Disparity/Inequity,Knowledge Production and Public Policy

SUMMARY

This essay argues that the tools of social science and public health research rarely are used to challenge the contemporary arrangements of our social structure and, secondly, to underscore approaches for research that remain under-examined and unexplored.     

Sources,Providers and Self-Reported Complications among Indian Women Seeking Induced Abortion: Evidence from the National Family Health Survey (2015–16)

Abstract

This article attempts to find types of sources and providers, and likelihood of self-reported complication among Indian women. Fifty-three percent of abortions are done at private health facilities. Only one in every 5 women went to public health facilities, and the rest did not go anywhere (27.5%). Doctors are the major abortion service providers (52.3%) in India. Eighteen percent of women who sought abortion reported some complication. Logit regression shows that complications were 1.8 times higher in the second-trimester than the first-trimester abortion. This study suggests for addressing the demand of abortion by accessing and improving services in public health system.     

Ethnicity and Health Service Use in a Women's Prison

ABSTRACT

This paper highlights the findings in relation to health need, ethnicity, and health service use among a sample of women in prison. Medical records review for 129 women and interviews with 15 women were conducted to determine factors associated with differential service use. Statistical analyses reveal that ethnicity and an interaction between ethnicity and whether one is on medication at prison admission (a health need variable) significantly predict extent of service use. Women of color use fewer services overall, with the exception of those on medication. Qualitative analyses reveal that women of color view the quality of medical care and the ways they are treated less positively than White women. Implications for equitable service provision are explored.     

A Commentary on the Triadic Theory of Influence as a Guide for Adapting HIV Prevention Programs for New Contexts and Populations

Summary

The purpose of this paper is to illustrate how the Collaborative HIV Prevention and Adolescent Mental Health Project-South Africa (CHAMPSA) began and to present some of the results from this South African version of CHAMP. This paper informs readers of a number of lessons about international program translation. The first important lesson is that there are universal principles of health behavior change that seem to be useful across cultures. The implementation of these principles, however, needs to be informed by an in-depth understanding of local cultural contexts. The second important lesson is that it is possible to undertake large-scale, scientifically sophisticated community-based prevention research in developing countries through international collaborative research projects. It is the authors' hope that this mixture of science, service, and business will inspire other public health, community mental health, research, and business professionals to develop international prevention interventions that can be shown to be effective, and disseminated on a wide scale.     

Mentoring,Sexual Harassment,and Black Women Academics

ABSTRACT

The #MeToo Movement both within academia and popular culture has largely been seen as an issue for white women (and men). While the phrase Me Too was originally coined by Tarana Burke in 2006 to raise public awareness of sexual harassment, violence and assault experienced by women of color, the Movement has largely been whitewashed by primarily depicting victims and survivors as white women. Black women academics, like myself, also experience sexual harassment. By highlighting the ways that race-based sexual harassment further marginalizes already underrepresented groups in political science, I use my personal story to elucidate how a gender-only lens misses the complexities of Black women’s experiences with power inequities in academia. Throughout this narrative I underscore the importance of mentorship, professional networks, and the ability to harness scholarship as a vehicle to combat the pervasiveness of sexual harassment, violence, and assault for Black women in political science.     

Health Staff Responses to Domestic and Family Violence: The Case for Training to Build Confidence and Skills

ABSTRACT

Domestic and family violence (DFV) is a serious, worldwide public health concern and the literature suggests that women who have experienced violence identify health care providers as the professionals they would most trust with disclosure of abuse. Social work is well positioned to respond to women presenting in hospitals after experiencing DFV and in advocating for systems and policy initiatives to support health staff in becoming adequately trained and supported to detect and respond appropriately. This paper reports on research that surveyed health staff in two hospitals in Queensland, Australia, to identify what DFV training they had received, whether this training increased their knowledge, skills and confidence to address DFV and what services they would access to support women presenting with DFV. The results showed that the respondents were an experienced staff group who had worked in the health sector for 10–20 years but despite having access to State-based training, the majority of them had not completed any in-house training and only 12% had received face-to-face training, and when they did undertake training, it was usually only a two-hour session. Seventy-five per cent of respondents would refer to their hospital-based social worker and 40% would make referrals to other support services, primarily social work.

IMPLICATIONS

• Hospitals need to prioritise, commit to, and resource appropriate and regular training to better equip health staff to identify and respond to DFV.

• Training needs to build the knowledge and skills of staff members to address their confidence to intervene and offer support.

• Social work can provide an important role in advocating and developing training and procedures to sustain health staff members’ capacity to respond appropriately to DFV.

     

Chapter 9. Self-Care Practices and Hispanic Women with Diabetes

SUMMARY

Diabetes is a major public health problem in the United States, and a dangerous disease that can lead to serious long term complications. Left uncontrolled, diabetes can lead to blindness, heart failure, kidney failure, and low extremity amputations. This challenge is further magnified by the fact that Hispanics already constitute the largest minority group in the U.S., which suggests the potential of diabetes to reach epidemic proportions. This chapter explores the role of culture and self-care practices among Hispanic women with diabetes.     

Empowering Domestic Discretionary Spending in Federal Budget Deliberations

Abstract

Federal domestic discretionary spending (DDS) funds a large portion of human services in the American welfare state including mental health, child welfare, childcare, public health, job training, and education programs. Yet relatively little research has been conducted on this small but important part of the federal budget. This article examines a number of factors that have limited the size of DDS and that may imperil its existence in coming decades. The article suggests that policy theorists and researchers need to devote more attention to DDS and that policy advocates need to develop effective strategies for protecting DDS from unwarranted assaults in the budget-making process.     

Common and Specific Learnings for a Graduate of a School of Social Work

Abstract

Developing new scholarship on women is a recognized need in social work education. It can be furthered by applying a “gender lens” to the knowledge of the relationship between women and the welfare state. Reflecting historical concerns about providing public aid to the able-bodied male pauper and the impact of relief on the work ethic, social welfare literature has focused on male recipients while generalizing its findings to women. As a result, the story of the female pauper remains largely untold. This paper suggests that the relationship between women and the welfare state is shaped by a “family ethic” that in many ways parallels the work ethic known to shape the relationship between the welfare state and men. The family ethic is defined and applied to major income maintenance programs: public aid and social security. This article suggests foci for change.     

Disparities in Human Papillomavirus Vaccine Literacy and Vaccine Completion Among Asian American Pacific Islander Undergraduates: Implications for Cancer Health Equity

Abstract

Purpose: Low rates of human papillomavirus (HPV) vaccination among young Asian American and Pacific Islander (AAPI) women need to be addressed, particularly given the high incidence of cervical cancer in this population. The current study aims to investigate predictors of HPV vaccination in young AAPI and non-Latina white (NLW) women. Methods: A secondary data analysis was conducted of a health survey administered to college-aged women (N = 2,270) at a large public university in the Midwest. Andersen's behavioral model of health services utilization guided the study theoretically, and hierarchical logistic regression analysis was conducted to investigate research aim. Results: NLW women had a significantly higher rate of vaccine completion than AAPI women (NLW = 60.7%; AAPI = 38.6%). NLW women also scored higher on all 5 measures of HPV vaccine literacy than AAPI women. Both groups of undergraduate women reported that increasing age, knowledge about HPV, greater use of gynecological services, and knowing someone who had cancer were significant factors related to HPV vaccination completion. In the NLW group, father's income was also found to be a predictor of HPV vaccination completion. Conclusions: Rate and predictors of HPV vaccination completion vary between NLW and AAPI women. Greater promotion of HPV literacy and gynecological service use should be made to young AAPI women to increase their HPV uptake. Further research should examine sociocultural factors that could hinder or promote HPV vaccination in young AAPI women.     

'I've Seen Changes'

Abstract

This article examines the political efficacy and effectiveness of American Indian and Hispanic women leaders in New Mexico. Using qualitative data from personal interviews with 50 grassroots activists and public officials involved in state, local, and/or tribal politics, I address the following research questions: Do American Indian and Hispanic grassroots activists and public officials perceive themselves as politically efficacious? How do their perceptions of efficacy differ? How effective are these activists and officials at influencing public policy and politics in New Mexico? The findings indicate that there are greater similarities among grassroots activists and public officials, as well as among Native and Hispanic women leaders, than might be expected from readings of classic political science literature. More importantly, while the majority of the leaders feel personally efficacious, there is substantial evidence of their impact both at the organizational level and in the larger political arena of state, local, and tribal politics.     

Building theory in public relations: Interorganizational relationships as a public relations paradigm

ABSTRACT

This article suggests that agreement on a paradigm focus for public relations scholarship would greatly enhance the probability of productive theory development. The author argues, influenced by Thomas Kuhn, that until those who call themselves public relations scholars come to agreement on the focus of public relations research and theory development, there may be much activity we call research in public relations, but there will not be much theory development.     

Understanding Men's Health and Illness: A Gender-relations Approach to Policy,Research, and Practice

Abstract

Men's health has emerged as an important public concern that may require new kinds of healthcare interventions and increased resources. Considerable uncertainty and confusion surround prevailing understandings of men's health, particularly those generated by media debate and public policy, and health research has often operated on oversimplified assumptions about men and masculinity. A more useful way of understanding men's health is to adopt a gender-relations approach. This means examining health concerns in the context of men's and women's interactions with each other, and their positions in the larger, multidimensional structure of gender relations. Such an approach raises the issue of differences among men, which is a key issue in recent research on masculinity and an important health issue. The gender-relations approach offers new ways of addressing practical issues of healthcare for men in college environments.     

Single Mothers and Family Values

SUMMARY

In recent years the federal government has made marriage promotion a central part of its welfare reform initiatives. These promotion efforts are based on the assumption that poor women, particularly women of color, have family attitudes that differ from those of other women. This article tests that assumption using the Fragile Families and Child Wellbeing Study, a nationally representative sample of births to single mothers in urban areas. Results show significant differences in family attitudes between married and unmarried White women, but few differences for women of color. In fact, unmarried women of color tend to be more traditional than White women. In addition, welfare recipients are similar to non-recipients in gender traditionalism and attitudes towards marriage, and low-income women often express the most support for traditional gender roles. Implications for marriage promotion policies are discussed.     

Practitioner Research Capacity: A Survey of Social Workers in Northern Queensland

Abstract

Strategies to build practitioner research capacity need to be developed in order to increase the research base for social work. To be effective, strategies need to be informed by an understanding of the organisational context and the social work workforce. This paper reports the results of a cross-sectional survey of social workers conducted as part of a larger study of health practitioners in a public sector health organisation in northern Queensland. The survey demonstrates a high level of interest in research. Research methods congruent with social work's person in environment focus were favoured by participants. However, consistent with the literature, lack of confidence, limited knowledge and skills, and practical constraints impeded research activity. This study contributes to research capacity building initiatives by identifying research strengths and areas of research activity where support is required. Approaches to evidence-based practice consistent with social work and strategies for research capacity building are discussed.     

Citizenship on the Margins: A Critique of Scholarship on Marginalized Women and Community Activism

This critical review essay addresses the underappreciation of citizenship inequalities in scholarship on marginalized women’s community activism in the United States. Although both students of citizenship and women’s grassroots resistance argue that neither citizenship nor lived experience is an individual‐level phenomenon or a public issue divorced from private troubles and that politics need not be formal and male, the two literatures do not break bread with each other. I contend that this lack of cross‐pollination owes to our fixation on the hallowed trifecta of race, class, gender intersectionality, but one that has elided the fact that the three have always constituted, and been constituted by, citizenship. Despite the fact that in recent decades immigrant women of color have taken the helm of community campaigns – such as in social reproduction (e.g. schools, churches, health), Environmental Justice, and immigration reform – few scholars mention citizenship and thus few analyze citizenship racism and its ties to other axes of inequality. I critique the existing scholarship by drawing on the contributions of the few works that analyze and intersect citizenship within women’s community resistance struggles. I then point to future research directions to underscore their importance in an age of more exclusionary and draconian citizenship paradigms.     

Health Information-Seeking in the Digital Age

Abstract

Objective: The authors examined the sources of health information among first-year university students and whether the predictors of information-seeking varied by information source. Participants: First-year students in a required course at a midwestern public university were eligible to participate, and 82% (n = 1,060) completed the study. Methods: Students completed a survey questionnaire regarding information-seeking behaviors and Internet uses in domains including health. The authors used regression analyses to examine predictors of source-specific health information-seeking. Results: Young women are much more likely than young men to seek health information. The characteristics associated with looking online for health information are different than those for using other information sources, and students who look online for health information also report greater use of other information sources. Conclusions: Although the Internet is an important source of health information for students, health professionals should be aware that not all students equally utilize this resource.     

The Prison Lesbian Revisited

Abstract

One aspect of women's imprisonment that has received consistent scholarly and public interest is homosexuality. These experiences are generally seen as a subcultural adaptation to the stresses and deprivations of the environment, that is, as situational, and little attention has been given to the implications they might have for the sexual identity of the women involved or to the possibility that some women may continue involvement in same-sex relationships after prison. In-depth interviews with 40 incarcerated women were conducted to explore their experiences with same-sex relationships in prison. Some condemned same-sex relationships but others became involved in them for companionship and other reasons. While some women saw their involvements as limited to prison, others were questioning their sexual identity and thought they might continue the same or other same-sex relationships on the outside.     

Self-Care—New Challenge to Individual Health

Abstract

We are beginning to recognize that further improvements in health care are best achieved through the development of the lay resource in health in contrast to the professional resource. Recent research has shown that the vast proportion of health care still remains in the hands of lay people, and that efforts aimed at improving this resource can have a powerful effect on health and the health care industry. It is important now that health professionals recognize a new public interest in demystifying medicine and deprofessionalizing health care.

With this increased recognition we can begin the road back to establishing a health competent society, less dependent on unnecessary professional intrusion. We can also look forward to a broader-based perspective on health and health care, which may very well involve new concepts of health that are at variance with present professional views and practices. We can also expect to achieve a new level of equity in responsibility for the production of health care as well as its consumption.     

Pills in the Public's Mind

Abstract

We investigate the sources of public attitudes toward RU 486 to determine whether the drug will change public attitudes toward abortion. Not surprisingly, public attitudes toward RU 486 are influenced by the same factors that influence abortion opinion more generally. Two other considerations seem to influence opinion toward RU 486. First, the fact that the drug is administered early in pregnancy increases support, for many Americans take an emergent view of fetal rights and oppose abortions in the last several months of pregnancy. Second, opposition to the drug is highest among those who insist on consultation about the abortion decision, suggesting that at least some Americans fear that the drug will allow women to make hasty decisions about abortion without consulting family and friends. This latter finding suggests that pro-choice advocates should emphasize that RU 486 is prescribed after consultation with a doctor