Gender-based health interventions in the United States: An overview of the coalition for healthier community initiative

Health disparities by gender constitute an important yet often overlooked aspect of health around the globe. Within the United States, there is both a paucity of research as well as planned programs that take into account how socio-cultural roles and expectations for men and women may differentially affect symptoms, access to care, and treatment. Viewing women's health exclusively as a function of sex (i.e., biological) differences represents a narrow understanding that does not fully explain gaps in health disparities between men and women. In September 2010, the U.S. Department of Health and Human Services (DHHS) launched a national initiative entitled the Coalition for a Healthier Community (CHC) to employ a gender-based framework in several urban, suburban and rural communities across the nation. The Office on Women's Health (OWH) within the DHHS funded 10 coalitions to ultimately improve the health of women and girls utilizing a gender-based approach. This article provides an overview of the initiative and the focus of the special issue.     

Application of a gender-based approach to conducting a community health assessment for rural women in Southern Illinois

Rural populations in the United States experience unique challenges in health and health care. The health of rural women, in particular, is influenced by their knowledge, work and family commitments, as well as environmental barriers in their communities. In rural southern Illinois, the seven southernmost counties form a region that experiences high rates of cancer and other chronic diseases. To identify, understand, and prioritize the health needs of women living in these seven counties, a comprehensive gender-based community health assessment was conducted with the goal of developing a plan to improve women's health in the region. A gender-analysis framework was adapted, and key stakeholder interviews and focus groups with community women were conducted and analyzed to identify factors affecting ill health. The gender-based analysis revealed that women play a critical role in the health of their families and their communities, and these roles can influence their personal health. The gender-based analysis also identified several gender-specific barriers and facilitators that affect women's health and their ability to engage in healthy behaviors. These results have important implications for the development of programs and policies to improve health among rural women.     

Domestic Violence in Nusa Tenggara Barat,Indonesia: Married Women's Definitions and Experiences of Violence in the Home

This article contributes to cross-cultural understandings of gender-based violence by examining women's definitions and experiences of domestic violence in Eastern Indonesia. The research was part of a larger study of human rights in maternal and neonatal health and involved a survey that integrated common anthropological practices in its development and delivery. This survey measured the prevalence of emotional and physical abuse, violence during pregnancy, unwanted sex and fear of violence among a sub-sample of 504 married Muslim women. Standard human rights definitions of violence were adapted to create locally appropriate definitions of economic violence, husband infidelity and unwanted sex within marriage. Survey responses indicated that the majority of women believed verbal abuse, threats of harm, economic violence, physical violence, control of women's mobility and a husband's public infidelity to constitute domestic violence. Our exploration of how Indonesian women understand domestic violence reinforces the salience of cultural specificity for different women's definitions of violence, as well as the applicability of internationally recognised definitions of gender-based violence.     

Decomposing Gender Beliefs: Cross‐National Differences in Attitudes Toward Maternal Employment and Gender Equality at Home

Few cross‐national studies distinguish between different aspects of gender egalitarianism and compare them systematically. In this study, we examine cross‐national differences in attitudes toward mothers' participation in the labor market and toward gender equality within the household, using a multilevel analysis of individual data from 33 nations. The results indicate greater support for employed mothers, but a lower level of approval of gender equality at home, among residents of countries that offer women more educational and economic opportunities. We argue that macrolevel gender equality increases individuals', particularly women's, incentives to support female labor force participation. Because of a persistent belief in gender differentiation, however, macrolevel gender equality has the opposite relationship with attitudes toward altering gendered practices beyond enabling women's public sphere participation. The fewer explicit barriers to women's achievement in society, the more likely individuals will feel a need to defend gendered roles in the private sphere. That the potential harm of advocating gendered practices in the private sphere is smaller in societies with fewer impediments for women is also likely to account for the negative association between macrolevel gender equality and support for egalitarian gender roles at home.     

Employment Practices and the Gendering of Air Canada's Culture during its Trans Canada Airlines Days

From the earliest days women have had active roles in the commercial aviation industry. Yet most airlines' employment practices have led to narrow definitions of what constituted women's work. This study, as a part of a broader study on employment practices and the gendering of organizational culture, mirrors a similar study of British Airways by Mills (1994) and takes a rules approach, within a sensemaking framework (Helms Mills and Mills, 2000), to analyze the data. In this case, the first three 'junctures' in the history of Air Canada/TCA will be explored to show how women's work was understood and how women were represented during each of these periods. The use of corporate documents will support the notion that women were mostly thought of and portrayed as idealised, sexualised objects, which were considered dispensable. This narrow definition of women's roles has not only diminished the opportunities for career advancement but it has also minimized the importance of the work women in the airline industry have done.     

Feminized cultural capital at work in the moral economy: Home credit and working-class women

One of the defining features of the home credit sector is the role played by its agents—workers who act as intermediaries between lending companies and borrowers to facilitate lending and collect repayments. There is a prevailing and pervasive narrative in the sector that women make superior agents, largely based on the belief that female agents can manage relationships with borrowers more successfully than their male counterparts. This article analyzes data from 349,078 home credit accounts (loans), as well as 71 interviews with home credit agents and lending company managers, to evaluate both the myths and realities of women's roles in home credit. The data is also used to explore the opportunities for—and potential constraints on—women's career progression in home credit work, based on an understanding of the moral economy in which they operate. By exploring the moral economy of low-income communities, the article highlights the role of working-class women's cultural capital within the labor market. Despite women forming the majority of the agent workforce in home credit, women's capital is undervalued in comparison with their male counterparts' capital. The analysis within this article allows a greater understanding of the highly classed and gendered nature of the moral economy of low-income communities and the exchange value of women's capital within the labor market.     

A gender-based approach to developing a healthy lifestyle and healthy weight intervention for diverse Utah women

Utah women from some cultural minority groups have higher overweight/obesity rates than the overall population. We utilized a gender-based mixed methods approach to learn about the underlying social, cultural and gender issues that contribute to the increased obesity risk among these women and to inform intervention development. A literature review and analysis of Utah's Behavioral Risk Factor Surveillance System data informed the development of a focus group guide. Focus groups were conducted with five groups of women: African immigrants from Burundi and Rwanda, African Americans, American Indians/Alaskan Natives, Hispanics/Latinas, and Pacific Islanders. Six common themes emerged: (1) health is multidimensional and interventions must address health in this manner; (2) limited resources and time influence health behaviors; (3) norms about healthy weight vary, with certain communities showing more preference to heavier women; (4) women and men have important but different influences on healthy lifestyle practices within households; (5) women have an influential role on the health of families; and (6) opportunities exist within each group to improve health. Seeking insights from these five groups of women helped to identify common and distinct cultural and gender themes related to obesity, which can be used to help elucidate core obesity determinants.     

A Reappraisal of the Quality of Women Candidates

Abstract

This article focuses on “second-wave” feminist perspectives on the role of the state and its effectiveness in removing gender-based inequality in Indian society. The major argument is that feminist rethinking of the relationship of women to the state illustrates the maturity of the Indian women's movement and its recognition that well-planned, mobilized, and effective state policies are crucial to the promotion of women's interests. Recent scholarship has addressed, more systematically and more critically than any in the past, the nexus between social and political processes and the subordination of women. It provides a contextualized and nuanced understanding of the complex interconnections between gender, state, religion, and community. Consequently, not only have feminist writings of the past two decades in India added to current gender sensitive scholarship on the state and development, they have also facilitated the construction of programmatic guides for realizing “strategic gender interests.”     

Gender Ideology and Women's Labor Market Transitions Within Couples in the Netherlands

Objective

This study examines the role of women's and their partners' gender ideology in shaping women's labor market entries, exits, and changes in hours of employment.

Background

Recent research argues that women's gender ideology is crucial for understanding women's contemporary labor market participation. However, the role of male partners' gender ideology for partnered women's labor market participation has received less attention.

Method

The analysis uses three waves of a large‐scale household panel survey based on a random sample of individuals within Dutch households. Random‐effect models are applied to study whether women's and their partners' gender ideology are associated with women's labor market transitions and whether relevant household characteristics' associations with women's labor market transitions are conditional on both partners' gender ideology.

Results

Women's gender ideology is associated with the probability of women's labor market entries and exits, but not with changes in women's hours worked, whereas their male partners' ideology is related only to the probability of women's labor market exits. Furthermore, the negative association of having children with changes in women's hours worked is stronger for traditional compared to egalitarian women. There is no clear evidence that gender ideology moderates the association of the male partner's labor market resources with women's labor market transitions.

Conclusion

Women's labor market transitions are not only reactions to economic pressure and institutional constraints but also women's and marginally their partners' gender attitudes.     

We Did Not Realize about the Gender Issues. So,We Thought It Was a Good Idea

This article explores the link between nationalism, as expressed by the Burman state and ethnic and student opposition movements, and the emergence of a multiethnic women's movement engaged in resistance activities. In focusing on women's involvement in oppositional nation-making projects, this article aims to broaden our understanding of gender and conflict by highlighting women's agency in war. Drawing on interviews carried out with founding members of the women's movement, non-state armed groups and others active in civil society, the article investigates how a gendered political consciousness arose out of dissatisfaction with women's secondary position in armed opposition groups, leading to women forming a movement, not in opposition to conflict per se but in opposition to the rejection of their militarism, in the process redefining notions of political involvement and agency. By invoking solidarity based on a gendered positioning, rather than on an ethnic identity, the women's movement resisted the dominant nation-making projects, and created a nationalism inclusive of multiethnic differences. Burmese women's multiple wartime roles thus serve to upset supposed dichotomies between militancy and peace and victim and combatant, in the process redefining the relationship between gender, nationalism and militancy.     

‘Coming Down to the Shop’: Trajectories of Hadhrami Women into Indonesian Public Realms

This article is concerned with the trajectories of Indonesian women of Hadhrami-Arab descent into public realms. It enquires how their agency has developed out of a particular diasporic tradition that has brought a gender order to colonial Indonesia characterised by a rigid division of public and domestic domains. In Indonesia, Hadhrami concepts of the public and domestic encountered local and governmental gender regimes and experienced considerable transformations in recent decades. The article shows how Hadhrami women coped with this dynamic and manifold field of gender relations and examines the expansion of their agency into Indonesian public realms paying particular attention to their economic activities, their public roles as skilled employees and professionals, and their engagement in the women's wings of Hadhrami-Islamic organisations. The article concludes that their deployment of particular Islamic discourses stressing piousness through the construction of a gendered hierarchy in the domestic but not in the public sphere underpins their agency in today's Indonesia which witnesses a general trend towards the appearance of self-consciously pious Muslim women.     

Source‐Country Gender Roles and the Division of Labor Within Immigrant Families

The authors examined the relationship between source‐country gender roles and the gender division of paid and unpaid labor within immigrant families in the host society. Results from Canadian Census of Population (N = 497,973) data show that the 2 indicators of source‐country gender roles examined—female/male labor activity ratio and female/male secondary education ratio—are both positively associated with immigrant wives' share in their family labor supply and negatively associated with their share in housework. The association between source‐country gender roles and women's share in couples' labor activities weakens over time. Moreover, the relationship between source‐country female/male labor activity and immigrant couples' gender division of labor is reduced when immigrant women have nonimmigrant husbands, indicating that husband's immigration status matters.     

Still a “Stalled Revolution”? Work/Family Experiences,Hegemonic Masculinity,and Moving Toward Gender Equality

Hochschild described the “stalled revolution” in the late 1980s: women made great gains in labor force opportunities, particularly in stereotypically “masculine” fields, yet men did not move comparably into “feminine” roles. This article examines the current “stalls” in the gender equality movement regarding gendered experiences at work and home, including occupations, the gender wage gap, career trajectories, and the division of household labor. This article also discusses efforts to “unstall” the gender revolution. Pop culture solutions on the individual‐level and academic research on structural/cultural barriers often focus on women's access to historically “masculine” roles (e.g. representation in STEM fields). There is far less emphasis on men's involvement in historically “feminine” roles. Gender scholars examine hegemonic masculinity as the narrowly constrained expectations for men's “appropriate” behavior. While efforts to “unstall” the gender revolution focus largely on expanding women's opportunities, this article addresses why the gender revolution will remain incomplete and “stalled” without redefining hegemonic masculinity. Cross‐national research demonstrates that changing views of masculinity are critical for greater gender equality at work and home.     

Determinants of informal employment among working mothers in Mexico

Whether women's informal employment is an involuntary marginal condition or a preferred alternative to formal employment has generated intense debate in academic and policy circles, particularly in view of women's disproportionate representation in the informal economy. We analyzed detailed interviews with 136 working mothers in Mexico to gain a better understanding of the factors leading to informal employment, as well as the impact of this work on these women and their families. Our results show that informal employment was not a choice for many women who entered the informal labor market due to human capital constraints and family responsibilities. Additionally, women commonly faced challenges in meeting the needs of both their employers and their families and earning adequate income. We suggest policy options to address the factors constraining women's employment opportunities and improve the situation of those women already working in the informal economy.     

The Gendered State of Business: Gender,Enterprises and State in Israeli Society

Whether the state provides different entrepreneurial opportunities for women and men and how is an issue rarely discussed in the growing literature concerning gender and organizations. Integrating gender and organization literature with political theories of the state, this paper compares women's entrepreneurship in one setting (Israeli society) across two time periods: before and after the foundation of a sovereign state. Our analysis identifies three manifestations of the gendering state through which it moulds business opportunities of men and women entrepreneurs. We examine how these manifestations: the delegation of economic actors, managing interactions between individuals and institutions, and administering a bureaucracy, shape access to capital and the structure of networks. The article contributes to the existing scholarship by extending the understanding of direct and indirect influence of the state on the reproduction of the image of the ideal entrepreneur and on gender differences in entrepreneurial activity.     

Exploring the role of gender norms in nutrition and sexual health promotion in a piloted school-based intervention: The Philadelphia Ujima™ experience

Perceptions of masculinity and femininity influence behaviors and can be identified in young children and adolescents (Brannon, 2004). Thus, adolescents’ engagement in health risk or promoting behaviors is influenced by perceptions of masculinity and femininity and the differences in expectations, norms and responsibilities for girls and boys (WHO, 2007). Girls and boys have different needs, and gender-based interventions that consider similarities as well as differences are needed. A gender-based nutrition and sexual health promotion program was developed and piloted by the Philadelphia Ujima Coalition in a high school setting. To explore the gender differences in adolescents’ perceptions of the influence of gender norms on weight, nutrition, physical activity, and sexual health and the implication of these differences in future gender-integrated health promotion programming for youth, a content analysis of student and facilitator debriefing forms were implemented for the participating schools. The content analysis was used to identify central themes, concepts gained, and overall impact of the intervention sessions. Overall, gender norms influence healthy eating practices and activity through influencing perceptions of body type in adolescents. Gender norms also influence sexual activity and decision making through influencing perceptions of beauty, masculinity, femininity, pressures and popular concepts related to sexual activity. Thus, interventions that address gender may more effectively promote health and wellness in adolescents.     

Exploring gender and elder abuse from the perspective of professionals

We conducted an online survey of professionals working in two Canadian provinces to learn about their knowledge of elder abuse from a gender-based perspective. A total of 169 professionals (90% women) completed a survey in either French or English. Five topic areas emerged from the analysis: the influence of gender on the risk of abuse; types of abuse detected; knowledge gaps; capacity to respond to gender-based abuse; and awareness of resources. To gain further insight into these results, we conducted three focus groups with a total of 24 professionals. Professionals held relatively little recognition of, or knowledge about, gender related to elder abuse. Our results indicate the need to develop educational and awareness raising opportunities for professionals who work with abused older adults in both French and English to identify and respond to the unique needs of older women and men.     

Effects of Global Democracy on Women's Reproductive Health: 1970–2005, Cross-World Analysis

ABSTRACT

Despite many trends that have been commonly assumed to enrich societal well-being, this article posits that in addition to benefits there are also costs associated with democratization. This article comparatively analyzes the effects of democratic transition on women's health in democratizing well-developed as compared with developing countries across the world. Considering the junction of positive and negative outcomes of democratization, the author argues that to women the costs of democratization are much more substantial than to men because their societal roles are less valued and life for most women is centered at home and, hence, is not considered to be of public concern. Thus far, democratization's costs to women have been largely overlooked, not only in terms of economic opportunities but also in terms of their impact on women's health. These costs cannot be ignored as they limit women's empowerment and endanger national health.     

'Woman,Speak with a Loud Voice!'

This paper seeks to contribute to the critique of mainstream development discourse by conveying the ideas and issues raised by rural South African women. Building upon feminist and post-colonial discourses, this paper shifts the epistemological location of knowing to the women affected by development programmes and policies. Based upon interviews and discussions with over 600 women in rural communities, we offer a brief characterization of the South African context of rural women's lives, followed by rural women's comments about development, their daily struggles, and empowerment. Rural women's comments reveal a conception of development that is tied to their localized problem-solving skills and opportunities. Their response to the absence of development opportunities within their communities is to forge a space where they can negotiate between institutional spheres of power in order to address their needs. We argue that traditional development approaches overlook the space, or interstice, rural African women occupy between the modern state and traditional authority. For persons interested in development issues, rural women's experiences direct our attention to the in-between spaces as potential sites of empowerment.     

Women in Politics in Post-Transitional Democracies: the chilean case

This article looks at women's participation in formal political institutions in posttransition politics. Employing the case of post-dictatorship Chile, it outlines the barriers to women's participation in the formal political arena; discusses the various strategies that Chilean women are currently employing to overcome their exclusion; and finally, examines the challenges that political women confront in promoting 'women's interests' in political institutions. Throughout the article two main arguments are advanced. First, where women's movements do not demand institutional reforms during the transition period - a time when movements enjoy influence and parties are in flux - then the barriers to women in political institutions re-emerge. In Chile, the fact that women did not demand institutional reforms, such as quotas for women in decision-making positions, is linked tothe broader strategy of the movement tomake citizenship demands based on women's 'difference'. This strategy inhibited women from demanding power (i.e. access to institutions as individuals) because this conformed to a masculine-defined notion of politics inconsistent with women's 'different' style of practising politics. A second,related argument is that a strategy based on women's 'difference' hinders women in politics frompromoting feminist goals,especially in the climate ofsocial conservatism that characterizes post-transition Chilean politics. Despite these constraints and the many challenges Chilean women in politics confront, gains are being made, as women recognize the need for, and begin to demand, institutional reforms to expand their presence in formal politics.