Social Science & Medicine最新文献

{"title":"Developing a social model for blood and plasma donation","authors":"Adam Easterbrook ,&nbsp;Mary Berger ,&nbsp;Kelly Holloway ,&nbsp;Nick Bansback","doi":"10.1016/j.socscimed.2025.118189","DOIUrl":"10.1016/j.socscimed.2025.118189","url":null,"abstract":"<div><div>While the demand for blood and plasma products has increased globally, the supply from domestic donors remains critically low due to challenges recruiting and retaining donors. We use a constructivist grounded theory approach to explore factors influencing blood and plasma donation (BPD). We interviewed 66 current whole-blood donors, lapsed whole-blood donors, and non-donors. We then developed a model comprised of the 3 factors that influence BPD. The first factor identifies how individuals' presentations of self influence BPD. The second focuses on individuals' experiences navigating social structures and systems, including how group identity, presentations of self, and citizenship influence this process. The third examines pragmatic barriers to donation. We found this model represents individuals’ experiences as they move towards, or away from, wanting to engage in BPD. This information could help inform future work on increasing BPD.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118189"},"PeriodicalIF":4.9,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144067867","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":"Taking stock of youth substance use portrayals: A critical content analysis of Canadian news media, 2016–2024","authors":"Trevor Goodyear ,&nbsp;Monique Sandhu ,&nbsp;Claire Pitcher ,&nbsp;Dana Dmytro ,&nbsp;Bryn Shaffer ,&nbsp;Sherri Moore-Arbour ,&nbsp;Chris Gilham ,&nbsp;Tara Bruno ,&nbsp;Anne Gadermann ,&nbsp;Johanna Sam ,&nbsp;Nathan Ngieng ,&nbsp;Emily Jenkins","doi":"10.1016/j.socscimed.2025.118188","DOIUrl":"10.1016/j.socscimed.2025.118188","url":null,"abstract":"<div><div>The changing landscape of substance use and related harms, interventions, and priority setting in Canada has intensified public commentary about youth and drugs. Given the politicized nature of these issues and the significant role of media in shaping societal views and responses to substance use, there is pragmatic value in examining how youth substance use is represented in contemporary media coverage, including to identify potential shortcomings. This study employs a mixed-methods critical content and discourse analysis to explore the characteristics and consequences of youth substance use as portrayed in Canadian news media. Data comprise news articles (N = 611) published between 2016 and 2024 and referencing youth substance use, retrieved from Canadian Newsstream. Quantitative content analysis was used to collate information about the <em>Types of Substances</em> commonly referenced in the news media, as well as the <em>Nature of the Problem, Solutions Proposed,</em> and <em>Experts Represented.</em> This informed the qualitative content and discourse analysis, which surfaced key media problem representations related to youth substance use: <em>Uncritical and Generalized Representations of Harms on the Rise, Insufficient Resources</em>, and <em>Youth's Lack of Agency.</em> The analysis also distilled issues pertaining to the solutions proposed in the articles: <em>Missing Youth Perspectives, Downstream Interventions</em>, and <em>Individualistic Solutions Devoid of Context</em>. Together, the study findings explicate how contemporary news media is reflecting and, in turn, shaping public discourses about youth substance use. From these findings, we discuss opportunities to shift media and broader public discourse to more comprehensively frame and address youth substance use.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118188"},"PeriodicalIF":4.9,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072028","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":"Gender discrimination in the workplace and the onset of problematic alcohol use among female wage workers: A longitudinal study in Korea","authors":"Seong-Uk Baek ,&nbsp;Jin-Ha Yoon ,&nbsp;Jong-Uk Won","doi":"10.1016/j.socscimed.2025.118183","DOIUrl":"10.1016/j.socscimed.2025.118183","url":null,"abstract":"<div><div>This study explored the association between workplace gender discrimination (WGD) and the onset of problematic alcohol use among female wage workers. This longitudinal study analyzed data from a nationwide sample of 4654 women, with 11,484 observations collected between 2012 and 2020. The participants reported their experiences with WGD across six dimensions: hiring practices, promotion opportunities, wage disparities, work assignments, access to training opportunities, and termination procedures. Participants were categorized into three groups based on the number of these WGD dimensions they experienced: no WGD (no experiences in any dimension), moderate WGD (experiences in 1–3 dimensions), and severe WGD (experiences in 4–6 dimensions). Problematic alcohol use was evaluated using the Cutting Down, Annoyance by Criticism, Guilty Feeling, and Eye-openers questionnaire. Generalized estimating equations were utilized to assess the relationship between the experience of WGD and the development of problematic alcohol use over a two-year period. The relative risk (RR) and its 95 % confidence interval (CI) were calculated. Among the participants, 68.8 %, 18.0 %, and 13.2 % experienced no, moderate, and severe WGD at the baseline, respectively. Compared with no experience of WGD, the RRs (95 % CI) for the onset of problematic alcohol use were 0.93 (0.50–1.71) and 2.08 (1.23–3.50) for moderate and severe WGD experience, respectively. For each WGD dimension, WGD related to promotion (RR: 1.66, 95 % CI: 1.01–2.72), wages (RR: 1.71, 95 % CI: 1.05–2.78), and termination (RR: 1.88, 95 % CI: 1.13–3.13) were related to the development of problematic alcohol use during the follow-up. WGD was associated with the onset of problematic alcohol use during the follow-up period. These findings underscore the necessity of proactive governmental and organizational initiatives to promote a gender-equitable work environment and mitigate WGD to protect women's health.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118183"},"PeriodicalIF":4.9,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144067865","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":"GBTQ+ safe sex entanglements: Finding the bacterial in the age of resistant STIs and prevention innovation","authors":"Shiva Chandra ,&nbsp;Alex Broom ,&nbsp;Damien Ridge ,&nbsp;Katherine Kenny ,&nbsp;Michelle Peterie ,&nbsp;Jennifer Broom ,&nbsp;Bridget Haire ,&nbsp;Lise Lafferty ,&nbsp;Carla Treloar ,&nbsp;Stephanie Raymond ,&nbsp;Catriona Bradshaw ,&nbsp;Tanya Applegate ,&nbsp;Rebecca Guy","doi":"10.1016/j.socscimed.2025.118162","DOIUrl":"10.1016/j.socscimed.2025.118162","url":null,"abstract":"<div><div>Few studies have explored community experiences of our increasingly resistant bacterial landscape, and, in the sphere of sexually transmissible infections (STIs) and antimicrobial resistance, there is even greater absence of community-centred research. This is despite a growth in STI transmission worldwide, which, alongside accelerated resistance, will disproportionately affect GBTQ+ (gay, bisexual, trans, queer+) populations. In this article, drawing on semi-structured interviews conducted in 2024 with 49 cisgender and trans gay and bisexual men, trans women and gender diverse people, we explore contemporary GBTQ+ safe sex practices as they relate to the growing threat of antibiotic resistant STIs in Australia. Key themes identified where the pharmaceutical turn in safe sex practices, the tensions this produced, the complexities of condom use, and the influence of biographies on safe sex practices. We illustrate how the turn toward pharmaceutical solutions have reconfigured and continues to reconfigure safe sex, giving rise to pleasures that were hitherto ‘off-limits’ to many. However, escalating antibiotic resistance threatens to again alter community practices and relationships to STI prevention measures. Drawing on Barad, we develop these themes to theoretically conceptualise safe sex as not fixed, but as an <em>entanglement</em> that is relationally and iteratively (re)configured through the connections between objects, subjectivities, practices, temporalities, and the human-microbial dynamics entailed therein. Findings suggest public health and clinical communication about resistance should speak to population concerns about gut health, resistance vis-à-vis Doxy-PEP, changing definitions of safe sex, and the importance of pleasure.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118162"},"PeriodicalIF":4.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068062","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":"Nothing is so impactful as good theory: Evidence for the impact of the social identity approach to health on policy and practice","authors":"Tegan Cruwys ,&nbsp;S. Alexander Haslam ,&nbsp;Niklas K. Steffens ,&nbsp;Catherine Haslam ,&nbsp;Stephen D. Reicher","doi":"10.1016/j.socscimed.2025.118164","DOIUrl":"10.1016/j.socscimed.2025.118164","url":null,"abstract":"<div><div>This research sought to evaluate the uptake of research on social identity and health among policymakers and practitioners. It also sought to identify the research outputs that have had the greatest impact and to understand the nature of their impact. Policy impact tools in Elsevier's SciVal institutional subscription were utilised in combination with Overton. We extracted all articles within the social identity approach to health topic 1996–2023 as defined by SciVal, along with all citing policy documents as captured by Overton. Summary statistics and trends for this topic along with seven comparable topics were also extracted. More than 1 in 5 articles on the social identity approach to health are cited in policy documents, a proportion that is greater than that reported in other areas of applied psychology; for example, theory of planned behaviour, self-determination theory, and ego-depletion. Policy documents that advocated for community and social interventions to improve population mental health were particularly likely to draw on this research. Overall, the paper makes two general contributions. First we demonstrate the importance of social identity approach to health research for social/community interventions. We found that social identity and health research has had an outsized impact on policy and discuss several features of the theory and literature that may underpin this impact. Second, we provide a novel method for evaluating research impact that could be utilised across disciplines.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118164"},"PeriodicalIF":4.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144067935","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":"How concepts guide policy: an ethnographic study of the meaning making of ‘appropriate care’ in Dutch healthcare","authors":"Britt Kraaijeveld ,&nbsp;Sietse Wieringa ,&nbsp;Eivind Engebretsen ,&nbsp;Jet Bussemaker","doi":"10.1016/j.socscimed.2025.118152","DOIUrl":"10.1016/j.socscimed.2025.118152","url":null,"abstract":"<div><div>Concepts, such as value-based healthcare, patient-centered care and integrated care, are used to guide and govern healthcare structures and services. Although prior research has pointed us towards the multiplicity of interpretations of these concepts, there is little understanding of how a concept gets attributed a particular meaning from its various understandings. This paper describes how healthcare actors engage in the meaning-making of the concept of appropriate care in a policy process in Dutch healthcare by employing the discourse-analytical lens of Laclau &amp; Mouffe. The policy process was studied from February 2022 to July 2022 by taking on an ethnographic approach, comprising fieldnotes (92 days of observation), drafts of the policy document (N = 77), interviews (N = 4), and documents (N = 88). Data analysis suggested that meaning was attributed to appropriate care through three strategies: hegemonizing (prevailing of discourses), compromising (merging of discourses), and co-existing (discourses put alongside each other). We argue that from the interplay between these three strategies appropriate care and similar concepts attain a meaning which might be able to productively guide and govern care proposing healthcare actors to actively engage with the ambiguity of concepts.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118152"},"PeriodicalIF":4.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144067869","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":"Association between severity of physical intimate partner violence and neonatal mortality in Afghanistan: Survival analysis using Cox proportional hazard model","authors":"Abdul Ghani Khatir ,&nbsp;Negina Rahman ,&nbsp;Tolulope Ariyo ,&nbsp;Quanbao Jiang","doi":"10.1016/j.socscimed.2025.118160","DOIUrl":"10.1016/j.socscimed.2025.118160","url":null,"abstract":"<div><h3>Background</h3><div>Child survival and the prevalence of intimate partner violence (IPV) are critical global health concerns. The Sustainable Development Goals (SDGs) emphasize reducing IPV prevalence and child mortality rates as essential objectives in global health and development. The study investigates the relationship between the severity of physical IPV experienced by women and neonatal mortality in Afghanistan, focusing on the moderating role of antenatal care (ANC) visits and skilled birth attendants (SBA) in this association.</div></div><div><h3>Methods</h3><div>Our study utilized data from Afghanistan's most recent 2015 demographic and health survey (AfDHS). We employed Cox proportional hazard analysis to measure the potential association between the severity of physical IPV experienced by women and neonatal mortality. The severity of physical IPV was categorized as no IPV, less severe physical IPV, or severe physical IPV. Moreover, to assess the moderating effects of ANC and SBA in the relationship between the severity of physical IPV and neonatal mortality, we conducted a moderation analysis. Additionally, a sensitivity analysis using Weibull proportional hazards and accelerated failure time analyses was conducted to assess the robustness of the findings.</div></div><div><h3>Results</h3><div>In total, 17.26 % of women experienced severe physical IPV, while 48.07 % experienced less severe physical IPV. The Cox model indicated that, after adjusting for control variables, the hazard of neonatal mortality was significantly higher among women who experienced severe physical IPV (aHR = 1.67; 95 % CI; p &lt; 0.001) compared to those who experienced no or less severe physical IPV.</div></div><div><h3>Conclusion</h3><div>This study highlights the significant association between the severity of physical intimate partner violence experienced by women and increased neonatal mortality in Afghanistan, highlighting the urgent need for targeted interventions and policies to address the issue of IPV in order to improve mother (maternal) and child health outcomes.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"378 ","pages":"Article 118160"},"PeriodicalIF":4.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935692","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":"Socioeconomic area deprivation and its relationship with dementia, Parkinson's Disease and all-cause mortality among UK older adults: a multistate modeling approach","authors":"May A. Beydoun ,&nbsp;Michael F. Georgescu ,&nbsp;Jordan Weiss ,&nbsp;Nicole Noren Hooten ,&nbsp;Hind A. Beydoun ,&nbsp;Jack Tsai ,&nbsp;Christian A. Maino Vieytes ,&nbsp;Michele K. Evans ,&nbsp;Alan B. Zonderman","doi":"10.1016/j.socscimed.2025.118137","DOIUrl":"10.1016/j.socscimed.2025.118137","url":null,"abstract":"<div><div>The study analyzed the association of area-level socioeconomic status (SES) with the risk of all-cause dementia, Parkinson's Disease (PD), and all-cause mortality using a multistate approach. Data from the UK Biobank were used (N = 363,663 50+y individuals, ≤15y follow-up), and Cox proportional hazards and multistate parametric models including Weibull regression were conducted, while cardiovascular health was tested as a potential mediator. In multistate models, socioeconomic area-level deprivation, measured by the Townsend Deprivation Index (TDI) z-score, was positively associated with the hazard of going from healthy into the 3 states of PD, dementia, and all-cause mortality (i.e. transitions 1: HR = 1.06, 95 % CI:1.02–1.10, P = 0.005, 2: HR = 1.19, 95 % CI: 1.16–1.22, P &lt; 0.001 and 3: HR = 1.19, 95 % CI: 1.18–1.21, P &lt; 0.001), with no association detected for transitions 4 (PD→Dementia), 5 (PD→Death), or 6 (Dementia→Death). Cardiovascular health did not mediate these associations. Socioeconomic area-level deprivation was directly associated with reduced survival rates from Healthy into Dementia, PD and Death.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118137"},"PeriodicalIF":4.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072739","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":"#diabetictoddlers and #type1moms: Visibilizing parent-child interembodiment on TikTok","authors":"Erin V. Moore,&nbsp;Kelsey Shearer,&nbsp;Seneba Thiam,&nbsp;Zahra Ramakdawala,&nbsp;Luxin Yin,&nbsp;Génesis Alvelo Colon","doi":"10.1016/j.socscimed.2025.118095","DOIUrl":"10.1016/j.socscimed.2025.118095","url":null,"abstract":"<div><div>Parents of children with type 1 diabetes, a deadly illness made chronic through its management, have posted thousands of videos on the social media platform TikTok with hashtags such as #diabetictoddler, #type1mom, and #type1family. Filmed in different styles and set to different music, these videos all feature parents caring for their children by acting upon their bodies as they insert, inject, remove, and reconfigure the biotechnologies of diabetes management. Building from recent studies that show that parents share the embodiment of their children's type 1 diabetes as stress and anxiety related to managing a potentially fatal condition, this article explores how parents use TikTok to visibilize interembodiment. In TikTok videos, interembodiment hinges on shared disease management rather than shared disease symptom or etiology. Moving from the position that people do not simply possess bodies but continually enact them, we explore how parents and children jointly enact diabetes through an entanglement of bodies, voices, medical technologies, and social media personae that appear in #diabetictoddler and #type1mom TikToks. Given some of these videos have circulated to millions of people, we propose that TikTok and other social media platforms provide unique forums for type 1 parents to make their interembodiment visible, perhaps even as a salve for the distress they suffer as they manage their children's illnesses.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118095"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072085","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":"Predicting healthcare costs with diagnoses recorded in primary and secondary care: an analysis of linked records","authors":"Shaolin Wang ,&nbsp;Laura Anselmi ,&nbsp;Yiu-Shing Lau ,&nbsp;Matt Sutton","doi":"10.1016/j.socscimed.2025.118157","DOIUrl":"10.1016/j.socscimed.2025.118157","url":null,"abstract":"<div><div>Most risk-adjustment models rely on diagnoses recorded during previous contacts in the same care setting to predict service use and cost. When diagnostic information from multiple settings has been used, studies have not examined how diagnoses recorded in different care settings influence model performance. Using a single set of diagnostic indicators recorded in primary or secondary care can incentivise case-finding and treatment outside hospital, but may reduce model fit if secondary care diagnosis indicates higher levels of severity. Using linked primary and secondary care records for 12.8 million patients in England, we used 205 chronic conditions recorded in primary care to complement those recorded during recent hospital admissions. We examined predictions of hospital use and cost for different population groups and considered the related incentives and implications for efficiency and fairness. Most patients (56 %) had at least one condition ever recorded in primary care, while only 15 % had at least one recorded in secondary care in the previous two years. Adding diagnoses recorded only in primary care as a separate additional set of predictors improved the model fit for total costs, planned and unplanned costs, elective and emergency admissions, outpatient visits, and emergency department attendances. Using a single set of diagnoses recorded in either setting did not improve model fit, except for outpatient visits. Including primary care diagnoses reduced under and over-compensation and increased the predicted service needs of younger patients in less deprived areas and older patients in more deprived areas.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"378 ","pages":"Article 118157"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935687","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}