Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101130
R. Behl
Background
The WHO recently recommended regular screening of postnatal depression and anxiety, and delivery of treatment interventions, which can be competently undertaken by non-specialist health workers as well. In India, the National Nursing and Midwifery Commission (NNMC) Act, 2023 has been recently enforced to regulate, and maintain standards of education, and services prescribed for nursing and midwifery professionals, and the development and adoption of scientific advancements in healthcare models.
Aim
To understand if delivery of perinatal mental health (PMH) services in the context of provisions of the NNMC Act, 2023 can be feasibly undertaken by nursing and midwifery personnel in India, and which group of the personnel can feasibly deliver the same.
Methods
Normative Juridical method was used to identify the provisions of the NNMC Act relating to nursing and midwifery personnel, and a comparative interpretative method was utilized to analyze the feasibility of delivery of PHM services by these personnel.
Results
The NNMC Act, 2023 expansively differentiates between nursing, and midwifery, and provides for different cadres under the nursing, and midwifery groups of personnel. The Nurse Practitioner in Midwifery (NPM) can most optimally deliver PMH services, and in their absence, Midwifery Professionals can undertake the task through an integrated approach. However, an acute shortage of nursing and midwifery personnel exists at the nationwide level.
Conclusion
The NNMC Act, 2023 can facilitate the delivery of PMH services but the number of available human resources must be increased, and the existing healthcare personnel must be sufficiently trained.
{"title":"Delivery of perinatal mental health services in India, and the National Nursing and Midwifery Commission Act, 2023: The connotations","authors":"R. Behl","doi":"10.1016/j.jemep.2025.101130","DOIUrl":"10.1016/j.jemep.2025.101130","url":null,"abstract":"<div><h3>Background</h3><div>The WHO recently recommended regular screening of postnatal depression and anxiety, and delivery of treatment interventions, which can be competently undertaken by non-specialist health workers as well. In India, the National Nursing and Midwifery Commission (NNMC) Act, 2023 has been recently enforced to regulate, and maintain standards of education, and services prescribed for nursing and midwifery professionals, and the development and adoption of scientific advancements in healthcare models.</div></div><div><h3>Aim</h3><div>To understand if delivery of perinatal mental health (PMH) services in the context of provisions of the NNMC Act, 2023 can be feasibly undertaken by nursing and midwifery personnel in India, and which group of the personnel can feasibly deliver the same.</div></div><div><h3>Methods</h3><div>Normative Juridical method was used to identify the provisions of the NNMC Act relating to nursing and midwifery personnel, and a comparative interpretative method was utilized to analyze the feasibility of delivery of PHM services by these personnel.</div></div><div><h3>Results</h3><div>The NNMC Act, 2023 expansively differentiates between nursing, and midwifery, and provides for different cadres under the nursing, and midwifery groups of personnel. The Nurse Practitioner in Midwifery (NPM) can most optimally deliver PMH services, and in their absence, Midwifery Professionals can undertake the task through an integrated approach. However, an acute shortage of nursing and midwifery personnel exists at the nationwide level.</div></div><div><h3>Conclusion</h3><div>The NNMC Act, 2023 can facilitate the delivery of PMH services but the number of available human resources must be increased, and the existing healthcare personnel must be sufficiently trained.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101130"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220804","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101046
G. Genicot
Context
In Belgian law, medical decisions are placed under the banner of the patient's self-determination, expressed, if necessary, in the form of binding advance directives or conveyed by a representative – freely chosen, or designated by the law or the judge – who has decision-making powers.
Methodology
The way in which the law understands reality differs from that of other disciplines, including the humanities and social sciences. For this subject, reality is studied through the development of rules (issues, content, spirit), but also through their practical application, especially in the case of litigation, through the study of court decisions that may be handed down. This method is used here in relation to end of life.
Results/discussion
The patient's decision-making autonomy is the cornerstone of Belgian medical law, and it remains – simply exercised in a different way – when patients are no longer able to exercise their rights themselves. Belgian law provides for (i) an absolute right of an adult patient to refuse any treatment, including in the form of advance directives; (ii) the right to appoint a health proxy whose decision will be binding both on (other) family members and on the doctor; (iii) and, failing that, a "cascade" mechanism designating in any event a person empowered to exercise the rights of a patient who is incapable of doing so, and giving the immediate family a decision-making role rather than a merely advisory one, with a hierarchy among family members (priority being given to the spouse, whether married or not).
Conclusion/outlook
In medical matters, and especially at the end of life, the crucial point which is illustrated by the legal framework is probably the decision-making model itself. The law should suggest a model which, in this field, is as much societal (and ethical) as strictly legal. In this respect, the scheme set up in Belgian law has the salutary effect to adequately meet the needs of healthcare practice, and the legitimate aspirations of citizens. By placing the centre of gravity of medical decisions on the side of the patient and not the doctor, including at the end of life, it is fundamentally different from a consultation scheme, which results in a decision that is certainly concerted, but remains medical.
{"title":"Protection of the elderly patient and preservation of decision-making autonomy at the end of life in Belgian law","authors":"G. Genicot","doi":"10.1016/j.jemep.2025.101046","DOIUrl":"10.1016/j.jemep.2025.101046","url":null,"abstract":"<div><h3>Context</h3><div>In Belgian law, medical decisions are placed under the banner of the patient's <em>self-determination</em>, expressed, if necessary, in the form of <em>binding</em> advance directives or conveyed by a representative – freely chosen, or designated by the law or the judge – who has <em>decision-making powers</em>.</div></div><div><h3>Methodology</h3><div>The way in which the law understands reality differs from that of other disciplines, including the humanities and social sciences. For this subject, reality is studied through the development of rules (issues, content, spirit), but also through their practical application, especially in the case of litigation, through the study of court decisions that may be handed down. This method is used here in relation to end of life.</div></div><div><h3>Results/discussion</h3><div>The patient's decision-making autonomy is the cornerstone of Belgian medical law, and it remains – simply exercised in a different way – when patients are no longer able to exercise their rights themselves. Belgian law provides for (i) an absolute right of an adult patient to refuse any treatment, including in the form of advance directives; (ii) the right to appoint a health proxy whose decision will be binding both on (other) family members and on the doctor; (iii) and, failing that, a \"cascade\" mechanism designating <em>in any event</em> a person empowered to exercise the rights of a patient who is incapable of doing so, and giving the immediate family a decision-making role rather than a merely advisory one, with a hierarchy among family members (priority being given to the spouse, whether married or not).</div></div><div><h3>Conclusion/outlook</h3><div>In medical matters, and especially at the end of life, the crucial point which is illustrated by the legal framework is probably <em>the decision-making model itself</em>. The law should suggest a model which, in this field, is as much societal (and ethical) as strictly legal. In this respect, the scheme set up in Belgian law has the salutary effect to adequately meet the needs of healthcare practice, and the legitimate aspirations of citizens. By placing the centre of gravity of medical decisions on the side of the <em>patient</em> and not the doctor, including at the end of life, it is fundamentally different from a <em>consultation scheme</em>, which results in a decision that is certainly concerted, but remains medical.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101046"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143099345","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":"Concerns regarding patient’s safety and oral health risks associated with counterfeit dental materials","authors":"Shalini Kushwaha , Pooja Puri , Kavita Goyal , Christine Jeyaseelan","doi":"10.1016/j.jemep.2024.101038","DOIUrl":"10.1016/j.jemep.2024.101038","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101038"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143099353","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101067
S.G. Bashir, Y.H. Abdi, Y.B. Abdullahi, M.S. Abdi
{"title":"Uncertain future: How the USAID freeze endangers global health","authors":"S.G. Bashir, Y.H. Abdi, Y.B. Abdullahi, M.S. Abdi","doi":"10.1016/j.jemep.2025.101067","DOIUrl":"10.1016/j.jemep.2025.101067","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101067"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444791","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101098
C. Germé
This article studies the unique case of conjoined twins Lori et Georges Schappell, who lives extraordinary lives while defying social and medical norms. By combining neurobiological, anthropological, and ethical perspectives, these research helps our reflection and understanding of identity construction, brain plasticity and socials consequences of rare medical conditions.
I tried to explore the neurobiological mechanisms underlying gender identity construction in the context of craniopagus twins. Analyze the influence of the socio-cultural environment on the search for gender identity associated with an exceptional physical condition. Raise ethical questions related to research on individuals with rare conditions, such as informed consent and privacy protection.
More generally, this work is part of a research stream with aims to better understanding of complex interactions between biology and social in the construction of the self.
本文研究了连体婴儿洛莉和乔治-沙佩尔（Lori et Georges Schappell）的独特案例。通过结合神经生物学、人类学和伦理学的视角，这些研究有助于我们思考和理解身份构建、大脑可塑性和罕见病症的社会后果。分析社会文化环境对寻求与特殊身体状况相关的性别认同的影响。提出与罕见病症个体研究相关的伦理问题，如知情同意和隐私保护。更广泛地说，这项工作是研究流的一部分，旨在更好地理解自我建构过程中生物与社会之间的复杂互动。
{"title":"At the crossroads of neuroscience, anthropology, and ethics: The case study of conjoined twins Lori and George Schappell","authors":"C. Germé","doi":"10.1016/j.jemep.2025.101098","DOIUrl":"10.1016/j.jemep.2025.101098","url":null,"abstract":"<div><div>This article studies the unique case of conjoined twins Lori et Georges Schappell, who lives extraordinary lives while defying social and medical norms. By combining neurobiological, anthropological, and ethical perspectives, these research helps our reflection and understanding of identity construction, brain plasticity and socials consequences of rare medical conditions.</div><div>I tried to explore the neurobiological mechanisms underlying gender identity construction in the context of craniopagus twins. Analyze the influence of the socio-cultural environment on the search for gender identity associated with an exceptional physical condition. Raise ethical questions related to research on individuals with rare conditions, such as informed consent and privacy protection.</div><div>More generally, this work is part of a research stream with aims to better understanding of complex interactions between biology and social in the construction of the self.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101098"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816066","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101108
J. Brisson
Background
In bioethics, parental paternalism in adolescent healthcare is typically analyzed through the lens of autonomy and consent, emphasizing parents’ role and adolescents’ capacity to make independent decisions. However, this approach may overlook the role of parental self-interest in shaping healthcare decisions, particularly in the context of reproductive health, and may contribute to inequitable outcomes for adolescents. This exploratory empirical bioethics study examines these dynamics through an equity lens, offering a broader perspective on how relational and social factors can differentially constrain adolescents’ reproductive choices, such as the use of contraceptives.
Methods
In 2024, semi-structured interviews were conducted with parents of adolescents aged 10–19 in Medellín, Colombia. Participants were recruited through a sexual and reproductive health clinic and community networks. Transcripts were analyzed using the public health ethics principle of equity.
Results
Of the 28 participants, 79% were mothers, and together they had 35 adolescents with a mean age of 14. While parental paternalism is typically framed as solely altruistic, some participants described influencing adolescents’ contraceptive decisions to avoid assuming caregiving roles as young grandparents. In a context like Colombia, where adolescent pregnancy is prevalent and grandparents often provide care, such motivations raise equity concerns about how parental self-interest may unequally constrain adolescents’ reproductive choices.
Conclusions
These findings highlight an underexplored equity concern: when parental self-interest shapes adolescents’ healthcare decisions, it can create unjust disparities in their ability to make reproductive health choices. Equity-oriented approaches must address how family dynamics can reinforce structural barriers to adolescent health and well-being.
{"title":"Parental paternalism as an equity issue: A case study of parental influence on adolescents’ reproductive health in Medellín, Colombia","authors":"J. Brisson","doi":"10.1016/j.jemep.2025.101108","DOIUrl":"10.1016/j.jemep.2025.101108","url":null,"abstract":"<div><h3>Background</h3><div>In bioethics, parental paternalism in adolescent healthcare is typically analyzed through the lens of autonomy and consent, emphasizing parents’ role and adolescents’ capacity to make independent decisions. However, this approach may overlook the role of parental self-interest in shaping healthcare decisions, particularly in the context of reproductive health, and may contribute to inequitable outcomes for adolescents. This exploratory empirical bioethics study examines these dynamics through an equity lens, offering a broader perspective on how relational and social factors can differentially constrain adolescents’ reproductive choices, such as the use of contraceptives.</div></div><div><h3>Methods</h3><div>In 2024, semi-structured interviews were conducted with parents of adolescents aged 10–19 in Medellín, Colombia. Participants were recruited through a sexual and reproductive health clinic and community networks. Transcripts were analyzed using the public health ethics principle of equity.</div></div><div><h3>Results</h3><div>Of the 28 participants, 79% were mothers, and together they had 35 adolescents with a mean age of 14. While parental paternalism is typically framed as solely altruistic, some participants described influencing adolescents’ contraceptive decisions to avoid assuming caregiving roles as young grandparents. In a context like Colombia, where adolescent pregnancy is prevalent and grandparents often provide care, such motivations raise equity concerns about how parental self-interest may unequally constrain adolescents’ reproductive choices.</div></div><div><h3>Conclusions</h3><div>These findings highlight an underexplored equity concern: when parental self-interest shapes adolescents’ healthcare decisions, it can create unjust disparities in their ability to make reproductive health choices. Equity-oriented approaches must address how family dynamics can reinforce structural barriers to adolescent health and well-being.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101108"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882331","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101066
S. Jimeno Ramírez
Introduction
During the Covid-19 pandemics, the access to patented products (vaccines) become a problem of public health due to their high prices, especially in the least developed countries. Buth the concept of access is also related to other health care-related issues.
Objective
This paper seeks to analyse these problems of access in public health by using the notion of bioprecariousness, that we generally define as the structural violence against life due to the lack of access to essential resources for life.
Methodology
We shall analyse bioprecariousness by means of literature concerned to the concept of vulnerability, health disparities and IP legislation and shall assess the negative impact of bioprecariousness on global health equity.
Findings
We shall present a taxonomy of bioprecariousness considering three different dimensions of health care in form of pharmacological, digital, and care-related bioprecariousness. From that point, we will explore the effects of each kind of bioprecariousness on public health, given that it increases vulnerability and health inequities simultaneously.
Conclusion
Bioprecariousness is a concept closely related to vulnerability, which results in important health disparities and unjust distribution of health-related resources, thereby increasing health inequities. We propose to address the issues related to bioprecariousness by applying adequate government policies.
{"title":"Bioprecariousness and vulnerability: An ethical approach to the issues of access to public health","authors":"S. Jimeno Ramírez","doi":"10.1016/j.jemep.2025.101066","DOIUrl":"10.1016/j.jemep.2025.101066","url":null,"abstract":"<div><h3>Introduction</h3><div>During the Covid-19 pandemics, the access to patented products (vaccines) become a problem of public health due to their high prices, especially in the least developed countries. Buth the concept of access is also related to other health care-related issues.</div></div><div><h3>Objective</h3><div>This paper seeks to analyse these problems of access in public health by using the notion of bioprecariousness, that we generally define as the structural violence against life due to the lack of access to essential resources for life.</div></div><div><h3>Methodology</h3><div>We shall analyse bioprecariousness by means of literature concerned to the concept of vulnerability, health disparities and IP legislation and shall assess the negative impact of bioprecariousness on global health equity.</div></div><div><h3>Findings</h3><div>We shall present a taxonomy of bioprecariousness considering three different dimensions of health care in form of pharmacological, digital, and care-related bioprecariousness. From that point, we will explore the effects of each kind of bioprecariousness on public health, given that it increases vulnerability and health inequities simultaneously.</div></div><div><h3>Conclusion</h3><div>Bioprecariousness is a concept closely related to vulnerability, which results in important health disparities and unjust distribution of health-related resources, thereby increasing health inequities. We propose to address the issues related to bioprecariousness by applying adequate government policies.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101066"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454754","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101094
C. Belkhiri , C. Himri , S.-E. Azizi , M. Dalli , I. Rahhou , C. Belbachir , B. Legssyer
Background
Chewing tobacco, an emerging form of smoking attracting attention because of its health damage. The current study aims to investigate chewing tobacco withing the population of Oujda, Morocco by elucidating specific parameters.
Methods
This descriptive cross-sectional study, which included volunteers (n = 838) from different age groups and from both sexes living in Oujda city the capital of eastern Morocco.
Results
The collected results indicated that the prevalence of chewing tobacco was found to be 35.3%, with a sex repartition of 97.45% for men and 3.11% for women. The average initiation age was found between 16 and 20 years, covering 56.4% of the sample. The multivariate analysis carried out as part of this study revealed significant associations between numerous key variables including sex, profession, age and the age of chewing initiation in relation to chewing tobacco consumption. Also, a statistically significant associations was determined between these variables and the adoption of tobacco chewing.
Conclusion
To diminish the prevalence of this growing habit among our population, it is crucial to enhance understanding of the risks linked to this practice and integrate awareness programs into educational curricula.
{"title":"Emergence of chewing tobacco in the population of Oriental, Morocco: A comprehensive study of determinants and associated risks","authors":"C. Belkhiri , C. Himri , S.-E. Azizi , M. Dalli , I. Rahhou , C. Belbachir , B. Legssyer","doi":"10.1016/j.jemep.2025.101094","DOIUrl":"10.1016/j.jemep.2025.101094","url":null,"abstract":"<div><h3>Background</h3><div>Chewing tobacco, an emerging form of smoking attracting attention because of its health damage. The current study aims to investigate chewing tobacco withing the population of Oujda, Morocco by elucidating specific parameters.</div></div><div><h3>Methods</h3><div>This descriptive cross-sectional study, which included volunteers (n = 838) from different age groups and from both sexes living in Oujda city the capital of eastern Morocco.</div></div><div><h3>Results</h3><div>The collected results indicated that the prevalence of chewing tobacco was found to be 35.3%, with a sex repartition of 97.45% for men and 3.11% for women. The average initiation age was found between 16 and 20 years, covering 56.4% of the sample. The multivariate analysis carried out as part of this study revealed significant associations between numerous key variables including sex, profession, age and the age of chewing initiation in relation to chewing tobacco consumption. Also, a statistically significant associations was determined between these variables and the adoption of tobacco chewing.</div></div><div><h3>Conclusion</h3><div>To diminish the prevalence of this growing habit among our population, it is crucial to enhance understanding of the risks linked to this practice and integrate awareness programs into educational curricula.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101094"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792385","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101109
L. McEwen , C. Déchelette , S. Fauverghe
Background
Skin aging is perceived differently across generations, influencing their views on skin aging and aesthetic procedures. This study analyses the attitudes of five current generations: the Silent Generation; Baby Boomers; Generation X; Generation Y or Millennials; and Generation Z, toward skin aging and aesthetic treatments. By combining anthropological and medical perspectives, we identified the perceptions, motivations, knowledge and emerging trends in aesthetic medicine for each generation.
Methodology
A semi-structured online survey consisting of 20 questions was conducted. A total of 1,303 responses were collected from respondents across 54 countries, representing the five sociological age groups (Gen Z, Millennials, Gen X, Baby Boomers, and the Silent Generation), with a gender distribution of 60% women, 40% men, and three non-binary individuals. A thematic roundtable with dermatologists and aesthetic surgeons was then conducted. Quantitative and qualitative analyses of all data, including the open and closed questions as well as citations from the roundtable, was conducted and eight axes of analysis were used to structure the interpretation of the data (neutral/negative; external/internal; active/passive; informed/uninformed). This resulted in detailed, nuanced profiles of each generation’s perceptions, orientations, and practices related to skin aging and aesthetic procedures.
Results
Each generation reflects a different relationship with their skin and perception of skin aging. A noticeable generation gap emerged between Generation X and the Baby boomers. The three younger generations (Gen X, Millennials, and Gen Z) displayed a more active, informed approach to skin aging and aesthetic procedures; as opposed to the more passive, uninformed orientation of the two older generations (Baby Boomers, Silent Generation). Nuanced evidence of the “prejuvenation” concept was present in the form of a conceptual spectrum that spanned the generations: Gen Z emphasized prevention and protection; the Millennials and Gen X focused on rejuvenation and anti-aging; and the Baby boomers on care. The Millennials were the most active in their approach to skin aging. There was evidence of an increasingly negative vision of skin aging as the age of the generations increased.
Conclusion
With the rise of social media and advancements in aesthetic medicine, behaviors related to anti-aging treatments have evolved. While older generations seek discreet interventions, younger generations adopt a preventive approach known as “prejuvenation” and normalize aesthetic procedures from an early age. Our results confirm several of the major trends in the literature and in aesthetic medicine; namely that the 26–55 groups are the most knowledgeable and active consumers of aesthetic dermatology and aesthetic medicine. The overall negative conception of skin aging is
{"title":"Anthropological study on the perception of skin aging and aesthetic procedures: An international, generational analysis","authors":"L. McEwen , C. Déchelette , S. Fauverghe","doi":"10.1016/j.jemep.2025.101109","DOIUrl":"10.1016/j.jemep.2025.101109","url":null,"abstract":"<div><h3>Background</h3><div>Skin aging is perceived differently across generations, influencing their views on skin aging and aesthetic procedures. This study analyses the attitudes of five current generations: the Silent Generation; Baby Boomers; Generation X; Generation Y or Millennials; and Generation Z, toward skin aging and aesthetic treatments. By combining anthropological and medical perspectives, we identified the perceptions, motivations, knowledge and emerging trends in aesthetic medicine for each generation.</div></div><div><h3>Methodology</h3><div>A semi-structured online survey consisting of 20 questions was conducted. A total of 1,303 responses were collected from respondents across 54 countries, representing the five sociological age groups (Gen Z, Millennials, Gen X, Baby Boomers, and the Silent Generation), with a gender distribution of 60% women, 40% men, and three non-binary individuals. A thematic roundtable with dermatologists and aesthetic surgeons was then conducted. Quantitative and qualitative analyses of all data, including the open and closed questions as well as citations from the roundtable, was conducted and eight axes of analysis were used to structure the interpretation of the data (neutral/negative; external/internal; active/passive; informed/uninformed). This resulted in detailed, nuanced profiles of each generation’s perceptions, orientations, and practices related to skin aging and aesthetic procedures.</div></div><div><h3>Results</h3><div>Each generation reflects a different relationship with their skin and perception of skin aging. A noticeable generation gap emerged between Generation X and the Baby boomers. The three younger generations (Gen X, Millennials, and Gen Z) displayed a more active, informed approach to skin aging and aesthetic procedures; as opposed to the more passive, uninformed orientation of the two older generations (Baby Boomers, Silent Generation). Nuanced evidence of the “prejuvenation” concept was present in the form of a conceptual spectrum that spanned the generations: Gen Z emphasized prevention and protection; the Millennials and Gen X focused on rejuvenation and anti-aging; and the Baby boomers on care. The Millennials were the most active in their approach to skin aging. There was evidence of an increasingly negative vision of skin aging as the age of the generations increased.</div></div><div><h3>Conclusion</h3><div>With the rise of social media and advancements in aesthetic medicine, behaviors related to anti-aging treatments have evolved. While older generations seek discreet interventions, younger generations adopt a preventive approach known as “prejuvenation” and normalize aesthetic procedures from an early age. Our results confirm several of the major trends in the literature and in aesthetic medicine; namely that the 26–55 groups are the most knowledgeable and active consumers of aesthetic dermatology and aesthetic medicine. The overall negative conception of skin aging is","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101109"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143923016","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jemep.2025.101113
P. Charlier
{"title":"Mengele, the banality of evil and the perversion of medicine","authors":"P. Charlier","doi":"10.1016/j.jemep.2025.101113","DOIUrl":"10.1016/j.jemep.2025.101113","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101113"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894976","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}
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