Social Science & Medicine最新文献_第10页

Reproductive and maternal child health experiences of Indigenous women in prison: A scoping review 监狱中土著妇女的生殖和母婴健康经验：范围审查

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-09-02 DOI: 10.1016/j.socscimed.2025.118516

Jessica Jurgutis , Christine Wang , Alice Cavanagh , Breagh Cheng , Fiona G. Kouyoumdjian , Jennifer Leason

{"title":"Reproductive and maternal child health experiences of Indigenous women in prison: A scoping review","authors":"Jessica Jurgutis , Christine Wang , Alice Cavanagh , Breagh Cheng , Fiona G. Kouyoumdjian , Jennifer Leason","doi":"10.1016/j.socscimed.2025.118516","DOIUrl":"10.1016/j.socscimed.2025.118516","url":null,"abstract":"<div><div>In the context of the over-representation of women who are Indigenous in prisons and historical and structural barriers to health, we undertook a scoping review to understand research regarding the reproductive and maternal health experiences of Indigenous women in prison in Australia, Canada, New Zealand, and the USA. We searched online databases in May 2022 since inception, as well as Google and governmental websites between December 2022 and March 2023. We identified 8 eligible articles. Most studies (5) were conducted in Australia, while 2 were conducted in Canada and 1 in the USA. There were 4 qualitative studies, 2 quantitative studies, and 2 mixed methods studies. Five studies reported use of an Indigenous research paradigm. We identified 11 topics across studies: intergenerational trauma and harm, dehumanizing and criminalizing prison environment, systemic neglect of reproductive health, inaccessible health services, absence of culturally sensitive care, adverse maternal-child health outcomes are interrelated and intergenerational, mental health decline during birth and postpartum, current child welfare involvement, parenting challenges in the context of family separation, caregiving responsibility, and visions for holistic healing and health. This review identifies a paucity of evidence. Findings demonstrate how colonial violence and the carceral system in settler colonial countries negatively impact the health of Indigenous women who experience incarceration, and how their access to reproductive health care is limited and below standard. Additional research is needed that centres Indigenous women's voices and that uses Indigenous knowledge systems and methodological frameworks to situate knowledge and inform actions to prevent ongoing harms from the carceral system for Indigenous People.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118516"},"PeriodicalIF":5.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144989081","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

Examining the continuity of modifiable cancer-risk behaviors from youth into adulthood through prospective longitudinal studies: A scoping review 通过前瞻性纵向研究检查可改变的癌症风险行为从青年到成年的连续性：一项范围综述

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-09-02 DOI: 10.1016/j.socscimed.2025.118534

Mackaully L. Parada, Jeremy Horn, Christopher Cambron

{"title":"Examining the continuity of modifiable cancer-risk behaviors from youth into adulthood through prospective longitudinal studies: A scoping review","authors":"Mackaully L. Parada, Jeremy Horn, Christopher Cambron","doi":"10.1016/j.socscimed.2025.118534","DOIUrl":"10.1016/j.socscimed.2025.118534","url":null,"abstract":"<div><h3>Objective</h3><div>Modifiable health behaviors including tobacco and alcohol use, poor diet, and low physical activity increase risk for developing multiple cancers. Longitudinal research suggests that risky behaviors initiated in youth may persist into adulthood. This scoping review maps prospective longitudinal studies examining the continuity of these behaviors from youth into adulthood.</div></div><div><h3>Methods</h3><div>Four electronic databases were searched for prospective longitudinal studies on the continuity of tobacco use, alcohol consumption, poor diet, and low physical activity from youth (<18) into adulthood (≥18). The scoping review was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and methodology outlined by the Joanna Briggs Institute. Three independent reviewers used Covidence review management software for screening and data extraction.</div></div><div><h3>Results</h3><div>Seventy-one studies met inclusion criteria. The majority of studies examined alcohol use (58 %) and tobacco use (24 %), with fewer studies addressing low physical activity (6 %) or poor diet (4 %). Over 90 % of studies reported continuity of behaviors from youth into adulthood. Persistence was most consistently observed for alcohol and tobacco use, with limited evidence supporting continuity of poor diet and low physical activity.</div></div><div><h3>Conclusions</h3><div>This review summarized available prospective longitudinal research on the continuity of health risk behaviors from youth into adulthood. While there is evidence for the continuity of youth alcohol and tobacco use into adulthood, notable research gaps exist for poor diet and physical activity, limiting our understanding of how these behaviors track across development. Implications for future cancer research are discussed.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118534"},"PeriodicalIF":5.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010900","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

Donor preferences for recipient control of international development aid 捐助国对受援国控制国际发展援助的偏好

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.socscimed.2025.118535

Jack Hennessy, Duncan Mortimer, Rohan Sweeney, Maame Esi Woode

{"title":"Donor preferences for recipient control of international development aid","authors":"Jack Hennessy, Duncan Mortimer, Rohan Sweeney, Maame Esi Woode","doi":"10.1016/j.socscimed.2025.118535","DOIUrl":"10.1016/j.socscimed.2025.118535","url":null,"abstract":"<div><div>More than 90 % of health aid remains tied to projects that reflect donor rather than recipient priorities. This has a material impact on aid effectiveness and is inconsistent with the stated aims of development partners to ‘decolonise aid’ and prioritise ‘locally led development’. Relatively little attention has been given to constraints that might account for this divergence between donor rhetoric and action. The present study considers whether the preferences of donor country citizens (donors) are consistent with recipient control of aid programs.</div><div>Using Indonesia as the recipient country setting, we conducted a discrete choice experiment amongst 1523 Australians aged 18+ to describe donor preferences for recipient control and nine other characteristics of Australia's health aid program.</div><div>We found that donors have a strong aversion to recipient control and are unwilling to cede control of either aims or implementation. Despite evidence of pervasive preference heterogeneity, we were unable to identify a class or preference ‘type’ with a preference for recipient control.</div><div>Importantly, donor resistance to decolonisation was pervasive under experimental control for the institutional quality of recipient governments, suggesting that preferences for donor control are unlikely to reflect an attempt to compensate for political instability and government ineffectiveness in recipient countries.</div><div>The implications of these findings are significant. This fundamental misalignment challenges international commitments to locally led development. For governments aiming to reflect their constituencies’ preferences, emphasizing donor control over aid objectives may garner greater public support, but risks undermining international commitments to increase recipient ownership and decolonise aid.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118535"},"PeriodicalIF":5.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145027281","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

Health impacts of direct displacement in a context of housing crisis and transnational gentrification: findings from Porto, Portugal 住房危机和跨国高档化背景下直接流离失所对健康的影响：来自葡萄牙波尔图的调查结果

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-08-28 DOI: 10.1016/j.socscimed.2025.118525

José Pedro Silva , Raquel Carvalheiro , Ema Torres , Cláudia Jardim Santos , Ana Isabel Ribeiro

{"title":"Health impacts of direct displacement in a context of housing crisis and transnational gentrification: findings from Porto, Portugal","authors":"José Pedro Silva , Raquel Carvalheiro , Ema Torres , Cláudia Jardim Santos , Ana Isabel Ribeiro","doi":"10.1016/j.socscimed.2025.118525","DOIUrl":"10.1016/j.socscimed.2025.118525","url":null,"abstract":"<div><div>Direct displacement of low-income, long-time residents has long been considered a key feature of gentrification. It has also been linked to adverse health impacts. Like elsewhere, Portugal is facing a “housing crisis”. Housing costs have soared, and home renters face significant pressures. Exacerbating this, Portuguese cities like Porto and Lisbon are undergoing transnational gentrification processes, driven by their increasing international attractiveness to tourists and other transient users and the financialisation of housing. This extends the risk of direct displacement; however, its health impacts are yet to be assessed. We conducted a qualitative study about the health consequences of direct displacement related to the housing crisis in Porto. Conceptualising direct displacement as a multistage process, we conducted in-depth interviews with nine displaced renters, and three renters undergoing the process but not yet removed from the household. We then performed a deductive-inductive qualitative content analysis of the interview transcripts. Results show that the direct displacement risk in places undergoing transnational and tourism gentrification extends beyond disadvantaged social positions; however, its consequences are especially severe for vulnerable people. They also reveal different ways through which direct displacement affects health. It unleashes an emotional shock, disrupts home and ontological security and leads to residential alienation. It may impact health even when displaced households find higher-quality housing. These findings underscore the urgent need for broad, affordable housing and anti-displacement policies to mitigate the socially unequal health impacts caused by displacement.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118525"},"PeriodicalIF":5.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997364","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 grief exists in a bubble that the rest of the world doesn't see”: Exploring biographical disruption and meaning-making amongst people bereaved during the Covid-19 pandemic “悲伤存在于世界其他地方看不到的泡沫中”：探索Covid-19大流行期间失去亲人的人的传记中断和意义创造

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.socscimed.2025.118518

Emily Harrop , Kali Barawi , Francesca Mazzaschi , Anna Torrens-Burton , Eileen Sutton , Emma Gilbert , Donna Wakefield , Silvia Goss , Kathy Seddon , Mirella Longo , Lucy E. Selman

{"title":"“The grief exists in a bubble that the rest of the world doesn't see”: Exploring biographical disruption and meaning-making amongst people bereaved during the Covid-19 pandemic","authors":"Emily Harrop , Kali Barawi , Francesca Mazzaschi , Anna Torrens-Burton , Eileen Sutton , Emma Gilbert , Donna Wakefield , Silvia Goss , Kathy Seddon , Mirella Longo , Lucy E. Selman","doi":"10.1016/j.socscimed.2025.118518","DOIUrl":"10.1016/j.socscimed.2025.118518","url":null,"abstract":"<div><div>People bereaved during the Covid-19 pandemic experienced profoundly altered death, mourning and grieving practices. Worsened grief outcomes have been widely reported but less is known about how people coped during these unprecedented times. Using reflexive thematic analysis critically informed by theories of biographical disruption and meaning-making, we analysed 39 interview transcripts from 24 people bereaved during the pandemic in the UK. We describe five core domains of disruption and associated meaning making: difficult and traumatic death experiences; disrupted mourning practices; loss of relationship and sense of self; social relationships, isolation and support; and developing understandings of grief. While the multi-dimensionality and severity of the disruption experienced was striking, so too were the ways in which people reappraised and reconstructed more positive and coherent accounts, often in relational ways, helping to explain their varied grief and coping experiences. Findings demonstrate the utility of critically combining these theoretical frameworks for conceptualising and contextualising grieving during ‘extraordinary’, as well as more ‘ordinary’ times. Implications are identified for minimising the disruption inherent in stressful bereavement circumstances, whilst also supporting people to reconcile and make meaning in their experiences.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118518"},"PeriodicalIF":5.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933293","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

Testing the psychological costs of intergenerational social mobility: Evidence from a German panel study 测试代际社会流动的心理成本：来自德国小组研究的证据

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.socscimed.2025.118522

Michael Becker , Lilly-Marlen Bihler , Martin Neugebauer , Jenny Wagner

{"title":"Testing the psychological costs of intergenerational social mobility: Evidence from a German panel study","authors":"Michael Becker , Lilly-Marlen Bihler , Martin Neugebauer , Jenny Wagner","doi":"10.1016/j.socscimed.2025.118522","DOIUrl":"10.1016/j.socscimed.2025.118522","url":null,"abstract":"<div><div>This study investigates the psychological costs of intergenerational social mobility, focusing on both upward and downward mobility. While prior research has often overlooked the role of selection effects, we explicitly disentangle whether disparities in mental health and well-being are attributable to the experience of social mobility itself or to pre-existing individual differences. Using data from a German panel study that follows individuals from late adolescence (age 18) into work-life (age 30), we assess psychological adjustment for different forms of social mobility based on individuals' own educational attainment relative to their parents’. We apply entropy balancing to compare models with and without adjustment for selection effects. Initial results, unadjusted for selection, show that downward mobility is linked to poorer mental health and well-being, supporting the “falling-from-grace” hypothesis. In contrast, upward mobility shows no significant association with mental health outcomes, aligning with the “acculturation” hypothesis. Crucially, when accounting for selection, the apparent disadvantages of downward mobility disappear. Our findings suggest that psychological costs attributed to social mobility are primarily the result of pre-existing vulnerabilities rather than mobility itself, emphasizing the importance of considering selection processes in research on social mobility and health.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118522"},"PeriodicalIF":5.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050081","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

Triggered: Qualitatively exploring structural and social drivers of firearm violence exposure among LGBTQ+ young adults of color in Detroit 触发：定性地探索底特律LGBTQ+年轻有色人种中枪支暴力暴露的结构和社会驱动因素

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.socscimed.2025.118524

Wesley M. Correll-King , Ini-Abasi Ubong , Dior Monro , Kalaan Scott , Sydney N. Strunk , J. Stephenson , Laura Jadwin-Cakmak , Avery Everhart , Kristi E. Gamarel

{"title":"Triggered: Qualitatively exploring structural and social drivers of firearm violence exposure among LGBTQ+ young adults of color in Detroit","authors":"Wesley M. Correll-King , Ini-Abasi Ubong , Dior Monro , Kalaan Scott , Sydney N. Strunk , J. Stephenson , Laura Jadwin-Cakmak , Avery Everhart , Kristi E. Gamarel","doi":"10.1016/j.socscimed.2025.118524","DOIUrl":"10.1016/j.socscimed.2025.118524","url":null,"abstract":"<div><div>Firearm violence is a leading cause of injury and death among youth and young adults in the U.S. with notable inequities across race and ethnicity, geography, and gender. Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) young adults are largely absent from firearms research. Guided by structural violence and Social Safety theory, we qualitatively explored structural and social influences on firearm violence exposure among LGBTQ+ young adults of color in Detroit, Michigan. Through analysis of in-depth interviews with 24 participants, we developed three themes aligned with this aim. First, participants' accounts reflected how contemporary and historical structural racism in Detroit is the root cause of the firearm violence. Second, participants characterized firearms as a source of protection in the absence of structural safety. Finally, participants described how firearm violence against LGBTQ+ people is often an attempt to regain social status lost to structural violence. These themes indicate that structural racism in Detroit has unique impacts on LGBTQ+ young adults of color's exposure to firearms and firearm violence. Future research with this community is needed to guide protective interventions and policy changes.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118524"},"PeriodicalIF":5.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144989080","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

Temporal and spatial patterns of xylazine and medetomidine detected in the DEA's National Forensic Laboratory Information System (NFLIS) reports 在DEA的国家法医实验室信息系统（NFLIS）报告中检测到的噻嗪和美托咪定的时空格局

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.socscimed.2025.118521

David T. Zhu , Suhanee Mitragotri , Manuel Cano

{"title":"Temporal and spatial patterns of xylazine and medetomidine detected in the DEA's National Forensic Laboratory Information System (NFLIS) reports","authors":"David T. Zhu , Suhanee Mitragotri , Manuel Cano","doi":"10.1016/j.socscimed.2025.118521","DOIUrl":"10.1016/j.socscimed.2025.118521","url":null,"abstract":"<div><div>Xylazine and medetomidine are α<sub>2</sub>-adrenergic receptor agonists and sedatives that have recently emerged as adulterants in the U.S. illicit drug supply, complicating public health monitoring and response. In this cross-sectional study, we used data from the Drug Enforcement Administration's (DEA) National Forensic Laboratory Information System (NFLIS) from 1999 to 2024 to examine temporal and geographic trends in detections of these substances. We also identified the ten most common “co-reported” drugs, defined as substances found in the same seizures as xylazine or medetomidine that were submitted to NFLIS; however, these should not be interpreted as true polysubstance mixtures since they were not necessarily physically mixed. Overall, we found that xylazine reports increased from just 2 in 1999 to 149 in 2015, then surged from 9,330 in 2021 to 25,047 in 2024, with the past four years accounting for more than 90 % of all xylazine reports. Similarly, medetomidine reports rose from 12 in 2021 to 245 in 2023, then substantially increased to 2,276 in 2024. This increase was largely driven by the Northeast, where medetomidine reports increased from 5 in 2023 to 1,633 in 2024. Fentanyl was co-reported in 52.9 % of xylazine and 63.6 % of medetomidine reports, with the highest shares in the Northeast at 78.7 % and 89.1 %, respectively. These findings underscore the rapid spread of xylazine and medetomidine in the illicit drug market and their frequent co-reporting with fentanyl, highlighting the need for further public health surveillance and widespread distribution of harm reduction services to continue monitoring their spread across the U.S.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118521"},"PeriodicalIF":5.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144920086","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

Prediabetes in practice: Examining the stratified medicalization of diabetes prevention 糖尿病前期的实践：糖尿病预防分层医学化的检验。

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.socscimed.2025.118513

Emily Vasquez

引用次数: 0

‘Spreading love’ or ‘working holiday’? The narrative of altruistic rhetorics, financial motivations, and risks in domestic and transnational Taiwanese egg donation “传播爱心”还是“打工度假”？

IF 5 2区医学

Social Science & Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.socscimed.2025.118520

Jung Chen

{"title":"‘Spreading love’ or ‘working holiday’? The narrative of altruistic rhetorics, financial motivations, and risks in domestic and transnational Taiwanese egg donation","authors":"Jung Chen","doi":"10.1016/j.socscimed.2025.118520","DOIUrl":"10.1016/j.socscimed.2025.118520","url":null,"abstract":"<div><div>This study investigates the narratives of egg donation (ED) in Taiwan and transnational contexts. Although commercial ED is prohibited in Taiwan, legally fixed compensation remains relatively high (USD 3000). Internationally, ED is a profitable segment of the fertility industry, driving cross-border donor recruitment. Targeted donors are typically young women who, while economically precarious, are valued for their biocapital, namely, high-quality oocytes. Despite this, many receive limited information about the health risks associated with hormone stimulation and oocyte retrieval. Drawing on 362 user-generated posts (2018–2025) from a Taiwanese online forum, alongside content from the websites of 40 domestic fertility clinics and six transnational ED brokers, this study conducts a thematic analysis of recruitment strategies and donor responses. Key themes include donor representation, eligibility, medical procedures, compensation, and the (non-)disclosure of health risks. Findings reveal a complex entanglement of commodification and decommodification across both domestic and cross-border ED contexts. In Taiwan, clinics typically use altruistic narratives to frame ED, while donors describe it as a meaningful act of care or ‘spreading love’, rather than reproductive labour. In contrast, cross-border ED is more explicitly tied to capitalist logics, often depicted as a profitable ‘working holiday’, reinforcing racialised commodification. Importantly, financial motivation and altruistic rhetoric are not mutually exclusive; instead, they operate in tandem to construct socially acceptable narratives that mitigate stigma and imbue ED with emotional and moral significance. The study recommends mandating comprehensive risk disclosure in Taiwan and developing transnational regulatory frameworks to reduce the legal and health risks of cross-border ED.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118520"},"PeriodicalIF":5.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144916581","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