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Is time a gift for health and life satisfaction? Exploring the relationship between time allocation and adaptation to a breast cancer diagnosis
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-03 DOI: 10.1016/j.socscimed.2025.117910
Ni Gao , Mark Harris , Mandy Ryan , Suzanne Robinson , Richard Norman
Existing studies on adaptation to health shocks primarily focus on whether health and well-being return to baseline levels over time. However, little is known about the factors associated with the extent of adaptation. This study examines how patterns of time use across daily activities relate to the extent of adaptation. Focusing on women diagnosed with breast cancer, with women without a cancer diagnosis as a comparison, we apply an event study design to examine whether time spent on paid work and physical leisure are associated with varying degrees of adaptation, measured by self-reported health status and life satisfaction. Our findings suggest that full-time paid work and more than 10 h of physical leisure per week at baseline are associated with slower and less complete adaptation in the domain of self-reported health. Conversely, the degree of adaptation in the domain of life satisfaction does not significantly vary based on baseline levels of paid work and physical leisure. Furthermore, a reduction in time allocated to paid work or physical leisure following a cancer diagnosis is associated with slower adaptation in the domain of self-reported health compared to maintaining pre-diagnosis levels. These findings suggest an interplay between pre- and post-diagnosis time allocation that warrants further investigation.
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引用次数: 0
Stressors faced by forcibly displaced Ukrainians in England within 6 months of arrival: A qualitative study
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-03 DOI: 10.1016/j.socscimed.2025.117909
J. Whitehead , O. Fokaf , T. Deinekhovska , M. Egan , M. Seguin
Stressors faced by Ukrainians forcibly displaced by the 2022 Russian invasion is a relatively unexplored area. The aim of this paper is to explore stressors shaping the mental well-being of forcibly displaced Ukrainians in England. Semi-structured qualitative interviews were conducted with 15 forcibly displaced Ukrainians (within 6 months of arrival) and 6 stakeholders, focusing on life experiences in England and barriers accessing critical services. We drew on the Four Core Stressors Framework to conduct reflexive thematic analysis, focusing on the following sources of stress: trauma, acculturation and resettlement. Key stressors centered on barriers in accessing housing and employment, compounded by the language barrier, family separation and ongoing war-related trauma. These stressors were perceived to contribute to feelings of fear, uncertainty, sorrow, numbness, disorientation, confusion, helplessness, and anxiety. Greater support in accessing housing, employment and language instruction would address key stressors, which may bolster mental health. Findings may be relevant to policymakers structuring the support system for forcibly displaced persons in other high-income settings.
{"title":"Stressors faced by forcibly displaced Ukrainians in England within 6 months of arrival: A qualitative study","authors":"J. Whitehead ,&nbsp;O. Fokaf ,&nbsp;T. Deinekhovska ,&nbsp;M. Egan ,&nbsp;M. Seguin","doi":"10.1016/j.socscimed.2025.117909","DOIUrl":"10.1016/j.socscimed.2025.117909","url":null,"abstract":"<div><div>Stressors faced by Ukrainians forcibly displaced by the 2022 Russian invasion is a relatively unexplored area. The aim of this paper is to explore stressors shaping the mental well-being of forcibly displaced Ukrainians in England. Semi-structured qualitative interviews were conducted with 15 forcibly displaced Ukrainians (within 6 months of arrival) and 6 stakeholders, focusing on life experiences in England and barriers accessing critical services. We drew on the Four Core Stressors Framework to conduct reflexive thematic analysis, focusing on the following sources of stress: trauma, acculturation and resettlement. Key stressors centered on barriers in accessing housing and employment, compounded by the language barrier, family separation and ongoing war-related trauma. These stressors were perceived to contribute to feelings of fear, uncertainty, sorrow, numbness, disorientation, confusion, helplessness, and anxiety. Greater support in accessing housing, employment and language instruction would address key stressors, which may bolster mental health. Findings may be relevant to policymakers structuring the support system for forcibly displaced persons in other high-income settings.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117909"},"PeriodicalIF":4.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Catastrophic health expenditure during healthcare financing reform: Evidence from Kazakhstan
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-03 DOI: 10.1016/j.socscimed.2025.117824
Aigerim Sarsenbayeva , Dinara Alpysbayeva
Unequal access to healthcare and inadequate financing have highlighted the need for healthcare reform to increase efficiency while ensuring equity in healthcare financing worldwide. Our study evaluates the capacity of Kazakhstan’s healthcare system reform, transitioning from a tax-financed system to compulsory social health insurance (CSHI), to address equity in healthcare financing. Using quarterly Household Budget Surveys from 2017-Q1 to 2020-Q4 in a staggered difference-in-difference estimation technique, we analyze the impact of the transition on the incidence and intensity of catastrophic health expenditure (CHE) and impoverishment. Our findings show that while the transition from a tax-financed to a CSHI system in the short run lowers both the incidence and intensity of catastrophic health expenditure, it does not alleviate impoverishment. In particular, the reform predominantly benefits wealthier households, with no effect on the relatively poor population. We speculate that the positive outcomes observed from the reform in the short run are largely attributed to the exceptionally high insurance coverage during the transition period. The success of the transition from a tax-based to an insurance-based system is heavily dependent on the rate of insurance coverage of the population, as well as the quality of healthcare services and available finances.
{"title":"Catastrophic health expenditure during healthcare financing reform: Evidence from Kazakhstan","authors":"Aigerim Sarsenbayeva ,&nbsp;Dinara Alpysbayeva","doi":"10.1016/j.socscimed.2025.117824","DOIUrl":"10.1016/j.socscimed.2025.117824","url":null,"abstract":"<div><div>Unequal access to healthcare and inadequate financing have highlighted the need for healthcare reform to increase efficiency while ensuring equity in healthcare financing worldwide. Our study evaluates the capacity of Kazakhstan’s healthcare system reform, transitioning from a tax-financed system to compulsory social health insurance (CSHI), to address equity in healthcare financing. Using quarterly Household Budget Surveys from 2017-Q1 to 2020-Q4 in a staggered difference-in-difference estimation technique, we analyze the impact of the transition on the incidence and intensity of catastrophic health expenditure (CHE) and impoverishment. Our findings show that while the transition from a tax-financed to a CSHI system in the short run lowers both the incidence and intensity of catastrophic health expenditure, it does not alleviate impoverishment. In particular, the reform predominantly benefits wealthier households, with no effect on the relatively poor population. We speculate that the positive outcomes observed from the reform in the short run are largely attributed to the exceptionally high insurance coverage during the transition period. The success of the transition from a tax-based to an insurance-based system is heavily dependent on the rate of insurance coverage of the population, as well as the quality of healthcare services and available finances.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117824"},"PeriodicalIF":4.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “The effect of public tolerance towards corruptive behaviour on healthcare efficiency and equity – The case of the UK's COVID-19 vaccination programme” [Soc. Sci. Med. Volume 361, November 2024, 117180] 公众对腐败行为的容忍度对医疗效率和公平的影响--以英国 COVID-19 疫苗接种计划为例"[《社会科学与医学》第 361 卷,2024 年 11 月,第 117180 期]更正。
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2024.117617
Franziska Sohns , Stefano Ghinoi , Magdalena Langosch
{"title":"Corrigendum to “The effect of public tolerance towards corruptive behaviour on healthcare efficiency and equity – The case of the UK's COVID-19 vaccination programme” [Soc. Sci. Med. Volume 361, November 2024, 117180]","authors":"Franziska Sohns ,&nbsp;Stefano Ghinoi ,&nbsp;Magdalena Langosch","doi":"10.1016/j.socscimed.2024.117617","DOIUrl":"10.1016/j.socscimed.2024.117617","url":null,"abstract":"","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"369 ","pages":"Article 117617"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emotional or informational? Understanding cancer patients’ multifaceted help-seeking behaviors in online health communities
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117902
Xiandong Feng , Yinhuan Hu , Holger Pfaff , Sha Liu , Hui Wang , Yangfan Wang
Although the widespread use of online health communities (OHCs) has transformed how cancer patients interact and acquire information, there is limited understanding of their specific help-seeking behaviors in these digital environments. Based on stress and coping theory, this study develops a framework to examine the patterns and determinants of cancer patients’ help-seeking behaviors in OHCs. We collected 19,224 help-seeking posts from a leading cancer-focused OHC in China between January 2016 and July 2023. A mixed-methods approach was employed, combining content analysis through Latent Dirichlet Allocation (LDA) for behavioral pattern identification and beta regression for determinant analysis. The results revealed two primary categories of help-seeking behaviors - emotional and informational - which comprised six distinct topics: daily emotional regulation, community social support, medical options, treatment processes, medical results interpretation, and medication management and effects. Female patients exhibited stronger tendencies toward emotional help-seeking, while male patients favored informational help-seeking. Both increasing age and time since diagnosis were positively associated with emotional help-seeking but negatively correlated with informational help-seeking. Moreover, different cancer types showed distinct patterns in their help-seeking behaviors. This study advances the theoretical framework of help-seeking behaviors in an online context and provides evidence-based recommendations for optimizing OHCs to meet the diverse needs of cancer patients.
{"title":"Emotional or informational? Understanding cancer patients’ multifaceted help-seeking behaviors in online health communities","authors":"Xiandong Feng ,&nbsp;Yinhuan Hu ,&nbsp;Holger Pfaff ,&nbsp;Sha Liu ,&nbsp;Hui Wang ,&nbsp;Yangfan Wang","doi":"10.1016/j.socscimed.2025.117902","DOIUrl":"10.1016/j.socscimed.2025.117902","url":null,"abstract":"<div><div>Although the widespread use of online health communities (OHCs) has transformed how cancer patients interact and acquire information, there is limited understanding of their specific help-seeking behaviors in these digital environments. Based on stress and coping theory, this study develops a framework to examine the patterns and determinants of cancer patients’ help-seeking behaviors in OHCs. We collected 19,224 help-seeking posts from a leading cancer-focused OHC in China between January 2016 and July 2023. A mixed-methods approach was employed, combining content analysis through Latent Dirichlet Allocation (LDA) for behavioral pattern identification and beta regression for determinant analysis. The results revealed two primary categories of help-seeking behaviors - emotional and informational - which comprised six distinct topics: daily emotional regulation, community social support, medical options, treatment processes, medical results interpretation, and medication management and effects. Female patients exhibited stronger tendencies toward emotional help-seeking, while male patients favored informational help-seeking. Both increasing age and time since diagnosis were positively associated with emotional help-seeking but negatively correlated with informational help-seeking. Moreover, different cancer types showed distinct patterns in their help-seeking behaviors. This study advances the theoretical framework of help-seeking behaviors in an online context and provides evidence-based recommendations for optimizing OHCs to meet the diverse needs of cancer patients.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117902"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Ambiguous animals, ambivalent carers and arbitrary care collectives: Re-theorizing resistance to social robots in healthcare” [Soc. Sci. Med. Volume 365, January 2025, 117587] “模棱两可的动物,矛盾的护理人员和武断的护理集体:重新理论化对医疗保健中社交机器人的抵制”[Soc]的勘误表。科学。Med. Volume 365, January 2025, 117587]。
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117673
Tanja Ahlin , Anna Mann
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引用次数: 0
Resistance, tensions and consent to digital working in healthcare
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117691
Dimitra Petrakaki , Petros Chamakiotis , Emma Russell , Andy Charlwood
Earlier research has extended knowledge about how the nature of healthcare work is changing, and the implications this has for professionals seeking to deliver effective, robust and state-of-the-art services. However, since the onset of the Covid-19 pandemic there has been a rapid mobilization of digital services across the sector that has raised new challenges. In this Special Issue (SI), we therefore aim to offer novel insights on how new patterns of work are playing out in this new era of digital healthcare. As digitalization has become widespread, even ubiquitous, it is now necessary to identify the theoretical, practical and empirical issues that affect the organization of health work now and how it might affect it in the future. Our overarching research question in this SI, which we address through the nine selected articles we present in this Editorial, is: How is digital work in healthcare being organized post-Covid 19, and how does this impact interprofessional collaborations, clinical work practices, professional identities and relations of power?
{"title":"Resistance, tensions and consent to digital working in healthcare","authors":"Dimitra Petrakaki ,&nbsp;Petros Chamakiotis ,&nbsp;Emma Russell ,&nbsp;Andy Charlwood","doi":"10.1016/j.socscimed.2025.117691","DOIUrl":"10.1016/j.socscimed.2025.117691","url":null,"abstract":"<div><div>Earlier research has extended knowledge about how the nature of healthcare work is changing, and the implications this has for professionals seeking to deliver effective, robust and state-of-the-art services. However, since the onset of the Covid-19 pandemic there has been a rapid mobilization of digital services across the sector that has raised new challenges. In this Special Issue (SI), we therefore aim to offer novel insights on how new patterns of work are playing out in this new era of digital healthcare. As digitalization has become widespread, even ubiquitous, it is now necessary to identify the theoretical, practical and empirical issues that affect the organization of health work now and how it might affect it in the future. Our overarching research question in this SI, which we address through the nine selected articles we present in this Editorial, is: <em>How is digital work in healthcare being organized post-Covid 19, and how does this impact interprofessional collaborations, clinical work practices, professional identities and relations of power?</em></div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"368 ","pages":"Article 117691"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “An analysis of intersectional disparities in alcohol consumption in the US” [Soc. Sci. Med. Volume 363, December 2024, 117514] 对“美国酒精消费的交叉差异分析”的更正[Soc]。科学。Med. Volume 363, December 2024, 117514]。
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2024.117577
Sophie Bright , Charlotte Buckley , Daniel Holman , George Leckie , Andrew Bell , Nina Mulia , Carolin Kilian , Robin Purshouse
{"title":"Corrigendum to “An analysis of intersectional disparities in alcohol consumption in the US” [Soc. Sci. Med. Volume 363, December 2024, 117514]","authors":"Sophie Bright ,&nbsp;Charlotte Buckley ,&nbsp;Daniel Holman ,&nbsp;George Leckie ,&nbsp;Andrew Bell ,&nbsp;Nina Mulia ,&nbsp;Carolin Kilian ,&nbsp;Robin Purshouse","doi":"10.1016/j.socscimed.2024.117577","DOIUrl":"10.1016/j.socscimed.2024.117577","url":null,"abstract":"","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"369 ","pages":"Article 117577"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Decolonising the field of violence against women and girls: A scoping review and recommendations for research and programming” [Soc. Sci. Med. Volume 357, September 2024, 117168]
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2025.117762
Michelle Lokot , Marjorie Pichon , Beatriz Kalichman , Samantha Nardella , Jane Falconer , Nambusi Kyegombe , Ana Maria Buller
{"title":"Corrigendum to “Decolonising the field of violence against women and girls: A scoping review and recommendations for research and programming” [Soc. Sci. Med. Volume 357, September 2024, 117168]","authors":"Michelle Lokot ,&nbsp;Marjorie Pichon ,&nbsp;Beatriz Kalichman ,&nbsp;Samantha Nardella ,&nbsp;Jane Falconer ,&nbsp;Nambusi Kyegombe ,&nbsp;Ana Maria Buller","doi":"10.1016/j.socscimed.2025.117762","DOIUrl":"10.1016/j.socscimed.2025.117762","url":null,"abstract":"","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"368 ","pages":"Article 117762"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to ‘When reality knocks on the door. The effect of conspiracy beliefs on COVID-19 vaccine acceptance and the moderating role of experience with the virus’ [Soc. Sci. Med. Volume 356, September 2024, 117149] 当现实来敲门时。阴谋论信念对 COVID-19 疫苗接受度的影响及病毒感染经验的调节作用"[《社会科学-医学》第 356 卷,2024 年 9 月,117149 页]。
IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 DOI: 10.1016/j.socscimed.2024.117618
Ádám Stefkovics , Péter Krekó , Júlia Koltai
{"title":"Corrigendum to ‘When reality knocks on the door. The effect of conspiracy beliefs on COVID-19 vaccine acceptance and the moderating role of experience with the virus’ [Soc. Sci. Med. Volume 356, September 2024, 117149]","authors":"Ádám Stefkovics ,&nbsp;Péter Krekó ,&nbsp;Júlia Koltai","doi":"10.1016/j.socscimed.2024.117618","DOIUrl":"10.1016/j.socscimed.2024.117618","url":null,"abstract":"","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"368 ","pages":"Article 117618"},"PeriodicalIF":4.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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