Social Science & Medicine最新文献

{"title":"Navigating parental decision-making: Intersex surgeries in Italy","authors":"Daniela Crocetti ,&nbsp;Marta Prandelli","doi":"10.1016/j.socscimed.2024.117496","DOIUrl":"10.1016/j.socscimed.2024.117496","url":null,"abstract":"<div><div>Decision-making dynamics in Italian paediatric care for Intersex and Variations of Sex Characteristics (VSC) involve a complex interplay between medical practices, parental perspectives, and socio-cultural factors. This article explores how medical professionals and parents make decisions amid cultural debates on gender, the body, and autonomy. It addresses aspects of why surgical intervention, with limited child involvement, is often seen as the ‘only option’ in the ‘conservative’ culture of Italy. The article continues to highlight the rise of parent-led human rights-based activism in Italy, challenging prevailing narratives in intersex/VSC paediatric care. Using qualitative data from two studies, including interviews with 15 Italian stakeholders and 38 Italian parents, as well as participant action research, the article provides insights into Italian medical and parental perspectives. The findings emphasize the need for nuanced support, education, and resources to empower parents in order to uphold the rights and well-being of intersex individuals.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117496"},"PeriodicalIF":4.9,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630994","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":"Corrigendum to \"Examining the perception, frequency, and intensity of domestic violence inflicted by Palestinian wives against their husbands\" [Soc. Sci. Med. Volume 358, October 2024, 117269].","authors":"Oqab Jabali","doi":"10.1016/j.socscimed.2024.117469","DOIUrl":"https://doi.org/10.1016/j.socscimed.2024.117469","url":null,"abstract":"","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":" ","pages":"117469"},"PeriodicalIF":4.9,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630979","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":"“Don't push!” experiences of obstetric violence in U.S. hospital settings","authors":"Anna Claire Church","doi":"10.1016/j.socscimed.2024.117497","DOIUrl":"10.1016/j.socscimed.2024.117497","url":null,"abstract":"<div><div>Obstetric violence is the institutional and interpersonal violation of women's rights during pregnancy, childbirth, and the postpartum period. Amid increasing recognition of the prevalence and consequences of obstetric violence, there has been growing attention to its cultural, organizational, and institutional features. In this article, I demonstrate how obstetric violence is a form of epistemic and structural violence that unfolds through interpersonal interactions, the organization of labor in medicalized birth, and institutional features of the hospital and obstetric environment. I draw on thirty in-depth interviews with women who recently gave birth in the Midwest, United States to understand how the authoritative knowledge of medical staff epistemically marginalizes pregnant and birthing women's embodied knowledge and how organizational and institutional features of the medicalized hospital environment facilitate obstetric violence. These findings contribute to our understanding of how less recognized and normalized forms of violence shape women's pregnancy and birthing experience, even for those with a high degree of intersectional privilege. I argue for increased person-centered childbirth guidelines that center embodied experiences and address features of the medicalized obstetric care environment that are not sufficiently evidence-based nor facilitate better outcomes for birthing people.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117497"},"PeriodicalIF":4.9,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631009","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 cards they're dealt: types of gambling activity, online gambling, and risk of problem gambling in European adolescents","authors":"Gabriele Lombardi ,&nbsp;Sabrina Molinaro ,&nbsp;Rodolfo Cotichini ,&nbsp;Sonia Cerrai ,&nbsp;Marco Scalese ,&nbsp;Elisa Benedetti","doi":"10.1016/j.socscimed.2024.117482","DOIUrl":"10.1016/j.socscimed.2024.117482","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to identify risk factors associated with gambling engagement and the likelihood of problem behavior, distinguishing by type of gambling activity and examining the impact of online gambling.</div></div><div><h3>Methods</h3><div>Data about 85,420 students aged 16 from 33 countries participating in the 2019 European School Survey Project on Alcohol and Other Drugs (ESPAD) were analyzed through a three-stage sequential probit model, specifically focusing on four types of activity: lotteries, slot machines, cards, and betting. Furthermore, predicted probabilities were calculated for subsamples of students engaging in different types of gambling activities to explore their influence on the likelihood of problem gambling behavior, conditioned on online gambling involvement.</div></div><div><h3>Results</h3><div>Certain groups, such as males and those with a history of school difficulties, exhibit a higher likelihood of problematic gambling behavior. Online gaming significantly influences adolescent gambling behavior, with slot machines demonstrating the highest predicted probabilities of risky behavior when combined with online gaming.</div></div><div><h3>Policy implications</h3><div>The findings highlight that gambling is quite common among adolescents, and that gamblers and problem gamblers display different profiles, suggesting the importance of targeted interventions and support for vulnerable individuals. Public policies should prioritize the regulation of high-risk gambling activities, particularly slot machines, by enhancing the enforcement of age restrictions and the education on the real odds of winning and potential harms of gambling, particularly among adolescents. It is crucial to foster policies and interventions that address the risks associated with online gambling for this age group.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117482"},"PeriodicalIF":4.9,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631150","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":"The socioecology of sexual minority stigma: Advancing theory on stigma-based mechanisms underlying sexual orientation-based disparities in health.","authors":"Arjan van der Star","doi":"10.1016/j.socscimed.2024.117484","DOIUrl":"https://doi.org/10.1016/j.socscimed.2024.117484","url":null,"abstract":"<p><p>Research in public health and psychology has identified sexual minority stigma-related risk factors that contribute to sexual orientation-based health disparities across settings and societies worldwide. Existing scholarship, however, has predominantly focused on these factors as independent, stand-alone risk factors, neglecting their interconnected nature across different levels. This article theoretically explores how sexual minority stigma may function as a multilevel socioecological system, by building on prevailing theories and emphasizing the interplay between structural, interpersonal, and intrapersonal stigma-related factors. Drawing on the minority stress and socioecological theories, three central tenets are proposed, namely 1) chronosystem with immediate, accumulating, or lasting effects across spatiotemporal contexts, 2) nested multilevel system with cross-level effects, and 3) mechanistic pathways linking stigma exposure to health. By providing a nuanced and comprehensive understanding of how sexual minority stigma may operate as a multilevel socioecological system, this article reflects on the novel implications of this interpretation for future research and aims to guide future conceptualizations and studies, acknowledging the complexity of sexual minority stigma exposure across historical contexts, societies, and the individual life course in shaping physical and mental health of sexual minorities. Limitations of current research and recommendations for future research are being discussed.</p>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"117484"},"PeriodicalIF":4.9,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677648","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":"Effectiveness of community-based participatory research (CBPR) interventions on mental health outcomes: A systematic review","authors":"Jessie Ho-Yin Yau ,&nbsp;Edwin Lok Yan Wong ,&nbsp;Hotinpo Sky Kanagawa ,&nbsp;Tianyin Liu ,&nbsp;Gloria Hoi Yan Wong ,&nbsp;Terry Yat Sang Lum","doi":"10.1016/j.socscimed.2024.117491","DOIUrl":"10.1016/j.socscimed.2024.117491","url":null,"abstract":"<div><div>Community-based participatory research (CBPR) promotes the significant involvement of community members in research, which helps increase the effectiveness of specific interventions for community members. However, no reviews have investigated the effectiveness of CBPR interventions in mental health outcomes nor the adherence level to CBPR principles. Therefore, the objectives of the current study were to (1) examine the effectiveness of CBPR interventions on mental health outcomes and (2) assess the overall adherence to CBPR principles in existing mental health research. A systematic search was conducted in five databases for studies published between January 2000 and December 2022. We included 14 studies in this review based on our eligibility criteria. We assessed the effectiveness of quality appraisal and developed a four-dimensional rating scheme (degree of community involvement in the research process; level of shared decision-making between researchers and the community; level of contribution to community capacity building; level of addressing original health problems in the community) to assess the overall adherence to CBPR principles. Although CBPR interventions impacted mental well-being outcomes, research quality varied, and most studies did not adhere to CBPR principles. Future research using the rating scheme proposed in this study is recommended.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117491"},"PeriodicalIF":4.9,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631021","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":"From one death to another: The relationship between familial deaths and one’s own mortality risk among an urban Black American cohort","authors":"Elaine E. Doherty,&nbsp;Kerry M. Green,&nbsp;Brittany A. Bugbee","doi":"10.1016/j.socscimed.2024.117489","DOIUrl":"10.1016/j.socscimed.2024.117489","url":null,"abstract":"<div><div>Black Americans continue to be 1.5 times more likely to experience premature death with life expectancy up to six years shorter than their white American counterparts. These racial disparities in mortality translate into Black Americans being much more likely to experience the deaths of family members at younger ages in the life course. This study examines the impact of experiencing familial death on the survivor's mortality risk among a cohort of Black men and women. Data collected from a community cohort first assessed in 1966 (at age 6) and followed at three additional time points (ages 16, 32, and 42) are supplemented with mortality data, retrieved from the National Death Index, that include deaths through 2021 (modal age 61). Among the 941 participants who survived to age 32 and had information on familial deaths, 38.9% experienced the death of a parent, child, or sibling by age 32, and close to one-fifth (18.2%) died between ages 33 and 61. Cox regression models that adjust for early life covariates revealed a 48% higher mortality risk among those who experienced at least one familial death by age 32; separate models provide evidence that the accumulation of familial deaths is related to midlife mortality risk. Models of relationship type indicate that death of a mother or sibling is associated with a 74% and 77% increase in mortality risk, respectively. Results highlight the heavy burden of premature familial mortality on Black Americans and its adverse impact on one's own life expectancy.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117489"},"PeriodicalIF":4.9,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649330","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":"From subsidies to nutrition: Investigating effects among cohort children from the Subsidy Reinvestment programme in Nigeria","authors":"Uchenna Efobi ,&nbsp;Oluwabunmi Adejumo ,&nbsp;Obianuju Nnadozie ,&nbsp;Oluwasola Omoju ,&nbsp;Adeniyi Ekisola","doi":"10.1016/j.socscimed.2024.117479","DOIUrl":"10.1016/j.socscimed.2024.117479","url":null,"abstract":"<div><div>This study investigates the effect of a nationwide maternal health programme that targets both demand- and supply-side factors on the nutritional status of children under five years old whose mothers were potentially exposed to the programme. We employed a difference-in-differences approach by matching programme beneficiary facilities to the districts and communities where households reside. The data are drawn from the 2008, 2013, and 2018 rounds of Nigeria's Demographic and Health Surveys (DHS), comprising responses for approximately 120,000 children. Our findings reveal a significant increase in child dietary diversity, particularly in districts with two beneficiary facilities, suggesting stronger effects with expansive programme implementation. Additionally, we observed positive effects on children's consumption of various nutritious foods for those children in districts with two beneficiary facilities. This study investigates a potential mechanism by which expanding access to healthcare facilities, through funding two clinics per district, may contribute to improved child dietary diversity. Our findings suggest that, unlike districts with one beneficiary facility, those with two funded clinics have a higher likelihood of women engaging in work outside the home and earning cash for it. As shown in the analysis, this mechanism is likely due to easier access to health facilities and better contact with health officers, which facilitate quicker reintegration into the labour market for mothers after childbirth and, in turn, could lead to better maternal earnings and potentially enable a more diverse diet for children. The findings suggest that SURE-P's expansive implementation strengthens child nutrition outcomes and supports maternal economic empowerment. In areas with multiple SURE-P facilities, increased access to healthcare enables mothers to reintegrate into the labor market more quickly, facilitating cash income and fostering a reinforcing cycle of improved child dietary diversity and economic benefits for families. This highlights the potential of scaling such programs to maximize both health and economic outcomes in similar contexts.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"362 ","pages":"Article 117479"},"PeriodicalIF":4.9,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630997","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":"Understanding health and illness among incarcerated persons in the Slovenian correctional system: A qualitative study","authors":"Mirko Prosen ,&nbsp;Aleksandra Lukić","doi":"10.1016/j.socscimed.2024.117467","DOIUrl":"10.1016/j.socscimed.2024.117467","url":null,"abstract":"<div><div>Understanding the perspectives of incarcerated persons on health and illness, as well as the social contexts influencing these perspectives, is important for developing healthcare interventions that effectively address their specific needs and improve overall well-being. The aim of this study was to explore and understand the complex, multi-dimensional experiences of health and illness among incarcerated persons within the Slovenian correctional system. This study employed an interpretative descriptive design. Using purposive sampling, ten incarcerated persons—five females and five males—were invited to individual, face-to-face, semi-structured interviews. Thematic analysis was conducted in accordance with the interpretative description analytical process. Four major themes were identified: (1) Perspectives on health and illness during incarceration, (2) Healthcare access and self-care during incarceration, (3) Social contacts and their impact on health, and (4) Programmes and activities to enhance well-being. The findings highlighted a shift in perception among participants from a traditional view of health as merely the absence of illness to a more dynamic and holistic understanding, encompassing physical, mental, and social determinants of health. The structured environments within prisons can sometimes paradoxically improve physical health by promoting positive health behaviours, yet they often exacerbate mental health challenges due to restricted freedom and social isolation. The study's implications are significant for policy-making, suggesting that integrated health strategies can significantly improve health outcomes for incarcerated populations, aligning with public health objectives and ensuring better community reintegration.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"362 ","pages":"Article 117467"},"PeriodicalIF":4.9,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631005","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":"‘Public prostitutes and private prostitutes’: A study of women's perceptions of transactional sex in Cameroon","authors":"Aurélia Lépine ,&nbsp;Charlie Henderson ,&nbsp;Emile Nitcheu ,&nbsp;Fanny Procureur ,&nbsp;Henry Cust ,&nbsp;Létitia Toukam ,&nbsp;Chimene Chimsgueya ,&nbsp;Julienne Noo ,&nbsp;Sandie Szawlowski ,&nbsp;Eric Defo Tamgno ,&nbsp;Silvia Mandop ,&nbsp;Stephanie Moyoum ,&nbsp;Serge Billong ,&nbsp;Iliassou Mfochive ,&nbsp;Ubald Tamoufe","doi":"10.1016/j.socscimed.2024.117492","DOIUrl":"10.1016/j.socscimed.2024.117492","url":null,"abstract":"<div><h3>Context</h3><div>Although AIDS-related deaths continue to decline, there are more people living with HIV than ever before. Sub-Saharan Africa remains disproportionately affected by the epidemic, with women aged 15–24 being over three times as likely to acquire HIV than their male counterparts. One reason for this disparity is that those engaging in ‘transactional sex’ do not benefit from governmental HIV prevention efforts. Transactional sex is both less well understood than sex work and more common, suggesting the need for further research.</div></div><div><h3>Method</h3><div>To this end, we interviewed eighteen women engaging in transactional sex in Yaoundé, Cameroon using snowball sampling. Participants were recruited using respondent-driven sampling, with the help of a nongovernmental organisation that works with women engaging in transactional sex. The objective of this study is to understand how transactional sex differs from commercial sex according to women engaging in transactional sex.</div></div><div><h3>Results</h3><div>We found that participants distinguished themselves from sex workers, but only in a limited sense. They referred to themselves as ‘private prostitutes’, meaning those who sell sex in all but name. ‘Private prostitutes’ avoid red-light districts and do not wear revealing clothing, but exchange sex for money all the same. They are no less profit-oriented than their ‘public’ counterparts (i.e., sex workers), reminding us that the two activities have a lot of similarities in as far as public health is concerned.</div></div><div><h3>Discussion</h3><div>Women engaging in transactional sex would require equal attention than FSWs in terms of HIV prevention. Like FSWs, they have multiple sexual partners and unprotected sex. They should be considered a ‘key population’ for HIV prevention. This would improve public health outcomes, suggesting the need to target women engaging in transactional sex on a greater scale than previously attempted in Sub-Saharan Africa.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"363 ","pages":"Article 117492"},"PeriodicalIF":4.9,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649271","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}