{"title":"What is innovative in qualitative methods in birth Cohort studies? A scoping review.","authors":"Daniella Watson, Taylor Riley, Carola Tize, Tatiane Muniz, Sahra Gibbon, Michelle Pentecost","doi":"10.1017/S0021932025000161","DOIUrl":"https://doi.org/10.1017/S0021932025000161","url":null,"abstract":"<p><p>Longitudinal birth cohort research provides a glimpse into the biological and social trajectories of a cohort of people, which helps us to better understand how to improve health and social outcomes. While qualitative longitudinal, ethnographic, and other qualitative research methods are increasingly used to capture complex data in trials and cohort research, they are relatively less common, and they vary greatly within and across cohorts and national contexts. The aim of this scoping review is to provide an overview of the use of qualitative and innovative methods in longitudinal preconception and birth cohort studies. Innovative methods, defined by Mannell and Davis (2019), go beyond standard surveys, interviews, and focus groups. The review summarises the literature of the integration of qualitative methods into birth cohort methodologies. Five databases were searched systematically, using MeSH and free text terms, for articles published in English before October 2022. Two-thirds of titles, abstracts, and full-text papers were screened by independent reviewers. Data extraction followed the Centre for Reviews and Dissemination guidelines and was based on features of qualitative methods from the COREQ checklist. 43 papers were included from the 13909 papers identified from the database search. The majority of the birth cohort studies used 'traditional qualitative methods' such as focus groups and one-to-one interviews. The studies that used 'innovative qualitative methods' included participatory interviews with photovoice, photographs, and using scenario and story cards, and while not a steadfast requirement of innovation, often included coproduction between the researchers and the participants. Although the literature reports challenges in conducting innovative methods within birth studies such as time and power imbalances between researcher and participant, these methods can help us better understand how to improve social and health outcomes.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1-20"},"PeriodicalIF":1.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unravelling biosocial dynamics? The placenta as a postgenomic bio-object in environmental epigenetic research on air pollution.","authors":"Sophia Rossmann, Ruth Müller","doi":"10.1017/S0021932025000227","DOIUrl":"https://doi.org/10.1017/S0021932025000227","url":null,"abstract":"<p><p>Air pollution exposure and its health effects are a central concern of environmental epigenetic research with birth cohorts. This article explores why researchers have turned to the placenta as a research object to study the dynamic interactions between in utero exposure to air pollution and future child health. Drawing on Science and Technology Studies, particularly the bio-object concept, this article analyses the transformation of the placenta into a technologically manipulated postgenomic bio-object through scientific discourse and practice. Building on ethnographic fieldwork conducted at an institute of epidemiology and public health in Spain, we analyse how researchers deal with the tension between the placenta's promises for epigenetic research and the practical research realities in postgenomic sciences. First, researchers discursively call upon the placenta as a suitable research object that embodies air pollution exposure and becomes entangled with and responds to this exposure via epigenetic changes. Studying the placenta promises to elucidate the temporally dynamic and environmentally embedded process of disease development as one of postgenomics' core epistemic concerns. Second, in practice, however, accessing and preparing the postpartum placenta for epigenetic analysis defies its promise as a postgenomic bio-object. The constraints of research with birth cohorts, such as only having access to the postpartum placenta at birth, limit what researchers can know about the dynamic process of disease development. Third, we show how researchers deal with these limitations by assembling additional data in and around this organ to recontextualise the epigenetic analysis performed in the postpartum placenta and revive its postgenomic character. We conclude by discussing how ethnographies of epistemic practices provide entry points to collaboratively reflect upon the theoretical and methodological opportunities and challenges in birth cohort research to study biosocial dynamics. We suggest avenues for using qualitative social science perspectives for future biosocial research and collaboration between the social and life sciences.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Excavating LGBTQ+ lives in the birth cohort: an exploration of pen portraits and data storytelling.","authors":"Evangeline Tabor, J D Carpentieri","doi":"10.1017/S0021932025000069","DOIUrl":"https://doi.org/10.1017/S0021932025000069","url":null,"abstract":"<p><p>Birth cohort studies provide invaluable data on topics across the lifecourse, including health, education, socioeconomic conditions, and well-being. As a result, they are an important resource for biosocial researchers to answer numerous complex research questions. However, despite being positioned as representative of their national or regional context, cohort studies often fail to capture the experience of marginalised groups.One such group is sexual and gender minority (or LGBTQ+) people who, until very recently, have been largely invisible in birth cohorts. This is despite huge social and attitudinal changes in the last fifty years and clear evidence of the social, political, economic, and health and well-being disparities experienced compared to heterosexual cisgender people. However, due to small numbers, opportunities for quantitative analysis are limited and result in the neglect of LGBTQ+ data even when it is captured.This article presents a brief overview of how queer lives have (and have not) been captured by standard data collection and analysis techniques in the British birth cohort studies. Then, using a cohort born in 1970, the authors explore the possibilities of person-centred mixed-method pen portraits to improve understanding of this group's life trajectories.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health system mistrust, ultra-orthodox Jews in the US, and vaccine hesitancy.","authors":"Zackary Berger","doi":"10.1017/S0021932025000124","DOIUrl":"10.1017/S0021932025000124","url":null,"abstract":"<p><p>A minority of ultra-Orthodox (Charedi) Jews choose not to be vaccinated, and their refusal has assumed significant importance from a variety of perspectives. Clinicians often encounter patients whose beliefs are different from their own. Vaccine hesitancy within the US Charedi Jewish community is a factor contributing to outbreaks of disease, reflecting a growing mistrust between communities and arms of the State played out on the terrain of bodies and societies. Clinicians need to be aware of and understand this broader context as a foundation of empathetic listening and epistemic humility that might lead to improved health for the Charedi community based on reinforced trust.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"195-200"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women's narratives of disrespect and abuse during facility-based childbirth in Kolkata, India.","authors":"Piya Roy, Muthusamy Sivakami, Surbhi Shrivastava","doi":"10.1017/S0021932025000173","DOIUrl":"10.1017/S0021932025000173","url":null,"abstract":"<p><p>Quality of care during childbirth is crucial to maternal health outcomes. Studies from India that report on women's experiences of disrespect and abuse by healthcare providers during facility-based childbirth are limited to high-fertility states and predominantly focus on public hospitals. However, the quality of maternal care in states with low fertility rates like West Bengal needs further examination. This study aimed to understand women's experiences of disrespect and abuse and their perceptions of facility-based childbirth. The study focused on public, private, and charitable hospitals in Kolkata district of West Bengal that presents a higher institutional birth rate than the national average. The findings derive from a qualitative study using in-depth interviews with 17 postpartum women who had facility-based births within one year before data collection in May 2019. Grounded theory approach was used to iteratively code the interview transcripts, identify reappearing categories, and generate themes through abstraction. The participants' narratives revealed experiences of verbal abuse, neglect and abandonment, poor rapport between providers and women, improper conduct of procedures, health facility conditions and constraints, and instances of overlapping forms of disrespect and abuse. The findings demonstrate the nature of disrespect and abuse across different hospital types in a major metropolis of India. Normalisation of poor-quality care manifested in women's lack of expectations of patient education and attention from providers. Health system conditions and constraints can impact the quality of care that problematise the push for institutional deliveries as a panacea for poor maternal health outcomes. The findings add to long-standing calls for improving maternal experiences of birth with an emphasis on promoting autonomy. National and state guidelines related to maternal health need to be aligned with accepted standards of care. West Bengal must establish ways to assess the implementation of such guidelines on the ground.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"263-278"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship between educational assortative mating and reproductive healthcare utilization in Nigeria.","authors":"Oluwatobi A Alawode","doi":"10.1017/S002193202500015X","DOIUrl":"10.1017/S002193202500015X","url":null,"abstract":"<p><p>Reproductive health indicators in many developing countries including Nigeria are poor, and this is due to the less-than-optimum utilization of reproductive healthcare that has been linked to numerous factors including the educational attainment of women and their partners. In societies like Nigeria, marriage is nearly universal and upheld by patriarchal practices, while education is one of the determining factors for the choice of partner in the marriage market, as it also influences household power dynamics. Despite the plethora of studies investigating the link between education and utilization of these services, there is a paucity of research examining educational assortative mating (EAM) and its link to reproductive healthcare utilization. Hence, this study investigated EAM and explored its association with reproductive healthcare utilization from the perspective of family systems theory. Data from the 2018 Nigeria Demographic and Health Survey (<i>n</i> = 19,950) was analysed with frequencies presented and binary logistic regression models fitted. The result showed that high-education (34%) and low-education (46%) homogamy are the most prevalent types of EAM, while 40% of the partnered women reported facility delivery, 11% used modern contraceptives and 20% reported 8+ antenatal care visits. The multivariate analysis showed that compared to women in hypergamy, women in both high-education homogamy and hypogamy are more likely to deliver at a health facility but women in low-education are less likely. Women in both high-education homogamy and hypogamy are more likely, but those in low-education homogamy are less likely to use modern contraceptives. For antenatal care, only women in high-education homogamy are more likely to have 8 or more visits during pregnancy compared to women in hypergamy, while women in low-education homogamy and hypogamy are less likely. These findings provide evidence of the importance of an indicator of social stratification for important family decisions like healthcare utilization.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"221-238"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 vaccine anxieties: exploring social and political drivers of vaccine attitudes in Kono District, Sierra Leone.","authors":"Liza J Malcolm, Kristen E McLean","doi":"10.1017/S0021932024000373","DOIUrl":"10.1017/S0021932024000373","url":null,"abstract":"<p><p>As COVID-19 spread rapidly during the early months of the pandemic, many communities around the globe anxiously waited for a vaccine. At the start of the pandemic, it was widely believed that Africa would be a significant source of infection, and thus, vaccinating African communities became a primary goal among local and global health authorities. However, when the COVID-19 vaccine became available in March 2021 in Sierra Leone, many people viewed it with scepticism and hesitation. While much literature has focused on access and distribution-related challenges for vaccination in the region, a growing number of studies discuss vaccine hesitancy as driving low vaccine uptake. Shifting attention to understanding the determinants of vaccine hesitancy remains fundamental to increasing vaccination rates, as negative vaccine perceptions tend to delay or prevent vaccination. This study sought to do this by assessing, through semi-structured qualitative interviews, vaccine-related attitudes and experiences of residents of Sierra Leone's Kono District. In contrast to studies that utilise \"knowledge-deficit\" models of belief, however, this study drew upon the vaccine anxieties framework (Leach and Fairhead, 2007), which views vaccines as being imbued with personal, historical, and political meaning. Findings suggest that important bodily, social, and political factors, including fear of side effects, the spread of misinformation prompted by poor messaging strategies, and distrust of government and international actors, influenced people's COVID-19 vaccine attitudes and behaviours. It is hoped that the study's findings will inform future policies and interventions related to vaccine uptake in Africa and globally.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"179-194"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam Martorana, Sankalp Katta, Hanna Huynh, Ezgi Ulger, Jeffrey Andrion
{"title":"Critical theory and cultural competency in medical QI projects: lessons from Pacific Islander communities.","authors":"Adam Martorana, Sankalp Katta, Hanna Huynh, Ezgi Ulger, Jeffrey Andrion","doi":"10.1017/S0021932025000100","DOIUrl":"10.1017/S0021932025000100","url":null,"abstract":"<p><p>This reflection explores the transformative power of critical theory through a quality improvement (QI) project creating culturally relevant dietary resources for Pacific Islander communities in Washington State, USA. Food injustice and lack of food sovereignty are examined as manifestations of modern-day colonialism perpetuated by capitalist-driven social structures. The methodology employed critical reflection, defined as the process of examining assumptions and power relations that shape practice, central to critical theory. Iterative group discussions aimed to understand the impact of individual and collective assumptions, power dynamics, and oppression on the project's conceptualization, implementation, and evaluation.Specific recommendations are integrated into the discussion to aid those replicating similar protocols, emphasizing actionable steps such as engaging with the community at all project stages. The research team, composed of osteopathic medical students and a critical theory expert, engaged in reflexivity to understand how social locations and lived experiences influenced perceptions. Despite the goal of fostering cultural inclusivity, limitations in engaging the Pacific Islander community throughout the project lifecycle highlighted the need for cultural humility and participatory action methodology.This study underscores the importance of understanding the history and socio-political context of marginalized communities to avoid perpetuating colonial practices and trauma. It emphasizes the necessity for medical schools to incorporate sociological theories into curricula to promote compassionate, culturally appropriate care and research. By critically examining positionality and engaging in transformative learning, the group advocates for systemic changes towards a more equitable global healthcare system.Through critical reflection, the group has come to understand how lived experiences have shaped perceptions of oppression, which are entrenched within and perpetuated by social institutions. Actionable items from these reflections are presented to help future practitioners and educators apply cultural humility, community empowerment, and critical theory in QI projects.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"257-262"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Malvika Tyagi, Deepak Kumar, Malik Altaf Hussain, Md Tajuddin Khan
{"title":"Flushed with success: how participation in social schemes influences toilet adoption in rural India.","authors":"Malvika Tyagi, Deepak Kumar, Malik Altaf Hussain, Md Tajuddin Khan","doi":"10.1017/S0021932025000057","DOIUrl":"10.1017/S0021932025000057","url":null,"abstract":"<p><p>Despite significant public health investments, rural India's sanitation challenges persist, raising questions about effective intervention strategies. This study investigates the influence of participation in social schemes on household sanitation behaviours, specifically toilet adoption and soap usage. Using panel data from the India Human Development Survey (2004-05 and 2011-12), a Linear Probability Model with Propensity Score Matching is employed to address potential selection bias. Results indicate that scheme participation increases toilet adoption by 45.5% and soap usage by 13.8%, with effects varying by socio-economic status, demographic characteristics, and local infrastructure. Particularly strong impacts are observed among historically disadvantaged communities, suggesting that social schemes can effectively reduce sanitation inequities. The spillover effect on soap usage indicates these interventions may catalyse broader hygiene behaviour changes. The findings highlight the value of social schemes in improving rural sanitation practices and offer insights for future programme design.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"315-329"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monica A Magadi, Francis O Obare, Neema Kaseje, Pensee Wu
{"title":"Impact of Covid-19 on antenatal care: evidence from Madagascar Demographic and Health Survey.","authors":"Monica A Magadi, Francis O Obare, Neema Kaseje, Pensee Wu","doi":"10.1017/S0021932025000112","DOIUrl":"10.1017/S0021932025000112","url":null,"abstract":"<p><p>Despite the growing literature on the impact of Covid-19 on antenatal care (ANC) and maternal/neonatal and child health outcomes globally, substantial knowledge gaps remain about the population-level impact in sub-Saharan Africa (SSA). Existing evidence on the ANC impact of Covid-19 in SSA is largely based on health facility or small-scale qualitative research, which are limited in providing population-level understanding. This paper examines the extent to which Covid-19 impacted ANC service utilisation and identifies what population sub-groups were most adversely impacted. It is based on a secondary analysis of the Madagascar Demographic and Health Survey (DHS), the first DHS in SSA released following the Covid-19 pandemic. Multilevel logistic regression analysis was used to estimate the net effect of Covid-19 on ANC and identify the most at-risk population sub-groups. The findings show that all ANC measures considered (no ANC, early ANC, adequate ANC visits) were significantly affected by Covid-19 (p<0.05). On average, Covid-19 was associated with a 42% increase in the odds of having no ANC, a 22% reduction in the odds of starting early ANC during the first trimester, and a 22% reduction in the odds of receiving adequate ANC (at least four visits, starting during the first trimester). Births to older mothers and to mothers with no education were disproportionately affected during Covid-19. Although youth aged 15-24 had poorer ANC compared to older women before the pandemic, the pattern was reversed during the pandemic. Also, the protective effect of education was stronger during than before the pandemic. These findings underscore the importance of Covid-19 impact mitigation strategies targeting the most at-risk groups (e.g. older mothers). Furthermore, essential information/education during pandemics should be in formats accessible to non-literate women. This paper advances understanding of the population-level impact of Covid-19 on ANC and emphasises the need for further research to better understand the population-level impact of Covid-19 across countries of SSA.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"160-178"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}