Social Science & Medicine最新文献

{"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":"“I continue to consult remotely”: The trans/national practices of war-related migrant doctors in Israel and professional boundaries","authors":"Anna Temkina ,&nbsp;Svetlana Chachashvili-Bolotin","doi":"10.1016/j.socscimed.2025.118154","DOIUrl":"10.1016/j.socscimed.2025.118154","url":null,"abstract":"<div><div>This study examines the professional practices of doctors who emigrated from Russia to Israel following the invasion of Ukraine and its aftermath. It focuses on the national and transnational dimensions of their work, exploring how these medical professionals navigate their careers in the early years of migration. We analyze these practices as both shaped by and shaping national, professional, and institutional boundaries, highlighting the dynamic interplay between migration, professional identity, and systemic constraints. Local rootedness and national exclusivity present significant barriers to the development of transnational medical work. While a growing body of research has examined the cross-border professional activities of physicians, considerably less attention has been paid to those of doctors who are forced to migrate due to war, persecution, or political instability. Additionally, we know little about how the war has impacted Russian migrant doctors and their professional practices, especially in relation to the opportunities for global online medical work. The results of our study based on 21 in-depth interviews add to understanding of the diverse practices involved in professional restructuring, as opposed to a unidirectional model of integration. Our findings highlight the flexibility of professional boundaries, which are often assumed to be rigid and opaque.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"380 ","pages":"Article 118154"},"PeriodicalIF":4.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138660","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}

{"title":"Making and disposing of life's ‘starting materials’: A focus group study of attitudes concerning reproductive scarcity and abundance in in vitro gametogenesis","authors":"Robbin Jeffries Hein ,&nbsp;Anne Le Goff ,&nbsp;Hannah L. Landecker","doi":"10.1016/j.socscimed.2025.118146","DOIUrl":"10.1016/j.socscimed.2025.118146","url":null,"abstract":"<div><div>This paper explores stakeholder attitudes toward gametes and embryos in the context of in vitro gametogenesis (IVG), a new stem cell technology whose future clinical application would entail the production of eggs and sperm in vitro. A key concern raised by the prospect of making gametes from originally non-reproductive body cells has been its potential exacerbation of the issue of “surplus” cryopreserved embryos through the production of unprecedented numbers, with an allied devaluation of human reproductive materials. However, this concern has not been empirically investigated. In this study, focus groups composed of individuals representative of the constituency most likely to be impacted by IVG were asked to respond to scenarios in which the relative abundance and scarcity of gametes and embryos were changed by these new procedures. Respondents who had experienced involuntary childlessness and/or previously accessed in vitro fertilization (IVF) technology drew on these experiences to reason their way through future scenarios in which cells could be more fluidly exchanged over the somatic-reproductive boundary. Unfettered abundance was not found to be a key issue for these respondents. Rather, concerns focused on questions of technological control over outcomes in ARTs, cultural scripts about the preciousness of eggs moderated by concordance between the gender or the donor and the sex of the gamete, and in vitro gametes and embryos as embodiments of the often painful and costly process of attaining them.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118146"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072084","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":"Understanding the mental and physical health consequences of the U.S. citizenship exam for Rohingya refugees: Implications for policy and practice","authors":"Ifrah Mahamud Magan ,&nbsp;Jessica R. Goodkind","doi":"10.1016/j.socscimed.2025.118138","DOIUrl":"10.1016/j.socscimed.2025.118138","url":null,"abstract":"<div><div>U.S. citizenship is critical for reducing refugees' precarity, securing access to certain rights, healthcare, and social service benefits, and obtaining a U.S. passport. This paper highlights findings from a community-engaged, critical ethnographic study examining the impact of the U.S. citizenship exam on the health of Rohingya refugees from Myanmar. Thirty-one in-depth interviews were conducted with adults who were recruited through a Rohingya-led community center in a U.S. midwestern city and were coupled with participant observations at the community center, and in participants’ homes and neighborhoods. Our study criteria for eligibility included: (1) identifying as ethnically Rohingya, (2) currently living in the Greater [anonymous] area, (3) being at least 13 years of age. We found that Rohingya refugees experience multiple stressors related to the U.S. citizenship exam, which may impact their mental and physical health. These stressors are often exacerbated by their identities as stateless refugees with a longstanding history of trauma and denial of the right to seek formal schooling in their country of origin. Although we also found that community-led initiatives can play an integral role in mitigating some of these stressors, our findings raise critical questions and highlight the importance of considering the ethical and health implications of requiring refugees resettled due to their persecution and exposure to trauma to pass a difficult exam to become U.S. citizens.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118138"},"PeriodicalIF":4.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144067868","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":"Excess neonatal mortality among private facility births in rural parts of high-mortality states of India: Demographic analysis of a national survey","authors":"Diane Coffey ,&nbsp;Nikhil Srivastav ,&nbsp;Aditi Priya ,&nbsp;Asmita Verma ,&nbsp;Nathan Franz ,&nbsp;Alok Kumar ,&nbsp;Dean Spears","doi":"10.1016/j.socscimed.2025.118158","DOIUrl":"10.1016/j.socscimed.2025.118158","url":null,"abstract":"<div><div>Almost one-fourth of neonatal deaths occur in India, many of them in the Empowered Action Group (EAG) states. Research has compared facility births with home births, with limited investigation of mortality differences between births at public and private facilities. We ask how early-life mortality in the rural population of the EAG states and the rest of India differs according to the setting of birth. We consider whether quality of care can help explain the differences we find. Using rural births in India's 2019-21 Demographic and Health Survey, we find that in the rural population of EAG states, neonatal mortality among private facility births is 44 per 1000 (95 % CI: 40–48), compared with 29 per 1000 in public facilities (95 % CI: 27–30) and 38 per 1000 for home births (95 % CI: 34–41). Standardization by socioeconomic status increases the public-private gap. These differences persist even stratifying on key predictors of neonatal mortality. The excess mortality among births to the rural population in private facilities, compared with public facilities, accounts for about 43,000 excess neonatal deaths annually in EAG states. Evidence suggests that low-quality care is among the important causes. Most births in India now occur in facilities. Many happen in private facilities run by providers who lack training, resources, and legal permission. The quality of private health facilities serving the rural EAG population appears to be particularly poor.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"379 ","pages":"Article 118158"},"PeriodicalIF":4.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144067934","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 inequalities in mental health difficulties over childhood: a longitudinal sex-stratified analysis using the UK Millennium Cohort Study","authors":"Yu Wei Chua ,&nbsp;Daniela Schlüter ,&nbsp;Anna Pearce ,&nbsp;Helen Sharp ,&nbsp;David Taylor-Robinson","doi":"10.1016/j.socscimed.2025.118159","DOIUrl":"10.1016/j.socscimed.2025.118159","url":null,"abstract":"<div><div>Stark socioeconomic inequalities in childhood mental health have been widely reported. Understanding whether they vary with age, by type of difficulty or sex can inform public health policies to tackle socioeconomic inequalities. We investigated the effects of early life childhood socioeconomic circumstances (SECs) (maternal education and household income) on developmental trajectories of externalising and internalising difficulties in childhood and adolescence, in males and females from the UK-representative Millennium Cohort Study (N = 15383). We estimated the Slope Index of Inequality (SII) (absolute difference between the most versus least advantaged) using linear mixed-effects regression models, on parent-reported Strengths and Difficulties Questionnaire externalising and internalising difficulties score, at 5, 7, 11, 14, and 17 years(y). The mean externalising score was high at 5y (4.8 [95 %CI: 4.7, 4.9]) and decreased slightly, while mean internalising score increased over childhood, reaching 3.9 [3.8, 4.1] by 17y, with a steeper trend for females in adolescence. Lower maternal education was associated with greater externalising scores at 5y (SII, Male: 3.0 [2.7 to 3.3]; Female: 2.7 [2.4, 3.0]) with inequalities decreasing slightly up to 17y (SII Male: 2.4 [2.0 to 2.7], Female: 2.5 [2.1, 2.8]). Inequalities in internalising scores increased slightly over childhood (SII Female 5y: 1.3 [1.1, 1.6]; 17y: 1.9 [1.5, 2.3]; SII Male 5y = 1.6 [1.3, 1.8], 17y = 1.8 [1.5, 2.2]). Patterns were similar using household income. Disadvantaged SECs are associated with persistently higher levels of parent-reported mental health difficulties up to 17y, with larger effects on externalising than internalising difficulties, but little differences by sex or socioeconomic measure.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"378 ","pages":"Article 118159"},"PeriodicalIF":4.9,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931438","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":"Racial/ethnic disparities in all-cause and cause-specific death among patients with colorectal cancer in the United States from 1992 to 2021: a registry-based cohort retrospective analysis","authors":"Xiangyuan Qi ,&nbsp;Hongying Wang ,&nbsp;Yutong Wang ,&nbsp;Xiaomei Wu ,&nbsp;Bo Zhu","doi":"10.1016/j.socscimed.2025.118135","DOIUrl":"10.1016/j.socscimed.2025.118135","url":null,"abstract":"<div><h3>Background</h3><div>Inequality in mortality among patients with colorectal cancer in the United States has been documented, but the trends over time and the factors contributing to racial/ethnic disparities in all-cause and cause-specific death are unknown.</div></div><div><h3>Methods</h3><div>This cohort study used the Surveillance, Epidemiology, and End Results (SEER) registry to analyze patients diagnosed with colorectal cancer from 1992 to 2021. We calculated the cumulative incidence of death for all racial/ethnic groups (Black, White, Hispanic, Asian or Pacific Islander [API], and American Indian or Alaska Native [AI/AN]) by diagnostic period and cause of death. We quantified absolute disparities using rate change in 5-year cumulative incidence of death and used discrete-time models to estimate relative racial/ethnic disparities and the contribution of factors to disparities in death.</div></div><div><h3>Results</h3><div>The 5-year cumulative incidence of colorectal cancer and all-cause death among Black patients decreased. AI/AN and Black patients consistently had the highest risk of death between 1992 and 2021. Between Black and White, the adjusted HR for all-cause death difference increased from 1.14 (1.10–1.17) in 1992–1996 to 1.29 (1.23–1.35) in 2017–2021. Adjustment for stage at diagnosis, first course of therapy and socioeconomic status explained 46.5 % of the Black-White disparities and 38.4 % of the AI/AN-White all-cause death disparities.</div></div><div><h3>Conclusion</h3><div>Persistent racial/ethnic disparities in patients with colorectal cancer, especially in AI/AN and Black, call for new interventions to eliminate health disparities. Our study provides vital evidence to address racial/ethnic inequality.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"377 ","pages":"Article 118135"},"PeriodicalIF":4.9,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906444","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}