Australian women’s perceptions and practice of sleep position in late pregnancy: An online survey

BackgroundGoing-to-sleep in the supine position in later pregnancy (≥28 weeks) has been identified as a risk factor for stillbirth. Internationally, public awareness campaigns have been undertaken encouraging women to sleep on their side during late pregnancy.AimThis study aimed to identify sleep practices, attitudes and knowledge in pregnant women, to inform an Australian safe sleeping campaign.MethodsA web-based survey of pregnant women ≥28 weeks’ gestation conducted from November 2017 to January 2018. The survey was adapted from international sleep surveys and disseminated via pregnancy websites and social media platforms.FindingsThree hundred and fifty-two women participated. Five (1.6%) reported going to sleep in the supine position. Most (87.8%) had received information on the importance of side-sleeping in pregnancy. Information was received from a variety of sources including maternity care providers (186; 66.2%) and the internet (177; 63.0%). Women were more likely to report going to sleep on their side if they had received advice to do so (OR 2.3; 95% CI 1.0–5.1). Thirteen (10.8%) reported receiving unsafe advice, including changing their going-to-sleep position to the supine position.DiscussionThis indicates high level awareness and practice of safe late-pregnancy going-to-sleep position in participants. Opportunities remain for improvement in the information provided, and understanding needs of specific groups including Aboriginal and Torres Strait Islander women.ConclusionFindings suggest Australian women understand the importance of sleeping position in late pregnancy. Inconsistencies in information provided remain and may be addressed through public awareness campaigns targeting women and their care providers.     

A review of pregnancy information on nutrition,physical activity and sleep websites

ProblemMost pregnant women report using the internet to source health information during pregnancy. However, little is known about the information presented on the internet and whether it is consistent with current evidence-based guidelines.BackgroundPregnancy is considered a risk period for women as it is associated with poorer health behaviours including an inadequate diet, decreased physical activity and reduced sleep. As a result, pregnant women and their unborn child are at a greater risk of adverse health outcomes.AimThe purpose of this study was to review pregnancy related information about nutrition, physical activity and sleep provided on Australian government and leading industry body websites, and to compare this information to current evidence-based guidelines.MethodsA systematic online search was conducted to identify Australian Government, and leading industry websites that provided information on nutrition, physical activity, or sleep during pregnancy. The content of each website was reviewed and compared against current nutrition, physical activity and sleep guidelines.Findings27 government and leading industry websites were included in this study. 18 websites included nutritional information, none of which aligned 100% with guidelines. Nine websites included physical activity information, only one of which was 100% in accordance with guidelines. Two websites included information on sleep during pregnancy, however neither were in accordance with guidelines.ConclusionWomen are accessing information via the internet that is not in accordance with current evidence-based guidelines. These results call to attention the need for government and leading industry websites to review and update their website information in accordance with current evidence-based guidelines.     

The outbreak of coronavirus disease in China: Risk perceptions,knowledge, and information sources among prenatal and postnatal women

BackgroundThe COVID-19 pandemic has created anxiety among members of the public, including all women over the childbirth continuum, who are considered to be at a greater risk of contracting most infectious diseases. Understanding the perspectives of health care consumers on COVID-19 will play a crucial role in the development of effective risk communication strategies. This study aimed to examine COVID-19-related risk perceptions, knowledge, and information sources among prenatal and postnatal Chinese women during the initial phase of the COVID-19 pandemic.MethodsA cross-sectional survey design was adopted, and a four-section online questionnaire was used to collect data. Using a social media platform, the online survey was administered to 161 participants during the outbreak of COVID-19 in Nanjing, China, in February 2020.ResultsThe participants perceived their risk of contracting and dying from COVID-19 to be lower than their risk of contracting influenza, however many of them were worried that they might contract COVID-19. The participants demonstrated adequate knowledge about COVID-19. The three major sources from which they obtained information about COVID-19 were doctors, nurses/midwives, and the television, and they placed a high level of confidence in these sources. There was no significant relationship between the perceived risk of contracting COVID-19 and knowledge about this disease.ConclusionThe present findings offer valuable insights to healthcare professionals, including midwives, who serve on the frontline and provide care to pregnant women. Although the participants were adequately knowledgeable about COVID-19, they had misunderstood some of the recommendations of the World Health Organisation.     

Midlife and older women’s experiences and advice about sex with men,risk behaviors,and HIV prevention education

This article reports on older women’s experiences and advice on condom use, male-female relationships, HIV risk, and prevention education. It reports on findings from five written, open-ended questions with 110 ethnically and economically diverse women, 40–80 years old. Analysis revealed four themes: (a) Gap between condom use advice and condom use behavior; (b) invisibility with age; (c) negative expectations of men; and (d) desire for education that breaks the silence on sex. The article discusses the meaning of the findings as they relate to current knowledge about HIV prevention education and midlife and older women and offers recommendations for research and education.     

Chicks,Dicks, and Contradictions

This essay examines Playgirl as a rich, yet overlooked, archive in the history of American pornography. Although the magazine often is dismissed as the token attempt of a masculinist industry to equalize its representational politics, I argue instead that a significant synergy exists between Playgirl and entwined debates over pornography, gender, and commercialized sexuality in 1970s America. Employing established conventions of the women's magazine, Playgirl utilized that form toward granting women access to explicit images. Yet given its “better lifestyling” advice on how the sexually liberated woman might find empowerment by viewing male nudes, Playgirl's reluctance to display full-frontal nudity until the midpoint of its first year fashioned an initially compromised aesthetic. Not only were women interpolated as untutored viewers within this regime of genital obstruction, but models also were all but emasculated. Consequently, the degree of male exposure that could be handled by both viewers and models was questioned, critiqued, and debated across Playgirl's letters to the editor section, aptly entitled “In-ter-course.” As an artifact of sexual media history, Playgirl is invaluable because readers are able to trace throughout its pages the ways in which changing tides of gendered power began to problematize pornography's routine dichotomy between masculine subjectivity and female objectification.     

Effects of subtle heterosexism on gays, lesbians, bisexuals

This study examined heterosexism that is not specifically targeted at LGB individuals, but may be experienced as antigay harassment, and may contribute to the stigma and stress they experience. LGB participants (N = 175, primarily Euro-American college students), read scenarios of heterosexuals saying or assuming things potentially offensive to gay men or lesbian women. For each scenario, they indicated extent to which they would be offended and less open about their sexuality, and their perceptions of the behaviors as evidence of antigay prejudice. Not only did respondents find the scenarios to be offensive and indicative of prejudice, but perceived offensiveness was associated with a decreased likelihood of coming out. In comparison to gay men, lesbian women and bisexuals found the scenarios more offensive and more indicative of prejudice. Limitations of the current study and directions for future research are outlined.     

The “Sassy Woman” and the “Performing Man”: Heterosexual casual sex advice and the (re)constitution of gendered subjectivities

Media forums that provide “sex advice” are a rich source of (sexual) information for heterosexual individuals and have been critically examined for the ways in which they construct heterosexuality (and sexual subjectivities). The representations of (heterosexual) casual sex are also prevalent across the mass media. This paper uses a Foucauldian/poststructuralist mode of discourse analysis to explore how casual sex “advice” in three self-help books (two aimed at women, one aimed at men), and online advice articles, constituted casual sex and masculine and feminine heterosexual subjectivities. Four main (profoundly gendered) subject positions were identified in the texts: the “strategic man”; the “performing man”; the “sassy woman”; and the “vulnerable woman.” It is argued that although some alternative ways of constituting heterosexual identities were provided (particularly for women), gender difference was not only implicated in such advice but also, at times, crudely exaggerated. The implications of these representations are discussed in relation to contemporary heterosexualities, heterosexual sexual identities, and heterosexual power relations.     

Review of online breastfeeding information for Aboriginal and Torres Strait Islander women

BackgroundBreastfeeding provides the healthiest start to life, but breastfeeding rates amongst Aboriginal and Torres Strait Islanders is lower than non-Indigenous women.AimTo assess the accuracy, quality and appropriate presentation of online breastfeeding information for Aboriginal and Torres Strait Islander women in Australia.MethodsAn online search conducted in Google, Bing and Yahoo search engines to identify any breastfeeding websites that provided information for Aboriginal and Torres Strait Islander women. Relevant websites were evaluated against: a) National Health and Medical Research Council clinical guidelines, b) the quality of health information on the Internet by using DISCERN instrument, and c) appropriate key design features for Aboriginal and Torres Strait Islander women.ResultsThe search located 348 sites with 31 being eligible for inclusion. Websites from governmental organizations had the highest accuracy while YouTube videos had the lowest accuracy. Three quarters (74%, n = 23) of sites incorporated the national clinical guidelines adequately, and most of the sites (77.8%, n = 24) were considered high quality. Only 23% (n = 7) of sites had sufficient key design features appropriate for Aboriginal and Torres Strait Islander women. Four websites were considered exemplary for their accuracy, quality and cultural appropriateness of information for Aboriginal and Torres Strait Islander women.ConclusionSome websites are tailored to provide breastfeeding information and support to Aboriginal and Torres Strait Islander women. However, only a few contain culturally appropriate key design features. Further participatory action research is required to design online platforms for women from different cultural backgrounds that take into account cultural principles, beliefs and values.     

Being a Woman,Young and Poor

This study was conducted with the interest of knowing female identities in their reality, as well as the role of Brazilian telenovelas in the constitution of being a woman. The objective is to understand how the conflicts and the complementarities between telenovela audience and empirical mediations of family, school and social class constitute the female identity of young women from popular classes. The sample of this research was composed of twelve young women from fifteen to twenty-four years of age, who live in the outskirts of Santa Maria, a city in the South of Brazil with three hundred thousand inhabitants. The results of the research point to an imposition of the social class on the female identities of these young women. Their economic deprivation defines the experiences and ways of being a woman, either through teenage pregnancy, due to work, to abandoning school, or to television as their main form of leisure. The role of telenovelas is also essential. On the one hand, they (re)produce a traditional female model—in which maternity and marriage are the priorities of women. On the other hand, they present evidence to those interviewed of a representation of equality between genders, which they do not experience in their daily lives.     

Women millennials’ perceptions of pension savings through the use of autoenrollment in the UK pension system

There has been concern about younger people, and women in particular, not saving enough for retirement and how to encourage further saving. Therefore, this study—partly funded by the Fawcett Society in association with Scottish Widows—explores female millennials’ attitudes and motivations toward pension saving and automatic enrollment through the use of 40 semistructured interviews and a focus group. The findings show that although the introduction of autoenrollment pensions is generally positively received, pensions knowledge is still limited, and this intensifies the risk of undersaving for retirement among millennial women, particularly given women’s diverse work histories.     

Babes in tech land: expo labor as capitalist technology’s erotic body

This article investigates the tech industry practice of hiring “booth babes”—female models costumed in erotic outfits—to introduce new technologies at expos. My research identifies a gendered industrial logic that simultaneously sexualizes promotional spectacles while undervaluing women who create them. Challenging industrial ideologies that view booth babe labor as outside of the tech industry, I engage first in a discourse analysis of job calls for tradeshow modeling gigs, gray literature that evidences not only their industrial presence but also the values that tech companies place on their work. I then turn to their labor conditions, as conveyed through ethnographic interviews with tradeshow models, before drawing connections between booth babe work and other forms of post-Fordist labor. Finally, I propose that the utility of booth babes to the tech industry stems from their enactment of “promosexuality,” a set of corporate erotics oriented toward capitalist promotion.     

Pregnancy nutrition knowledge and experiences of pregnant women and antenatal care clinicians: A mixed methods approach

Background

Dietary intake of pregnant women do not appear to meet the dietary recommendations. Nutrition knowledge and practices of pregnant women and their antenatal care clinicians are factors that may be influential on dietary intakes of pregnant women.

Best friends: the role of confidantes in older women's health

This article explores personal, network, and community contexts in older women's friendships and health. Twenty-six older women (mean age, 67; range 55-85 years) in San Francisco were asked to choose the one individual to whom they felt the closest and then discuss how this individual contributed to their health. Their choices were numerous, diverse, contextual, and circumstantial. Other women were chosen most often; however, this belies the complexity of their choices. Confidants were chosen primarily for expressive reasons, but instrumental reasons proved important too, particularly for lower class women. Older women called upon their closest ties with physical, social, and emotional problems; they were less likely to call upon them with mental, financial, or spiritual concerns. Family members were preferred to friends for direct caregiving; however, some older women felt they would call upon their friends as well. Confidants kept older women healthy by offering advice and encouragement about diet and exercise; by providing meals and transportation; by laughing, talking, and joking with them; by keeping them happy and feeling good about themselves; and, on rare occasions, by offering spiritual guidance. Practical and policy considerations of their choices were discussed.     

Family planning in choiseul province,Solomon Islands

The results presented are from a rural prevalence survey on family planning in Choiseul Province, Solomon Islands. Married women aged 15–49 years with at least one living child and married men whose wife met the same criteria, provided data on knowledge, attitudes and practices of contraceptive use. Fifty one per cent of the female sample were using some form of contraception, 26 per cent reversible and 25 per cent non-reversible methods. Sixty-five per cent of men claimed that they or their spouse were using a method of family planning. Tubal ligation was the most common currently used method (25 per cent in the female survey). Desired family size was four for both males and females. Knowledge and approval of family planning was high, with 83 per cent of females and 81 per cent of males knowing of at least one method. Problems in accessing information and services for family planning include cultural and logistical constraints. Religious affiliation was the major variable affecting knowledge, use and approval of contraceptive methods. Nearly a quarter of the sample lived further than two hours travel time from the nearest health clinic supplying contraceptive methods. These clinics often have only an intermittent availability of supplies. A strong interest in family planning was demonstrated by both respondents and service providers.     

Gender Differences in Self-Regulation Patterns and Attitudes Toward Driving Among Older Adults

ABSTRACT

The automobile is essential for many older adults to fulfill their daily needs, especially since many live where they lack access to public transit or other acceptable modes of transportation. Increased self-regulation is one way older drivers continue to drive safely and maintain mobility. This research considers whether self-regulation attitudes and patterns differ by gender. Results indicate that women and men report distinct patterns of self-regulation behaviors. Age, health status, and household status also interact with gender, influencing the extent of self-regulation. The results also show that women report lower levels of confidence in their driving skills than men, although the difference varies based on whether or not a woman lives alone. Implications of these results are considered for an aging population—particularly women—that over the coming decades will be more reliant on the automobile for transportation than ever before.     

外来人口的职业流动与就业适应——以武汉市为例的实证研究

运用武汉市2000年人口普查资料和2005年外来人口就业的调查资料,研究城市外来劳动力的职业过程及其适应性。由于其择业过程受到政策的限制和明显的歧视,外来劳动力进城后通常职业变动频繁,表现出不断寻求最小歧视和最大收益岗位的特征。但是,外来人口在职业流动中职业地位的变化并不大。外来人口要想真正适应城市生活,为城市文化所接纳,除了需要提供相应政策、制度以外,还需要解决一个质的匹配问题,也就是他们能否满足城市经济生活所必需的知识和技能积累。     

Polygyny, Partnership Concurrency, and HIV Transmission in Sub-Saharan Africa

We study the relationship between polygyny and HIV infection using nationally representative survey data with linked serostatus information from 20 African countries. Our results indicate that junior wives in polygynous unions are more likely to be HIV positive than spouses of monogamous men, but also that HIV prevalence is lower in populations with more polygyny. With these results in mind, we investigate four explanations for the contrasting individual- and ecological-level associations. These relate to (1) the adverse selection of HIV-positive women into polygynous unions, (2) the sexual network structure characteristic of polygyny, (3) the relatively low coital frequency in conjugal dyads of polygynous marriages (coital dilution), and (4) the restricted access to sexual partners for younger men in populations where polygynous men presumably monopolize the women in their community (monopolizing polygynists). We find evidence for some of these mechanisms, and together they support the proposition that polygynous marriage systems impede the spread of HIV. We relate these results to the debate about partnership concurrency as a primary behavioral driver for the fast propagation of HIV in some parts of sub-Saharan Africa.     

Why do women continue to smoke in pregnancy?

Smoking during pregnancy not only impacts on the woman's health but that of her unborn child. Women most likely to continue smoking throughout pregnancy are generally of lower age, socio-economic status, level of education and occupational status. Women who continue to smoke during pregnancy often feel criticized by society. They feel guilt and personal conflict at not quitting. Lack of long-term positive outcomes from anti-smoking campaigns may result form ignorance surrounding socio-economically disadvantaged women's life circumstances. Current interventions often ignore the emotional and psychological stressors associated with pregnancy; they do not address the altered physiological processes that occur during pregnancy. A review of the literature pertaining to women who smoke throughout pregnancy is presented. Women want an individualised approach to smoking cessation advice, with health care workers having knowledge of the woman's social situation and viewpoints. This paper reveals that the woman's perspective has largely been ignored. Indeed health care professionals have attempted to manipulate women to stop smoking rather than engage in mutually respectful dialogue.     

The Demography of Mental Health Among Mature Adults in a Low-Income,High-HIV-Prevalence Context

Very few studies have investigated mental health in sub-Saharan Africa (SSA). Using data from Malawi, this article provides a first picture of the demography of depression and anxiety (DA) among mature adults (aged 45 or older) in a low-income country with high HIV prevalence. DA are more frequent among women than men, and individuals affected by one are often affected by the other. DA are associated with adverse outcomes, such as poorer nutrition intake and reduced work efforts. DA also increase substantially with age, and mature adults can expect to spend a substantial fraction of their remaining lifetime—for instance, 52 % for a 55-year-old woman—affected by DA. The positive age gradients of DA are not due to cohort effects, and they are in sharp contrast to the age pattern of mental health that has been shown in high-income contexts, where older individuals often experience lower levels of DA. Although socioeconomic and risk- or uncertainty-related stressors are strongly associated with DA, they do not explain the positive age gradients and gender gap in DA. Stressors related to physical health, however, do. Hence, our analyses suggest that the general decline of physical health with age is the key driver of the rise of DA with age in this low-income SSA context.