{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T05:01:13Z","timestamp":1776229273963,"version":"3.50.1"},"reference-count":60,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T00:00:00Z","timestamp":1502841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Sociology Health &amp; Illness"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>It is well established that the drivers of medicalisation have shifted alongside changes in the institution of medicine. The process of medicalisation is no longer incited by macro processes of institutional prestige or control; rather, individual patients\/consumers are pushing the process forward. The present study complicates this neat transition and examines the relationship between structure and agency using the case of assisted reproductive technology (<jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>), specifically the medicalisation of lesbian reproduction in the <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>. I explore individuals\u2019 influence on and motivations towards medicalisation through 24 in\u2010depth interviews with women in same\u2010sex relationships who had ever attempted to become pregnant. In centring on their experiences, I find that while individual consumers may now propel medicalisation forward, oftentimes consumers\u2019 motivations for doing so reside in the prestige and control of medicine. In other words, consumers now seek medicalisation precisely because of the process's previous institutional drivers. In exploring what fuels the engine of medicalisation, the findings reveal its nuance and complexity.<\/jats:p>","DOI":"10.1111\/1467-9566.12607","type":"journal-article","created":{"date-parts":[[2017,8,17]],"date-time":"2017-08-17T08:12:28Z","timestamp":1502957548000},"page":"1480-1495","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The gas that fuels the engine: Individuals\u2019 motivations for medicalisation"],"prefix":"10.1111","volume":"39","author":[{"given":"Ann V.","family":"Bell","sequence":"first","affiliation":[{"name":"Department of Sociology University of Delaware USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,8,16]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Baby Steps: How Lesbian Alternative Insemination is Changing the World","author":"Agigian A","year":"2004"},{"key":"e_1_2_8_3_1","unstructured":"American Society for Reproductive Medicine. 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