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“It Was So Easy in a Situation That’s So Hard”: Structural Stigma and Telehealth Abortion “在如此艰难的情况下，这是如此容易”：结构性耻辱和远程医疗堕胎
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-01-08 DOI: 10.1177/00221465241303873
Andréa Becker, Celina Doria, Leah R. Koenig, Jennifer Ko, Ushma Upadhyay
{"title":"“It Was So Easy in a Situation That’s So Hard”: Structural Stigma and Telehealth Abortion","authors":"Andréa Becker, Celina Doria, Leah R. Koenig, Jennifer Ko, Ushma Upadhyay","doi":"10.1177/00221465241303873","DOIUrl":"https://doi.org/10.1177/00221465241303873","url":null,"abstract":"For decades, sociological research has examined the role of stigma in contributing to health disparities, yet such research seldom grapples with the interplay between individuals and structures. There is a particular paucity of research on abortion that concurrently examines individual experiences with stigma and structural barriers. In this article, we use telehealth abortion as a case, which now accounts for one in five abortions in the United States. We conducted 30 interviews and approach the data using a structural stigma framework in tandem with conceptualizations of felt, internalized, and enacted stigma. Findings advance a sociological theory of structural abortion stigma: a combination of structural barriers, internalized beliefs, and interpersonal shame. Telehealth reduces structural barriers to abortion and mitigates internal and interpersonal experiences of stigma. The latter is achieved by the ability to avoid the traditional abortion clinic, which many interviewees view as the site where stigma is produced and experienced.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"6 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142937010","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
Into the Unknown: Anticipatory Stressors in the Stress Process Paradigm 进入未知：应激过程范式中的预期应激源
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-30 DOI: 10.1177/00221465241302507
Matthew K. Grace
{"title":"Into the Unknown: Anticipatory Stressors in the Stress Process Paradigm","authors":"Matthew K. Grace","doi":"10.1177/00221465241302507","DOIUrl":"https://doi.org/10.1177/00221465241302507","url":null,"abstract":"A growing literature examines anticipatory stressors or the worries people have about the future that may or may never occur. Drawing on data collected as part of two national surveys (N = 3,834), this study formalizes a scale of anticipatory stress tapping into future-oriented worries about economic security, traumatic events, and discrimination. Results indicate that both personal and vicarious stress exposure predict greater anticipatory stress and, replicating past work, that such worries are concentrated among historically marginalized groups. Anticipatory stressors explain an appreciable amount of the variation in distress, and suggestive of their insidious effects, these associations persist after adjustment for other sources of adversity. Whereas mastery and self-esteem buffer mental health, the protective effects of social support are compromised at higher levels of anticipatory stress. Findings signal the importance of incorporating anticipatory stressors into the stress process to more sufficiently capture how the social world imprints on mental health.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"19 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908447","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
The Unequal Loop: Socioeconomic Status and the Dynamic Bidirectional Relationship between Physical and Mental Health 不平等循环：社会经济地位与身心健康的动态双向关系
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-30 DOI: 10.1177/00221465241300303
Yajie Xiong, Yaqiang Qi
{"title":"The Unequal Loop: Socioeconomic Status and the Dynamic Bidirectional Relationship between Physical and Mental Health","authors":"Yajie Xiong, Yaqiang Qi","doi":"10.1177/00221465241300303","DOIUrl":"https://doi.org/10.1177/00221465241300303","url":null,"abstract":"This study draws on longitudinal data from the Health and Retirement Study (2008–2020) to investigate the dynamic bidirectional relationship between physical and mental health, focusing on socioeconomic disparities. Dynamic panel models reveal significant bidirectional associations between measures of physical and mental health for both positive and negative health indicators, but the magnitude varies by education and wealth. Specifically, the interconnection between indicators of negative physical and mental health (i.e., functional limitations and depression symptoms) is stronger among the socioeconomically disadvantaged, whereas the relationship between indicators of positive physical and mental health (i.e., physical activity and positive affect) is stronger at higher levels of wealth (although not education). By disentangling the bidirectional association between physical and mental health, these results imply an important process of the reproduction and perpetuation of health inequalities.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"4 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901605","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
Corrigendum to "No Socioeconomic Inequalities in Mortality among Catholic Monks: A Quasi-Experiment Providing Evidence for the Fundamental Cause Theory". 《天主教修道士的死亡率不存在社会经济不平等：为根本原因理论提供证据的准实验》的勘误表。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-06 DOI: 10.1177/00221465241306670
{"title":"Corrigendum to \"No Socioeconomic Inequalities in Mortality among Catholic Monks: A Quasi-Experiment Providing Evidence for the Fundamental Cause Theory\".","authors":"","doi":"10.1177/00221465241306670","DOIUrl":"https://doi.org/10.1177/00221465241306670","url":null,"abstract":"","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465241306670"},"PeriodicalIF":6.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787577","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
Editorial Acknowledgment of Reviewers. 审稿人编辑致谢。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 DOI: 10.1177/00221465241292112
{"title":"Editorial Acknowledgment of Reviewers.","authors":"","doi":"10.1177/00221465241292112","DOIUrl":"https://doi.org/10.1177/00221465241292112","url":null,"abstract":"","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"65 4","pages":"635-637"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808062","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
Work-Family Life Course Trajectories and Women's Mental Health: The Moderating Role of Defamilization Policies in 15 European Territories. 工作-家庭生活轨迹与女性心理健康：欧洲 15 个地区诽谤政策的调节作用》。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.1177/00221465241265435
Ariel Azar
{"title":"Work-Family Life Course Trajectories and Women's Mental Health: The Moderating Role of Defamilization Policies in 15 European Territories.","authors":"Ariel Azar","doi":"10.1177/00221465241265435","DOIUrl":"10.1177/00221465241265435","url":null,"abstract":"<p><p>This study employs multichannel sequence analysis of data from the Survey of Health, Ageing, and Retirement in Europe to explore variations in the association between work-family life trajectories and women's mental health across European cohorts born between 1924 and 1965 within different policy contexts. It finds that trajectories characterized by prolonged employment and delayed familial commitments are generally associated with increased depressive symptoms. Notably, the strength of this association varies significantly across cohorts and is notably moderated by defamilization policies. These policies, which aim to reduce dependency on family for managing social risks, buffer mental health challenges in traditional family roles but are less effective for women in trajectories with delayed family formation. This investigation highlights the nuanced ways in which historical and cultural contexts alongside policy environments shape mental health outcomes at various life stages, offering valuable insights into our understanding of health disparities across the life course, with an emphasis on exposure to changing institutions.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"468-488"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857060","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
For Whom Does Education Convey Health Benefits? A Two-Generation and Life Course Approach. 教育为谁带来健康益处？两代人和生命历程法》。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 Epub Date: 2024-06-04 DOI: 10.1177/00221465241249120
Liying Luo, Lai Wei
{"title":"For Whom Does Education Convey Health Benefits? A Two-Generation and Life Course Approach.","authors":"Liying Luo, Lai Wei","doi":"10.1177/00221465241249120","DOIUrl":"10.1177/00221465241249120","url":null,"abstract":"<p><p>Scholars of social determinants of health have long been interested in how parent's and own education influence health. However, the differing effects of parent's and own education on health-that is, for what socioeconomic group education conveys health benefits-are relatively less studied. Using multilevel marginal structural models, we estimate the heterogeneous effects of parent's and own education over the life course on two health measures. Our analysis considers both parent's and respondent's pre-education covariates, such as childhood health and socioeconomic conditions. We find that the protective effects of college completion against negative health outcomes are remarkably similar regardless of parent's (measured by father's or mother's) education. Meanwhile, parent's education has a larger effect when the average educational level is low in the population. Our results also reveal distinct life course patterns between health measures. We conclude by discussing the implications of our study for understanding the education-health relationship.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"596-617"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238694","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
Cumulative Disadvantage or Strained Advantage? Remote Schooling, Paid Work Status, and Parental Mental Health during the COVID-19 Pandemic. 累积的劣势还是被压缩的优势？COVID-19大流行期间的远程教育、有偿工作状况和父母心理健康。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 Epub Date: 2024-02-26 DOI: 10.1177/00221465241230505
Mieke Beth Thomeer, Mia Brantley, Rin Reczek
{"title":"Cumulative Disadvantage or Strained Advantage? Remote Schooling, Paid Work Status, and Parental Mental Health during the COVID-19 Pandemic.","authors":"Mieke Beth Thomeer, Mia Brantley, Rin Reczek","doi":"10.1177/00221465241230505","DOIUrl":"10.1177/00221465241230505","url":null,"abstract":"<p><p>During the COVID-19 pandemic, parents experienced difficulties around employment and children's schooling, likely with detrimental mental health implications. We analyze National Longitudinal Survey of Youth 1997 data (N = 2,829) to estimate depressive symptom changes from 2019 to 2021 by paid work status and children's schooling modality, considering partnership status, gender, and race-ethnicity differences. We draw on cumulative disadvantage theory alongside strained advantage theory to test whether mental health declines were steeper for parents with more disadvantaged statuses or for parents with more advantaged statuses. Parents with work disruptions, without paid work, or with children in remote school experienced the greatest increases in depressive symptoms, with steepest increases among single parents without paid work and single parents with children in remote school (cumulative disadvantage), fathers without paid work (strained advantage), and White parents with remote school (strained advantage). We discuss the uneven impacts of the pandemic on mental health and implications for long-term health disparities.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"539-557"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11345879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974366","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
Racializing Motherhood and Maternity Care in News Representations of Breastfeeding. 母乳喂养新闻报道中的母性和产妇护理种族化。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 Epub Date: 2024-03-05 DOI: 10.1177/00221465241235143
Shannon K Carter, Sanya Bansal
{"title":"Racializing Motherhood and Maternity Care in News Representations of Breastfeeding.","authors":"Shannon K Carter, Sanya Bansal","doi":"10.1177/00221465241235143","DOIUrl":"10.1177/00221465241235143","url":null,"abstract":"<p><p>Racial inequalities in breastfeeding have been a U.S. national concern, prompting health science research and public discourse. Social science research reveals structural causes, including racism in labor conditions, maternity care practices, and lactation support. Yet research shows that popular and health science discourses disproportionately focus on individual and community factors, blaming Black women and communities for unequal breastfeeding rates. This study examines how scientific reports are communicated to the public through a critical analysis of 104 U.S. news articles reporting research on racial disparities in breastfeeding. Findings show that articles acknowledge unequal treatment within maternity care but justify it by presenting Black patients as overburdening the maternity care systems they use due to low socioeconomic status, welfare dependency, poor family support, and poor health. Through these representations, articles co-construct racialized motherhood and maternity care systems in ways that hide manifestations of obstetric racism and combat social support for systemic change.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"506-520"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040868","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
Author Index. 作者索引。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 DOI: 10.1177/00221465241291685
{"title":"Author Index.","authors":"","doi":"10.1177/00221465241291685","DOIUrl":"https://doi.org/10.1177/00221465241291685","url":null,"abstract":"","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"65 4","pages":"638-639"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787687","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
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