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Sameness across Difference: A Postcolonial Feminist Analysis of Gender-Affirming Health Care in Thailand and the United States 跨越差异的同一性：对泰国和美国性别平等医疗保健的后殖民主义女权主义分析
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-04-18 DOI: 10.1177/00221465241240465
Alyssa Lynne-Joseph
{"title":"Sameness across Difference: A Postcolonial Feminist Analysis of Gender-Affirming Health Care in Thailand and the United States","authors":"Alyssa Lynne-Joseph","doi":"10.1177/00221465241240465","DOIUrl":"https://doi.org/10.1177/00221465241240465","url":null,"abstract":"Joining a growing body of research calling for the integration of social analysis and postcolonial theory, recent work in medical sociology has analyzed health, illness, and medicine from a postcolonial lens. In this article, I argue for a postcolonial feminist approach to medical sociology that builds on this extant work while challenging methodological nationalism and cultural essentialism. Based on an analysis of gender-affirming health care for transgender and gender diverse (TGD) people in Thailand and the United States, I propose “sameness across difference” as a framework to analyze commonalities in the health care experiences of marginalized populations across nations as the products of imperial legacies. Drawing on 83 interviews with health care providers, TGD patients, and TGD activists, I demonstrate the role of imperialism in sustaining barriers to gender-affirming health care through the uneven geographic distribution of care across rural and urban areas and the reinforcement of racial and class hierarchies within cities.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"48 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140622913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Policy Brief. 美国的结构性性别歧视与预防性保健的使用。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2024-01-23 DOI: 10.1177/00221465241226808
Emily C Dore, Surbhi Shrivastava, Patricia Homan
{"title":"Policy Brief.","authors":"Emily C Dore, Surbhi Shrivastava, Patricia Homan","doi":"10.1177/00221465241226808","DOIUrl":"10.1177/00221465241226808","url":null,"abstract":"","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"1"},"PeriodicalIF":5.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
COVID-19's Unequal Toll: Differences in Health-Related Quality of Life by Gendered and Racialized Groups. 新冠肺炎的不平等死亡人数：按性别和种族划分的健康相关生活质量差异。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2023-10-13 DOI: 10.1177/00221465231199734
Konrad Franco, Caitlin Patler, Whitney Laster Pirtle
{"title":"COVID-19's Unequal Toll: Differences in Health-Related Quality of Life by Gendered and Racialized Groups.","authors":"Konrad Franco, Caitlin Patler, Whitney Laster Pirtle","doi":"10.1177/00221465231199734","DOIUrl":"10.1177/00221465231199734","url":null,"abstract":"<p><p>We examine whether the COVID-19 pandemic was associated with changes to daily activity limitations due to poor physical or mental health and whether those changes were different within and between gendered and racialized groups. We analyze 497,302 observations across the 2019 and 2020 waves of the Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System survey. Among White men and women, the COVID-19 pandemic was associated with fewer days of health-related activity limitations and decreased frequent activity limitation (≥14 days in the past month) compared to the prepandemic period. By contrast, Latina and Black women experienced increased days of activity limitation and greater likelihood of frequent activity limitation, and these changes were significantly different than for White women. These findings are robust to the inclusion of structural inequality measures and demonstrate how systemic racism and sexism likely exacerbate a myriad of pandemic-related health problems.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"60-74"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10908199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41219800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Health Care Stereotype Threat and Sexual and Gender Minority Well-Being. 医疗保健陈规定型观念的威胁与性和性别少数群体的福祉。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2023-10-31 DOI: 10.1177/00221465231205549
R Kyle Saunders, Dawn C Carr, Amy M Burdette
{"title":"Health Care Stereotype Threat and Sexual and Gender Minority Well-Being.","authors":"R Kyle Saunders, Dawn C Carr, Amy M Burdette","doi":"10.1177/00221465231205549","DOIUrl":"10.1177/00221465231205549","url":null,"abstract":"<p><p>Sexual and gender minorities (SGMs) have experienced progressive change over the last 50 years. However, this group still reports worse health and health care experiences. An innovative survey instrument that applies stereotype threat to the health care setting, health care stereotype threat (HCST), offers a new avenue to examine these disparities. We harmonized two national probability data sets of SGMs-Generations and TransPop-capturing 503 gay men, 297 lesbians, 467 bisexuals, and 221 trans people. Using these data, we, first, explored how HCST's association with self-rated health and psychological distress changed while considering more established constructs: discrimination and stigma. Second, we examined how HCST's association varied across SGM groups. Results suggest that HCST is a unique predictor net of the associations with discrimination and stigma. Furthermore, results highlight the more consequential associations for trans people on well-being compared to gay men. We discuss implications of these findings for future research and potential interventions.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"20-37"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Structural Sexism and Preventive Health Care Use in the United States. 美国结构性性别歧视和预防性医疗保健的使用。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2023-09-07 DOI: 10.1177/00221465231194043
Emily C Dore, Surbhi Shrivastava, Patricia Homan
{"title":"Structural Sexism and Preventive Health Care Use in the United States.","authors":"Emily C Dore, Surbhi Shrivastava, Patricia Homan","doi":"10.1177/00221465231194043","DOIUrl":"10.1177/00221465231194043","url":null,"abstract":"<p><p>Preventive health care use can reduce the risk of disease, disability, and death. Thus, it is critical to understand factors that shape preventive care use. A growing body of research identifies structural sexism as a driver of population health, but it remains unknown if structural sexism is linked to preventive care use and, if so, whether the relationship differs for women and men. Gender performance and gendered power and resource allocation perspectives lead to competing hypotheses regarding these questions. This study explores the relationship between structural sexism and preventive care in gender-stratified, multilevel models that combine data from the Behavioral Risk Factor Surveillance System with state-level data (N = 425,454). We find that in states with more structural sexism, both men and women were less likely to seek preventive care. These findings support the gender performance hypothesis for men and the gendered power and resource allocation hypothesis for men and women.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"2-19"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10918039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Structural Racism and Health Stratification: Connecting Theory to Measurement. 结构性种族主义与健康分层：将理论与测量联系起来。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2024-02-03 DOI: 10.1177/00221465231222924
Tyson H Brown, Patricia Homan
{"title":"Structural Racism and Health Stratification: Connecting Theory to Measurement.","authors":"Tyson H Brown, Patricia Homan","doi":"10.1177/00221465231222924","DOIUrl":"10.1177/00221465231222924","url":null,"abstract":"<p><p>Less than 1% of studies on racialized health inequities have empirically examined their root cause: structural racism. Moreover, there has been a disconnect between the conceptualization and measurement of structural racism. This study advances the field by (1) distilling central tenets of theories of structural racism to inform measurement approaches, (2) conceptualizing U.S. states as racializing institutional actors shaping health, (3) developing a novel latent measure of structural racism in states, (4) using multilevel models to quantify the association between structural racism and five individual-level health outcomes among respondents from the Health and Retirement Study (N = 9,020) and the Behavioral Risk Factor Surveillance System (N = 308,029), and (5) making our measure of structural racism publicly available to catalyze research. Results show that structural racism is consistently associated with worse health for Black people but not White people. We conclude by highlighting this study's contributions (theoretical, methodological, and substantive) and important avenues for future research on the topic.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"141-160"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Disease, Scapegoating, and Social Contexts: Examining Social Contexts of the Support for Racist Naming of COVID-19 on Twitter. 疾病、替罪羊和社会背景：研究 Twitter 上支持 COVID-19 种族主义命名的社会背景》。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2023-09-09 DOI: 10.1177/00221465231194355
Yun Lu
{"title":"Disease, Scapegoating, and Social Contexts: Examining Social Contexts of the Support for Racist Naming of COVID-19 on Twitter.","authors":"Yun Lu","doi":"10.1177/00221465231194355","DOIUrl":"10.1177/00221465231194355","url":null,"abstract":"<p><p>In early 2020, when COVID-19 began to spread in the United States, many Twitter users called it the \"Chinese virus,\" blaming racial outgroups for the pandemic. I collected tweets containing the \"Chinese virus\" derivatives posted from March to August 2020 by users within the United States and created a data set with 141,290 tweets published by 50,695 users. I calculated the ratio of users who supported the racist naming of COVID-19 per county and merged Twitter data with the county-level census. Multilevel regression models show that counties with higher COVID-19 mortality or infection rates have more support for the racist naming. Second, the mortality and infection rates effects are stronger in counties with faster minority growth. Moreover, it is mainly in poor counties that minority growth enlarges the effects of infection and mortality rates. These findings relate to the theories on disease-induced xenophobia and the debate between conflict and contact theories.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"75-93"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10188178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Hurt on Both Sides: Political Differences in Health and Well-Being during the COVID-19 Pandemic. 双方的伤害：新冠肺炎大流行期间健康和福祉方面的政治差异。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2023-10-21 DOI: 10.1177/00221465231200500
Max E Coleman, Matthew A Andersson
{"title":"Hurt on Both Sides: Political Differences in Health and Well-Being during the COVID-19 Pandemic.","authors":"Max E Coleman, Matthew A Andersson","doi":"10.1177/00221465231200500","DOIUrl":"10.1177/00221465231200500","url":null,"abstract":"<p><p>Republicans and conservatives report better self-rated health and well-being compared to Democrats and liberals, yet they are more likely to reside in geographic areas with heavy COVID-19 morbidity and mortality. This harmed health on \"both sides\" of political divides, occurring in a time of rapid sociopolitical upheaval, warrants the revisiting of psychosocial mechanisms linked to political health differences. Drawing on national Gallup data (early 2021), we find that predicted differences in health or well-being vary substantially by ideology, party, voting behavior, and policy beliefs, with model fit depending on how politics are measured. Differences in self-rated health, psychological distress, happiness, trouble sleeping, and delayed health care tend to reveal worse outcomes for Democrats or liberals. Such differences often are reduced to insignificance by some combination of mastery, meritocratic beliefs, perceived social support, and COVID-19-related exposures and attitudes. Policy beliefs predict health differences most robustly across outcomes and mechanism adjustments.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"94-109"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
A Matter of Time: Racialized Time and the Production of Health Disparities. 时间问题：种族化时间与健康差异的产生》。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2023-06-28 DOI: 10.1177/00221465231182377
Cynthia G Colen, Kelsey J Drotning, Liana C Sayer, Bruce Link
{"title":"A Matter of Time: Racialized Time and the Production of Health Disparities.","authors":"Cynthia G Colen, Kelsey J Drotning, Liana C Sayer, Bruce Link","doi":"10.1177/00221465231182377","DOIUrl":"10.1177/00221465231182377","url":null,"abstract":"<p><p>An expansive and methodologically varied literature designed to investigate racial disparities in health now exists. Empirical evidence points to an overlapping, complex web of social conditions that accelerate the pace of aging and erodes long-term health outcomes among people of color, especially Black Americans. However, a social exposure-or lack thereof-that is rarely mentioned is time use. The current paper was specifically designed to address this shortcoming. First, we draw on extant research to illustrate how and why time is a critical source of racial disparities in health. Second, we employ fundamental causes theory to explain the specific mechanisms through which the differential distribution of time across race is likely to give rise to unequal health outcomes. Finally, we introduce a novel conceptual framework that identifies and distinguishes between four distinct forms of time use likely to play an outsized role in contributing to racial disparities in health.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"126-140"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10067670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Unpacking Intersectional Inequities in Flu Vaccination by Sexuality, Gender, and Race-Ethnicity in the United States. 揭示美国流感疫苗接种中的性别、性别和种族不平等。
IF 3.6 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-03-01 Epub Date: 2023-09-30 DOI: 10.1177/00221465231199276
Ning Hsieh
{"title":"Unpacking Intersectional Inequities in Flu Vaccination by Sexuality, Gender, and Race-Ethnicity in the United States.","authors":"Ning Hsieh","doi":"10.1177/00221465231199276","DOIUrl":"10.1177/00221465231199276","url":null,"abstract":"<p><p>Health care research has long overlooked the intersection of multiple social inequalities. This study examines influenza vaccination inequities at the intersection of sexuality, gender, and race-ethnicity. Using data from the 2013 to 2018 National Health Interview Survey (N = 166,908), the study shows that sexual, gender, and racial-ethnic identities jointly shaped flu vaccination. Specifically, White gay men had the highest vaccination rate (56%), while Black bisexual women had the lowest rate (23%). Across Black, Hispanic, and White individuals, sexual minority women had lower vaccination rates than heterosexual women, but sexual minority men had higher or similar vaccination rates than heterosexual men. Economic enabling, noneconomic enabling, and need-based factors together explained a substantial portion of these gaps. However, they cannot explain all the disadvantages faced by Black lesbian, bisexual, and heterosexual women and Black heterosexual men. Findings offer new evidence of hidden health care inequities and inform health policies from an intersectional perspective.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"38-59"},"PeriodicalIF":3.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10922600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41171966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
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