Confronting, or calling out people for prejudiced remarks, reduces subsequent expressions of prejudice. However, people who confront others incur social costs: Confronters are disliked, derogated, and avoided relative to others who have not confronted. These social costs hurt the confronter and reduce the likelihood of future confrontation. The present studies ( = 1,019) integrate the close relationships and prejudice reduction literatures to examine whether people who are confronted assign fewer social costs when they trust the confronter. Study 1 provided correlational evidence that people who were confronted for making a sexist remark experienced less irritation and annoyance (i.e., negative other-directed affect) if they trusted the confronter, which, in turn, reduced social costs. Manipulation of trust in Study 2 with non-Black participants provided causal evidence that trust buffers against social costs. Being confronted predictably led to more negative other-directed affect and social costs, relative to not-confronted participants; however, these effects were mitigated among participants who underwent a trust-building exercise with the confronter. Study 3 used an ecologically valid context in which non-Black participants who made a stereotypic remark were confronted by an actual friend or stranger. They assigned fewer social costs when confronted by their friend (vs. stranger), and this effect was serially mediated by trust and negative other-directed affect. Importantly, confrontation reduced subsequent stereotyping in all studies. Practically, these studies reveal that when confronters establish trust, they experience fewer social costs. Theoretically, these studies provide a new direction for confrontation research that accounts for interpersonal dynamics. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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BMC Health Serv Res
January 2025
Population Health Sciences Institute, Newcastle University, Level 3, Sir James Spence Institute, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, UK.
Background: Social prescribing link workers support individuals to engage with community resources, co-creating achievable goals. Most schemes are community-based, targetting adults. Vulnerable populations including hospitalized children with neurodisability and their families, could also benefit from social prescribing.
View Article and Find Full Text PDFJ Am Board Fam Med
January 2025
From Center for Value-Based Care Research, Cleveland Clinic, Cleveland, OH (JMA, MBR); Taussig Cancer Center, Cleveland Clinic, Cleveland, OH (HMKH).
Income is an important social determinant of health, yet it is rarely discussed among patients and clinicians. Discussing income could open the door to addressing issues like high deductibles, prescription costs, copays, housing expenses, and medical debt. We identify ways to overcome obstacles to talking about this taboo subject.
View Article and Find Full Text PDFSoc Sci Med
January 2025
Department of Geography, King's College London, Bush House, North East Wing, 40 Aldwych, London, WC2B 4BG, UK. Electronic address:
This paper evidences how many rural poor Cambodians are sick of debt. Based on original, mixed-method data (2020-2022), exploring credit provisioning in this context, the aim of this paper is to illuminate some of the conditions leading to rural Cambodians taking on debt to bolster their health, and the effects this is having on borrowers' physical, psychological, emotional and social health. Specifically, we show how the health of our participants is constrained by a range of major illnesses that many suffer from and their poor food conditions, both exacerbated by the effects of climate change.
View Article and Find Full Text PDFJMIR Infodemiology
January 2025
Salzburg University of Applied Sciences, Puch/Salzburg, Austria.
Background: The novel coronavirus disease (COVID-19) sparked significant health concerns worldwide, prompting policy makers and health care experts to implement nonpharmaceutical public health interventions, such as stay-at-home orders and mask mandates, to slow the spread of the virus. While these interventions proved essential in controlling transmission, they also caused substantial economic and societal costs and should therefore be used strategically, particularly when disease activity is on the rise. In this context, geosocial media posts (posts with an explicit georeference) have been shown to provide a promising tool for anticipating moments of potential health care crises.
View Article and Find Full Text PDFJAMA Netw Open
January 2025
Clinical Product Development, Waymark, San Francisco, California.
Importance: Rising prescription medication costs under Medicaid have led to increased procedural prescription denials by health plans. The effect of unresolved denials on chronic condition exacerbation and subsequent acute care utilization remains unclear.
Objective: To examine whether procedural prescription denials are associated with increased net spending through downstream acute care utilization among Medicaid patients not obtaining prescribed medication following a denial.
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