78 results match your criteria: "Wellcome Centre for Cultures and Environments of Health[Affiliation]"

Who goes foraging in Bristol, UK and why? A qualitative investigation into wild food acquisition and food justice.

Health Place

December 2024

The Wellcome Centre for Cultures and Environments of Health, The University of Exeter, The Queens Drive, Exeter, EX4 4QH, UK. Electronic address:

In recent years, foraging for wild foods has grown in popularity in cities. Globally, urban foragers are diverse; motivations span contribution to the food basket, healthier living, and accessing urban nature. Research to date highlights ease of access across socio-demographic groups.

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Emotional Labor in Dementia Research.

Qual Health Res

October 2024

School of Medical and Health Sciences, Bangor University, Bangor, Wales, UK.

The concept of emotional labor refers to the regulation and management of emotions within the workplace. This labor may involve a dissonance between the emotions that are internally felt and the emotions that can be externally expressed. The concept of emotional labor can be applied to the emotional management that occurs during research often when directly interacting with research participants.

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The unfairness of place: A cultural history of the UK's 'postcode lottery'.

Health Place

November 2024

Wellcome Centre for Cultures and Environments of Health, Queen's Building, University of Exeter, Queen's Drive, Exeter, United Kingdom EX4 4QH, UK.

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Shame-Sensitive Public Health.

J Med Humanit

July 2024

Wellcome Centre for Cultures and Environments of Health, University of Exeter, Exeter, UK.

In this article, we argue that shaming interventions and messages during Covid-19 have drawn the relationship between public health and shame into a heightened state of contention, offering us a valuable opportunity to reconsider shame as a desired outcome of public health work, and to push back against the logics of individual responsibility and blame for illness and disease on which it sits. We begin by defining shame and demonstrating how it is conceptually and practically distinct from stigma. We then set out evidence on the consequences of shame for social and relational health outcomes and assess the past and present dimensions of shame in the context of the Covid-19 pandemic, primarily through a corpus of international news stories on the shaming of people perceived to have transgressed public health directions or advice.

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The emergence of zoonotic infections that can develop into pathogens of pandemic potential is a major concern for public health. The risks of emergence and transmission relate to multiple factors that range from land use to human-non-human animal contacts. Livestock agriculture plays a potentially significant role in those risks, shaping landscapes and providing hosts that can act as the source or amplifiers of emergent pathogens.

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In Chile, a long and oppressive military regime (1973-1990) dismantled emergent initiatives for the deinstitutionalisation of psychiatric care, imposing a neoliberal constitution that opened public services to market forces and limited the state's role in health and social care. After being associated with communism and socialism, community-based mental health work was banned, and socialist psychiatrists were silenced through torture or exile. However, some therapeutic initiatives persisted, such as the "Protected Commune" (PC) initiative within the El Peral psychiatric asylum.

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"Reducing the Treatment Gap" Poses Human Rights Risks.

Health Hum Rights

June 2024

Director of the International Centre on Human Rights and Drug Policy at the University of Essex, Colchester, UK, and co-founder of the Centre for Mental Health, Human Rights, and Social Justice.

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Shame, health literacy and consent.

Clin Ethics

June 2024

Wellcome Centre for Cultures and Environments of Health, University of Exeter, Exeter, UK.

This paper is particularly concerned with shame, sometimes considered the 'master emotion', and its possible role in affecting the consent process, specifically where that shame relates to the issue of diminished health literacy. We suggest that the absence of exploration of affective issues in general during the consent process is problematic, as emotions commonly impact upon our decision-making process. Experiencing shame in the healthcare environment can have a significant influence on choices related to health and healthcare, and may lead to discussions of possibilities and alternatives being closed off.

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Background: The adoption of C-reactive protein point-of-care tests (CRP POCTs) in hospitals varies across Europe. We aimed to understand the factors that contribute to different levels of adoption of CRP POCTs for the management of acute childhood infections in two countries.

Methods: Comparative qualitative analysis of the implementation of CRP POCTs in the Netherlands and England.

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Background: There is a need to identify evidence-based interventions to be delivered in schools that can be used to improve child and adolescent mental health and wellbeing. Creative bibliotherapy is one proposed intervention. However, there has been, to date, no comprehensive assessment of the evidence for its impact on mental health and wellbeing.

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Navigating resistance in global health governance: Certification of smallpox eradication in China.

Glob Public Health

January 2024

Wellcome Centre for Cultures and Environments of Health & Department of History, University of Exeter, Exeter, UK.

Certification is an essential stage in disease eradication efforts, encompassing epidemiological, managerial, and political complexities. The certification of smallpox eradication in the People's Republic of China (PRC, or China) exemplifies the multifaceted nature of the certification. Despite eradicating smallpox in the early 1960s, before the Global Smallpox Eradication Programme (SEP) intensified in 1967, China was one of the last countries certified as smallpox-free by the World Health Organization (WHO) in 1979.

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Culturally sensitive neonatal palliative care: a critical review.

Palliat Care Soc Pract

January 2024

Department of Health and Community Sciences, Wellcome Centre for Cultures and Environments of Health, University of Exeter, Exeter, UK.

Although there are known disparities in neonatal and perinatal deaths across cultural groups, less is known about how cultural diversity impacts neonatal palliative care. This article critically reviews available literature and sets out key questions that need to be addressed to enhance neonatal palliative care provision for culturally diverse families. We begin by critically reviewing the challenges to recording, categorizing and understanding data which need to be addressed to enable a true reflection of the health disparities in neonatal mortality.

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Emotions of the pandemic: phenomenological perspectives.

Phenomenol Cogn Sci

December 2023

Department of Philosophy, University of York, Heslington York YO10 5DD, UK.

This article provides an introduction to the special issue "Emotions of the Pandemic: Phenomenological Perspectives". We begin by outlining how phenomenological research can illuminate various forms of emotional experience associated with the exceptional circumstances of the COVID-19 pandemic. In addition, we propose that a consideration of pandemic experience, in all its complexity and diversity, has the potential to yield wider-ranging phenomenological insights.

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Social practice theories have attracted attention for their potential insights into how to change transport systems towards "healthier" states. However, most evidence is from small-scale qualitative case studies. We explored whether a synthesis of qualitative evidence on mobility practices in one country, informed by meta-ethnography and a Bourdieusian approach to practice, could produce theory that is of sufficient abstraction to be transferable, yet also capable of informing intervention planning.

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Background: Participatory research denotes the engagement and meaningful involvement of the community of interest across multiple stages of investigation, from design to data collection, analysis, and publication. Traditionally, people with first-hand experience of psychiatric diagnoses, services users and those living with a psychosocial disability have been seen objects rather than agents of research and knowledge production. This, despite the ethical and practical benefits of their involvement.

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Psychiatric deinstitutionalization (PDI) processes aim to transform long-term psychiatric care by closing or reducing psychiatric hospitals, reallocating beds, and establishing comprehensive community-based services for individuals with severe and persistent mental health difficulties. This scoping review explores the extensive literature on PDI, spanning decades, regions, socio-political contexts, and disciplines, to identify barriers and facilitators of PDI implementation, providing researchers and policymakers with a categorization of these factors. To identify barriers and facilitators, three electronic databases (Medline, CINAHL, and Sociological Abstracts) were searched, yielding 2,250 references.

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Reflecting on choices and responsibility in palliative care in the context of social disadvantage.

Palliat Care Soc Pract

August 2023

Te A-rai Palliative Care and End of Life Research Group, University of Auckland, Auckland, New Zealand.

There is a need to understand how to improve palliative care provision for people impacted by social inequity. Social inequity, such as that related to socioeconomic circumstances, has profound impacts on experiences of death and dying, posing personal and professional challenges for frontline professionals tasked to ensure that everyone receives the best standard of care at the end of their lives. Recent research has highlighted an urgent need to find ways of supporting healthcare professionals to acknowledge and unpack some of the challenges experienced when trying to deliver equitable palliative care.

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Background: Public health palliative care views communities as an integral part of care delivery at the end of life. This community-provider partnership approach has the potential to improve end-of-life care for people who are dying and their carers.

Objective: To identify and appraise the current literature related to public health interventions that enable communities to support people who are dying and their carers.

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The field of Global Mental Health (GMH) aims to address the global burden of mental illness by focusing on closing the "treatment gap" faced by many low- and middle-income countries (LMICs). To increase access to services, GMH prioritizes "scaling up" mental health services, primarily advocating for the export of Western centred and developed biomedical and psychosocial "evidence-based" approaches to the Global South. While this emphasis on scalability has resulted in the increased availability of mental health services in some LMICs, there have been few critical discussions of this strategy.

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What is affective technotouch (and why does it matter)?

Senses Soc

February 2023

Wellcome Centre for Cultures and Environments of Health, University of Exeter, Exeter, UK.

This Editors' Introduction defines the theme of 'affective technotouch' as referring to multidimensional embodied encounters with technologies which can trigger emotional and affective responses, while also being concerned with social, political, cultural and ethical dimensions of technological touch. With reference to neuroscience and developmental studies, we outline how touch is foundational in human experience. We then discuss contemporary technologies, such as haptic gadgets and care/companion robots, which illustrate the complexities of affective technotouch.

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The article extends Robson and Walter's concept of hierarchies of loss by describing further factors which afford differential social legitimacy to death-related losses. Drawing on our separate research with women in England who have experienced pre-viability pregnancy loss through different types of miscarriage and termination for foetal anomaly, we note that closeness of relationship to the object of loss does hierarchise pregnancy loss. However, other relational elements are also implicated, including ontological positions on what it was which was lost, in relation to other individually and socially experienced losses.

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