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Mechanisms and uncertainty in randomized controlled trials: A commentary on Deaton and Cartwright
Publication date: Available online 18 April 2018 Source:Social Science & Medicine Author(s): Etsuji Suzuki, Tyler J. VanderWeele (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 19, 2018 Category: Psychiatry & Psychology Source Type: research

The “average” treatment effect: A construct ripe for retirement. A commentary on Deaton and Cartwright
Publication date: Available online 19 April 2018 Source:Social Science & Medicine Author(s): S.V. Subramanian, Rockli Kim, Nicholas A. Christakis (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 19, 2018 Category: Psychiatry & Psychology Source Type: research

Evidence, policy and politics: A commentary on Deaton and Cartwright
Publication date: Available online 17 April 2018 Source:Social Science & Medicine Author(s): Jean Drèze (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 18, 2018 Category: Psychiatry & Psychology Source Type: research

After the Experimental Turn
Publication date: Available online 17 April 2018 Source:Social Science & Medicine Author(s): Robert J. Sampson (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 18, 2018 Category: Psychiatry & Psychology Source Type: research

Challenging the Hegemony of randomized controlled trials: A commentaery on Deaton and Cartwright
Publication date: Available online 17 April 2018 Source:Social Science & Medicine Author(s): Judea Pearl (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 18, 2018 Category: Psychiatry & Psychology Source Type: research

The tribulations of trials: A commentary on Deaton and Cartwright
Publication date: Available online 17 April 2018 Source:Social Science & Medicine Author(s): J. Michael Oakes (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 18, 2018 Category: Psychiatry & Psychology Source Type: research

China's capacity of hospitals to deal with infectious diseases in the context of climate change
Conclusions Clinical professionals recognized that climate change will likely increase the transmission of infectious diseases. Although rural health care and hospitals’ logistical support need to be improved, most professionals believed their hospitals to be capable of dealing with emerging diseases. They thought that interdisciplinary and cross-regional collaborations, together with necessary resource support (e.g. improved facilities for rural health care) would be important control strategies. (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 17, 2018 Category: Psychiatry & Psychology Source Type: research

Physical activity among indigenous Australian children and youth in remote and non-remote areas
Publication date: Available online 17 April 2018 Source:Social Science & Medicine Author(s): John Robert Evans, Rachel Wilson, Clare Coleman, Wing Man, Tim Olds Sport and physical activity (PA) hold particular significance in Australian Indigenous communities, and have the potential to address many of the health and education challenges faced by Indigenous communities. Optimal levels of PA are an important foundation in efforts to build healthy communities and reduce social disadvantage experienced to date. Yet little evidence relating to the current levels of PA within these communities, or the relationship betwe...
Source: Social Science and Medicine - April 17, 2018 Category: Psychiatry & Psychology Source Type: research

The complex challenge of providing patient-centred perinatal healthcare in rural Uganda: A qualitative enquiry
Conclusion These findings highlight the complexity of patient-centred perinatal healthcare provision in rural Uganda and point to the relevance of linking the interpersonal dimensions of quality of care to the larger systemic and structural dimensions of perinatal healthcare. (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 17, 2018 Category: Psychiatry & Psychology Source Type: research

Productive aging of Korean older people based on time use
This study differentiated the diversified aspects of older adulthood in terms of productive activities and examined which attributes of the elderly shaped these dissimilarities of productive aging. This research shed light on the multi-dimensional nature of the productive activities of the Korean elderly, using the 2014 Time Use Survey produced by Statistics Korea. This study selected 3766 older adults aged 65 and older who resided in city areas. The results revealed that the time used for productive activities for older adults were different based on objective factors. These differences were clear enough to be classified ...
Source: Social Science and Medicine - April 16, 2018 Category: Psychiatry & Psychology Source Type: research

HIV as social and ecological experience
Publication date: Available online 16 April 2018 Source:Social Science & Medicine Author(s): Brian King, Margaret S. Winchester The spread and varied impacts of the HIV/AIDS epidemic demonstrate the complex and reciprocal relationships between the socio-political and biophysical dimensions of human health. Yet even with increasing research and policy attention there remain critical gaps in the literature on how HIV-positive households manage health through their engagement with social and ecological systems. This is particularly urgent given improvements in the global response to the epidemic, whereby expanded acc...
Source: Social Science and Medicine - April 16, 2018 Category: Psychiatry & Psychology Source Type: research

The geography of smallpox in England before vaccination: A conundrum resolved
Publication date: Available online 16 April 2018 Source:Social Science & Medicine Author(s): Romola Jane Davenport, Max Satchell, Leigh Matthew William Shaw-Taylor Smallpox is regarded as an ancient and lethal disease of humans, however very little is known about the prevalence and impact of smallpox before the advent of vaccination (c.1800). Here we use evidence from English burial records covering the period 1650–1799 to confirm a striking geography to smallpox patterns. Smallpox apparently circulated as a childhood disease in northern England and Sweden, even where population densities were low and settle...
Source: Social Science and Medicine - April 16, 2018 Category: Psychiatry & Psychology Source Type: research

Social and productive activities and health among partnered older adults: A couple-level analysis
Discussion Our findings highlight the value of considering activities of partnered older adults at the couple level. (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 16, 2018 Category: Psychiatry & Psychology Source Type: research

Negotiating acquired spinal conditions: Recovery with/in bodily materiality and fluids
Publication date: Available online 16 April 2018 Source:Social Science & Medicine Author(s): Jayne Jeffries The paper explores the concept of recovery; the unexpected material changes that occur to, and within bodies following acquired spinal conditions. The phrase ‘acquired spinal conditions’ is used as a collective name for the four accounts of recovery that emerged using Participatory Action Research in the north east of England (2010-11). Using two qualitative methods, Photovoice and participatory diagramming, the empirical material examines the role of physiological changes as a way to enrich unde...
Source: Social Science and Medicine - April 16, 2018 Category: Psychiatry & Psychology Source Type: research

Whatever happened to the ‘social’ science in Social Science & amp; Medicine? On golden anniversaries and gold standards
Publication date: Available online 11 April 2018 Source:Social Science & Medicine Author(s): Kirsten Bell (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 15, 2018 Category: Psychiatry & Psychology Source Type: research

Social participation and health over the adult life course: Does the association strengthen with age?
Conclusion Findings suggest that the social participation and health association over the life course is likely to be contingent on gender, the type of social participation, and the specific health outcome being considered. (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 15, 2018 Category: Psychiatry & Psychology Source Type: research

Poor mental health among low-income women in the U.S.: The roles of adverse childhood and adult experiences
Conclusion Our findings indicate that mental health problems may be better understood by accounting for processes through which early adversity leads to later adversity. Pending replication, this line of research has the potential to improve the identification of populations that are at risk of poor health outcomes. (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 15, 2018 Category: Psychiatry & Psychology Source Type: research

Commentary: Randomized trials and evidence in medicine
Publication date: Available online 13 April 2018 Source:Social Science & Medicine Author(s): John Concato, Ralph I. Horwitz (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 14, 2018 Category: Psychiatry & Psychology Source Type: research

The impact of institution use on the wellbeing of Alzheimer's disease patients and their caregivers
Publication date: Available online 13 April 2018 Source:Social Science & Medicine Author(s): Thomas Rapp, Bénédicte H. Apouey, Claudia Senik In France, temporary institutionalization solutions for dependent elders have been encouraged since the early 2000s. They are targeting patients who are maintained at home, but may need temporary solutions to adjust the constraints of caregivers, e.g. to facilitate transitions between several informal care providers or to allow informal caregivers to leave for holidays. However, the influence of these solutions on dependent elders and their caregivers has not be...
Source: Social Science and Medicine - April 14, 2018 Category: Psychiatry & Psychology Source Type: research

A comparison of clinicians' racial biases in the United States and France
Conclusion The present work indicates that American clinicians displayed less optimistic expectations for the medical treatment and health of a Black male patient, relative to a White male patient, and that this racial bias was related to their view of the Black patient as being less personally responsible for his health relative to the White patient. French clinicians did not show this pattern of racial bias, suggesting the importance of considering cultural influences for understanding racial biases in healthcare and health. (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 14, 2018 Category: Psychiatry & Psychology Source Type: research

Generosity and compliance: Recruitment-work and the pathways to participation in bone marrow donation
This study examines challenges involved in recruiting bone marrow donors. Data comes from participant observation with a recruitment organization in the United States. Findings reveal that recruiters try to express bone marrow donation with common “gift of life” messaging, which emphasizes a singular event involving generosity. Potential recruits, however, respond by focusing on pain and time commitments. These concerns draw attention to the many stages and requirements involved in bone marrow donation and make issues of compliance salient. The juxtaposition of generosity and compliance creates practical diffic...
Source: Social Science and Medicine - April 13, 2018 Category: Psychiatry & Psychology Source Type: research

Quality of life at the retirement transition: Life course pathways in an early ‘baby boom’ birth cohort
This study is the first to use prospective data to investigate pathways by which a range of measures of life-course socioeconomic status contribute to later-life QoL. The study uses data from the Newcastle Thousand Families Study cohort (N = 1142), an early ‘baby-boom’ birth cohort born in 1947 in Newcastle upon Tyne, an industrial city in north-east England. Using prospective survey data collected between birth and later adulthood (N = 393), a path analysis investigated the effects and relative contributions of a range of life-course socioeconomic factors to QoL at age 62–64 measured using the CA...
Source: Social Science and Medicine - April 13, 2018 Category: Psychiatry & Psychology Source Type: research

Using conversation analytic methods to assess fidelity to a talk-based healthcare intervention for frequently attending patients
Publication date: Available online 11 April 2018 Source:Social Science & Medicine Author(s): Rebecca K. Barnes, Marcus Jepson, Clare Thomas, Sue Jackson, Chris Metcalfe, David Kessler, Helen Cramer The study aim was to assess implementation fidelity (i.e., adherence) to a talk-based primary care intervention using Conversation Analytic (CA) methods. The context was a UK feasibility trial where General Practitioners (GPs) were trained to use “BATHE” ( B ackground, A ffect, T rouble, H andling, E mpathy) – a technique to screen for psychosocial issues during consultations – with frequently at...
Source: Social Science and Medicine - April 12, 2018 Category: Psychiatry & Psychology Source Type: research

Whatever happened to the ‘social’ science in Social Science and Medicine? On golden anniversaries and gold standards
Publication date: Available online 11 April 2018 Source:Social Science & Medicine Author(s): Kirsten Bell (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 12, 2018 Category: Psychiatry & Psychology Source Type: research

The social network of international health aid
Publication date: Available online 7 April 2018 Source:Social Science & Medicine Author(s): Lu Han, Mathias Koenig-Archibugi, Tore Opsahl International development assistance for health generates an emergent social network in which policy makers in recipient countries are connected to numerous bilateral and multilateral aid agencies and to other aid recipients. Ties in this global network are channels for the transmission of knowledge, norms and influence in addition to material resources, and policy makers in centrally situated governments receive information faster and are exposed to a more diverse range of sour...
Source: Social Science and Medicine - April 8, 2018 Category: Psychiatry & Psychology Source Type: research

Does trade liberalization reduce child mortality in low- and middle-income countries? A synthetic control analysis of 36 policy experiments, 1963-2005
Publication date: Available online 6 April 2018 Source:Social Science & Medicine Author(s): Pepita Barlow Scholars have long argued that trade liberalization leads to lower rates of child mortality in developing countries. Yet current scholarship precludes definitive conclusions about the magnitude and direction of this relationship. Here I analyze the impact of trade liberalization on child mortality in 36 low- and middle-income countries, 1963–2005, using the synthetic control method. I test the hypothesis that trade liberalization leads to lower rates of child mortality, examine whether this association v...
Source: Social Science and Medicine - April 7, 2018 Category: Psychiatry & Psychology Source Type: research

How is subjective well-being related to quality of life? Do we need two concepts and both measures?
Publication date: Available online 6 April 2018 Source:Social Science & Medicine Author(s): S.M. Skevington, J.R. Böhnke Subjective well-being (SWB) and subjective quality of life (QoL) are key concepts describing experience, capacities, states, behaviours, appraisals, and emotional reactions to circumstances. Used widely in public discourse, policy, and research, their theoretical and empirical relations remain little explored. The present research aimed to develop an integrated model of SWB and QoL through empirically testing its overlapping and exclusive dimensions. Survey data was obtained from N =&n...
Source: Social Science and Medicine - April 7, 2018 Category: Psychiatry & Psychology Source Type: research

Medical revalidation as professional regulatory reform: Challenging the power of enforceable trust in the United Kingdom
Publication date: Available online 6 April 2018 Source:Social Science & Medicine Author(s): Zoey Spendlove For more than two decades, international healthcare crises and ensuing political debates have led to increasing professional governance and regulatory policy reform. Governance and policy reforms, commonly representing a shift from embodied trust in professionals to state enforceable trust, have challenged professional power and self-regulatory privileges. However, controversy remains as to whether such policies do actually shift the balance of power and what the resulting effects of policy introduction would...
Source: Social Science and Medicine - April 7, 2018 Category: Psychiatry & Psychology Source Type: research

A realist evaluation of value-based care delivery in home care: The influence of actors, autonomy and accountability
We describe the evaluation of the Integrated Client Care Project (ICCP), a government funded project designed to improve value for outcomes for patients referred to community wound care services in Ontario, Canada. We applied a realist evaluation methodology in order to unpack the influences of contextual and mechanistic choices on the intended outcomes of the ICCP implementation. We collected data through ethnographic methods including 36 months of field observation, 46 key informant interviews and contemporaneous document analysis. The findings presented here highlight how theoretical mechanisms were negatively impacted ...
Source: Social Science and Medicine - April 7, 2018 Category: Psychiatry & Psychology Source Type: research

“It can be challenging, it can be scary, it can be gratifying”: Obstetricians’ narratives of negotiating patient choice, clinical experience, and standards of care in decision-making
Publication date: Available online 5 April 2018 Source:Social Science & Medicine Author(s): Lauren Diamond-Brown This paper examines obstetricians' perceptions of standards of care and patient-centered care in clinical decision-making in childbirth. Patient-centered care and standardization of medicine are two social movements that seek to change how physicians make clinical decisions. Sociologists question if these limit physician discretion and weaken their social power; the degree to which this occurs in everyday practice is up for debate. Of additional concern is how physicians deal with observed tensions betw...
Source: Social Science and Medicine - April 6, 2018 Category: Psychiatry & Psychology Source Type: research

A multilevel approach to modeling health inequalities at the intersection of multiple social identities
Conclusion Considerable variation is attributable to the within-strata level, indicating the low discriminatory accuracy of these intersectional identities and the high within-strata heterogeneity of risk that remains unexplained. Multilevel modeling is an innovative and valuable tool for evaluating the intersectionality of health inequalities. (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 5, 2018 Category: Psychiatry & Psychology Source Type: research

Multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) within an intersectional framework
Conclusions By applying MAIHD within an intersectional framework, the EWOS study provides a superior theoretical and quantitative instrument for documenting health disparities and it should become the new gold standard for investigating health disparities in (social) epidemiology. This approach is more appropriate for eco-social perspectives than the habitual probabilistic strategy based on differences between group average risks. However, both, the translation of intersectionality theory into (social) epidemiology and the intersectional quantitative methodology (especially for generalized linear models) are still under de...
Source: Social Science and Medicine - April 5, 2018 Category: Psychiatry & Psychology Source Type: research

Commentary: Easy home gun access and adolescent depression
Publication date: April 2018 Source:Social Science & Medicine, Volume 203 Author(s): David Hemenway (Source: Social Science and Medicine)
Source: Social Science and Medicine - April 5, 2018 Category: Psychiatry & Psychology Source Type: research

Voluntary health insurance in Nigeria: Effects on takers and non-takers
Publication date: Available online 3 April 2018 Source:Social Science & Medicine Author(s): Igna Bonfrer, Ellen Van de Poel, Emily Gustafsson-Wright, Eddy van Doorslaer Interventions aiming to simultaneously improve financial protection and quality of care may provide an important avenue towards universal health coverage. We estimate the effects of the introduction of the Kwara State Health Insurance program in Nigeria on not only the insured but also the uninsured. A subsidized voluntary low cost health insurance was offered by a private insurer as well as a quality upgrade in selected health care facilities. Usi...
Source: Social Science and Medicine - April 4, 2018 Category: Psychiatry & Psychology Source Type: research

Does welfare stigma exist in China? Policy evaluation of the minimum living security system on recipients ’ psychological health and wellbeing
Publication date: Available online 30 March 2018 Source:Social Science & Medicine Author(s): Di Qi, Yichao Wu This paper analyzes the policy effects of China's largest social assistance program on the psychological health and wellbeing of the recipients by the regression discontinuity approach based on the 2014 China Family Panel Studies Survey (CFPS). By excluding other confounding factors and addressing the endogeneity problems, this paper shows that China's minimum living security system (MLSS) has produced significant welfare stigmatizing effects which have negatively influenced recipients' psychological healt...
Source: Social Science and Medicine - March 31, 2018 Category: Psychiatry & Psychology Source Type: research

Syndemics: A theory in search of data or data in search of a theory?
Publication date: Available online 30 March 2018 Source:Social Science & Medicine Author(s): Alexander C. Tsai The concept of a syndemic was proposed more than two decades ago to explain how large-scale social forces might give rise to co-occurring epidemics that synergistically interact to undermine health in vulnerable populations. This conceptual instrument has the potential to help policymakers and program implementers in their endeavors to improve population health. Accordingly, it has become an increasingly popular heuristic for advocacy, most notably in the field of HIV treatment and prevention. However, mo...
Source: Social Science and Medicine - March 31, 2018 Category: Psychiatry & Psychology Source Type: research

Bereaved relatives' decision about deceased organ donation: An integrated psycho-social study conducted in Spain
Conclusions Understanding of family decisions underlying organ donation may greatly benefit from a more complex, integrated, and theoretically based approach. Educational efforts should stress the need to register or simply communicate own willingness to donate organs. However, an adequate training and performance of the health-staff involved in the organ donation process may generate substantive differences in consent rates. (Source: Social Science and Medicine)
Source: Social Science and Medicine - March 28, 2018 Category: Psychiatry & Psychology Source Type: research

Impact of change in neighborhood racial/ethnic segregation on cardiovascular health in minority youth attending a park-based afterschool program
We examined the association of changes in racial/ethnic segregation and cardiovascular health outcomes including body mass index percentile, sum of skinfold thicknesses, systolic and diastolic blood pressure percentile, and 400 m run time in non-Hispanic Black (NHB) and Hispanic youth (n = 2,250, mean age 9.1 years, 54% male; 51% Hispanic, 49% NHB; 49% high area poverty; 25% obese) attending Fit2Play™, a multisite park-based afterschool program in Miami, Florida. A series of crude and adjusted two-level longitudinal generalized linear mixed models with random intercepts for park effects were fit to assess the a...
Source: Social Science and Medicine - March 28, 2018 Category: Psychiatry & Psychology Source Type: research

Developing religiously-tailored health messages for behavioral change: Introducing the reframe, reprioritize, and reform ( “3R”) model
Conclusions There are benefits and potential ethical challenges to using religiously tailored messages to promote health behaviors. Our theoretically driven 3R model aids interventionists in crafting messages that address beliefs that hinder healthy behaviors. It is particularly useful in the context of faith-based interventions for it highlights the ethical choices that must be made when incorporating religious values and beliefs in tailored messages. (Source: Social Science and Medicine)
Source: Social Science and Medicine - March 28, 2018 Category: Psychiatry & Psychology Source Type: research

Grandparents and Children's stunting in sub-Saharan Africa
Publication date: Available online 26 March 2018 Source:Social Science & Medicine Author(s): Sandor Schrijner, Jeroen Smits Globally an estimated 159 million children under 5 years of age are being too short for one's age (stunted). More than one third of these children is living in Africa. Given the substantial number of sub-Saharan African (SSA) children living in households with co-residing grandparents and the negative effects of stunting on productivity and economic growth, gaining insight into the role grandparents play for children's stunting, has become increasingly important. By applying multilevel logist...
Source: Social Science and Medicine - March 27, 2018 Category: Psychiatry & Psychology Source Type: research

Following the patient's orders? Recommending vs. offering choice in neurology outpatient consultations
Publication date: Available online 26 March 2018 Source:Social Science & Medicine Author(s): Paul Chappell, Merran Toerien, Clare Jackson, Markus Reuber The UK's Royal College of Surgeons (2016) has argued that health professionals must replace a ‘paternalistic’ approach to consent with ‘informed choice’. We engage with these guidelines through analysis of neurology consultations in two UK-based neuroscience centres, where informed choice has been advocated for over a decade. Based on 223 recorded consultations and related questionnaire data (collected in 2012), we used conversation analysi...
Source: Social Science and Medicine - March 27, 2018 Category: Psychiatry & Psychology Source Type: research

Male-female differences in households' resource allocation and decision to seek healthcare in south-eastern Nigeria: Results from a mixed methods study
Publication date: Available online 23 March 2018 Source:Social Science & Medicine Author(s): Michael Nnachebe Onah, Susan Horton Ability to influence household decision-making has been shown to increase with improved social capital and power and is linked to better access to household financial resources and other services outside the household including healthcare. To examine the male-female differences in household custody of financial resources, decision-making, and type of healthcare utilised, we used a mixed methods approach of cross-sectional household surveys and focus-group discussions (FGDs). Data was col...
Source: Social Science and Medicine - March 24, 2018 Category: Psychiatry & Psychology Source Type: research

“Ne nnipadua mmpe” (the body hates it): Exploring the lived experience of food allergy in Sub-Saharan Africa
Publication date: Available online 23 March 2018 Source:Social Science & Medicine Author(s): George A. Atiim, Susan J. Elliott, Ann E. Clarke Allergic diseases have closely followed the rise of non-communicable diseases (NCDs) especially in western societies. As prevalence of NCD is increasing in sub-Saharan Africa (SSA), researchers are hinting that the same future may hold for (food) allergic disease in this world region. Already, researchers are beginning to record prevalence, though with little attention to the social experience of individuals and parents with food allergic children. This paper presents the fi...
Source: Social Science and Medicine - March 24, 2018 Category: Psychiatry & Psychology Source Type: research

The effect of copayments on the utilization of the GP service in Norway
Publication date: Available online 23 March 2018 Source:Social Science & Medicine Author(s): Mari Magnussen Landsem, Jon Magnussen We examine the effect of copayment on the utilization of the GP service in Norway. We use a regression discontinuity design to study two key aspects of the policy. First, we examine the overall effect of copayments on total utilization of the GP service. Second, we look at how this effect varies across different patient groups according to medical necessity. Data consists of 5,5 million GP visits for youths aged 10–20 over the 6 year period 2009–2014. We find that the intro...
Source: Social Science and Medicine - March 24, 2018 Category: Psychiatry & Psychology Source Type: research

Is there synergy in syndemics? Psychosocial conditions and sexual risk among men who have sex with men in India
In this study, we found an additive association between syndemic conditions and UAI with evidence of synergistic interaction between a pair of psychosocial conditions, and no significant additive association, but a synergistic interaction between another pair of psychosocial conditions for syphilis. Our results lend further support to a critical reassessment of syndemic analyses. Closer attention to the cumulative development, underlying causal pathways, and possible synergistic interaction of co-occurring epidemics through combined qualitative and quantitative methodologies may yield more effective interventions for vulne...
Source: Social Science and Medicine - March 24, 2018 Category: Psychiatry & Psychology Source Type: research

Doing patient-centredness versus achieving public health targets: A critical review of interactional dilemmas in ART adherence support
Publication date: Available online 23 March 2018 Source:Social Science & Medicine Author(s): B.C. De Kok, S. Widdicombe, A. Pilnick, E. Laurier Anti-retroviral Therapy (ART) transformed HIV into a chronic disease but its individual and public health benefits depend on high levels of adherence. The large and rising number of people on ART, now also used as prevention, puts considerable strain on health systems and providers in low and middle as well as high-income countries, which are our focus here. Delivering effective adherence support is thus crucial but challenging, especially given the promotion of patient-ce...
Source: Social Science and Medicine - March 24, 2018 Category: Psychiatry & Psychology Source Type: research

The complex challenge of providing patient-centred perinatal healthcare in rural Uganda:A qualitative enquiry
Conclusion These findings highlight the complexity of patient-centred perinatal healthcare provision in rural Uganda and point to the relevance of linking the interpersonal dimensions of quality of care to the larger systemic and structural dimensions of perinatal healthcare. (Source: Social Science and Medicine)
Source: Social Science and Medicine - March 22, 2018 Category: Psychiatry & Psychology Source Type: research

Cancer mortality rates and spillover effects among different areas: A case study in Campania (southern Italy)
Publication date: Available online 21 March 2018 Source:Social Science & Medicine Author(s): Massimiliano Agovino, Maria Carmela Aprile, Antonio Garofalo, Angela Mariani The present study analyses the spatial distribution of cancer mortality rates in Campania (an Italian region with the highest population density), in which residents in several areas are exposed to major environmental health hazards. The paper has the methodological aims of verifying the existence, or otherwise, of a spatial correlation between mortality from different types of cancer and the occurrence of some specific area characteristics, using...
Source: Social Science and Medicine - March 22, 2018 Category: Psychiatry & Psychology Source Type: research

Understanding and alleviating maternal postpartum distress: Perspectives from first-time mothers in Australia
Conclusion As well as reinforcing evidence regarding common postpartum stressors, this study revealed novel insight into issues associated with normative psychological distress for new mothers (e.g., self-compassion). Perhaps most significant was that mothers also identified a range of clear practical strategies for community-based intervention designs that target psychological distress. As a result, these findings provide guidelines for interventions aimed at reducing psychological distress in the early postpartum period for Australian mothers. (Source: Social Science and Medicine)
Source: Social Science and Medicine - March 22, 2018 Category: Psychiatry & Psychology Source Type: research

Women's asset ownership and children's nutritional status: Evidence from Papua New Guinea
This study examines how women's asset ownership is associated with children's nutritional status in Papua New Guinea, a country with some of the most severe child malnutrition in the world. The 2009–2010 Household Income and Expenditure Survey is employed, but restricted to children under the age of 72 months living with married mothers, leaving a final analytic sample of 1651. Asset ownership is expected to strengthen mothers' income-generating capacity and their bargaining power within the home, which increases investments in children's health. Women's ownership of fishing and agricultural equipment (important for ...
Source: Social Science and Medicine - March 22, 2018 Category: Psychiatry & Psychology Source Type: research