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Showing papers in "Social Science & Medicine in 1994"


Journal ArticleDOI
TL;DR: This article compares the disablement experiences of people who acquire chronic conditions early in life and those who acquire them in mid or late life (late-life disability), which can help inform research and public health activities.

3,149 citations


Journal ArticleDOI
TL;DR: Findings from a broad body of research on the factors that delay the decision to seek care are presented and examples of efforts to reduce maternal deaths are presented, with an emphasis on strategies to mobilize and adapt existing resources.

2,754 citations


Journal ArticleDOI
TL;DR: To better integrate biologic and social understandings of current and changing population patterns of health and disease, the essay proposes an ecosocial framework for developing epidemiologic theory.

1,243 citations


Journal ArticleDOI
TL;DR: It is suggested that patients may have a complex set of important and relevant beliefs which cannot be embodied in terms of expressions of satisfaction and many satisfaction surveys provide only an illusion of consumerism producing results which tend only to endorse the status quo.

1,208 citations


Journal ArticleDOI
Ann Jacoby1
TL;DR: The nature and extent of stigma in a group of individuals with epilepsy in remission is described, and the distinction between 'felt' and 'enacted' stigma is examined, and found to be supported by the data.

576 citations


Journal ArticleDOI
TL;DR: Predictors of the attitudinal measure of orientation toward help-seeking for emotional problems have been shown to include demographic, network, and personality variables but gender and willingness to disclose remained significant predictors.

539 citations


Journal ArticleDOI
TL;DR: Evidence presented in this paper suggests that the answers to these respective questions are "yes," "probably," and "maybe," and that this area is worthy of additional investigation.

537 citations


Journal ArticleDOI
TL;DR: It is argued that 'health' is a key concept in the fashioning of identity for the modern and contemporary middle class and that the 'unhealthy' come to be represented as the other of this self.

449 citations


Journal ArticleDOI
TL;DR: Focusing on the AIDS epidemic among inner city people of color, this paper develops an alternative perspective for AIDS research among medical anthropologists and health social scientists generally.

447 citations


Journal ArticleDOI
TL;DR: This longitudinal study of 207 automobile manufacturing workers indicates that chronic job insecurity is predictive of changes over time in both job satisfaction and physical symptoms, over and above the effects of job insecurity at any single point in time.

417 citations


Journal ArticleDOI
TL;DR: The constellation of factors that may assist violence to emerge as a legitimate public health concern are analyzed, and research areas which may assist those opposing violence against women in all its forms are tentatively suggested.

Journal ArticleDOI
TL;DR: The test-retest reliability of the valuations collected with the EuroQol questionnaire in a population survey is analyzed and Generalizability Theory is proposed as the most suitable method.

Journal ArticleDOI
TL;DR: This study uses Australian data based on interviews with nurses and participant observation in an in-patient hospice unit and a community based hospice service to investigate whether the Good Death ideal, as central to the hospice philosophy, is compatible with the institutionalization of hospice care.

Journal ArticleDOI
TL;DR: Relationships between cancer patients' preferences for involvement in making treatment decisions and preferences for information about diagnosis, treatment, side effects, and prognosis are examined in 35 women with stage I and II breast cancer.

Journal ArticleDOI
TL;DR: It is argued that clinical encounters involve clinician and patient in the creation and negotiation of a plot structure within clinical time, which gives meaning to particular therapeutic actions by placing them within a larger therapeutic story.

Journal ArticleDOI
TL;DR: Overall, for the first time in epidemiologic research a large number of individuals were found connected to each other, directly or indirectly, using a network design.

Journal ArticleDOI
TL;DR: A primary requirement is to recognize that the authors are all living with AIDS, whether infected or affected by it; that is, in the context of AIDS, it is imperative that they overcome any divisions into 'them' and 'us'.

Journal ArticleDOI
TL;DR: Examination of research on patient satisfaction and the factors which influence patient attitudes regarding quality in general practice suggests interpersonal skills on the part of the practitioner are most consistently identified as being of particular value to patients.

Journal ArticleDOI
TL;DR: A number of issues require further attention, including: how to utilize social networks among drug injectors to reduce risk through peer pressure; how to promote risk reduction by encouraging ties between injectors and non-injectors; and how to integrate biographical and historical change into understanding network processes.

Journal ArticleDOI
Rae Galloway1, Judith McGuire1
TL;DR: A review of the literature on medical compliance showed that compliance with iron therapy is a specific case of medical compliance, and unavailability of iron supplements was the most common reason why women did not take iron supplements.

Journal ArticleDOI
TL;DR: This article explores the links between the authors' culture's mythological technocratic model of birth and the body images, individual belief and value systems, and birth choices of forty middle-class women--32 professional women who accept the technocratic paradigm, and eight homebirthers who reject it.

Journal ArticleDOI
TL;DR: The paper analyzes how Gini-style indices are optimally used in the evaluation of economic spatial models designed to predict where health care practitioners are likely to locate under competitive market conditions to establish one particular geographic distribution of health practitioners which is empirically dominant.

Journal ArticleDOI
TL;DR: While some research demonstrates a regrettable imposition of stigma/deviance into the lives and minds of disabled people, some of it suggests that such imputations are losing force as new ways of thinking about the meaning of disability gain sway.

Journal ArticleDOI
TL;DR: The paper re-examines the issue of the appropriate unit for measuring output in cost utility analysis and the technique that will measure it and proposes four criteria which follow from commonly accepted social objectives and from the requirements of a measurement unit.

Journal ArticleDOI
TL;DR: According to each of the socioeconomic indicators applied in this study the relative magnitude of inequalities among women is considerably smaller than among men, and in other marital status groups women's inequalities are at least as large as men's.

Journal ArticleDOI
TL;DR: The study illustrates the perceived problems of the care available, such as structural and inter-personal skill failings, both of which were seen to influence drug availability and maternal services--key weaknesses of the available care.

Journal ArticleDOI
Betsy L. Fife1
TL;DR: The focus of this paper is the development of a conceptualization of meaning within the context of serious illness based on a symbolic interactionist perspective, with the significance of the concept of meaning for the process of adaptation being a primary point of discussion.

Journal ArticleDOI
TL;DR: Efforts to enhance women's social support networks should be included in primary and secondary prevention programs and Obstetric care providers who routinely come in contact with pregnant women, as well as emergency department staff, need to be systematically screening for violence against women.

Journal ArticleDOI
TL;DR: This paper provides an integrating framework for social science research on health producing processes at the household level, drawing on recent work in economics, anthropology, and public health.

Journal ArticleDOI
TL;DR: While describing the effect of illness on individual lives, narratives also illuminate how shared understanding shape the interpretation and construction of individual experience.