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Strategic (Non)Disclosure: Activation and Avoidance of Social Ties among Women Seeking Abortion. 策略性（不）披露：寻求堕胎的妇女对社会关系的激活与回避。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 Epub Date: 2024-01-16 DOI: 10.1177/00221465231215783
Kathleen Broussard
{"title":"Strategic (Non)Disclosure: Activation and Avoidance of Social Ties among Women Seeking Abortion.","authors":"Kathleen Broussard","doi":"10.1177/00221465231215783","DOIUrl":"10.1177/00221465231215783","url":null,"abstract":"<p><p>The increased politicization of sexual and reproductive health has created barriers to medically necessary care. In absence of formal health care, social ties become critical sources of information and resources, yet the disclosure of stigmatized health needs carries significant risk. How do people navigate the risks and benefits of disclosure when seeking care for stigmatized needs? Drawing on original survey data (N = 153) and in-depth interviews (N = 55) with women who attempted a self-managed abortion, I first describe the distinct roles of weak and strong ties in women's health-seeking experiences. I then demonstrate how both partial disclosure and nondisclosure are critical tools for obtaining information, resources, and emotional support during periods of health-seeking. Findings advance understanding of disclosure as a continuum that can be strategically wielded by people with stigmatized needs to confront and evade stigma and surveillance from their networks, the state, and the formal health care system.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"489-505"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479672","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
Socioeconomic-Status-Based Disrespect, Discrimination, Exclusion, and Shaming: A Potential Source of Health Inequalities? 基于社会经济地位的不尊重、歧视、排斥和羞辱：健康不平等的潜在根源？
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 Epub Date: 2024-03-16 DOI: 10.1177/00221465241232658
Bruce G Link, San Juanita García, Rengin Firat, Shayna La Scalla, Jo C Phelan
{"title":"Socioeconomic-Status-Based Disrespect, Discrimination, Exclusion, and Shaming: A Potential Source of Health Inequalities?","authors":"Bruce G Link, San Juanita García, Rengin Firat, Shayna La Scalla, Jo C Phelan","doi":"10.1177/00221465241232658","DOIUrl":"10.1177/00221465241232658","url":null,"abstract":"<p><p>Observing an association between socioeconomic status (SES) and health reliably leads to the question, \"What are the pathways involved?\" Despite enormous investment in research on the characteristics, behaviors, and traits of people disadvantaged with respect to health inequalities, the issue remains unresolved. We turn our attention to actions of more advantaged groups by asking people to self-report their exposure to disrespect, discrimination, exclusion, and shaming (DDES) from people above them in the SES hierarchy. We developed measures of these phenomena and administered them to a cross-sectional U.S. national probability sample (N = 1,209). Consistent with the possibility that DDES represents a pathway linking SES and health, the SES→health coefficient dropped substantially when DDES variables were controlled: 112.9% for anxiety, 43.8% for self-reported health, and 49.4% for cardiovascular-related conditions. These results illustrate a need for a relational approach emphasizing the actions of more advantaged groups in shaping health inequities.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"558-576"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140141147","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
Providing Health Care and Social Support during Economic Crises: Lessons Learned from "Solidarity Outpatient Clinics" in Greece during the Great Recession. 在经济危机期间提供医疗保健和社会支持：大衰退期间希腊 "团结门诊 "的经验教训。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-12-01 Epub Date: 2024-06-03 DOI: 10.1177/00221465241249697
Matthew D Matsaganis, Maria Petraki, Vassia Karanatsiou
{"title":"Providing Health Care and Social Support during Economic Crises: Lessons Learned from \"Solidarity Outpatient Clinics\" in Greece during the Great Recession.","authors":"Matthew D Matsaganis, Maria Petraki, Vassia Karanatsiou","doi":"10.1177/00221465241249697","DOIUrl":"10.1177/00221465241249697","url":null,"abstract":"<p><p>\"Solidarity outpatient clinics\" (SOCs) emerged in Greece as a novel community-based health care resource during the global economic crisis that started in 2008. They have provided crucial social support to diverse vulnerable populations. Solidarity is a critical organizational principle underlying SOCs' operation. It is juxtaposed to charity to emphasize, among other things, building symmetrical relationships between providers and patients. Employing a case study approach and a multilevel, multimethod research design, we analyzed qualitative data collected through semistructured interviews (N = 20) with patients, staff, and other local stakeholders and content of monthly informational bulletins (N = 26) and weekly radio shows (N = 48) produced by a prominent SOC in Greece's capital. Findings provide insight into structural and functional dimensions of social support exchanges at SOCs and extend our understanding of different types of social support and the organizational contexts through which they are secured, particularly during financial crises.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"618-634"},"PeriodicalIF":6.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238696","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":"142787688","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
No Socioeconomic Inequalities in Mortality among Catholic Monks: A Quasi-Experiment Providing Evidence for the Fundamental Cause Theory. 天主教僧侣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。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-11-14 DOI: 10.1177/00221465241291847
Alina Schmitz, Patrick Lazarevič, Marc Luy
{"title":"No Socioeconomic Inequalities in Mortality among Catholic Monks: A Quasi-Experiment Providing Evidence for the Fundamental Cause Theory.","authors":"Alina Schmitz, Patrick Lazarevič, Marc Luy","doi":"10.1177/00221465241291847","DOIUrl":"10.1177/00221465241291847","url":null,"abstract":"<p><p>We propose a novel approach to test the fundamental cause theory (FCT) by analyzing the association between socioeconomic status (SES), as measured by the order titles \"brothers\" and \"padres,\" and mortality in 2,421 German Catholic monks born between 1840 and 1959. This quasi-experiment allows us to study the effect of SES on mortality in a population with largely standardized living conditions. Mortality analyses based on Kaplan-Meier product limit estimation show that there were no statistically significant survival differences between the high and lower SES monks. This holds for all birth cohorts, indicating that monastic life offers health protection for monks with a lower SES regardless the disease patterns, causes of death, or main risk factors in a given period. These findings support the FCT: Whereas SES-related differences in mortality are a widely confirmed finding in the general population, a context with largely standardized conditions eliminates the importance of SES-related resources.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465241291847"},"PeriodicalIF":6.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632360","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 Heterogeneous Effects of College Education on Outcomes Related to Deaths of Despair. 大学教育对绝望死亡相关结果的异质性影响。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-11-14 DOI: 10.1177/00221465241291845
Grzegorz Bulczak, Alexi Gugushvili, Jonathan Koltai
{"title":"The Heterogeneous Effects of College Education on Outcomes Related to Deaths of Despair.","authors":"Grzegorz Bulczak, Alexi Gugushvili, Jonathan Koltai","doi":"10.1177/00221465241291845","DOIUrl":"10.1177/00221465241291845","url":null,"abstract":"<p><p>College education features prominently in research on determinants of deaths from substance use disorders and self-harm-outcomes collectively referred to as \"deaths of despair\" (DoD). Limited attention has been given to whether the protective effects of college education on indicators of despair vary by individuals' likelihood of college completion. We use data from the National Longitudinal Study of Adolescent to Adult Health for 6,145 individuals to test whether the protective effects of college completion on precursors to DoD vary according to individuals' propensity to attain a college degree. Understanding whether the benefits of college education differ depending on the propensity to complete it is important for designing effective educational policies. Using the heterogeneous treatment effects approach, we find that individuals with a relatively low propensity for graduating from college but who complete it have a lower likelihood of depressive symptoms, binge drinking, prescription drug abuse, and hard drug use.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465241291845"},"PeriodicalIF":6.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632361","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
Disparities in the Life Course Origins of Dual Functionality. 双重功能生命历程起源的差异。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-11-14 DOI: 10.1177/00221465241293191
Kenneth F Ferraro, Madison R Sauerteig-Rolston, Shawn Bauldry, Patricia A Thomas
{"title":"Disparities in the Life Course Origins of Dual Functionality.","authors":"Kenneth F Ferraro, Madison R Sauerteig-Rolston, Shawn Bauldry, Patricia A Thomas","doi":"10.1177/00221465241293191","DOIUrl":"https://doi.org/10.1177/00221465241293191","url":null,"abstract":"<p><p>Although research has identified how stressors are related to either physical or cognitive function in later life, we bridge these literatures by examining dual functionality (neither physical nor cognitive impairment) among Black, White, and Hispanic adults. Using data from the Health and Retirement Study (2006-2016), we investigated whether stressors and resources during childhood and adulthood are related to functional loss at baseline and longitudinally. Analyses revealed that lifetime trauma was associated with dual functionality impairment at baseline, but childhood stressors and everyday discrimination were prospectively associated with loss of dual functionality. Black and foreign-born Hispanic adults experienced earlier loss of dual functionality than White adults, and the effect of childhood stressors on the transition to impairment occurred earlier for U.S.-born Hispanic adults. Findings reveal the influence of exposures in childhood and adulthood on functional health in later life-and how resources may be a counterbalance to functional loss.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465241293191"},"PeriodicalIF":6.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632359","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 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-11-09 DOI: 10.1177/00221465241291690
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":"10.1177/00221465241291690","DOIUrl":"https://doi.org/10.1177/00221465241291690","url":null,"abstract":"","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"18 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142597242","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
High School Curricular Rigor and Cognitive Function among White Older Adults 高中课程的严谨性与白人老年人的认知功能
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-10-22 DOI: 10.1177/00221465241283745
Sara M. Moorman, Jooyoung Kong
{"title":"High School Curricular Rigor and Cognitive Function among White Older Adults","authors":"Sara M. Moorman, Jooyoung Kong","doi":"10.1177/00221465241283745","DOIUrl":"https://doi.org/10.1177/00221465241283745","url":null,"abstract":"Most research on the strong relationship between education and cognitive aging has focused on years of schooling. Using data from the Wisconsin Longitudinal Study—a sample of White persons born in 1939—we explored whether greater curricular rigor in high school was also associated with better cognitive function in later life. We estimated multilevel structural equation models in data from 2,749 participants who attended 308 Wisconsin high schools, graduating in 1957. Independent of academic ability and performance and school-level financial and material resources, a more rigorous high school curriculum was associated with significantly better global cognitive functioning in 2020, when most participants were 81 years old. There was also a significant mediation via eventual degree attainment. The mediation was moderated such that men and participants from high socioeconomic status families benefited most from a rigorous curriculum. We discuss implications for modern educational policy.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"62 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142487236","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
Spatial and Ethno-national Health Inequalities: Health and Mortality Gaps between Palestinians and Jews in Israel. 空间和民族健康不平等：以色列巴勒斯坦人和犹太人之间的健康和死亡率差距。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-10-22 DOI: 10.1177/00221465241283455
Ameed Saabneh
{"title":"Spatial and Ethno-national Health Inequalities: Health and Mortality Gaps between Palestinians and Jews in Israel.","authors":"Ameed Saabneh","doi":"10.1177/00221465241283455","DOIUrl":"https://doi.org/10.1177/00221465241283455","url":null,"abstract":"<p><p>This research adopts an analytical spatial perspective to explain ethno-national health inequality between Palestinians and Jews in Israel. The work identifies the forces that instigated and maintained the spatial segregation of Palestinians and elaborates the role of segregation in generating health gaps between Palestinians and Jews. The analysis suggests a novel conceptualization of two types of segregation: (a) exclusion from the center and confinement to the periphery and (b) segregation within the geographic periphery. Using administrative data on COVID-19 incidence, hospitalization, and death and various health indicators for localities, I devise a decomposition method that evaluates the relative contribution of each type of segregation to the total health gap. The findings indicate that the segregation of Palestinians from the center and their confinement to peripheral regions are crucial determinants of their poor health outcomes and that the segregation of the Palestinian community within the geographic periphery also contributes to poorer health.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465241283455"},"PeriodicalIF":6.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480391","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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