Research in the sociology of health care最新文献

{"title":"Trust in Health Care: Understanding the Role of Gender and Racial Differences between Patients and Providers","authors":"Celeste Campos-Castillo","doi":"10.1108/S0275-495920180000036009","DOIUrl":"https://doi.org/10.1108/S0275-495920180000036009","url":null,"abstract":"Abstract \u0000Purpose \u0000Existing descriptions of trust in health care largely assume a straightforward association between a patient’s relationship with a regular provider and his or her trust in health care. I extend status characteristics theory (SCT) and social identity theory (SIT) to suggest greater variability in this association by investigating the role of social differences between patients and their regular providers. Whereas the SIT extension predicts lower trust in dissimilar than similar dyads, the predictions from the SCT extension depend on status in dissimilar dyads. Further, research examining how social differences in patient–provider dyads shape trust largely emphasizes racial differences, but the theories implicate gender differences too. \u0000 \u0000 \u0000Methodology/approach \u0000I analyze a longitudinal dataset of patient–provider dyads offering a conservative test of the extensions. \u0000 \u0000 \u0000Findings \u0000Results generally support predictions from the SCT extension. Specifically, patients’ status based on differences in either race or gender: (1) is inversely related to their trust in health care and (2) influences the resiliency of their trust, whereby the degree health care met prior expectations matters less (more) for the trust of low (high) status patients than equal status patients. \u0000 \u0000 \u0000Research limitations/implications \u0000When patients and providers differ on both race and gender, findings sometimes depart from predictions. This indicates differences in two social categories is a unique situation where the contributions of each category are distinct from that of the other. \u0000 \u0000 \u0000Originality/value \u0000This research extends SCT to explain greater variability in the connection between patient–provider dyads and trust in health care, while also showing how gender compares to race.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920180000036009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49582328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Younger Women with Breast Cancer and Treatment Decision-Making: Rethinking Patient Involvement and Empowerment","authors":"K. Snyder, Alexandra Tate, E. Roubenoff","doi":"10.1108/S0275-495920180000036002","DOIUrl":"https://doi.org/10.1108/S0275-495920180000036002","url":null,"abstract":"Abstract \u0000Purpose \u0000Encouraging patient involvement is a cornerstone of many healthcare interventions and decision-making models to ensure that treatment decisions reflect the needs, values, and desires of patients. Involved patients are thought to be empowered patients who feel a sense of efficacy in regards to their own health. However, there is a lack of understanding of how patients relate to empowerment and involvement and, most importantly, how these constructs relate to one another in patients’ decision-making experiences. \u0000 \u0000 \u0000Methodology/approach \u0000Through an inductive analysis, this chapter draws on qualitative interviews of women diagnosed with breast cancer prior to 40 years of age (n = 69). \u0000 \u0000 \u0000Findings \u0000By examining the intersection of how patients define their own involvement in treatment decisions and their sense of empowerment, we find four orientations to decision-making (Advocates, Bystanders, Co-Pilots, and Downplayers) with involvement and empowerment being coupled for some respondents, but decoupled for others. \u0000 \u0000 \u0000Research limitations/implications \u0000Our findings suggest expanding what it means to be an “active” patient as respondents had multiple ways of characterizing involvement, including being informed or following their doctor’s advice. Our findings also suggest a more critical examination of the origins and potential downsides of patient empowerment as some respondents reported feeling overwhelmed or pushed into advocacy roles. The sample was disproportionately higher socioeconomic status with limited racial/ethnic diversity. Empowerment and involvement may be enacted differently for other social groups and other medical conditions. \u0000 \u0000 \u0000Originality/value \u0000By examining first-person patient narratives, we conclude that patients’ experience may not fully align with current academic or clinical discussions of patient involvement or empowerment.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920180000036002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49590372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Handled without Care: Women’s Health Experiences in Jail","authors":"Laura McKendy","doi":"10.1108/S0275-495920180000036017","DOIUrl":"https://doi.org/10.1108/S0275-495920180000036017","url":null,"abstract":"Originality/value\u0000This research responds to the lack of research on carceral health experiences within both penal scholarship and medical sociology, particularly in relation to women and those confined in jails.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920180000036017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45791856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight Loss Surgery Patients’ Gender-Differentiated Experiences of Vanity Stigma","authors":"P. Drew","doi":"10.1108/S0275-495920180000036010","DOIUrl":"https://doi.org/10.1108/S0275-495920180000036010","url":null,"abstract":"Abstract \u0000Purpose \u0000This study examines weight loss surgery patients’ experiences with vanity stigma. First, the research explores if and how vanity stigma occurrences differ for female and male surgery patients. Second, the research interrogates the role of this stigma in shaping patients’ feelings about their bodies. \u0000 \u0000 \u0000Methodology/approach \u0000The data stems from qualitative interviews (n = 44) and surveys (n = 55) with pre-operative and post-operative weight loss surgery patients. The author used narrative interview analysis to inductively identify and analyze prevalent themes. \u0000 \u0000 \u0000Findings \u0000Participants’ stigma experiences are differentiated by gender. Approximately half of female participants reported perceiving vanity stigma. Women who faced negative accusations were likely to distance themselves from such claims by citing personal disinterest in their bodies, whereas women who did not perceive vanity accusations were likely to express approval and pleasure in their post-weight loss bodies. Men, in contrast, were not accused of vanity. Men frequently characterized their post-surgical, post-weight loss bodies as having utilitarian value. \u0000 \u0000 \u0000Research limitations/implications \u0000The study concludes that gender norms play a role in shaping bariatric surgery patients’ experiences with vanity stigma and body-related feelings. Limitations include the small number (n = 9) of male participants and the lack of a representative sampling frame for bariatric surgery patients. \u0000 \u0000 \u0000Originality/value \u0000Previous studies have not explored how gender shapes bariatric surgery patients’ experiences with appearance-related social scrutiny. This chapter adds to existing research on gendered body norms and reveals gendered dimensions of vanity stigma.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920180000036010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48870274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prelims","authors":"","doi":"10.1108/s0275-495920180000036018","DOIUrl":"https://doi.org/10.1108/s0275-495920180000036018","url":null,"abstract":"","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s0275-495920180000036018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49569283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Impact of Gender in the Decision-Making Process to Undergo Certain Surgeries Compared to Uncertain Surgeries","authors":"DaJuan Ferrell","doi":"10.1108/S0275-495920180000036007","DOIUrl":"https://doi.org/10.1108/S0275-495920180000036007","url":null,"abstract":"Abstract \u0000Purpose \u0000Procedures can be categorized as certain surgeries based on their necessity and outcomes while others are classified as uncertain surgeries based on these areas. To account for this variance, policies such as the Affordable Care Act (ACA) call for health care providers to engage in shared decision making (SDM) with patients to ensure they are informed of treatment options and asked their preferences. Yet, gender may influence the decision-making process. Thus, this project examines the decision process and how gender impacts patients’ participation in decisions to undergo certain surgeries compared to uncertain surgeries. \u0000 \u0000 \u0000Methodology/approach \u0000This research project analyzed data from the National Survey of Medical Decisions 2006–2007 which surveyed the medical decisions of US residents 40 and older. \u0000 \u0000 \u0000Findings \u0000First, the data reveals that women felt more informed having uncertain surgeries compared to men. Second, patients were less likely asked their preference for surgery when undergoing certain surgeries compared to uncertain surgeries. Third, compared to men, women having uncertain surgeries were less likely to make the final decision to have surgery, compared to sharing the final decision with health care providers. \u0000 \u0000 \u0000Limitations \u0000Due to the sample size, this project could not perform three-way interactions between gender, race, and surgery type. \u0000 \u0000 \u0000Originality/value \u0000Gender influences the level patients feel informed having uncertain surgeries. Though policy calls for SDM, health care providers are less likely to ask patients their preference for surgery regarding certain surgeries, relative to uncertain surgeries. Gender impacts the final decision-making process regarding whether patients should have uncertain surgeries.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920180000036007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49343518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender, Women’s Health Care Concerns and Other Social Factors in Health and Health Care","authors":"J. Kronenfeld","doi":"10.1108/s0275-4959201836","DOIUrl":"https://doi.org/10.1108/s0275-4959201836","url":null,"abstract":"This book analyses micro-level gender issues and other social factors impacting macro-level health care systems. Examining the health and health care issues of patients and providers of care both in the United States and in other countries, chapters focus on linkages to policy and population concerns as ways to meet global health care needs.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s0275-4959201836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42173091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Matters: An Examination of Educational and Racial Disparities in Unintended Pregnancy","authors":"Andrea M Bertotti","doi":"10.1108/S0275-495920180000036005","DOIUrl":"https://doi.org/10.1108/S0275-495920180000036005","url":null,"abstract":"Abstract \u0000Purpose \u0000Most researchers examining educational disparities in unintended pregnancy take a rational-choice perspective, defining pregnancy intention as a fixed state within decontextualized individuals. However, evidence suggests that women’s reproductive intentions may be more relational than rational, and that relationship context varies by education. This study investigated if relationship context could explain educational disparities in unintended pregnancy. \u0000 \u0000 \u0000Methodology \u0000Using the 2006–2015 National Survey of Family Growth (n = 4,320 pregnancies), I calculated structural equation models and predicted probabilities to examine if relational stability (marital status) and partner specificity (wanting a baby with a particular man) mediated the association between education and pregnancy intendedness for White, Hispanic, and Black women. \u0000 \u0000 \u0000Findings \u0000Relational stability and partner specificity mediated the association between education and pregnancy intention for all three groups. Education was rendered insignificant after controlling for race, marital status, partner specificity, and age. Marital status was a better predictor for White women than Hispanic women, and was not statistically significant for Black women. Partner specificity had greater influence on pregnancy intendedness than marital status, and its effect varied only slightly by race. Thus, disparities in marriage and access to desired partners influence educational disparities in unintended pregnancy. \u0000 \u0000 \u0000Implications \u0000These findings suggest that partner specificity could prove particularly useful in predicting unintended pregnancy as rates of non-marital pregnancies continue to rise. They also indicate that a shift in research and policy focus from decontextualized individuals to relationships between women and men is warranted.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920180000036005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45628225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ROLE OF CANCER HISTORY AND GENDER IN MAJOR HEALTH INSURANCE TRANSITIONS: A LONGITUDINAL NATIONALLY REPRESENTATIVE STUDY.","authors":"Katherine S Virgo, Chun Chieh Lin, Amy Davidoff, Gery P Guy, Janet S de Moor, Donatus U Ekwueme, Erin E Kent, Neetu Chawla, K Robin Yabroff","doi":"10.1108/S0275-495920180000036003","DOIUrl":"10.1108/S0275-495920180000036003","url":null,"abstract":"<p><strong>Purpose –: </strong>To examine associations by gender between cancer history and major health insurance transitions (gains and losses), and relationships between insurance transitions and access to care.</p><p><strong>Methodology –: </strong>Longitudinal 2008-2013 Medical Expenditure Panel Survey data pooled yielding 2,223 cancer survivors and 50,692 individuals with no cancer history ages 18-63 years upon survey entry, with gender-specific sub-analyses. Access-to-care implications of insurance loss or gain were compared by cancer history and gender.</p><p><strong>Findings –: </strong>Initially uninsured cancer survivors were significantly more likely to gain insurance coverage than individuals with no cancer history (RR: 1.25; 95% CI: 1.08-1.44). Females in particular were significantly more likely to gain insurance (unmarried RR: 1.16; 95% CI: 1.06-1.28; married RR: 1.09; 95% CI: 1.02-1.16). Significantly higher rates of difficulty accessing needed medical care and prescription medications were reported by those remaining uninsured, those who lost insurance, and women in general. Remaining uninsured, losing insurance, and male gender were associated with lack of a usual source of care.</p><p><strong>Research implications –: </strong>Additional outreach to disadvantaged populations is needed to improve access to affordable insurance and medical care. Future longitudinal studies should assess whether major Affordable Care Act (ACA) provisions enacted after the 2008-2013 study period (or those of ACA's replacement) are addressing these important issues.</p><p><strong>Originality –: </strong>Loss of health insurance coverage can reduce health care access resulting in poor health outcomes. Cancer survivors may be particularly at risk of insurance coverage gaps due to the long-term chronic disease trajectory. This study is novel in exploring associations between cancer history by gender and health insurance transitions, both gains and losses, in a national non-elderly adult sample.</p>","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"36 ","pages":"59-84"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6190567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36592811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nativity, Race-Ethnicity, and Dual Diagnosis among US Adults.","authors":"Magdalena Szaflarski,&nbsp;Shawn Bauldry,&nbsp;Lisa A Cubbins,&nbsp;Karthikeyan Meganathan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated disparities in dual diagnosis (comorbid substance-use and depressive/anxiety disorders) among US adults by nativity and racial-ethnic origin and socioeconomic, cultural, and psychosocial factors that may account for the observed disparities.</p><p><strong>Design/methodology: </strong>The study drew on data from two waves of the National Epidemiological Survey on Alcohol and Related Conditions. Racial-ethnic categories included African, Asian/Pacific Islander, European, Mexican, Puerto Rican, and other Hispanic/Latino. Substance-use and depressive/anxiety disorders were assessed per DSM-IV. A four-category measure of comorbidity was constructed: no substance-use or psychiatric disorder; substance-use disorder only; depressive/anxiety disorder only; and, dual diagnosis. The data were analyzed using multinomial logistic regression.</p><p><strong>Findings: </strong>The prevalence of dual diagnosis was low but varied by nativity, with the highest rates among Europeans and Puerto-Ricans born in US states, and the lowest among Mexicans and Asians/Pacific Islanders. The nativity and racial-ethnic effects on likelihood of having dual diagnosis remained significant after all adjustments.</p><p><strong>Research limitations: </strong>The limitations included measures of immigrant status, race-ethnicity, and stress and potential misdiagnosis of mental disorder among ethnic minorities.</p><p><strong>Practical and social implications: </strong>This new knowledge will help to guide public health and health care interventions addressing immigrant mental and behavioral health gaps.</p><p><strong>Originality/value: </strong>This study addressed the research gap in regard to the prevalence and correlates of dual diagnosis among immigrants and racial-ethnic minorities. The study used the most current and comprehensive data addressing psychiatric conditions among US adults and examined factors rarely captured in epidemiologic surveys (e.g., acculturation).</p>","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"35 ","pages":"171-191"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685548/pdf/nihms901145.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35613719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}