Social Science & Medicine最新文献

{"title":"The correlation of caloric intake from sugar-sweetened beverage (SSB) on type 2 diabetes mellitus (T2DM) risk in Indonesia","authors":"Abdillah Ahsan ,&nbsp;Triasih Djutaharta ,&nbsp;Maulida Gadis Utami ,&nbsp;Yuyu Buono Ayuning Pertiwi ,&nbsp;Anggiana Diniary ,&nbsp;Nadira Amalia ,&nbsp;Sakiru Adebola Solarin ,&nbsp;Santhi Ramanathan","doi":"10.1016/j.socscimed.2025.117956","DOIUrl":"10.1016/j.socscimed.2025.117956","url":null,"abstract":"<div><div>Among the concerning commercial practices are those related to sugar-sweetened beverages (SSBs), which offer little nutritional value and contribute to energy-dense diets. Excessive SSB consumption is associated with obesity, a major risk factor for non-communicable diseases (NCDs), particularly Type 2 Diabetes Mellitus (T2DM). The rise in SSB consumption in Indonesia, driven by commercial factors, increases the risk of T2DM and related health burdens. This study aims to investigate SSB consumption patterns, caloric intake, and socio-demographic characteristics affecting T2DM prevalence, using probit regression estimates based on National Socioeconomic Survey (SUSENAS) 2018 and Basic Health Research (Riskesdas) 2018. The sample size comprises 699,959 individuals, with the unit of analysis focused on individual health outcomes. Our descriptive result implies that 76.49 % incurred expenses on at least one type of SSB in the past week. Ready-to-drink beverages were the most frequently consumed, while factory-produced liquid milk had the lowest average consumption. Probit regression analysis indicated that higher SSB caloric consumption significantly increased the probability of a T2DM diagnosis. This study underscores the need for targeted interventions to reduce SSB consumption and address T2DM risk factors, especially among higher-income households and specific regions.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"372 ","pages":"Article 117956"},"PeriodicalIF":4.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681821","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":"Race, wealth and health: The role of reparations","authors":"Shannon Whittaker ,&nbsp;Marie-Fatima Hyacinthe ,&nbsp;Danya Keene ,&nbsp;Akilah Dulin ,&nbsp;Trace Kershaw ,&nbsp;Joshua Warren","doi":"10.1016/j.socscimed.2025.117963","DOIUrl":"10.1016/j.socscimed.2025.117963","url":null,"abstract":"<div><h3>Background</h3><div>Due to the ongoing legacy of structurally racist policies and practices in the U.S., Black Americans face great challenges to wealth accumulation and, as a result, may be more likely to report adverse health outcomes. However, little research has examined the potential impact of racial justice interventions like reparations on closing the racial health gap.</div></div><div><h3>Methods</h3><div>Using data from the National Longitudinal Survey of Youth 1979, multi-level regression models were employed to assess race and wealth as predictors of self-rated health across general health, physical health, and mental health. Predicted probabilities analyzed the probability of reporting better health with the inclusion of three reparation estimations to Black respondents' wealth: Darity's land-based estimation, Craemer's wage-based estimation and the racial wealth gap.</div></div><div><h3>Results</h3><div>The final sample included 2471 respondents. Race was a significant predictor of general health, with White respondents more likely to report excellent/very good health (OR = 1.35, p = 0.0047) compared to Black respondents. Wealth was a significant predictor for all health variables, with increased wealth linked to better health. In predicted probability models, reparations payments were associated with health such that as payments increased so did the probability of improved health for Black respondents across all three health measures. Only general health reported significant mean differences across race.</div></div><div><h3>Conclusion</h3><div>Reparations payments may help narrow the racial health gap. However, reparative justice interventions should look beyond only using monetary reparations payments to dismantle systems of oppression that perpetuate current inequities.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"373 ","pages":"Article 117963"},"PeriodicalIF":4.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738521","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":"Economic and health implications of early COVID-19 lockdown exits: Evidence from a difference-in-differences analysis","authors":"Deivis Nicolas Guzman-Tordecilla PhDc,&nbsp;Antonio J. Trujillo Ph.D. (Professor)","doi":"10.1016/j.socscimed.2025.117953","DOIUrl":"10.1016/j.socscimed.2025.117953","url":null,"abstract":"<div><div>The premature lifting of lockdowns during the COVID-19 pandemic created a trade-off between economic recovery and increased disease transmission, yet its true impact remains poorly understood. This study investigates the causal effect of ending lockdown policies on COVID-19 cases and deaths in Colombia, using sales tax holidays (TH) as a natural experiment. We analyze 1,105,215 observations from March 6, 2020, to December 31, 2021, using data from the Colombian Ministry of Health and Google Mobility. Applying a Difference-in-Differences approach, we find that, prior to vaccination, THs increased daily COVID-19 cases and deaths by 14 % and 4 % points, respectively, leading to net economic losses. After vaccines became available, economic gains from THs exceeded health costs. These findings underscore the trade-offs of ending lockdowns prematurely, which can have economic consequences. Policymakers can use these insights to weigh the benefits of relaxing lockdowns against health risks, emphasizing the role of vaccination and preparedness in future pandemics.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"372 ","pages":"Article 117953"},"PeriodicalIF":4.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the residential neighborhood: A scoping review of research on urban neighborhood networks","authors":"Noli Brazil ,&nbsp;Jennifer Candipan ,&nbsp;Brian Levy ,&nbsp;Thalia Tom","doi":"10.1016/j.socscimed.2025.117945","DOIUrl":"10.1016/j.socscimed.2025.117945","url":null,"abstract":"<div><div>An emerging framework has expanded the neighborhood effects perspective by recognizing that exposure to, and the impact of, neighborhood conditions extend beyond the residential environment. This framework conceptualizes neighborhoods as embedded within a citywide network, with ties based on the durable, aggregated, and socially meaningful connections linking residents across a city. Measuring neighborhood conditions solely within residential areas may underestimate exposure to neighborhood conditions that are consequential for health. This paper presents results from a scoping review of the emerging neighborhood networks literature. We identified 32 U.S.-based studies published between 2014 and 2023. The overwhelming majority of these studies conceptualized neighborhood networks based on the aggregated daily mobility of residents, with 72 percent using either cell phone or social media data to construct neighborhood networks. Key empirical findings include evidence that durable patterns of racial/ethnic and income segregation generally extend into neighborhood networks and that network exposure to socioeconomic disadvantage is correlated with crime and poor health outcomes. Future research should examine other types of ties beyond those created via daily mobility, explore a wider range of exposures and outcomes, and investigate the implications of neighborhood networks on individual-level health.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"372 ","pages":"Article 117945"},"PeriodicalIF":4.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636889","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":"“It makes you feel worthless.” The lived experience of discrimination in the US food assistance system","authors":"Sarah J. Blau ,&nbsp;Alison Tovar ,&nbsp;Deborah N. Pearlman ,&nbsp;Heidi M. Weeks ,&nbsp;Jeneen Ali ,&nbsp;Katherine W. Bauer","doi":"10.1016/j.socscimed.2025.117959","DOIUrl":"10.1016/j.socscimed.2025.117959","url":null,"abstract":"<div><div>This study examined the lived experience of judgment, mistreatment, and fear related to federal food assistance programs and the emergency food system among families experiencing food insecurity with specific attention to the intersections of holding multiple stigmatized identities while engaging with food assistance. Between November 2022 and June 2023, Feeding MI Families enrolled 781 English and Spanish-speaking parents experiencing food insecurity from 3 Michigan cities. Participants completed closed- and open-ended survey questions assessing their experiences of judgment, mistreatment, and fear related to using food assistance. Quantitative methods were used to identify similarities in these experiences across food assistance program use and sociodemographic characteristics, and qualitative methods were used to identify themes in participants' descriptions of their experiences. Approximately one-third of participants reported experiencing judgment due to using food assistance (38.4 %) or having worried about mistreatment by food assistance programs (37.5 %). Over half (54.8 %) of those born outside the US feared that using assistance would affect their immigration status. Participants described structural issues in the administration of food assistance programs as discriminatory. Often, these experiences were entwined with participants' gender, race, ethnicity, and language fluency. Participants also frequently spoke of interpersonal discrimination due to their use of food assistance, including being stereotyped as lazy, unemployed, and abusing the system. These experiences often occurred while grocery shopping, when one's use of food assistance can be on display. Social and structural interventions that combat stereotypes of food insecurity and improve the efficiency and dignity of food assistance systems could increase program utilization and impacts, particularly within communities that hold other stigmatized identities, decreasing the physical, emotional, and cognitive burden of food insecurity.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"372 ","pages":"Article 117959"},"PeriodicalIF":4.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674723","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":"Using interactions of area dose and individual exposure to estimate effects of population health interventions","authors":"Matt Sutton ,&nbsp;Samuel Hugh-Jones ,&nbsp;Anna Wilding","doi":"10.1016/j.socscimed.2025.117952","DOIUrl":"10.1016/j.socscimed.2025.117952","url":null,"abstract":"<div><div>Evaluations of natural experiments in population health studies typically construct and compare exposed and unnexposed populations classified by area or individual exposure. Populations are often dichotomised on one of these dimensions, even if the underlying dose of exposure is graded. We propose that effects of population health interventions can be estimated more accurately by using both dimensions, using an interaction of a continuous measure of dose at area level and the probability of exposure at the individual level. This is particularly useful when receipt of treatment by individuals is either unknown or endogenous. This dose-exposure interaction can be integrated into many common natural experiment designs and we propose it as a <em>verification test</em>. Furthermore, this interaction term can be calibrated to be a predicted probability of exposure and then used to ensure the magnitude of the estimated treatment effect is plausible. We describe how to use this approach and demonstrate its application in two examples: the effects of introducing social prescribing link workers on whether people feel supported by local services; and the effects of a welfare reform on the mental health of benefit claimants. In both cases and in a simulation study, the interactions approach produces more specific, precise and interpretable estimates of intervention effects. We suggest that researchers evaluating population health interventions that are expected to impact on some populations more than others should consider using a dose-exposure interaction design.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"372 ","pages":"Article 117952"},"PeriodicalIF":4.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621423","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":"Social media prompts to encourage intervening with cancer treatment misinformation","authors":"Allison J. Lazard ,&nbsp;Tara Licciardello Queen ,&nbsp;Marlyn Pulido ,&nbsp;Shelby Lake ,&nbsp;Sydney Nicolla ,&nbsp;Hung-Jui Tan ,&nbsp;Marjory Charlot ,&nbsp;Andrew B. Smitherman ,&nbsp;Nabarun Dasgupta","doi":"10.1016/j.socscimed.2025.117950","DOIUrl":"10.1016/j.socscimed.2025.117950","url":null,"abstract":"<div><div>Misinformation about false and potentially harmful cancer treatments and cures are shared widely on social media. Strategies to encourage the cancer community to prosocially intervene, by flagging and reporting false posts, are needed to reduce cancer treatment misinformation. Automated prompts encouraging flagging of misinformation are a promising approach to increase intervening. Prompts may be more effective with social cues for others’ actions and clear platform policies. We examined whether prompts alone (referred to as standard prompts) or social cue prompts with a policy for removing posts would lead to more intervening, less sharing, and impact cognitive predictors of the Bystander Intervention Model (e.g., responsibility). We recruited U.S. adults in cancer networks for a within-persons, longitudinal experiment (Time 1–4). We randomized the viewing order of 1) standard prompts or 2) social cue prompts and policy, switching conditions at Time 3. Prompts encouraged intervening (flagging) without leading to other unintended actions. Participants more frequently flagged misinformation (prompted, 24–33 %) than disliking (unprompted, 3–12 %) or liking (unintended, 4–35 %) on the simulated feed. Initially (Time 1–2), social cue prompts (vs. standard) encouraged more willingness to intervene and perceived responsibility, <em>p</em> = .01-0.03; however, there were no differences after (Time 3–4), potentially due to carryover effects. Prompts (also called warnings, nudges, or labels) alerting viewers of cancer treatment misinformation is a promising approach to encourage intervening (flagging). Prompts can be enhanced with social cues (i.e., counts of others who flagged) and clear platform policies to encourage the cancer community to reduce misinformation on social media.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"372 ","pages":"Article 117950"},"PeriodicalIF":4.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631808","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":"Living arrangements and chronic disease accumulation among native-born and immigrant older adults in Europe","authors":"Su Yeon Jang ,&nbsp;Anna Oksuzyan ,&nbsp;Frank J. van Lenthe ,&nbsp;Mikko Myrskylä ,&nbsp;Silvia Loi","doi":"10.1016/j.socscimed.2025.117954","DOIUrl":"10.1016/j.socscimed.2025.117954","url":null,"abstract":"<div><h3>Background</h3><div>Who we live with in later life significantly influences the daily care support we receive, potentially moderating chronic disease trajectories. For immigrants, this relationship is further complicated by cultural preferences for certain living arrangements. This study examines the differential role of living arrangements in chronic disease accumulation among native-born and immigrant older adults in Europe.</div></div><div><h3>Methods</h3><div>Using data from the Survey of Health, Ageing and Retirement in Europe (2006–2022), we analyze how living arrangements moderate the relationship between age, migration background, and the number of chronic diseases. We also conduct stratified analyses based on immigrants’ countries of origin. All models employ inverse probability weights for panel attrition and panel-robust standard errors for longitudinal data. Analyses are conducted separately for men and women.</div></div><div><h3>Results</h3><div>Immigrants generally have a higher chronic disease burden than native-born individuals, although the size of this disparity varies by living arrangements. Among native-born men and women, living with a partner/spouse or family is related to fewer chronic diseases than living alone. Conversely, among immigrants, these benefits of shared living arrangements are absent for men and weaker for women. We also find that the role of living arrangements in chronic disease accumulation among immigrants varies by their country of origin, as supported by, for instance, a considerable chronic disease burden among immigrant women from low HDI countries who live as a family.</div></div><div><h3>Conclusion</h3><div>Older immigrants, particularly men from highly developed countries and women from less developed countries, may experience fewer health benefits from living with a partner or with family. Our findings indicate that these immigrant households may have excessive caregiving burdens, which could contribute to unhealthy aging among immigrants in later life.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"373 ","pages":"Article 117954"},"PeriodicalIF":4.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738539","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":"Differences in the influence of the built environment and physical activity on obesity in urban and suburban contexts","authors":"Yuxuan Zou,&nbsp;Donggen Wang","doi":"10.1016/j.socscimed.2025.117955","DOIUrl":"10.1016/j.socscimed.2025.117955","url":null,"abstract":"<div><div>In recent decades, the influence of the built environment and physical activity (PA) on obesity has attracted much research attention. However, findings often conflict partly because the studies are conducted in different cities or countries in which the context may vary not only in the built environments, but also in sociocultural and economic backgrounds. This study aims to contribute to the literature by examining urban and suburban areas of the same city, where the contextual differences are largely confined to the built environment. Using data from a two-day household survey conducted in Shanghai in 2018, we developed multi-group path analysis models to examine the connections between the built environment, PA, and obesity in urban and suburban settings. The findings reveal that urban residents engage in longer durations of PA across all types except semi-active transport PA, compared to suburban residents. Protective effects of PA on weight control differ by context: urban residents benefit more from active transport and leisure PA, while semi-active transport, leisure, and household PA reduce obesity risk for suburban residents. The mediating role of PA in the built environment-obesity relationship also varies. In urban areas, a greater land use mix and a higher density of parks promote leisure PA, indirectly reducing the risk of being obese. Conversely, in suburban settings, park density is positively associated with obesity, as it discourages leisure PA. Therefore, policies aimed at promoting a healthy lifestyle and weight management should be tailored specifically for people living in urban and suburban neighborhoods, respectively.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"372 ","pages":"Article 117955"},"PeriodicalIF":4.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628062","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":"Housing and wellbeing: Long-term precarious housing trajectories following humanitarian migration and resettlement","authors":"Sheenagh McShane,&nbsp;Ang Li,&nbsp;Karen Block,&nbsp;Rebecca Bentley","doi":"10.1016/j.socscimed.2025.117943","DOIUrl":"10.1016/j.socscimed.2025.117943","url":null,"abstract":"<div><div>Housing experiences upon settlement can shape refugee mental health and wellbeing; however, little is known of how housing precarity evolves as refugees establish their new lives and how it affects their wellbeing. We use longitudinal data (Building a New Life in Australia, n = 2,399) over five years (2013–18) to identify refugee housing trajectories in relation to housing precarity (measured by unaffordability, unsuitability, and insecurity) and mental wellbeing. Using multi-trajectory modelling, two distinct housing trajectories were identified: precariously (12 %) and well-housed (88 %). Precariously housed refugees reported significantly worse mental health (29 % higher risk in psychological distress, (95 %CI: 7 %, 51 %). Being female, financial hardship, low social support, and no support finding housing were risk factors for persistent precarious housing. Benchmarked against national data, the housing circumstances of refugees were less favorable than those of the lowest income quintile Australian population. Findings suggest the need for additional settlement support and access to secure housing to promote refugee wellbeing.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"372 ","pages":"Article 117943"},"PeriodicalIF":4.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654789","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}