{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:52:01Z","timestamp":1790959921110,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,2,9]],"date-time":"2018-02-09T00:00:00Z","timestamp":1518134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000341","name":"Arthritis Research UK","doi-asserted-by":"publisher","award":["project grant 19626"],"award-info":[{"award-number":["project grant 19626"]}],"id":[{"id":"10.13039\/501100000341","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","award":["RP\u2010PG\u20100608\u201010147"],"award-info":[{"award-number":["RP\u2010PG\u20100608\u201010147"]}],"id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We explore the concept of \u201cuntimely diagnosis,\u201d where the onset of a long\u2010term condition occurs at a life stage which does not conform to traditional expectations, focusing on two conditions (asthma and arthritis) typically associated with a particular life stage (childhood and older adulthood, respectively). Previous literature has focused on the meaning of chronic illness in terms of life history, and the biographical lens has been used in various ways to make sense of the experience. Less attention has been paid to the condition onset when it seems dissonant with chronological age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Secondary analysis of two qualitative data sets (total 58 interviews) exploring the experiences of people with adult\u2010onset asthma and young people diagnosed with arthritis. Data from the original interview transcripts relating to diagnosis and symptom recognition were re\u2010analysed using a \u201ccandidacy\u201d framework to examine how age and diagnosis intersect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>People did not always assert their candidacy for either condition because of pre\u2010conceived expectations around age. Similarly, health professionals sometimes failed to recognize patients\u2019 candidacy, instead pursuing \u201cage\u2010plausible\u201d possibilities. In some cases, participants were proactive in suggesting a diagnosis to the health professional where diagnosis was delayed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The diagnosis of adult\u2010onset asthma, and arthritis in young people, may be regarded as \u201cuntimely.\u201d We suggest that being diagnosed with what is perceived to be a \u201cchildhood\u201d condition in adulthood, or \u201can older person's\u201d condition in childhood, may be viewed as a \u201cbiographical paradox\u201d and an \u201cuntimely breach\u201d to the expected order.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.12669","type":"journal-article","created":{"date-parts":[[2018,2,9]],"date-time":"2018-02-09T05:09:08Z","timestamp":1518152948000},"page":"730-740","source":"Crossref","is-referenced-by-count":17,"title":["Untimely illness: When diagnosis does not match age\u2010related 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of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Salisbury","sequence":"additional","affiliation":[{"name":"Nuffield Department of Primary Health Care Sciences University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet E.","family":"McDonagh","sequence":"additional","affiliation":[{"name":"Centre for Musculoskeletal Research University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.07.014"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2008.01152.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2016.02.037"},{"key":"e_1_2_6_5_1","volume-title":"Studies in Ethnomethodology","author":"Garfinkle 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