SSM. Qualitative research in health最新文献

{"title":"An in-depth interview study of women's perspectives on the effects of contraceptive use on future fertility in Ethiopia and Kenya","authors":"Kristen Kirksey ,&nbsp;Hanna Feleke ,&nbsp;Sarah Okumu ,&nbsp;Hailemichael Bizuneh ,&nbsp;Pauline Wekesa ,&nbsp;Lauren Suchman ,&nbsp;Beth Phillips ,&nbsp;Zachary Kwena ,&nbsp;Jenny Liu ,&nbsp;Elizabeth Bukusi ,&nbsp;Serah Gitome ,&nbsp;Ewenat Gebrehanna ,&nbsp;Kelsey Holt","doi":"10.1016/j.ssmqr.2025.100624","DOIUrl":"10.1016/j.ssmqr.2025.100624","url":null,"abstract":"<div><div>Infertility is a common perceived side effect of contraceptive use among women in sub-Saharan Africa, and fear of infertility can affect contraceptive choices. While no choice is inherently negative, it is critical that women have accurate information about side effects to ensure contraceptive decision-making agency. Despite the prevalence of infertility fears, little is known about women's specific beliefs, where they originate, and how they inform contraceptive decisions. We sought to fill this gap in Kenya and Ethiopia through in-depth interviews with women aged 15–45 in Nairobi and Kisumu, Kenya, and Addis Ababa and North Shoa Zone of Amhara Region, Ethiopia (N = 83). We utilized a modified grounded theory approach for data collection and analysis.</div><div>While not all participants believed in a link between contraception and infertility, those that did understood several mechanisms. Some, such as delayed return to fertility and aging out of childbearing years, were supported by clinical evidence. Others, such as accumulation of harmful substances in the body, damage to the reproductive system, and negative effects from early or prolonged use, were not supported by clinical evidence. Healthcare providers were a trusted source of information, disseminating information supported and unsupported by clinical evidence. Fear of infertility led women to prefer non-hormonal or short-term methods, avoid methods that cause amenorrhea, or delay use until after having children.</div><div>Results suggest the need to address side effect misinformation given by providers. Further, the specificity this study offers can inform strategies to improve contraceptive counseling and education campaigns in service of decision-making agency.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100624"},"PeriodicalIF":2.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893550","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":"“This is the first time somebody has asked me …“: How can actors realize the dimensions of contraceptive autonomy for adolescent migrant girls? A case study of Venezuelan migrants in Colombia","authors":"Hannah Louise Hall","doi":"10.1016/j.ssmqr.2025.100621","DOIUrl":"10.1016/j.ssmqr.2025.100621","url":null,"abstract":"<div><div>This article examines how service providers and policymakers include and consider autonomy in providing contraceptive consultation, methods, and services to young Venezuelan women and adolescent girls 15–19 years old. This research adopts a qualitative approach, using multi-perspective interviews with adolescent migrant girls, policymakers, program designers, and service providers conducted during fieldwork in Bogotá, Colombia, in 2022.</div><div>Using this data, I examine how the attitudes and implementation of public health and humanitarian aid programs have created an environment in which the participation of Venezuelan migrant girls and young women in decision-making processes is limited. Introducing a new framework that builds on existing literature, I develop contraceptive autonomy as enhanced or constrained along three axes: <em>self-determination, self-governance,</em> and <em>self-authorization.</em></div><div>The findings show key informants from non-governmental organizations (NGOs), multilateral agencies, and public health institutions working in migration and sexual and reproductive health and rights (SRHR) utilize focus groups, workshops, and representatives as mechanisms that enhance or constrain the decision-making power of adolescent migrant girls and young women. In many cases, participants could not identify a mechanism of participation or feedback that would enhance autonomy.</div><div>The discussion demonstrates how a mixture of mechanisms is needed to enhance autonomy along all three axes to realize SRHR and justice. More broadly, enhancing contraceptive autonomy can inform the practices of policymakers, program designers, and service providers, creating environments that support adolescents and young women in making full, free and informed reproductive choices in humanitarian contexts.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100621"},"PeriodicalIF":2.5,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878965","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":"Building rapport in occupational therapy with autistic children: A discourse analytical study","authors":"Eleni Glarou ,&nbsp;Rachel McNamara ,&nbsp;Monica Busse-Morris ,&nbsp;Catherine R.G. Jones ,&nbsp;Elizabeth Randell ,&nbsp;Sue Delport ,&nbsp;Lucy Brookes-Howell","doi":"10.1016/j.ssmqr.2025.100611","DOIUrl":"10.1016/j.ssmqr.2025.100611","url":null,"abstract":"","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100611"},"PeriodicalIF":2.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895739","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":"The significance of reflexive negotiation in networks - Networks and meaning in people with mental health and/or substance-use challenges","authors":"Ellen Flaaten,&nbsp;Jan Georg Friesinger,&nbsp;Inger Beate Larsen","doi":"10.1016/j.ssmqr.2025.100619","DOIUrl":"10.1016/j.ssmqr.2025.100619","url":null,"abstract":"<div><div>People with mental health or substance abuse problems often face social difficulties. At the same time, research highlights the importance of social factors as determinants of mental health. These phenomena are distinct yet intertwined. Looking for explanations in health and social factors may seem complex but raises questions about linkages between actor and structure. In this study we aim to circumvent what we believe to be simplifications when understanding networks as “structural effects” by maintaining a grounded approach. We critically examine perceptions of networks in an attempt to bridge a gap between the individual and structural level by asking two questions: “What are the characteristics of the networks of users of community mental health services, and what aspects of their network do users highlight as important?”. The findings show some variation in network structures, but as expected, several participants reported small and/or homogeneous networks. A conscious attitude toward different but contradictory relational and personal perspectives seems to be significant. For example, maintaining a sufficient number of relationships conflicted with evaluations of one's own health and assessments of relationship qualities. We argue that this evokes a negotiating way of being and suggest that reflexivity might serve as a missing mechanism challenging structural perspectives yet simultaneously representing new structures.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100619"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144840764","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":"Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context","authors":"Shreemouna Gurung ,&nbsp;Habib Chaudhury ,&nbsp;Pia Kontos ,&nbsp;Atiya Mahmood ,&nbsp;Deborah O'Connor","doi":"10.1016/j.ssmqr.2025.100620","DOIUrl":"10.1016/j.ssmqr.2025.100620","url":null,"abstract":"<div><div>Culturally responsive care is essential to meaningful relationship-building in long-term care (LTC) settings, yet there is limited understanding of how Relationship-Centered Care (RCC) is interpreted and enacted in contexts shaped by shared cultural frameworks. This critical ethnographic study examines how RCC practices unfolded within an ethno-specific LTC home serving predominantly Chinese older adults in Vancouver, drawing on document review, participant observation, and interviews with residents, families, and staff. Four key themes were identified: (1) Caring like family (i.e., building trust through kinship-based language and emotional familiarity); (2) Honoring roots (i.e., integrating residents’ cultural identities into care); (3) Recreation and celebrations (i.e., fostering belonging through culturally meaningful activities); and (4) Collaboration as the heart of care (i.e., reinforcing reciprocity through resident-family-staff partnerships). These findings illustrate how culturally grounded practices shape the interpretation and enactment of RCC in everyday care. Future research should explore how RCC operates in more culturally heterogeneous settings and use inclusive methods to amplify the voices of diverse residents.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100620"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867233","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":"Protective attributes and behaviors related to food provisioning for food security among U.S. low-income, Mexican-born mothers of young children: a qualitative study","authors":"Amanda C. McClain ,&nbsp;Marian Marian ,&nbsp;Katherine L. Dickin ,&nbsp;Jamie S. Dollahite","doi":"10.1016/j.ssmqr.2025.100622","DOIUrl":"10.1016/j.ssmqr.2025.100622","url":null,"abstract":"<div><h3>Background</h3><div>U.S. Mexican-born Hispanic/Latino households are at a high risk of experiencing food insecurity and its poor dietary and health consequences but may have attributes that can be leveraged to promote food security and healthy dietary quality. To gain more in-depth understanding and capacity-oriented data to inform programming, we sought to elucidate potential food provisioning-related factors protecting low-income U.S. Mexican-born households with young children from food insecurity.</div></div><div><h3>Methods</h3><div>We conducted a community-based qualitative study, guided by Life Course Perspective and Ecological Systems Theory, in two New York State counties. Low-income Mexican-born mothers (n = 27) of young children (≤5 years) with ≤10 years in the U.S. completed two semi-structured interviews, including a participant-driven photo elicitation interview, and responded to the 18-item Household Food Security Survey Module. We conducted thematic content analyses to identify emergent themes.</div></div><div><h3>Results</h3><div>We identified four themes related to important attributes and behaviors of participants, which appeared to protect their households from food insecurity: resourcefulness and creativity with food provisioning, valuing new knowledge and skill-building opportunities, reflectiveness on poverty and food insecurity experiences, and the ability to establish beneficial food-provisioning routines, with the latter appearing to differentiate food-secure and food-insecure households. These attributes and behaviors facilitated management of economic resources while also meeting cultural ideals and family preferences.</div></div><div><h3>Conclusions</h3><div>Low-income Mexican-born households appear to have human and cultural capital (i.e., assets) that may serve to be protective. Improved policies and programming are necessary to leverage these capacities to promote food security and healthier dietary intake.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100622"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867234","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":"From stigmatized status to responsibilized health behavior: Gay, bisexual, and queer men's longitudinal narratives of shifts in PrEP-related stigma over time","authors":"Daniel Grace ,&nbsp;Emerich Daroya ,&nbsp;Jad Sinno ,&nbsp;Mark Gaspar ,&nbsp;Alex Wells ,&nbsp;Mark Hull ,&nbsp;Nathan Lachowsky ,&nbsp;Darrell H.S. Tan","doi":"10.1016/j.ssmqr.2025.100617","DOIUrl":"10.1016/j.ssmqr.2025.100617","url":null,"abstract":"<div><div>For many gay, bisexual, and queer men (GBQM), using HIV pre-exposure prophylaxis (PrEP) has been extremely stigmatizing. Our objective was to trace changes in PrEP stigma within the accounts of GBQM in Canada, many with experience using this highly effective form of biomedical HIV prevention. We conducted annual longitudinal qualitative interviews with 46 HIV-negative GBQM living in Ontario or British Columbia, Canada. A total of 128 in-depth interviews were conducted over three years (2020–2022), transcribed verbatim, and coded in NVivo using reflexive thematic analysis. Most participants described experiencing little or no PrEP stigma in the last few years, attributing this to PrEP normalization within queer communities. PrEP stigma was not only commonly described as a thing of the past; the (reclaimed) trope of the ‘Truvada whore’ had been remade anew into the mainstreamed ‘responsible’ gay citizen. However, some men said PrEP stigma was still anticipated or enacted in social, sexual, and healthcare contexts. Although a few participants expressed recent concerns about being perceived as ‘slutty’ due to PrEP use, no one reported increased PrEP stigma over time nor linked stigma to PrEP discontinuation. For some participants, a new PrEP-related stigmatized status had emerged—<em>the non-PrEP using sexually active GBQM as deviant and irresponsible.</em> Rather than being conceived as static and individual processes, PrEP stigma must be understood as a dynamic and frequently resisted social phenomenon. While PrEP stigma remains, many GBQM noted a significant discursive transformation, storying PrEP use not as a stigmatized status but a responsibilized health behavior.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100617"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878966","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":"Injecting drugs as a matter of care: Analyzing care work and action programs in risk management","authors":"Jukka Törrönen ,&nbsp;Josefin Månsson ,&nbsp;Eva Samuelsson ,&nbsp;Jessica Storbjörk","doi":"10.1016/j.ssmqr.2025.100616","DOIUrl":"10.1016/j.ssmqr.2025.100616","url":null,"abstract":"<div><div>In this article, we analyze the care work employed by people who inject drugs to counter risks in their life situations and make their drug use safer. Injecting drugs is associated with numerous health and social risks, such as overdose, the use of used and shared equipment, and getting caught by the police. We approach descriptions of injection events as narratives of care. Participants (N = 32) were recruited for semi-structured interviews primarily from the Stockholm Needle and Syringe Exchange Program between August 2022 and March 2023. The sample is heterogeneous in terms of age, gender, drug use, and social situation. The interviews were analyzed using actor-network theory, asking what kind of care work and ‘action programs’ strengthen or weaken participants' capacities for safer injection events and what kinds allow risks – or antiprograms – to enter the event. We identified four different action programs based on home or public settings. They all aimed to increase capacities for safe drug use, but two of them were more vulnerable to risks. Their success depended on the type of actors they could recruit for care work, the risks they were targeting, and how well they coordinated actors to work together to minimize risks. The analysis highlights the scope, strengths, and limitations of care work in relation to material, social, political, and institutional actors, as well as the importance of access to proper resources such as a home, stable income, and a healthy body.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100616"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858491","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":"Discourses of “religion” in public health research: Constructing religious facilitators, barriers, and subjects of health as exercises of power","authors":"Tyler J. Fuller","doi":"10.1016/j.ssmqr.2025.100618","DOIUrl":"10.1016/j.ssmqr.2025.100618","url":null,"abstract":"<div><div>Public health scholars increasingly reference “religion” as a social determinant of health, often framing it as a facilitator or barrier to population health or health promotion. Yet the category remains undertheorized in public health research. Drawing on interpretive approaches and critical religious studies, I interrogate how public health scholars conceptualize and operationalize “religion” in peer-reviewed literature. Using ethnographic content analysis, I analyzed 271 research articles published between 2010 and 2022 in ten high-impact generalist public health journals. Rather than offering a systematic review of what has been published about religion, this analysis asks how “religion” is constructed and made legible within public health discourse. I examine the normative assumptions and power structures embedded in scholarly representations of religion. I identify five dominant discursive patterns: (1) religious beliefs as barriers to public health; (2) religious institutions as partners in health promotion; (3) religious practices as sources of social capital; (4) religion as a barrier to LGBTQ + health; and (5) Asian religions as barriers to health. I argue that public health discourse often constructs “religion” through Protestant-inflected assumptions, privileging certain traditions and marginalizing others. These discourses reinforce binaries of “good religion” and “bad belief,” contributing to epistemic injustice and shaping health subjectivities in ways that can undermine equity. This matters for public health because marginalization and inequity are themselves barriers to health and well-being. This article calls for greater reflexivity and attention to positionality in public health research on religion and offers tools for critically engaging the discursive power of our own scholarship.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100618"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860901","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":"Protectors or perpetrators? The paradox of male guardianship and gender-based violence in Libya: A multi-method qualitative study","authors":"Mariam Omar Elsaltani ,&nbsp;Angel M. Foster","doi":"10.1016/j.ssmqr.2025.100623","DOIUrl":"10.1016/j.ssmqr.2025.100623","url":null,"abstract":"<div><div>Gender-based violence (GBV) remains a pervasive public health issue and human rights violation, deeply entrenched in patriarchal norms and legal frameworks. In Libya, systems and institutions regulate women's autonomy, reinforcing structural barriers that limit access to protection and justice. This study explores how sociocultural and structural factors shape women's vulnerability to GBV within the Libyan context. Using a multi-methods qualitative approach, we conducted 16 in-depth interviews, nine focus group discussions with 54 women, and 11 key informant interviews with GBV service providers and policymakers across Tripoli, Benghazi, and Sabha. Our thematic analysis revealed that Libyan women face multiple intersecting vulnerabilities, including economic dependence, restricted mobility, and legal ambiguities that sustain GBV. Many women rely on male guardians for protection, yet this dependency often facilitates cycles of control and violence. While some women have begun to challenge traditional gender roles through financial independence and social activism, systemic barriers continue to constrain their agency. Findings highlight the urgent need for legislative reforms criminalizing GBV, expanded survivor-centered support services, and awareness and education campaigns to challenge deeply embedded gender norms. Policy interventions should address the lack of legal protections, promote alternative support structures, and engage men as allies in GBV prevention. A holistic approach integrating legal, social, and economic reforms is essential to dismantle structural inequalities and ensure women's safety, rights, and autonomy in Libya.</div></div>","PeriodicalId":74862,"journal":{"name":"SSM. Qualitative research in health","volume":"8 ","pages":"Article 100623"},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904574","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}