Exploring the social determinants of health from the perspectives of people with spinal cord injuries: A disability studies approach
Bibliographic record
Abstract
The social determinants of health is an internationally recognized approach to analyzing the impact of non-medical factors on individual health. However, disability is mostly associated with inherent vulnerability without recognition of the social factors. The goal of this qualitative study is to examine the lived experiences of persons living with spinal cord injury (SCI) in coping and managing their health and functioning and to explore an interaction between their embodied experiences and structural issues that contribute to health and wellbeing of people with spinal cord injuries. A thematic analysis of 30 semi-structured interviews generated three themes that highlighted the tensions between the materiality of disability and the barriers associated with stigma, between the self-management strategies and the healthcare access, and finally between access to the formal supports and the invisible costs of living with a spinal cord injury. The findings emphasize the need to re-evaluate public health approaches, recognize the linkages between inequalities linked to disability, and incorporate an embodiment lens from a disability justice perspective.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.011 | 0.008 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.009 | 0.012 |
| Scholarly communication | 0.008 | 0.007 |
| Open science | 0.001 | 0.009 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".