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The impact of stigma on the LGBTQ patient care experience and health outcomes in the United States.
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-12-05 DOI: 10.1080/13648470.2024.2416802
Jay S Pickern
{"title":"The impact of stigma on the LGBTQ patient care experience and health outcomes in the United States.","authors":"Jay S Pickern","doi":"10.1080/13648470.2024.2416802","DOIUrl":"https://doi.org/10.1080/13648470.2024.2416802","url":null,"abstract":"<p><p>The stigmatization of lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals has a direct impact on the patient care experience and eventual health outcomes of this population both in the United States and abroad. The stigmatization of LGBTQ individuals in the healthcare system can lead to poor patient care and LGBTQ patients' self-removal from the healthcare system entirely. This self-removal could lead to untreated health issues, as well as the spread of communicable diseases throughout the LGBTQ community. This commentary reviews the Report of the 2019 Southern LGBTQ Health Survey. Recommendations are made for improving provider education on LGBTQ issues, which would, in turn, improve the LGBTQ patient care experience and health outcomes for this population.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142779311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporal curation: curating life in the anticipation of cancer.
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-12-02 DOI: 10.1080/13648470.2024.2416800
Michal Frumer, Marie Louise Tørring, Rikke Sand Andersen
{"title":"Temporal curation: curating life in the anticipation of cancer.","authors":"Michal Frumer, Marie Louise Tørring, Rikke Sand Andersen","doi":"10.1080/13648470.2024.2416800","DOIUrl":"https://doi.org/10.1080/13648470.2024.2416800","url":null,"abstract":"<p><p>This paper explores cancer as a 'total social fact', considering it both a specific material entity and an immaterial phenomenon with social, political, and legal implications. Based on long-term ethnographic field studies on cancer as anticipation in the Danish welfare state, specifically within lung cancer diagnostics and the surveillance for 'tissue changes', the paper explores how cancer is constituted and experienced. Analyzing this new and rising cancer phenomenon, the paper attends to scale by focusing analytically on three levels (national, institutional, and intersubjective) and conceptualizes how cancer manifests at these different levels through practices of temporal curation. Temporal curation is conceptually directed at understanding both how past, present, and future exist concurrently in the diagnostic space, and how cancer is produced, preserved, and brought into the future. Hence, this paper contributes to understandings of the modern in healthcare systems, specifically arguing for a shift in discussions on diagnostics beyond a narrow focus on classificatory processes to comprise how a diagnostic phenomenon becomes temporal and sociopolitical.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.5,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What just happened? Ethnography as audit. 刚刚发生了什么?作为审计的人种学
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-11-26 DOI: 10.1080/13648470.2024.2425601
Daniel Miller
{"title":"What just happened? Ethnography as audit.","authors":"Daniel Miller","doi":"10.1080/13648470.2024.2425601","DOIUrl":"https://doi.org/10.1080/13648470.2024.2425601","url":null,"abstract":"<p><p>By the time the results of an ethnography are published it almost inevitably becomes an audit of What Just Happened. The papers in this special issue reveal three insights that follow from this. An audit of the unenvisaged consequences of digital health interventions, an audit of envisaged consequences and an appreciation of the importance of context as the determinant of those consequences.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
(In) visibility of health and illness: Instagram as an unregulated public health platform. (健康与疾病的可见性:Instagram 作为不受监管的公共卫生平台。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-11-12 DOI: 10.1080/13648470.2024.2386887
Rachael Kent
{"title":"(In) visibility of health and illness: Instagram as an unregulated public health platform.","authors":"Rachael Kent","doi":"10.1080/13648470.2024.2386887","DOIUrl":"https://doi.org/10.1080/13648470.2024.2386887","url":null,"abstract":"<p><p>This paper examines the changing terrain of accessing health and illness guidance and information through the lens of social media, specifically It argues how Instagram, has increasingly become an unregulated -public health platform in today's digital society. Drawing on extensive empirical interview data from two research projects before and during the COVID-19 pandemic, which explored how users showcased and performed health and illness on Instagram, this paper demonstrates how Instagram has became an important forum from which to perform proactive health practices, as well as to legitimate ill health through making healthy behaviours visible, as well as invisible illnesses like disease, COVID-19, and mental health conditions. Over time and through continuous sharing of this content may contribute to increased understanding or even a de-stigmatisation of such illnesses or chronic conditions. With the social media market currently valued at 49.9 billion, and influencer spending around 4.9 billion, the value, reach and direct impact of this 'attention economy' on public health should not be underestimated. Instagram serves as a forum for these practices and helps legitimize ill health by making both healthy behaviours and -invisible illnesses visible. This visibility can contribute to increased understanding and de-stigmatization of chronic conditions and mental health issues. The paper argues that Instagram has evolved into an informal, unregulated public health platform.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'We are not done': reclaiming care after mobile health in Burkina Faso. 我们还没有完成":布基纳法索移动医疗后的医疗服务。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-11-10 DOI: 10.1080/13648470.2024.2378735
Vincent Duclos, N Hélène Sawadogo, Hamidou Sanou
{"title":"'We are not done': reclaiming care after mobile health in Burkina Faso.","authors":"Vincent Duclos, N Hélène Sawadogo, Hamidou Sanou","doi":"10.1080/13648470.2024.2378735","DOIUrl":"https://doi.org/10.1080/13648470.2024.2378735","url":null,"abstract":"<p><p>This paper discusses the afterlives of MOS@N, a mobile health (mHealth) intervention which, between 2014 and 2018, monitored maternal and child health in the district of Nouna, in rural Burkina Faso. The paper documents the work of \"godmothers,\" who were hired and equipped with mobile phones to keep track of pregnant women, and accompany them for medical consultations. As is the case with the majority of mHealth projects in Sub-Saharan Africa, MOS@N was a pilot. This paper examines some of the enduring effects of practices of testing and demoing which were designed as temporary. Indeed, three years after MOS@N was shut down, godmothers are still doing care work. This work is now carried mostly on a voluntary basis and implies the constant repair of decaying technology, which undermines some of the original purposes of MOS@N, and (re)produces gendered forms of social obligation. Ultimately, the paper explores the remnants of a settled intervention, and how they may help us challenge imaginations of global health futures.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital technologies and the future of health: aspirations, care and data. 数字技术与健康的未来:愿望、护理和数据。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-11-07 DOI: 10.1080/13648470.2024.2397921
Claudia Lang, Caroline Meier Zu Biesen, Marian Burchardt
{"title":"Digital technologies and the future of health: aspirations, care and data.","authors":"Claudia Lang, Caroline Meier Zu Biesen, Marian Burchardt","doi":"10.1080/13648470.2024.2397921","DOIUrl":"https://doi.org/10.1080/13648470.2024.2397921","url":null,"abstract":"<p><p>As projects seeking to provide digitized tools in health care and medicine are gaining ground at an accelerating pace, imaginations and incipient formations of digital health have acquired a new political urgency. These projects promise to revolutionize health care and medicine. However, efforts to institutionalize digital technologies in health are often fraught with difficulties that cause them to stall during implementation. We explore digital health technologies with respect to how they are aspired to, designed, used, and resisted. Our central argument is that the spread of digital health technologies has set in motion complex processes around the production, extraction, circulation, and economic valorization of data. These processes reconfigure multiple sets of relationships between people, between human bodies, and machines, and between actors in health care and the diverse institutional landscapes they inhabit. We explore these processes in three interrelated and geographically dispersed fields: (a) imaginaries of health and well-being; (b) new geographies of care; and (c) the datafication and (dis-)embodiment of health. This special issue brings into creative tension case studies from across geographical locations and thematic areas. Taken together, they draw attention to the question of how digital health technologies are situated in making and shaping the future of health care. By foregrounding anthropological perspectives, this Special Issue pushes the epistemological boundaries of the emerging scholarship on digital health technologies and global health. At the same time, it argues for a closer engagement of medical anthropologists and sociologists with processes of digitization in health.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The insensitivity of 'sensitive care': the bureaucracy of pregnancy tissue disposal in England, UK. 敏感护理 "的麻木不仁:英国英格兰处理妊娠组织的官僚主义。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-10-24 DOI: 10.1080/13648470.2024.2416804
Susie Kilshaw
{"title":"The insensitivity of 'sensitive care': the bureaucracy of pregnancy tissue disposal in England, UK.","authors":"Susie Kilshaw","doi":"10.1080/13648470.2024.2416804","DOIUrl":"https://doi.org/10.1080/13648470.2024.2416804","url":null,"abstract":"<p><p>The practices surrounding pregnancy ends and pregnancy remains shift and change depending on the cultural and historical context. Based on ethnographic research in one group NHS Hospital organisation in England, the paper explores what practices around pregnancy remains reveal about the values afforded the material in different contexts by different actors and the moments when these intersect. It argues that framing miscarriage as bereavement helps to structure caregiving in clinical settings and that clinical practices produce foetal personhood in ways that may not be in keeping with women's notions of their pregnancy material. It illustrates that hospital practices contain notions of value which become legitimated as the appropriate approach with consequences for normativity. This may lead to women feeling isolated and abnormal when their approach is at odds with that of the clinic. Through an exploration of how women encounter and negotiate disposal practices, the paper argues that current practice requires revision to flexibly respond to diversity but also shifting meaning and values attributed to these experiences and materials.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phantom data and the potentials of radical caretaking in reproductive health. 幻影数据和生殖健康激进护理的潜力。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-10-24 DOI: 10.1080/13648470.2024.2378730
Mary F E Ebeling
{"title":"Phantom data and the potentials of radical caretaking in reproductive health.","authors":"Mary F E Ebeling","doi":"10.1080/13648470.2024.2378730","DOIUrl":"https://doi.org/10.1080/13648470.2024.2378730","url":null,"abstract":"<p><p>The potentials of digital health to improve health outcomes by empowering patients with more control over their health data have transformed into threats of criminalization in the post-<i>Roe</i> era, threats that are creating serious, and at times deadly, harms to patients and the providers that care for them. While patients' health data are increasingly used to criminalize healthcare, data activists, legislators, and lawyers are engaged in radical caretaking strategies to protect health data, patients, and abortion care providers.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dreaming big with little therapy devices: automated therapy from India. 用小治疗设备实现大梦想:来自印度的自动疗法。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-10-22 DOI: 10.1080/13648470.2024.2378727
Claudia Lang
{"title":"Dreaming big with little therapy devices: automated therapy from India.","authors":"Claudia Lang","doi":"10.1080/13648470.2024.2378727","DOIUrl":"https://doi.org/10.1080/13648470.2024.2378727","url":null,"abstract":"<p><p>This paper examines the aspirations, imaginaries and utopias of designers of an AI-based mental health app in India. By looking at automated therapy as both technological fix and sociotechnical object, I ask, What can we learn from engaging with psy technologists' imaginaries and practices of health care futures? What are the assumptions they encode in the app? How does automated therapy reconfigure the geographies and temporalities of care? While automated therapy as instantiated by Wysa provides, I argue, a modest mental health intervention, the scalar aspirations of designers are anything but small. The paper proceeds in three steps. First, it turns to designers' imaginaries of what it means to care for current mental health needs in digitally saturated lifeworlds and how they inscribe them into the app. It identifies nonjudgmental listening, anonymity, acceptance, reframing, and agency as key ideas encoded in Wysa's sociotechnical algorithms, along with a congruence between entrepreneurial and encoded ethics of care. Second, it situates automated therapy within anthropological scholarship on 'little' technical devices in global health to argue that automated therapy devices such as Wysa articulate dreams for minimalist interventions with macro effects. Finally, it explores the new geographies and temporalities of care that automated therapy spurs, tracing the ways the app bridges various spatial and temporal gaps and obstacles of human therapy and upends common global health pathways. This paper contributes to recent scholarship on aspirations, dreams and utopias and on digitization and datafication in global health.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bloodstream: notes towards an anthropology of digital logistics in healthcare. 血流:医疗数字物流人类学笔记。
IF 1.5 4区 社会学
Anthropology & Medicine Pub Date : 2024-10-22 DOI: 10.1080/13648470.2024.2378731
Marian Burchardt, Edwin Ameso
{"title":"Bloodstream: notes towards an anthropology of digital logistics in healthcare.","authors":"Marian Burchardt, Edwin Ameso","doi":"10.1080/13648470.2024.2378731","DOIUrl":"https://doi.org/10.1080/13648470.2024.2378731","url":null,"abstract":"<p><p>Based on ethnographic research in northern Ghana, this article explores the complex logistics of blood and the ways in which the availability of blood has been transformed through the introduction of drones. We explore how drone services affect this ecosystem of supply and contribute to reshaping the practices of physicians, nurses, facility pharmacists and stock managers, as well as the expectations and experiences of patients and their families. Situated at the interface of medical anthropology, critical studies of infrastructure and anthropological studies of digital innovations in healthcare, our paper attends to the emerging anthropological research on medical logistics as a means of connecting people with medical resources. It demonstrates the fundamentally ambivalent nature of technological innovation: on the one hand, drones have fueled health workers' hopes and transformed access to blood. On the other hand, their introduction has also led to connectivity without stock. In line with STS scholarship, we highlight the important role of the physical properties of objects such as blood in shaping their circulation.</p>","PeriodicalId":8240,"journal":{"name":"Anthropology & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":1.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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