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Marked by Association(s): A Social Network Approach to Investigating Mental Health-Related Associative Stigma. 以关联为标记：用社会网络方法调查与心理健康有关的联想成见。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-07-31 DOI: 10.1177/00221465241261711
Elizabeth Felix
{"title":"Marked by Association(s): A Social Network Approach to Investigating Mental Health-Related Associative Stigma.","authors":"Elizabeth Felix","doi":"10.1177/00221465241261711","DOIUrl":"https://doi.org/10.1177/00221465241261711","url":null,"abstract":"<p><p>With most scholarly attention directed toward understanding the stigma experiences of individuals with mental illness, less attention has been given to associative stigma: an understudied form of social exclusion and devaluation experienced by the social ties of stigmatized individuals. This study advances scholarly understanding of associative stigma by drawing on social network methods to better illuminate how the quantity and quality of social relationships with those dealing with mental illness impact experiences of perceived discrimination. Using a nationally representative sample from the General Social Survey, I find that (1) knowing more people with mental illness, (2) having more core (friends and family members) versus peripheral ties, and (3) having ties who are most at risk of facing public stigma themselves (e.g., stereotype-confirming ties) are associated with greater perceived discrimination experiences. Taken together, these findings shed light on how pervasive associative stigma truly is.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465241261711"},"PeriodicalIF":6.3,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857058","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
Racial Capitalism and Black-White Health Inequities in the United States: The Case of the 2008 Financial Crisis. 美国的种族资本主义与黑人-白人健康不平等：2008 年金融危机案例》。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-07-30 DOI: 10.1177/00221465241260103
Reed T DeAngelis
{"title":"Racial Capitalism and Black-White Health Inequities in the United States: The Case of the 2008 Financial Crisis.","authors":"Reed T DeAngelis","doi":"10.1177/00221465241260103","DOIUrl":"10.1177/00221465241260103","url":null,"abstract":"<p><p>Scholars cite racist political-economic systems as drivers of health inequities in the United States (i.e., racial capitalism). But <i>how</i> does racial capitalism generate health inequities? I address this open question within the historical context of predatory lending during the 2008 financial crisis. Relevant hypotheses are tested with multiple waves of data from Black and White participants of the National Longitudinal Study of Adolescent to Adult Health (N = 8,877). Across socioeconomic strata, I find that Black participants report higher rates of foreclosure, eviction, repossession, delinquent bills, lost income, and new debts in the wake of the financial crisis. Using structural equation and quasi-experimental models, I then show that Black participants also self-report rapid health declines and increases in prescription drug abuse throughout this period, much of which is explained by chronic financial stress. I conclude that racial capitalism can generate health inequities by ensnaring Black Americans in a toxic web of financial exploitation and stress proliferation.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465241260103"},"PeriodicalIF":6.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794061","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
Peeking under the Hood of Job Stress: How Men and Women's Stress Levels Vary by Typologies of Job Quality and Family Composition. 窥探工作压力：男性和女性的压力水平如何因工作质量和家庭构成的类型而变化。
IF 6.3 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2023-10-13 DOI: 10.1177/00221465231195661
Grace Venechuk
{"title":"Peeking under the Hood of Job Stress: How Men and Women's Stress Levels Vary by Typologies of Job Quality and Family Composition.","authors":"Grace Venechuk","doi":"10.1177/00221465231195661","DOIUrl":"10.1177/00221465231195661","url":null,"abstract":"<p><p>Changes to work and family norms and polices over the last several decades have reshaped both the job quality and the nature of job and family formation in the United States. Neoliberal policies have generated a slew of flexible but precarious working conditions; labor force participation is now the modal path for all genders regardless of parental or marital status. Leveraging data on 3,419 working men and women from the National Longitudinal Study of Adolescent to Adult Health, I use granular measures of job quality to identify distinct job quality-family typologies among both men and women in early adulthood to midadulthood to examine differential implications for psychological and physiological stress. I find four types among men and three among women. Family formation and job prestige appear to differentiate stressful from nonstressful jobs for men; stress outcomes for women are more complex, with job characteristics such as flexibility playing a greater role.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"200-220"},"PeriodicalIF":6.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41219801","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
"Pills Don't Teach Skills": ADHD Coaching, Identity Work, and the Push toward the Liminal Medicalization of ADHD. "药片不教技能"：ADHD辅导、身份认同工作以及对ADHD医学极限化的推动。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2024-01-27 DOI: 10.1177/00221465231220385
Meredith Bergey
{"title":"\"Pills Don't Teach Skills\": ADHD Coaching, Identity Work, and the Push toward the Liminal Medicalization of ADHD.","authors":"Meredith Bergey","doi":"10.1177/00221465231220385","DOIUrl":"10.1177/00221465231220385","url":null,"abstract":"<p><p>Despite physicians' near monopoly over medicalization historically, various stakeholder groups shape an increasingly complex process today. This study examines a relatively new initiative, \"health coaching,\" within the context of the changing nature of medicalization. Utilizing 51 in-depth interviews with attention deficit hyperactivity disorder (ADHD) coaches, participant observation from seven ADHD symposia, and ADHD coach publications, I examine coaching's emergence as a partial challenge to medicalization. Findings reveal a field comprised mainly of individuals personally affected by ADHD whose dissatisfaction with institutionalized framings and practices underpins a push for liminal medicalization. Members move between medical and nonmedical discourses to frame ADHD as a paradox of pathology and gift. Additionally, they leverage and commodify personal experience alongside institutional and alternative knowledge into an adjunct or substitute to medication and potential challenge to therapy-one aimed at \"self-actualization\" versus \"treatment.\" Such efforts highlight (de)medicalization's dimensionality, simultaneous medicalization and demedicalization, and a lay-driven enterprise's role in such processes.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"256-272"},"PeriodicalIF":5.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571966","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
Sleep Duration Differences by Education from Middle to Older Adulthood: Does Employment Stratification Contribute to Gendered Leveling? 中老年教育的睡眠时间差异：就业分层有助于性别均衡吗？
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2023-10-13 DOI: 10.1177/00221465231199281
Jess M Meyer
{"title":"Sleep Duration Differences by Education from Middle to Older Adulthood: Does Employment Stratification Contribute to Gendered Leveling?","authors":"Jess M Meyer","doi":"10.1177/00221465231199281","DOIUrl":"10.1177/00221465231199281","url":null,"abstract":"<p><p>Sleep duration changes across the life course and differs by education in the United States. However, little research has examined whether educational differences in sleep duration change over age-or whether sleep duration trajectories over age differ by education. This study uses a life course approach to analyze American Time Use Survey data (N = 60,908), examining how educational differences in weekday sleep duration change from middle to older adulthood (ages 40-79). For men only, differences in total sleep time between individuals with less than a high school degree and those with more education converge in older adulthood. Results suggest that this leveling is explained by decreasing educational stratification in work hours as men enter older adulthood. Findings highlight the importance of employment for shaping gendered socioeconomic differences in sleep and demonstrate differences by education in how sleep duration changes over age, with possible implications for health disparities.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"182-199"},"PeriodicalIF":5.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11014895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41219802","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
"I Love You to Death": Social Networks and the Widowhood Effect on Mortality. "我爱死你了"：社会网络与丧偶对死亡率的影响》。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2023-06-28 DOI: 10.1177/00221465231175685
Benjamin Cornwell, Tianyao Qu
{"title":"\"I Love You to Death\": Social Networks and the Widowhood Effect on Mortality.","authors":"Benjamin Cornwell, Tianyao Qu","doi":"10.1177/00221465231175685","DOIUrl":"10.1177/00221465231175685","url":null,"abstract":"<p><p>Research on \"the widowhood effect\" shows that mortality rates are greater among people who have recently lost a spouse. There are several medical and psychological explanations for this (e.g., \"broken heart syndrome\") and sociological explanations that focus on spouses' shared social-environmental exposures. We expand on sociological perspectives by arguing that couples' social connections <i>to others</i> play a role in this phenomenon. Using panel data on 1,169 older adults from the National Social Life, Health, and Aging Project, we find that mortality is associated with how well embedded one's spouse is in one's own social network. The widowhood effect is greater among those whose spouses were <i>not</i> well connected to one's other network members. We speculate that the loss of a less highly embedded spouse signals the loss of unique, valuable, nonredundant social resources from one's network. We discuss theoretical interpretations, alternative explanations, limitations, and directions for future research.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"273-291"},"PeriodicalIF":5.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692610","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
Cumulative Unionization and Physical Health Disparities among Older Adults. 老年人的累积统一和身体健康差异。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2023-10-31 DOI: 10.1177/00221465231205266
Xiaowen Han, Tom VanHeuvelen, Jeylan T Mortimer, Zachary Parolin
{"title":"Cumulative Unionization and Physical Health Disparities among Older Adults.","authors":"Xiaowen Han, Tom VanHeuvelen, Jeylan T Mortimer, Zachary Parolin","doi":"10.1177/00221465231205266","DOIUrl":"10.1177/00221465231205266","url":null,"abstract":"<p><p>Whereas previous research shows that union membership is associated with improved health, static measurements have been used to test dynamic theories linking the two. We construct a novel measure of cumulative unionization, tracking individuals across their entire careers, to examine health consequences in older adulthood. We use data from the Panel Study of Income Dynamics (1970-2019) and predict self-rated health, functional limitations, and chronic health conditions in ages 60 to 79 using cumulative unionization measured during respondents' careers. Results from growth models show that unionized careers are associated with .25 SD to .30 SD improvements in health among older adults across all measures. Analyses of life course mechanisms reveal heterogeneous effects across unionization timing, age in older adulthood, and birth cohort. Moreover, subgroup analyses reveal unionization to partially, but not fully, ameliorate disparities based on privileged social positions. Our findings reveal a substantial and novel mechanism driving older adulthood health disparities.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"162-181"},"PeriodicalIF":5.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415229","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. 政策简介。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2024-05-08 DOI: 10.1177/00221465241248972
Xiaowen Han, Tom VanHeuvelen, Jeylan T Mortimer, Zachary Parolin
{"title":"Policy Brief.","authors":"Xiaowen Han, Tom VanHeuvelen, Jeylan T Mortimer, Zachary Parolin","doi":"10.1177/00221465241248972","DOIUrl":"10.1177/00221465241248972","url":null,"abstract":"","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"161"},"PeriodicalIF":5.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877925","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-Stakes Treatment Negotiations Gone Awry: The Importance of Interactions for Understanding Treatment Advocacy and Patient Resistance. 高风险治疗谈判陷入困境：相互作用对理解治疗倡导和患者抵抗的重要性。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2023-10-31 DOI: 10.1177/00221465231204354
Alexandra Tate, Karen Lutfey Spencer
{"title":"High-Stakes Treatment Negotiations Gone Awry: The Importance of Interactions for Understanding Treatment Advocacy and Patient Resistance.","authors":"Alexandra Tate, Karen Lutfey Spencer","doi":"10.1177/00221465231204354","DOIUrl":"10.1177/00221465231204354","url":null,"abstract":"<p><p>Doctors (and sociologists) have a long history of struggling to understand why patients seek medical help yet resist treatment recommendations. Explanations for resistance have pointed to macrostructural changes, such as the rise of the engaged patient or decline of physician authority. Rather than assuming that concepts such as resistance, authority, or engagement are exogenous phenomena transmitted via conversational conduits, we examine how they are dynamically co-constituted interactionally. Using conversation analysis to analyze a videotaped interaction of an oncology patient resisting the treatment recommendation even though she might die without treatment, we show how sustained resistance manifests in and through her doctor's actions. This paradox, in which the doctor can both recommend life-prolonging care and condition resistance to it, has broad relevance beyond cancer treatment; it also can help us to understand other doctor-patient decisional conflicts, for instance, medication nonadherence, delaying emergent care, and vaccine refusal.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"237-255"},"PeriodicalIF":5.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415231","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
Whose Good Death? Valuation and Standardization as Mechanisms of Inequality in Hospitals. 谁的美好死亡？作为医院不平等机制的估价和标准化。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2022-12-15 DOI: 10.1177/00221465221143088
Katrina E Hauschildt
{"title":"Whose Good Death? Valuation and Standardization as Mechanisms of Inequality in Hospitals.","authors":"Katrina E Hauschildt","doi":"10.1177/00221465221143088","DOIUrl":"10.1177/00221465221143088","url":null,"abstract":"<p><p>Although most clinicians have come to perceive invasive life-sustaining treatments as overly aggressive at the end of life, some of the public and greater proportions of some socially disadvantaged groups have not. Drawing on 1,500+ hours of observation in four intensive care units and 69 interviews with physicians and patients' family members, I find inequality occurs through two mechanisms complementary to the cultural health capital and fundamental causes explanations prevalent in existing health disparities literature: in valuation, as the attitudes and values of the socially disadvantaged are challenged and ignored, and in standardization, as the outcomes preferred by less advantaged groups are defined as inappropriate and made harder to obtain by the informal and formal practices and policies of racialized organizations. I argue inequality is produced in part because wealthier and White elites shape institutional preferences and practices and, therefore, institutions and clinical standards to reflect their cultural tastes.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221-236"},"PeriodicalIF":5.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10267289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9632936","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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