Social Consequences Of Illness Research Articles

Neurological conditions and subsequent divorce risk in the Nordic countries: the importance of gender and both spouses’ education

BackgroundPrior studies suggest that poor physical health, accompanied by functional disability, is associated with increased divorce risk. However, this association may depend on gender, the socioeconomic resources of the couple,...

Writing cancer.

Novels and autopathographies that employ cancer as a central theme offer a wealth of opportunities for researching the way patients with cancer make sense of their illness and its treatment. Such literatures can also inform clinical care, because they can support patients in living with their illness. The use of novels and autopathographies for research and care in persons with cancer fits within the framework of 'Health Humanities', the interdisciplinary field where medicine and social science meet. This paper presents a concise overview of novels and autopathographies that explore cancer as their theme. Literature searches were conducted using PubMed, major scientific journals of medicine and clinical oncology, and databases in the Health Humanities. Searches focused on novels and autopathographies where cancer is the central theme, which are available in English, and which can be considered to represent 'high literature'. Twenty-nine books were identified. The majority of the books were written originally in English, and breast cancer and lung cancer were the most frequently discussed types of cancer. The core themes identified were giving meaning to illness; coping with medical treatment; and the psychological and social consequences of illness. Novels and autopathographies about cancer represent an innovative base for research on living with cancer and offer rich data on how people make sense of cancer and its medical treatment. Clinical implications of this review pertain to interventions based on bibliotherapy and expressive writing. Novels and autopathographies are just part of the Health Humanities context: a wide range of art genres may prove helpful in improving the quality of life of persons with cancer.

Social consequences of illness (Chapter 5)

International Journal of Social WelfareVolume 16, Issue s1 p. S105-S126 Free Access Social consequences of illness (Chapter 5) Magnus Stenbeck, Magnus Stenbeck Epidemiologiskt centrum, E-mail: magnus.stenbeck@ssocialstyrelsen.seSearch for more papers by this authorAnders Hjern, Anders Hjern Epidemiologiskt centrumSearch for more papers by this author Magnus Stenbeck, Magnus Stenbeck Epidemiologiskt centrum, E-mail: magnus.stenbeck@ssocialstyrelsen.seSearch for more papers by this authorAnders Hjern, Anders Hjern Epidemiologiskt centrumSearch for more papers by this author First published: 30 June 2007 https://doi.org/10.1111/j.1468-2397.2007.00518.xCitations: 7AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. 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Commentary: Fetal origins of social situations? Medicalization of social life?

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Limiting long-term illness and the experience of financial strain in Sweden

This study aims to investigate whether those individuals exposed to certain socioeconomic events (e.g. unemployment or early retirement) are more at risk of experiencing financial strain if they are also exposed to some limiting long-term illness. This is a cross-sectional study using a Swedish sample of 41,497 individuals between the ages of 25 and 65 selected from the Survey of Living Conditions of Statistics Sweden. The measure of association used in the study is the prevalence odds ratio, and interaction analyses are performed in order to assess differential susceptibility to experience financial strain. The results show that young persons, living in poor households, unemployed or early retired, reporting a high degree of impairment, present a greater probability of experiencing financial strain. Severe impairment has proved to be a component in the possible causal chain leading to the experience of financial strain, which interacts with the factors studied, increasing significantly the probability of certain groups experiencing financial hardship. The results sustain the hypothesis that social consequences of illness, such as financial strain, might contribute to aggravate inequalities between socioeconomic groups under certain conditions such as unemployment and poverty.

Market reforms in health care and sustainability of the welfare state: lessons from Sweden

Reforming health care systems which are predominantly publicly provided and financed has usually been motivated as a way of increasing efficiency even if it seldom is explicit whether it is in the official sense related to individual utility or in the unofficial sense related to health outcomes. In the case of Sweden the welfare state has been made politically sustainable through a construction where cash benefits and service provision are tailored to satisfy not only the basic needs but even the more discriminating needs of the middle classes. Their loyalty with the taxes is politically crucial and therefore their evaluation of the services in the welfarist sense equally important. That loyalty was however threatened in a situation where cost-containment policies were applied while equity principles were still a strong priority. Health care utilization was increasing among the very old and chronically ill while it was decreasing for other groups. The reforms introduced in some counties during the 1990s have been focussing on a purchaser-provider split and fee-for-service payment of providers. They have increased productivity sharply, increased utilization even among the groups that previously were ‘pressed out’ and reduced waiting lists. Increased efficiency however, threatens equity in some specific aspects. Fee-for-service payment means increased production and so far even increased costs. If they are to be met with increased private financing, rather than with present tax financing, it will bring the risk of inequities. Payment of hospitals through DRG systems means payment to providers for medical interventions with no incentives to deal with social consequences of illness. Inequities in health care can be related to the way health care deals with inequalities in health due to inequalities in living conditions or inequalities in living conditions due to ill health. In the short perspective the reforms may threaten equity in the second aspect, in the longer perspective the problems of cost control and the pressure it raises for alternative financial sources may be a more serious risk even for the former.