Social Science & Medicine最新文献

{"title":"Inter-identity threats and opportunities shaping professional influence for the Allied Health Profession (AHP) healthcare workforce: a study of identity paradox","authors":"Sarah E Crozier ,&nbsp;Carol Atkinson ,&nbsp;Mike Bresnen ,&nbsp;Peter Goodwin","doi":"10.1016/j.socscimed.2025.118638","DOIUrl":"10.1016/j.socscimed.2025.118638","url":null,"abstract":"<div><div>This paper extends our understanding of complexities in professional identity within healthcare by exploring a diverse group, UK allied health professionals (AHPs) working in clinical settings in public healthcare. Through qualitative thematic enquiry, we harness identity theory to highlight the threats and opportunities facing this workforce who contend with a multiplicity of identities. AHPs face an identity paradox, insofar as they hold both singular and collective professional identities that shift and change as they interact with different identity expectations within their work environment. We explore the impact of inter-identity threats and opportunities upon AHPs' professional identity, examining their impact upon AHPs’ capacity to address and resolve ever-increasing system healthcare challenges. Our contribution presents a process-oriented model that highlights the importance of inter-identity dynamics, showing the interconnectedness of AHP identity with a range of detrimental outcomes that hinder the contribution of these professions and perpetuate existing difficulties.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"386 ","pages":"Article 118638"},"PeriodicalIF":5.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236466","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":"Beyond LGBTQ+: Centering QT2S lived experiences in body image research","authors":"Byron E. Upshaw ,&nbsp;Souksavanh T. Keovorabouth ,&nbsp;Felina M. Cordova-Marks","doi":"10.1016/j.socscimed.2025.118640","DOIUrl":"10.1016/j.socscimed.2025.118640","url":null,"abstract":"<div><h3>Background</h3><div>This critical narrative review examines body image within Queer, Trans, Two-Spirit (QT2S) communities, centering how race, gender, community norms, and dominant beauty ideals shape embodied experience. While body image research has grown in recent decades, it continues to privilege white, cisheteronormative perspectives, leaving critical gaps in understanding QT2S lived realities.</div></div><div><h3>Methods</h3><div>A structured search was conducted across <em>PubMed, PsycINFO, CINAHL</em>, and targeted journals to identify peer-reviewed, full-text English-language articles published between 2019 and 2024. Studies were eligible if participants identified as QT2S and body image constructs (e.g., dissatisfaction, appreciation, embodiment) were examined. Twenty-five studies met inclusion criteria. Data were analyzed through thematic synthesis, informed by Intersectionality, Queer of Color Critique, and Gender Performativity.</div></div><div><h3>Results</h3><div>Across diverse study designs, three overarching themes emerged: (1) Exclusion and belonging across social contexts, (2) Socialization of body ideals, and (3) Media surveillance, and the internalized gaze. Findings highlighted how structural discrimination, intra-community dynamics, and media surveillance reinforce Eurocentric and cisnormative ideals, while also shaping strategies of resistance and resilience.</div></div><div><h3>Conclusions</h3><div>QT2S body image concerns cannot be reduced to individual pathology but must be understood as outcomes of structural and cultural systems of regulation. This review identifies persistent underrepresentation of QT2S communities, the erasure of two-spirit identities, and the need for culturally responsive, intersectional frameworks to guide future research, clinical practice, and public health interventions.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"386 ","pages":"Article 118640"},"PeriodicalIF":5.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236464","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":"The socioeconomic trajectories followed during early adulthood contribute to inequalities in cardiometabolic health by age 24 years.","authors":"Eleanor M Winpenny, Jan Stochl, Alun Hughes, Kate Tilling, Laura D Howe","doi":"10.1016/j.socscimed.2025.118634","DOIUrl":"https://doi.org/10.1016/j.socscimed.2025.118634","url":null,"abstract":"<p><strong>Introduction: </strong>Socioeconomic position is strongly associated with cardiovascular health. However, little is known about the short-term health impacts of socioeconomic exposures during early adulthood. In this study we describe socioeconomic trajectories of early adulthood (age 16-24y), and assess associations of these trajectories with cardiometabolic health at age 24y.</p><p><strong>Methods: </strong>Participants of the Avon Longitudinal Study of Parents and Children (ALSPAC), with data across age 16y to 24y (2007-2017) were included (n = 7568). Longitudinal latent class analysis identified socioeconomic trajectories, based on education and employment data across ages 16-24y. Cardiometabolic outcomes at age 24y comprised anthropometric, vascular, metabolic and cardiovascular structure and function measures. We modelled differences in cardiometabolic outcomes at age 24y across the socioeconomic trajectory classes, adjusting for childhood socioeconomic position, adolescent health behaviours and adolescent health.</p><p><strong>Results: </strong>Four early adulthood socioeconomic trajectories were identified: (1) Higher Education (41% of the population), (2) Extended Education (9%), (3) Part-Time Employment (21%), and (4) Early Employment (29%). Associations between socioeconomic trajectories and cardiometabolic outcomes differed by sex. Among males, the Higher Education and Extended Education trajectories showed a healthier profile across cardiometabolic risk factors at age 24y, and the Part-time Employment trajectory the least healthy profile. Among females there was less clear distinction between the trajectories, and the pattern across different outcomes was not consistent.</p><p><strong>Conclusion: </strong>The newly identified 'Part-time Employment' trajectory showed the least healthy cardiometabolic profile. Further research should focus on this group to understand the exposures contributing to poor cardiometabolic health in this sector of the population.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"385 ","pages":"118634"},"PeriodicalIF":5.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234056","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":"The contribution of crime to the longitudinal relationship between neighbourhood disadvantage and mental well-being, 2009 to 2016.","authors":"Emily M Davis, Kristiann C Heesch, Jerome N Rachele, Nicola W Burton, Gavin Turrell","doi":"10.1016/j.socscimed.2025.118631","DOIUrl":"https://doi.org/10.1016/j.socscimed.2025.118631","url":null,"abstract":"<p><p>Actions to reduce neighbourhood-level socioeconomic inequities in mental well-being hinge on contemporary research exploring neighbourhood-level mechanisms, such as crime-a social factor widely known to be disproportionately distributed in disadvantaged neighbourhoods. We used longitudinal data from the HABITAT study (2009-2016) and random effects linear regression models to explore the contribution of objectively measured crime (crime against the person, social incivilities, unlawful entry) and a self-report indicator (perceptions of crime and safety) to the relationship between neighbourhood disadvantage and mental well-being, adjusting for neighbourhood self-selection and other time-varying (age, occupation, household income) and time-invariant (gender, education) covariates. People with greater concerns about crime and safety in their neighbourhood had poorer mental well-being. This partly explained the relationship between neighbourhood disadvantage and mental well-being. However, objectively measured crime did not contribute to this relationship. Adjustment for neighbourhood self-selection made little to no contribution to the neighbourhood disadvantage-mental well-being relationship. This study's findings suggest that policies and programs aimed at reducing concerns about crime and safety in disadvantaged neighbourhoods may provide an opportunity to reduce socioeconomic inequities in population mental well-being.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"385 ","pages":"118631"},"PeriodicalIF":5.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234028","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":"Helping behaviors and cognitive function in later life: The impact of dynamic role transitions and dose changes.","authors":"Sae Hwang Han, Jeffrey A Burr, Shiyang Zhang","doi":"10.1016/j.socscimed.2025.118465","DOIUrl":"10.1016/j.socscimed.2025.118465","url":null,"abstract":"<p><p>Despite the burgeoning literature linking prosocial helping behaviors and cognitive function, empirical evidence on whether transitions into and out of helping roles-and how dynamic changes in time commitment-shape cognitive outcomes remain limited. Moreover, most research has focused on formal volunteering, leaving the cognitive outcomes associated with informal helping-assistance provided directly to non-household individuals-largely unexplored. The objective of this study was to investigate the linkages between two forms of helping behaviors-formal volunteering and informal helping-and late-life cognitive function, focusing on dynamic changes in these behaviors over time. Drawing on the life course perspective and two decades of longitudinal data from the U.S. Health and Retirement Study (1998-2020; N = 31,303), we employed the asymmetric fixed-effects modeling approach within a multilevel framework to assess how intra-individual changes in helper role status and time commitment shape cognitive function trajectories. Results indicated that transitioning into volunteering and informal helping were both associated with a higher level of cognitive function and a slower cognitive decline, and highlighted how sustained engagement in helping can yield cumulative cognitive benefits that progressively become greater over time. The findings also provide unique evidence on the level of time commitment in helping behaviors needed to achieve cognitive benefits, where moderate levels of helping (approximately 2-4 weekly hours) were consistently linked to robust cognitive benefits for both forms of helping. These findings highlight prosocial helping behaviors as impactful, modifiable lifestyle interventions for promoting cognitive health in aging populations.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"118465"},"PeriodicalIF":5.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fertile debates, circumventive pursuits: Reproductive governance and gamete donation in Turkey.","authors":"Burcu Mutlu","doi":"10.1016/j.socscimed.2025.118464","DOIUrl":"10.1016/j.socscimed.2025.118464","url":null,"abstract":"<p><p>This article examines the transformations of reproductive politics in Turkey under the AKP governments since 2002, shaped by the intersection of neoconservatism, nationalism, familialism, and pronatalism. Focusing on public and media discourses surrounding assisted reproduction, it analyzes the controversy sparked by single celebrities' use of foreign sperm banks and the subsequent 2010 ban on transnational gamete donation. By linking the concept of reproductive governance with debates over a perceived crisis of masculinity, the article argues that this ban marks an early manifestation of a broader national masculinist restoration. It illustrates how gender, reproduction, and kinship have been reconfigured within increasingly religious, ethnonationalist and patriarchal frameworks. Through an analysis of media narratives, the article demonstrates how certain reproductive practices, particularly single women's pursuit of motherhood, are hypervisibilized and stigmatized, while other forms of assisted reproduction are obscured. These discursive strategies serve not only to discipline reproductive behaviors, but also to reinforce gendered hierarchies and normative family structures under the guise of moral, social, and national imperatives. Ultimately, the article reveals how reproductive politics in Turkey, and in similar contexts globally, are increasingly governed by authoritarian strategies of moralization, control, and criminalization. These strategies are mobilized in response to perceived threats to the national, moral, and social order, whether posed by shifting gender and familial norms, demographic anxieties, or assertions of reproductive autonomy.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"118464"},"PeriodicalIF":5.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818031","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's beat cancer together\": A hidden curriculum of medical gentrification on the biomedical innovation frontier.","authors":"Joyce Lu, Pat M Kinley, Marina Feldman","doi":"10.1016/j.socscimed.2025.118167","DOIUrl":"10.1016/j.socscimed.2025.118167","url":null,"abstract":"<p><p>Literature on medical gentrification has examined the role of hospitals in the displacement of nearby low-income residents. This paper follows a case of medical gentrification in which a public school was demolished to construct a university cancer center. We describe the process through which spaces earmarked for redevelopment become portrayed as frontiers of biomedical innovation. Through collaborative, visual, and auto-ethnography, we demonstrate how developers instill a hidden curriculum of medical gentrification through visual and discursive devices such as advertisements, ceremonies, and urban planning efforts that conceal local histories of displacement, reinforce racial and economic segregation, and elevate biomedical innovation as a community good. Ultimately, the hidden curriculum of medical gentrification constrains possible narratives of collective futures, privileging the expansion of biomedical infrastructure at the expense of the local community.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"118167"},"PeriodicalIF":5.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805152","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":"Temporal stability of preferences: The case of COVID-19 vaccines in Australia and New Zealand.","authors":"My Tran, Robbie Maris, Stephane Hess, Zack Dorner, Elisabeth Huynh, Kathryn Glass, Emily Lancsar","doi":"10.1016/j.socscimed.2025.118417","DOIUrl":"10.1016/j.socscimed.2025.118417","url":null,"abstract":"<p><p>This paper introduces a novel two-level Latent Class (LC) structure to investigate the temporal stability of preferences, allowing individuals to switch classes over time. The model is used to investigate the temporal stability of COVID-19 vaccine preferences in Australia (AUS) and New Zealand (NZ) during 2020-2021. Through online experiments on vaccine choices, stated choice data is collected across three waves from the general population in both countries. The LC estimation identifies three distinct preference classes: an \"Impatient\" group, with greater sensitivity to waiting time (AUS: 46%, NZ: 31%), a \"Price Sensitive\" group (AUS: 41%, NZ: 56%), and a \"Vaccine Hesitant\" group (AUS: 13%, NZ: 13%). Across waves, preferences for COVID-19 vaccines remain stable, with the probability of respondents remaining in the same class over three waves being 0.62 for Australia and 0.61 for NZ. Changes in preferences are significantly linked to variations in individuals' socioeconomic status and COVID-19 policy responses during the survey period.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"118417"},"PeriodicalIF":5.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818032","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":"Migration-induced subjective social mobility and its associations with self-rated mental and general health: A systematic review and narrative synthesis.","authors":"Maike Platz Pereira, Nora Gottlieb, Maren Hintermeier, Niklas Nutsch, Kayvan Bozorgmehr","doi":"10.1016/j.socscimed.2025.118459","DOIUrl":"10.1016/j.socscimed.2025.118459","url":null,"abstract":"<p><p>Social mobility affects health, but comprehensive evidence on its health effects in migration contexts is lacking. This systematic review summarizes the global empirical quantitative evidence on the impact of migration-induced subjective social mobility on self-rated health outcomes among first-generation migrants, including internally displaced people, international and internal migrants. A systematic search was performed in three scientific databases, using search terms related to migrants, social status/mobility and health outcomes. Studies were included if migrant populations, quantitative measures of health outcomes and subjective social mobility were reported. In total, 13 records met all criteria, representing five different country contexts and covering international migrants, asylum seekers, refugees, and rural-to-urban migrants. Applying cross-sectional study designs, the main outcomes assessed were general health, subjective wellbeing/life satisfaction and depression. The overall evidence shows that downward subjective social mobility consistently correlates with negative mental health effects, namely depression, while upward social mobility is associated with better mental health outcomes. Similar tendencies were found for general health and life satisfaction. The results indicate that downward subjective social mobility is associated with poorer general health, lower life satisfaction and higher risk of depression across various contexts. Correspondingly, upward subjective social mobility and social mobility belief is associated with better general health, higher life satisfaction and lower risk of depression. These findings highlight the need for policies that support post-migration socioeconomic integration to prevent or mitigate the experience of downward mobility and its adverse health effects. Future research is needed to better understand pathways and interactions between policies, contexts, and individual trajectories influencing migration-induced social mobility.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"118459"},"PeriodicalIF":5.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805154","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":"Teletherapy Matters - Mental health and materialities of care in domestic more-than-digital assemblages.","authors":"Marjo Kolehmainen, Deborah Lupton","doi":"10.1016/j.socscimed.2025.118418","DOIUrl":"10.1016/j.socscimed.2025.118418","url":null,"abstract":"<p><p>Teletherapy involves the coming together of humans and nonhuman agents to accomplish a therapeutic encounter. This article presents novel insights into the ways in which the absence or presence of different creatures, spaces and objects, both digital and non-digital, contribute to psychological therapies at a distance. Building on contributions from more-than-human theory, science and technology studies (STS) and the sociology of health, we identify these beings and things as active and co-constitutive of therapeutic care. Empirically, our analysis draws on in-depth interviews with 39 Finnish therapy and counselling professionals conducted after the onset of the COVID-19 pandemic, when they turned from in-office appointments to teletherapy during periods of stay-at-home and social distancing public health orders. The professionals conducted remote therapy from their own homes while their clients engaged with them from their own domestic settings. Findings show that in particular, these professionals saw the home setting (both their own and that of their clients) as an important component in these heterogeneous more-than-digital assemblages of care. In some cases, therapeutic capacities were opened by these assemblages. However in other situations, opportunities for professionals to provide support were closed by the distractions and affective atmospheres of the domestic settings in which both professionals and their clients were attempting to enact a successful therapeutic encounter.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"118418"},"PeriodicalIF":5.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812610","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}