MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Health Sociology Review' source. Mon, 28 Nov 2011 20:29:08 +0100 http://www.medworm.com/index.php?rid=5279717&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.3.338 Health Sociology Review 20(3): 338-351 Abstract With the commodification of healthcare in general and of private health in particular, it is difficult not to acknowledge the growing influence of competition and `the market' in shaping the way that nurses' work is managed by private hospitals and by nurses themselves. This paper explores the discourses shaping nurses' work in private healthcare, drawing upon data from an ethnographic study conducted in one Australian acute care private hospital. The framework for analysis relies on an exploration of the mentalities and governance of nurses' work in such a setting. The study shows how marketing and performance measures are believed to ensure the viability of the enterprise while simultaneously commodifying nurses' caring work. It is this wor... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=5279717 Fri, 30 Sep 2011 04:00:00 +0100 5279717 http://www.medworm.com/index.php?rid=5279716&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.3.321 We report findings from a qualitative study of NHS contracting, which examines the recent move to harder-edged contracts with greater use of financial penalties and incentives. In practice, use of these techniques tended to be confined to nationally-mandated sections of the contract rather than emerging from local bilateral agreements, and when things went wrong the parties relied more on co-operative behaviour than on the provisions of the contract to find solutions. Making the current contracting system work depended more on existing relational networks than on the incentive structures created by recent `marketisation' initiatives, but the inability of the market to evolve as expected has encouraged policy makers to publish plans for further radical reforms. (Source: Health Sociology Rev... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=5279716 Fri, 30 Sep 2011 04:00:00 +0100 5279716 http://www.medworm.com/index.php?rid=5279715&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.3.306 Health Sociology Review 20(3): 306-320 Abstract Significant transformations of the health care services sector over the past three decades have seen an increasing reliance on the private provision of health care services mediated through private health insurance. In countries such as Australia and the UK, private health insurance is promoted as providing a greater choice for individuals and easing the burden on the public system. While these claims, the policy contexts and the decision-making processes of individual consumers have attracted some sociological attention, little has been said about the role of private insurers. In this article we present a comparative analysis of the websites of private health insurers in Australia and the UK. Our analysis highlights adoption by private healt... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=5279715 Fri, 30 Sep 2011 04:00:00 +0100 5279715 http://www.medworm.com/index.php?rid=5279714&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.3.294 Health Sociology Review 20(3): 294-305 Abstract The authors describe the incremental approach to the marketisation of the English National Health Service (NHS) since the introduction of an `internal market' in 1990 until the 2010 White Paper, `Equity and Excellence: Liberating the NHS', and the subsequent Health and Social Care Bill published in January 2011. The introduction of a competitive market for a universal, tax-financed health system requires fundamental changes in regulation in order that market bureaucracy can be substituted for direct management. The components of reform are insufficiently captured by the framework of hierarchies and networks in new public management theories of decentralisation. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=5279714 Fri, 30 Sep 2011 04:00:00 +0100 5279714 http://www.medworm.com/index.php?rid=5279713&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.3.281 Health Sociology Review 20(3): 281-293 Abstract Since the mid-nineteenth century, the American Medical Association's code of ethics has mandated that physicians provide charity care. However managerialism has threatened the likelihood of physicians' providing charity care. Specifically, physicians who recently became employees, or whose revenue became predominantly pre-paid, also became less likely to provide free care. Moreover, physicians with an increased proportion of revenue from Medicaid, or in counties with high Medicaid managed care penetration, were less likely to provide charity, perhaps due in part to a reduced ability to cost-shift. Despite upcoming health reform, managerial strategies that employ or pre-pay physicians are likely to leave many millions of uninsured without acce... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=5279713 Fri, 30 Sep 2011 04:00:00 +0100 5279713 http://www.medworm.com/index.php?rid=5279712&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.3.269 Health Sociology Review 20(3): 269-280 Abstract Nurse practitioners were introduced into Australia in 1990 to improve access to health care in isolated communities where medical doctors are scarce. The slow uptake of nurse practitioners in these areas has largely been the result of legislation not affording them access to provider numbers through the Medicare Australia Act 1973. This has denied nurse practitioners the opportunity to become primary care providers because they cannot prescribe medications and order diagnostic tests at rebated costs. Recently this Act changed, making provision for nurse practitioners. Ironically the enactment of the new legislation still prevents nurse practitioners from practicing effectively. This paper describes the discursive practices in legislation, dri... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=5279712 Fri, 30 Sep 2011 04:00:00 +0100 5279712 http://www.medworm.com/index.php?rid=5279711&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.3.258 Health Sociology Review 20(3): 258-268 Abstract Public-private partnerships (P3s) with the for-profit private sector are increasingly used in Canada to deliver public infrastructure and support services within the health care sector (e.g., hospitals, clinics, community health centres). This paper examines the emergence and legacy of P3s in the Canadian health care sector, classifying them as a form of neoliberal accumulation by dispossession and discussing their inability to live up to proponents' promises. Economic and social costs are examined, and examples are drawn from operational P3 hospitals in Canada. The article also briefly examines how P3s have been affected by the recent global financial crisis, arguing that despite serious problems with the private finance component of these p... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=5279711 Fri, 30 Sep 2011 04:00:00 +0100 5279711 http://www.medworm.com/index.php?rid=5279710&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.3.245 Health Sociology Review 20(3): 245-257 Abstract In this paper we explore the ways in which corporations have become powerful actors in the political and economic landscapes, and the role the state has played in this development. Focusing on the pharmaceutical industry, we find that revolving door practices have been a key instrument in furthering the growth of corporate power, leading us to a reconsideration of the concepts of class struggle and the role of the state in the maintenance of the dominant class' privileges. We conclude that our findings lend support to Harvey's theory of neoliberalism as a specific project to restore power to the dominant class, and also to Marx's conception of state power subordinated to capitalist economic power. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=5279710 Thu, 01 Sep 2011 04:00:00 +0100 5279710 http://www.medworm.com/index.php?rid=4950254&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.229 Health Sociology Review 20(2): 229-234 Abstract This concluding paper draws together the dominant themes across the papers published in this issue. The majority of the papers clearly point to disparities between the aims of policy-makers and mental health workers. Using a variety of perspectives and methods, the authors of these insightful papers argue that modernist, rational approaches to structuring and evaluating services are at odds with the professional needs of mental health workers. At one level this critique is self-evident given the messiness and uncertainties inherent in working with service users whose individual problems require flexible approaches tailored from a broad and evolving practice-base. For some authors, the focus is epistemological and methodological; they offer mu... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950254 Sat, 18 Jun 2011 23:00:00 +0100 4950254 http://www.medworm.com/index.php?rid=4950253&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.219 Health Sociology Review 20(2): 219-228 Abstract Many western countries have experienced increased rates of youth suicide over recent years. This has been an issue of particular concern in New Zealand, since it had the highest rate of youth suicide among OECD countries in the mid-1990s. However, while attention is drawn to the now declining youth suicide rate by politicians and policy-makers, what is obscured is a cohort effect. In this paper we will argue that a cohort effect is clearly visible; suicide rates among 15-24 year olds came to the fore in the mid-1980s, peaking 10 years later, and were displaced by that among 25-35 year olds by the late-1990s. Further, this century has been characterised by the rise of suicide rates among 35-44 year olds. This effect correlates with a dramatic ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950253 Sat, 18 Jun 2011 23:00:00 +0100 4950253 http://www.medworm.com/index.php?rid=4950252&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.202 Health Sociology Review 20(2): 202-218 Abstract The increased use of information technology in health care allows researchers to generate data on rates of medication use among population groups, raising questions as to whether these rates are too high or too low. This paper presents findings from a study of records of all prescription medication dispensed in one New Zealand region (Te Tirawhiti) over a one year period. The study examined patterns of psychotropic medication use amongst older people, by age, gender, ethnicity and socio-economic position. It concludes that the chances of being defined as needing psychotropic medication, that is, of being `medicalised', are not evenly spread through the elderly population. Gender, age and ethnicity impacted significantly on whether prescriptio... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950252 Sat, 18 Jun 2011 23:00:00 +0100 4950252 http://www.medworm.com/index.php?rid=4950251&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.187 This study draws on interviews with peer supporters and peer support managers to explore the ways that risks of violence, suicide and self-harm are managed within peer support settings in Aotearoa New Zealand. Drawing on Nikolas Rose and other theorists, who define risk thinking as an attempt to `discipline uncertainty', we argue that the philosophy of peer support is in tension with a `risk consciousness' because it sees crisis as a learning opportunity. We contend that peer supporters are pulled towards the `risk consciousness', which pervades the mental health sector, and that they address this by managing risk in various ways. Finally, we show that peer supporters challenge this risk consciousness by working with risk through a philosophy of engagement and relationship. As peer support... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950251 Sat, 18 Jun 2011 23:00:00 +0100 4950251 http://www.medworm.com/index.php?rid=4950250&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.172 Health Sociology Review 20(2): 172-186 Abstract Despite almost two decades of reform under Australia's National Mental Health Strategy, the life circumstances of many people with mental illness seem little improved. While lack of rehabilitation, housing and community support services have been blamed for policy shortfalls, there is also concern that mental health services may impede rather than facilitate recovery from mental illness. To explore this particular concern, this paper reports data from a project which evaluated a group mentorship programme for new graduate nurses working in an Australian public mental health service. Prominent among the problems raised in mentorship group discussions were: the arduous nature of mental health work; the uncaring attitudes and practices of many v... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950250 Sat, 18 Jun 2011 23:00:00 +0100 4950250 http://www.medworm.com/index.php?rid=4950249&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.157 Health Sociology Review 20(2): 157-171 Abstract This paper reports on a qualitative study of UK mental health practitioners' experiences of working with the contested condition, dangerous and severe personality disorder (DSPD). Our interviews focused on the issues of treatability, risk assessment and decision-making in multi-disciplinary teams. We discuss the approach of values-based medicine (VBM) as a useful framework for interpreting the data: respondents cited both explicit values (based on occupational training) and implicit values (based on personal beliefs and subjective perceptions). There was evidence of conflicting values - within individuals, between occupational groups, and between individuals in occupational groups - which led to widespread uncertainty and caution about whethe... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950249 Sat, 18 Jun 2011 23:00:00 +0100 4950249 http://www.medworm.com/index.php?rid=4950248&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.147 Health Sociology Review 20(2): 147-156 Abstract Recent years have seen an international move towards home treatment of acute mental health difficulties. This has been based upon trial data which do little to develop understanding of how or why this approach is as effective as it seems to be. In order to explore this question the study interviewed patients who had recently used the services of a crisis resolution home treatment (CRHT) team in the English East Midlands. Triangulated parallel qualitative analyses of 33 semi-structured interviews conducted by service users trained in research techniques demonstrated that successful CRHT reflected practitioners' ability to provide clients with a sense of feeling safe, accepted and understood. Unhelpful outcomes followed when participants did no... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950248 Sat, 18 Jun 2011 23:00:00 +0100 4950248 http://www.medworm.com/index.php?rid=4950247&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.133 Health Sociology Review 20(2): 133-146 Abstract Against a backdrop of economic globalisation, where welfare practitioners find themselves caught between modernising policy reform and demanding practice realities, there is an urgent need to rethink the relationship between research, evaluation and professional practice. In this article three perspectives concerned with accountability, critical knowledge production and development will be examined as a basis for understanding the different methodological discourses on evaluation. The debate between evidence-based practice (EBP) and critical practice (CP) is deployed to highlight a choice facing both the practitioner and researcher between producing two competing kinds of knowledge for practice. The former is based upon technical know how and... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950247 Sat, 18 Jun 2011 23:00:00 +0100 4950247 http://www.medworm.com/index.php?rid=4950246&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.2.120 This article provides a brief history of CBT to highlight the rhetoric of rationalism it has espoused successfully. Then, using the UK Depression Report as a point of departure, it compares this success of CBT with the criticisms it has encountered. Both positions of advocacy and critique are examined in relation to disciplinary knowledge and professional interest work. These orientations from poststructuralist accounts of the modern episteme, on the one hand, and neo-Weberian sociology of the professions, on the other, help us understand the current controversy surrounding CBT. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4950246 Tue, 31 May 2011 23:00:00 +0100 4950246 http://www.medworm.com/index.php?rid=4859696&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.1.97 Health Sociology Review 20(1): 97-108 Abstract The study, designed as a pilot, aimed to explore lay perceptions of air quality from participants who were selected to represent three different social categories: age; health status; and geographical location. We compared responses from younger with older participants who held memories of about air quality prior to the Clean Air Act (1956). We also explored possible differences in perception due to health status by including some participants who identified themselves as having asthma. Finally, we compared possible differences in perception between two economically and geographically distinct areas of Greater Nottingham in England. Semi-structured interviews were carried out with 22 participants recruited through schools, church groups and re... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4859696 Fri, 20 May 2011 23:00:00 +0100 4859696 http://www.medworm.com/index.php?rid=4859695&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.1.84 Health Sociology Review 20(1): 84-96 Abstract The aim of this article is to highlight a link between housing and health that may have been underestimated: the pathway from poor health towards marginal housing in caravan parks. Almost all research on links between housing and health is derived from large-scale surveys and correlational analyses which suggest a causation path from poor housing to poor health. The big picture of such studies may in fact disguise a reality for a smaller group where poor health leads to class `slide' and reduced housing options. Qualitative data and life histories from interviews probe such `reverse' links and also flesh out contextual backgrounds. It is argued in this article that evidence from interviews with 10 caravan park managers and 50 residents from 16 ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4859695 Fri, 20 May 2011 23:00:00 +0100 4859695 http://www.medworm.com/index.php?rid=4859694&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.1.70 This study explores the extent to which the drive for standardisation and statistical approaches to clinical medicine influence the ways paediatricians diagnose and treat ASDs. To this end, we interviewed nine paediatricians in private practice using a face-to-face, semi-structured approach. Three primary themes emerged from the interview data. First the essentially tacit, experiential nature of diagnosing autism, second the necessity of tinkering with and adapting existing diagnostic tools to particular patients and circumstances, and third, the influence of social constraints on the clinical encounter. This study demonstrates that the process of diagnosis and treatment recommendation involves constant negotiation between clinical experience, the evidence, and the family's social situatio... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4859694 Fri, 20 May 2011 23:00:00 +0100 4859694 http://www.medworm.com/index.php?rid=4859693&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.1.58 Health Sociology Review 20(1): 58-69 Abstract Organ donation and transplantation has the potential to save lives. Organ transfer also raises a number of ethical and emotional issues, especially in discussions around anonymity protocol and in relation to the invisible but tangible presence of shared corporeality in the course of organ transfer. In this article, which is based on in-depth interviews with organ transplant recipients and members of donor families, these issues are addressed from the perspective of a sociologist interviewing people about their experiences in this domain. In particular, the article examines what it means to do sociological research on sensitive topics with vulnerable groups in light of institutional ethics guidelines that require protecting the emotional safety ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4859693 Fri, 20 May 2011 23:00:00 +0100 4859693 http://www.medworm.com/index.php?rid=4859692&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.1.41 This study examines the case of clergy referral intentions to mental health professionals for several scenarios of mental health concern in Singapore and attempts to identify possible barriers to such referrals. Using a self-administered, mailed survey to a representative sample of clergy, it was found that explanatory models associated with mental disorder as well as professional role identity, professional competence and professional networks were important in predicting referral intentions. Several education-related variables as well as religious conservatism were also useful in the statistical analysis. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4859692 Fri, 20 May 2011 23:00:00 +0100 4859692 http://www.medworm.com/index.php?rid=4859691&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.1.28 Health Sociology Review 20(1): 28-40 Abstract This paper explores the intersection of gender and class concerning welfare clients with medically unexplained symptoms. The study is conducted in Denmark using qualitative interviews with welfare officers and clients. The paper's focus is on how issues of gender and class intersect in the negotiation of illness among welfare officers and clients. The particular client group in question consists of individuals that are defined by their lack of a bio-medical diagnosis. Their `lack' of identity accentuates how gender and class become central in the categorisation practices, constructing the ill person as either bio-medically sick or as a person who may be suffering but only from diffuse psychological problems. The paper shows that it is predomina... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4859691 Fri, 20 May 2011 23:00:00 +0100 4859691 http://www.medworm.com/index.php?rid=4859690&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.1.16 Health Sociology Review 20(1): 16-27 Abstract Understandings of culture and multiculture are broad and deeply embedded in every day talk and practices. In an increasingly globalised world, how we understand and work with these terms affects how parents and their families experience health care services and the support intended by health care professionals. This is particularly important for parents who are new to Australia. In this paper we report on findings from an ethnographic study undertaken across two community child and family health nursing sites in South Australia. Using examples, we explore how child and family health nurses appear to understand and use constructs of culture and multiculture during everyday, intercultural communication with parents who are new to Australia and Au... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4859690 Fri, 20 May 2011 23:00:00 +0100 4859690 http://www.medworm.com/index.php?rid=4859689&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2011.20.1.5 This article draws on postcolonial theory to explore the limitations of Indigenous cultural training as it is commonly conceptualised. Issues of essentialising `Indigenous culture', `otherness' and the absence of systemic responsibility for culturally appropriate health service provision are discussed. Finally, we consider future directions for Indigenous cultural training that are useful to both Indigenous service users and the health workers charged with `closing the gap' between Indigenous and non-Indigenous health outcomes. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4859689 Tue, 01 Mar 2011 00:00:00 +0100 4859689 http://www.medworm.com/index.php?rid=4534767&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.522 Health Sociology Review 19(4): 522-533 Abstract In this article, we report on the experiences of men who are smokers in the context of new fatherhood and explore the intersections of stigma, masculinities, and contemporary fathering. The men in this ethnographic study reveal both internalised and externalised stigma and describe situations and feelings when they became aware of the stigmatising qualities of smoking as new fathers. Fathers, expectant and new, are beginning to experience the focus of a punitive gaze previously reserved for expectant and new mothers. This gaze is gendered, and fathers who smoke are viewed as disrupting their responsibilities of protector and provider. The findings provide detail for understanding men's experiences of smoking-related stigma in Canada where smo... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534767 Mon, 28 Feb 2011 00:00:00 +0100 4534767 http://www.medworm.com/index.php?rid=4534766&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.505 Health Sociology Review 19(4): 505-521 Abstract This qualitative study into Australian manhood featured 63 men discussing `acceptable' masculinity. Homophobic humour emerged as central to the formation of Australian male identity, but it had the potential to induce violence and emotional damage when the `humour' moved along a malleable continuum from good-natured banter to abuse. Significantly, it was men of all sexualities who were targeted, indicating that it was non-conformity to gender norms as well as sexuality being policed, as boys and men used humour to control and humiliate each other. Recollections of these instances ranged from `it was just a joke' for some perpetrators, to `orchestrated cruelty' for men who had been victimised. Some of the latter group reported depression exten... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534766 Mon, 28 Feb 2011 00:00:00 +0100 4534766 http://www.medworm.com/index.php?rid=4534765&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.491 Health Sociology Review 19(4): 491-504 Abstract This paper draws on focus groups with young Australian males across a range of social demographics and ages in primary school years (5-12 years). It investigates the role of physical activity and dietary behaviours in the lives of young males. The paper will articulate the way in which young males come to perceive physical activity and dietary behaviours, including broader constructions of health, within the context of their lives. Understanding the decision making of young males' around physical activity and dietary behaviours will play a significant role in the health outcomes of adult men by through improved targeted health education and health promotion programs for this cohort. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534765 Mon, 28 Feb 2011 00:00:00 +0100 4534765 http://www.medworm.com/index.php?rid=4534764&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.478 Health Sociology Review 19(4): 478-490 Abstract The down low has recently emerged as phenomenon where men have sex with men (MSM), but identify as `heterosexual' or `straight'. Although the down low has received considerable attention in United States media, little empirical research has sought to investigate this phenomenon beyond anecdotal evidence. Utilising data from the Urban Men's Health Study (UMHS) (n = 2881), this research offers a unique opportunity to investigate empirically claims of the down low beyond small opportunistic samples. We find significant support for the down low among Blacks and Latinos and its association with high-risk sexual behaviour. These findings highlight the need for future research that better understands the impact of the phenomenon within a cultural an... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534764 Mon, 28 Feb 2011 00:00:00 +0100 4534764 http://www.medworm.com/index.php?rid=4534763&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.465 Health Sociology Review 19(4): 465-477 Abstract Depression is a significant problem among college men. This qualitative study examines the interplay between masculinities and depression among Canadian-based college men who self-identified or were formally diagnosed with depression. The resulting three themes - mind matters, stalled intimacy and lethargic discontent - reveal the recursive relationships between masculinities and depression whereby depression quashed men's aspirations for embodying masculine ideals, with depression potentially triggered by self-doubt and concerns about harbouring a faulty masculinity. Key findings include participants' juxtaposing their private negative self-talk with attempts to pass as self-assured in public; anxieties about neediness and vulnerability nega... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534763 Mon, 28 Feb 2011 00:00:00 +0100 4534763 http://www.medworm.com/index.php?rid=4534762&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.451 Health Sociology Review 19(4): 451-464 Abstract School shootings have become more common in the United States in recent years. Yet, as media portrayals of these `rampages' shock the public, the characterisation of this violence obscures an important point: many of these crimes culminate in suicide, and they are almost universally committed by males. We examine three recent American cases, which involve suicide, to elucidate how the culture of hegemonic masculinity in the US creates a sense of aggrieved entitlement conducive to violence. This sense of entitlement simultaneously frames suicide as an appropriate, instrumental behaviour for these males to underscore their violent enactment of masculinity. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534762 Mon, 28 Feb 2011 00:00:00 +0100 4534762 http://www.medworm.com/index.php?rid=4534761&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.437 Health Sociology Review 19(4): 437-450 Abstract The emphasis on a sexualised muscular body ideal in gay social and cultural settings has been described as facilitating body image dissatisfaction among gay men. Drawing on a concept of reflexive embodiment, this paper uses qualitative interviews to analyse gay men's embodiment practices in relation to discourses and norms that can be found across and beyond any coherent notion of `gay subculture'. The findings reveal body image to be more complex than a limited focus on subculture or dissatisfaction can account for. In particular, gay men negotiate a gay pride discourse in which the muscular male body generates both social status and self-esteem, and deploy notions of everyday masculinity that imply rationality and control to resist gendered... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534761 Mon, 28 Feb 2011 00:00:00 +0100 4534761 http://www.medworm.com/index.php?rid=4534760&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.419 Health Sociology Review 19(4): 419-436 Abstract Contemporary health policy increasingly positions responsibility for the management of health with the individual which reflects newer neo-liberal discourses of health. Such an approach can be seen as problematic in the context of men's health, with men tending to be seen as largely `irresponsible' towards their own health. This paper addresses this question by drawing on qualitative data on how men conceptualise responsibility for health. Whilst the desire to be responsible for health was borne by most of the men in the study, this was not always reflected in practice. There was also evidence of strategies that men adopted for either divesting themselves of responsibility for health or for legitimising lack of responsibility. In some instanc... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534760 Mon, 28 Feb 2011 00:00:00 +0100 4534760 http://www.medworm.com/index.php?rid=4534759&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.4.409 This article provides a brief review of how masculinity has been understood in men's health research before making recommendations for where we might next go in theorising social constructions of masculinities. Specifically, a vignette drawn from a study examining young men's responses to the death of a peer is used to illustrate how the communities of practice framework can be applied, and might conceptually advance future masculinities and men's health research. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4534759 Wed, 01 Dec 2010 00:00:00 +0100 4534759 http://www.medworm.com/index.php?rid=4114886&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.3.382 Health Sociology Review 19(3): 382-394 Abstract This paper reports on a qualitative study of the onset of acquired hearing impairment. The focus of attention is why a person seeks treatment. The Danish welfare state serves the population `in need' such as those with an audiological need and gives them guidance on becoming hearing aid wearers in order to rehabilitate them back to `normalcy'. However, within audiological research, noncompliance has attracted much attention as investigations have shown that more than 20 percent of hearing aids are very seldom, if ever, in use and 19 percent are used only occasionally. As shown in the paper the form a problem takes is in large part a product of micro-political struggles. Hence, at the onset `need' is often embedded in social pressure from sign... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4114886 Tue, 26 Oct 2010 23:00:00 +0100 4114886 http://www.medworm.com/index.php?rid=4114885&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.3.369 Health Sociology Review 19(3): 369-381 Abstract Since 2003, avian influenza has recently spread around the world sparking fears of a potential pandemic. As a result of this, a range of explanations and expectations surrounding the phenomenon were generated. Such social representations of disease depict the issue under discussion and frame reactions to the event. This paper explores the social representations surrounding avian influenza in Australia. Methodologically, a textual analysis of media and government documents was conducted in order to uncover the social representations implicit in these accounts. This demonstrated a symbolic framing of avian influenza with reference to the Spanish Influenza pandemic (1918). Analytically, the study draws upon the concepts of social representations... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4114885 Tue, 26 Oct 2010 23:00:00 +0100 4114885 http://www.medworm.com/index.php?rid=4114884&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.3.356 Health Sociology Review 19(3): 356-368 Abstract Food is a significant part of the daily worship, health and social life of individuals across cultures and religions. This is especially the case for vegetarian religious minorities such as the Indian sub-continental borne Hare Krishna movement, the Christian Seventh-Day Adventist Church and various Buddhist groups. These devotees define spirituality as more than simply the state or quality of being committed to `God', religion and immaterial spiritual concerns. This paper argues that there are visible, tangible and even biological frames of reference from which spirituality within the aforementioned religious groups should be considered. The concept of bio-spirituality introduced here, embodies and grounds matters pertinent to faith, health ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4114884 Tue, 26 Oct 2010 23:00:00 +0100 4114884 http://www.medworm.com/index.php?rid=4114883&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.3.343 Health Sociology Review 19(3): 343-355 Abstract Here we examine how older Australians' accounts of family meals mirror shifts in the Australian way of life over the second half of the twentieth century coupled with their changing personal circumstances as they age. We provide qualitative accounts of these changes drawn from in-depth, semi-structured interviews with 111 men and women resident in greater Melbourne and born in the 1920s and 1930s. Mostly, study participants have retained many of the habits and practices of their youth, although changing domestic arrangements, aging and health concerns have impacted on their culinary habits. When young they learned to view food as a utilitarian necessity and this attitude has translated, in later life, into a concern for its health effects, of... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4114883 Tue, 26 Oct 2010 23:00:00 +0100 4114883 http://www.medworm.com/index.php?rid=4114882&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.3.330 Health Sociology Review 19(3): 330-342 Abstract Despite heightened concerns about levels of obesity and overweight in Western societies, there is a relative absence of sociological research into the subjective experience of dieting, especially for men. This paper focuses on findings related to the male participants from a qualitative study of fourteen volunteers (six female and eight male) drawn from a larger clinical trial comparing two diet conditions. Semi-structured interviews were conducted in two stages to gain an in-depth understanding of the experience of dieting, and found that these men understood and practiced their dieting in different ways from the women, but also from each other, depending on their notions of masculinity. Some were eager to reframe their dieting in `more manl... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4114882 Tue, 26 Oct 2010 23:00:00 +0100 4114882 http://www.medworm.com/index.php?rid=4114881&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.3.317 Health Sociology Review 19(3): 317-329 Abstract Despite recent critiques of contemporary obesity discourses that link `modern Western lifestyles' to an `obesity epidemic', the population's weight remains a central concern of current dietary guidelines. Food choices that are considered beneficial to maintaining a certain weight are understood to play a key role in one's health. This concern reflects medico-moral assumptions about the properties of food and what people should eat. However, the impact of obesity discourses on different individuals and social groups is rarely considered, although there is some evidence that people do generate, reflect and resist the norms and standards set for them, including those that relate to food/weight. In this paper, we will examine the perspectives on ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4114881 Tue, 26 Oct 2010 23:00:00 +0100 4114881 http://www.medworm.com/index.php?rid=4114880&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.3.304 Health Sociology Review 19(3): 304-316 Abstract Contemporary Western societies focus considerable policy and media attention on the `epidemic of childhood obesity'. In this paper we examine the mobilisation of notions of responsibility and consumption in these discussions, and consider the implications they have for women as mothers. In particular, we are interested to explore the potential conflicts mothers face as care providers and nurturers when responsible care is framed as withholding or managing the food consumption of children. We argue that the competing discursive frameworks around mothers' food provision invite further theorisation that explicitly addresses nourishment and consumption as elements of maternal practice and care. We draw on the work of Neysmith and Reitsma-Street (... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4114880 Tue, 26 Oct 2010 23:00:00 +0100 4114880 http://www.medworm.com/index.php?rid=4114879&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.3.285 Health Sociology Review 19(3): 285-303 Abstract Over the past decade, consumers in Australia and elsewhere have increasingly been confronted with a fast growing number of health food products. This profusion of health foods is accompanied by a proliferation in popular culture of professional nutritional advice on `what is good to eat'. The genre of lifestyle magazines is one popular medium via which healthy eating practices and health foods are frequently reported. In this paper we use a visual discourse analysis of food-related editorial and advertorial content sourced from the long running and popular The Australian Women's Weekly to investigate how lifestyle magazines have been one important locus for constituting health conscious consumers. Taking up a Foucauldian governmentality persp... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=4114879 Tue, 31 Aug 2010 23:00:00 +0100 4114879 http://www.medworm.com/index.php?rid=3749168&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.260 This study explores the rationale behind GPs' reluctance to follow guidelines through focus group interviews with Norwegian GPs. A central concern appearing in the interviews is the GPs' notion of professional identity. The GP was identified as an autonomous generalist with a close alliance to the patient and a sceptical distance to academic medicine and health authorities. Guidelines are seen to conflict with the GPs' sense of clinical autonomy. Another aspect discussed by the GPs was an authority-based clinical insecurity which made them sceptical about the evidence. The findings highlight the need to ground the debate about standardisation of practice in the practitioners' professional identity. The study also underlines the importance of transparency in the standardisation process. (So... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749168 Mon, 12 Jul 2010 23:00:00 +0100 3749168 http://www.medworm.com/index.php?rid=3749167&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.245 This article outlines the current position of Australian midwifery by examining the recently published Commonwealth Report of the Maternity Services Review, as well as looking at some South Australian Department of Health birth-related policies. The Report recommends important and positive changes for midwifery, but with caveats that may lead to greater restrictions on midwifery practice. The policies, while endorsing possible alternatives for women, also illustrate how birth options are `problematised'. Relationships between government, medicine and midwifery are explored throughout the article, illuminating the tension for midwives between aligning with professional and scientific discourses, and those that are woman-centred. Free-standing birth-centres are presented as a possible way fo... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749167 Mon, 12 Jul 2010 23:00:00 +0100 3749167 http://www.medworm.com/index.php?rid=3749166&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.230 Health Sociology Review 19(2): 230-244 Abstract Knowledge about disease and illness usually emerges as a result of complex social negotiations among those with a stake in the outcomes of this knowledge. These negotiations can involve a range of agents and discursive avenues, some of which are contradictory and paradoxical. This is especially true for the blood-borne virus hepatitis C, the medical, social and political features of which - associations with injecting drug use, `tainted blood' scandals and HIV - render it a controversial disease involving a range of highly motivated stakeholders. In this paper I analyse one such set of agents in the process of disease knowledge negotiation: self-help books on hepatitis C. In conducting this analysis I offer insights into the content of the bo... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749166 Mon, 12 Jul 2010 23:00:00 +0100 3749166 http://www.medworm.com/index.php?rid=3749165&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.218 Health Sociology Review 19(2): 218-229 Abstract O'Malley and Valverde point out that in the 21st century, pleasure is a warrantable motive for drug and alcohol use only when it is attached to the idea of moderation. This presents a problem for those researchers who wish to theorise about those individuals who use drugs deliberately to induce intoxication. This paper uses unconventional means to come to an understanding of intoxication. It uses the stories of interviewed former heroin addicts, published autobiographies, biographies and even some fictional accounts to come to an understanding of the difficulties of dealing with intoxication and the drug-using subject. It also uses the accounts that Michel Foucault gave about his own use of drugs and its relationship to an ethics of pleasure ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749165 Mon, 12 Jul 2010 23:00:00 +0100 3749165 http://www.medworm.com/index.php?rid=3749164&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.205 Health Sociology Review 19(2): 205-217 Abstract The pharmacologically addicted body has emerged in recent times as a dominant image shaping drug discourse. Implicit in this image is a drug desire that overpowers and over-determines the individual. A key feature of this particular drug user body is the body as degenerative with drugs as the cause of social suffering through reducing the social agency of the drug user. Likewise the image of the addict with a hardwired primitive desire for drugs use has also gained some ascendancy in scientific literature. Film, popular culture, ethnographic and scientific research can all draw on these images of desire to structure their narratives of drug use. In this paper I explore a different reading of two portrayals of drug desire. Using a range of ana... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749164 Mon, 12 Jul 2010 23:00:00 +0100 3749164 http://www.medworm.com/index.php?rid=3749163&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.192 Health Sociology Review 19(2): 192-204 Abstract The relationship between ethnicity and the use of `party drugs' (e.g., methamphetamine and ecstasy) has received little attention in Australia. This paper focuses on ethnicity and party drug use within the context of dance parties and clubs in Melbourne, Australia's second largest city. The young people who participated in our research, many of whom are long-time dance party attendees, or `old skool ravers', frequently made claims to the possession of subcultural capital by labelling as `muzzas' those they perceived to be outsiders to the dance scene. Muzzas are defined as heavily muscled young men, commonly of Southern European or Middle Eastern background, who use cocaine and steroids, have `no class' and dance in an overly aggressive way. ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749163 Mon, 12 Jul 2010 23:00:00 +0100 3749163 http://www.medworm.com/index.php?rid=3749162&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.176 Health Sociology Review 19(2): 176-191 Abstract Australian Football League (AFL) player Ben Cousins is one of the most highly acclaimed and recognised athletes in Australia. Followed closely in the media, his off-field activities are subject to as much attention and speculation as those on the field. In 2007, Cousins and his family confirmed long-standing rumours that he was an illicit (non-performance enhancing) drug user. Following a series of incidents, his football contract was terminated and Cousins publicly entered drug rehabilitation. In this article we explore the multiple extant accounts of Cousins' drug use. We examine media representations of his drug use, including accounts from a range of key stakeholders, and we also look at Cousins' public accounts of his own drug use. What ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749162 Mon, 12 Jul 2010 23:00:00 +0100 3749162 http://www.medworm.com/index.php?rid=3749161&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.164 Health Sociology Review 19(2): 164-175 Abstract There is evidence to suggest that illicit drug use is increasingly a `normal' part of the lives of many young people in Australia. The normalisation framework has been applied in limited contexts in Australia, and has not been assessed using longitudinal data. This paper uses cross-sectional periodic data collected at the Sydney Big Day Out music festival between 2006 and 2009 to examine several aspects of normalisation among festival patrons. Over the 4-year period high proportions of respondents reported that cannabis and ecstasy were `very easy' or `fairly easy' to obtain. In most years, over half the respondents reported `any illicit drug use' in the past 12 months. A statistically significant relationship was found between recent illicit... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749161 Mon, 12 Jul 2010 23:00:00 +0100 3749161 http://www.medworm.com/index.php?rid=3624134&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.130 This study disaggregates SES into constituent components of income, education, and occupational class to investigate whether or not these correlate with health independently of each other. A series of multilevel regression models are estimated to predict self-rated health (SRH) as reported by 15,022 individuals in 44 countries participating in the World Values Survey. It turns out that it is possible to distinguish independent income, education, and class gradients in SRH. Two interpretations of this result are possible: each component of SES may affect health independently of the others, or each may simply capture additional information about SES that is not captured by the others. Either way, all three components of SES are clearly closely connected with SRH. (Source: Health Sociology Re... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624134 Tue, 01 Jun 2010 23:00:00 +0100 3624134 http://www.medworm.com/index.php?rid=3624133&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.114 Health Sociology Review 19(1): 114-129 Abstract There is an increasing understanding about the importance of social networks in the overall health of individuals. In the past year studies have found that strong social ties could promote brain health as we age; having obese friends increases the risk for obesity; and older people with many friends outlive those with fewer friends. This manuscript describes capacity-building interventions based on social capital, including empowerment, community youth development and collective efficacy models, which can work at the individual and community level in preventive and treatment-based interventions. These interventions allow public health practitioners working with low-income communities to reduce health disparities, promote well-being, and decre... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624133 Tue, 01 Jun 2010 23:00:00 +0100 3624133 http://www.medworm.com/index.php?rid=3624132&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.100 This article addresses the social power variations in the context of audiological rehabilitation. The empirically based study examines the everyday interaction between professional medicine and the patient when hearing aids are being provided. By the use of video recordings an analysis is conducted of the structural level of rehabilitation practice for hard-of-hearing working age people in two outpatient clinics in two different public hospitals in Denmark. It is shown that the hearing aid fitting consultations are conducted in a ritualised manner which makes it possible to control what kind of experiences patients are allowed to bring to the audiological encounter. Bureaucratic time imperatives preclude patients' subjective experiences and standardised, normative accountabilities based on... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624132 Tue, 01 Jun 2010 23:00:00 +0100 3624132 http://www.medworm.com/index.php?rid=3624131&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.086 Health Sociology Review 19(1): 86-99 Abstract Our aim is to examine a series of systems-level challenges to the continuity of care of a newborn (i.e. a particular case) in the rural-urban context. These challenges include the state-wide system whereby inadequate bed numbers relative to demand are monitored on a daily basis (bed management), specialist medical expertise as a resource, and the flow of information between hospitals in a rural-urban divide. Whether quality of care is maintained in light of these challenges is dependent on the relationships and `invisible' work of a number of clinicians. Of critical importance are issues involving affective or invisible work and the solidary networks and relationships of clinicians. Ethnographic participant-observations were made of clinical te... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624131 Tue, 01 Jun 2010 23:00:00 +0100 3624131 http://www.medworm.com/index.php?rid=3624130&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.073 Health Sociology Review 19(1): 73-85 Abstract Feminised caring occupations like nursing and social work are popularly considered to be respectable occupations for women. This objective of this paper is to investigate the role of respectability in paid caring work by women within nursing and social work. This paper draws on Ball's conceptualisation of respectability as a heuristic device in the analyses of 39 in-depth interviews with women who work and study in nursing and social work. The paper finds that normality, morality, impression management and esteem are central to the operation of respectability in the paid caring occupations and concludes with recommendations for rethinking the relationship between respectability and these occupations. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624130 Tue, 01 Jun 2010 23:00:00 +0100 3624130 http://www.medworm.com/index.php?rid=3624129&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.057 Conclusion: This exploratory study conveyed an overall inadequacy in the scientific quality of the newspaper reporting about the two CM studies in major metropolitan and national Australian newspapers. Whilst we found that journalists were careful to attribute opinions to their sources, their reports conveyed a very limited understanding of biomedical research methodologies and a subsequent incapacity to scrutinise these methodologies with rigour. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624129 Tue, 01 Jun 2010 23:00:00 +0100 3624129 http://www.medworm.com/index.php?rid=3624128&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.034 Health Sociology Review 19(1): 34-56 Abstract The ideal of combining biomedicine with traditional, complementary and/or alternative medicine (CAM) is now widespread in global healthcare systems. Called integrative medicine (IM) or integrative healthcare (IHC), biomedicine and CAM are being combined in myriad healthcare settings; select medical curricula are incorporating CAM while new `integrative' physicians are graduating; and widescale health policy on CAM is being created by such organisations as the World Health Organization (WHO). While the IM trend is fast developing, little theory has been applied to examining the epistemology of this new health phenomenon and if, in fact, integration between divergent health paradigms is possible. Drawing on an anti-colonial analysis of new IM set... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624128 Tue, 01 Jun 2010 23:00:00 +0100 3624128 http://www.medworm.com/index.php?rid=3624127&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.020 Health Sociology Review 19(1): 20-33 Abstract The high incidence of sexual abuse of Indigenous children in remote Australia prompted the Australian Government to implement an emergency response of health and welfare measures (the Intervention) in 2007 to protect children and communities from harm. In this article we seek to assess the measures employed in the Intervention against the body of evidence of strategies likely to be effective in reducing Indigenous health disadvantage. Our view is that the emergency response may not have long-term benefit because of the dearth of basic primary health services in remote Aboriginal communities to continue the effort that the Intervention has begun. We conclude that Intervention measures are not sufficiently well aligned with evidence-based health ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624127 Tue, 01 Jun 2010 23:00:00 +0100 3624127 http://www.medworm.com/index.php?rid=3749160&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.2.151 Health Sociology Review 19(2): 151-163 Abstract The cultural and historical background of the substantial deregulation of alcohol sales in Australia in the last quarter century is described and discussed. Drinking and intoxication was contested ground in Australian history, stereotypically split between the heavy-drinking male world of primary industries and the more feminine world of the suburb. In the temperance era of the late 19th and early 20th century, restrictions on alcohol sales gained ground, epitomised by six o'clock closing adopted during World War I. Alcohol's cultural position shifted after World War II: alcohol problems were redefined in terms of alcoholism, a personal failing, and a cultural-political movement led by the Sydney Bulletin led a successful cultural-political m... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3749160 Mon, 31 May 2010 23:00:00 +0100 3749160 http://www.medworm.com/index.php?rid=3624126&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5172%2Fhesr.2010.19.1.005 This article describes a qualitative interpretative study that examined the ways in which women expressed the links between their psychosocial health and the social, cultural and economic environment in which they lived. In-depth interviews, focus group discussions, ranking exercises and photo narratives were used to explore women's experiences of health throughout their lifespan. The innovative use of these qualitative tools and participatory methods provides new insights to challenge the discourse of health provision in Papua New Guinea. The findings document women's experience and lives in a challenging environment that leads to `worrying' and `thinking too much' and which imparts and exerts a powerful influence on health. Women's accounts illustrated feelings of powerlessness, helpless... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3624126 Wed, 31 Mar 2010 23:00:00 +0100 3624126 http://www.medworm.com/index.php?rid=3369076&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.446 Health Sociology Review 18(4): 446-460 Abstract Through interviews with users and providers of anti-ageing medicine in Australia as well as the analysis of various internet sites, anti-ageing clinics, journals and magazines dealing with anti-ageing medicine, this paper will argue that the anti-ageing industry in Australia is an example of how `mediascapes' operate, seeking in this case to replicate the American model while developing a more localized practice meeting local needs, cultural orientations and regulatory frameworks. The products being studied here include some which have been on the market for many years in the Complementary and Alternative Medicine (CAM) industry, but have only recently been rebranded as `anti-ageing'. These include vitamins, anti-oxidants, supplements such as... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369076 Mon, 15 Mar 2010 00:00:00 +0100 3369076 http://www.medworm.com/index.php?rid=3369075&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.434 Health Sociology Review 18(4): 434-445 Abstract While anti-ageing medicine may be defined by efforts to control human aging, individual motivation to utilise anti-ageing medicine proves to be multifaceted. Qualitative, in-depth interviews with 15 people who have used anti-ageing medicine reveal that the turn to anti-ageing medicine may be more about disillusionment with allopathic medicine than it is about controlling bodily aging. By contextualising people's use of anti-ageing medicine within their lifelong body regimen `careers', and looking closely at the first career sequence, which is characterised by a questioning of tradition - the tradition of allopathic medicine - new perspectives behind the rise of anti-ageing medicine are offered. Shared grievances with mainstream medicine tend ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369075 Mon, 15 Mar 2010 00:00:00 +0100 3369075 http://www.medworm.com/index.php?rid=3369074&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.423 Health Sociology Review 18(4): 423-433 Abstract While commentaries about life extension from biogerontologists, demographers, geneticists and ethicists have increased in recent years, these have paid little attention to the public policy implications of life extension or the perspectives of community members and policymakers themselves. This paper draws on the findings from a three-year research project about strong life extension which involved interviews with community members, and state and federal policymakers. The paper explores and compares the views of community members and policymakers about policy priorities arising from life extension, and examines these within the context of existing literature and available evidence. Thus the paper provides an important evidence base to inform ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369074 Mon, 15 Mar 2010 00:00:00 +0100 3369074 http://www.medworm.com/index.php?rid=3369073&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.412 Health Sociology Review 18(4): 412-422 Abstract Population ageing and increasing life expectancy are triumphs of modern times. However, advances in healthy ageing and longevity are not inevitable. Recent data suggest that future generations may not age in as good health as those who are currently over 65 years of age, particularly because of the rising prevalence of obesity. Obesity is a worldwide phenomenon associated with urbanisation and global changes to food availability, eating habits, and increasing sedentary activities. The current and future global impacts of this condition on health, health care expenditure, and human life expectancy are momentous. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369073 Mon, 15 Mar 2010 00:00:00 +0100 3369073 http://www.medworm.com/index.php?rid=3369072&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.399 Health Sociology Review 18(4): 399-411 Abstract The 21st century will be characterised by aged and ageing nations, making eldercare a growing concern. Most eldercare in most nations will be provided informally, primarily by female family members. Helping these people understand the dimensions of eldercare is a key to effective and cost-effective caregiving. The Person-Environment Model (Lawton and Nahemow 1973) is proposed as a theoretical framework for understanding, assessing, and optimising family-based caregiving. This paper presents findings from a qualitative study of informal rehabilitation caregiving provided to elderly stroke survivors in Thailand. Four main rehabilitation dimensions (biological, psychological, social, spiritual) are identified, as are three main caregiver needs (... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369072 Mon, 15 Mar 2010 00:00:00 +0100 3369072 http://www.medworm.com/index.php?rid=3369071&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.387 Health Sociology Review 18(4): 387-398 Abstract This essay critically examines the process of governmentality as revealed in the construction and resistance to the categorisation and classification of `Healthy Senior Citizenship'. This also includes an illustrative analysis of data from a national UK qualitative interview study of the input into the policy process of older adults in voluntary and community organisations. The paper demonstrates how governmentality finds its expression within the construction of healthy senior citizenship as synonymous with activity and participation within the technologies of collaboration and consultation. The conclusion reflects upon developing a critical sociology of old age in order to scrutinize conceptions of the `problems' of governing an ageing popu... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369071 Mon, 15 Mar 2010 00:00:00 +0100 3369071 http://www.medworm.com/index.php?rid=3369070&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.379 Health Sociology Review 18(4): 379-386 Abstract In Australia we have become preoccupied with the potential adverse impact of our ageing population on our health and social systems. The projected cost of having increasing proportions of our population in the over 70s, retired, chronically ill category of the demographic profile is emerging as a major challenge for governments and private insurers: so much so in fact that the government is now urging older people to stay at work longer. In America, new approaches to the management and self-management of chronic diseases have been invoked to encourage and support older people to improve their quality of life and reduce their recourse to and dependence upon health care technologies, clinical interventions and health care management systems. Un... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369070 Mon, 15 Mar 2010 00:00:00 +0100 3369070 http://www.medworm.com/index.php?rid=3369069&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.364 Health Sociology Review 18(4): 364-378 Abstract This paper explores a number of the ways in which globalization can accentuate the uncertainties and risks borne by Australians with retirement savings in superannuation funds or who are receiving superannuation benefits. It begins by addressing the impact of globalization on job prospects as a result of off-shoring. It then turns its attention to the impact of globalization on domestic inflation. The third area addressed by this paper is the vulnerability of superannuation funds to the `regular' financial crises of the world financial system. Here, particular attention is given to the way international hedge funds operate in bear markets. Finally, the paper describes the increasing prominence of sovereign wealth funds and explores the implic... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369069 Mon, 15 Mar 2010 00:00:00 +0100 3369069 http://www.medworm.com/index.php?rid=3369068&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.4.349 Health Sociology Review 18(4): 349-363 Abstract The global economic turmoil that has unfolded since August 2007 promises to change methods for the governance of ageing in ways yet unknown. Against this background, this paper asks how the demographic shifts associated with population ageing interact with other aspects of globalisation: the financialisation of economic systems, changing patterns of migration and transformations to health provision. The emphasis is on understanding the complex interplay between these processes and their relevance for rethinking approaches to population ageing in a time of uncertain transition. Questioning the tendency to understand these fields of change as precipitating distinct crises, the paper suggests that the relative predictability of global population... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3369068 Tue, 01 Dec 2009 00:00:00 +0100 3369068 http://www.medworm.com/index.php?rid=3021782&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.321 Health Sociology Review 18(3): 321-334 Abstract This paper reports on a case study which examined mental health service users and carers, public housing tenants and non-government organisations' (NGO) participation and representation within policy processes. A particular focus was influence upon policies aimed at achieving housing outcomes for people with a psychiatric disability. The research was a case study of a period of mental health system reform in South Australia (2000-2005) and involved primarily qualitative research; interviews, focus groups and participant observation, as well as document analysis. Participants (n = 92) included service user and carer representatives, public servants from across the health, housing and disability sectors, and NGO professionals from across sector... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021782 Mon, 23 Nov 2009 00:00:00 +0100 3021782 http://www.medworm.com/index.php?rid=3021781&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.307 Health Sociology Review 18(3): 307-320 Abstract This paper examines the extent to which US citizenship status affects the probability of a person's having a usual source of care and the predictors associated with access to health care among non-citizens. The research is founded on the analysis of data from the 2005 California Health Interview Survey (CHIS) (n = 33,187 adults, ages 18-64). Guided by a modified Andersen model of access to health care, the researchers conducted a series of logistic regression analyses using the survey data to compare native-born citizens with non-citizens who were 1.6 times less likely to access a usual source of care. Among non-citizens, insurance status, shorter duration of residence in the United States, and lower levels of English proficiency were related... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021781 Mon, 23 Nov 2009 00:00:00 +0100 3021781 http://www.medworm.com/index.php?rid=3021780&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.297 Health Sociology Review 18(3): 297-306 Abstract Social capital, social networks, social support and health have all been linked, both theoretically and empirically. However, the relationships between them are far from clear. Surveys of social capital and health often use measures of social networks and social support in order to measure social capital, and this is problematic for two reasons. First, theoretical assumptions about social networks and social support being part of social capital are contestable. Second, the measures used inadequately reflect the complexity and ambivalence of social relationships, often assuming that all social ties and contacts are of similarly value, are mutually reinforcing, and, in some studies, are based on neighbourhoods. All these assumptions should be q... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021780 Mon, 23 Nov 2009 00:00:00 +0100 3021780 http://www.medworm.com/index.php?rid=3021779&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.284 Health Sociology Review 18(3): 284-296 Abstract The HIV/AIDS pandemic in sub-Saharan Africa prompted industrialised nations to initiate a coordinated global response, which to date has been inadequate in reducing the pandemic's impact in Africa. To better understand this response, this article explores the portrayal of the pandemic in the Australian print media using critical discourse analysis to unpack the discourses surrounding the construction of the pandemic. In particular, it examines how issues of power, ideology, causation and responsibility are expressed and utilised to validate certain stances and responses. The findings demonstrate that the media presents a particular perspective on the pandemic that favours the agendas of industrialised nations. Linguistic devices uncovered rac... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021779 Mon, 23 Nov 2009 00:00:00 +0100 3021779 http://www.medworm.com/index.php?rid=3021778&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.273 Health Sociology Review 18(3): 273-283 Abstract The study invited individuals who used AA groups and philosophy as the mainstay of their recovery to talk about their ongoing relationship to AA, with the aim of understanding the factors that have helped them to achieve and sustain change. Interpretive phenomenological analysis (IPA) was performed on nine transcribed interviews of participants who were continually sober from alcohol/drugs for a minimum of nine years (abstinence mean = 14 years). The method was used to discern themes and identify the concepts of recovery participants had found helpful. A number of themes are examined in the paper, including how subjects made sense of their addiction, initial appraisals of AA/NA meetings, concepts of acceptance and surrender, character change,... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021778 Mon, 23 Nov 2009 00:00:00 +0100 3021778 http://www.medworm.com/index.php?rid=3021777&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.260 Health Sociology Review 18(3): 260-272 Abstract Since the first panels of the Australian AIDS Memorial Quilt were officially launched in Sydney in 1988, it has become a widely recognised memorial to people who have died from AIDS. This paper discusses how AIDS Memorials, namely the AIDS Quilt and the annual Candlelight Vigils, have challenged the stigma surrounding HIV/AIDS through creating public space for the expression of grief. The paper draws on the idea of `social movement frames', demonstrating how, through the use of symbolic actions and ritualised performance, the political and ideological beliefs of the AIDS movement were expressed not only through articulated argument or attempt at rational persuasion, but through the demonstration of alternative cultural practice. (Source: Heal... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021777 Mon, 23 Nov 2009 00:00:00 +0100 3021777 http://www.medworm.com/index.php?rid=3021776&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.246 Health Sociology Review 18(3): 246-259 Abstract In Australia, fluoridation was first endorsed as an effective, safe and equitable means of improving population oral health over fifty years ago. However, recent opposition to attempts to introduce the measure in several regional Victorian towns has demonstrated that it remains a highly controversial health policy. This paper investigates the history of the Victorian fluoridation debate within a national and international context. It finds that although the evidence concerning fluoridation has advanced considerably, the essential arguments put forward by proponents and opponents have remained largely unchanged over that time. Protagonists incorporate the same scientific evidence yet come to polarised and unshakeable conclusions. I argue that ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021776 Mon, 23 Nov 2009 00:00:00 +0100 3021776 http://www.medworm.com/index.php?rid=3021775&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.234 Health Sociology Review 18(3): 234-245 Abstract The paradox of paediatric social admission involves the medical hospitalisation of children for non-urgent and/or social reasons. Much of the research in this field has been concerned with medically avoidable admissions that have been identified and condoned on clinical criteria. Such research has tended to mask the significance of social influences and the non-medical reasons why health professionals admit children to hospital. This paper explores social, organisational and subjective influences on medical decision-making and is based on a study of interviews with 26 health professionals directly involved in paediatric social admissions (PSA). The findings highlight some inherent paradoxes as a consequence of responding to social concerns in... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021775 Mon, 23 Nov 2009 00:00:00 +0100 3021775 http://www.medworm.com/index.php?rid=3021774&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2009.18.3.220 Health Sociology Review 18(3): 220-233 Abstract The Australian response to the threat of pandemic influenza is part of a broader shift in public health and governance. This shift in approach to risk - from insurance to preparedness - has been triggered by the emergence of incalculable, global, catastrophic risks. Familiar, insurance-driven approaches to governing risk work by intervening at the level of the population. However, incalculable risks of the scale posed by pandemic influenza exceed the scope of insurance. Now preparedness driven approaches are coming to the fore in public health. Preparedness focuses on protecting infrastructures and on guaranteeing the continuity of the political and economic order, and it entails discontinuous, temporal and localised expert responses. Importa... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=3021774 Thu, 01 Oct 2009 00:00:00 +0100 3021774 http://www.medworm.com/index.php?rid=2747144&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.2.194 Health Sociology Review 18(2): 194-206 Abstract This paper explores the experiences of twenty Australian women living with the chronic and incurable gynaecological condition endometriosis. It examines how women become experts in their own care and the ramifications of these processes for women. Women experience patient expertise as a form of work, described here as a `third shift' performed in addition to women's paid and unpaid work. It argues that both benefits and problems flow from such work, which involves the acquisition of expertise about a chronic illness and associated processes of self-management. The central argument of this paper is that the responsibilities associated with becoming an expert endometriosis patient can both reduce and compound existing stresses for women living ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2747144 Sat, 29 Aug 2009 23:00:00 +0100 2747144 http://www.medworm.com/index.php?rid=2747143&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.2.182 This study explored whether families are actually ready to take on the self-management of long-term conditions and which surrounding conditions are necessary to manage them. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2747143 Sat, 29 Aug 2009 23:00:00 +0100 2747143 http://www.medworm.com/index.php?rid=2747142&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.2.173 The objective of the present study is to address this question. In Scenario A, participants performed measurements themselves using a portable biosignal device (PBD) in `bedside settings'. The data collected were validated against the measurements that were performed simultaneously via the routine hospital process. In Scenario B, five participants located at their homes performed measurements by themselves and without surveillance in `real world e-health settings'. Under surveillance (Scenario A), patients succeeded in obtaining many measurements accurately. In `real-world e-health settings' (Scenario B) several measurements were not complete and accurate. Although there are not many expert patients out there yet, e-health outcomes may be improved by balancing three issues, namely surveill... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2747142 Sat, 29 Aug 2009 23:00:00 +0100 2747142 http://www.medworm.com/index.php?rid=2747141&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.2.159 Health Sociology Review 18(2): 159-172 Abstract This paper focuses on the way drug users (DUs) play an active role in implementing public health policies by their involvement in self-support groups, thus providing new forms of patients' expertise. Expertise of this nature may seem paradoxical, in that it confers qualities to populations whose practices are unlawful and whose identity is stigmatised. A qualitative method including semi directive interviews (57) and ethnographic observations was used for this research. A thematic content analysis was done from empirical data following an inductive logic. This paper aims to show how a DUs' organisation finds a place in the social arena in the political context of harm reduction, succeeds in building the French DUs' health and welfare conditio... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2747141 Sat, 29 Aug 2009 23:00:00 +0100 2747141 http://www.medworm.com/index.php?rid=2747140&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.2.145 Health Sociology Review 18(2): 145-158 Abstract This paper challenges the notion of a shared social identity resulting from a self care skills training programme through exploring the engagement, experience and outcomes of participants from different social groups: sub-Saharan asylum seekers and gay men. In the former group norms and values about priorities and management of HIV differed significantly from the programme's underlying philosophy of individualism. Some needs were similar, but learning self-management skills was not the priority it was for gay men as pressing needs arising from their asylum status (to address social problems, access welfare and achieve marginal residential status) overwhelmed self care attempts. A focus on self-efficacy and individual behaviour change is likel... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2747140 Sat, 29 Aug 2009 23:00:00 +0100 2747140 http://www.medworm.com/index.php?rid=2747139&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.2.139 Health Sociology Review 18(2): 139-144 Abstract The increase of chronic illness as a leading cause of death has given rise to self-care and expert patient initiatives. Caring for chronically ill people places a tremendous economic burden on the health care system, informal carers, the labour market and benefit system (Department of Health 2001, 2004, 2005). Thus, in many countries health policy encourages patients to become `experts' in the self-management of their conditions in the belief that it will help save money and improve health and well-being (Wanless 2002). For example, the notion of `expert patients' has emerged in UK policy and is pivotal to government plans to modernise the National Health Service (NHS) by linking patient expertise to ideas of empowerment, a better quality of ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2747139 Fri, 31 Jul 2009 23:00:00 +0100 2747139 http://www.medworm.com/index.php?rid=2498678&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.119 This study explored the racial identity of Indigenous children and youth who attended urban, state and private primary and secondary schools in the Noongar[i] region of urban Perth in Western Australia. Thirty five Australian Indigenous children aged 8-12 were interviewed and 120 youth aged 13-17 participated in focus groups. Transcripts were analysed and common themes were identified by extracting relevant responses and their meanings. The components of racial identity for children aged 7-12 and youth were very similar such that culture, family, language and appearance featured. The most reported element of racial identity for young children was culture which comprised of eight sub-elements. Young people however, reported that a strong sense of self was the most important contributor to t... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498678 Tue, 23 Jun 2009 23:00:00 +0100 2498678 http://www.medworm.com/index.php?rid=2498677&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.108 This article begins a discussion about the decisions regarding 'shared parenting' of breastfed children that do not always appear to be in the best interests of children's health and well-being. Two cases from an on-going study to investigate breastfeeding women's experiences of the implementation of the Act will be used to illustrate that the court made decisions for breastfeeding mothers are not consistent and compromise the ability of women to continue breast feeding. The paper argues that the Shared Parental Responsibility Act 2006, and the decisions made, can work at a macro-level to produce social and health disparities for these children. Further questions are raised about the best interests of children when domestic violence and/or abuse are present. The impact of this new law on t... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498677 Tue, 23 Jun 2009 23:00:00 +0100 2498677 http://www.medworm.com/index.php?rid=2498676&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.94 Health Sociology Review 18(1): 94-107 Abstract There is growing recognition that investment by governments on children in their early years is an important part of social policy. However there is currently little information either about how much governments invest on children of different ages, or about what the optimum investment in the early years would look like. Using currently available Australian datasets, this article explores two approaches to estimate the adequacy of investment in early childhood; comparing government expenditure between countries, and analysing one country (in this case Australia) in terms of expenditure over time on children of different ages. We find that, overall, Australia spends more than the average of OECD countries on the early years, but that a much hig... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498676 Tue, 23 Jun 2009 23:00:00 +0100 2498676 http://www.medworm.com/index.php?rid=2498675&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.79 Conclusion: How teenagers are accommodated by home, local community, school and parental work affects not only their well-being but the well-being of their family and the wider community. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498675 Tue, 23 Jun 2009 23:00:00 +0100 2498675 http://www.medworm.com/index.php?rid=2498674&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.61 Health Sociology Review 18(1): 61-78 Abstract Little is known about the impact of preventive interventions on inequalities in young people's mental health. We conducted a systematic review of mental health promotion interventions based on cognitive behavioural therapy (CBT) delivered in schools to young people aged 11-19. Meta-analysis of 17 high quality randomised controlled trials (RCTs) showed a reduction in symptoms of depression, which was generally short term. Interventions for people with clinical risk factors or existing symptoms were more effective, with benefits lasting up to six months. We also found that CBT may be more effective for young people from families with middle to high socioeconomic status (SES) than for those from low SES backgrounds. However, this finding was based... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498674 Tue, 23 Jun 2009 23:00:00 +0100 2498674 http://www.medworm.com/index.php?rid=2498673&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.50 Health Sociology Review 18(1): 50-60 Abstract Healthy eating in schools is central to UK Government attempts to redress nutritional deficiencies and combat childhood obesity. However, there is little consideration of the local, contextual spatial factors that contribute to the ways in which particular policy initiatives are experienced at the school level. This paper presents findings from an evaluation of the 'Eat Well Do Well' programme in Kingston-upon-Hull, UK: an innovative scheme providing free, healthy food to all primary school children. Data is presented from an ethnographic study of two case study schools illustrating how notions of 'spatiality' augment our understanding of the ways policy intention is mediated. We consider the potential of primary school meals policy to address ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498673 Tue, 23 Jun 2009 23:00:00 +0100 2498673 http://www.medworm.com/index.php?rid=2498672&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.36 Health Sociology Review 18(1): 36-49 Abstract Using a large contemporary United States data set, the National Longitudinal Survey of Youth-Child Supplement (NLSY-CS), this paper examines the relationship between parental work schedules and adolescent depression at age 13 or 14, paying particular attention to the mechanisms that may explain this relationship. Analysis based on structural equation modelling showed that increased work at night by mothers was significantly associated with a lower quality of home environment and fewer meals together, and this mediator was significantly linked to increased risks for adolescent depression. In addition, evening work by fathers was significantly associated with lower paternal closeness and this mediator was significantly associated with increases i... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498672 Tue, 23 Jun 2009 23:00:00 +0100 2498672 http://www.medworm.com/index.php?rid=2498671&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.25 This study explores the 'black box' of changes in both the macro and micro - the societal and domestic - environment that transformed the health and well-being of children in England and Australia between 1870 and 1940. It argues that in addition to the control of environmental hazards and improved medical care, changes in family life made possible by the decline in the informal economy of casual work, provided the domestic security that enabled the major improvements in child health measures before immunisation and antibiotics. The golden age of childhood came after World War II, with the relief of peace and unparalleled stability in marriages and home making. Since the 1970s, however, capitalist societies have succumbed to a pursuit of affluence and individualism that has had profound ps... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498671 Tue, 23 Jun 2009 23:00:00 +0100 2498671 http://www.medworm.com/index.php?rid=2498670&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.12 Health Sociology Review 18(1): 12-24 Abstract This paper investigates variations in policy responses to perceptions of social inequities in infant mortality in Canada, Chile, Sweden and the United Kingdom. It outlines patterns and trends in inequalities in infant mortality and some other birth outcomes, distinguishing between the use of routine data in some settings and research evidence in others. It suggests that some distinctive approaches about policies to reduce inequalities can be identified in the four countries. A number of emerging issues are also identified. One concerns the focus of interventions. Another relates to the use of targets. The third concern relates to the ways in which health inequalities are measured and monitored. Finally, the paper recommends the need for more re... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498670 Tue, 23 Jun 2009 23:00:00 +0100 2498670 http://www.medworm.com/index.php?rid=2498669&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.18.1.3 Health Sociology Review 18(1): 3-11 Abstract This Editorial provides a critical review of the progress in social determinants of health research over the last two decades, suggesting new perspectives which may further our understanding of persistent social inequalities in health. It highlights the global significance of the Special Issue setting it in the context of the recently released WHO Commission on Social Determinants of Health Final Report (CSDH 2008). The Editorial introduces individual papers in the Special Issue and discusses how they are in line with, complement or provide feedback to, the WHO CSDH Final Report and its call for actions to close the health gap in a generation. Finally, based on the articles in this Special Issue and emerging themes of the global research and pol... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2498669 Sun, 31 May 2009 23:00:00 +0100 2498669 http://www.medworm.com/index.php?rid=2075492&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.4.419 Health Sociology Review 17(4): 419-422 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2075492 Wed, 31 Dec 2008 05:00:00 +0100 2075492 http://www.medworm.com/index.php?rid=2075491&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.4.410 In this study, participants were motivated to use CAM because of the perceived limitations of biomedicine and also because of a desire to have control over how their illness was managed. However the majority of participants were not interested in the philosophical principles of CAM, rather in whether these therapies were effective and manageable. These findings suggest that although people may hold different beliefs about CAM as compared with biomedicine, an approach to healthcare that has a practical focus on both clinical outcomes and patient wellbeing may be acceptable to most people. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2075491 Wed, 31 Dec 2008 05:00:00 +0100 2075491 http://www.medworm.com/index.php?rid=2075490&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.4.396 Health Sociology Review 17(4): 396-409 Abstract New Zealand research suggests that CAM use by GPs has decreased, while referral to CAM practitioners by GPs has increased, and that patients often do not tell their health practitioners when they are using CAM. The New Zealand Medical Council has developed guidelines for GPs who use CAM. However, there is no research in New Zealand that looks at how patients and GPs respond to CAM issues in the consultation. This paper uses data collected for two research projects on doctor-patient interaction. For this research, consultations between 105 patients and nine GPs were video-recorded. In this data set, all doctors but one were 'orthodox' and to some degree reserved judgement on CAM, albeit remaining cautious in how they made this evident. Patient... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2075490 Wed, 31 Dec 2008 05:00:00 +0100 2075490 http://www.medworm.com/index.php?rid=2075489&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.4.384 Health Sociology Review 17(4): 384-395 Abstract The integration of complementary and alternative medicine into cancer care is widely debated. Advocates of integration frequently cite the popularity of such therapies amongst patients in support of their case. However, little specific empirical attention has been given to how integration is actually regarded by these patients. Based on semi structured interviews with 80 cancer patients in the UK, this article examines the assumption of a link between use and support for integration. On the basis of this study we argue that: 1. A characterisation of unequivocal cancer patients' support for integration (even amongst those who use CAM) is an over-simplification and distortion of the situation 2. It is inappropriate to conflate 'use' with 'advoc... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2075489 Wed, 31 Dec 2008 05:00:00 +0100 2075489 http://www.medworm.com/index.php?rid=2075488&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.4.368 The objective of the study was to identify the barriers and the facilitators for creating integrative medicine in this setting. The study documented the timeline of the Centre from its very hopeful beginning to its demise. The paper focuses on the administrative implementation process, examining the original expectations in light of the organisational culture, business model, impact of policies and regulations, and the trade-offs made between the original goals and those attained within this environment. One of the most troubling aspects arising from this case study was that no corrective mechanism was in place for program design flexibility once previously created policies were deemed harmful to the Centre. When the major assumptions on which the Centre was founded, turned out to be false... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2075488 Wed, 31 Dec 2008 05:00:00 +0100 2075488 http://www.medworm.com/index.php?rid=2075487&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.4.353 Health Sociology Review 17(4): 353-367 Abstract This paper employs a Foucauldian perspective on the shifting spacialisation of medical knowledge to explore the manner in which integrative medicine is discursively represented by its biomedical architects so as to ensure good cultural fit with neoliberal strategies of governance amid the development of transnational global cultural flows in which human subjectivity has itself hybridized, provoking this reconfiguration of medical knowledge. It is argued that integrative medicine represents an expansion of medical rationality into all domains of human life: biological, psychological, sociological, and spiritual. This proposed expansion of biomedical influence rests not upon domination but rather, through enabling the autonomous individual of t... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2075487 Wed, 31 Dec 2008 05:00:00 +0100 2075487 http://www.medworm.com/index.php?rid=2075486&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.4.342 Health Sociology Review 17(4): 342-352 Abstract Interprofessional Education (IPE) has the potential to create and sustain the type of vibrant environments needed for Integrative Medicine (IM) to thrive. IPE strategies and initiatives are conducive to the goals of integrative medicine in that both seek to bring together diverse professionals. This makes the application of IPE towards advancing integrative medicine timely. Bringing together varied disciplines which represent biomedicine and complementary and alternative medicine (CAM), while maintaining each of their unique attributes, is what IPE can accomplish. Their synergy has the potential to improve holistic and patient-centered care, as well as bolster chronic disease management. That biomedical and CAM driven practice domains could w... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2075486 Wed, 31 Dec 2008 05:00:00 +0100 2075486 http://www.medworm.com/index.php?rid=2075485&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.4.331 Health Sociology Review 17(4): 331-341 Abstract In response to the emergence of the holistic health movement in the early 1970s and the rising popularity of complementary and alternative therapies, a growing number of biomedical physicians and institutions have embraced complementary and alternative medicine (CAM), often under the guise of integrative medicine. Whereas alternative medicine is often defined as functioning outside biomedicine and complementary medicine beside it; integrative medicine purports to combine the best of both biomedicine and CAM. Some social scientists have argued biomedicine has become more holistic as a result of this development, whereas others suggest it has embarked upon a subtle process of absorbing or co-opting CAM. This special issue consists of six articl... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=2075485 Mon, 01 Dec 2008 05:00:00 +0100 2075485 http://www.medworm.com/index.php?rid=1902363&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.3.313 Health Sociology Review 17(3): 313-325 Abstract This paper contributes to debate in Australia about sexuality-based restrictions on access to Assisted Reproduction Services, particularly sperm donation by gay and bi-sexual men. It utilises content analysis of print-media and reveals that the public image of sperm donation is saturated with concern about risk, particularly risk to heterosexual donors and their property, from claims made by recipient women and their children. In contrast, a detailed analysis of the profiles of men who register to donate sperm through the Australian Sperm Donor Registry reveals that most donors are open to identity disclosure. However a marked difference is evident between heterosexual and gay/bisexual donors with the latter being significantly more likely to... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1902363 Wed, 22 Oct 2008 04:00:00 +0100 1902363 http://www.medworm.com/index.php?rid=1902362&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.3.303 Health Sociology Review 17(3): 303-312 Abstract Many critics have previously examined the ways in which the pervasive construction of the family in Western nations - that of the heterosexual nuclear family - is normalised and naturalised in a range of contexts. This paper examines discourses of genetics and the 'family' in a series of UK newspaper articles, many of which are non-normative family forms, including families who have used assisted reproductive technologies, and lesbian and gay parented families. We analyse the ways in which genetic discourse is employed in these articles in relation to complex social and psychological issues regarding identity, psychological adjustment, and appropriate parenting and family structures. In particular, genetically-unrelated families (or those who... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1902362 Wed, 22 Oct 2008 04:00:00 +0100 1902362 http://www.medworm.com/index.php?rid=1902361&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.3.290 This study investigated how communities might contribute to bisexual and lesbian women's well-being. Interviews with 47 women suggest that community engagement could provide resources and social contact, enhancing women's confidence, self-esteem and well-being. However, ensuring community support for well-being, requires actively choosing or creating an appropriate community, and rejecting those which are inappropriate. In some cases, it also demands negotiating or resisting community norms which conflict with women's well-being. This study also suggests bisexual and lesbian women often participate in different communities, that lesbian communities may be larger and composed of stronger ties than those of bisexual women, and the stronger social norms of lesbian communities may even threate... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1902361 Wed, 22 Oct 2008 04:00:00 +0100 1902361 http://www.medworm.com/index.php?rid=1902360&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.3.280 Health Sociology Review 17(3): 280-289 Abstract In an online survey of transgender people conducted in Australia and New Zealand, half the respondents (50.6%) reported having made attempts to amend formal documentation to reflect their current gender identity, and that this was crucial to their sense of personal and identity recognition, as well as an affirmation of citizenship. Experiences and outcomes varied, even within the same organisation, leading to different degrees of difficulty and frustration. For gender to be changed on some documentation, the individual is required to show evidence of having had a related surgical procedure. Almost 90% of participants who had undergone surgery had also made attempts to change documentation, and a quarter of participants who had not undergone a... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1902360 Wed, 22 Oct 2008 04:00:00 +0100 1902360 http://www.medworm.com/index.php?rid=1902359&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.3.267 This article analyses the seven year long Victorian political, policy and law reform debate over eligibility criteria for assisted reproductive technology (ART), emphasising the ways in which medicalised discourse and assumptions framed the arguments advanced by various stakeholders. It argues that despite the positive political, social justice and health gains for lesbian and gay prospective parents and their children that were ultimately achieved, the case made for the decriminalisation of self-insemination and increased access to clinical ART services also involved some disappointing political and intellectual compromises along the way. Although lesbian activism regarding ART eligibility criteria was often consistent with a position of what could be called ‘constructive medicalisation... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1902359 Wed, 22 Oct 2008 04:00:00 +0100 1902359 http://www.medworm.com/index.php?rid=1902358&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.3.254 Health Sociology Review 17(3): 254-266 Abstract Increasing numbers of lesbian, gay, bisexual, transgender, transsexual, and queer (LGBTQ) people are choosing to parent through adoption. The minimal research available, focused particularly on lesbian and gay adoptive parents, suggests they face significant barriers to adoption (including being held to a higher standard than heterosexual adoptive parents), homophobia from child welfare professionals, and limited social support post-adoption. These issues have significant implications for the mental health of LGBTQ adoptive parents, but have not been researched to date. Seven interviews were conducted with Canadian lesbian and queer adoptive parents to examine the mental health impact of adoption and identify barriers to accessing health and ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1902358 Wed, 22 Oct 2008 04:00:00 +0100 1902358 http://www.medworm.com/index.php?rid=1902357&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.3.235 Health Sociology Review 17(3): 235-253 Abstract A United States sample of 166 transgender adults including 50 male-to-females (MTFs), 52 female-to-males (FTMs), and 64 genderqueers (neither completely female nor completely male), were surveyed about identity development, levels of disclosure of transgender status, and relationship to community. There was no difference among transgender groups in age of first experiencing oneself differently from assigned birth sex. MTFs first identified as other than their assigned sex earlier than FTMs. However, they did not present themselves to others in a gender-congruent way until much later than FTMs. MTFs were less likely to disclose their gender identity to their parents than were FTMs. Disclosure of assigned birth sex was more common among younger... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1902357 Wed, 22 Oct 2008 04:00:00 +0100 1902357 http://www.medworm.com/index.php?rid=1902356&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.3.226 Health Sociology Review 17(3): 226-234 Abstract As Australian reproductive health continues to be shaped by legal and social heterosexism, lesbian women seeking to conceive are often reliant upon gay men to act as known donors. As previous legal cases demonstrate, this can result in contestations between donors and recipients that result in negative well-being outcomes for both parties, and which highlight the limitations of coalitionism within gay and lesbian communities. Using data collected via interviews with Australian gay men who have acted as known donors, this paper examines some of the ways in which such men experience the negotiating of sperm donation, and how this is often shaped by normative assumptions surrounding lesbian parenting and reproduction. Importantly, the findings a... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1902356 Wed, 22 Oct 2008 04:00:00 +0100 1902356 http://www.medworm.com/index.php?rid=1859933&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.2.199 Health Sociology Review 17(2): 199-213 Abstract The current preoccupation with body weight in western cultures is arguably unprecedented. The obesity crisis has engaged not only health communities, but numerous other public and private organisations, and, in so doing, has created moral alarm as well as a medical crisis. This paper examines the development of obesity and will discuss the ways in which fatness has been rationalised within health discourses. It will explore the way that the corpulent body, once historically considered as a physiological state, is now regarded as a state of moral pathology representing an 'epidemic'. The prospect of this disease sweeping through populations, reaching into virtually every social group, is presented as all the more frightening when no known effe... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1859933 Tue, 07 Oct 2008 04:00:00 +0100 1859933 http://www.medworm.com/index.php?rid=1859932&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.2.187 Health Sociology Review 17(2): 187-198 Abstract In popular, academic and policy discourses it is taken for granted that consumption plays a vital role in the obesity epidemic. Mass consumption, associated changes to 'lifestyle' and the emergence of 'obesogenic' environments are viewed as underpinning the dramatic rise in the prevalence of overweight and obesity. As a result, excess body weight has transitioned from risk factor to 'disease' status, with overconsumption identified as the principal culprit. Using mall walking as a case study, this paper aims to critique the way in which consumption is understood within the obesity literature. Rather than view consumption within a dualist framework of either 'neoliberal choice' or 'modern evil', we seek to establish a theoretical foundation fo... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1859932 Tue, 07 Oct 2008 04:00:00 +0100 1859932 http://www.medworm.com/index.php?rid=1859931&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.2.177 Health Sociology Review 17(2): 177-186 Abstract Social theory provides a lens through which we can analyse the role of trust in health systems. However, the majority of theoretically informed trust literature addresses 'institutional' or 'interpersonal' trust individually, failing to investigate trust as determined by a 'web' of mutually interacting relationships between individuals and social systems. Current theoretical assumptions are also problematic as they fail to recognise the role that social factors (such as socio-economic status, class and age) play in an individual's willingness to trust. Through the analysis and critique of existing social theories of trust, this paper demonstrates a need for further empirical research into the multidimensionality of trusting relationships, whi... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1859931 Tue, 07 Oct 2008 04:00:00 +0100 1859931 http://www.medworm.com/index.php?rid=1859930&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.2.165 Health Sociology Review 17(2): 165-176 Abstract Health researchers in a number of settings are expressing concern about the 'gap' between what we 'know' about the social determinants of health and of health inequalities, and the lack of action based upon this 'knowledge'. Indeed, the 'know-do gap' has become almost a mantra echoed across international and some national institutional sites. This paper examines how the 'problem' of the 'gap' is understood and represented in dominant and sub-dominant conceptualisations. It highlights what is missing from these representations: adequate reflection on changing modes of governance of research management. Where once there was a degree of separation between research production and government policy, increasingly there is congruence between these g... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1859930 Tue, 07 Oct 2008 04:00:00 +0100 1859930 http://www.medworm.com/index.php?rid=1859929&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.2.151 Health Sociology Review 17(2): 151-163 Abstract Men have a stake in ending gendered violence but this stake has not yet been widely embraced by men. Thus we must think carefully about our future strategic directions. Taking the case of sexual violence, I suggest that these directions involve re-thinking sexuality and sexual health by considering absences in the scholarly and policy literatures. While young people are constantly exhorted in popular media to be sexual and to undertake sex, young men have not been engaged by 'critical' analyses of sexuality. The critical literatures - which include writings in Gender/Sexuality studies and Preventive Health - aim to offer alternative understandings of heterosexuality which move beyond the imperatives of the popular media. Yet such critical app... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1859929 Tue, 07 Oct 2008 04:00:00 +0100 1859929 http://www.medworm.com/index.php?rid=1859928&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.2.141 Health Sociology Review 17(2): 141-150 Abstract This paper examines the way some public health campaigns in Australia have been caught within a paradigm shift in the management of 'risk society'. It details this paradigm shift in terms of an intensification of political technologies of 'pre-emption' in response to incalculable threats to physical security. The challenge this presents to public health programs, particularly those dealing with 'life style' health problems such as obesity, depression, and drugs (illegal and legal), is that, in pursuing admirable aims of the prevention of ill-health in the population, such campaigns need to avoid reproducing (and indeed should counter) the harmful effects of the pre-emptive approach to security. Using the example of 'quit smoking' campaigns of... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1859928 Tue, 07 Oct 2008 04:00:00 +0100 1859928 http://www.medworm.com/index.php?rid=1859927&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.2.129 Health Sociology Review 17(2): 129-140 Abstract Preventing disease is by definition a valuable objective, and most debates have revolved around improving the effectiveness of prevention. In this discussion, I explore the latent functions - the unintended consequences - of what I call the 'project of prevention'. Although many latent functions are welcome, some have undesirable effects, and it is therefore important to instigate a rich exchange between innovative theory and rigorous research to minimise such effects. I argue that the hazards are particularly acute in the absence of a reflexive and critical awareness of the political environment and the cultural economy within which prevention occurs. In the paper, I sketch the challenges to mobilising that awareness, show some of the limita... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1859927 Tue, 07 Oct 2008 04:00:00 +0100 1859927 http://www.medworm.com/index.php?rid=1859926&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.2.124 Health Sociology Review 17(2): 124-128 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1859926 Fri, 01 Aug 2008 04:00:00 +0100 1859926 http://www.medworm.com/index.php?rid=1582344&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.95 Health Sociology Review 17(1): 95-105 Abstract This research explores the short-term socioeconomic effect of antiretroviral treatment (ART) in HIV positive patients attending the Perinatal HIV Research Unit clinics in Soweto, South Africa. An overall increase in mean personal and household income following commencement of ART was noted. Mean personal income rose 53% over baseline income. A decrease in the number of meals missed in households was noted in 10% of the sample. The leading themes regarding income were change in employment status and social grants. Antiretroviral treatment increased the capacity to seek employment and unemployed individuals were actively searching for work. Patients noted an improvement in well-being, with fewer to no episodes of illness, and improved quality of... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582344 Sun, 06 Jul 2008 04:00:00 +0100 1582344 http://www.medworm.com/index.php?rid=1582343&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.78 Health Sociology Review 17(1): 78-94 Abstract The goal of this paper is to explore the experiences of exclusion and inclusion of both low and higher-income people within a 'social determinants of health framework'. In the first phase of this research, individual interviews with 60 high-income and 59 low-income participants, and group interviews with 34 low-income participants were conducted. During the second phase, 1671 higher and low-income participants were surveyed by telephone. The findings revealed that inadequate financial resources, ill-health, and unwelcoming behaviours inhibited participation in community activities among low-income respondents. Higher-income earners were more likely to engage in social and group civic activities. Participants in the low-income category were less... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582343 Sun, 06 Jul 2008 04:00:00 +0100 1582343 http://www.medworm.com/index.php?rid=1582342&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.64 Health Sociology Review 17(1): 64-77 Abstract The decline in indicators of human development linked to rising social inequalities, despite post-modern society's unprecedented economic prosperity, has been called 'modernity's paradox' (Keating and Hertzman 1999). Scholars of developmental health suggest that micro-level influences from the social, economic and psychological circumstances in early life may explain social inequalities across the lifespan. However, children's poor developmental and health outcomes are also a product of the wider contexts of their lives. This paper extends the human developmental framework by linking the proximal determinants of health and well-being with macro-level forces. It reviews recent changes in the political, economic and social environments in develop... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582342 Sun, 06 Jul 2008 04:00:00 +0100 1582342 http://www.medworm.com/index.php?rid=1582341&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.53 Health Sociology Review 17(1): 53-63 Abstract The aim of this paper is to review issues related to early intervention in mental health among adolescent students, and to specifically evaluate a school-based, early intervention program, which sought to address issues of mental health among students in a rural community in southern Australia. The early intervention program began in 2004 as school counsellors and local health professionals sought to address the difficulties rural secondary school students encountered in accessing support services. The paper seeks to explore the effectiveness of this school-based, early intervention for students, in decreasing the level of crises among students or the seriousness of associated outcomes to mental health issues, including dis-engagement from form... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582341 Sun, 06 Jul 2008 04:00:00 +0100 1582341 http://www.medworm.com/index.php?rid=1582340&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.41 This article documents the last decade of workers compensation reforms within Western Australia and a summary of changes which ultimately took effect in November 2005. In keeping with the post-modern emphasis on context, this paper locates the Western Australian changes within a broader discussion of the shifting landscape of rights and entitlements engendered through neo-liberal discourse. In particular, as this paper explores, the changes to Western Australian workers compensation policy can be read as a reflection on the way employers, government and the insurance industry interpret and engage with the continuing realignment of worker entitlements. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582340 Sun, 06 Jul 2008 04:00:00 +0100 1582340 http://www.medworm.com/index.php?rid=1582339&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.27 Health Sociology Review 17(1): 27-40 Abstract Are current health policy changes leading to a greater degree of convergence in the health systems of European nations, or to a pattern of divergence? How can the degree of convergence/divergence be explained, and what can it tell us about local versus global impulses of change? The most common answer to these questions is that because the process of globalisation is driving different countries toward similar reform programs, their health systems converge at some common point. An alternative hypothesis is that each country has unique cultural, economic, political and historical traditions which are likely to override global changes, thus creating patterns of divergence. In this article, theories of globalisation and convergence are the theoreti... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582339 Sun, 06 Jul 2008 04:00:00 +0100 1582339 http://www.medworm.com/index.php?rid=1582338&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.18 This article draws on a hitherto neglected aspect of Pierre Bourdieu's analysis of lifestyles, by elaborating on the implications of his concept of 'field', and the relational analysis implicit in this concept, as a means of gaining an understanding of 'healthy lifestyles'. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582338 Sun, 06 Jul 2008 04:00:00 +0100 1582338 http://www.medworm.com/index.php?rid=1582337&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.4 Health Sociology Review 17(1): 4-17 Abstract This paper explores the relationship between the prominent aetiological frameworks for mental illness in Australian psychiatry, and ideas and strategies for preventing mental illness. Data is drawn from the Australian and New Zealand Journal of Psychiatry for the period 1967-2005, and textbooks used to teach the psychiatric component of the medical degree at six Australian universities since 1950. Content analysis of the journal demonstrates that social aetiological models dominated Australian psychiatry until 1985 and the rise of biological models. This represented a shift in the focus of mental health prevention from the social environment to the individual, and the re-location of psychopathology from social relationships to social and biologi... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582337 Sun, 06 Jul 2008 04:00:00 +0100 1582337 http://www.medworm.com/index.php?rid=1582336&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.451.17.1.3 Health Sociology Review 17(1): 3-3 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1582336 Sun, 01 Jun 2008 04:00:00 +0100 1582336 http://www.medworm.com/index.php?rid=1198818&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.450 Health Sociology Review 16(5): 450-451 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198818 Sun, 03 Feb 2008 05:00:00 +0100 1198818 http://www.medworm.com/index.php?rid=1198817&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.448 Health Sociology Review 16(5): 448-449 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198817 Sun, 03 Feb 2008 05:00:00 +0100 1198817 http://www.medworm.com/index.php?rid=1198816&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.447 Health Sociology Review 16(5): 447-448 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198816 Sun, 03 Feb 2008 05:00:00 +0100 1198816 http://www.medworm.com/index.php?rid=1198815&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.436 Health Sociology Review 16(5): 436-446 Abstract This paper provides a critical overview of recent arguments within the field of research on death and dying. In so doing, it explores reasons for researchers choosing to work in this area, and how these might relate to questions of personal experience and the wider cultural and social contexts of researchers' everyday lives. It discusses not only the sequestration of death thesis, but also arguments which suggest there has been a revival of Romanticism associated with the maintenance of bonds between the living and the death. Finally, it explores the critique that the anomic terror arguably associated with death, has been assumed rather than examined. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198815 Sun, 03 Feb 2008 05:00:00 +0100 1198815 http://www.medworm.com/index.php?rid=1198814&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.425 Health Sociology Review 16(5): 425-435 Abstract This paper explores the development of the sociology of death. It begins by tracing some of the major trends in sociology more generally that have influenced understandings of the social impact of mortality. The question is then raised as to why sociologists of death have hitherto largely failed to research into working-class cultures of death. Following a brief discussion of some of the literature that has considered working-class practices, a number of explanations are offered for this relative neglect: that social class is no longer relevant in postmodern societies; that the creation of death studies as a specialism in sociology has isolated academics from the conceptual concerns of mainstream sociology; that the personal-political agendas... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198814 Sun, 03 Feb 2008 05:00:00 +0100 1198814 http://www.medworm.com/index.php?rid=1198813&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.415 Health Sociology Review 16(5): 415-424 Abstract This paper examines the expansion of death and grief from private experience and spaces, into more public spheres via a range of media events and communication technologies. This shift is increasingly acknowledged and documented in death studies and media research. The modern experience of 'sequestered death' has passed. Death images and events are now thoroughly mediated by the visual and communication technologies used and accessed by a vast number of citizens across the globe. At the same time, the proliferation and accessibility of death imagery and narratives does not necessarily mean that the Western world has moved forward and beyond 'death denial'. Indeed, one of the key arguments of this paper is that mediated death - death as televi... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198813 Sun, 03 Feb 2008 05:00:00 +0100 1198813 http://www.medworm.com/index.php?rid=1198812&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.405 Health Sociology Review 16(5): 405-414 Abstract It is well recognised that bereavement deals a significant impact on all individuals and societies, and yearning to be with a recent decedent is a common and almost universal grief response. How we strive to mitigate our loss by maintaining a sense of being in the presence of our loved one is not so well appreciated, yet this elicits perhaps the most evident and popular practical response among the recently bereaved. Although over thirty-three million visits are made to Australian cemeteries each year, understanding this behaviour and meeting the real needs of these visitors have attracted little consideration, even among those responsible for managing and providing such facilities. This paper draws on the author's twenty-four years' experien... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198812 Sun, 03 Feb 2008 05:00:00 +0100 1198812 http://www.medworm.com/index.php?rid=1198811&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.397 Health Sociology Review 16(5): 397-404 Abstract The aim of this paper is to explore how the avoidance of death preoccupies the focus of most health professionals, including policy makers, in the western world, and the implications of this for the lives of people with chronic diseases. Avoiding death has become the ultimate challenge in the provision of contemporary healthcare. An implication of this way of thinking for people with chronic diseases is that their chronic disease is then positioned as something which will produce a death which could have been avoided. Such a death is then viewed as failure, not only biological, but also social. However, such failure is also position (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198811 Sun, 03 Feb 2008 05:00:00 +0100 1198811 http://www.medworm.com/index.php?rid=1198810&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.384 Health Sociology Review 16(5): 384-396 Abstract This paper develops discourse analysis of Australian press representations of dying during the operation of the Northern Territory of Australia's Rights of the Terminally Ill Act 1995 (McInerney 2006). Operating in tandem, the discourses of aesthetics and embodiment constructed contemporary dying as an intolerable corporeal state. The body in disarray is attractive to media imperatives of drama and crisis, and dominated press reports during the analysed period. Such images functioned as absolute justification for a medicallyinduced requested death. Modern equating of physical integrity and personal dignity supports such responses to dying. The requested death interventions of euthanasia and physician-assisted suicide were depicted as halting ... Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198810 Sun, 03 Feb 2008 05:00:00 +0100 1198810 http://www.medworm.com/index.php?rid=1198809&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.373 We present descriptive statistics and quotes supporting our premise that dying in Australia is largely mismanaged. We base our assertions on three themes: dying with multiple conditions and symptoms; awareness and acceptance of dying; and support during the dying process. Each theme illustrates the difficulty of self-managing complex conditions, the failure of the health care system to acknowledge this complexity, and the need for a more radical and social approach to the management of dying. (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198809 Sun, 03 Feb 2008 05:00:00 +0100 1198809 http://www.medworm.com/index.php?rid=1198808&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.5.372 Health Sociology Review 16(5): 372-372 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1198808 Sat, 01 Dec 2007 05:00:00 +0100 1198808 http://www.medworm.com/index.php?rid=1060249&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.368 Health Sociology Review 16(3-4): 368-368 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060249 Thu, 29 Nov 2007 05:00:00 +0100 1060249 http://www.medworm.com/index.php?rid=1060248&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.366 Health Sociology Review 16(3-4): 366-367 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060248 Thu, 29 Nov 2007 05:00:00 +0100 1060248 http://www.medworm.com/index.php?rid=1060247&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.365 Health Sociology Review 16(3-4): 365-366 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060247 Thu, 29 Nov 2007 05:00:00 +0100 1060247 http://www.medworm.com/index.php?rid=1060246&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.363 Health Sociology Review 16(3-4): 363-365 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060246 Thu, 29 Nov 2007 05:00:00 +0100 1060246 http://www.medworm.com/index.php?rid=1060245&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.362 Health Sociology Review 16(3-4): 362-363 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060245 Thu, 29 Nov 2007 05:00:00 +0100 1060245 http://www.medworm.com/index.php?rid=1060244&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.361 Health Sociology Review 16(3-4): 361-362 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060244 Thu, 29 Nov 2007 05:00:00 +0100 1060244 http://www.medworm.com/index.php?rid=1060243&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.360 Health Sociology Review 16(3-4): 360-360 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060243 Thu, 29 Nov 2007 05:00:00 +0100 1060243 http://www.medworm.com/index.php?rid=1060242&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.358 Health Sociology Review 16(3-4): 358-359 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060242 Thu, 29 Nov 2007 05:00:00 +0100 1060242 http://www.medworm.com/index.php?rid=1060241&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.357 Health Sociology Review 16(3-4): 357-358 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060241 Thu, 29 Nov 2007 05:00:00 +0100 1060241 http://www.medworm.com/index.php?rid=1060240&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.355 Health Sociology Review 16(3-4): 355-357 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060240 Thu, 29 Nov 2007 05:00:00 +0100 1060240 http://www.medworm.com/index.php?rid=1060239&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.354 Health Sociology Review 16(3-4): 354-354 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060239 Thu, 29 Nov 2007 05:00:00 +0100 1060239 http://www.medworm.com/index.php?rid=1060238&cid=s_36302_46_f&fid=36302&url=http%3A%2F%2Fwww.atypon-link.com%2FEMP%2Fdoi%2Fabs%2F10.5555%2Fhesr.2007.16.3-4.352 Health Sociology Review 16(3-4): 352-353 (Source: Health Sociology Review) Health Sociology Review journals http://www.medworm.com/rss/comments.php?id=1060238 Thu, 29 Nov 2007 05:00:00 +0100 1060238