Motherhood has life-long impacts on health and exacerbates health disparities. Birthing a baby changes life immensely with heightened affectivity and emotions posing risks and opportunities. Identity-focused maternal transition theory and dominant cultural narratives of neoliberal, nuclear, and heterosexual parenting have created a narrow framework within which to understand the responsibilities and challenges of motherhood. In this we paper propose an alternative path to theorising motherhood relationally through the concept of belonging-as-affect in mother-baby-assemblages. To achieve this we plug into posthuman feminism to explore mother-baby-assemblages as relational, embodied and affective sites of fleeting and enduring not/belonging. We develop a creative qualitative reviewing approach and draw on literature that examines motherhood and mothering across place, mobilities, people, bodies and things. We explore how tracing relationalities between human and non-human actants might help us learn about 'sticky' sites of not/belonging in mother-baby-assemblages as a more fluid way of understanding the journey into and through mother/parenthood. The sticky-ness of not/belonging as timebound glue offers insights into the vital emergence of maternal health and is articulated as a mode of inquiry for future work in this space. Our orientation to posthuman mothering works through porosity, permeability and vacillation by turning our attention to sites of affectivity, and tracing non/sticky not/belonging emerging in multiple and diverse pathways, embracing openness, and eliciting generosity towards collective parenting. Understanding belonging as emergent co-becoming may allow for hopeful and inclusive motherhoods that are diversely care-ing and care-full.

What policies should we introduce to tackle the UK's worsening population health trends? From an economic perspective, the concern is with achieving the greatest health outcomes from available resources. This reflects economics preoccupation with outcome-based utility. However, evidence from within health economics suggests that how outcomes are achieved matters as well as what outcomes are achieved, reflecting a concern for process utility. This issue has received much less attention in public health perhaps because of the greater complexity. For example, upstream, non-health policies affect both health and non-health outcomes and policy characteristics, such as universality versus targeting, can generate much debate. In this mixed-method exploratory preference-based study we examined whether and why 50 members of the general public from across Glasgow and Newcastle traded-off the policy characteristics and health and non-health outcomes of a Universal Basic Income and a Minimum Income Guarantee using Benefit Trade-Off and qualitative questions in one-to-one face-to-face interviews. For a majority of respondents, choices were driven by outcomes over policies characteristics, although for a substantial minority it was policy characteristics and not outcomes that influenced preferences. Qualitative data provide support for the different choices. As respondents trade-off policy characteristics and policy outcomes reflecting different preferences for each, studies looking at either in isolation may under- and over-state preferences. Similarly, failure to account for process utility in policymaking may result not only in the misallocation of resources but a lack of social acceptability, which could jeopardise the chances of a policy being implemented in the first place.

Patients lacking medical expertise in online health Q&A platforms find it difficult to assess the quality of physician responses. Emotional support provided by doctors and prompts from the platform may influence patient selection. We developed a conceptual model based on emotions as social information theory and the Stimulus-Organism-Response framework. The model was validated using a multi-method and multi-study approach. In Study 1, we analyzed platform data using natural language processing and machine learning techniques to explore the impacts of physician expression characteristics on patient selection. In Study 2, we conducted an experiment to explore patient perceptions and influence mechanisms in the process. Study 1 showed the effects of empathy, encouragement, and using default responses on patient selection. Study 2 revealed the importance of psychological empowerment and uniqueness neglect on patient decisions. The findings have significant implications for physicians and platforms in designing improved health services and optimizing systems.

This article examines the way public hospital staff in an elite new destination in Colorado, USA, conceptualized recent Latinx arrivals as a "threat" to the hospital's finances and image, implementing spatializing strategies to keep them far from its main campus and Emergency Room (ER). The literature on immigrants' "bureaucratic incorporation"-that is, the degree of institutional responsiveness to immigrant newcomers in new destinations- suggests that federal policy may make the ER relatively welcoming. However, based on interviews conducted between July 2018 and July 2023 with 17 Latinx immigrant women, 15 clinic staff, 13 area officials, a media review, and bureaucratic accompaniment of immigrants seeking care and financial assistance, I show that the hospital engaged in a suite of "strategies of containment" to distance immigrants from its ER: it attempted to confine immigrants to a "Latino clinic," charged them up-front for care, diverted them to Denver, and excluded the undocumented from charity care. I argue that in a financialized landscape of frequent hospital consolidations and mergers, hospital officials viewed Latinx immigrants as portending uncompensated care that could jeopardize their independence and compromise their resort brand. By examining the responses of a resort hospital in a racially homogeneous new destination to the perceived "influx" of Latinx immigrant outsiders, the parallel between hospital practices and strategies of containment become clear. This article suggests the relevance of the literature on the spatialization of immigration enforcement to analyses of how hospitals evade their obligations to provide emergency care-whether through externalization, deterrence, or diversion.

Provider payment reforms (PPRs) can improve providers' efficiency, but they often generate mixed results. Since organizations mediate PPR effectiveness, examining hospitals' management capacity's association with PPR effectiveness can be useful. In the context of clear strategies, hospitals' management characteristics related to goal attainment would be key to PPR adaptation. This study examines hospitals' capacity to set goals at appropriate difficulty or specificity, provide feedback, or standardize processes.

Cisheteronormativity in healthcare settings may further exacerbate existing health disparities between LGBTQ+ and non-LGBTQ+ populations. The aim of the current review is to identify dimensions of cisheteronormativity that manifest in healthcare settings to influence healthcare utilization by LGBTQ+ individuals.

Education is a well-established predictor for late-life cognition. Moreover, social participation is associated with late-life cognition and could mediate the association between education and cognitive function. Yet, few studies have formally tested this question within a causal mediation framework.

'Healthy Living' is an online self-management intervention for people living with type 2 diabetes rolled out across England from 2019. It was based on the 'HeLP-Diabetes' intervention which demonstrated effectiveness in a randomised controlled trial. However, it is unclear how much people are exposed to intervention content outside of a trial setting.

Job loss is related to morbidity and mortality, but generation of causal evidence is challenging due to confounding factors. Finland suffered a severe economic recession in the early 1990s with unemployment reaching almost 25%, with many job losses due to mass layoff or company closure. Such job displacements are assumed to be exogenous to the individual and create a natural experiment for causal inference.

To assess the mediating and moderating roles of maternal education on ethnic disparities in children's vaccination status in Peru.

While there is a growing understanding of the link between financial assets and mental health, the literature is lacking in two dimensions. First, although wealth (including savings) may better inform ability to cope with life's stressors than income alone, the role of wealth in shaping health is substantially understudied relative to income. Second, most studies measure income at the household level instead of the individual level. Using five waves of the nationally representative CLIMB survey collected in Spring 2020, 2021, 2022, 2023, and 2024, we estimated the odds of probable depression (Patient Health Questionnaire, PHQ-9≥10) and anxiety (GAD-7≥10) across individual and household level income and savings using generalized estimating equations to account for clustering over time at the individual level and to account for baseline mental health. Our sample included 1,314 participants across the five waves of the CLIMB survey. The average age of participants was 46.5 years [sd: 16.4] in 2020. When controlling for demographic variables, each financial asset was independently associated with mental health. In fully adjusted models where savings and income at the individual and household level were included, for every $10,000 more that an adult reported in individual annual income, they had 0.95 times the odds of probable depression (95%CI: 0.92, 0.99) and 0.95 time the odds of probable anxiety (95%CI: 0.91, 0.99), translating to 5% lower odds. Having $10,000 more in individual savings was associated with 0.95 times the odds of probable anxiety (95%CI: 0.91, 0.99). These findings suggest that 1) financial assets were each independently associated with mental health, 2) having higher individual income was associated with mental health even when adjusting for financial assets at the household and individual level, and 3) higher individual savings were associated with lower probable anxiety. Individual-level financial assets may be associated with mental health differently than household-level financial assets.

Many consumers exhibit choice persistence, often sticking with suboptimal or dominated health plans. We analyze the effect of retirement on health plan choice using a fuzzy regression discontinuity design that exploits Switzerland's old-age pension legislation. Drawing on insurance claims data from 84,731 individuals aged 61 to 68 over the years 2006-2014, we find that retirement significantly increases switching from the standard model to managed care plans, which offer lower premiums but restrict access to specialist care. However, deductible choices remain largely unaffected, as retirees are no more likely to select the cost-minimizing deductible than their non-retired counterparts. We conclude that while retirement may encourage plan switching, many consumers still choose dominated options, underscoring the need for a richer policy framework that provides consumer guidance incorporating measures such as personalized information interventions and simplified choice architectures to promote better health plan choices.

Adverse childhood experiences are considered a powerful determinant of emotional health. One indicator of emotional health is loneliness, which refers to a distressing experience that one's social relationships are less in quality and quantity than those desired. This preregistered review aimed to examine the association between adverse childhood experiences (e.g., physical abuse/neglect, emotional abuse/neglect, sexual abuse, parental separation/divorce, family conflict, domestic violence) and loneliness in adulthood. A database search (Embase, Ovid, Cochrane Library, APA PsychINFO, Medline, Pubmed, Scopus) was conducted. After removal of duplicates, 3689 papers were reviewed and 20 met inclusion criteria. When feasible, results were pooled using a random-effects meta-analysis and inverse variance modelling and reported narratively. Meta-analyses revealed a statistically significant association between cumulative adverse childhood experiences and loneliness (r = 0.30, 95% CI [0.22-0.37]; prediction interval = 0.04-0.52) and between specific adversity types and loneliness, namely sexual abuse, physical abuse, physical neglect, emotional abuse, and emotional neglect. Some heterogeneity was observed across studies. Subgroup and sensitivity analyses revealed no differences in age, gender, age group, continent, or measures of adversity/loneliness. This research indicates that adversities in childhood may have some long-term influences on loneliness, both cumulatively and within adversity subtypes.

Women who give birth during their incarceration in most states in the US are separated from their newborns, who are placed with non-maternal caregivers. Infants of incarcerated mothers are a highly vulnerable population for which caregiving relationships may be particularly important for their wellbeing. Despite this, incarcerated mothers may be responsible for selecting a caregiver with no formal guidance. However, this process is poorly understood. The goal of this study was to understand how families form caregiving relationships during a mother's incarceration in state prisons in Georgia. Data were drawn from initial interviews from a mixed methods cohort of children exposed prenatally to incarceration. Thirty-six interviews with caregivers and 13 interviews with mothers released from incarceration were analyzed using thematic analysis. Researchers validated data through focus groups with caregivers and nonprofit staff. Caregivers and formerly incarcerated mothers discussed avoiding child welfare custody when making caregiving decisions. Mothers prioritized caregivers who they believed would help them reunify with the child. Caregivers and mothers discussed keeping the child with a family member if possible; mothers overwhelmingly preferred their own parents as caregivers. When mothers choose between several potential caregivers, they prioritized the safety and security of their infant, rejecting those who were substance users, had a history of incarceration, had serious health issues, or who they deemed irresponsible. These factors were frequently brought up when discussing children's fathers as potential caregivers. Thus, choice of caregivers for infants born during incarceration was motivated by family unity and safety and security. Policymakers should target these children and their families for intensive support through social services.

Recently, some studies have noted a negative cognitive impact on individuals in the aftermath of large-scale natural disasters; however, the causal relationship between disasters and cognitive/neurodegenerative effects remains widely unexplored. This review analyzes the impact of natural disasters on the development of cognitive decline (CD), all-cause dementia, and Alzheimer's disease (AD) in disaster-affected individuals. Studies reported from their inception to August 2023 were obtained via public online databases. All data presented in this review was derived from precalculated study results, data presented within/alongside articles, or statistics calculated using data obtained by contacting the articles' authors for ancillary information. Data from 28 studies, representing 4,606,561 individuals, 158,994 CD events, 179,694 dementia events, and 47,193 AD events was included for analysis. The pooled odds ratio (OR) and 95% confidence interval (CI) estimates showed that natural disasters significantly increased the risk of CD (OR: 1.25, CI: 1.20-1.30), all-cause dementia (OR: 1.07, CI: 1.05-1.08), and AD (OR: 1.07, CI: 1.05-1.10) in disaster victims as opposed to less- or non-impacted individuals. The greatest effects were noted following hurricanes, earthquakes with tsunamis, and heat waves. The findings from this meta-analysis indicate that natural disasters are significantly associated with the development of CD, all-cause dementia, and AD.

Single and cumulative childhood adversities have been associated with not being in education, employment, or training (NEET) in early adulthood, but associations with more comprehensive childhood adversity measures incorporating clustering of adversities in different dimensions (material, health and family) remain to be examined.

When they sue their employers for disability discrimination, do plaintiffs with some types of conditions fare better than others? This paper analyzes legal outcomes for three types of conditions that are potentially disputed (subject to suspicion and doubt) or disfavored (subject to stigma or judgment): mental illnesses, invisible conditions, and subjectively diagnosed pain conditions. Using logistic regression to analyze over 1,100 judicial opinions in the US federal courts, we find that invisible conditions tend to be disputed and mental illnesses tend to be disfavored. We find the strongest and most consistent disadvantages for subjectively diagnosed pain conditions; plaintiffs with these conditions are significantly less likely to be deemed a person with a disability and to win in court. The disadvantages for plaintiffs with difficult-to-document pain conditions persist even if they are deemed to be persons with disabilities, suggesting that skepticism about these conditions pollutes judges' overall impression of plaintiffs.

Patient-centred care (PCC) is widely heralded as a transformative healthcare paradigm, designed to prioritise patients' unique needs, preferences, and values in clinical decision-making. By potentially shifting away from the historically provider-centric model, PCC aims to empower patients as autonomous, active participants. However, critical questions remain: Does PCC genuinely dismantle power asymmetries, or does it merely serve as rhetoric subtly reinforcing existing hierarchies under the guise of empowerment? This study examines this power paradox-the disconnect between PCC's rhetorical positioning and its superficial implementation-through Steven Lukes' three dimensions of power, focusing on China's community healthcare system, where patient-centred ideals are strongly advocated. A year-long non-participant observation at a major community health centre in Shenzhen, complemented by semi-structured interviews with 16 general practitioners (GPs) and 18 hypertensive patients (HPs), informed an iterative thematic analysis. The analysis identified three paradoxes that complicate PCC's vision of patient empowerment. First, protective authority demonstrates how GPs' protective intentions manifest as directive behaviours, fostering dependency and limiting patient agency. Second, framing authority reveals how organisational norms, policies, and clinical expectations constrain patient choice, prioritising compliance over autonomy. Lastly, internalised compliance highlights PCC's ideological power, where HPs internalise adherence as integral to their identity as 'good' patients, embedding deference to medical authority within their sense of well-being. These findings offer critical insights into PCC's power paradox, questioning its theoretical capacity to redress entrenched provider-patient power imbalances. Addressing these challenges necessitates systemic reforms and shifts in clinical practice to genuinely prioritise patient-centredness.

The harmful mental health effects of perceived discrimination for migrant populations are well established. The potential buffering effect of regional-level social capital, however, has not previously been explored.

We study a large supplemental nutrition program aimed at reducing malnutrition in Chile and its impact on the education of children ages 6-13. Using individual-level data from representative samples from the 1970, 1982, and 1992 national censuses, along with variation in milk distribution across provinces and over time, we estimate the effect of exposure to the milk program on years of schooling. We find that the impact was greatest for cohorts born between 1969 and 1976, a period of significant program expansion. The main effect implies an increase of 0.18 years of schooling due to exposure to the program, accounting for about 20% of the overall growth in educational attainment. These results show the substantial role of an early-life nutritional intervention in improving long-term educational outcomes for a significant portion of the population.

Despite growing awareness of the experiences of LGBTQ+ communities, there has been relatively little attention given to the issues of exclusion and marginalization that occur within these communities. This gap is particularly significant given the health disparities faced by LGBTQ+ individuals from minority ethnic backgrounds. To address this gap, this paper examines the experiences of intracommunity intersectional discrimination among sexual minority men from minority ethnic backgrounds. Additionally, it proposes an intracommunity stress-coping model that explains how individuals may turn to smoking as a coping mechanism to manage the psychological impact of discrimination within LGBTQ+ communities. This paper is based on data collected from a national behavioral surveillance study in Australia, which included 1056 cisgender sexual minority men of Asian backgrounds. A substantial proportion of participants reported experiencing discrimination based on body size (39.9%) or skin color (36.3%) within LGBTQ+ communities. While the severity of discrimination was found to be positively related to psychological distress, the analysis also revealed the cumulative effects of discrimination based on intersecting identities. Specifically, individuals who experienced discrimination across multiple intersecting identities reported higher rates of psychological distress and smoking behavior. The positive associations between intracommunity intersectional discrimination and smoking behavior were mediated by psychological distress. Given the detrimental impact of intracommunity intersectional discrimination, it is crucial to raise awareness about the stressors within LGBTQ+ communities. Practitioners in mental health services and smoking cessation programs should be equipped with the knowledge and skills to effectively address the intracommunity stress experienced by Asian sexual minority men with multiple marginalized identities.