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Transitory or Chronic? Gendered Loneliness Trajectories over Widowhood and Separation in Older Age. 短暂还是长期？老年丧偶和分居的性别孤独轨迹
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-06-01 Epub Date: 2024-01-27 DOI: 10.1177/00221465231223719
Nicole Kapelle, Christiaan Monden
{"title":"Transitory or Chronic? Gendered Loneliness Trajectories over Widowhood and Separation in Older Age.","authors":"Nicole Kapelle, Christiaan Monden","doi":"10.1177/00221465231223719","DOIUrl":"10.1177/00221465231223719","url":null,"abstract":"<p><p>We investigate how loneliness develops over the marital dissolution process in older age (i.e., transition at or after age 50) while paying close attention to heterogeneities by the dissolution pathway-widowhood and separation-and gender. Using data from over 8,000 Household, Income and Labour Dynamics in Australia survey respondents, we assess the association of interest using fixed effects regressions. Findings indicate that loneliness increased in the year before widowhood or separation among both women and men. Levels spiked in the year of dissolution, particularly for widowhood but less for separation. Widowed men were substantially more affected than widowed women, and gender differences were negligible for separation. Although loneliness levels gradually declined, widowed men remained vulnerable for remarkably long periods. Such chronic loneliness might be linked to other health disadvantages. These findings highlight the importance of long-term and gender-specific approaches to social support and integration after marital dissolution.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"292-308"},"PeriodicalIF":5.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571967","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
Anxious Activists? Examining Immigration Policy Threat, Political Engagement, and Anxiety among College Students with Different Self/Parental Immigration Statuses 焦虑的积极分子？研究移民政策威胁、政治参与和不同自我/父母移民身份的大学生的焦虑情绪
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-04-29 DOI: 10.1177/00221465241247541
Erin Manalo-Pedro, Laura E. Enriquez, Jennifer R. Nájera, Annie Ro
{"title":"Anxious Activists? Examining Immigration Policy Threat, Political Engagement, and Anxiety among College Students with Different Self/Parental Immigration Statuses","authors":"Erin Manalo-Pedro, Laura E. Enriquez, Jennifer R. Nájera, Annie Ro","doi":"10.1177/00221465241247541","DOIUrl":"https://doi.org/10.1177/00221465241247541","url":null,"abstract":"Restrictive immigration policies harm the mental health of undocumented immigrants and their U.S. citizen family members. As a sociopolitical stressor, threat to family due to immigration policy can heighten anxiety, yet it is unclear whether political engagement helps immigrant-origin students to cope. We used a cross-sectional survey of college students from immigrant families (N = 2,511) to investigate whether anxiety symptomatology was associated with perceived threat to family and if political engagement moderated this relationship. We stratified analyses by self/parental immigration statuses—undocumented students, U.S. citizens with undocumented parents, and U.S. citizens with lawfully present parents—to examine family members’ legal vulnerability. Family threat was significantly associated with anxiety; higher levels of political engagement reduced the strength of this relationship. However, this moderation effect was significant only for U.S. citizens with lawfully present parents. These findings emphasize the importance of the family immigration context in shaping individuals’ mental health outcomes.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"101 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140820020","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 Intergenerational Transmission of Health Disadvantage: Can Education Disrupt It? 健康劣势的代际传递：教育能否打破这种局面？
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-04-29 DOI: 10.1177/00221465241246250
Emily Smith-Greenaway, Yingyi Lin, Abigail Weitzman
{"title":"The Intergenerational Transmission of Health Disadvantage: Can Education Disrupt It?","authors":"Emily Smith-Greenaway, Yingyi Lin, Abigail Weitzman","doi":"10.1177/00221465241246250","DOIUrl":"https://doi.org/10.1177/00221465241246250","url":null,"abstract":"In low-income countries, intergenerational processes can culminate in the replication of extreme forms of health disadvantage between mothers and adult daughters, including experiencing a young child’s death. The preventable nature of most child deaths raises questions of whether social resources can protect women from enduring this adversity like their mothers. This study examined whether education—widely touted as a vehicle for social mobility in resource-poor countries—disrupts the intergenerational cycle of maternal bereavement. We estimated multilevel discrete-time survival models of women’s hazard of child loss using Demographic and Health Survey Program data (N = 195,744 women in 345 subnational regions in 32 African countries). Women’s educational attainment minimizes the salience of their mothers’ bereavement history for their own probability of child loss; however, mothers’ background becomes irrelevant only among women with ≥10 years of schooling. Education’s neutralizing influence is most prominent in the highest mortality-burdened communities.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"15 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140808523","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
Mothering While Sick: Poor Maternal Health and the Educational Attainment of Young Adults 边生病边做母亲：产妇健康状况不佳与年轻成人的受教育程度
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2024-04-29 DOI: 10.1177/00221465241247538
Shannon Cavanagh, Athena Owirodu, Lindsay Bing
{"title":"Mothering While Sick: Poor Maternal Health and the Educational Attainment of Young Adults","authors":"Shannon Cavanagh, Athena Owirodu, Lindsay Bing","doi":"10.1177/00221465241247538","DOIUrl":"https://doi.org/10.1177/00221465241247538","url":null,"abstract":"At a time when educational attainment in young adulthood forecasts long-term trajectories of economic mobility, better health, and stable partnership, there is more pressure on mothers to provide labor and support to advance their children’s interests in the K–12 system. As a result, poor health among mothers when children are growing up may interfere with how far they progress educationally. Applying life course theory to the National Longitudinal Study of Adolescent to Adult Health to investigate this possibility, we found that young adults were less likely to graduate from college when raised by mothers in poor health, especially when those mothers had a college degree themselves. Young people’s school-related behaviors mediated this longitudinal association. These findings extend the literature on the connection between education and health into an intergenerational process, speaking to a pressing public health issue—rising morbidity among adults in midlife—and the reproduction of inequality within families.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"12 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140820030","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
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 5 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":5.0,"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 5 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":5.0,"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 5 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":5.0,"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 5 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":5.0,"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
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