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Indentured clinical labor? An indigenist standpoint view of ‘forced surrogacy’ and reproductive governance in India 契约临床分娩?印度“强迫代孕”与生殖治理的本土主义观点
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-10-19 DOI: 10.1057/s41292-022-00284-6
Sanghamitra Das
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引用次数: 0
Agri-food tech’s building block: narrating protein, agnostic of source, in the face of crisis 农业食品技术的基石:叙述蛋白质,来源不可知论,面对危机
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-10-19 DOI: 10.1057/s41292-022-00287-3
J. Guthman, Charlotte Biltekoff
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引用次数: 2
Epigenetic citizenship and political claims-making: the ethics of molecularizing structural racism. 表观遗传公民权与政治诉求:结构性种族主义分子化的伦理。
IF 1.3 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-10-19 DOI: 10.1057/s41292-022-00286-4
Jessica P Cerdeña

Epigenetics has generated excitement over its potential to inform health disparities research by capturing the molecular signatures of social experiences. This paper highlights the concerns implied by these expectations of epigenetics research and discusses the possible ramifications of 'molecularizing' the forms of social suffering currently examined in epigenetics studies. Researchers working with oppressed populations-particularly racially marginalized groups-should further anticipate how their results might be interpreted to avoid fueling prejudiced claims of biological essentialism. Introducing the concept of 'epigenetic citizenship,' this paper considers the ways environmentally responsive methylation cues may be used in direct-to-consumer testing, healthcare, and biopolitical interactions. The conclusion addresses the future of social epigenetics research and the utility of an epigenetic citizenship framework.

表观遗传学通过捕捉社会经历的分子特征而为健康差异研究提供信息的潜力引起了人们的极大兴趣。本文强调了这些对表观遗传学研究的期望所隐含的担忧,并讨论了将目前表观遗传学研究中的社会痛苦形式 "分子化 "可能带来的影响。从事受压迫人群--尤其是种族边缘化群体--研究的研究人员应进一步预测他们的研究结果可能会被如何解释,以避免助长生物本质论的偏见主张。本文引入了 "表观遗传公民 "的概念,探讨了环境响应性甲基化线索在直接面向消费者的测试、医疗保健和生物政治互动中的应用方式。最后,本文探讨了社会表观遗传学研究的未来以及表观遗传学公民权框架的实用性。
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引用次数: 0
The emergence of multimorbidity as a matter of concern: a critical review 多发性疾病的出现是一个值得关注的问题:一项批判性的综述
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-09-24 DOI: 10.1057/s41292-022-00285-5
Esca van Blarikom, N. Fudge, D. Swinglehurst
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引用次数: 5
Core values of genomic citizen science: results from a qualitative interview study. 基因组公民科学的核心价值:一项定性访谈研究的结果。
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-06-01 DOI: 10.1057/s41292-020-00208-2
Christi J Guerrini, Meredith Trejo, Isabel Canfield, Amy L McGuire

Genomic citizen science initiatives that promote public involvement in the study or manipulation of genetic information are flourishing. These initiatives are diverse and range from data donation studies, to biological experimentation conducted in home and community laboratories, to self-experimentation. Understanding the values that citizen scientists associate with their activities and communities can be useful to policy development for citizen science. Here, we report values-relevant data from qualitative interviews with 38 stakeholders in genomic citizen science. Applying a theoretical framework that describes values as transcendent beliefs about desirable end states or behaviors that can be categorized according to the motivational goals that they express and the interests they serve, we identified nine core values of genomic citizen science: altruism, autonomy, fun, inclusivity, openness, reciprocity, respect, safety, and solidarity.

促进公众参与基因信息研究或操纵的基因组公民科学倡议正在蓬勃发展。这些倡议是多种多样的,范围从数据捐赠研究到在家庭和社区实验室进行的生物实验,再到自我实验。理解公民科学家与他们的活动和社区联系在一起的价值观可以对公民科学的政策制定有用。在这里,我们报告了与基因组公民科学中38个利益相关者的定性访谈的价值相关数据。应用一个理论框架,将价值观描述为对理想的最终状态或行为的超越信念,可以根据他们表达的动机目标和他们所服务的利益进行分类,我们确定了基因组公民科学的九个核心价值观:利他主义,自主性,乐趣,包容性,开放性,互惠性,尊重,安全和团结。
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引用次数: 10
Device activism and material participation in healthcare: retracing forms of engagement in the #WeAreNotWaiting movement for open-source closed-loop systems in type 1 diabetes self-care. 医疗保健中的设备行动主义和物质参与:追溯 1 型糖尿病自我护理开源闭环系统 #WeAreNotWaiting 运动中的参与形式。
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-04-22 DOI: 10.1057/s41292-022-00278-4
Bianca Jansky, Henriette Langstrup

The #WeAreNotWaiting movement is a global digital health phenomenon in which people with diabetes, mainly type 1 diabetes (T1D), engage in the development and usage of open-source closed-loop technology for the improvement of their "chronic living" (Wahlberg et al. 2021). The characteristics of a digitally enabled and technologically engaged global activist patient collective feed into existing narratives of user-led and open-source innovation. They also call for more exploration of what it actually means to be locally involved in this kind of technologically mediated and global form of patient engagement. Building on empirical research conducted in the German healthcare context, we explore the different forms of material participation encountered among a group of people with T1D (who describe themselves as loopers), who are engaged in the development and usage of this open-source technology. Introducing the concept of device activism, we retrace three different device-centered narratives that show how a globally shared concern and political participation through technology use varies with local practices. Hereby we stress that the engagement in the #WeAreNotWaiting movement is both shaped by and is shaping the matters of concerns: devices in, on, and with bodies.

#WeAreNotWaiting 运动是一种全球数字健康现象,其中糖尿病患者,主要是 1 型糖尿病(T1D)患者,参与开发和使用开源闭环技术,以改善他们的 "慢性生活"(Wahlberg 等,2021 年)。具有数字功能和技术参与的全球积极患者集体的特征,与现有的用户主导和开源创新的叙事相辅相成。他们还呼吁更多地探索本地参与这种以技术为媒介的全球患者参与形式的实际意义。在德国医疗保健领域开展的实证研究的基础上,我们探讨了一群患有 T1D 的患者(他们自称为 loopers)的不同形式的物质参与,他们参与了这项开源技术的开发和使用。我们引入了 "设备行动主义"(device activism)的概念,回溯了三个不同的以设备为中心的叙事,展示了全球共同关注的问题和通过技术使用进行的政治参与如何因地制宜。在此,我们强调,#我们不等待#运动中的参与既是由关注的问题--身体中、身体上和身体上的设备--形成的,也正在形成。
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引用次数: 0
Correction to: The other face of medical globalization? Pharmaceutical data, prescribing trends, and the social localization of psychostimulants 更正:医疗全球化的另一面?药物数据、处方趋势和精神刺激药物的社会定位
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-04-16 DOI: 10.1057/s41292-022-00280-w
A. Filipe
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引用次数: 0
Value-creation in the health data domain: a typology of what health data help us do. 健康数据领域的价值创造:健康数据帮助我们做什么的类型学
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-04-12 DOI: 10.1057/s41292-022-00276-6
Amelia Fiske, Alexander Degelsegger-Márquez, Brigitte Marsteurer, Barbara Prainsack

It has become a trope to speak of the increasing value of health data in our societies. Such rhetoric is highly performative: it creates expectations, channels and justifies investments in data technologies and infrastructures, and portrays deliberations on political and legal issues as obstacles to the flow of data. Yet, important epistemic and political questions remain unexamined, such as how the value of data is created, what data journeys are envisioned by policies and regulation, and for whom data types are (intended to be) valuable. Drawing on two empirical cases, (a) interviews with physicians on the topic of digital selfcare, and (b) expectations of stakeholders on the use of Real-World Data in clinical trials, as well as existing literature, we propose a typology of what health data help us to do. This typology is intended to foster reflection about the different roles and values that data use unfolds. We conclude by discussing how regulation can better accommodate practices of valuation in the health data domain, with a particular focus on identifying regulatory challenges and opportunities for EU-level policy makers, and how Covid-19 has shed light on new aspects of each case.

在我们的社会中,健康数据的价值与日俱增,这已成为一种说法。这种言论具有很强的表演性:它创造了人们的期望,引导并证明了对数据技术和基础设施的投资,并将对政治和法律问题的讨论描绘成数据流动的障碍。然而,重要的认识论和政治问题仍未得到研究,例如数据的价值是如何产生的,政策和法规设想了怎样的数据旅程,以及数据类型对谁有价值(打算对谁有价值)。我们借鉴了两个经验案例:(a)就数字自我护理主题对医生进行的访谈;(b)利益相关者对临床试验中使用真实世界数据的期望,以及现有文献,提出了健康数据帮助我们做什么的类型学。该类型学旨在促进对数据使用所展现的不同角色和价值的思考。最后,我们将讨论监管如何才能更好地适应健康数据领域的价值评估实践,特别关注为欧盟层面的政策制定者确定监管挑战和机遇,以及 Covid-19 如何揭示每个案例的新方面。
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引用次数: 0
Ectogenesis, inequality, and coercion: a reproductive justice-informed analysis of the impact of artificial wombs 胚胎发育、不平等和胁迫:人工子宫影响的生殖正义分析
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-04-10 DOI: 10.1057/s41292-022-00279-3
C. Horn
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引用次数: 2
Diversity via datafication? Digital patient records and citizenship for sexuality and gender diverse people 通过数据化实现多样性?性和性别多样化人群的数字患者记录和公民身份
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-04-05 DOI: 10.1057/s41292-022-00277-5
M. Davis, A. Schermuly, Anthony K. J. Smith, Christy E. Newman
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引用次数: 3
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