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Street-level bureaucrat's coping strategies in health policy implementation: a comparative case study from Sawla-Tuna-Kalba district of Ghana 基层官员在卫生政策实施中的应对策略:来自加纳Sawla-Tuna-Kalba区的比较案例研究
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-11-04 DOI: 10.1057/s41285-022-00190-8
Daniel Dramani Kipo-Sunyehzi
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引用次数: 0
When health is wealth: occupationally differentiated patterns of health capital in post-industrial Europe. 当健康成为财富:后工业化欧洲健康资本的职业差异模式。
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-10-07 DOI: 10.1057/s41285-022-00187-3
Ivan Harsløf, Kristian Larsen, Clare Bambra

This paper explores the general relationship between peoples' health-related practices and their affiliation with different fields in the occupational structure. It argues that 'healthy behaviour' may be particularly induced in the field of service occupations (jobs where one is providing a service, rather than producing a physical product), rendering such practices an emerging capital in the sense advanced by Bourdieu. The paper presents an empirical elaboration of this theoretical argument by assessing comparative European data on health behavioural dispositions. Across occupational class levels, defined according to Esping-Andersen's post-industrial class scheme, service workers display dispositions suggesting greater possessions of health capital than their counterparts in the industrial hierarchy. In a multilevel analysis, considering societal context, the paper furthermore associates such endowments with post-industrial development. Elaborating on the general relationships identified, we suggest the rising importance of individual health investments to be considered as potentially instigating and reinforcing symbolic boundaries (social closure).

本文探讨了人们与健康有关的行为与其在职业结构中不同领域的从属关系之间的一般关系。本文认为,"健康行为 "在服务性职业领域(提供服务而非生产实物产品的工作)中可能会受到特别诱导,从而使此类行为成为布迪厄(Bourdieu)所说的新兴资本。本文通过评估有关健康行为倾向的欧洲比较数据,对这一理论论点进行了实证阐述。根据埃斯平-安德森(Esping-Andersen)的后工业阶级方案,在不同的职业阶级中,服务业工人所表现出的行为方式表明他们比工业阶级中的同行拥有更多的健康资本。在考虑到社会背景的多层次分析中,本文进一步将这种禀赋与后工业发展联系起来。在阐述已确定的一般关系时,我们认为个人健康投资的重要性不断上升,有可能煽动和强化象征性界限(社会封闭)。
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引用次数: 0
UK public opinion on reasons to oppose healthcare privatisation: a failure of neoliberal persuasion and discursive politicisation 英国公众对反对医疗私有化理由的看法:新自由主义说服和话语政治化的失败
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-08-29 DOI: 10.1057/s41285-022-00185-5
Jane. Thomas, Sean Tunney
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引用次数: 0
The co-production of a workplace health promotion program: expected benefits, contested boundaries. 工作场所健康促进计划的共同制作:预期收益,有争议的边界。
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-08-17 DOI: 10.1057/s41285-022-00186-4
Paolo Rossi, Francesco Miele, Enrico Maria Piras

Workplace health promotion (WHP) are often depicted as an opportunity for pursuing a better and broader well-being condition under the assumption that working environments affect the physical, mental, and social well-being of individuals who spend large proportion of waking hours at work. While most empirical studies provided medical evidence to the effectiveness of WHP programs, scholars question the instrumental purposes of these programs founded on the belief that "healthy workers are better workers". Little is known, for instance, about the design of WHP programs and their acceptance by workers. Our study addresses this gap, analyzing the co-production of a WHP program in an Italian research institute promoted by the healthcare authority, the local government and the national center for prevention and security in the workplaces. To this aim, we adopt the notion of boundary object investigate how different stakeholders reclaim to take part and being involved in this process, re-shaping their goals and their boundaries and why a WHP program or parts of it may be rejected or re-negotiated by its recipients. Our analysis reveals how each stakeholder contributes to re-shape the WHP program which emerges as the modular product of the composition of each matter of concern. Most notably, the strong rooting in a clinical perspective and the original focus on only workers at risk is gradually flanked by initiatives to involve all employees. Moreover, workers draw a line as for the legitimacy of employers' intervention in the personal sphere of health promotion, embracing interventions addressing diet and physical activity while rejecting measures targeting smoking and alcohol consumption.

工作场所健康促进(WHP)通常被认为是追求更好、更广泛的福利条件的一个机会,其假设是,工作环境会影响大部分醒着时间都在工作的人的身体、精神和社会福利。虽然大多数实证研究都为 WHP 计划的有效性提供了医学证据,但学者们对这些计划建立在 "健康的工人是更好的工人 "这一信念上的工具性目的提出了质疑。例如,人们对 WHP 计划的设计及其被工人接受的程度知之甚少。我们的研究针对这一空白,分析了由医疗保健机构、地方政府和国家工作场所预防与安全中心共同推动的意大利一家研究所的 WHP 计划。为此,我们采用了 "边界对象 "的概念,研究不同的利益相关者是如何要求参与和介入这一过程的,如何重新塑造他们的目标和边界,以及为什么 WHP 计划或其部分内容可能会被接受者拒绝或重新协商。我们的分析揭示了每一个利益相关者是如何为重新塑造世界卫生大会计划做出贡献的,而世界卫生大会计划则是每一个利益相关者组成的模块化产物。最值得注意的是,原本扎根于临床的观点和原本只关注高危工人的做法逐渐被让所有员工参与其中的举措所取代。此外,工人们对雇主在个人健康促进领域进行干预的合法性进行了界定,他们接受针对饮食和体育活动的干预措施,但反对针对吸烟和饮酒的措施。
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引用次数: 0
Exploring the significance of relationality, care and governmentality in families, for understanding women's classed alcohol drinking practices. 探索家庭中的关系性、关爱和政府性对于理解妇女分类饮酒行为的意义。
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-06-24 DOI: 10.1057/s41285-022-00183-7
Katherine Jackson, Tracy Finch, Eileen Kaner, Janice McLaughlin

In this paper we explore the importance of relationality and care for understanding women's alcohol use, using a theoretical framework comprising concepts from feminist ethics of care, the sociology of personal life, and feminist approaches to governmentality. A key focus is how care giving responsibilities and expectations in families appear to be particularly significant for creating or constraining possibilities for drinking practices. We draw on findings from a qualitative study about alcohol use and stress with 26 women, aged 24-67 years, in the North East of England, UK. We consider how care practices in families feature in the accounts of alcohol use by women with and without children, and how the symbolic and material aspects of social class interact with care to alter the drinking practices women engage in. The interpretation extends scholarship on women's drinking, by adopting a relational approach to identity and linking private care practices and alcohol use to social and political structures. Public health approaches for preventing or reducing heavy drinking practices are predominantly situated within biomedical or psychological paradigms. Intervention approaches to reduce women's drinking that draw on our theoretical framework could offer potential for reducing harmful alcohol use in a more meaningful way.

在本文中,我们使用了一个理论框架,其中包括女权主义关怀伦理学、个人生活社会学和女权主义政府性方法中的概念,探讨了关系性和关怀对于理解女性饮酒的重要性。研究的一个重点是,家庭中的照顾责任和期望如何在创造或限制饮酒行为的可能性方面显得尤为重要。我们借鉴了英国英格兰东北部 26 名 24-67 岁女性关于饮酒和压力的定性研究结果。我们考虑了有孩子和没有孩子的妇女在讲述饮酒情况时是如何描述家庭中的照料行为的,以及社会阶层的象征性和物质方面是如何与照料行为相互作用以改变妇女的饮酒行为的。通过采用一种身份关系的方法,并将私人护理实践和饮酒与社会和政治结构联系起来,该阐释扩展了有关妇女饮酒的学术研究。预防或减少酗酒的公共卫生方法主要是基于生物医学或心理学范式。利用我们的理论框架来减少妇女酗酒的干预方法可以为以更有意义的方式减少有害酒精的使用提供潜力。
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引用次数: 0
“Not a lifestyle disease”: the importance of boundary work for the construction of a collective illness identity among people with type 1 diabetes “不是一种生活方式疾病”:边界工作对1型糖尿病患者建立集体疾病身份的重要性
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-06-13 DOI: 10.1057/s41285-022-00182-8
Emil Øversveen, J. Stachowski
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引用次数: 0
Revisiting rural healthcare access through Held’s ethics of care 通过赫尔德的护理伦理重新审视农村医疗服务
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-05-25 DOI: 10.1057/s41285-022-00181-9
Claire Quilliam, K. Glenister, K. Ervin, Jennifer M. Weller-Newton
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引用次数: 4
Mindfulness meditation as “good medicine”: a new epistemological pluralism in health care 作为“良药”的正念冥想:一种新的医疗保健认识论多元主义
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-05-02 DOI: 10.1057/s41285-022-00180-w
Kaelyn Wiles
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引用次数: 0
COVID-19 amongst western democracies: A welfare state analysis 西方民主国家中的新冠肺炎:福利国家分析
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-04-26 DOI: 10.1057/s41285-022-00178-4
Raluca Bejan, K. Nikolova
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引用次数: 3
An unproblematized truth: Foucault, biopolitics, and the making of a sociological canon 毋庸置疑的真理:福柯、生命政治和社会学经典的形成
IF 1.6 4区 社会学 Q1 Social Sciences Pub Date : 2022-03-07 DOI: 10.1057/s41285-022-00177-5
Maurizio Meloni
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引用次数: 0
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Social Theory & Health
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