Qualitative Health Research最新文献

{"title":"Performance of Femininity as the Potential Determinant of Lower Well-Being Among Adolescent Girls in London, UK: An Exploratory Discourse Analysis.","authors":"Imogen I Hensler, Emily H Emmott","doi":"10.1177/10497323251324385","DOIUrl":"https://doi.org/10.1177/10497323251324385","url":null,"abstract":"<p><p>In the UK, girls are consistently found to have lower subjective well-being and higher rates of anxiety disorders/depression compared to boys. While the reasons for these gender disparities are complex, how girls conceptualize, experience, and \"perform\" femininity may be one pathway which exacerbates psychological stress. To explore this hypothesis, we conducted an in-depth exploratory study to examine how norms and experiences of femininity among seven adolescent girls aged 16-17 from London, England (external factors), relate to their behaviors and psychological experiences (internal factors). To do so, we conducted two online focus groups in July 2021, and conducted discourse analysis to explore their conceptualizations of femininity and its impact on participants. We identified two key discourses relating to the concepts and experiences around femininity among these girls: \"Valued by Conformity to Femininity,\" or how girls are judged by others based on their presentation and performance of femininity, and \"An Uncertain Perception of Self,\" relating to uncertain self-identity stemming from their performance of femininity. We reveal a potential social conditioning process of \"performing femininity\" experienced by our participants, leading to hypervigilance, anxiety, uncertainty, and confusion. Our results suggest that the paradoxical and conflicting expectations around femininity, reinforced by others, may cause cognitive distortions and dissonance, increasing vulnerabilities to low well-being and anxious cognition patterns. Thus, we believe that there are grounds for further research on a larger scale which explores whether there is a sociological mechanism which is creating the gender gap in mental health outcomes at adolescence in the UK.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251324385"},"PeriodicalIF":2.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Patients, Trauma Survivors, Sweethearts, or Troublemakers?\": A Discourse Analysis of General Practitioners' and Pharmacists' Accounts of Clients on Opioid Substitution Treatment.","authors":"Lena De Bonte, Liesbet Goubert, Melissa Ceuterick","doi":"10.1177/10497323241303713","DOIUrl":"https://doi.org/10.1177/10497323241303713","url":null,"abstract":"<p><p>Despite the high level of scientific support for the effectiveness of opioid substitution treatments (OSTs), individuals who rely on this treatment are a highly stigmatized population within healthcare settings. Previous studies mainly focused on the experiences of OST clients, while the perspective of medical professionals regarding OST remains largely unexplored. This study aims to investigate the discourse of pharmacists and general practitioners about OST through the lens of positioning theory. To explore their stance toward OST, semi-structured interviews were conducted with 30 pharmacists and general practitioners working in pharmacies, community health centers, private medical practices, prisons, and drug treatment services in Flanders, Belgium. The participants of this study discursively constructed four storylines to position themselves and OST clients, namely, a biomedical, psychodynamic, biopsychosocial, and moralizing storyline. These storylines are based on historical explanatory addiction models, and their use varies according to the participant's work setting. While the moralizing storyline was characterized by othering, stereotyping, and labeling, participants who applied the biopsychosocial storyline approached clients in a destigmatizing manner. To conclude, participants used the identified storylines to define the position of clients in OST, along with their related rights and duties. The dominant storyline thus shapes the view on and treatment of OST clients in a medical setting.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323241303713"},"PeriodicalIF":2.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Service Providers' Experiences Engaging Indigenous Fathers and Two-Spirit Parents With Young Children in Parenting Programs: An Interpretive Description.","authors":"Amy L Wright, Jessy Dame, Rachel VanEvery, Kate McGall, Ysabella Willett, Stephanie D George, Bonnie Freeman, Jessica E Pace, David Johnson","doi":"10.1177/10497323251317426","DOIUrl":"https://doi.org/10.1177/10497323251317426","url":null,"abstract":"<p><p>Healthy parenting is critical to the health of children and is often supported by prenatal and parenting programs. While numerous parenting programs exist for Indigenous families with young children, most do not meet the needs of men or Two-Spirit people. Participation of Indigenous fathers is typically low, and little is known about how service providers can engage Two-Spirit parents. This study aims to understand the experiences of service providers who deliver programming for expectant and parenting Indigenous fathers and Two-Spirit people to better engage parents in supportive programming that more effectively meet their needs to be successful parents. A community-led approach, along with Thorne's Interpretive Description methodology and the Two-Eyed Seeing framework, was used to understand the experiences of service providers delivering programs. Interviews and discussion groups were used to collect data concurrently with a collaborative approach to analysis. Findings are presented in a thematic summary comprised of four themes: (1) Relationality; (2) Role as Teacher; (3) Advocacy; and (4) Supporting Healing. The findings suggest that service providers should first build a trusting relationship with parents, provide activities, and use teaching strategies that more effectively engage men and Two-Spirit people in learning, while using a strengths-based and equitable approach. Findings demonstrate an urgent need to recruit men and Two-Spirit people as facilitators within organizations to deliver programming that is reflective of the clients they seek to serve.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251317426"},"PeriodicalIF":2.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Black Low-Income Mothers' Experiences With a Local Peer Support Group: A Qualitative Exploration.","authors":"Christina Castellano","doi":"10.1177/10497323251318213","DOIUrl":"https://doi.org/10.1177/10497323251318213","url":null,"abstract":"<p><p>Maternal empowerment, particularly by enhancing resourcefulness and support systems, has emerged as a promising approach to address inequities. The aim of this study was to explore the lived experiences of Black low-income women during the postpartum period and the interplay between cultural context, resourcefulness, and motherhood. The study employed a novel methodological approach that combined focused ethnography with grounded theory analysis. Six focus groups (<i>n</i> = 35) were conducted with Black mothers who had given birth within 5 years and were self-identified as low-income. Data analysis followed grounded theory principles of constant comparison and theoretical sampling. A grounded theory emerged, \"the journey to empowered motherhood includes both navigation and transformation.\" Three categories, (1) individual context, (2) strength alongside relationships, and (3) transition to motherhood, developed this theory which describes a dynamic process whereby mothers navigate sociocultural landscapes, leading to a transformed sense of self. This study offers insights into the complex nature of maternal empowerment among Black low-income mothers. The findings underscore the need for interventions that focus on fostering mothers' existing strengths and abilities within their specific sociocultural contexts, culturally sensitive maternal care that acknowledges and addresses the unique contextual challenges faced by Black low-income mothers, and a shift in perspective from deficit- to strength-based approaches in maternal health.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251318213"},"PeriodicalIF":2.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Provider Strategies and Approaches to Supporting People Living With HIV Who Are Experiencing HIV Treatment Disengagement in British Columbia, Canada.","authors":"Tatiana E Pakhomova, Rebeccah Parry, Tim Wesseling, David M Moore, Claudette Cardinal, Nicole Dawydiuk, Valerie Nicholson, Clara Tam, Surita Parashar, Robert Hogg, Rolando Barrios, Julio S G Montaner, Kate Salters","doi":"10.1177/10497323251318218","DOIUrl":"https://doi.org/10.1177/10497323251318218","url":null,"abstract":"<p><p>We conducted a strengths-based, qualitative study to elucidate the approaches and strategies utilized by healthcare providers (HCPs) to support HIV treatment engagement in British Columbia (BC), Canada. Healthcare providers (e.g., nurses, peer navigators, and pharmacists) across the province of BC were recruited through regional HIV programs and by word of mouth through purposive sampling strategies. An academic and community researcher co-conducted semi-structured phone interviews with HCPs providing HIV-specific healthcare. Emergent coding and participatory analysis, guided by interpretive description and the socio-ecological model, were used to uncover themes. Across all provincial health regions, 19 HCPs were interviewed between November 2020 and May 2021. Narratives centered around HIV care as a relational practice and the importance of person-centered care approaches. HCPs underscored the need to foster long-term, trusting relationships with clients, founded on respect, compassion, and non-judgmental approaches, which acknowledged the unique care engagement needs and experiences of people living with HIV (PLWH) experiencing treatment breaks. Successful engagement approaches supported clients' overall stability, which directly support treatment adherence. This includes strategies tailored to address unique client contexts and priorities related to psychosocial and other intersecting health needs. Collaborative relationships with other providers, both formal multidisciplinary team-based care and partnerships with ancillary service staff, were found to improve care continuity. Our study highlights the importance of relationship-building, person-centered care, and collaborative care to support PLWH experiencing breaks in treatment. HIV HCPs emphasized holistic, community-centered approaches as crucial to successful and long-term engagement of PLWH in care.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251318218"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Let All Identities Bloom, Just Let Them Bloom\": Advancing Trans-Inclusive Perinatal Care Through Intersectional Analysis.","authors":"George Parker, Suzanne Miller, Alex Ker, Sally Baddock, Elizabeth Kerekere, Jamie Veale","doi":"10.1177/10497323241309590","DOIUrl":"https://doi.org/10.1177/10497323241309590","url":null,"abstract":"<p><p>Intersectionality, as a praxis and methodology, enables researchers to attend to their social justice goals. Yet, intersectionality has been under-employed in research centering trans people's healthcare experiences. Not attending to intersectionality has been argued to reinforce the very structural inequities researchers are trying to challenge. This article presents a re-analysis of interview data of 20 Trans Pregnancy Care Project participants in Aotearoa New Zealand. Reflecting on our initial analysis, we returned to the data to understand how intersecting marginalizations experienced by our participants, based on their social identities, amplified their exclusion from perinatal services. The present analysis identified three themes describing how participants perceived and were affected by norms that privilege dominant social positionings within perinatal care settings. These norms often determined who felt anticipated and welcomed into care and undermined the quality of care received by multiply marginalized participants. Cisnormativity interacts with other power relations to layer and compound the exclusion experienced by multiply marginalized trans people in perinatal care. Participants also described strategies to challenge intersectional failures in their care, including efforts to comply with norms and to imagine the healing possibilities of being seen in their full selves when accessing services. Drawing on the Intersectionality Research for Transgender Health Justice framework, we discuss the implications of both our findings and our analytical process, asserting the necessity of intersectionality to advance trans-inclusive practices and trans health equity.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"403-417"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"So, This Is Actually Going to Somebody, Right?\": Critical Reflections on Participatory Planning, Implementation, and Evaluation of a Peer Support Group for Parents From Historically Marginalized Communities.","authors":"Camille Collins Lovell, Alexandria Richard, Alin Sanchez, Jessamyn Smyth, Aline Gubrium, Elizabeth S Valdez","doi":"10.1177/10497323251320521","DOIUrl":"https://doi.org/10.1177/10497323251320521","url":null,"abstract":"<p><p>Community-engaged, participatory approaches to designing and evaluating public health initiatives center the experiences, perspectives, and knowledge of community members at every stage of the process. A peer support group for racialized and minoritized parents under 25 years of age in the northeastern United States was designed, facilitated, and evaluated with the participation of peer leaders who shared expertise and strategies for navigating complex albeit imperfect bureaucratic systems on which they depend for social services. This paper explores key tensions between the experiences and expectations of peer leaders and the academic researchers involved in the project, and examines the limitations of culturally responsive evaluation to address the structural constraints of the neoliberal university.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"554-569"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Culturally Responsive Methodologies: Addressing the Special Issues in Qualitative Health Research.","authors":"Lorien S Jordan, Jori N Hall","doi":"10.1177/10497323251322298","DOIUrl":"https://doi.org/10.1177/10497323251322298","url":null,"abstract":"<p><p>The articles in this special issue emphasize the evolution and impact of culturally responsive research in health settings. They illustrate the methodological shift from viewing culture through a Western-centric lens to instead critically analyzing dominant cultural \"norms,\" intersectional identities, and the power of narratives. These contributions advocate for integrating culturally informed methods to respect all peoples' dignity and identities, aiming for more inclusive, equitable, and transformative health outcomes. The publication of this issue comes at a time when there is a global backlash against diversity, health promotion, and research, making the need for culturally responsive qualitative health even more critical. By continuing to develop and implement these methodologies, the health research community can play a crucial role in addressing and overcoming the persistent systemic and cultural inequalities in healthcare.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"395-402"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constructing Research Quality: On the Performativity of the COREQ Checklist.","authors":"Niels Buus, Ben Ong, Rochelle Einboden, Anette Juel, Amelie Perron","doi":"10.1177/10497323251323225","DOIUrl":"https://doi.org/10.1177/10497323251323225","url":null,"abstract":"<p><p>The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was designed to enhance quality in the reporting of interview and focus group studies, and it is widely endorsed by journals and publishers. However, it has also been heavily critiqued for its design and application in qualitative health research communities. In this article, we conduct detailed critical text analyses of eight articles and their accompanying self-reported COREQ responses and discuss the performative force of the checklist on the appearance of research quality. The analyses of authors' rhetorical strategies in articles and checklist responses indicated that they sometimes provide misleading, inconsistent, or excessive information, prioritizing checklist completion over substantive engagement with quality principles. While intended to standardize reporting, COREQ's rigid structure often led to overcompliance or inappropriate responses from authors, who strived to meet its criteria, even when they were irrelevant or unsuitable. This \"overobedience\" reflects a desire to maintain credibility and avoid scrutiny, yet it undermines the depth and rigor of qualitative research. COREQ is an epistemic device, shaping researcher practices and identities beyond its stated purpose, and while COREQ aims to enhance accountability, it perpetuates epistemic dominance, eroding authenticity and critical reflection in qualitative research, ultimately exacerbating the very problems it seeks to solve.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251323225"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging the Arts to Address and Elevate Vaccine Confidence: A Culturally Responsive and Equitable Evaluation of an Arts Intervention for Black Residents in Rural Georgia.","authors":"Brianna D Smith, Dunstan J Matungwa, Tracy Huang, Myrline Newton, Penny Cannon, Monica Williams, Marcel W Foster","doi":"10.1177/10497323251316824","DOIUrl":"https://doi.org/10.1177/10497323251316824","url":null,"abstract":"<p><p>Despite pronounced disparities in COVID-19 cases and mortality among communities of color in the United States, and vaccines being a potentially lifesaving prevention measure, vaccination rates are still lower among racial minorities, especially Black people, compared to White people. Reasons such as distrust in the U.S. government and healthcare system underlie vaccine deliberation, which contributes to low vaccine uptake among Black people. The creative and community-based program, \"Equitable Vaccines,\" uses the arts to address vaccine deliberation and boost vaccine confidence among Black people in rural Georgia. Program facilitators implemented vaccine events, bringing together community members to view an artistic asset (e.g., creative short film) and engage participants in candid conversations surrounding COVID-19 and vaccine deliberation. Subsequently, participants were invited to receive a COVID vaccine and complete a brief online post-event survey. Program facilitators also reported their observations and interactions with participants via an Asana post-event report. An analysis of these fieldnotes highlights the community's evolving experiences with COVID-19, the vaccine, and reasons for vaccine deliberation between late 2021 and 2024. Findings revealed that mistrust in U.S. institutions and systems and misinformation was a prominent theme across the entire program duration, but there was also a shift toward motivation for getting vaccinated toward the latter part of the program. We recommend using creative and culturally responsive techniques in designing, implementing, and evaluating public health interventions to address vaccine deliberation and other public health concerns in Black communities across the United States.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"539-553"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}