SSM. Qualitative research in health最新文献_第10页

“In the end … I got pregnant. And that wasn't what the plans were”: Threats to reproductive health and rights for migrant women intending to seek safety in the U.S. “最后……我怀孕了。计划不是这样的”：对打算在美国寻求安全的移民妇女的生殖健康和权利的威胁

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-27 DOI: 10.1016/j.ssmqr.2025.100553

Kaylee Ramage , Emma Stirling-Cameron , Nicole Ramos , Isela Martinez SanRoman , Arianna Spata , Shira Goldenberg

{"title":"“In the end … I got pregnant. And that wasn't what the plans were”: Threats to reproductive health and rights for migrant women intending to seek safety in the U.S.","authors":"Kaylee Ramage , Emma Stirling-Cameron , Nicole Ramos , Isela Martinez SanRoman , Arianna Spata , Shira Goldenberg","doi":"10.1016/j.ssmqr.2025.100553","DOIUrl":"10.1016/j.ssmqr.2025.100553","url":null,"abstract":"<div><h3>Background</h3><div>Reproductive health and rights for migrant women intending to seek safety in the U.S. are shaped by the risk environments through which they migrate, including policy, social, economic, and physical factors. We examined migrant women's lived experiences of reproductive health and rights resulting from and perpetuated by these risk environments across migration phases.</div></div><div><h3>Methods</h3><div>As part of a larger study examining maternal and reproductive health among U.S.-bound pregnant and parenting migrant women seeking safety at the Mexico-U.S. border, we analyzed qualitative, semi-structured interviews of the lived experiences of threats to reproductive health and rights in relation to policies and practices experienced across phases of migration by migrant women intending to seek safety in the U.S.</div></div><div><h3>Results</h3><div>Among 38 migrant women, threats to reproductive health and rights were pervasive and strongly shaped by the risk environments and unsafe humanitarian conditions experienced during migration and at the Mexico-U.S. border. These included: i) experiences of <em>pervasive sexual violence and exploitation;</em> (ii) <em>unplanned pregnancy, disruptions to family planning,</em> and <em>threats to perinatal health;</em> and (iii) <em>experiences of violence pre- and during migration</em>, and <em>border experiences</em> that increased threats to the health and safety of women and their families.</div></div><div><h3>Conclusion</h3><div>Migrant women seeking safety in the U.S. face significant threats to reproductive health and rights during migration, perpetuated by the risk environments experienced in transit and at the Mexico-U.S. border. There is a need to shift existing migration policies towards sustainable immigration reforms that allow for safe, orderly, and timely migration.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100553"},"PeriodicalIF":1.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760373","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}

引用次数: 0

Integrating portable air purifiers in German daycare centers during the COVID-19 pandemic – A qualitative exploration of usage, maintenance and impact on prevention behaviors 在COVID-19大流行期间，在德国日托中心整合便携式空气净化器-对使用，维护和预防行为影响的定性探索

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-21 DOI: 10.1016/j.ssmqr.2025.100548

Hannah Stephan, Felix Droop, Thomas Kistemann, Nico T. Mutters, Timo Falkenberg

{"title":"Integrating portable air purifiers in German daycare centers during the COVID-19 pandemic – A qualitative exploration of usage, maintenance and impact on prevention behaviors","authors":"Hannah Stephan, Felix Droop, Thomas Kistemann, Nico T. Mutters, Timo Falkenberg","doi":"10.1016/j.ssmqr.2025.100548","DOIUrl":"10.1016/j.ssmqr.2025.100548","url":null,"abstract":"<div><div>During the COVID-19 pandemic portable air purifiers with high-efficiency particulate air (HEPA) filters were suggested as a supplement to other prevention measures. Our previous study in German daycare centers did, however, not show a reduction in COVID-19 prevalence. The current study investigates possible reasons for the absence of preventive effects and examines confounding factors and particularities of the daycare setting. Prevention measures employed in the daycare centers, changes in prevention behavior as well as operation and maintenance of the purifiers were qualitatively assessed. The study follows an interventional design with the intervention group utilizing air purifiers. It was conducted in 29 daycares in three districts of the German federal state of Rhineland-Palatinate. Semi-structured qualitative interviews with the daycare heads were conducted between November 2022 and April 2023. The results show no major differences in prevention behavior between the intervention and control groups, thus inadequate prevention measures cannot explain the absence of the preventive effect of the air purifiers. The effectiveness of the air purifiers is more likely to be influenced by the type and duration of their use. Exploration of the usage behavior revealed inconsistencies in the frequency of usage, cleaning and maintenance, which are likely confounding factors. Further, thermal and acoustic emissions of the purifiers induced inadequate use. The findings indicate that the use of air purifiers must be compatible with the particular environment, otherwise the preventive effect is not realized. The daycare setting has not shown to be ideal for the adequate use of portable air purifiers.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100548"},"PeriodicalIF":1.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705027","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}

引用次数: 0

The sexual abuse of adolescent boys in humanitarian emergencies: A qualitative study of the Rohingya refugee crisis 人道主义紧急情况下青春期男孩的性虐待：罗兴亚难民危机的定性研究

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-20 DOI: 10.1016/j.ssmqr.2025.100549

Shane Harrison , Richard Dean Chenhall , Karen Block , Sabina Faiz Rashid , Cathy Vaughan

{"title":"The sexual abuse of adolescent boys in humanitarian emergencies: A qualitative study of the Rohingya refugee crisis","authors":"Shane Harrison , Richard Dean Chenhall , Karen Block , Sabina Faiz Rashid , Cathy Vaughan","doi":"10.1016/j.ssmqr.2025.100549","DOIUrl":"10.1016/j.ssmqr.2025.100549","url":null,"abstract":"<div><div>An increasing amount of evidence indicates that adolescent boys may be exposed to child sexual abuse in humanitarian emergencies. However, there is currently limited understanding of risk factors for adolescent boys' exposure to sexual abuse in emergency settings and how humanitarian organisations are responding. In this study, we examined sexual abuse against adolescent boys in the 2017 Rohingya refugee crisis and potential risk factors in this context. We collected data from the emergency response in Cox's Bazar, Bangladesh between 2018 and 2019. This included six and a half months of participant observation, 23 semi-structured interviews and 12 informal ethnographic interviews with humanitarian staff, and 10 focus group discussions with a total of 52 child protection caseworkers. Our results showed that younger adolescent boys aged 9–14 were more at risk in the camp environment compared to older adolescent boys. Perpetrators were primarily older Rohingya and Bangladeshi males, with abuse taking place in public places and at home. In the main, the humanitarian response was limited to case management support and referrals to services of varying quality. Our findings suggest that adolescent boys may be at heightened risk of sexual abuse due to their social location and environment. Moreover, our data indicates that adolescent survivors may have been an oversight in the initial crisis response. We believe that public health actors should improve the overall response to adolescent survivors of sexual abuse in the onset of a humanitarian crisis and carefully adapt interventions to account for the needs of adolescent boys.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100549"},"PeriodicalIF":1.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705028","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}

引用次数: 0

“I was being true to myself”: Listening to young people talk about gender identity and transition “我在做真实的自己”：听年轻人谈论性别认同和变性

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-20 DOI: 10.1016/j.ssmqr.2025.100550

Dr Kathy McKay , Dr Eilis Kennedy , Dr Talen Wright , Professor Bridget Young

引用次数: 0

Emotional labour in midwifery care: Balancing between woman’s autonomy and clinical control during childbirth through watchful attendance 助产护理中的情绪劳动：在分娩过程中通过观察护理来平衡妇女的自主性和临床控制

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-18 DOI: 10.1016/j.ssmqr.2025.100546

Giulia Sinatti , Lotte Kaster , Jip Hoeijmakers , Larissa Zanstra , Corine Verhoeven , Ank de Jonge

{"title":"Emotional labour in midwifery care: Balancing between woman’s autonomy and clinical control during childbirth through watchful attendance","authors":"Giulia Sinatti , Lotte Kaster , Jip Hoeijmakers , Larissa Zanstra , Corine Verhoeven , Ank de Jonge","doi":"10.1016/j.ssmqr.2025.100546","DOIUrl":"10.1016/j.ssmqr.2025.100546","url":null,"abstract":"<div><div>This article explores midwives' engagement with emotional labour. Drawing on theorisation first proposed by Arlie Hochschild, we investigate how midwives display emotions to induce certain emotional states in the birthing woman and, while doing so, simultaneously regulate their own emotions. Inspired by recent work from within the field of midwifery science on ‘watchful attendance’, we understand midwivery care as uniquely combining both clinical expertise and woman-centred support, particularly during childbirth. This perspective moves away from prevailing dichotomous views in the literature that tend to frame midwifery and technocratic models as oppositional, the former inspired by a natural and the latter by a pathological approach to birth. Ethnographic research we conducted in the Netherlands —including observations during childbirth and in-depth interviews with midwives and birthing women— confirms that midwives' work simultaneously responds to different care logics and that they deal with an inherent tension between promoting natural birth while ensuring clinical safety. We identify this tension as a key source of midwives' emotional labour, as they experience having to balance between the prioritization of women's autonomy, essential for natural birth, with the exercise of clinical control to monitor for and respond to potential risks. Our research highlights the emotional demands placed on midwives and calls for greater recognition of the emotional dimensions of their work.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100546"},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748708","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}

引用次数: 0

Key users and the creation of everyday relations with digital technologies in care 关键用户与数字技术在护理中的日常关系的创建

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-18 DOI: 10.1016/j.ssmqr.2025.100547

Vlas Nikulkin, Catharina Margaretha van Leersum, Alexander Peine

{"title":"Key users and the creation of everyday relations with digital technologies in care","authors":"Vlas Nikulkin, Catharina Margaretha van Leersum, Alexander Peine","doi":"10.1016/j.ssmqr.2025.100547","DOIUrl":"10.1016/j.ssmqr.2025.100547","url":null,"abstract":"<div><div><em>The introduction of new technologies in care is not a smooth process, bringing new challenges, the need to adapt, and changes in work routines and carer–care receiver relationships. These changes, coming from an emerging new regime of digitalised care, are often met with reluctance and suspicion both by carers and care receivers. This results in slowing down the process, and, at times, the complete jeopardy of top-down organisational efforts to introduce new technologies. This study presents a case of Dutch carers providing care to older adults, who voluntarily</em> support <em>the introduction and use of digital technologies implemented by their organisations from above.</em> We applied qualitative research methods, and present findings based on 11 semi-structured interviews with professional care providers regarding<em>supportive work examples, such as external information absorption, sharing information and learning about the use of digital tools with colleagues, proactive engagement in resolving emerging frictions, and adjusting new technologies to specific care provision needs. Theoretically, our study builds on the relational approach to the care, which focuses on everyday practices and relations co-producing interdependence of carers, care receivers, and their socio-material worlds. We argue that the work by key user carers is a crucial driver for the successful adoption of new digital technologies in care practice.</em></div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100547"},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726202","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}

引用次数: 0

“The start of something that I hope could be greater”: Health information technology tools for social care “我希望能够取得更大成就的开端”：用于社会保健的卫生信息技术工具

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-14 DOI: 10.1016/j.ssmqr.2025.100544

Arwen Bunce , Suzanne Morrissey , Rachel Gold , Jenna Donovan , Maura Pisciotta , India Gill , Shelby L. Watkins , Brenda McGrath , Laura M. Gottlieb

{"title":"“The start of something that I hope could be greater”: Health information technology tools for social care","authors":"Arwen Bunce , Suzanne Morrissey , Rachel Gold , Jenna Donovan , Maura Pisciotta , India Gill , Shelby L. Watkins , Brenda McGrath , Laura M. Gottlieb","doi":"10.1016/j.ssmqr.2025.100544","DOIUrl":"10.1016/j.ssmqr.2025.100544","url":null,"abstract":"<div><div>Federal policies and professional guidelines in the United States increasingly encourage and incentivize health systems to collect and meaningfully respond to patients’ social risks. In response, many health systems employ health information technology to implement, standardize, and scale these social care activities. We created and evaluated electronic health record tools to support the collection and documentation of social risk information, and the integration of this information into clinical decision-making; the <span>National Academies of Sciences, Engineering, and Medicine</span> labels these activities Awareness and Adjustment. Our realist-informed evaluation explored how, why, and for whom the tools did/did not support the use of social risk information in care planning in community health centers. The five-year study was completed in 2024. The dataset consisted of 41 meeting observations, 36 clinician and staff interviews, and regular team discussions regarding tool use at participating clinics. Analysis involved cyclical data querying to identify mechanisms underlying tool (non)acceptance and (non)use. Findings highlighted the importance of aligning technology to the values underlying professional identity – in this case, the value assigned to patient-centered care. Clinicians and staff perceived that Awareness tools enhanced their ability to provide patient-centered care, which led to increased uptake. In contrast, participants often felt that the Adjustment tools superseded clinician autonomy, failed to support direct patient care, and disrupted patient-clinician relationships contributing to low motivation for use. These results may be specific to the ways in which clinicians serving low-income communities conceptualize their role in social-medical integration; similar work should be undertaken in other healthcare settings.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100544"},"PeriodicalIF":1.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654505","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}

引用次数: 0

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-14 DOI: 10.1016/j.ssmqr.2025.100545

Noor Ahmed , Ahmed B. Hamed , Jessica G. Bruce , Megan Hamm , Alicia Dawdani , Vidya Kuniyil , Deborah Mattila , Eric P. Williams , Mary Amanda Dew , Larissa Myaskovsky , Dennis L. Confer , Galen E. Switzer

引用次数: 0

Intimate partners’ participation in risk-management decision making by women at elevated risk of breast cancer: An exploratory qualitative study 乳腺癌高风险妇女亲密伴侣参与风险管理决策：一项探索性质的研究

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-11 DOI: 10.1016/j.ssmqr.2025.100543

Anna Muraveva , Megan Hils , Tasleem J. Padamsee

{"title":"Intimate partners’ participation in risk-management decision making by women at elevated risk of breast cancer: An exploratory qualitative study","authors":"Anna Muraveva , Megan Hils , Tasleem J. Padamsee","doi":"10.1016/j.ssmqr.2025.100543","DOIUrl":"10.1016/j.ssmqr.2025.100543","url":null,"abstract":"<div><div>Women at high risk of breast cancer (BC) can face difficult decisions about their risk-management options. For partnered women, a significant other is often the closest emotional relationship and can thus be particularly influential in risk-management decision making. Using data from semi-structured interviews with 30 women in the United States who are at elevated BC risk and in long-term relationships with male partners, we aimed to understand the communication and support-related dynamics of women and their partners. Inductive analysis guided by a constructivist grounded theory approach yielded five main themes. Our results suggest that relationships may add considerable complexity to risk-related decision making. Open communication may be difficult and can be delayed for several reasons: lack of urgency on the part of the woman, reluctance on the part of the partner, or avoidance of uncomfortable topics. Intimate partners often did not fill women's need for emotional support, and some women received support only after difficult conversations or communication assistance from a healthcare provider. Supplemental analysis of women's stories after completion of this inductive work allowed us to posit four approximately sequential levels of partners' involvement in risk-management decision making and action. It was more common for male partners to have no, low, or moderate involvement in risk management, and rarer for men to have a high level of involvement.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100543"},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684032","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}

引用次数: 0

The sociodynamics of chemsex: Stakeholders’ perspectives in France - Results from the ANRS-PaacX study 化学性的社会动力学：法国利益相关者的观点——来自ANRS-PaacX研究的结果

IF 1.8

SSM. Qualitative research in health Pub Date : 2025-03-08 DOI: 10.1016/j.ssmqr.2025.100542

Nicolas Khatmi, Perrine Roux, Bruno Spire, Christel Protière

{"title":"The sociodynamics of chemsex: Stakeholders’ perspectives in France - Results from the ANRS-PaacX study","authors":"Nicolas Khatmi, Perrine Roux, Bruno Spire, Christel Protière","doi":"10.1016/j.ssmqr.2025.100542","DOIUrl":"10.1016/j.ssmqr.2025.100542","url":null,"abstract":"<div><div>This study examined the intricate phenomenon of chemsex among men who have sex with men (MSM) in France, by focusing on the perspectives of different stakeholders, namely people with chemsex experience, clinicians, and community health workers. Employing a sociodynamic approach, lexical analysis was used to identify and interpret key themes in participants’ discourses on chemsex, with a view to revealing its multifaceted nature.</div><div>Our findings highlight how the social representations of chemsex are profoundly influenced by the institutional separation of sexual healthcare services from services managing the consumption of psychoactive substances. This division not only shapes how individuals perceive and manage their behaviors and health needs but also introduces systemic challenges to adequately addressing the health issues of MSM engaged in chemsex. Moreover, this division leads to structural obstacles for clinicians and community health workers providing care.</div><div>This comprehensive analysis deepens our understanding of the complex mechanisms underlying chemsex and offers essential insights for crafting informed and effective public health interventions. Furthermore, our study results underscore the critical need for community involvement in strategies focused on addressing the unique health and social challenges posed by chemsex. Moreover, our findings advocate integrated approaches that align with the specific needs and experiences of concerned stakeholders.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"7 ","pages":"Article 100542"},"PeriodicalIF":1.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631795","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}

引用次数: 0