The aim of this study was to systematically review the range, nature, and extent of current research activity exploring the influence of innovative health-related technologies on social inequalities in health, with specific focus on a deeper understanding of the variables used to measure this connection and the pathways leading to the (re)production of inequalities. A review process was conducted, based on scoping review techniques, searching literature published from January 1, 1996 to November 25, 2016 using MEDLINE, Scopus, and ISI web of science. Search, sorting, and data extraction processes were conducted by a team of researchers and experts using a dynamic, reflexive examination process. Of 4139 studies collected from the search process, a total of 33 were included in the final analysis. Results of this study include the classification of technologies based on how these technologies are accessed and used by end users. In addition to the factors and mechanisms that influence unequal access to technologies, the results of this study highlight the importance of variations in use that importantly shape social inequalities in health. Additionally, focus on health care services technologies must be accompanied by investigating emerging technologies influencing healthy lifestyle, genomics, and personalized devices in health. Findings also suggest that choosing one measure of social position over another has important implications for the interpretation of research results. Furthermore, understanding the pathways through which various innovative health technologies reduce or (re)produce social inequalities in health is context dependent. In order to better understand social inequalities in health, these contextual variations draw attention to the need for critical distinctions between technologies based on how these various technologies are accessed and used. The results of this study provide a comprehensive starting point for future research to further investigate how innovative technologies may influence the unequal distribution of health as a human right.
Much of the empirical research on health inequalities has tended to rely on explanations with a static and unidirectional view of the association between socio-economic status and health, assuming a unidirectional causal relationship between largely static categories. We argue for the use of sociological theory to develop more dynamic models that enhance the understanding of the complex pathways and mechanisms linking social structures to health.
Applying the multiple psychological sense of community concept (MPSOC), this study explored how emerging adults with substance use problems experience the influences of various senses of community and communities on their personal recovery processes. Semi‐structured interviews with 21 emerging adults from different urban contexts in Norway were analysed using a collaborative, seven‐step, deductive, and reflexive thematic approach. MPSOC is shown to be a key concept for achieving a broad, in‐depth understanding of emerging adults' senses of community and personal experiences of community influences on recovery processes from substance use. Positive and negative senses of community in geographical, relational, substance use‐related and ideal communities influence the potentials and challenges in emerging adults' recovery processes. Supportive and motivating community relationships, meaningful activities with peers, and distance from recovery‐impeding communities were identified as important recovery components. To promote recovery and prevent substance use in emerging adults, community approaches and tools applied in substance use treatment have to take into account and utilise multidimensional and age group‐specific aspects of belonging.
Alienation is among the most influential terms in Marxist theory, but also one of the most ambiguous and controversial. Unlike previous literature, which has tended to focus on Marx’ early philosophical writings, this offers a novel reinterpretation of the theory of alienation found in Marx’s later works. Rather than conceiving alienation as a subjective experience or an inherent feature of social organization, I contend that alienation in the Marxist sense can be understood as an objective process arising from the appropriation of the results of production and their transformation into capital. This interpretation resolves the main theoretical problems conventionally associated with alienation theory, for example the tendency towards essentialism and moral paternalism. In particular, a Marxist theory of alienation explains the paradox of social power and isolation that characterizes contemporary capitalist societies, in which feelings of powerlessness and loneliness are intensified despite objective increases in humanity’s social power and interdependence.
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