Health Risk & Society最新文献_第9页

Studying COVID-19 in light of critical approaches to risk and uncertainty: research pathways, conceptual tools, and some magic from Mary Douglas 根据风险和不确定性的关键方法研究COVID-19:研究途径、概念工具和玛丽·道格拉斯的一些魔力

IF 2.1 4区医学

Health Risk & Society Pub Date : 2020-01-02 DOI: 10.1080/13698575.2020.1745508

P. Brown

引用次数: 82

‘Don’t know’ responding and estimates of perceived risk: failing to provide a ‘don’t know’ response systematically biases laypeople’s perceived risk estimates “不知道”的反应和感知风险的估计:未能提供“不知道”的反应系统地影响了外行人的感知风险估计

IF 2.1 4区医学

Health Risk & Society Pub Date : 2020-01-02 DOI: 10.1080/13698575.2020.1714557

M. Kiviniemi, Erin M. Ellis, H. Orom, Erika A. Waters, J. Hay

{"title":"‘Don’t know’ responding and estimates of perceived risk: failing to provide a ‘don’t know’ response systematically biases laypeople’s perceived risk estimates","authors":"M. Kiviniemi, Erin M. Ellis, H. Orom, Erika A. Waters, J. Hay","doi":"10.1080/13698575.2020.1714557","DOIUrl":"https://doi.org/10.1080/13698575.2020.1714557","url":null,"abstract":"Individuals sometimes report that they don’t know their risk for a health problem, but many studies of illness risk perception do not provide a ‘don’t know’ (DK) response option. We examined how providing versus not providing a DK option affected responding – either the number of DK responses when the option was provided or the number of skips when a DK option was not provided. We also examined whether it systematically affected perceived risk estimates. Participants (N = 960) reported perceived absolute and comparative risk for four health issues. They were randomly assigned to receive risk questions with or without a DK response option. In the DK Option condition, ‘don’t know’ answers ranged from 3.5% to 12.7% of responses. For all absolute risk questions, perceived risk was significantly higher in the DK Option condition; all Fs (1, 932) < 3.79, all ps < .05. DK responding was issue-specific; more than 25% of the sample answered DK to at least once, but only 2.7% answered DK to more than half of the items. Substantial use of the DK response option and higher perceived absolute risk estimates were seen when a DK response was provided. These findings have implications for assessing the validity of measured risk estimates, of relations between constructs, and for survey design best practices. In addition, they suggest that DK responses are primarily knowledge-based – that individuals answer DK largely because of lacking sufficient knowledge or health literacy to form a risk perception rather than due to satisficing.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"30 1","pages":"69 - 85"},"PeriodicalIF":2.1,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79261847","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: 12

Cultural Worldviews and Perceived Risk of Colon Cancer and Diabetes. 文化世界观与结肠癌和糖尿病的认知风险。

IF 2.1 4区医学

Health Risk & Society Pub Date : 2020-01-01 DOI: 10.1080/13698575.2020.1827142

Xuewei Chen, Heather Orom, Marc T Kiviniemi, Erika A Waters, Elizabeth Schofield, Yuelin Li, Jennifer L Hay

{"title":"Cultural Worldviews and Perceived Risk of Colon Cancer and Diabetes.","authors":"Xuewei Chen, Heather Orom, Marc T Kiviniemi, Erika A Waters, Elizabeth Schofield, Yuelin Li, Jennifer L Hay","doi":"10.1080/13698575.2020.1827142","DOIUrl":"https://doi.org/10.1080/13698575.2020.1827142","url":null,"abstract":"<p><p>Individuals with different cultural worldviews conceptualize risks in distinct ways, yet this work has not extended to personal illness risk perception. The purpose of this study was to 1) examine the relationships between two types of cultural worldviews (Hierarchy-Egalitarian; Individualism-Communitarianism) and perceived risk (perceived severity and susceptibility) for diabetes and colon cancer, 2) test whether health literacy modifies the above relationships, and 3) investigate whether trust in government health information functions as a putative mediator of the relations between cultural worldviews and disease perceived risk. We recruited (N=600) participants from a nationally-representative Internet survey panel. Results were weighted so the findings are representative of the general United States population. People with a more hierarchical worldview expressed lower perceived susceptibility to developing both diabetes and colon cancer, and perceived these diseases to be less severe, relative to those with a less hierarchical (more egalitarian) worldview. There was no significant association between individualistic worldview and perceived risk. Health literacy modified the relationships between hierarchical worldview and perceived risk; the associations between hierarchical worldview and lower perceived severity were stronger for those with limited health literacy. We did not observe indirect effects of cultural worldviews on perceived risk through trust in health information from government sources. It may be useful to identify specifically tailored risk communication strategies for people with hierarchical and individualistic worldviews, especially those with limited health literacy, that emphasize their important cultural values. Further research examining cultural components of illness risk perceptions may enhance our understanding of risk-protective behaviors.</p>","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"22 5-6","pages":"324-345"},"PeriodicalIF":2.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13698575.2020.1827142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9649710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Everyday strategies for handling food safety concerns: a qualitative study of distrust, contradictions, and helplessness among Taiwanese women 处理食品安全问题的日常策略:台湾女性不信任、矛盾与无助的质性研究

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-11-06 DOI: 10.1080/13698575.2019.1685658

Yu-Chan Chiu, Ssu-Han Yu

{"title":"Everyday strategies for handling food safety concerns: a qualitative study of distrust, contradictions, and helplessness among Taiwanese women","authors":"Yu-Chan Chiu, Ssu-Han Yu","doi":"10.1080/13698575.2019.1685658","DOIUrl":"https://doi.org/10.1080/13698575.2019.1685658","url":null,"abstract":"Past research has provided evidence of the important role that trust plays in people’s decisions regarding food consumption. This study examines the reasons for people’s distrust in food production systems and how they conceptualise and handle food-related risks in everyday life in a context in which food scandals have occurred frequently. In-depth interviews were conducted with 39 married Taiwanese women. Our findings indicated that the women believed that collusion commonly occurs between business and government entities and that such collusion frequently leads to food scandals. However, despite their distrust in the food system and suspicion towards the government, the women generally still relied on food labels and certifications when making food purchasing decisions. These ‘in-between’ strategies were formed by their knowledge and experiences of day-to-day living in Taiwan, and while the strategies may seem somewhat self-contradictory, they can be understood as empowering people to protect themselves and their families in circumstances of general distrust and helplessness.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"11 1","pages":"319 - 334"},"PeriodicalIF":2.1,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78598505","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

Perceived colorectal cancer candidacy and the role of candidacy in colorectal cancer screening 认知结直肠癌候选及候选在结直肠癌筛查中的作用

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-10-30 DOI: 10.1080/13698575.2019.1680816

A. Bikker, S. Macdonald, K. Robb, Ellie Conway, S. Browne, C. Campbell, D. Weller, R. Steele, U. Macleod

{"title":"Perceived colorectal cancer candidacy and the role of candidacy in colorectal cancer screening","authors":"A. Bikker, S. Macdonald, K. Robb, Ellie Conway, S. Browne, C. Campbell, D. Weller, R. Steele, U. Macleod","doi":"10.1080/13698575.2019.1680816","DOIUrl":"https://doi.org/10.1080/13698575.2019.1680816","url":null,"abstract":"Screening is a well-established tool to advance earlier cancer diagnosis. We used Davison’s concept of ‘candidacy’ to explore how individuals draw on collectively constructed images of ‘typical’ colorectal cancer (CRC) sufferers, or ‘candidates’, in order to evaluate their own risk and to ascertain the impact of candidacy on screening participation in CRC. We interviewed 61 individuals who were invited to participate in the Scottish Bowel Screening Programme. Of these, 37 were screeners (17 men and 20 women) and 24 non-screeners (13 men and 11 women). To analyse these data we used a coding frame that drew on: symptoms, risk factors, and retrospective and prospective candidacy. Few participants could identify a definite bowel cancer candidate and notions of candidacy were largely predicated on luck in the sense that anyone could be a candidate for CRC and there was little evidence to support a linear relationship between feelings of risk and screening decisions. Often participants described screening as part of a wider portfolio of being healthy and referred to feeling obliged to look after themselves. Our study suggests that rather than candidates for bowel cancer, screeners viewed themselves as candidates for screening by which screening decisions pointed towards the acceptance and normalisation of the rhetoric of personal responsibility for health. These findings have related theoretical and practical implications; the moral structure that underpins the new public health can be witnessed practically in the narratives by which those who see themselves as candidates for screening embrace wider positive health practices.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"40 1","pages":"352 - 372"},"PeriodicalIF":2.1,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75300277","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

‘I can tell when you’re staring at my glass …’: self- or co-surveillance? Couples’ management of risks related to alcohol use during pregnancy “当你盯着我的眼镜时，我能看出来……”:自我监控还是共同监控?夫妇对怀孕期间饮酒相关风险的管理

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-10-29 DOI: 10.1080/13698575.2019.1682126

R. Hammer

{"title":"‘I can tell when you’re staring at my glass …’: self- or co-surveillance? Couples’ management of risks related to alcohol use during pregnancy","authors":"R. Hammer","doi":"10.1080/13698575.2019.1682126","DOIUrl":"https://doi.org/10.1080/13698575.2019.1682126","url":null,"abstract":"Social researchers have largely used the framework of self-surveillance to describe the experience of pregnant women within a social context characterised by risk avoidance for the sake of their baby. However, men’s positions regarding the risk discourses surrounding alcohol use during pregnancy and their engagement in their partners’ regulation of abstinence remain unclear. Using a socio-cultural approach to risk perception, this study contributes to the understanding of the lay management of health-related risk as a relational issue by considering the couple relationship as a significant context that shapes responses to risk in everyday life. In this article, I explore the woman’s and her partner’s management of the risks surrounding alcohol consumption during pregnancy. This study draws on joint interviews with 30 first-time expectant couples conducted in 2014 in Switzerland. I found that all the women’s changes of their drinking had been their personal choice and had been seldom discussed with their partners. While women’s responses to risk discourses reflected their engagement in self-surveillance, most of the men were actively involved in their partners’ self-regulation, in terms of support for the transition to abstinence, endorsement of maternal responsibility, and monitoring the woman’s behaviour. I show that the management of the risks related to alcohol consumption was a matter of co-surveillance, rather than of self-surveillance. Although co-surveillance was most often experienced as shared responsibility, some couples experienced conflicts that emphasised the moral meaning of risk related to alcohol consumption during pregnancy.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"33 1","pages":"335 - 351"},"PeriodicalIF":2.1,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90738532","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

Risk rituals and the female life-course: negotiating uncertainty in the transitions to womanhood and motherhood 风险仪式与女性生命历程:在向女性和母性过渡的过程中协商不确定性

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-10-14 DOI: 10.1080/13698575.2019.1676403

S. Moore

{"title":"Risk rituals and the female life-course: negotiating uncertainty in the transitions to womanhood and motherhood","authors":"S. Moore","doi":"10.1080/13698575.2019.1676403","DOIUrl":"https://doi.org/10.1080/13698575.2019.1676403","url":null,"abstract":"This article argues that key points in the female life-course – specifically, the transition into independent adulthood and motherhood – have come to be characterised by risk. The discussion is anchored in two case studies: the first concerns female undergraduate students’ strategies for managing the risks associated with socialising, and the second deals with the depiction of pregnancy-related health issues in British newspapers. Across both, discussion focuses on the protective and self-limiting routines that have become a distinctive feature of women’s lives. This article approaches these as ‘risk rituals’ and works towards a refinement of this concept. First, by suggesting that this concept should pay greater attention to the critical question of who is being asked to take responsibility for a risk. Secondly, by suggesting that ‘risk rituals’ might on occasion serve to mark and manage life-course transitions. The article’s conclusion seeks to explain why risk rituals might serve this function. Developing out of conditions of detraditionalisation and individualisation, risk rituals are nonetheless socially-patterned, rather than universal. They are, for example, a particular feature of the female life-course, and in making this argument the article points out the connections between practices of risk-avoidance on the one hand, and social constraints associated with gender on the other. In making this case, the article seeks to provide a fresh perspective on risk and the life-course, as well as contribute to the emerging ‘risk rituals’ literature and work on gender and risk.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"25 1","pages":"15 - 30"},"PeriodicalIF":2.1,"publicationDate":"2019-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80606850","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: 11

Medicalisation, risk and the use of statins for primary prevention of cardiovascular disease: a scoping review of the literature 他汀类药物用于心血管疾病一级预防的医学化、风险和使用:文献范围综述

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-09-23 DOI: 10.1080/13698575.2019.1667964

P. Byrne, Órla O’Donovan, Susan M. Smith, J. Cullinan

{"title":"Medicalisation, risk and the use of statins for primary prevention of cardiovascular disease: a scoping review of the literature","authors":"P. Byrne, Órla O’Donovan, Susan M. Smith, J. Cullinan","doi":"10.1080/13698575.2019.1667964","DOIUrl":"https://doi.org/10.1080/13698575.2019.1667964","url":null,"abstract":"Primary prevention of cardiovascular disease has been a site of medicalisation, as demonstrated by the significant increase in the use of cholesterol-lowering drugs, statins, over the last thirty years. While this is welcomed by many in the medical community, others have criticised the expansion of statin use to low-risk people. In the context of this debate, the aim of this article is to present a broad scoping review of the literature on how preventative health, risk and ‘candidacy’ for statin treatment are perceived and negotiated by clinicians and patients. We examine how evidence and knowledge about cardiovascular risk reduction is produced, interpreted and communicated and how patients’ gender, socio-demographic and cultural differences may impact patterns of statin use. We found that few studies differentiated between the use of statins in those with and those without established cardiovascular disease, despite the fact that the majority of statin users, and women in particular, fall into the primary prevention category. In this context, the process of medicalisation is predicated on healthy individuals being subject to medical surveillance of risk factors, which have acquired the status of disease in their own right. Central to this process has been the heuristic that identifies elevated cholesterol as a medical problem warranting statin treatment, as well as the difficulties encountered by doctors and patients in understanding, interpreting and communicating risk. This individualised construction of risk and disease has largely ignored the supposedly widely recognised social and political determinants of health and illness.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"353 1","pages":"390 - 406"},"PeriodicalIF":2.1,"publicationDate":"2019-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75106978","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

The costs of risk and fear: a qualitative study of risk conceptualisations in allied health resource allocation decision-making 风险和恐惧的成本:联合医疗资源分配决策中风险概念化的定性研究

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-09-22 DOI: 10.1080/13698575.2019.1667962

Kellie Grant, Jenni White, Jenny S. Martin, T. Haines

{"title":"The costs of risk and fear: a qualitative study of risk conceptualisations in allied health resource allocation decision-making","authors":"Kellie Grant, Jenni White, Jenny S. Martin, T. Haines","doi":"10.1080/13698575.2019.1667962","DOIUrl":"https://doi.org/10.1080/13698575.2019.1667962","url":null,"abstract":"Over the past several decades, the paradigm of risk has become increasingly salient for understanding how health care is provided. In more recent years, we have seen an expanding body of literature raising concerns of possible harms that a focus on risk may carry. Despite considerable research interest in risk, relatively little is known about the construction of risk in contexts of allied health resource allocation decision-making. This article reports on qualitative research exploring how allied health leaders construct the concept of risk and how this influences resource allocation decision-making. Data are drawn from forums held in August and September 2014, with a total of 59 participants who occupied leadership roles in allied health in Australia. The findings highlight three domains of risk: resource, patient and organisational risk. Some domains of risk received more attention from participants and exerted greater influence on decision-making than others. Relative to the other domains, patient risk was not a core focus. Risk had a distinct emotive element and some domains of risk led participants to focus on catastrophic outcomes. Patient risk did not evoke emotive responses, whereas both resource and organisational risk did. It appears that perceived risk may be costly for health organisations, as it can be a primary driver underpinning resource allocation decisions. We explore the relative lack of attention to patient risk, the role of fear and anxiety in decision-making, and discuss implications of the impact of a focus on risk in wider society.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"6 1","pages":"373 - 389"},"PeriodicalIF":2.1,"publicationDate":"2019-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78907188","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 construction and navigation of riskscapes in public health advice and mothers’ accounts of weaning 公共卫生咨询和母亲断奶记录中风险情景的构建和导航

IF 2.1 4区医学

Health Risk & Society Pub Date : 2019-08-18 DOI: 10.1080/13698575.2019.1667963

Maria Fuentes, H. Brembeck

{"title":"The construction and navigation of riskscapes in public health advice and mothers’ accounts of weaning","authors":"Maria Fuentes, H. Brembeck","doi":"10.1080/13698575.2019.1667963","DOIUrl":"https://doi.org/10.1080/13698575.2019.1667963","url":null,"abstract":"This paper adds to critical studies of risk and mothering by illustrating and conceptualising how risk is constructed in public health advice and mothers’ accounts of weaning. Previous research points towards a gap between public health scientific definitions of risk and mothers’ contextual understandings and experience of handling complex and often conflicting risks linked to food and feeding. It has been suggested that public health discourse misses out on or even silences risks defined by women in their everyday care practices. Therefore, our aim is to conceptualise and map various co-existing constructions of risk and discuss how an awareness of the multiplicity of risk can inform public health advice that take mothers’ point of view into account. Using the concept ‘riskscape’, we explore and compare how public health and mothers’ constructions of risk diverge and overlap. Our findings illustrate how mothers belong to a community of practice where weaning is understood and practiced in relation to their everyday life and eating practices involving multiple concerns that are not addressed in public health advice, especially the wider food and information landscape. The study also indicate that this divergence can provoke feelings of insecurity and anxiety among mothers and make public health advice seem less relevant. In sum, our findings suggest a need for public health to acknowledge mothers’ experience of weaning as a compound practice similar to their own eating practices and to widen the present focus on risk as a domestic and individual responsibility.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"13 1","pages":"227 - 245"},"PeriodicalIF":2.1,"publicationDate":"2019-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90038997","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: 0