Health & Place最新文献

“You can't heal yourself in that setting and you wouldn't expect other people in this country to”: Yarning about housing and environmental health in remote Aboriginal communities of Western Australia “你不能在那种环境下治愈自己，你也不能指望这个国家的其他人能”：谈论西澳大利亚偏远土著社区的住房和环境健康。

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-17 DOI: 10.1016/j.healthplace.2025.103563

Stephanie L. Enkel , Chicky Clements , Hannah M.M. Thomas , Tracy McRae , Ingrid Amgarth-Duff , Marianne Mullane , Lisa Wiese , Liam Bedford , Nina Lansbury , Jonathan R. Carapetis , Asha C. Bowen

{"title":"“You can't heal yourself in that setting and you wouldn't expect other people in this country to”: Yarning about housing and environmental health in remote Aboriginal communities of Western Australia","authors":"Stephanie L. Enkel , Chicky Clements , Hannah M.M. Thomas , Tracy McRae , Ingrid Amgarth-Duff , Marianne Mullane , Lisa Wiese , Liam Bedford , Nina Lansbury , Jonathan R. Carapetis , Asha C. Bowen","doi":"10.1016/j.healthplace.2025.103563","DOIUrl":"10.1016/j.healthplace.2025.103563","url":null,"abstract":"<div><div>Remote Aboriginal communities in Australia are located on traditional lands holding deep cultural significance and meaning for residents. However, systemic inequity rooted in colonisation has driven persistent housing and health disparities, with inadequate environmental health conditions within homes and communities a prominent example. Embedded within the SToP (See, Treat, Prevent) Skin Sores and Scabies Trial, which aimed to reduce skin infections in children aged 5–9 years by 50 % across nine Kimberley communities, this qualitative sub-study sought to understand access to and perceptions of environmental health initiatives by yarning with those living and working in remote Aboriginal communities. Between 2019 and 2022, 208 people participated in individual or group yarning activities. Using a political economy of health lens, analysis of 137 yarning sessions revealed barriers to health, including infrequent services, inadequate housing, and entrenched challenges to achieving household maintenance. These obstacles stem from governance, procurement and logistics arrangements; a direct result of colonisation and land appropriation rather than individual behaviour. Addressing these barriers requires equitable standards in service provision, as well as clear decision rights over land and housing assets, procurement options enabling timely repairs, resourced local maintenance with guaranteed response times and sustained funding. Equity and reconciliation will only be achieved once structural barriers are removed.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103563"},"PeriodicalIF":4.1,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318772","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

“Who gets to belong?” Navigating appearance-based discrimination and transgender access to urban toilets in India “谁有归属感？”印度基于外貌的歧视和跨性别者使用城市厕所的情况。

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-17 DOI: 10.1016/j.healthplace.2025.103558

Hannah Jayne Robinson , Barbara Evans , Paul Hutchings , Lata Narayanaswamy , Ravikirankumar Bokam , Dani Jennifer Barrington

{"title":"“Who gets to belong?” Navigating appearance-based discrimination and transgender access to urban toilets in India","authors":"Hannah Jayne Robinson , Barbara Evans , Paul Hutchings , Lata Narayanaswamy , Ravikirankumar Bokam , Dani Jennifer Barrington","doi":"10.1016/j.healthplace.2025.103558","DOIUrl":"10.1016/j.healthplace.2025.103558","url":null,"abstract":"<div><div>This article examines the challenges faced by transgender and gender non-confirming individuals when attempting to access sanitation in urban India. It highlights how the experiences of these individuals intersect with broader social dynamics related to appearance, which can affect people of all genders. Using an iterative and inductive approach, the study combines insights from interviews with activists, academics and government practitioners, along with focus group discussions involving transgender and gender-nonconforming cisgender participants, to explore gaps in policy and implementation. The research highlights how ‘gendered’ sanitation programming and policy largely neglects non-cisgender communities, focusing predominantly on cisgender women, and often fails to address the nuanced sanitation needs of Transgender and Gender non-conforming persons, particularly transgender women. While sanitation programming emphasises technical infrastructure, social dimensions of sanitation, particularly appearance-based discrimination, remain largely unaddressed, creating exclusionary environments. Drawing on Goffman's theory of stigma, Meyer's Minority Stress Theory, and Bourdieu's concept of symbolic capital, the research elucidates how social stigma, chronic stress from discrimination, and the policing of gendered appearances converge to limit access and safety in sanitation spaces. These intersecting barriers affect both transgender and cisgender individuals who do not conform to normative gender expressions. The research urges a more intersectional, gender-sensitive approach to sanitation that confronts both technical and deeply embedded social obstacles. This research contributes to the limited literature on transgender access to basic services in India and underscores the necessity of addressing appearance-based discrimination to foster truly inclusive sanitation environments.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103558"},"PeriodicalIF":4.1,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319036","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

Rural Missourians’ perspectives on pain: “I like to be in control of my life” 密苏里农村人对痛苦的看法：“我喜欢掌控自己的生活”。

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-14 DOI: 10.1016/j.healthplace.2025.103561

Karla T. Washington , Klaudia Kukulka , Archana Bharadwaj , Olivia J. Landon , Masako Mayahara , Jacquelyn J. Benson

{"title":"Rural Missourians’ perspectives on pain: “I like to be in control of my life”","authors":"Karla T. Washington , Klaudia Kukulka , Archana Bharadwaj , Olivia J. Landon , Masako Mayahara , Jacquelyn J. Benson","doi":"10.1016/j.healthplace.2025.103561","DOIUrl":"10.1016/j.healthplace.2025.103561","url":null,"abstract":"<div><div>This study examined rural Missourians’ conceptualization of pain and their attitudes toward pharmacological and non-pharmacological pain management strategies. The study sample consisted of twenty-five (N = 25) community-dwelling adults residing in rural Missouri counties. Researchers conducted semi-structured qualitative interviews and applied thematic analysis techniques to interpret the data. Results indicated that participants often viewed pain as a limitation and associated its experience and treatment with weakness. Their attitudes toward pharmacological pain management were influenced by a prevalent social stigma surrounding pain medications (particularly opioid analgesics), fear of losing control, and a general aversion to medications. In contrast, their attitudes toward non-pharmacological pain management were decidedly positive. Participants expressed a strong preference for natural interventions and emphasized preventive measures to manage pain. Study findings support previously published research suggesting that rural individuals may minimize medical interventions and prioritize self-sufficiency. To address these cultural norms effectively, a strong clinician-patient relationship and multimodal pain management approaches that incorporate non-opioid strategies are recommended.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103561"},"PeriodicalIF":4.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305076","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

Who's responsible for health during extreme heat events? An ethnographic document analysis of health promotion materials in Australia 在极端高温天气中，谁对健康负责？澳大利亚健康促进材料的民族志文献分析。

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-14 DOI: 10.1016/j.healthplace.2025.103539

Leah Garnet-Carroll, Catherine Trundle

{"title":"Who's responsible for health during extreme heat events? An ethnographic document analysis of health promotion materials in Australia","authors":"Leah Garnet-Carroll, Catherine Trundle","doi":"10.1016/j.healthplace.2025.103539","DOIUrl":"10.1016/j.healthplace.2025.103539","url":null,"abstract":"<div><div>With increasing temperatures due to climate change, public health and health promotion bodies in Australia have increasingly developed resources to promote awareness and protect the public from heat stress risks. Utilizing an ethnographic document analysis method, this article critically examines a sample of Australian public health and health promotion online resources from the last five years. We explore how relational environments, material resources, self-care, health and routines, and informational agency are emphasized and discursively represented. Utilizing a critical public health lens and theoretical ideas of responsibilization, we evaluate the documents from a health justice perspective and consider whose experiences and realities are missing or invisible in public health advice for staying safe in the heat. We find the documents ignore the lived realities and experiences of Indigenous Australians, women, rural and remote Australians, young people, and Australians experiencing family conflict, violence, social isolation, and gendered burdens of care. They also exclude the realities of renters, workers with limited workplace control and agency, and those with low or insecure incomes. We then reimagine these documents from a climate justice and health equity perspective and suggest ways to shift the documents from a personal responsibility paradigm, to one that embeds social support and collective forms of responsibility.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103539"},"PeriodicalIF":4.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305112","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

Neighbourhood risk factors and spatiotemporal trends for overdoses following cannabis legalization and pandemic restrictions in Toronto, Canada 加拿大多伦多大麻合法化和大流行病限制后过量使用的邻里风险因素和时空趋势。

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-14 DOI: 10.1016/j.healthplace.2025.103557

Jane Law , Alexander T. Petric

{"title":"Neighbourhood risk factors and spatiotemporal trends for overdoses following cannabis legalization and pandemic restrictions in Toronto, Canada","authors":"Jane Law , Alexander T. Petric","doi":"10.1016/j.healthplace.2025.103557","DOIUrl":"10.1016/j.healthplace.2025.103557","url":null,"abstract":"<div><div>Drug & opioid overdoses in Toronto, Canada, have risen substantially in recent years. To explore possible causes, we spatially analyze associations between overdose incidence data over 2019–2022 and select socioeconomic & built-environment variables among Toronto neighbourhoods. Using spatiotemporal analysis, we also assess average area trends and local hotspots before/after two major events: Canada's 2018 legalization of cannabis (2017–2020) and COVID-19 pandemic lockdowns (2019–2022). Previous discussions frame cannabis as a possible alternative to more dangerous drugs, while pandemic lockdowns were likely to reduce mental health and access to care. We find 1) overdose incidence shows positive association with household/neighbourhood instability and percent building coverage, 2) notable overdose increases in Toronto's suburban neighbourhoods, and 3) rising mean-area overdose rates, despite cannabis legalization. Potentially outsized effects of high-potency illicit opioids and pandemic lockdowns may influence these results. Policymakers should monitor post-lockdown overdose trends and explore harm reduction approaches and improved housing options as policy responses to reduce impacts from Toronto's ongoing drug crisis, especially in areas outside the downtown that have rising overdose rates.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103557"},"PeriodicalIF":4.1,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305068","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

Socio-ecological barriers to women's empowerment in sanitation in Eastern Indonesia 印度尼西亚东部环境卫生领域妇女赋权的社会生态障碍。

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-13 DOI: 10.1016/j.healthplace.2025.103554

Ni Made Utami Dwipayanti , I Desak Ketut Dewi Satiawati Kurnianingsih , Angelina Mustafa , Anindrya Nastiti , D. Daniel , Mellysa Kowara , I Gusti Ayu Devi Savitri

{"title":"Socio-ecological barriers to women's empowerment in sanitation in Eastern Indonesia","authors":"Ni Made Utami Dwipayanti , I Desak Ketut Dewi Satiawati Kurnianingsih , Angelina Mustafa , Anindrya Nastiti , D. Daniel , Mellysa Kowara , I Gusti Ayu Devi Savitri","doi":"10.1016/j.healthplace.2025.103554","DOIUrl":"10.1016/j.healthplace.2025.103554","url":null,"abstract":"<div><div>Low-income and marginalised groups in any setting are affected by inadequate water, sanitation and hygiene (WASH) sanitation access, particularly women and girls who are disproportionately affected mainly because of gender inequality. This paper discusses barriers to women's access to and participation in sanitation programs based on the case study in Central Lombok and West Manggarai, Eastern Indonesia. In-depth interviews and focus group discussions were conducted on 28 informants and 6 groups, respectively, and analysed using thematic analysis. The study found that women and girls in Eastern Indonesia experience inadequate access to sanitation due to being less involved in WASH decision-making processes at household and community levels while having the double burden of maintaining the facilities and taking care of their families simultaneously. Barriers to women's empowerment in sanitation programs exist at different socio-ecological scales from individual to structural scales indicating the relationship of health with the context and characteristics of the place. At the individual scale, those barriers are women's lack of awareness, low education and economic status; gender-expected roles in society due to patriarchal cultures, and restrictions on women's mobility due to social norms are barriers at community scale. Meanwhile, at the institutional scale, the barriers come from the government's lack of commitment and clear guidelines to support women involvement and the government's lack of capacity and skills in implementing gender-transformative WASH programs in their jurisdiction areas. All different scales of barriers are interconnected, requiring comprehensive and systematic strategies to simultaneously address barriers to mainstreaming gender issues in national sanitation programs<strong>.</strong></div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103554"},"PeriodicalIF":4.1,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294717","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

Learning the trade of navigating and tinkering within a disparate welfare system: Older adults as bricoleurs of home arrangements and support 学习在不同的福利体系中导航和修补的技巧：老年人作为家庭安排和支持的工匠

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-11 DOI: 10.1016/j.healthplace.2025.103562

Glenn Möllergren , Håkan Jönson , Marianne Granbom

{"title":"Learning the trade of navigating and tinkering within a disparate welfare system: Older adults as bricoleurs of home arrangements and support","authors":"Glenn Möllergren , Håkan Jönson , Marianne Granbom","doi":"10.1016/j.healthplace.2025.103562","DOIUrl":"10.1016/j.healthplace.2025.103562","url":null,"abstract":"<div><div>Challenging conventional provider-oriented perspectives on older adults’ spatial realities, this study explores how community-dwelling care users in Sweden manage their home environments. It investigates how older adults use the welfare system and coordinate widely available but disparate material and social resources to achieve a spatially sustainable ageing-in-place. Research on domiciliary care for older adults has largely focused on the provider, overlooking the skills and strategies older care users themselves employ to make arrangements work; this study adopts a fresh lens by examining the active engagement of older adults in shaping their own home arrangements.</div><div>The data comprised twelve qualitative interviews with older care users, along with walk-alongs in their homes, focusing on how different areas of the home were used in everyday life. The concepts of bricoleur, bricolage, and tinkering, were employed to analyse the activities and arrangements respondents implemented to utilise services in managing their daily lives. The findings revealed that participants had been prompted to develop sophisticated procedures and competencies, leveraging supportive networks and combining housing adaptations, assistive devices, and innovative uses of household items to make the services useful. The study highlights the importance of recognising the active coordination efforts of older care users and underscores the need to focus on their expertise and adaptive learning within supportive systems. An eldercare provision such as the one in Sweden, offering a variety of different services, can be perceived as fragmented and challenging to navigate, necessitating a user-centred approach to improve accessibility and effectiveness.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103562"},"PeriodicalIF":4.1,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145269711","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

The digitalization of young women's food environments in Norway 挪威年轻女性食物环境的数字化。

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-08 DOI: 10.1016/j.healthplace.2025.103552

Sabrina Ionata Granheim , Laura Terragni , Liv Elin Torheim , Miranda Thurston

{"title":"The digitalization of young women's food environments in Norway","authors":"Sabrina Ionata Granheim , Laura Terragni , Liv Elin Torheim , Miranda Thurston","doi":"10.1016/j.healthplace.2025.103552","DOIUrl":"10.1016/j.healthplace.2025.103552","url":null,"abstract":"<div><div>Food environments, which significantly influence dietary patterns and health outcomes, are undergoing an accelerated process of digitalization. Young people are vulnerable to the adverse effects of food environment digitalization, with young women particularly affected due to their heavy exposure to social media. This study explores the process of digitalization of young women's food environments in Norway. Using a grounded theory approach, we conducted 14 semi-structured interviews with young women aged 18–25 years in Norway, complemented by an analysis of secondary materials such as websites, smartphone apps, and social media platforms identified during the interviews. We propose a theoretical model outlining four degrees of digitalization in young women's food environment interactions: analogue, digitally mediated, digitally enhanced, and digital-only. These interactions were influenced by processes at an individual level, through which young women strove to preserve their agency while seeking novelty, entertainment, social connection and self-optimization in relation to their food practices and bodies. Simultaneously, societal processes such as the normalization of technology use, increased personalization of digital services and intensification of exposure to digital food content and marketing shaped young women's action. These can conflict with their individual motivations or complement and reinforce them, thus creating tensions in how agency is exercised in increasingly digitalized food environments. We argue that the digitalization of food environments is likely to augment the complexity and intensity of their effects on health and nutrition, warranting further investigation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103552"},"PeriodicalIF":4.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260301","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

Adolescent girls and physical activity in public spaces: insights from the city of Antwerp 少女和公共场所的体育活动：来自安特卫普市的见解

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-08 DOI: 10.1016/j.healthplace.2025.103559

Hannah Robinson , Josefien van Olmen , Ruth Lowry , Hilde Bastiaens

{"title":"Adolescent girls and physical activity in public spaces: insights from the city of Antwerp","authors":"Hannah Robinson , Josefien van Olmen , Ruth Lowry , Hilde Bastiaens","doi":"10.1016/j.healthplace.2025.103559","DOIUrl":"10.1016/j.healthplace.2025.103559","url":null,"abstract":"<div><div>Physical activity in adolescence is a key determinant of long-term health, yet teenage girls remain consistently less active than boys. Urban public spaces play a central role in facilitating everyday opportunities for physical activity, from informal play to organised sport. However, these spaces are not equally accessible or welcoming to all. They are sites where gendered hierarchies and norms surface, but also where other intersecting structures of inequality — such as socioeconomic background, migration status, dis/ability, and religion — shape who feels entitled to participate and who does not. This study explores how different factors intersect to influence teenage girls' participation in physical activity in the urban areas of Antwerpen-Noord and Borgerhout. Based on 32 interviews with policymakers, youth workers, and local organisations, we apply an adapted socio-ecological framework to analyse the interplay of individual, sociocultural, built environment, and policy dimensions. The findings show how political choices such as disinvestment in youth services limit access to activities, while the absence of inclusive design in the built environment reinforce these inequalities. At the sociocultural level, gender stereotypes shape expectations about who belongs in public space, which in turn feeds into individual-level concerns about body image amongst adolescent girls. These intersecting barriers show how physical activity opportunities are mediated not only by individual factors but by systemic forms of exclusion embedded in the urban fabric. To counter this, inclusive policies and participatory approaches to urban planning are needed to create public spaces that actively support girls’ engagement in physical activity and their health and wellbeing.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103559"},"PeriodicalIF":4.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145269646","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

Medical training pathways and underdoctored areas: a qualitative study of doctors working in areas that struggle to recruit and retain 医学培训途径和医生不足的地区：对在难以招聘和留住的地区工作的医生进行定性研究。

IF 4.1 2区医学

Health & Place Pub Date : 2025-10-07 DOI: 10.1016/j.healthplace.2025.103560

Liz Brewster, Choon Key Chekar, Michael Lambert, Clare Mumford, Tasneem Patel, Nicola Rennie, Cliff Shelton

{"title":"Medical training pathways and underdoctored areas: a qualitative study of doctors working in areas that struggle to recruit and retain","authors":"Liz Brewster, Choon Key Chekar, Michael Lambert, Clare Mumford, Tasneem Patel, Nicola Rennie, Cliff Shelton","doi":"10.1016/j.healthplace.2025.103560","DOIUrl":"10.1016/j.healthplace.2025.103560","url":null,"abstract":"<div><div>Some areas struggle more than others to recruit and retain doctors to provide healthcare services. Often, these areas are rural, coastal, remote, deprived or a combination of all these factors, compounding difficulties in access to healthcare; we refer to these areas as ‘underdoctored’. This paper aims to describe experiences of working in underdoctored areas, with a focus on exploring why doctors work in these places to highlight what might enable future recruitment. It considers: the routes by which they arrived in an area and the drivers that facilitated those routes; the key stages in participants' lives at which transitions into the area were made; the agency – or lack thereof – that was involved in the choice to work in the area. While previous research has focused on factors driving workforce attrition, we work here to identify what encourages retention, particularly in areas that are known to have difficulties maintaining sufficient medical workforce. Drawing on interviews with doctors who work in these areas across case study sites, we conceptualise how there is a need to understand experiences of working in these areas to surface three intertwined elements – people, career, and place – within a doctors' place-life trajectory. We then explore how one or more of these elements might need to be compromised, how the acceptability of these compromises might change over time, and how the affordances associated with an underdoctored area can be negotiated and re-negotiated in order for those who move to an underdoctored area to want to stay. These findings have implications for improving recruitment and retention, health service provision, and ultimately, health inequalities in these underdoctored areas.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103560"},"PeriodicalIF":4.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254165","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