Impact of Hysterectomies on Women's Lives:

One of the most common surgical procedures in the United States today is the hysterectomy. Although many women have experienced symptoms that can interfere significantly with day-today functioning, they may hesitate to have surgery because of concerns about trading one set of problems for another. The purpose of this prospective study was to investigate the difference in a woman's quality of life after having a hysterectomy, including the incidence of depression and the effect of social support.     

Effects of chronic illness on daily life and barriers to self-care for older women: A mixed-methods exploration

This mixed-methods study examined the subjective experience of living with chronic illness and identified barriers to self-care. Community-dwelling older women with chronic illness completed an initial (N = 138) and follow-up mailed survey 6 months later (N = 130). On average, participants reported four comorbid health conditions and the corresponding physical pain, activities curtailed or relinquished, and time and energy focused on managing health. Only 34% of participants practiced all 10 key self-care behaviors. Reported barriers to self-management included pain, lack of financial resources, and worry. In the regression analysis, having more depressive symptoms was a significant predictor of challenges with self-care behaviors.     

Alternative Therapies and Empowerment of Older Women

SUMMARY

There has been a striking increase in Americans' awareness and use of alternative therapies over the last decade. Women, in particular, have been drawn to explore these unconventional health practices, which include herbal medicine, acupuncture, homeopathy, manual therapies, energy healing, and mind-body therapies. From a feminist perspective, the rise in alternative therapies' use in the United States represents a shift in cultural concepts of health from an outmoded patriarchical model which disempowers older women, to a more feminine, holistic model which can reempower older women. Throughout history, older women have developed, applied, and taught the principles and practices of what are now considered alternative healing modalities, in their roles as mothers, expert herbalists, midwives, wise women, and shaman. By becoming familiar with these therapies, older women can increase their control over their health, enhance prevention and self-care, and enjoy a health-care pathway that leads to wholeness in body, mind, and spirit.     

Living Arrangements and Quality of Life Among Chinese Canadian Elders

This paper examines the role of living arrangements in thequality of life of community-dwelling Chinese elders (aged 65 andover) currently residing in Vancouver and Victoria, BritishColumbia. Data are based on a random sample of 830 persons[response rate = 71.5%], who were interviewed in their homes inthe language of their choice in 1995–96. Three dimensions ofquality of life – satisfaction, well-being and social support –are examined for married men and women [living with spouse alonevs. living intergenerationally] and widowed women [living alonevs. living intergenerationally]. Few differences are found formarried persons, especially women; for widows, living alonesignificantly reduces quality of life in a number of areas.Regression analyses indicate that living arrangements are not asignificant predictor of life satisfaction or well-being formarried men and women. For widows, living arrangements determinewell-being but not life satisfaction.Overall, age, health status, and social support (havingfriends/confidante) are better predictors of quality of life forelderly Chinese Canadians than are living arrangements. Findingshighlight the importance of: empirically distinguishing maritalstatus and living arrangements in studying the quality of life ofelders; not homogenizing Chinese Canadian seniors with regard toliving arrangements; and focussing on Chinese elderly widows wholive alone as a group at risk of low well-being.     

Towards the Development of Objective,Universal Criteria of Cultural Evaluation: The Challenges Posed by Anti-Foundationalism,Culturalism and Romanticism

Over the course of the last century, it has become increasingly unfashionable in the social sciences to make cross-cultural evaluations. The advance of cultural relativism has ensured that criticisms of other cultures are regarded as subjective and ethnocentric. There remain, however, cultural beliefs, practices and traditions which appear, prima facie, to contradict people’s interests. Are there any means of evaluating such practices or cultures according to objective, universal criteria? If there are, these need to withstand a series of challenges posed by ‘relativist’ critics of objectivity and universality. This article categorises these challenges, detailing anti-foundationalist belief in a conflation of perception and truth, culturalist belief in the overwhelming importance to wellbeing of living according to one’s group’s traditions, and a romantic challenge, which invokes anti-universalism only instrumentally, to particular aspects of Western culture. In order to overcome these challenges, a theory of cultural evaluation must demonstrate the existence of certain goods which are intrinsic to human beings, can be affected by cultural activity and are of greater importance than the culturalist good of living according to one’s group’s traditions. I put forward three plausible conceptual candidates—needs, capabilities and flourishing—discussing briefly the possible merits of each. Finally, I argue that, if we are to measure culture, rather than quality of life, we must consider the influence of circumstance on the nature of cultures and the level of wellbeing. This article is an attempt to identify the parameters for more detailed research into this contentious, but potentially valuable, field of study.     

Global Food Markets and Their Local Alternatives: A Socio-Ecological Economic Perspective

Growing globalization has changed the relationship between the economic institution market and its social contexts. Local alternatives have developed, as some would argue, as a response to this globalization trend. This paper examines the seeming contradiction between globalization and local market developments by examining a recent model of emerging local, more socially embedded markets, namely CSAs (Community Supported Agriculture). It argues that CSAs, which directly link agricultural producers and consumers, exemplify the search for market alternatives that are re-embedded in their physical, social, and ethical context. Thereby important dimensions of market interaction such as reliance on local experts, social interaction, and spatial/temporal feedback functions can be recovered.     

Alzheimer's Disease and Older Women

The graying of America suggests that dementia will become "the epidemic of the 21st century." First described in 1907, Alzheimer's Disease (AD) accounts for an estimated two-thirds of all dementia. AD currently has no cure, thus causing a major drain on health care and family resources. Compared to men, women are uniquely affected by AD due to their gender-associated increased risk, longer life span, and roles as caregivers within families and institutions. Living successfully with dementia requires medical and behavioral interventions to manage disruptive symptoms, knowledge to optimize environmental conditions, and caregiver support and savvy to avoid burnout. Strategies for maximizing functioning in older women living with AD are provided.     

Depressive Symptoms Among Native and Immigrant Adolescents in Norway: The Role of Gender and Urbanization

The study investigates depressive symptoms among 3,431 adolescents aged 13–15 years. The sample comprises both native Norwegian and immigrant adolescents living in Norway. The main finding of the study is that the level of depressive symptoms is significantly higher among the immigrant adolescents than their Norwegian counterparts. When analysed separately for boys and girls, the difference is still significant for boys. Generally depressive symptoms are significantly higher among girls than among boys. Depressive symptoms, especially in boys, may also be related to the degree of urbanization of the area they live in. In cities, there is a significant difference between native Norwegian and immigrant boys, with immigrant boys having a higher level of depressive symptoms than native Norwegians. The implications for future research about immigrant adolescents and their psychosocial adjustment are discussed.

Alternative therapies and empowerment of older women

There has been a striking increase in Americans' awareness and use of alternative therapies over the last decade. Women, in particular, have been drawn to explore these unconventional health practices, which include herbal medicine, acupuncture, homeopathy, manual therapies, energy healing, and mind-body therapies. From a feminist perspective, the rise in alternative therapies' use in the United States represents a shift in cultural concepts of health from an out-moded patriarchical model which disempowers older women, to a more feminine, holistic model which can reempower older women. Throughout history, older women have developed, applied, and taught the principles and practices of what are now considered alternative healing modalities, in their roles as mothers, expert herbalists, midwives, wise women, and shaman. By becoming familiar with these therapies, older women can increase their control over their health, enhance prevention and self-care, and enjoy a health-care pathway that leads to wholeness in body, mind, and spirit.     

The effect of living in communal homes on the depressive symptoms of older women living in rural areas: the mediating role of the socio-physical environment

ABSTRACT

This study examined the effects of the village communal living model on depressive symptoms, focusing on mediating roles of perceived environment among rural older women in South Korea. Data came from the sample of residents in 18 housings and their peers in the conventional housing (n = 168). Propensity score analysis and structural equation modeling were used. The results showed the effect of living in VCH on depressive symptoms was mediated distinct aspect of socio-physical environment.     

Walking Again Lively: Towards an Ambulant and Conversive Methodology of Performance and Research

Abstract

Narrative walking practices, or modes of conversational activity set in motion by the conditions of wayfinding, potentially offer mobile and dialogic methods of engaging with experiences of mobility and of representing those experiences. They also offer alternative ways of intervening in politics and policy impacting on the distribution of mobility or immobility. The artwork way from home employed such practices as a performative, participatory and interventional methodology for eliciting and representing the transnational experiences, affects and significances of place for refugees and asylum seekers across the UK. The various strategies conceived here as homing devices, homing tales and conversive wayfinding, were employed to construct ‘meeting places’ where transnational views, perspectives, experiences and knowledge could be exchanged. This methodology proposes alternatives to hegemonies of communication, representation and authorship in both artistic and scholarly production, through processes that interrelate experiential, analytical and interventional ways of knowing.     

The Effect of Depressive Symptoms on the Association between Functional Status and Social Participation

The aim of the current study was to examine the interactive effects of depressive symptoms and lower extremity functioning on social participation for a group of moderately to severely disabled older women. The study used a cross-sectional community based sample, enrolled in the Women’s Health and Aging Study I, randomly selected from the Centers for Medicare & Medicaid Services enrollment files for women living in the Baltimore, Maryland area. The participants were women aged 65 or older who completed the in-person interview (n = 999). After adjusting for demographics and risk factors, each unit increase in the Short Physical Performance Battery (SPPB) score was associated with a 0.31 point increase in satisfaction with social participation for the non-depressed group, and 2.04 points for the depressed group. Depressive symptoms and lower extremity functioning interact to affect satisfaction with social participation. Among women with high depressive symptoms the gradient of association with social participation increased sharply with better lower extremity function compared with non-depressed women, where the gradient of association was moderate. The findings suggest the potential value of programs that focus on improving lower extremity function among older high risk groups.     

The comparison of the interpersonal action component of woman-centred care reported by healthy pregnant women in different sized practices in the Netherlands: A cross-sectional study

BackgroundThe number of interventions is lower, and the level of satisfaction is higher among women who receive midwife-led primary care from one or two midwives, compared to more midwives. This suggests that midwives in small-sized practices practice more women-centred. This has yet to be explored.ObjectiveTo examine pregnant women’s perceptions, of the interpersonal action component of woman-centred care by primary care midwives, working in different sized practices.MethodsA cross-sectional study using the Client Centred Care Questionnaire (CCCQ), administered during the third trimester of pregnancy among Dutch women receiving midwife-led primary care from midwives organised in small-sized practices (1−2 midwives), medium-sized (3−4 midwives) and large-sized practices (≥5 midwives). A Welch ANOVA with post hoc Bonferroni correction was performed to examine the differences.Results553 completed questionnaires were received from 91 small-sized practices/104 women, 98 medium-sized practices/258 women and 65 large-sized practices/191 women. The overall sum scores varied between 57–72 on a minimum/maximum scoring range of 15–75. Women reported significantly higher woman-centred care scores of midwives in small-sized practices (score 70.7) compared with midwives in medium-sized practices (score 63.6) (p < .001) and large-sized practices (score 57.9) (p < .001), showing a large effect (d .88; d 1.56). Women reported statistically significant higher woman-centred care scores of midwives in medium-sized practices compared with large-sized practices (p < .001), showing a medium effect (d .69).ConclusionThere is a significant variance in woman-centred care based on women’s perceptions of woman-midwife interactions in primary care midwifery, with highest scores reported by women receiving care from a maximum of two midwives. Although the CCCQ scores of all practices are relatively high, the significant differences in favour of small-sized practices may contribute to moving woman-centred care practice from ‘good’ to ‘excellent’ practice.     

Fathers' birth experience in relation to midwifery care

The aim was to identify the proportion of fathers having a positive experience of a normal birth and to explore factors related to midwifery care that were associated with a positive experience.

Background

Research has mainly focused on the father's supportive role during childbirth rather than his personal experiences of birth.

Methods

595 new fathers living in a northern part of Sweden, whose partner had a normal birth, were included in the study. Data was collected by questionnaires. Odds Ratios with 95% confidence interval and logistic regression analysis were used.

Results

The majority of fathers (82%) reported a positive birth experience. The strongest factors associated with a positive birth experience were midwife support (OR 4.0; 95 CI 2.0–8.1), the midwife's ongoing presence in the delivery room (OR 2.0; 1.1–3.9), and information about the progress of labour (OR 3.1; 1.6–5.8).

Conclusion

Most fathers had a positive birth experience. Midwifery support, the midwife's presence and sufficient information about the progress of labour are important aspects in a father's positive birth experience. The role of the midwife during birth is important to the father, and his individual needs should be considered in order to enhance a positive birth experience.     

Determinants of adults’ solo living in Canada: a longitudinal perspective

We examine the demographic, socio-economic and socio-cultural factors that underlie solo-living at mid-adult ages. Both individual and community level factors are analysed. The analysis is based on the longitudinal panel data of the Canadian Survey of Labour and Income Dynamics in 1996–2001, 1999–2004, 2002–2008 and 2005–2010, and census data at the Census District level for 1996, 2001 and 2006. A two-level discrete-time survival model is used within a 6 year observational window for each panel. The analysis starts with persons aged 35–59 who were living alone at the outset of a given panel and follows their departure from this status over the following 6 years. For both men and women, the older respondents, those who have been living solo for a longer time, those who are not in the labour force, and those living in apartments, are more likely to continue living alone. Women are more likely to keep their initial one person household status compared to men in general. In particular, women with medium education (non-university post-secondary certification) are more likely to continue living alone, while for men it is those unemployed who are more likely to remain in the solo-living status. Moreover, persons with lower health status are more likely to continue living by themselves, in comparison to those with excellent health status.

     

Producing mobility: visual narratives of the rural migrant worker in Chinese television

This paper employs literatures of mobility to explore the ways which rural migrant workers in China are represented publicly via television drama. Through an analysis of the popular serial Mingong, the paper examines the underlying politics of contemporary migration in China through three themes: the territorialisation of rural and urban spaces; the embodiment of boundaries via corporeal practices and subjectivities; and the politicisation of rural migrant desires. This analysis demonstrates the significance of television in crafting discursive understandings of mobility and migrants that are suffused with contemporary governmentalities of generating but also managing and excluding migration.     

Direct and indirect effects on infant mortality in a high-fertility US population

This article examines the direct and indirect effects of social and demographic measures on infant mortality using data from a church directory of the Old Order Amish of the Lancaster, PA, Settlement. The sample includes all infant deaths and a simple random sample of survivors (total n=2013). The results reveal that the death of the immediately prior sibling directly increases the risk of infant death nearly 30%, net of other factors. Also, the risk of mortality in the first year increases as birth order increases, particularly at the highest orders (8–17 prior sibs). Infants of the youngest mothers (age 13) are nearly 10% more likely to die in the first year of life than are infants of mothers age 24, nearly all of which is indirect via parity, prior sib death and birth interval. Further analysis shows that families adapting more rapidly to external community pressures face a higher risk of infant death than families living in more stable areas. These relationships emerge even in this homogeneous population with a relatively high standard of living and a traditional lifestyle, Implications are that indirect effects should be included in research on teen pregnancy and infant survival, and might be especially important for studies in transitional geographic areas.An earlier version of this paper was presented at the 1993 meetings of Population Association of America, Cincinnati.     

Flexible Queers,Serious Bodies: Transgender Inclusion in Queer Spaces

Queer spaces are significant for understanding transgender inclusion as “queer spaces were places where individuals were expected to be attentive to or aware of alternative possibilities for being, including non-normative formulations of bodies, genders, desires and practices” (Nash, 2011 Nash, C. J. 2011. Trans experiences in lesbian and queer space. Canadian Geographer/Le Géographe Canadien, 55: 192–207. [Crossref], [Web of Science ®] , [Google Scholar], p. 203). Indeed, in this interview study of members of a queer leather group called the Club, members described a flexible “sexual landscape” that easily includes transgender members. However, these same queer spaces have been criticized for the way they regulate queer bodies and organize queer subjectivities. In this study, queer members of the Club also contrasted playful queer flexibility with serious transgender bodies. This article argues that, although there is a reiterative relation between transgender inclusion and queer spaces, the idealization of flexibility within queer spaces can also serve to marginalize and regulate transgender bodies.     

Socio-spatial attributes of social problems: The case of crime and delinquency

This article examines three hypotheses: (1) Socio-spatial structures and processes, like segregation, succession, and specialization, help explain the emergence of social problems. (2) "Space" is embedded — implicitly or explicitly — in every sociological approach to crime or delinquency. (3) Its explicit consideration increases the explanatory power of these approaches. Different dimensions, aspects or qualities of space are distinguished in order to dispel the terminological confusion that often surrounds "space". Spatial distances or units may include costs, symbols, of power. The relevance of these aspects for different approaches or criminal sociology like anomie, disorganization, opportunity structure, and labelling are demonstrated, and the implications of these arguments for the development of sociological theories, as well as societal, political and planning practices are also considered. Most empirical examples are drawn from recent sociological research in West Germany. Such an approach to integrate urban and criminal sociology can be used to draw conclusions for urban planning as is shown in a final passage: Desegregation and functional diversification of spatial units are recommended as strategies which may diminish crime and delinquency.I would like to thank the American and German publishers and editors for the permission to publish this extended English translation. My special thanks goes to Dr. Ralph B. Taylor from The Johns Hopkins University, Center for Metropolitan Planning and Research for helpful discussions and assistance with the English version[1].