Social Science & Medicine最新文献

{"title":"Food insecurity through the lens of multidimensional poverty: Evidence from Chile","authors":"Rodrigo Yáñez ,&nbsp;Carolina Olcay ,&nbsp;José Navea ,&nbsp;Gustavo Ahumada ,&nbsp;Benjamín Jara","doi":"10.1016/j.socscimed.2025.118495","DOIUrl":"10.1016/j.socscimed.2025.118495","url":null,"abstract":"<div><div>This article explores the connection between food insecurity (FI) and multidimensional poverty (MDP) in Chile using household survey data from 2017 to 2022. We analyze the relationship between the Food Insecurity Experience Scale (FIES) and five dimensions of MDP—education, work, health, housing, and social networks—. The study employs ordered probit and instrumental variable models to assess how these dimensions influence FI, and also provides a comprehensive public policy review. Our findings reveal that the work, housing, and social network dimensions have the strongest impact on increasing FI, while health and education have a lesser effect. Current public policies in the country focus predominantly on education and health, highlighting a misalignment between policy efforts and the primary drivers of FI. Our results indicate a need for more multisectoral and effective public policy interventions in Chile that can be scaled to other developing countries.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118495"},"PeriodicalIF":5.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895723","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 forest and the trees: Theorizing a Culturally Sustaining Pedagogy for medical education","authors":"Hannah L. Kakara Anderson ,&nbsp;Justin L. Bullock","doi":"10.1016/j.socscimed.2025.118171","DOIUrl":"10.1016/j.socscimed.2025.118171","url":null,"abstract":"<div><div>The explicit purpose of medical education is frequently defined as to educate and train physicians who can serve as leaders in providing high-quality, equitable health care for society. Hidden in this explicit purpose is an implicit premise of extraction: those who become physicians are valuable assets who must be separated from society and assimilated into their roles as leaders. Applying Culturally Sustaining Pedagogies as a lens, the authors use Story Cycle methodology to weave personal and literature-based narratives that illuminate, interrogate, and challenge extraction. Finally, they imagine alternative, non-extractive, possibilities for medical education. In doing so, the authors articulate Culturally Sustaining Pedagogy for medical education.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"382 ","pages":"Article 118171"},"PeriodicalIF":5.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018858","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":"Maternal contact with Child Protective Services around childbirth and postpartum contraception","authors":"Nicole Kovski ,&nbsp;Lawrence M. Berger ,&nbsp;Maria Cancian","doi":"10.1016/j.socscimed.2025.118501","DOIUrl":"10.1016/j.socscimed.2025.118501","url":null,"abstract":"<div><div>In the U.S., child protective services (CPS) frequently intervenes with mothers and infants around the time of childbirth, as newborns are particularly vulnerable to adverse exposures and peripartum women and their infants are highly visible to mandated reporters, especially health care providers. In this study, we explored whether involvement with CPS around childbirth is related to whether mothers receive contraception in the postpartum period. Using population-level administrative data, we conducted discrete-time survival analyses to assess the association between maternal CPS involvement around childbirth and contraceptive receipt from a health care provider within 6 months postpartum. Adjusting for demographic, health, and birth characteristics, we find that CPS involvement is associated with lower odds of receiving routine contraception (both short-acting hormonal and long-acting reversable methods) and higher odds of emergency contraception. The largest difference in the probability of receipt of routine contraception occurred around week 6 postpartum—a common time for general postpartum visits. Our findings highlight the importance of considering how maternal CPS involvement intersects with key dimensions of healthcare, such as postpartum contraceptive access. Given the intersection of healthcare and mandated CPS reporting, along with significant concerns that CPS involvement may threaten women's reproductive autonomy and contribute to or interact with stigma and provider bias in health care settings, these issues warrant further in-depth investigation.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118501"},"PeriodicalIF":5.0,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886124","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":"Mpox among people reporting being unhoused or engaging in transactional sex within a multijurisdictional case-control study of sexually and gender minoritized individuals— United States, August 2022–March 2024","authors":"Jessica P. Sherman ,&nbsp;Adeline L. Morris ,&nbsp;Linda M. Niccolai ,&nbsp;Anna Ruff ,&nbsp;Dakota Schneider ,&nbsp;Melissa Sutton ,&nbsp;Sam Hawkins ,&nbsp;Preeti Pathela ,&nbsp;Gabriela S. Betancourt ,&nbsp;Gretchen Rothrock ,&nbsp;Joelle Nadle ,&nbsp;Jemma V. Rowlands ,&nbsp;Christina B. Felsen ,&nbsp;Amber Britton ,&nbsp;Monica M. Farley ,&nbsp;Lauren M. Duval ,&nbsp;Kevin F. Kamis ,&nbsp;William L. Still ,&nbsp;Allison S. Morrow ,&nbsp;Caroline J. Waddell","doi":"10.1016/j.socscimed.2025.118497","DOIUrl":"10.1016/j.socscimed.2025.118497","url":null,"abstract":"<div><h3>Background</h3><div>Since May 2022, a clade II multinational mpox outbreak has disproportionately affected certain sexually and gender minoritized individuals (SGM). Beyond infectious disease risks, SGM populations face social and structural inequities that may increase their likelihood of experiencing homelessness or engaging in transactional sex (TS). Research on the impact of homelessness and TS on risk of mpox is limited, especially among SGM. This study examined the risk of mpox among people who reported homelessness and/or TS from a survey of SGM participants.</div></div><div><h3>Methods</h3><div>We conducted a secondary analysis of data from a vaccine effectiveness case-control study among SGM conducted between August 2022–March 2024 across 12 U.S. jurisdictions. Case-patients had a confirmed or probable mpox virus or orthopoxvirus diagnosis and control patients visited a sexual health clinic but never received an mpox diagnosis. Our analysis included 1295 participants who self-reported their housing status and engagement in TS. We used multilevel logistic regression models to determine whether housing status and TS were associated with increased odds of mpox. Models included a random intercept for jurisdiction and time, adjusting for race/ethnicity. We included a product term between housing status and TS to determine if there was an interaction effect.</div></div><div><h3>Results</h3><div>Among participants, 63 (4.9 %) were unhoused, 61 (4.7 %) engaged in transactional sex, and 20 (1.5 %) reported both. Experiencing homelessness (aOR: 2.4, 95 % CI: 1.35–4.36) and engaging in TS (aOR: 2.4, 95 % CI: 1.35–4.31) were both associated with higher odds of mpox. The product term between housing status and TS was not statistically significant (aOR: 0.8, 95 % CI: 0.21–3.32).</div></div><div><h3>Discussion</h3><div>People who experienced homelessness and engaged in TS had increased odds of mpox, within a sample of SGM individuals; these populations should be considered for tailored interventions, such as vaccine outreach, housing support, and low barrier access to care.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118497"},"PeriodicalIF":5.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893469","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":"What drives labor market losses among diabetics—physiological impairment or psychosocial burden? New evidence from triangulation","authors":"Jiakai Gong ,&nbsp;Chen Zhu","doi":"10.1016/j.socscimed.2025.118498","DOIUrl":"10.1016/j.socscimed.2025.118498","url":null,"abstract":"<div><div>Diabetes imposes substantial labor market costs, yet the underlying drivers remain poorly understood. This study investigates the causal impact of diabetes on individuals’ labor market outcomes and explores the underlying mechanisms involving both physiological impairment and psychosocial burden. Given the strong endogeneity between diabetes and individual behaviors, we employ a triangulation framework with nationally representative microdata from the UK Biobank (2006–2010; 502,364 participants) and the China Health and Retirement Longitudinal Study (2015; 21,095 participants). By linking genetic and labor market information and applying Ordinary Least Squares (OLS), one-sample Mendelian Randomization (1SMR), and two-sample Mendelian Randomization (2SMR), we estimate the causal effects of diabetes on labor market outcomes. While we find no significant effect of diabetes on labor force participation and only inconclusive evidence regarding labor income, diabetes is shown to increase the risk of unemployment by 14.96 %. This suggests that labor market losses among diabetics primarily reflect constraints on work capacity and opportunity, rather than reduced willingness to work. Leveraging the dual diagnostic criteria in the data—self-reported versus medically diagnosed diabetes—we further decompose the underlying mechanisms. The analysis reveals that approximately 40 % of the unemployment loss can be attributed to physiological impairment, while 60 % is driven by psychosocial burden. These findings underscore the potential of targeted psychosocial interventions to improve labor market outcomes for individuals with diabetes—even in the absence of improvements in their physical health.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118498"},"PeriodicalIF":5.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878711","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":"Positive association between hobby participation and objective and subjective cognition among adults aged 50 years and over in 24 countries","authors":"Weicheng Huang ,&nbsp;Qun Xiao ,&nbsp;Zhen Li ,&nbsp;Yubin Chen ,&nbsp;Xiangyu Wang ,&nbsp;Qing Liu","doi":"10.1016/j.socscimed.2025.118487","DOIUrl":"10.1016/j.socscimed.2025.118487","url":null,"abstract":"<div><h3>Objectives</h3><div>An aging population presents significant challenges to cognitive health. Although previous studies have linked hobby participation to improved cognitive health, most focus on specific regions or types of hobbies, lacking cross-cultural exploration. This study examines global trends in hobby participation and their relationship to cognitive function. It also explores how consistent participation in hobbies influences cognitive function over time.</div></div><div><h3>Methods</h3><div>The study analyzed data from five longitudinal aging cohorts across 24 countries using harmonized data to assess hobby participation, global and domain-specific cognitive function, self-rated memory in 84,267 participants aged 50 years and older. The association of hobby and cognitive functions were initially analyzed for each country using fixed-effects, OLS regression, and pooled results were obtained from cross-country meta-analyses employing random-effects models.</div></div><div><h3>Results</h3><div>Hobby participation rates varied, with Nordic countries having the highest rates (over 97 %) and China and Brazil having the lowest (below 25 %). Hobby participation was associated with better global and domain-specific cognitive function, self-rated memory (P &lt; 0.05). Country-level factors explained less than 8 % of the outcome variance. Mental health mediated part of these associations (0.65 %–22.8 %). More stable patterns of hobby participation predicted better cognition outcomes (P for trend &lt;0.001).</div></div><div><h3>Conclusion</h3><div>Engaging in hobbies has beneficial effects on objective and subjective cognitive functions, which are consistent across cultures, highlighting the importance of incorporating hobby activities into global public health strategies, particularly for aging populations.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118487"},"PeriodicalIF":5.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878592","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":"Measuring adult health and well-being outcomes associated with nature contact in protected areas: A scoping review","authors":"Catherine E. Reining ,&nbsp;Mark W. Groulx ,&nbsp;Loraine F. Lavallee ,&nbsp;Jill Bueddefeld ,&nbsp;Ryan Brady ,&nbsp;Andrew Tenute ,&nbsp;Christopher J. Lemieux","doi":"10.1016/j.socscimed.2025.118493","DOIUrl":"10.1016/j.socscimed.2025.118493","url":null,"abstract":"<div><h3>Background</h3><div>Growing evidence shows various health and well-being benefits from nature contact in protected and conserved areas. However, methods to measures these outcomes lack systematic identification, critical appraisal, and synthesis.</div></div><div><h3>Objectives</h3><div>This review aims to identify the instruments used to measure mental health and well-being outcomes of adults associated with direct nature contact in protected areas. Additionally, it examines the extent to which studies detail the measurement quality of instruments used, as an indicator of methodological transparency and rigor in reporting.</div></div><div><h3>Methods</h3><div>Following PRISMA-ScR guidelines, a scoping review was conducted by searching eight scholarly databases on January 4, 2023, with an update on December 11, 2024. The search focused on three domains: (1) protected areas; (2) nature engagement; and (3) mental health and well-being. Studies were screened based on the inclusion criteria and included only English language studies with adult participants (aged 18+ years). Data were extracted and reported as a narrative synthesis.</div></div><div><h3>Results</h3><div>A total of 51 studies met the inclusion criteria, revealing 71 distinct measurement instruments for assessing mental health and well-being. Of these, 35 % were established quantitative, 41 % were non-established quantitative, and 24 % were qualitative instruments. Additionally, 11 sub-concepts of mental health and well-being were identified. The methodological quality of studies varied, with 67 % showing evidence of 1–2 quality dimensions.</div></div><div><h3>Conclusions</h3><div>Despite growing interest in nature's health benefits, there is a lack of consistent measurement instruments to assess these outcomes. This review identifies strengths and weaknesses in current approaches and offers recommendations for future research.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"383 ","pages":"Article 118493"},"PeriodicalIF":5.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860739","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":"A pyramid of human ecology of disease for pandemic preparedness","authors":"Sabrina L. Li ,&nbsp;Michael Emch","doi":"10.1016/j.socscimed.2025.118492","DOIUrl":"10.1016/j.socscimed.2025.118492","url":null,"abstract":"<div><div>The emergence of zoonotic infectious diseases and its potential threat to future health security highlights the need to re-examine how we conceptualize the impact of human-environment interactions on health. Traditionally, social scientists, epidemiologists, and ecologists have used the human ecology frameworks to understand disease dynamics, framing health outcomes as the result of interactions between population, habitat, and behaviour. However, they fall short in capturing the fluid, evolving nature of social-biological interactions across time and space particularly during epidemics. To capture this dynamic nature, we combine the triangle of human ecology and the triangle of disease ecology into a unified pyramid model. This integrated framework brings together four domains, namely pathogen, population, behaviour, and the environment. Domains like population and environment, which are featured in both triangle frameworks, are integrated, while non-overlapping domains such as pathogen and behaviour are added, reflecting their joint importance in disease emergence and spread. Together, these four domains interact and shift over time and across three key phases of an epidemic, defined by emergence, spread, and responses. We apply this framework to the COVID-19 pandemic, from the initial outbreak in late 2019 into the major phases of global response before 2023. We demonstrate how the four domains help map evolving interactions that shape spillover, transmission pathways, and the effectiveness of public health response. By incorporating sociopolitical and behavioural domains, our framework addresses a critical gap in conventional pandemic preparedness tools. Our framework supports scientists, public health practitioners, and policymakers in tracing emerging epidemic risks from increasing social and environmental disruptions, such as growing inequalities in cities and anthropogenic land-use change. We argue that addressing these imbalances calls for a collaborative effort to build societal resilience, where prioritising biodiversity conservation, socio-environmental equity, and participatory decision-making will be key to strengthening preparedness against future pandemic crises.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118492"},"PeriodicalIF":5.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902854","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 smoking: A geospatial investigation of factors associated with lung and bronchus cancer risk in Pennsylvania","authors":"Tesla D. DuBois ,&nbsp;Daniel Wiese ,&nbsp;Kevin A. Henry ,&nbsp;Shannon M. Lynch","doi":"10.1016/j.socscimed.2025.118485","DOIUrl":"10.1016/j.socscimed.2025.118485","url":null,"abstract":"<div><h3>Introduction</h3><div>While smoking is the leading cause of lung and bronchus cancer (LBC), additional exposures have been implicated and may explain the rise in LBC among never-smokers. To better understand the spatial distribution of LBC incidence and associated risk factors, this study aims to identify geographic areas with significantly elevated incidence rates in Pennsylvania and investigate the potential underlying risk factors.</div></div><div><h3>Methods</h3><div>Using cancer registry data aggregated to the census tract level, spatial scan statistics were applied to detect areas of higher-than-expected LBC incidence across the state. Associations were then tested between census tract inclusion in a high-incidence area and eight area-level risk factors, including behavioral (e.g., smoking prevalence), environmental (e.g., PM_2.5), built environment (e.g., traffic density, housing age), and socioeconomic (e.g., poverty, race) and occupational (e.g., construction work) characteristics.</div></div><div><h3>Results</h3><div>Twenty-two geographic areas of higher-than-expected LBC incidence were identified. Smoking rates, PM_2.5, traffic density, old homes, and population density were found to be positively associated with inclusion in one of these areas. All high LBC areas had higher rates of smoking than the remainder of Pennsylvania, 20 were also high on PM_2.5, traffic, or both; 19 had elevated rates of old housing.</div></div><div><h3>Conclusion</h3><div>By evaluating multiple factors simultaneously, this study provides a more nuanced understanding of how exposures interact to shape geographic variation in LBC incidence. This multifactorial, spatially explicit approach also assesses whether area-based environmental and socioeconomic risks contribute to LBC burden independently of smoking rates, thus informing targeted prevention strategies and future research.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118485"},"PeriodicalIF":5.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049285","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":"Expansive bodies and chronic obstructive pulmonary disease under mass supervision","authors":"Dirk Kinsey","doi":"10.1016/j.socscimed.2025.118491","DOIUrl":"10.1016/j.socscimed.2025.118491","url":null,"abstract":"<div><div>Negative health outcomes experienced by individuals and communities impacted by carceral systems have been documented across the social science and public health literature for some time. This research has tended to prioritize the health impact of incarceration, while outcomes associated with the largest system of correctional control, community supervision (e.g. parole and probation), have only recently begun to be examined. These examinations have tended to prioritize structural pathways, deploying a “social determinants of health” framework ubiquitous in public health research and policy making. While a powerful tool in revealing structural violences and understanding population level health disparities, this approach does little in terms of addressing the nuance of individual experience and its implications for health. Understanding the nuance of “experience” requires not only rigorous qualitative data collection, but also frameworks which can help in interpreting this kind of data. In this paper, I argue that an integrated political ecology of bodies framework (PEB 2.0) more usefully explains the health experiences and outcomes of people who live under community supervision (parole and probation). To do so, I use existing epidemiological and biomedical literature to examine the prevalence of COPD among people serving sentences of parole and probation. By using a PEB framework that imagines the production of embodied health and wellbeing as always simultaneously structural, discursive and experiential, this paper demonstrates a more nuanced understanding of people's experiences of negative health outcomes. Furthermore, instead of focusing on incarcerated people, this article addresses a glaring absence in the public health literature by focusing on the health outcomes of people in the largest system of correctional control, community supervision. As such, this paper suggests more productive lines of inquiry not only in public health research, but also in advancing abolitionist praxis.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118491"},"PeriodicalIF":5.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925974","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}