Social Science & Medicine最新文献

{"title":"Relative deprivation and subsequent health, happiness, and human flourishing: A longitudinal outcome-wide analysis","authors":"Chun-Tung Kuo ,&nbsp;Shu-Hui Hsieh ,&nbsp;Pei-Shan Liao ,&nbsp;Ichiro Kawachi","doi":"10.1016/j.socscimed.2025.118537","DOIUrl":"10.1016/j.socscimed.2025.118537","url":null,"abstract":"<div><h3>Background</h3><div>Relative deprivation induced by unfavorable social comparisons due to income disparity has been linked to adverse health outcomes. However, its association with broader aspects of human flourishing has not been well established. Furthermore, most prior studies rely on cross-sectional data, limiting causal interpretation and raising concerns about reverse causality.</div></div><div><h3>Methods</h3><div>We used three waves of longitudinal panel data (2022, 2023, and 2024) from the adult population in Taiwan (<em>N</em> = 3413) to examine how relative deprivation, measured by the Yitzhaki Index, was associated with various subsequent health, happiness, and human flourishing outcomes. We applied an outcome-wide analytic approach, adjusting for pre-baseline covariates and exposure levels, as well as prior outcome values when available. Sensitivity analyses included the calculation of <em>E</em>-values and robustness checks using alternative reference group definitions.</div></div><div><h3>Results</h3><div>Relative deprivation was negatively associated with 15 out of 16 outcomes across multiple domains of human flourishing, including lower levels of general and mental health, happiness, life satisfaction, and measures related to meaning and purpose, character and virtue, social relationships, and financial stability. Among all outcomes, life satisfaction, job satisfaction, and financial-related outcomes exhibited more pronounced associations with relative deprivation. In contrast, no association was observed between relative deprivation and loneliness. <em>E</em>-values ranging from 1.35 to 1.74 suggested moderate robustness to unmeasured confounding. Findings were consistent across alternative definitions for constructing relative deprivation.</div></div><div><h3>Conclusion</h3><div>This study suggests that exposure to relative deprivation is a critical psychosocial stressor that compromises health and undermines multiple dimensions of well-being and human flourishing.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118537"},"PeriodicalIF":5.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060270","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":"Gentrification and mental health inequities: a scoping review","authors":"Justine Pineault ,&nbsp;Clara Blache-Pichette ,&nbsp;Christine Loignon ,&nbsp;Martine Shareck","doi":"10.1016/j.socscimed.2025.118547","DOIUrl":"10.1016/j.socscimed.2025.118547","url":null,"abstract":"<div><h3>Background</h3><div>The association between gentrification and general health has been established in the scientific literature. Less is known about the relationship between gentrification and mental health at a population level, and for specific subgroups. This scoping review aimed to document (1) the relationships between gentrification and mental health in the general population, and among specific social groups, and (2) the mechanisms which might explain why gentrification impacts the health of specific social groups more than others.</div></div><div><h3>Methods</h3><div>A framework for understanding the pathways by which neighborhood gentrification may lead to mental health inequities guided the study. We included qualitative and quantitative studies published from 2000 to 2024 in English or French.</div></div><div><h3>Results</h3><div>We identified 40 peer-reviewed studies through database searches. A mix of positive and negative effects of gentrification on mental health were found in samples of adults, while only negative effects on mental health were found for children, young adults and older adults. A mix of positive and negative effects were found in samples of residents in gentrifying neighborhoods and for residents who had lived in a gentrifying neighborhood for more than 3 years. Only better mental health outcomes were found among gentrifiers, while only worse mental health outcomes were found among long-term and displaced residents.</div></div><div><h3>Conclusions</h3><div>Findings from this scoping review can guide future research and urban planning as it documents gentrification's effects on mental health and explores why gentrification may impact the health of specific social groups more than others.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118547"},"PeriodicalIF":5.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041978","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 development of body mass index from adolescence to adulthood: A genotype-family socioeconomic status interaction study","authors":"Gaia Ghirardi","doi":"10.1016/j.socscimed.2025.118539","DOIUrl":"10.1016/j.socscimed.2025.118539","url":null,"abstract":"<div><div>Body weight in adolescence and adulthood may result from the interplay between individuals’ genetic characteristics and the social context in which they grow up, such as family socioeconomic status (SES). However, evidence on the interaction between genetic propensity for high body mass index (BMI) and family SES remains inconclusive. This study investigates whether genetic associations with BMI differ among individuals from high-SES versus low-SES families and whether these associations vary across the life course. Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), I assess the association between a polygenic index for BMI (BMI PGI) and BMI at four life stages: adolescence (≃ 16), early adulthood (≃ 22), adulthood (≃ 28), and later adulthood (≃ 37). Results show that the BMI PGI is more predictive of BMI among individuals from low-SES families than from high-SES families. The interaction weakens over the life course but persists among individuals with high BMI levels. These findings suggest that high-SES families may buffer genetic propensities for overweight and obesity, whereas low-SES environments may exacerbate them, increasing the risk of elevated BMI. The results underscore the importance of family socioeconomic background in shaping BMI outcomes and highlight how environmental interventions, such as promoting healthy eating and physical activity, may help reduce social inequalities in health.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118539"},"PeriodicalIF":5.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087917","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":"Adult children's education, parental cognitive health, and the role of selection","authors":"Ashley B. Barr,&nbsp;Christopher R. Dennison,&nbsp;Kristen Schultz Lee,&nbsp;Zhe Zhang","doi":"10.1016/j.socscimed.2025.118529","DOIUrl":"10.1016/j.socscimed.2025.118529","url":null,"abstract":"<div><div>As the prevalence of Alzheimer's disease and related dementias (ADRD) rises in the United States, understanding social determinants of cognitive health has become increasingly important. While a robust literature highlights the downward transmission of (dis)advantage across generations, emerging research suggests that this transmission may also flow upwards from offspring to parents. Drawing on data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) parent sample, we examine the association between adult children's educational attainment and parental cognitive functioning at midlife using a propensity score matching approach to account for selection on observed confounders. We find that, although offspring college attainment is associated with better parental cognitive functioning in unadjusted models, selection largely explains this relationship. Subgroup analyses, however, reveal heterogeneity in the role of selection on the confounders observed here. Among college-educated parents, children's college attainment remains significantly predictive of better cognitive outcomes even after matching on observed confounders. This is not the case for parents without a college degree. These results support a resource multiplication perspective, wherein, compared to non-college-educated parents, college-educated parents' cognitive health is more impacted by their children's socioeconomic status. Our findings add to a growing literature calling attention to selection in intergenerational processes related to cognitive health and to the importance of examining heterogeneity in intergenerational effects.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118529"},"PeriodicalIF":5.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019983","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":"Interembodiment and language: Deaf language practices as resistance","authors":"Erin Mellett","doi":"10.1016/j.socscimed.2025.118544","DOIUrl":"10.1016/j.socscimed.2025.118544","url":null,"abstract":"<div><div>This article approaches language as both a vehicle for interembodiment and as a fundamentally interembodied process. Drawing from approximately 18 months of ethnographic fieldwork with deaf immigrants in the northeast United States, this article explores how interembodiment emerges through language forms and practices; and how deaf language practices entangle interlocutors, sometimes bodily, with others. As intelligibility can only be achieved relationally, this article likewise asserts language as a fundamentally interembodied process. Meaning in communicative encounters is made among and across interactions (not individually). Given the inherent interdependence of language, I detail how deaf immigrants co-construct meaning with family members and friends through practices of informal interpreting and how, through informal interpreting, deaf immigrants can better navigate an immigration system that is ill designed to address their complex communication access needs. In this way, interdependent and embodied deaf language practices become a form of resistance to policies and procedures that traditionally marginalize or exclude those whose bodyminds are considered non-normative.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118544"},"PeriodicalIF":5.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049149","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":"Tinkering with weight loss medication in clinical encounters: An ethnographic study","authors":"Sissel Due Jensen ,&nbsp;Annelli Sandbæk ,&nbsp;Jens Meldgaard Bruun ,&nbsp;Pernille Andreassen","doi":"10.1016/j.socscimed.2025.118538","DOIUrl":"10.1016/j.socscimed.2025.118538","url":null,"abstract":"<div><div>The introduction of semaglutide, a glucagon-like-1 receptor agonist (GLP-1ra) as a weight-loss medication, has attracted considerable public and medical attention, reporting weight reductions of up to 15 %. However, its rapid adoption highlights the growing entanglement of the pharmaceutical industry, public health agendas, and cultural body ideals. This development calls for a closer examination of how such medications impact medical practices, patient experiences, and broader social norms. Based on three months of ethnographic fieldwork conducted in three general practices in Denmark in spring 2023, this study explores how patients and health care professionals navigate the use of weight-loss medication within clinical encounters. By theorising clinical encounters as iterative tinkering care practices, we analyse how timing, site and dosage of GLP-1ra are continuously adjusted in response to e.g., side effects and economic constraints. Our findings reveal that patients exhibit a strong commitment to obtaining and maintaining weight-loss medication despite significant disruptions to their daily lives. Health care professionals play a key role in aligning patients' high expectations for immediate weight loss; yet these encounters also expose moral reasoning over “right” motives and methods for weight loss, as well as acceptable levels of side effects. We discuss whether patients' strong willingness and effort to obtain and maintain access to GLP-1ra represent competing understandings of obesity and the pervasive stigma, fear and anxiety around body weight.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118538"},"PeriodicalIF":5.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060271","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":"Possible explanations for the upward trend in mental distress among adolescents in Norway from 2011 to 2024","authors":"Geir Scott Brunborg ,&nbsp;Sondre Aasen Nilsen ,&nbsp;Jens Christoffer Skogen ,&nbsp;Lasse Bang","doi":"10.1016/j.socscimed.2025.118528","DOIUrl":"10.1016/j.socscimed.2025.118528","url":null,"abstract":"<div><h3>Background</h3><div>An upward trend in self-reported mental distress among adolescents has been documented in Norway and several other countries, yet the causes remain unclear. This study aims to identify potential explanations for this trend by testing hypothesized factors using repeated cross-sectional data.</div></div><div><h3>Methods</h3><div>We analyzed responses from 979,043 Norwegian adolescents, collected across 1417 municipality level surveys between 2011 and 2024. Eight explanatory factors with prior evidence of association with mental distress were examined: family financial difficulty, evenings spent at home, physical inactivity, bullying victimization, dissatisfaction with parents, social media use, cannabis use, and school dissatisfaction. Following a published epidemiological framework, we assessed changes in prevalence, virulence (strength of association), and the degree to which each factor statistically explained the trend in mental distress.</div></div><div><h3>Results</h3><div>Mental distress increased significantly for both sexes over time. Increased school dissatisfaction accounted for a large share of the observed trend. Time spent on social media, also explained a part of the trend. Spending more evenings at home and cannabis use contributed modestly. Other factors, including financial difficulty, bullying victimization, physical inactivity, and dissatisfaction with parents, showed limited explanatory value.</div></div><div><h3>Conclusions</h3><div>The rising trend in adolescent mental distress in Norway appears most plausibly linked to growing school dissatisfaction, with a possible contributory role of social media use. These findings underscore the need for further research into school-related factors and adolescent digital experiences, as well as preventive measures.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118528"},"PeriodicalIF":5.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004595","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":"Racialized exposure to multiple COVID-19 deaths and their consequences for mental health","authors":"Matthew K. Grace ,&nbsp;Danny Lee","doi":"10.1016/j.socscimed.2025.118532","DOIUrl":"10.1016/j.socscimed.2025.118532","url":null,"abstract":"<div><div>COVID-19 unleashed a bereavement crisis on a scale unseen in over a century. While evidence suggests COVID-19 deaths are acutely damaging to well-being, it is unclear how multiple losses affect mental health, whether there are ethnoracial differences in cumulative loss, or if the association between multiple COVID-related deaths and psychological distress varies by race-ethnicity. Using national survey data (n = 1810) collected following the Omicron surge in the United States, we estimate a series of regression models to assess the association between multiple COVID-19 losses and psychological distress, racial-ethnic differences in aggregate death exposure, and differential vulnerability to multiple losses across racial-ethnic groups. We find that each additional COVID-19 death is linked to elevated depressive symptoms, anxiety, and anger. Bivariate analyses further indicate Black and Latine respondents experienced significantly more COVID-19 losses relative to White and Asian respondents, although the difference between Latine and Asian participants was attenuated following adjustment for sociodemographic factors. Whereas COVID-19 losses do not hold stronger associations with distress among Black or Asian respondents relative to White participants, the magnitude of the association between COVID-19 bereavement and each measure of distress is significantly larger among Latine respondents relative to their Black and White counterparts. We discuss the implications of these findings for understanding the racialized nature of pandemic loss and its psychological sequelae.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118532"},"PeriodicalIF":5.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004863","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 buffering effect of social support on the link between biologically embedded childhood maltreatment and adult cardiovascular disease","authors":"Man-Kit Lei,&nbsp;Rachael Dean Weaver","doi":"10.1016/j.socscimed.2025.118530","DOIUrl":"10.1016/j.socscimed.2025.118530","url":null,"abstract":"<div><h3>Introduction</h3><div>Associations between childhood maltreatment and adult cardiovascular disease (CVD) risk are well-documented. However, previous research has relied on self-rated health and non-representative cross-sectional data, raising questions about the generalizability of the findings. Moreover, less is known about factors that may buffer the biological embedding of early adversity into health outcomes in adulthood.</div></div><div><h3>Objective</h3><div>This study examines whether childhood maltreatment predicts CVD risk in adulthood using objective biomarkers and whether social support buffers this relationship in line with the stress-buffering hypothesis.</div></div><div><h3>Methods</h3><div>We analyzed data from 4137 participants in Waves 1, 3, and 5 of the National Longitudinal Study of Adolescent to Adult Health (Add Health). Childhood maltreatment and social support were measured using validated scales, and 30-year CVD risk was estimated using the Framingham Cardiovascular Risk Score. Fractional outcome models were used to examine the main and moderating effects, and sensitivity analyses using Heckman selection models were conducted to address potential selection bias.</div></div><div><h3>Results</h3><div>Childhood maltreatment was significantly related to elevated adult CVD risk, supporting the biological embedding model. In line with the stress-buffering hypothesis, social support moderated this association, buffering the adverse health effects of early maltreatment.</div></div><div><h3>Conclusions</h3><div>Findings support the stress-buffering hypothesis and highlight the importance of early social support in mitigating the long-term physiological impact of childhood adversity. Integrating the biological embedding model with the stress-buffering hypothesis can improve understanding of resilience and inform strategies to reduce health disparities rooted in early life experiences.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118530"},"PeriodicalIF":5.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144989082","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":"Theory of planned behavior constructs as mediators of relations between personality traits, trust, and COVID-19 preventive behavior adherence","authors":"Robin Wollast ,&nbsp;Joseph B. Phillips ,&nbsp;Martin S. Hagger ,&nbsp;Kyra Hamilton ,&nbsp;Ann DeSmet ,&nbsp;Olivier Luminet","doi":"10.1016/j.socscimed.2025.118531","DOIUrl":"10.1016/j.socscimed.2025.118531","url":null,"abstract":"<div><h3>Objective</h3><div>Dispositional constructs (personality traits, generalized beliefs) are associated with health behaviors, but few studies test potential underlying mechanisms. The current study tested an integrated theoretical model specifying indirect effects of personality traits (conscientiousness, extraversion) and socio-political beliefs (trust in political leaders and health authorities) on initial participation, and subsequent trajectories, in COVID-19 preventive behaviors (handwashing, physical distancing, limiting social contact, mask wearing) mediated by social cognition constructs (attitudes, subjective norms, perceived behavioral control) and intentions.</div></div><div><h3>Methods</h3><div>Belgian residents (<em>N</em> = 1762) completed measures of dispositional and social cognition constructs and intentions for COVID-19 preventive behaviors on an initial occasion and self-reported their engagement in the behaviors on four follow-up occasions from April to July 2021. Model predictions were tested using latent growth curve modeling.</div></div><div><h3>Results</h3><div>Indirect positive effects of conscientiousness and trust in politicians and health authorities, and indirect negative effects of extraversion, on health behavior intentions and initial behavior participation as mediated through social cognition (with minor exceptions). These accounted for non-trivial variance in each outcome. Contrary to predictions, model constructs did not account for variance in behavioral trajectories.</div></div><div><h3>Conclusion</h3><div>The current analysis lends support for the model across behaviors, adding to an evidence base of potentially malleable determinants of COVID-19 preventive actions and a candidate mechanism. How to sustain adherence to COVID-19 preventive actions remains an open question in need of further research. Replication studies in other national contexts and other public health crises are warranted.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"384 ","pages":"Article 118531"},"PeriodicalIF":5.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049284","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}