, trust in the Korean government, and controllability of the issue by oneself and experts were determinants for seeking information. We develop specifications regarding personal control in hazard characteristics as a way of contributing to the Risk Information Seeking and Processing model analytical approach. These findings can help inform risk communication strategies and wider governance of environmental public health risks.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"112 1","pages":"214 - 230"},"PeriodicalIF":2.1,"publicationDate":"2020-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84229443","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}
{"title":"A systematic review of psychosocial risks for gambling and problem gambling in the Nordic countries","authors":"J. Nordmyr, A. Forsman","doi":"10.1080/13698575.2020.1796929","DOIUrl":"https://doi.org/10.1080/13698575.2020.1796929","url":null,"abstract":"Gambling is a relatively common activity in the Nordic countries, while the incidence and prevalence of problem gambling is relatively stable in this context. Social networks and relationships (e.g., gambling activities among family members and peers) have been put forward as relevant factors to consider when monitoring the epidemiological pathways in regard to gambling and problem gambling. The research on gambling and functional or qualitative aspect of networks and relationships (here labelled psychosocial factors), is however an important emerging area, warranting a synthesis of the evidence. We systematically reviewed the evidence on psychosocial risk factors in relation to gambling and problem gambling in Nordic gambling research. Included articles were identified through systematic searches in 10 scientific databases, covering the time period January 2000–July 2019. Following a systematic screening procedure, the final data set consisted of 21 original studies applying various statistical, interview or narrative methods. The review highlights both less researched psychosocial phenomena and also synthesises the evidence on the most commonly featured psychosocial factors in the included publications – loneliness and social support – evidencing conflicting findings in relation to gambling activities and problem gambling. Although few studies carried evidence to corroborate causal inferences, the risk factors and related epidemiological pathways we identify highlight focal areas that should be considered in both future prevention research and practice, broadening the arena for prevention strategies targeting new health challenges.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"1 1","pages":"266 - 290"},"PeriodicalIF":2.1,"publicationDate":"2020-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89111432","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}