Social Science & Medicine最新文献_第9页

Catastrophic health expenditure during healthcare financing reform: Evidence from Kazakhstan

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-03 DOI: 10.1016/j.socscimed.2025.117824

Aigerim Sarsenbayeva , Dinara Alpysbayeva

{"title":"Catastrophic health expenditure during healthcare financing reform: Evidence from Kazakhstan","authors":"Aigerim Sarsenbayeva , Dinara Alpysbayeva","doi":"10.1016/j.socscimed.2025.117824","DOIUrl":"10.1016/j.socscimed.2025.117824","url":null,"abstract":"<div><div>Unequal access to healthcare and inadequate financing have highlighted the need for healthcare reform to increase efficiency while ensuring equity in healthcare financing worldwide. Our study evaluates the capacity of Kazakhstan’s healthcare system reform, transitioning from a tax-financed system to compulsory social health insurance (CSHI), to address equity in healthcare financing. Using quarterly Household Budget Surveys from 2017-Q1 to 2020-Q4 in a staggered difference-in-difference estimation technique, we analyze the impact of the transition on the incidence and intensity of catastrophic health expenditure (CHE) and impoverishment. Our findings show that while the transition from a tax-financed to a CSHI system in the short run lowers both the incidence and intensity of catastrophic health expenditure, it does not alleviate impoverishment. In particular, the reform predominantly benefits wealthier households, with no effect on the relatively poor population. We speculate that the positive outcomes observed from the reform in the short run are largely attributed to the exceptionally high insurance coverage during the transition period. The success of the transition from a tax-based to an insurance-based system is heavily dependent on the rate of insurance coverage of the population, as well as the quality of healthcare services and available finances.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117824"},"PeriodicalIF":4.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552787","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}

引用次数: 0

Corrigendum to “The effect of public tolerance towards corruptive behaviour on healthcare efficiency and equity – The case of the UK's COVID-19 vaccination programme” [Soc. Sci. Med. Volume 361, November 2024, 117180] 公众对腐败行为的容忍度对医疗效率和公平的影响--以英国 COVID-19 疫苗接种计划为例"[《社会科学与医学》第 361 卷，2024 年 11 月，第 117180 期]更正。

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2024.117617

Franziska Sohns , Stefano Ghinoi , Magdalena Langosch

引用次数: 0

Emotional or informational? Understanding cancer patients’ multifaceted help-seeking behaviors in online health communities

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117902

Xiandong Feng , Yinhuan Hu , Holger Pfaff , Sha Liu , Hui Wang , Yangfan Wang

{"title":"Emotional or informational? Understanding cancer patients’ multifaceted help-seeking behaviors in online health communities","authors":"Xiandong Feng , Yinhuan Hu , Holger Pfaff , Sha Liu , Hui Wang , Yangfan Wang","doi":"10.1016/j.socscimed.2025.117902","DOIUrl":"10.1016/j.socscimed.2025.117902","url":null,"abstract":"<div><div>Although the widespread use of online health communities (OHCs) has transformed how cancer patients interact and acquire information, there is limited understanding of their specific help-seeking behaviors in these digital environments. Based on stress and coping theory, this study develops a framework to examine the patterns and determinants of cancer patients’ help-seeking behaviors in OHCs. We collected 19,224 help-seeking posts from a leading cancer-focused OHC in China between January 2016 and July 2023. A mixed-methods approach was employed, combining content analysis through Latent Dirichlet Allocation (LDA) for behavioral pattern identification and beta regression for determinant analysis. The results revealed two primary categories of help-seeking behaviors - emotional and informational - which comprised six distinct topics: daily emotional regulation, community social support, medical options, treatment processes, medical results interpretation, and medication management and effects. Female patients exhibited stronger tendencies toward emotional help-seeking, while male patients favored informational help-seeking. Both increasing age and time since diagnosis were positively associated with emotional help-seeking but negatively correlated with informational help-seeking. Moreover, different cancer types showed distinct patterns in their help-seeking behaviors. This study advances the theoretical framework of help-seeking behaviors in an online context and provides evidence-based recommendations for optimizing OHCs to meet the diverse needs of cancer patients.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117902"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563703","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}

引用次数: 0

Corrigendum to “Ambiguous animals, ambivalent carers and arbitrary care collectives: Re-theorizing resistance to social robots in healthcare” [Soc. Sci. Med. Volume 365, January 2025, 117587] “模棱两可的动物，矛盾的护理人员和武断的护理集体：重新理论化对医疗保健中社交机器人的抵制”[Soc]的勘误表。科学。Med. Volume 365, January 2025, 117587]。

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117673

Tanja Ahlin , Anna Mann

引用次数: 0

Employment Quality and Mental Health in Germany: the Mismatch of Low Employment Quality with Work and Family Values by Gender

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117906

Deborah De Moortel , Rebeka Balogh , Miriam Engels , Julie Vanderleyden

{"title":"Employment Quality and Mental Health in Germany: the Mismatch of Low Employment Quality with Work and Family Values by Gender","authors":"Deborah De Moortel , Rebeka Balogh , Miriam Engels , Julie Vanderleyden","doi":"10.1016/j.socscimed.2025.117906","DOIUrl":"10.1016/j.socscimed.2025.117906","url":null,"abstract":"<div><div>Empirical evidence on whether low-quality employment is detrimental to workers’ mental health is mostly cross-sectional and empirical evidence on pathways linking employment quality (EQ) to mental health remains scarce. Consequently, this study examines subsequent mental health associations of low-quality employment. Associations between EQ and mental health are investigated through a typology of employment arrangements. This study also investigates whether the relation between EQ types and subsequent mental health is different for workers with varying intensities of work and family values (i.e., importance of success at work and of having children, respectively) across genders. Using a large representative German panel dataset and Latent Class Cluster Analysis, EQ types are built and linked to mental health two years later. We assess two- and three-way interactions between EQ types and values, and between EQ types, gender and values, respectively. We found six EQ types: SER-like, precarious unsustainable, precarious full-time, SER-light, portfolio and protected part-time employment. Controlled for socio-demographic characteristics, precarious unsustainable employment for men and precarious full-time employment for women were associated to lower mental health after two years, compared to SER-like employment. Although protected part-time employment related to worse mental health for those with moderate to strong work and family values, compared to those with mild values, the interactions show an unclear pattern of the moderating role of values for the relation between EQ and subsequent mental health, for both men and women. This study should be replicated in other countries to confirm similar associations.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117906"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601241","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}

引用次数: 0

Sources of well-being and cardiovascular health: A mixed methods investigation from the MIDUS study

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117903

Julia K. Boehm , Monica Adams , Jennifer Morozink Boylan

{"title":"Sources of well-being and cardiovascular health: A mixed methods investigation from the MIDUS study","authors":"Julia K. Boehm , Monica Adams , Jennifer Morozink Boylan","doi":"10.1016/j.socscimed.2025.117903","DOIUrl":"10.1016/j.socscimed.2025.117903","url":null,"abstract":"<div><h3>Objective</h3><div>Using mixed methods, we investigated whether different sources of well-being were associated with better cardiovascular health.</div></div><div><h3>Methods</h3><div>Data came from adults (55% women; 19% Black, 75% White) with biomarker data from the Midlife in the United States (MIDUS) Study. At the second wave and in a refresher cohort, participants answered the question “What do you do to make your life go well?” Judges evaluated each response for the presence of 12 sources of well-being (e.g., positive relationships, faith, health maintenance). Participants were also assessed on 8 components of cardiovascular health at two waves, an average of 12 years apart. Concurrent (<em>N</em> = 2036) and longitudinal (<em>N</em> = 650) linear regressions examined the association between each well-being source in unadjusted models and models adjusted for sociodemographic factors and word count.</div></div><div><h3>Results</h3><div>Adults who wrote about positive relationships, positive attitudes, enjoyment, coping, health maintenance, and planning tended to have better cardiovascular health in unadjusted models concurrently and longitudinally. In fully adjusted models, health maintenance (<em>p</em> < .001) and planning and organization (<em>p</em> = .004) were associated with better cardiovascular health concurrently. Additionally, health maintenance (<em>p</em> = .03) and work (<em>p</em> = .04) were associated with better cardiovascular health longitudinally.</div></div><div><h3>Conclusions</h3><div>Individuals who endorsed maintaining their health as central to well-being showed healthier cardiovascular outcomes 12 years later. Combining qualitative assessments of sources of well-being with clinically assessed measures of cardiovascular health highlights unique contributors of well-being that are relevant for health and may not be evident with conventional self-report measures.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117903"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578440","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}

引用次数: 0

Corrigendum to “An analysis of intersectional disparities in alcohol consumption in the US” [Soc. Sci. Med. Volume 363, December 2024, 117514] 对“美国酒精消费的交叉差异分析”的更正[Soc]。科学。Med. Volume 363, December 2024, 117514]。

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2024.117577

Sophie Bright , Charlotte Buckley , Daniel Holman , George Leckie , Andrew Bell , Nina Mulia , Carolin Kilian , Robin Purshouse

引用次数: 0

Resistance, tensions and consent to digital working in healthcare

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117691

Dimitra Petrakaki , Petros Chamakiotis , Emma Russell , Andy Charlwood

引用次数: 0

Corrigendum to “Decolonising the field of violence against women and girls: A scoping review and recommendations for research and programming” [Soc. Sci. Med. Volume 357, September 2024, 117168]

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117762

Michelle Lokot , Marjorie Pichon , Beatriz Kalichman , Samantha Nardella , Jane Falconer , Nambusi Kyegombe , Ana Maria Buller

引用次数: 0

Corrigendum to ‘When reality knocks on the door. The effect of conspiracy beliefs on COVID-19 vaccine acceptance and the moderating role of experience with the virus’ [Soc. Sci. Med. Volume 356, September 2024, 117149] 当现实来敲门时。阴谋论信念对 COVID-19 疫苗接受度的影响及病毒感染经验的调节作用"[《社会科学-医学》第 356 卷，2024 年 9 月，117149 页]。

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2024.117618

Ádám Stefkovics , Péter Krekó , Júlia Koltai

引用次数: 0