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Aim: To explore the perception of the impact of endometriosis on various aspects in affected women with endometriosis., Method: Data was gathered through in-depth and semi-structured individual interviews using open questions to comprehend women's experiences with endometriosis and their health-promoting lifestyle. The Conventional Qualitative Content Analysis approach was utilized, and sampling continued until data saturation. Ultimately, 14 women with endometriosis were interviewed., Results: The theme was following the dominance of the Black Cloud of Endometriosis on Different Aspects of the Life of Women with Endometriosis; with main categories involving (a) Physical depreciation caused by endometriosis, (b) psychological deterioration caused by endometriosis, (c) social isolation, (d) marital relationship disorder, and sexual dissatisfaction., Conclusions: The concepts show that endometriosis impacts negatively on different aspects of women's lives. Considering that endometriosis is a multi-dimensional disease, identifying the different aspects of this disease and paying attention to meeting the perceived needs of the affected women will help to improve the treatment process and bring the affected women to the end of their health. These should be improved by adopting appropriate approaches in health policies., Competing Interests: Declarations. Ethics approval and consent to participate: The present study was confirmed by the Ethics Council of Mashhad University of Medical Sciences (ethics code: IR.MUMS.NURSE.REC. 1401. 064). All methods followed relevant guidelines and regulations in the Declaration of Helsinki. The researcher invited eligible and willing women to participate in the study after obtaining written and informed consent from all subjects and/or their legal guardian(s). Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)

The ways in which inequality generates particular population health outcomes remains a major source of dispute within social epidemiology and medical sociology. Wilkinson and Pickett's The Spirit Level (2009), undoubtedly galvanised thinking across the disciplines, with its emphasis on how income inequality shapes the distribution of health and social problems. In this paper, we argue that their focus on income inequality, whilst important, understates the role of neoliberal discourses and practises in making sense of contemporary inequality and its health-related consequences. Many quantitative studies have demonstrated that more neoliberal countries have poorer health compared to less neoliberal countries, but there are few qualitative studies which explore how neoliberal discourses shape accounts and experiences and what protections and resources might be available to people. This article uses findings from a qualitative psycho-social study employing biographical-narrative interviews with women in Salford (England) to understand experiences of inequality as posited in The Spirit Level. We found evidence for the sorts of damages resulting from inequality as proposed in The Spirit Level. However, in addition to these, the most striking finding was the repeated articulation of a discourse which we have termed "no legitimate dependency". This was something both painful and damaging, where dependency of almost any sort was disavowed and responsibility was assumed by the self or "othered" in various ways. No legitimate dependency, we propose, is a partial (and problematic) internalisation of neoliberal discourses which becomes naturalised and unquestioned at the individual level. We speculate that these sorts of discourses in conjunction with a destruction of protective resources (both material and discursive), lead to an increase in strain and account in part for well-known damages consequent on life in an unequal society. We conclude that integrating understandings of neoliberalism into theorising about inequality enriches sociological perspectives in this area., (Copyright © 2014. Published by Elsevier Ltd.)