Social Science & Medicine最新文献

{"title":"Fundamental causation and candidacy: Harnessing explanatory frames to better understand how structural determinants of health inequalities shape disengagement from primary healthcare","authors":"Mhairi Mackenzie ,&nbsp;David Baruffati ,&nbsp;Calum Lindsay ,&nbsp;Kate O'Donnell ,&nbsp;David Ellis ,&nbsp;Sharon Simpson ,&nbsp;Geoffrey Wong ,&nbsp;Michelle Major ,&nbsp;Andrea Williamson","doi":"10.1016/j.socscimed.2025.118043","DOIUrl":"10.1016/j.socscimed.2025.118043","url":null,"abstract":"<div><div>This paper aims to better understand how structural determinants of health inequalities shape disengagement from healthcare for vulnerable groups across a range of social conditions. Using a sub-sample (N = 20) from a qualitative interview UK study of those missing from primary-care, it illuminates how structural drivers of health inequalities operate at organisational and practice levels to weaken engagement with primary-care. Finding ways of better analysing and demonstrating the causal chains between structural determinants and patterns of disengagement is important because previous research has shown that practitioner and policy understanding of structural determination, an important precursor for mitigatory action, is not always sufficient, and research on healthcare utilisation can itself be weak in investigating structures of inequality.</div><div>We address this deductively by testing a novel combination of Link and Phelan's Fundamental Cause Theory and Dixon-Woods and colleagues' Candidacy framework. Combining elements of these frameworks compensates for identified gaps in each. We demonstrate how Candidacy can be strengthened through incorporating more systematic theorisation of structural processes and that the more abstract arguments of fundamental (structural) causes can be made concrete via Candidacy's focus on inequalities in patients' access to, and utilisation of, healthcare. We also argue that both theories are enhanced by including Metzl and Hansen's concept of ‘structural competency’ as a potential mitigatory mechanism operating between fundamental causes and patient engagement.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"374 ","pages":"Article 118043"},"PeriodicalIF":4.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820627","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":"Communication analysis of the COVID-19 infodemic by medical practitioners in China: A mixed methods study","authors":"Teng Zuo ,&nbsp;Lingfeng He ,&nbsp;Yuan Zheng ,&nbsp;Zezheng Lin ,&nbsp;Zelin Xu ,&nbsp;Ning Li","doi":"10.1016/j.socscimed.2025.118051","DOIUrl":"10.1016/j.socscimed.2025.118051","url":null,"abstract":"<div><h3>Background</h3><div>The infodemic during the public health policy transformation in Chinese mainland is known; however, the contributions of medical practitioners have not been evaluated. This study aimed to estimate the role of medical practitioners during the COVID-19 infodemic in Chinese mainland and reveal content structure and spatiotemporal features.</div></div><div><h3>Methods</h3><div>Data from medical practitioner accounts with the highest influence were collected from Sina-Weibo. Original contents were collected from March 1st, 2022 to October 1st, 2023. Misinformation were identified based on cross-validated content analysis. Propagation index, spatiotemporal and network analysis were performed.</div></div><div><h3>Findings</h3><div>A total of 236,775 posts were crawled, with 28,218 posts from 432 accounts filtered through a keyword search and 5825 out of 28,218 (20.6 %) posts from 287 out of 432 (66.4 %) accounts identified as COVID-19-related content. 640 out of 5825 (11.0 %) posts from 112 out of 287 (39.0 %) accounts were identified as misinformation and classified into 5 main types and 6 subtypes. Differences between internal and external accounts were reflected in the distribution of misinformation types. Propagators from various professions had different tendencies in terms of type, and several misinformation repropagation modes were observed. Social network analysis revealed strong correlations among propagators.</div></div><div><h3>Interpretation</h3><div>To our knowledge, this is the first mixed-methods study to examine the characteristics of medical practitioners as propagators in the infodemic in Chinese mainland. Our research suggested that Chinese medical practitioners significantly contributed to the COVID-19 infodemic in social media. This could exacerbate post-pandemic societal distrust in the medical system, potentially having far-reaching public health implications.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"374 ","pages":"Article 118051"},"PeriodicalIF":4.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799386","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":"Child stunting, thinness, and their academic performance in Ethiopia: A longitudinal study","authors":"Getenet Dessie ,&nbsp;Jinhu Li ,&nbsp;Son Nghiem ,&nbsp;Tinh Doan","doi":"10.1016/j.socscimed.2025.118050","DOIUrl":"10.1016/j.socscimed.2025.118050","url":null,"abstract":"<div><h3>Background</h3><div>The link between stunting, thinness, and academic performance in Ethiopia remains underexplored. The current study analyses a large and longitudinal dataset to estimate the relationship between thinness, stunting, and children's academic performance in Ethiopia.</div></div><div><h3>Method</h3><div>Data from the Young Lives Study, a longitudinal survey conducted from 2002 to 2016 in Ethiopia, were analyzed. We focused on child academic outcomes measured by the Peabody Picture Vocabulary Test (PPVT) and math scores. We used the system Generalized Method of Moments (GMM) as our model in this study.</div></div><div><h3>Result</h3><div>Our system GMM estimates revealed that stunted children had significantly lower PPVT scores by 0.13 units compared to non-stunted peers (β = −0.13, p &lt; 0.01). The lag stunting also had a negative effect on both PPVT and math scores. Children stunted in the previous survey round scored 0.16 units lower on PPVT and 17.89 units lower on math than non-stunted children (β = −0.16, p &lt; 0.01; β = −17.89, p &lt; 0.01). For each additional year of being stunted, math scores decreased by 2.69 points (β = −2.69, p &lt; 0.01) and PPVT scores by 0.03 (β = −0.03, p &lt; 0.01). Children with both malnutritional issues (stunting and thinness) scored 0.09 points lower than their counterparts (β = −0.09, p &lt; 0.05). However, thinness was not significantly associated with either PPVT or math scores.</div></div><div><h3>Conclusion</h3><div>Our findings indicate that stunting is significantly negatively associated with child academic performance (PPVT and math scores), after adjusting for child, household, and parental socio-demographic factors, location, and prior academic performance. To improve the intellectual capabilities and human capital of future generations, policy measures in Ethiopia should prioritize addressing childhood thinness and stunting.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"373 ","pages":"Article 118050"},"PeriodicalIF":4.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783863","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":"Impact of retirement transition on health, well-being and health behaviours: critical insights from an overview of reviews","authors":"Giacomo Pietro Vigezzi ,&nbsp;Chiara Barbati ,&nbsp;Elena Maggioni ,&nbsp;Sari Stenholm ,&nbsp;Anna Odone ,&nbsp;the Italian Working Group on Retirement and Health,&nbsp;A. Amerio ,&nbsp;C. Ardito ,&nbsp;P. Bertuccio ,&nbsp;G. Costa ,&nbsp;A. d’Errico ,&nbsp;L. Gentile ,&nbsp;A. Odone ,&nbsp;G.P. Vigezzi","doi":"10.1016/j.socscimed.2025.118049","DOIUrl":"10.1016/j.socscimed.2025.118049","url":null,"abstract":"<div><div>Retirement is a pivotal life course transition wich may have profound implications for health, well-being and health behaviours. Despite extensive research and theoretical debate, the impact of retirement on health remains inconclusive, with studies reporting positive, negative, or no effects.</div><div>This overview of reviews synthesises evidence from 15 systematic reviews (4 meta-analyses) assessing the relationship between retirement and physical and mental health outcomes (including mortality, mental health, cognitive decline and cardiovascular diseases) and health behaviours (including physical activity, diet, smoking and alcohol consumption). The review adheres to PRIOR guidelines and assesses the quality of the literature and existing methodological challenges.</div><div>Findings indicate that retirement's impact varies widely depending on socioeconomic status (SES), job characteristics, and individual lifestyle factors. Retirees with higher SES generally experience improved mental health and increased physical activity, whereas those with lower SES are more prone to declines in physical and mental health, increased sedentary behaviour, and adverse cardiovascular outcomes. Evidence on cognitive decline and mortality remains mixed.</div><div>This review highlights critical methodological issues in the available literature, including inconsistent definitions of retirement, reliance on self-reported health data, and biases like reverse causality and healthy worker effect. Future research should prioritise life course longitudinal designs and cross-country comparisons informed by stronger theoretical grounding to untangle the complex relationship between retirement and health. Policy efforts should target vulnerable groups, particularly those from lower SES, by promoting physical activity, mental well-being, and social engagement during and after the transition to retirement. Tailored interventions across retirement transition could mitigate health disparities and improve overall well-being in later life.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"375 ","pages":"Article 118049"},"PeriodicalIF":4.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838476","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 role of dignity in food assistance: Participant experiences with a free meal kit program","authors":"Joslyn Brenton ,&nbsp;Alyssa Tindall ,&nbsp;Karen Glanz ,&nbsp;Senbagam Virudachalam","doi":"10.1016/j.socscimed.2025.118009","DOIUrl":"10.1016/j.socscimed.2025.118009","url":null,"abstract":"<div><div>Federal and private food assistance programs play a crucial role in addressing hunger and nutrition insecurity in the United States. However, using food assistance poses inherent challenges to the construction of food dignity given the longstanding neoliberal stigma surrounding the use of charitable food programs. A human rights approach to food shifts the emphasis from receiving <em>enough</em> food to promoting a food system that values and promotes dignity. Drawing on 116 in-depth interviews with 67 participants during and after their use of a free 4-week meal kit program called Pass the Love, this analysis reveals six components of a high-dignity food experience. These include: (1) unconditional access (2) providing a complete meal (3) fresh and healthy food (4) minimizing access and preparation burden (5) conveying care and generating positive emotional experiences, and (6) honoring diverse foodways and practices. This study contributes to a growing literature on food dignity and suggests that food assistance programs can better achieve their goals by fostering food dignity.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"374 ","pages":"Article 118009"},"PeriodicalIF":4.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808584","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":"Navigating healthcare during the pandemic: Experiences of racialized immigrants and racialized non-immigrants in Ontario's Peel Region","authors":"Andrea Rishworth ,&nbsp;Kathi Wilson ,&nbsp;Matthew Adams ,&nbsp;Tracey Galloway","doi":"10.1016/j.socscimed.2025.118026","DOIUrl":"10.1016/j.socscimed.2025.118026","url":null,"abstract":"<div><div>While public health policies implemented during COVID-19, such as prioritizing essential health services and “no visitor” strategies, were important to treat COVID-19 patients and curb disease outbreaks, their potential negative effects on the health of the general population is a growing concern. Research highlights that these policy changes contributed to a near-universal decline in access to all healthcare services and triggered increased morbidity and mortality rates. However, little is known about how health policy changes differentially shaped healthcare access within and between population groups and regions. Few studies qualitatively examine the indirect effects of policy changes on healthcare access among groups disproportionately impacted by COVID-19. This article examines how COVID-19 health policy changes impacted racialized immigrant and racialized non-immigrants’ ability to connect with a provider, navigate telehealth and in-person healthcare, and access specialized healthcare in the Peel Region of Ontario, Canada. Using a Client Centered Framework, findings from in-depth interviews (n = 79) reveal that policy changes generated new (in)abilities for individuals to perceive, seek, reach, pay and engage in healthcare services. Health policy changes created new barriers to reach healthcare, compounding health challenges. While telehealth opened more effective avenues to access healthcare among some people, it created new disparities for individuals with limited English language skills and/or for those experiencing technological inequities. Although individuals recognized their need for specialized healthcare, the prioritization of essential services, gaps in health insurance coverage, and new COVID-19 economic inequities created barriers to specialized healthcare. We close with a discussion of the impacts for policy and practice.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"376 ","pages":"Article 118026"},"PeriodicalIF":4.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864926","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":"Provincializing bodyminds, decolonizing disability","authors":"Giorgio Brocco ,&nbsp;Laura A. Meek ,&nbsp;Jane L. Saffitz","doi":"10.1016/j.socscimed.2025.118048","DOIUrl":"10.1016/j.socscimed.2025.118048","url":null,"abstract":"<div><div>In critical disability studies and crip theory, a key intervention has been to challenge Cartesian dualism by using terms such as bodyminds, body-minds, mind/bodies, and other hybrids. While the concept of \"bodyminds\" integrates physical and cognitive experiences and challenges dualistic thinking, it has been criticized by scholars for prioritizing Eurocentric notions of the mind and subjectivity over other understandings of bodily normality and difference. Drawing on ten years of ethnographic research in Tanzania, this article argues that the concept of \"bodyminds\" remains rooted in a Eurocentric framework that overlooks the relational and communal understandings of disability prevalent in Tanzania. We build on Sylvia Wynter's critique of “the figure of Man” to show how dominant disability discourses and practices often overemphasize secular and biological definitions of disability, marginalizing alternative ways of being human. Our ethnographic research highlights the diverse and relational experiences of disability among our Tanzanian interlocutors by thinking with Swahili concepts like <em>mitandao ya jamii</em>” (social relationships), <em>utofauti</em> (difference), and <em>kawaida</em> (normality). We conclude by urging scholars to expand frameworks of bodily non-normativity beyond Eurocentric models and toward a more inclusive comprehension of ideas and experiences of normality and difference globally.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"376 ","pages":"Article 118048"},"PeriodicalIF":4.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870852","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":"Is walkability healthy for all? Using the National Environmental Database to examine equity in the environmental health characteristics of pedestrian-supportive neighborhoods in the U.S.","authors":"Lindsay M. Braun ,&nbsp;Eric H. Fox ,&nbsp;Lawrence D. Frank","doi":"10.1016/j.socscimed.2025.118024","DOIUrl":"10.1016/j.socscimed.2025.118024","url":null,"abstract":"<div><h3>Background</h3><div>Marginalized populations in the U.S. often live in dense urban areas, which could promote active travel and health. However, while compactness can support walkability, it can also create exposure to pollution, noise, injury risk, and urban heat islands. These exposures may be higher for marginalized groups, creating systematic “walkability-related” risks.</div></div><div><h3>Objectives</h3><div>We evaluated relationships between walkability, health-related environmental exposures, and social vulnerability, asking: (1) How are sociodemographic groups sorted across space with respect to walkability? (2) Do the environmental health correlates of walkability vary by social vulnerability?</div></div><div><h3>Methods</h3><div>We compiled block group-level data for the 30 largest U.S. metropolitan areas. We measured <em>walkability</em> using the National Walkability Index; <em>social vulnerability</em> using indicators of race/ethnicity and socioeconomic status; and <em>environmental exposures</em> using PM_2.5, pedestrian fatalities, noise, and tree coverage. We used multilevel mixed-effects regressions to predict (1) walkability as a function of vulnerability and (2) each environmental exposure as a function of the cross-tabulation between walkability and vulnerability.</div></div><div><h3>Results</h3><div>Higher walkability was associated with higher vulnerability. Compared to highly walkable block groups with low vulnerability, those with high vulnerability had higher PM_2.5 and noise levels and lower tree coverage. These differences were even more pronounced among block groups with low walkability, suggesting pervasive inequities.</div></div><div><h3>Discussion</h3><div>While marginalized groups often live in more walkable places, the “high” walkability to which they are exposed carries greater environmental risks than for privileged populations. Our findings illustrate the importance of mitigating environmental burdens that could dampen the health benefits of walkability in marginalized communities.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"374 ","pages":"Article 118024"},"PeriodicalIF":4.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826089","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":"Rural-urban migration dynamics and double burden of malnutrition among women across 29 low and middle income countries","authors":"Jinseo Kim ,&nbsp;Seung-Ah Choe ,&nbsp;Hwa-Young Lee ,&nbsp;S.V. Subramanian ,&nbsp;Rockli Kim","doi":"10.1016/j.socscimed.2025.118047","DOIUrl":"10.1016/j.socscimed.2025.118047","url":null,"abstract":"<div><div>The double burden of malnutrition (DBM) is a significant public health issue in low- and middle-income countries (LMICs), resulting from complex socioeconomic, demographic and nutrition transitions. This study examined the association between internal migration and DBM among women across LMICs, focusing on direction, recency, and age at migration. Using the latest Demographic and Health Survey (2010–2023), data on body mass index, migration status, and covariates were extracted from 232,449 women aged 15–49 years in 29 countries. Migration status was categorised as urban non-migrants, rural non-migrants, urban-to-rural, or rural-to-urban based on prior and current residences. Recency and age at migration were categorised as recent/non-recent (within the last five years or earlier) and childhood/adulthood (before or after age 19). Multinomial multivariable logistic regressions were used to estimate odds ratio for each migrant groups relative to urban and rural non-migrants, respectively. Further analyses examined the association between DBM and recency, and age at migration, among migrants. Overall, 32.1 % of women were overweight/obese while 9.7 % were underweight. Urban-to-rural migrants accounted for 9.5 % of the sample, and rural-to-urban migrants constituted 7.0 %. Rural-to-urban migrants had 21.0 % higher odds of being overweight/obese (95 % CI: 1.15–1.29) compared to rural non-migrants. Urban-to-rural migrants showed 9.0 % lower odds of being underweight (95 % CI: 0.85–0.99) compared to urban non-migrants. Among migrants, recency of migration and age at migration were found to be significantly associated with DBM. This study emphasises the need for targeted public health strategies to enhance immediate and distal determinants of DBM in urban and rural settings in LMICs.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"374 ","pages":"Article 118047"},"PeriodicalIF":4.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824297","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":"“There’s no real urgency when it comes to us”: Critical Discourse Analysis of Black Communities’ Lived Experience with Opioid Overdose Response in Indianapolis Area","authors":"Dong-Chul Seo ,&nbsp;Leonardo Alba-Lopez ,&nbsp;Naomi Satterfield ,&nbsp;Shin Hyung Lee ,&nbsp;Charlotte Crabtree ,&nbsp;Francesca Williamson","doi":"10.1016/j.socscimed.2025.118039","DOIUrl":"10.1016/j.socscimed.2025.118039","url":null,"abstract":"<div><div>This study aims to examine how Black communities construct their discourses about opioid overdose response from lived experiences in the Indianapolis area. We randomly selected and analyzed 20 out of 50 interviews as data saturation was reached. Our analysis was informed by critical discourse analysis (CDA) and intersectionality as an overarching framework for the interpretation process. Each interview lasted about 60 minutes and consisted of ten open-ended questions. Participants were Black residents over 18 years old, who lived in four zip code areas in Indianapolis that had the highest rates of opioid overdose deaths in the city. The interviews revealed complex ways in which Black communities in Indianapolis navigated the opioid overdose crisis. The discourses on opioid overdose response are shaped by the intersectionality of various factors, including institutionalized racism, social discrimination, and fear of mistreatment. Moreover, the normalization of inadequate opioid overdose response is exacerbated by the stereotypes on Black communities, lack of access to resources and information, and historical mistrust in healthcare and law enforcement bodies. Our findings indicate that future intervention to reduce overdose deaths in the Black communities should move away from isolated approaches to holistic ones. These should encompass various intersecting factors, including structural racism, stigma of drug use, fear of mistreatment, lack of resources, and mistrust of law enforcement.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"373 ","pages":"Article 118039"},"PeriodicalIF":4.9,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777240","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}