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This paper examines how the absence of accessible healthcare intersects with the disproportionate burden that climate change places on marginalized communities. The paper reviews the current literature on the intersection of climate-related health crises and public policy, highlighting the lack of policies centered around this intersection. This review explores how the disproportionate impact of the current climate related health crisis on minority communities is a continuation of structural violence, inequality, and systemic neglect by both the government and public policy makers. Possible solutions, along with their practical and ethical limitations, are dissected. From a healthcare perspective, this paper emphasizes the need to highlight the incoming health crises, and to take measures to reform both healthcare and climate policies to tackle them.

There is recognition in the field of emergency medicine (EM) that social determinants of health (SDoH) are key drivers of patient care outcomes. Leaders in EM are calling for curricula integrating SDoH assessment and intervention, public health, and multidisciplinary approaches to EM care throughout medical school and residency. This intersection of SDoH and the emergency care system is known as social emergency medicine (SEM). Currently, there are few resources available for EM training programs to integrate this content; as a result, few EM trainees receive adequate education in SEM. To address this gap, we developed a four-part training in SEM tailored to EM residency programs and medical schools.This curriculum, known as RISE-EM (Resident Instruction in Social Emergency Medicine), uses video lectures, case examples, and group discussions to engage trainees and develop competency in providing sound care that is grounded in evidence-based principles of SEM. In the current study, we tested RISE-EM by delivering the video lectures to residents and medical students in two training programs. We administered pre- and post-course knowledge tests and a post-course participant attitudes survey to assess the acceptability and potential efficacy of the program for improving SEM knowledge and attitudes among EM learners.We found it to be both feasible and acceptable to introduce SEM content in residency conferences, with preliminary data showing statistically significant improvement in knowledge of the content and self-efficacy to apply it to their clinical practice. In summary, RISE-EM has been highly valued by EM learners and viewed as a strong supplement to their existing training, and it has been shown to successfully improve SEM knowledge and attitudes.

This interview describes Dr. George E. Dickinson’s career and research in the field of death and dying. He discusses how he first became interested in the topic through his students and how he has conducted extensive longitudinal studies on death and dying education in medical schools over the past 50 years. He talks about the changes he has seen in the field, with more courses and programmes being offered, and how the sociological perspective he brings is important in understanding death and dying. Dickinson also shares his personal experiences and views on death, including how his work has influenced his own acceptance of mortality. He describes plans for continuing his research, such as studying children’s perceptions of death and animals’ reactions to death. Additionally, Dickinson discusses the challenges he has faced in the field, such as colleagues who are uncomfortable with the topic and how he has managed his own mental health while examining difficult subjects. Overall, the transcription provides a detailed account of Dickinson’s influential career in the field of death and dying, his research contributions, and his personal reflections on the topic. [ABSTRACT FROM AUTHOR]

Background: Homelessness is a visible manifestation of large-scale societal challenges, such as lack of affordable housing, poverty, and health inequities. Governments may miss opportunities to address these structural problems by removing people experiencing homelessness from public spaces. On 29 November 2022, after a press conference by Mayor Eric Adams, the city of New York issued a directive entitled Mental Health Involuntary Removals. The program authorized mental health providers and NYPD officers to take any person into custody who appears mentally ill and displays inability to meet basic living needs, even when no dangerous act has been observed. Methods: We reviewed the existing literature from 1973 to 2023 for studies, enacted legislation, state and federal policies, and interventions related to homelessness, mental health, and admission of people experiencing homelessness into psychiatric hospitals in the United States. We used academic databases, including PubMed, PsycInfo, and JSTOR for peer-reviewed articles, government reports, and policy analyses. Our search strategy included keyword combinations such as "homelessness and mental health," "policy interventions for homeless populations," and "health care services costs." We applied inclusion criteria focusing on reports and articles that directly address the intersectionality of homelessness, mental health policy, and psychiatric care. Results: Homelessness and mental illness frequently intersect, creating complex challenges that require nuanced solutions. Forced hospitalization of people experiencing homelessness in New York City, while intended to address critical social and health care issues, carries a risk for significant long-term harm. This approach places strain on the mental health care system and may ultimately exacerbate the problems it purports to resolve. [ABSTRACT FROM AUTHOR]

Copyright of Zentralblatt fuer Arbeitsmedizin, Arbeitsschutz und Ergonomie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Postnatal experience is one of the most under-researched areas within medical sociology and anthropology scholarship in India. Using a qualitative lens, this study examines the postnatal experiences of a particular class of working mothers in Bengaluru, one of India's fastest-growing cities. Through in-depth interviews, the study demonstrates that the postnatal experience of working mothers is layered with social and cultural factors. The findings also revealed that after the delivery, the child is prioritised over the mother, who hardly receives any mental support from her spouse, family members or external network ties. Additionally, these working mothers are often criticised for neglecting motherhood responsibilities and instead focusing on their careers. Expanding the scholarship on postnatal experience, this article highlights the mental agonies and issues faced by working mothers in urban India, as well as in privileged classes. [ABSTRACT FROM AUTHOR]

Multi-state transition model is typically used to analyze longitudinal data in medicine and sociology. Moreover, variables in longitudinal studies usually are error-prone, and random effects are heterogeneous, which will result in biased estimates of the interest parameters. This article is intended to estimate the parameters of the multi-state transition model for longitudinal data with measurement error and heterogeneous random effects and further consider the covariate related to the covariance matrix of random effects is also error-prone when the covariate in the transition model is error-prone. We model the covariance matrix of random effects through the modified Cholesky decomposition and propose a pseudo-likelihood method based on the Monte Carlo expectation-maximization algorithm and the Bayesian method based on Markov Chain Monte Carlo to infer and calculate the whole estimates. Meanwhile, we obtain the asymptotic properties and evaluate the finite sample performance of the proposed method by simulation, which is well in terms of Bias, RMSE, and coverage rate of confidence intervals. In addition, we apply the proposed method to the MFUS data. [ABSTRACT FROM AUTHOR]

The document is a supplement to the Oncology Research & Treatment journal, providing information about the annual conference of the German, Austrian, and Swiss Societies for Hematology and Medical Oncology. It includes details about the conference location, dates, organizers, and key speakers. The journal aims to offer a platform for interdisciplinary cancer research and treatment, covering various aspects of medical oncology, surgery, diagnostics, and rehabilitation. It is targeted towards clinicians and practitioners in the field of hematology and oncology, providing peer-reviewed articles and clinical news to keep them informed. [Extracted from the article]

Workers in labor unions have better access to high-quality health insurance plans, better pensions, and higher wages leading to increased lifetime earnings likely leading to better health. Additionally, much of the gendered hiring, promotion, and wage discrimination faced by women in the workplace is dependent on social characteristics (marital status and/or their status as a mother). While many of the benefits associated with union membership can potentially buffer the gendered workplace inequalities that lead to poorer health outcomes, unions have been largely ignored in health disparities literature. Using 28 waves of data (N = 3,409) from The National Longitudinal Survey of Youth 1979, this study creates a lifetime "union tenure" variable, tests its relationship to midlife physical and mental health, and tests ways in which motherhood and marital status may moderate this relationship. Findings suggest that long-term union membership is associated with better physical health among mothers but does not have a significant benefit for women without children. Further, in fully controlled models, this relationship is not dependent on marital status and both married and unmarried mothers see a union tenure health benefit. This study provides insight into how union membership may play a role in improving the midlife health of working mothers. [ABSTRACT FROM AUTHOR]

Researchers and practitioners in financial services utilize a wide range of empirical techniques to assess risk and value. In cases where known performance is used to predict future performance of a new asset, the risk of bias is present when samples are uncontrolled by the analyst. Propensity score matching is a statistical methodology commonly used in medical and social science research to address issues related to experimental design when random assignment of cases is not possible. This common method has been almost absent from financial risk modeling and portfolio underwriting, primarily due to the different objectives for this sector relative to medicine and social sciences. In this application note, we demonstrate how propensity score matching can be considered as a practical tool to inform portfolio underwriting outside of experimental design. Using a portfolio of distressed consumer credit accounts, we demonstrate that propensity score matching can be used to predict both account-level and portfolio-level risk and argue that propensity score matching should be included in the methodological toolbox of researchers and practitioners engaged in risk modeling and valuation activities of portfolios of consumer assets, particularly in contexts with limited observations, a large number of potential modeling features, or highly imbalanced covariates. [ABSTRACT FROM AUTHOR]

The term "Medically Unexplained Symptoms" (MUS) describes chronic symptoms for which medical investigations fail to reveal a specific pathology or biomarker. Even as MUS are among the most prevalent chronic health problems in the global north, patients who experience them reside in a nebulous space. Such nebulousness is heightened for women patients. Moreover, women report MUS at higher rates than men. In this review essay, we analyze the medicalization and feminization processes vis-à-vis MUS by focusing on two particular syndromes: Fibromyalgia (FMS) and Long COVID (LC). FMS and LC present clear parallels that allow us to trace an unhappy marriage of women and MUS. We demonstrate how the medical constructions of these two syndromes as knowledge categories are representations of medical uncertainty vis-a-vis women patients. We then scrutinize the resulting gendered consequences of these categories for the illness experience. We conclude our review by calling for a cultural reorientation in our thinking about MUS that centers a recognition that the origins and manifestations of a great deal of human suffering reside outside of medicine's ways of knowing. In so doing, we connect to foundational claims in medical anthropology and sociology; namely, that illness is more than disease, and health cannot be achieved primarily via biomedical means. [ABSTRACT FROM AUTHOR]

Medical sociologists have much to gain by bringing in global health. In this article, I make the case for expanding our field by furthering sociological perspectives on global health. I reflect on my career, the influence of scholar-activist mentors, and my contributions to the development of scholarship about medicalization, narrative, and global health in medical sociology. First, I focus on medicalization, its relationship to biomedicalization and pharmaceuticalization, and critiques of the medicalization of global health. Second, I analyze the narrative turn in studies of illness experiences and the inclusion of visual materials as an integral part of narrative studies of illness. Third, I explore global health and show examples of bodies of knowledge that medical sociologists are building. Although I present each as a distinct area, my discussion illustrates how the three areas are intertwined and how my contributions to each traverse and build connections among them. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Social Affairs is the property of Journal of Social Affairs and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This review explores the pivotal role that American sociology plays in addressing professional concerns, ethical practices, and its broader societal impact. It provides an in-depth examination of the historical evolution of the discipline, its involvement with public sociology, and its significant contributions to social discourse and policy formulation. The review meticulously addresses professional concerns such as the division of labor within the field, the increasing corporatization of research endeavours, and the integration of advanced technology into sociological research. Ethical practices are scrutinized as well, focusing on research ethics, data privacy, and the principles of responsible conduct in research. Moreover, the review underscores the profound societal impact of American sociology in various areas, including medical sociology, internet research methodologies, and social welfare institutions. It also looks ahead to future directions for the discipline, highlighting the importance of public engagement, the growth of digital sociology, fostering interdisciplinary collaborations, and the continuous refinement of ethical frameworks. Through this comprehensive examination, the review aims to illuminate the essential contributions of American sociology to both the academic community and society at large, while also suggesting pathways for its future development and increased relevance. [ABSTRACT FROM AUTHOR]

We compare the social determinants of health (SDOH) and the social determination of health (SDET) from the school of Latin American Social Medicine/Collective Health. Whereas SDET acknowledges how capitalist rule continues to shape global structures and public health concerns, SDOH proffers neoliberal solutions that obscure much of the violence and dispossession that influence contemporary migration and health‐disease experiences. Working in simultaneous ethnographic teams, the researchers here interviewed Honduran migrants in their respective sites of Honduras, Mexico, and the United States. These interlocutors connected their experiences of disaster and health‐disease to lack of economic resources and political corruption. Accordingly, we provide an elucidation of the liberal and dehumanizing foundations of SDOH by relying on theorizations from Africana philosophy and argue that the social determination of health model better captures the intersecting historical inequalities that structure relationships between climate, health‐disease, and violence. [ABSTRACT FROM AUTHOR]

Chronic pain is a debilitating condition that profoundly and persistently affects individuals' lives. Managing chronic pain presents complex challenges, and a growing body of literature underscores the pivotal role of social support in its management and its implications for treatment and rehabilitation. Gaining an understanding of the multifaceted aspects of social support in chronic pain management can contribute to the development of more effective interventions and strategies to enhance the lives of those impacted by chronic pain. However, at present, systematic reviews that investigate the correlation between social support and chronic pain are lacking. This paper presents a scoping review of 56 relevant literature sources, with the aim of improving our comprehension of the relationship between chronic pain and social support. The review comprehensively examines common types of evidence, particularly on inconsistencies in research tools within this field of study and divergent concepts of social support related to chronic pain. The paper delves into the correlation model between social support and chronic pain, explores relevant mechanisms, and emphasizes the differences found among relevant studies. By synthesizing these findings, the review emphasizes potential areas for further research and exploration, facilitating future studies and the development of new approaches in this field. [ABSTRACT FROM AUTHOR]

This paper reflects on a special edition of the journal History of Psychiatry and a related symposium held at Somerville College, Oxford, exploring the innovations in mental healthcare in Oxfordshire led by Dr Bertram Mandelbrote between 1959 and 1988. I draw on clinical culture, biography, mental health policy and my lived experience to understand Mandelbrote's life and work, and his legacy and lessons for contemporary psychiatrists. I explore the ecological niche that Mandelbrote created and conclude with the probable importance of his relationship with Professor Michael Gelder, who led the University of Oxford Department of Psychiatry at the time. [ABSTRACT FROM AUTHOR]

We discuss the concept of a 'body', the individual body as the lived experience of the body, the social body, shaped by the tensions between the demands of a social/moral order and the egocentric drives, and the body politic, as an institutionalized and disciplined body. We describe the body as it was perceived in Classical Greek Antiquity at the time when the Hippocratic Oath was first conceived, and any changes that may have occurred by Late Antiquity, using the concept of a body-world as represented by everyday life, the arts, politics, philosophy, and religion. This 'recreated' body-world elucidates how a person of Classical or Late Antiquity perceived her/his body via their 'lived-in' world and relates it to medical and philosophical thinking about the body as well as to concepts of health and disease. We demonstrate how the institutional structures of the Roman Empire and the Church influenced the way a body was understood, how the administrative and governmental needs led to the first developments of Public Health, and how the Christian understanding of the body as the body and spirit of Christ changed the attitude towards suicide, euthanasia, and abortion. These changes are reflected in the understanding of bioethical thinking and affected the interpretation of the Hippocratic Oath. [ABSTRACT FROM AUTHOR]

In this wide-ranging interview Graham Scambler provides an overview of his long academic career. He discusses how he became a medical sociologist, his early work on epilepsy and stigma, his part in the development of sociology textbooks for medical students, the diversity of his work and his many collaborations, his 'theoretical turn', his longstanding interest in critical realism and his attitude to 'bridge building' between philosophy and empirical work. [ABSTRACT FROM AUTHOR]

Global aging is rapidly accelerating, which significantly influences the health systems worldwide. Frailty emerges as the most conspicuous hallmark of aging, imposing novel global health challenges. Characterized by a multifaceted decline across physiological system, frailty diminishes an individual's capacity to maintain equilibrium in the presence of stressors, which leads to adverse outcomes such as falls, delirium, and disability. Several screening tools and interventions have been developed to mitigate the harm caused by frailty to human health, but research on frailty in mainland China commences belatedly with scant studies conducted. Therefore, it is imperative to explore screening methods and treatment modalities tailored to the Chinese context, thereby enhancing the older adults' quality of life and advancing social medicine. This review aims to elucidate the evolution, diagnosis, and management of frailty, alongside the challenges it poses, with the overarching goal of guiding future diagnostic and therapeutic endeavors. Specifically, we summarized the mechanisms of frailty and intervention strategies in elderly people, and meanwhile, we evaluated the advantages and disadvantages of different measurement tools. [ABSTRACT FROM AUTHOR]

Copyright of Soziologische Revue is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background. The newly introduced 'Elective programme', a voluntary special study module in the final phase of the undergraduate medical curriculum, offers scope for new immersive, self-directed learning opportunities. We describe a programme of study for learning 'medical sociology' through the innovative use of humanities in medicine. Methods. Our elective module, called 'Community Health and Rock Music' (CHaRM), was a 2-week programme, merging the curricular subject of community health with 'rock music' as an exposure to the 'counter-culture' outside of the medical world. The half-day sessions consisted of: (i) watching/listening to a rock song-video without reading its lyrics; (ii) listening to the same song again but with lyrics; (iii) undertaking an emotionally stimulating activity (watching a movie, making a site-visit, etc.); and (iv) debriefing, to identify/discuss the underlying social determinants of health and their relevance in the grooming of a socially aware medical student. Formative assessment was intended to gauge levels of expression of the affective domain (attitude/emotions). Results. Seven of 143 students volunteered for this programme. Key learnings were a clear appreciation of the societal determinants of health (such as deprivation/discrimination/social structures); multi-level causation of diseases; social issues not addressed in traditional medical curriculum; personal growth; teamwork; and the role of empathy in medical practice. Additional learning was the exposure to the 'counter-culture of arts'. All 7 student assessments 'met expectation', with 4 of them 'exceeding expectation'. Conclusion. An 'elective programme' combining humanities with medicine is potentially an innovative, studentcentric and replicable model of learning that impacts the affective domain critical for doctors-in-training. [ABSTRACT FROM AUTHOR]

This special issue aims to help fill two critical gaps in the growing literature as well as in practice. First, to bring together scholars and practitioners from around the world who develop, practice, review, and question structural competency with the aim of promoting a dialogue with related approaches, such as Latin American Social Medicine, Collective Health, and others, which have been key in diverse geographical and social settings. Second, to contribute to expanding structural competency beyond clinical medicine to include other health-related areas such as social work, global health, public health practice, epidemiological research, health policy, community organisation and beyond. This conceptual expansion is currently taking place in structural competency, and we hope that this volume will help to raise awareness and reinforce what is already happening. In sum, this collection of articles puts structural competency more rigorously and actively in conversation with different geographic, political, social, and professional contexts worldwide. We hope this conversation sparks further development in scholarly, political and community movements for social and health justice.

This commentary on the special issue of Global Public Health on structural competency in global perspective asks: what is specific to the U.S. about structural competency, and what is its utility beyond the U.S., especially in the ‘global south’? Why are biomedical practitioners the focus of U.S. structural competency? And what can U.S. structural competency advocates learn from the deep and rich social medicine traditions of Latin America? And is there anything that Latin American and other non-U.S. social medicine traditions might learn from U.S. structural competency? The commentary identifies the crucial insights from international comparisons include that racial justice movements are Social Medicine innovators in the U.S., that cultivating allies within biomedicine can enhance the impact of community health movements, and that cross-fertilising U.S. Structural Competency and social medicine traditions across regions should be a priority for the fields.

BackgroundDelivering primary care services within the context of rapid urbanization and a changing disease burden is a major challenge in sub-Saharan Africa. Rural models of primary care, including the “Community-based Health Planning and Services” (CHPS) programme in Ghana, have shown improved health outcomes. However, adapting these to the urban context has proved problematic. Differences in the determinants of health found in these settings may help to explain the challenges of delivering CHPS in poor urban neighborhoods in Accra. To inform the redesign of CHPS for the urban context, we aimed to understand the determinants driving health and engagement with health services in three informal settlements in Accra.MethodsThis study formed a reconnaissance phase for a subsequent participatory action research study. We used qualitative and participatory methods to explore the influence of wider and proximal determinants on health and the use and perceptions of CHPS. Three transect walks with community leaders across the study settings informed interview guides and the recruitment of suitable participants for key informant and focus group interviews. Using a Framework Approach, we analysed transcripts and reports from these activities and developed themes and sub-themes in participants’ experiences accessing healthcare.ResultsOur findings highlight the importance of wider and proximal determinants of health including physical environment, gender and other social stratifiers including age, ethnicity, religion and disability, on health, health seeking behavior and personal behaviors such as substance misuse, tobacco use and alcohol. Utilization of CHPS was low and seen primarily as a service for maternal and child health. Private providers, ranging from informal drug stores to private clinics, were used most commonly. Community leaders and groups were active, but engagement was limited by opportunity costs for members.ConclusionTraditional service delivery packages need to be adapted to include non-communicable diseases driven by risk behaviors such as tobacco, unhealthy diet, alcohol and substance abuse. Assets such as volunteerism and nurses embedded within communities are challenging to attain in complex urban settings, yet other assets exist including occupational associations and a range of informal and private providers that could support delivery of preventive and promotive health care with equitable reach.

Abstract Background The goal of our contribution is to discuss a preschool intervention based on the Early Start Denver Model and the use of the main tools for the detection of adaptive behaviour in cases of autism: Vineland, ABAS. Case presentation: the work is the presentation of a clinical case that has benefited from an intervention with the Early Start Denver Model methodology for the benefit of a child with socio-cultural and economic disadvantages. This early intervention, in a child of 36 months, which followed the diagnosis, was possible thanks to the intervention of many third-sector organizations which allowed this child, with a serious autism profile, to receive an evidence-based intervention for free. At the beginning of the intervention, the child presented a diagnosis of severe autism with absence of gaze, vocalizations and other communicative impairments. The level of motor clumsiness was also quite high, as were stereotypies. Conclusions: Research has shown the usefulness of intervening in this area with an early assessment and/or diagnosis and immediate intervention; however, public health services are not always able to maintain this pace. Our contribution therefore shows on the one hand the evidence of the improvements achieved by the child despite the low intensity of the treatment, and on the other hand, demonstrates the total versatility and adaptability of the Denver Model to the Italian context. In our conclusions, there are also some reflections on the tools used to measure adaptive behavior which seem to have a number of limitations and criticalities.

In the mid-1960s, how did a small French mountain village become a high performance international Olympic training center? This article intends to answer this question by examining the social conditions behind the center's creation. The sporting and political context of the Olympic Games in Tokyo (1964) and Mexico (1968) proved fertile ground for the rationalization of sports through stabilizing a medical and sporting administration and implementing a stronger scientific framework. From this perspective, the medicalization of athletic performance in the 1960s played a central role in the conversion of Font-Romeu, transformed from an acclimatization station in the early 1960s into a renowned international altitude training center just a few years later. The article will take a comprehensive look at the construction and management of such a center, and how it became a game changer in the international movement of sportspersons and sports-related personnel the world over. [ABSTRACT FROM AUTHOR]

PurposeThe purpose of the current study, The National Institute of Child Health and Human Development (NICHD) Study of Health in Early and Adult Life (SHINE), was to build on the landmark Study of Early Child Care and Youth Development (SECCYD), a longitudinal birth cohort initiated in 1991, by conducting a health-focused follow-up of the now adult participants. This effort has produced an invaluable resource for the pursuit of life course research examining links between early life risk and resilience factors and adulthood health and disease risk.ParticipantsOf the 927 NICHD SECCYD participants available for recruitment in the current study, 705 (76.1%) participated in the study. Participants were between 26 and 31 years and living in diverse geographic locations throughout the USA.Findings to dateIn descriptive analyses, the sample exhibited risk on health status indicators, especially related to obesity, hypertension and diabetes. Of particular concern, the prevalence of hypertension (29.4%) and diabetes (25.8%) exceeded national estimates in similar-age individuals. Health behaviour indicators generally tracked with the parameters of poor health status, showing a pattern of poor diet, low activity and disrupted sleep. The juxtaposition of the sample's relatively young age (mean=28.6 years) and high educational status (55.6% college educated or greater) with its poor health status is noteworthy, suggesting a dissociation between health and factors that are typically health protective. This is consistent with observed population health trends, which show a worsening of cardiometabolic health status in younger generations of Americans.Future plansThe current study, SHINE, lays the groundwork for future analyses in which the uniquely robust measures collected as a part of the original NICHD SECCYD will be leveraged to pinpoint specific early life risk and resilience factors as well as the correlates and potential mechanisms accounting for variability in health and disease risk indicators in young adulthood.

Background: Our aim was to implement and evaluate a novel social determinants of health (SDoH) curriculum into the required fourth-year emergency medicine (EM) course at the University of Vermont Larner College of Medicine with the goal to teach students how to assess and address SDoH in clinical practice. The objectives were as follows:Assess the SDoH, risk factors, and barriers to healthcare facing patients from diverse socioeconomic and cultural backgrounds in the ED.Examine how social work consult services operate in the ED setting and how to identify appropriate referrals, resources, and treatment plans for patients in the ED.Examine and interpret the impact health disparities have on patients in the ED and develop potential solutions to reduce these disparities to improve health outcomes.Analyze the experiences and lessons learned and use them to inform future patient interactions.Curricular Design: The curriculum was developed by a workgroup that considered the following: scope; target learners; overall structure; instructional and delivery methods; and session scheduling. The curriculum consisted of four components that took place over the four-week EM course. Students completed a required end-of-course survey. Survey results underwent a mixed-methods analysis to assess student attitudes and the impact of the curriculum.Impact/Effectiveness: We received a 78.7% (74/94) completion rate for the 2021-2022 academic year. Of all respondents, 92% (68/74) indicated that they would apply lessons learned from the SDoH components of the curriculum; 74% (54/74) rated the SDoH curriculum as good, very good, or excellent; and 81% (60/74) felt that the EM course increased their understanding of diversity, equity, and inclusion as it relates to the practice of medicine. The thematic analyses revealed four main themes: 1) general comments; 2) course design; 3) interprofessional collaboration; and 4) expanding the scope of the curriculum.Conclusion: Social medicine integration into core EM courses is a generalizable approach to experiential and collaborative exposure to the social determinants of health. Of student respondents, 92% indicated they will use lessons learned from this curriculum in their future practice. This can improve the way future generations of physicians identify SDoH and address the social needs that affect their patients, thereby advancing and promoting health equity.

This Medical News article is an interview with psychiatrist Vikram Patel, chair of the Department of Global Health and Social Medicine at Harvard Medical School. [ABSTRACT FROM AUTHOR]

Background: Supervised injectable opioid treatment (SIOT) is a promising alternative for people living with opioid use disorder (OUD) who have not sufficiently benefitted from oral opioid substitution treatment. Yet, SIOT utilization remains limited in Germany. We propose that this is due to beliefs, or schemas, on SIOT among people living with OUD. Drawing from medical sociology and social psychology, this study explores the emergence and evolution of such schemas on SIOT. Methods: We conducted semi-structured interviews with 34 individuals currently in or eligible for SIOT in two German outpatient treatment facilities and paralleled an inductive qualitative content analysis with the exploration of individual cases. Results: The analysis revealed that peer-to-peer interaction and individuals' practical experiences in therapy are crucial in constructing and changing idiosyncratic and shared schemas of SIOT. When facing ambiguous information, cognitive strategies like subtyping served to mitigate uncertainty. Conclusion: This research has important practical implications for integrating experiential knowledge into clinical care and improve information sharing among people living with OUD. A nuanced understanding of the complex network of informal advice-seeking and -giving among people living with OUD is indispensable to adequately expand treatment modalities of proven effectiveness. [ABSTRACT FROM AUTHOR]

The turn of the twentieth century in Finland saw an increasing number of popular articles and books on health, which were published within the broader framework of 'social hygiene' and aimed at children, young people and their families. This article examines how young people articulated concerns about their own mental health in the context of these campaigns to improve social hygiene. Based on an extensive body of original sources consisting of medical advisory material and letters written by the young, the study reveals how young people saw themselves in this health context—especially when writing about their 'nerves' or 'nervousness'. Drawing on more recent methodological investigations in the history of childhood, this study adds the much-needed perspective of the young people themselves as subjects experiencing these problems, to counterbalance the otherwise exclusively expert discourses on the subject of mental hygiene. [ABSTRACT FROM AUTHOR]

The combination of femininity and inequality is an increasingly studied in the field of social medicine, even more if the girls or women in question experience conditions of disability or neurodivergence. The onset of menstruation, menarche, constitutes a significant and transformative event in women’s lives comprising a true and proper watershed in mental and reproductive health and sexual welfare. The onset of menstruation has a profound effect not just for girls but, in the case of disabled girls, for the whole family. In this scoping review, we have researched the literature in studies which consider the issue of menstruation and autism. The works in scientific literature have been selected which, in the last 5 years, investigated the issue of menstruation for autistic girls and/or women. Results. Selected studies, although few in number, have all equally evidenced the total lack of in-depth understanding of this theme, notwithstanding the fact that females, girls and women with autism would benefit from specialized services if these existed. Families, girls and women involved, moreover, although not experiencing menstruation per se in a negative light, note a deterioration in their condition particularly in respect of sensorial perception and the intensification of anxious depressive instances. This work highlights the need to deepen the aspects concerning the period in autistic girls/women, up to now the question appears to have been little studied, investigated in an uneven way. We propose a social medical program to improve sexual-affective knowledge and body awareness in autistic people. [ABSTRACT FROM AUTHOR]

The extraordinary growth of healthcare spending in the United States necessitates an incremental model of institutional change. Efforts to reduce social spending in the 1980s introduced strict cost controls on healthcare, yet this regulation was annually abated with temporary legislation known as 'doc fixes'. We show that the institutions set up to control spending were slowly undermined through three mechanisms: the transformation of wider political and economic problems into technical ones, the 'layering' effect of repeated budgetary appropriations, and the moral arguments that sustained incremental spending growth. This case illustrates how creative responses to budget constraints may produce incremental change, driven by ideas about how markets and welfare should work. [ABSTRACT FROM AUTHOR]

Homelessness is among the most important problems in social medicine. While traditional studies provide useful answers (albeit for increasingly narrow phenomena), unique perspectives and first-person accounts hold potential to influence broader thinking about the field. Here, we provide a first-person account from physician-activist David Buck, a health policy expert and founder of Healthcare for the Homeless-Houston, on what it takes to tackle the homelessness epidemic, fix the broken aid industry, and challenge the status quo. [ABSTRACT FROM AUTHOR]

Background: The goal of our contribution is to discuss a preschool intervention based on the Early Start Denver Model and the use of the main tools for the detection of adaptive behaviour in cases of autism: Vineland, ABAS. Case presentation: the work is the presentation of a clinical case that has benefited from an intervention with the Early Start Denver Model methodology for the benefit of a child with socio-cultural and economic disadvantages. This early intervention, in a child of 36 months, which followed the diagnosis, was possible thanks to the intervention of many third-sector organizations which allowed this child, with a serious autism profile, to receive an evidence-based intervention for free. At the beginning of the intervention, the child presented a diagnosis of severe autism with absence of gaze, vocalizations and other communicative impairments. The level of motor clumsiness was also quite high, as were stereotypies. Conclusions: Research has shown the usefulness of intervening in this area with an early assessment and/or diagnosis and immediate intervention; however, public health services are not always able to maintain this pace. Our contribution therefore shows on the one hand the evidence of the improvements achieved by the child despite the low intensity of the treatment, and on the other hand, demonstrates the total versatility and adaptability of the Denver Model to the Italian context. In our conclusions, there are also some reflections on the tools used to measure adaptive behavior which seem to have a number of limitations and criticalities. [ABSTRACT FROM AUTHOR]

This article gives an account of some of my experiences of working in the field of Medical Sociology in Ireland. It concentrates in particular on the time period of the Great Recession and Ireland's economic crash and what it was like to be a precarious researcher and lecturer around that time. [ABSTRACT FROM AUTHOR]

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'II: foundational building blocks--context, community and health', authors address the following themes: 'Context--grounding family medicine in time, place and being', 'Recentring community', 'Community-oriented primary care', 'Embeddedness in practice', 'The meaning of health', 'Disease, illness and sickness--core concepts', 'The biopsychosocial model', 'The biopsychosocial approach' and 'Family medicine as social medicine.' May readers grasp new implications for medical education and practice in these essays. [ABSTRACT FROM AUTHOR]

In a 2010 online Reuter's news article, Andrew Stern claimed that Tiger Woods placed the condition known as 'sex addiction' in the spotlight. Accordingly, this article discusses the extent to which 'sex addiction' is discursively produced within, and by, the media and explores the extent to which Stern's claim can be substantiated. This paper presents an analysis of articles retrieved from nytimes.com that were published between February 18th, 2009, and February 20th, 2011. It goes on to summarize four key findings: (1) 'sex addiction' was more directly and openly discussed as a concept in the year following Stern's article than it was in the year prior; (2) 'sex addiction' was discursively constructed as a male problem and regarded as an underlying reason for them to commit extramarital affairs; (3) in the year before Stern's article 'sex addiction' was discursively positioned as a social problem; and (4) in the year following Stern's article, 'sex addiction' was also discursively positioned as a medical problem. The paper concludes that the concept of 'sex addiction' is discursively constructed, and that Tiger Woods did, indeed, place a spotlight on the topic. As a result, the author argues that the media has a significant impact on the production, interpretation, and understanding of what many consider to be a sexual problem. [ABSTRACT FROM AUTHOR]

Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Investigación en Educación is the property of Universidad de Vigo, Facultad de Ciencias de la Educacion y del Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction The recent discussion of the social determinants of health, which has been promoted by the WHO as a way to approach global health conditions is neither a new nor a foreign subject for Latin American social medicine or collective health. Indeed, this approach to health derives from the principles of 19th century European social medicine which accepted that the health of the population is a matter of social concern, that social and economic conditions have an important bearing on health and disease, and that these relationships should be subjected to scientific enquiry. (Rosen, 1985:81) The specific socio-historical conditions of Latin America in the 1970’s fostered the development of an innovative, critical, and socially-based based health analysis, which was seen in an evolving theoretical approach with deep social roots. (Cohn, 2003) This analysis calls for scientific work which is committed to changing living and working conditions and to improving the health of the popular classes. (Waitzkin y col. 2001; Iriart y col. 2002). From its beginning, this school of socio-medical thought recognized that collective health has two main areas of research: 1) the distribution and determinants of health and disease and 2) the interpretation, technical knowledge, and specialized practices concerning health, disease, and death. The goal is to understand health and disease as differentiated moments in the human lifecycle, subject to permanent change, and expressing the biological nature of the human body under specific forms of social organization, all this in such a way as to allow discussion of causality and determination. (Breilh y Granda,1982; Laurell, 1982). Latin American social medicine criticized biomedical and conventional epidemiological approaches for isolating health and disease from social context, misinterpreting social processes as biological, conceptualizing health phenomena in individualistic terms, and adopting the methodological procedures of the natural sciences

Abstract: During the pandemic, Latin American countries suffered the collapse of their health systems. This was caused by the high demand for care of patients infected with SARS-CoV-2, which was added to the care of patients with other diseases. The significant increase in demand for health services caused medical and laboratory supplies to decline rapidly. The COVID-19 pandemic exacerbated a health crisis in several developing countries, mainly caused by insufficient systematic policies for integrating scientific knowledge. The current Colombian government must formulate a Biotechnological or Biosecurity Sovereignty Law that guarantees scientific autonomy, ensuring that Colombia is self-sufficient in Science, Technology, and Innovation. Colombian government should also focus on establishing and developing pharmaceutical chemical production by acquiring active chemical ingredients from other countries. This strategy could reduce the production costs and final prices of medicines, as well as generate high-level employment and wealth for the country. In this way, the Colombian government could prevent shortage of essential medicines and excessive price increases by commercial intermediation. In conclusion, the manuscript focuses on the lack of biotechnological sovereignty in Colombia. We propose a model of a Latin American Science and Technology ecosystem to achieve biotechnological sovereignty via state funding of research, strengthening universities, and fostering participation among private companies and Ministries of Science, Education, Trade, and Health. Scientific autonomy based on innovative processes that strengthen biotechnological independence can contribute to the economy by generating gross added value, creating high-quality employment, and facilitating the appropriation and social dissemination of knowledge, and cost reduction.