Social Science & Medicine最新文献

Parental beverage choices to inform policy on sugar-sweetened beverages: a discrete choice experiment 父母对含糖饮料政策的饮料选择：一个离散选择实验

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-21 DOI: 10.1016/j.socscimed.2025.118404

Nyamdavaa Byambadorj , Rohan Best , Undram Mandakh , Kompal Sinha

{"title":"Parental beverage choices to inform policy on sugar-sweetened beverages: a discrete choice experiment","authors":"Nyamdavaa Byambadorj , Rohan Best , Undram Mandakh , Kompal Sinha","doi":"10.1016/j.socscimed.2025.118404","DOIUrl":"10.1016/j.socscimed.2025.118404","url":null,"abstract":"<div><div>This study addresses growing concerns regarding childhood obesity and cardiovascular diseases by exploring the effects of possible policy measures on the intention to choose sugar-sweetened beverages (SSBs) in Mongolia, a low-income country. Focusing on parents’ preferences for purchasing SSBs, we employed a stated preference choice experiment to analyse how various product attributes, including price, labelling, sugar content and store placement, affect parents’ purchase decisions. Price increases were the most effective intervention, with larger increases leading to a substantial reduction in purchase probability. Labelling also played a crucial role, particularly graphic warnings, which strongly deterred selection. Reducing sugar content positively influenced preferences. Also, store placement at less prominent locations (e.g., back row and bottom shelf) was associated with lower selection probability; however, these results reflect stated preferences and should be interpreted cautiously given their hypothetical nature. Additionally, estimates of willingness to pay suggest consumers are less willing to purchase SSBs with graphic warning labels and placement in the back row and bottom level. These findings highlight the importance of integrating multiple regulatory measures to effectively curb SSB consumption and mitigate associated health risks in Mongolia.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118404"},"PeriodicalIF":4.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680795","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}

引用次数: 0

Are geographic variations in secondary hospital expenditure caused by supply and demand factors? Evidence from migration in England 二级医院支出的地域差异是否由供需因素引起？来自英格兰移民的证据

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-19 DOI: 10.1016/j.socscimed.2025.118439

Sean Urwin, Laura Anselmi, Yiu-Shing Lau, Matt Sutton

{"title":"Are geographic variations in secondary hospital expenditure caused by supply and demand factors? Evidence from migration in England","authors":"Sean Urwin, Laura Anselmi, Yiu-Shing Lau, Matt Sutton","doi":"10.1016/j.socscimed.2025.118439","DOIUrl":"10.1016/j.socscimed.2025.118439","url":null,"abstract":"<div><div>Regional variations in hospital expenditure are a global concern because they may reflect unmet healthcare needs or inefficient resource use. Several recent studies have used internal migration to differentiate demand and supply causes of these regional variations. Most of these studies have focused on specific populations in competitive insurance settings and have not fully considered the timing of individual migrations. Using individual level data on 55 million patients from national Hospital Episode Statistics between 2010 and 2018, we examine geographical variations in overall hospital expenditure and in admissions (emergency and planned), outpatient visits and emergency department attendances. We estimate models similar to the need-based formula used by the English NHS to allocate resources to local commissioners, but we include individual fixed effects to capture demand factors. We find that 10–18 % of the regional variation in hospital expenditure stems from supply-side factors. This contribution is higher for ambulatory care (67.70 % for emergency department attendances and 56.89 % for specialist visits) than for hospital admissions, emergency (12.99 %) and planned (17.91 %). We also find that, after adjusting for need indicators, hospital expenditure is on average higher when individuals live in northern England and in regions with lower prices and higher than expected budget allocations. Despite this significant variation, the share attributable to supply in the English NHS is lower than other countries. Our results have implications for debates about regional variations in health care expenditure and for the importance and design of needs-based resource allocation.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118439"},"PeriodicalIF":4.9,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696546","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}

引用次数: 0

A Cycle of Social Violence: a novel theoretical framework for explaining how structural, slow, and symbolic violence interact to produce and maintain health inequalities in England 社会暴力的循环：一个新的理论框架，解释结构性的，缓慢的，象征性的暴力如何相互作用，以产生和维持在英国的健康不平等

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-19 DOI: 10.1016/j.socscimed.2025.118438

T.J. Price, V.J. McGowan

{"title":"A Cycle of Social Violence: a novel theoretical framework for explaining how structural, slow, and symbolic violence interact to produce and maintain health inequalities in England","authors":"T.J. Price, V.J. McGowan","doi":"10.1016/j.socscimed.2025.118438","DOIUrl":"10.1016/j.socscimed.2025.118438","url":null,"abstract":"<div><div>Health inequalities are a form of violence, produced and sustained by political, economic, and social structures that systematically disadvantage certain communities. Drawing on qualitative data from 194 participants in six English towns, this study develops the Cycle of Social Violence, a novel theoretical framework that conceptualises how structural, slow, and symbolic violence interact to create and perpetuate health inequalities. Participants' narratives illustrate how structural violence, driven by neoliberal economic policies creates the material conditions for poor health. These harms unfold over time as slow violence, extending their impacts and making their effects difficult to trace to specific causes. Symbolic violence then legitimises and obscures these injustices, reinforcing narratives that blame individuals rather than structural forces. The interaction of these three forms of violence produces a self-perpetuating cycle that deepens inequalities and erodes resistance to systemic harm. This study highlights how these dynamics manifest in deindustrialised and economically deprived communities, where declining public services, insecure work, and stigma reinforce poor health outcomes. Breaking the cycle of social violence requires policy interventions that incorporate the lived experience of people in affected communities and that go beyond surface-level regeneration to address the root causes of economic and social deprivation.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118438"},"PeriodicalIF":4.9,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672344","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}

引用次数: 0

A conditional indirect effect model of racism and depressive and anxiety symptoms by ethnicity among Asian Americans during the COVID-19 pandemic 新冠肺炎大流行期间亚裔美国人种族主义与抑郁和焦虑症状的条件间接效应模型

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-18 DOI: 10.1016/j.socscimed.2025.118434

Michael P. Huynh , Linda Toch , Adrian Bacong , Erika Mey , Janine Chi , Anne Saw

{"title":"A conditional indirect effect model of racism and depressive and anxiety symptoms by ethnicity among Asian Americans during the COVID-19 pandemic","authors":"Michael P. Huynh , Linda Toch , Adrian Bacong , Erika Mey , Janine Chi , Anne Saw","doi":"10.1016/j.socscimed.2025.118434","DOIUrl":"10.1016/j.socscimed.2025.118434","url":null,"abstract":"<div><div>The COVID-19 pandemic contributed to the rise in anti-Asian hate crimes, leading to adverse mental and physical health outcomes in Asian American communities and a growing need to better understand the detrimental effects of racism. This study aims to understand whether the indirect relationship between facing discrimination and depressive and anxiety symptoms through perceived danger is conditional on Asian ethnicity. We used data from the Asian American & Native Hawaiian/Pacific Islander COVID-19 Needs Assessment Project (n = 3071), employing multivariable linear regression models and path analysis to determine if ethnicity and perceived danger explained the relationship between facing discrimination and depressive and anxiety symptoms. We found that perceived danger indirectly explained about 9 % of the total effect in depressive symptoms and 12 % of the total effect in anxiety symptoms. We also found that facing discrimination yielded smaller increases of anxiety symptoms among Vietnamese and Cambodian individuals compared to other Asian ethnic groups. However, the indirect effect of facing discrimination and depressive and anxiety symptoms through perceived danger was the same across all ethnic groups, indicating no significant evidence for conditional indirect effects. These results suggest that interventions addressing perceived danger could reduce depressive and anxiety symptoms, and tailored approaches that account for distinct histories and identities may better address the effects of racism on various Asian ethnic groups. Future research directions include studies that incorporate longitudinal data to test for moderated mediation and alternative directional pathways.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118434"},"PeriodicalIF":4.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686794","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}

引用次数: 0

Expectation vs reality: A case study of the impact of the da Vinci surgical robot on healthcare professionals’ work experiences 期望与现实：达芬奇手术机器人对医疗专业人员工作经验影响的案例研究

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-18 DOI: 10.1016/j.socscimed.2025.118437

Hong Yu Liu , James Hayton

{"title":"Expectation vs reality: A case study of the impact of the da Vinci surgical robot on healthcare professionals’ work experiences","authors":"Hong Yu Liu , James Hayton","doi":"10.1016/j.socscimed.2025.118437","DOIUrl":"10.1016/j.socscimed.2025.118437","url":null,"abstract":"<div><div>In recent years, considerable academic attention has been devoted to the use of new technology in the healthcare sector. However, there is limited empirical knowledge about how everyday professional work is affected or how professionals actually experience these changes. This article assesses the introduction of the da Vinci surgical robot in the colorectal surgery department of a National Health Service Hospital in England. It argues that the impact of technology on healthcare workers is not predetermined by the characteristics of a technology and should be understood as a combination of positive and negative experiences in specific, highly contextualised workplace settings. Benefits to patients of the da Vinci surgical robot are clinically promising, but its implementation continues to be difficult, and the trade-offs look much different for varying employee groups. Our ethnographic method enables us to present this finding in granular detail: the da Vinci surgical robot can improve the morale and occupational health of the healthcare professionals in this hospital, yet negative impacts such as anxiety associated with conducting new operation procedures are commonly experienced by surgical team members. This article covers themes such as recruitment, preparation, and training, and offers much-needed insights into the long-term development of the healthcare workforce in England and beyond.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118437"},"PeriodicalIF":4.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672342","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}

引用次数: 0

Viewpoints of local decision-makers on what matters in the allocation of scarce social care resources in the Netherlands 荷兰当地决策者对稀缺社会护理资源分配的看法

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-17 DOI: 10.1016/j.socscimed.2025.118407

P.P.M. Mos , A.F.H. Hoogenboom , N.J.A. van Exel , V.T. Reckers-Droog

{"title":"Viewpoints of local decision-makers on what matters in the allocation of scarce social care resources in the Netherlands","authors":"P.P.M. Mos , A.F.H. Hoogenboom , N.J.A. van Exel , V.T. Reckers-Droog","doi":"10.1016/j.socscimed.2025.118407","DOIUrl":"10.1016/j.socscimed.2025.118407","url":null,"abstract":"<div><div>Social care supports individuals with functional impairments to live at home independently and participate in society for as long as possible. The demand for social care continues to rise, driven by increased longevity and demographic ageing. In the Netherlands, local decision-makers enjoy discretion to allocate the limited social care budget in view of local needs. The aim of this study is to examine their viewpoints on what matters in the allocation of scarce social care resources in the Netherlands.</div><div>We conducted a Q-methodology study among decision-makers (n = 25) employed in one of 15 municipalities in the Netherlands. Participants ranked 39 statements reflecting the underpinnings of decisions on the allocation of social care resources and explained their ranking in an interview. We used factor analysis followed by varimax rotation to identify clusters in the rankings. We then used the resulting factor arrays and interview transcripts to interpret the clusters as viewpoints. We identified four viewpoints among participants, representing views of <em>sufficientarianism</em> (providing support up to a basic level of needs), <em>egalitarianism</em> (providing equal support to as many as possible)<em>, welfarism</em> (fostering access to high-quality social care)<em>, and communitarianism</em> (highlighting the responsibility of informal caregivers to provide support).</div><div>The findings of this study suggest that differences in viewpoints between local decision-makers may arise from differing notions of distributive justice. While local differences may—to some extent—fall within decision-makers’ discretion, considerable differences in resource-allocations decisions on social care in the Netherlands may have consequences for horizontal equity in access.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118407"},"PeriodicalIF":4.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672343","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}

引用次数: 0

Cognitive functioning and depressive symptoms in the aging population: The buffering role of marital status 老龄化人群认知功能与抑郁症状：婚姻状况的缓冲作用

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-17 DOI: 10.1016/j.socscimed.2025.118425

M. Ciziceno , G. Maggio

{"title":"Cognitive functioning and depressive symptoms in the aging population: The buffering role of marital status","authors":"M. Ciziceno , G. Maggio","doi":"10.1016/j.socscimed.2025.118425","DOIUrl":"10.1016/j.socscimed.2025.118425","url":null,"abstract":"<div><div>This study examines the moderating role of marital status in the relationship between depressive symptoms and cognitive functioning in older adults from 12 European countries. Using longitudinal panel data from the Survey of Health, Ageing and Retirement in Europe (SHARE), we hypothesize that marriage buffers the negative effects of depression on cognitive abilities, focusing on immediate and delayed memory and verbal fluency.</div><div>Building on the Social Ambivalence and Disease (SAD) model, we argue that not only the presence of a marital relationship, but also its quality, plays a crucial role in shaping mental and cognitive health.</div><div>Our findings indicate that marriage has a protective effect on verbal fluency, likely due to the cognitive stimulation provided by spousal interactions. This buffering effect does not extend to other cognitive domains, such as immediate and delayed memory, which may be more influenced by neurobiological factors. Moreover, we find that in the context of depression symptoms married women benefit more from the protective effects of marriage than men, possibly due to gender differences in social engagement within relationships. The results underscore the importance of both marital support and relationship quality for cognitive health. From a policy perspective, initiatives promoting spousal engagement, horizontal networking, and peer-support programs may help reduce the cognitive risks associated with depression and social isolation in older adults.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118425"},"PeriodicalIF":4.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672345","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}

引用次数: 0

The healthcare experiences of LGBTQ people with intellectual and developmental disabilities in the United States: A scoping review 美国智力和发育障碍LGBTQ人群的医疗保健经历：范围审查

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-17 DOI: 10.1016/j.socscimed.2025.118431

Taye M. Hallock , Patrick J.A. Kelly , Aidan Campagnolio , Makhari Dysart , Rebecca Fülöp , Izzy Kaufman , Nova McGiffert , Sally Gould-Taylor

{"title":"The healthcare experiences of LGBTQ people with intellectual and developmental disabilities in the United States: A scoping review","authors":"Taye M. Hallock , Patrick J.A. Kelly , Aidan Campagnolio , Makhari Dysart , Rebecca Fülöp , Izzy Kaufman , Nova McGiffert , Sally Gould-Taylor","doi":"10.1016/j.socscimed.2025.118431","DOIUrl":"10.1016/j.socscimed.2025.118431","url":null,"abstract":"<div><div>Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people and people with intellectual and developmental disabilities (IDD) each face multiple systems of oppression (e.g., cissexism, ableism) that produce interpersonal, institutional, and environmental barriers to accessing healthcare services. For people with intersecting LGBTQ and IDD identities, these barriers coalesce to further restrict access to healthcare, worsening quality of health and health disparities. This scoping review explores the experiences of LGBTQ people with IDD and the barriers and facilitators they encounter when accessing care within the U.S. healthcare system. Identification of barriers and facilitators can inform multi-level intervention targets including provider knowledge, skills, and attitudes and advocacy strategies for environmental and systems-level change. A registered protocol guided the search for peer-reviewed and grey literature sources published before November 24, 2024. Sources included LGBTQ people with IDD and reported on experiences accessing and navigating healthcare services. Twenty-one articles were included in the review. The Behavioral-Ecological Framework of Healthcare Access and Navigation informed mapping of findings. Articles primarily described personal and provider factors (n = 17) that impact access to care and the healthcare environment (n = 14), while fewer described social environments (n = 7). Little attention has been paid to the built environment. Barriers included patient-provider communication challenges, difficulty finding competent providers, and the complexity of navigating healthcare systems. Facilitators included supportive social networks, affirming and accommodating providers, and healthcare policies that reduce healthcare costs and offer legal protection.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118431"},"PeriodicalIF":4.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672338","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}

引用次数: 0

A good rest makes a caring doctor: Linking physicians’ nonwork time recovery to patient-centered communication with nonwork-to-work enrichment and empathy 良好的休息造就有爱心的医生：将医生的非工作时间恢复与以患者为中心的沟通联系起来，通过非工作到工作的丰富和同理心

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-17 DOI: 10.1016/j.socscimed.2025.118432

Yu Zheng , Shu Yang , Qingrui Li , Bingqing Ling

{"title":"A good rest makes a caring doctor: Linking physicians’ nonwork time recovery to patient-centered communication with nonwork-to-work enrichment and empathy","authors":"Yu Zheng , Shu Yang , Qingrui Li , Bingqing Ling","doi":"10.1016/j.socscimed.2025.118432","DOIUrl":"10.1016/j.socscimed.2025.118432","url":null,"abstract":"<div><div>As an ideal form of patient-physician communication, patient-centered communication (PCC) is linked with various desired health and relationship outcomes, raising the need to promote PCC practices among physicians. However, how factors within physicians' daily work and life contexts are associated with PCC remains largely unknown. Based on the work-home resource (PCC) model, we proposed and tested a mediation path model linking nonwork time recovery—the restoration of resources during leisure time—to physicians’ PCC. This study has revealed that nonwork time recovery was indirectly and positively associated with PCC by analyzing quota-sampled data collected among physicians. The association is drawn by 1) the sequential mediation of nonwork-to-work enrichment (NWE), 2) the transfer of instrumental and affective resources from nonwork to work domain, and 3) two dimensions of empathy, i.e., perspective-taking as the cognitive dimension and empathetic concern as the affective dimension. This study contributes to the patient-physician communication literature by revealing the mechanism of how work-nonwork synergy may benefit high-quality patient-physician communication from a resource-based perspective.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118432"},"PeriodicalIF":4.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696565","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}

引用次数: 0

Teen dating violence victimization and mental health in adulthood: The mediating roles of violence experiences and lifestyle factors 青少年约会暴力受害与成年期心理健康：暴力经历和生活方式因素的中介作用

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-07-16 DOI: 10.1016/j.socscimed.2025.118423

Jinho Kim , Taehoon Kim

{"title":"Teen dating violence victimization and mental health in adulthood: The mediating roles of violence experiences and lifestyle factors","authors":"Jinho Kim , Taehoon Kim","doi":"10.1016/j.socscimed.2025.118423","DOIUrl":"10.1016/j.socscimed.2025.118423","url":null,"abstract":"<div><div>Adolescent dating violence victimization is a prevalent but often underexamined form of early relational trauma, with potential long-term consequences for mental health. This study investigates the longitudinal association between adolescent dating violence victimization and depressive symptoms in adulthood and explores the mediating roles of subsequent violence-related experiences and lifestyle factors. Using data from the National Longitudinal Study of Adolescent to Adult Health, we analyzed a sibling subsample (N = 1,474) followed through Waves I to V. Sibling fixed effects models were employed to account for unobserved family-level confounders. Mediation analyses using multivariate bootstrapping assessed the indirect effects of later violence involvement and health-related behaviors. Adolescent dating violence victimization was significantly associated with increased depressive symptoms in adulthood, even after controlling for shared family background. This relationship appeared stronger for males, though gender differences were not statistically significant. Mediation analyses revealed that violence-related experiences—particularly perpetration—and lifestyle factors—particularly sleep problems—partially explained the observed association, accounting for approximately 25 % of the total effect. These findings underscore the long-term mental health risks associated with exposure to dating violence in adolescence and highlight the importance of early, trauma-informed interventions. Addressing continued violence involvement and health-risk behaviors may help mitigate the enduring psychological consequences of adolescent dating violence victimization.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118423"},"PeriodicalIF":4.9,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662816","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}

引用次数: 0