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Why Your Doctor Didn't Go to Class: Student Culture, High-Stakes Testing, and Novel Coupling Configurations in an Allopathic Medical School. 为什么你的医生不去上课:对抗疗法医学院的学生文化、高风险测试和新型耦合配置。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-09-01 DOI: 10.1177/00221465221118584
Judson G Everitt, James M Johnson, William H Burr
{"title":"Why Your Doctor Didn't Go to Class: Student Culture, High-Stakes Testing, and Novel Coupling Configurations in an Allopathic Medical School.","authors":"Judson G Everitt,&nbsp;James M Johnson,&nbsp;William H Burr","doi":"10.1177/00221465221118584","DOIUrl":"https://doi.org/10.1177/00221465221118584","url":null,"abstract":"<p><p>A clear pattern has emerged in allopathic medical schools across the United States: Most medical students have stopped going to class. While this trend among students is well known in medical education, few studies to date have examined the underlying sociological mechanisms driving this collective behavior or how these dynamics are related to institutional change in medical education. Drawing on 33 in-depth interviews with medical students in an allopathic medical school, we examine medical student culture and its role in shaping how medical students make sense of the institutionalized licensing requirement of the United States Medical Licensing Exam. We find that medical students learn to rely on digital recordings of their course content and third-party digital resources for Step 1 prep and stop attending their academic courses in person altogether. We argue that medical students create novel coupling configurations between local interaction and institutionalized licensure rules via their student cultures.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 3","pages":"370-385"},"PeriodicalIF":5.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181238","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: 1
Health Lifestyle Theory in a Changing Society: The Rise of Infectious Diseases and Digitalization. 变化社会中的健康生活方式理论:传染病的兴起和数字化。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-09-01 DOI: 10.1177/00221465231155609
William C Cockerham
{"title":"Health Lifestyle Theory in a Changing Society: The Rise of Infectious Diseases and Digitalization.","authors":"William C Cockerham","doi":"10.1177/00221465231155609","DOIUrl":"https://doi.org/10.1177/00221465231155609","url":null,"abstract":"<p><p>Social change produces alterations in society that necessitate changes in sociological theories. Two significant changes affecting health lifestyle theory are the behaviors associated with the COVID-19 pandemic and the digitalization of society. The health-protective practices emerging from the ongoing pandemic and the recent parade of other newly emerging infectious diseases need to be included in the theory's framework. Moreover, the extensive digitalization of today's society leads to the addition of connectivities (electronic networks) as a structural variable. Connectivities serve as a computational authority influencing health lifestyle practices through health apps and other digital resources in contrast to collectivities (human social networks) as a normative authority. The recent literature supporting these features in an updated and expanded model of health lifestyle theory is discussed.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 3","pages":"437-451"},"PeriodicalIF":5.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554887","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
Painful Feelings: Opioids as Tools for Avoiding Emotional Labor in Hospital Work. 痛苦感受:阿片类药物作为医院工作中避免情绪劳动的工具。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-09-01 DOI: 10.1177/00221465231176077
Alexandra Brewer
{"title":"Painful Feelings: Opioids as Tools for Avoiding Emotional Labor in Hospital Work.","authors":"Alexandra Brewer","doi":"10.1177/00221465231176077","DOIUrl":"https://doi.org/10.1177/00221465231176077","url":null,"abstract":"<p><p>How do clinicians manage the negative emotions that emerge when hospital patients are dissatisfied with their pain treatment? Drawing on a 21-month hospital ethnography, I show that clinicians view opioids as tools that can allow them to avoid engaging in emotional labor with dissatisfied pain patients. I detail two different strategies that clinicians pursued. Through <i>permissive prescription</i>, clinicians used intravenous (IV) opioids liberally to placate unhappy pain patients, temporarily minimizing patients' emotional needs. Through <i>restrictive prescription</i>, clinicians advocated for the more conservative use of IV opioids in the hopes that dissatisfied patients would leave the hospital, reducing their overall emotional workload. Divergent strategies for using opioids to avoid emotional labor led to hierarchical interprofessional conflict, which was itself a source of negative emotions that needed to be managed. Based on these findings, I argue that the desire to avoid emotional labor can shape patient care and workplace relationships.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 3","pages":"386-400"},"PeriodicalIF":5.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10555337","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: 1
The Buffering Effect of State Eviction and Foreclosure Policies for Mental Health during the COVID-19 Pandemic in the United States. 美国COVID-19大流行期间州驱逐和止赎政策对心理健康的缓冲作用
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-06-19 DOI: 10.1177/00221465231175939
Courtney E Boen, Lisa A Keister, Christina M Gibson-Davis, Anneliese Luck
{"title":"The Buffering Effect of State Eviction and Foreclosure Policies for Mental Health during the COVID-19 Pandemic in the United States.","authors":"Courtney E Boen, Lisa A Keister, Christina M Gibson-Davis, Anneliese Luck","doi":"10.1177/00221465231175939","DOIUrl":"10.1177/00221465231175939","url":null,"abstract":"<p><p>The COVID-19 pandemic spurred an economic downturn that may have eroded population mental health, especially for renters and homeowners who experienced financial hardship and were at risk of housing loss. Using household-level data from the Census Bureau's Household Pulse Survey (n = 805,223; August 2020-August 2021) and state-level data on eviction/foreclosure bans, we estimated linear probability models with two-way fixed effects to (1) examine links between COVID-related financial hardship and anxiety/depression and (2) assess whether state eviction/foreclosure bans buffered the detrimental mental health impacts of financial hardship. Findings show that individuals who reported difficulty paying for household expenses and keeping up with rent or mortgage had increased anxiety and depression risks but that state eviction/foreclosure bans weakened these associations. Our findings underscore the importance of state policies in protecting mental health and suggest that heterogeneity in state responses may have contributed to mental health inequities during the pandemic.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465231175939"},"PeriodicalIF":6.3,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/47/bd/10.1177_00221465231175939.PMC10288207.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706649","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
Corrigendum. 勘误表。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-06-01 DOI: 10.1177/0022146521989618
{"title":"Corrigendum.","authors":"","doi":"10.1177/0022146521989618","DOIUrl":"https://doi.org/10.1177/0022146521989618","url":null,"abstract":"","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 2","pages":"333"},"PeriodicalIF":5.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0022146521989618","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9528572","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. 简短的政策。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-06-01 DOI: 10.1177/00221465231171627
Ryan K Masters, Andres M Tilstra, Daniel H Simon, Kate Coleman-Minahan
{"title":"Policy Brief.","authors":"Ryan K Masters,&nbsp;Andres M Tilstra,&nbsp;Daniel H Simon,&nbsp;Kate Coleman-Minahan","doi":"10.1177/00221465231171627","DOIUrl":"https://doi.org/10.1177/00221465231171627","url":null,"abstract":"Die Potenziale und die damit verknüpften Erwartungen betreffen erstens die Grundlagenforschung, in der KI-basierte Methoden entscheidend dazu beitragen können, mögliche ursächliche Veränderungen im Erbgut und molekulare Mechanismen für Krankheiten schnell und umfänglich zu erkennen, zweitens die gezieltere und schnellere Entwicklung von Medikamenten und drittens die differenziertere Krankheitsdiagnose und Prognose von Erkrankungsrisiken, Therapiemöglichkeiten und -verläufen.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 2","pages":"173"},"PeriodicalIF":5.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9907042","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
Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates. 决定因素的差异：种族化产科护理与美国各州引产率的增长。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-06-01 Epub Date: 2023-04-26 DOI: 10.1177/00221465231165284
Ryan K Masters, Andrea M Tilstra, Daniel H Simon, Kate Coleman-Minahan
{"title":"Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates.","authors":"Ryan K Masters, Andrea M Tilstra, Daniel H Simon, Kate Coleman-Minahan","doi":"10.1177/00221465231165284","DOIUrl":"10.1177/00221465231165284","url":null,"abstract":"<p><p>Induction of labor (IOL) rates in the United States have nearly tripled since 1990. We examine official U.S. birth records to document increases in states' IOL rates among pregnancies to Black, Latina, and White women. We test if the increases are associated with changes in demographic characteristics and risk factors among states' racial-ethnic childbearing populations. Among pregnancies to White women, increases in state IOL rates are strongly associated with changes in risk factors among White childbearing populations. However, the rising IOL rates among pregnancies to Black and Latina women are not due to changing factors in their own populations but are instead driven by changing factors among states' <i>White</i> childbearing populations. The results suggest systemic racism may be shaping U.S. obstetric care whereby care is not \"centered at the margins\" but is instead responsive to characteristics in states' White populations.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 2","pages":"174-191"},"PeriodicalIF":6.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10848243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9670758","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
The Biomedical Subjectification of Women of Advanced Maternal Age: Reproductive Risk, Privilege, and the Illusion of Control. 高龄产妇的生物医学主体化:生殖风险、特权和控制幻觉。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-06-01 DOI: 10.1177/00221465221136252
Emily S Mann, Dana Berkowitz
{"title":"The Biomedical Subjectification of Women of Advanced Maternal Age: Reproductive Risk, Privilege, and the Illusion of Control.","authors":"Emily S Mann,&nbsp;Dana Berkowitz","doi":"10.1177/00221465221136252","DOIUrl":"https://doi.org/10.1177/00221465221136252","url":null,"abstract":"<p><p>The United States is experiencing a demographic transition toward older motherhood. Biomedicine classifies pregnancies among all women of advanced maternal age (AMA) as high-risk; paradoxically, women having first births at AMA are typically economically and racially privileged, which can reduce the risk of risks. This article examines the implications of the biomedicalization of AMA for first-time mothers, age 35 and older, using qualitative interviews. We find participants had substantial cultural health capital, which informed their critiques of AMA and the medical model of birth. When they found themselves subjected to biomedical protocols and concerned about reproductive risk as their pregnancies progressed, their subsequent biomedical subjectification compelled most to accept biomedical interventions. Consequently, some participants had traumatic birth experiences. Our findings illustrate that while first-time mothers of AMA anticipated that they would have more control over the birth process because of their advantages, ultimately, most did not.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 2","pages":"192-208"},"PeriodicalIF":5.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9661929","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: 2
Romantic Unions and Mental Health: The Role of Relationship Churning. 浪漫结合与心理健康:关系搅动的作用。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-06-01 DOI: 10.1177/00221465221126091
Sarah Halpern-Meekin, Kristin Turney
{"title":"Romantic Unions and Mental Health: The Role of Relationship Churning.","authors":"Sarah Halpern-Meekin,&nbsp;Kristin Turney","doi":"10.1177/00221465221126091","DOIUrl":"https://doi.org/10.1177/00221465221126091","url":null,"abstract":"<p><p>The stress process perspective suggests that romantic relationship transitions can be stressors that impair mental health. Research on romantic relationships and mental health has ignored one common stressor, on-again/off-again relationships, or <i>churning</i>. Using five waves of data from the Fragile Families and Child Wellbeing Study (N = 3,176), we examine associations between relationship churning and mothers' mental health. We find that mothers experiencing relationship churning have worse mental health than mothers in stably together relationships, net of characteristics associated with selection into relationship instability; these associations persist over four years. Mothers experiencing relationship churning have similar mental health as their counterparts who experience union dissolution (with or without repartnering). Current relationship status and quality explain some of the differences between churning and stably together mothers. Findings emphasize attending to multiple types of family stressors-even stressors and instability in ongoing relationships-and the micro-level ecological factors that shape mental health.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 2","pages":"243-260"},"PeriodicalIF":5.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10246423/pdf/nihms-1901582.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9667807","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
Family Formation History and the Psychological Well-Being of Women from Diverse Racial-Ethnic Groups. 家庭组建史与不同种族-族裔妇女的心理健康。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2023-06-01 Epub Date: 2023-03-24 DOI: 10.1177/00221465231159387
Robert Crosnoe, Carol A Johnston, Shannon E Cavanagh, Elizabeth Gershoff
{"title":"Family Formation History and the Psychological Well-Being of Women from Diverse Racial-Ethnic Groups.","authors":"Robert Crosnoe, Carol A Johnston, Shannon E Cavanagh, Elizabeth Gershoff","doi":"10.1177/00221465231159387","DOIUrl":"10.1177/00221465231159387","url":null,"abstract":"<p><p>Studying disparities in psychological well-being across diverse groups of women can illuminate the racialized health risks of gendered family life. Integrating life course and demand-reward perspectives, this study applied sequencing techniques to the National Longitudinal Study of Youth: 1979 to reveal seven trajectories of partnership and parenthood through women's 20s and 30s, including several in which parenthood followed partnership at different ages and with varying numbers of children and others characterized by nonmarital fertility or eschewing such roles altogether. These sequences differentiated positive and negative dimensions of women's well-being in their 50s. Women who inhabited any family role had greater life satisfaction and fewer depressive symptoms, although these general patterns differed by race-ethnicity. Family roles were more closely related to well-being than ill-being for White women, parenthood had more pronounced importance across outcomes for Black women, and the coupling of partnership and parenthood generally mattered more for Latinas.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"64 2","pages":"261-279"},"PeriodicalIF":5.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044464","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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