Health-related quality of life in old age: preliminary report on the male perspective

Health-related quality of life is a key element of successful aging. With life expectancy increasing, postmenopausal estrogen/gestagen replacement therapy has been under discussion for some time with the aim of achieving a higher quality of life in old age. For a long time, the relevance of hormonal aging was only discussed with reference to women; however, more recent work deals with concepts that affect both sexes. According to recent studies, numerous symptoms and complaints which may impair quality of life, can be attributed to hormonal changes in old age in both women and men. The majority of age-related complaints, such as a decline in physical performance, decreased sexual activity and a deterioration of general well-being, are strongly reminiscent of the symptoms of classical pituitary disorders in adulthood. Since the early 1990s, scientific studies have also been investigating the influence of hormone 'replacement' in elderly men, using, for example, growth hormones. However, until now there has been no suitable measure for assessing the quality of life specifically in elderly men. In a research project aimed at developing a questionnaire (the VITA? questionnaire), roughly equal numbers of elderly men and women were asked about their subjective health and quality of life. It was found that men assessed their health-related quality of life very positively in a number of different dimensions of the questionnaire. In the present article the individual aspects of the quality of life of men are described and examples of gender-related differences are presented and discussed.     

Bringing Women's Voices into the Dialogue on Technology Policy and Globalization in Asia

This article documents an innovative research project 'Monitoring the Impact of Technological Changes in Women's Employment in the Asian Region'. Initiated in 1994 by the United Nations University Institute for New Technologies (UNU/INTECH), the project sought to democratise the dialogue around technological changes and globalization by bringing together NGOs active among women workers, academic researchers and policy makers. It was guided by the assumption that those affected by the impact of new technologies should play a major part in making and implementing policy. Women workers, for example, should be able to lay claim to the knowledge which circulates through international organizations, while national and international policy makers stand to gain by listening directly to groups such as these who frequently are excluded from the benefits of globalized technological changes. Twenty-eight trade union and non-governmental organizations (NGOs) worked alongside experienced researchers, covering eight countries and holding a series of both country-based and international workshops. The first research project to attempt direct inter-communication on such an extensive scale, 'Monitoring the Impact of Technological Changes in Women's Employment in the Asian Region' shifted the debate on gender and technology onto the terrain of the actual problems and possibilities currently faced by women workers rather than adopting positions for or against technology. The collaborative research process highlights several priority areas of policy dialogue which have been neglected and indicate ways of organizing which could secure better conditions of work. The evidence uncoveredandthe concerns expressedraise fundamental questions about whose interests and values are shaping the emerging techno-economic paradigm.     

The aging male in Malaysia

Interest in clinical investigations about the health-related quality of life (HRQoL) of aging men has increased in recent years. The aim of this paper is to inform the scientific community about a harmonized French Aging Males' Symptoms (AMS) Scale. There were two slightly different French AMS Scales, which both underwent an up-to-date linguistic and cultural translation process, i.e. were valid to be applied in research. However, it was felt to be unfortunate that two versions of one language in one country existed. Therefore, an ad hoc committee of both translation teams were asked to develop a harmonized single French AMS Scale. The harmonization meeting developed a consensus item-by-item and the new French reference scale was agreed upon. It was agreed that only this scale should be published to avoid confusion among future users. The French AMS Scale published in this paper should be used for future research and necessary cultural/linguistic adaptations in the French-speaking world.     

The aging male in the Old Testament

According to the first books of the Old Testament – namely the Pentateuch – the antediluvian and postdiluvian patriarchs lived for hundreds of years having sons and daughters until the end of their exceptionally long lives. These unbelievable statements can be explained only if the particular character of the biblical chronologies is considered. The continence of David and the behavior of Solomon and of some of the 'judges of the people' pose very interesting historical, cultural and gerontological problems.     

Prevalence of sarcopenia and its association with functional and nutritional status among male residents in a nursing home in Turkey

Introduction The Aging Male Symptoms' (AMS) scale was designed as a health-related quality of life (QoL) scale and standardized as a self-administered scale, first, to assess symptoms of aging (independent from those which are disease-related) between groups of males under different conditions, second, to evaluate the severity of symptoms/QoL over time, and, third, to measure changes pre- and post-androgen replacement therapy. The scale is in widespread use (17 languages currently available) and a recent review of methodological data documented good psychometric characteristics and ability as a clinical utility. This paper describes test characteristics of the AMS (positive and negative predictive values), taking two internationally established and published screening scales for androgen deficiency as the available standard.

Method A sample of 150 German males aged 40–69 years completed the AMS scale and two screening scales for androgen deficiency: the ADAM scale of Morley and colleagues and the screener of Smith and colleagues. The technique of a computer-assisted telephone interview was applied.

Result The comparison of the AMS with the two screening instruments for androgen deficiency showed sufficiently good compatibility despite conceptual differences. The AMS scale sufficiently predicted the results of the two screening instruments. A positive predictive value of 92% and a negative predictive value of 50% were found regarding the ADAM scale. The respective figures regarding Smith's screener were 65% and 49% for positive and negative predictive values, respectively.

Conclusion The AMS scale obviously measures a similar phenomenon as the two established and widely used screeners for androgen deficiency, although it was not developed as a screening instrument.     

Globalization and Social Movements: Comparing Women's Movements responses to NAFTA in Mexico,the USA and Canada

The article examines the responses of women's movements in Canada, the United States and Mexico to the North American Free Trade Agreement (NAFTA) from a comparative perspective. It argues that while some women's groups have raised important critiques of trade agreements from a feminist perspective, they have largely failed to make the gendered dimension of regionalization visible in public debate on NAFTA and have had virtually no impact on public policy. The nature of the women's movements in the three countries limited the possibilities of greater contestation of the form of economic liberalization at both the national and transnational levels. Drawing upon the literature on social movements, the article suggests that the ability of women's movements to respond to NAFTA was conditioned by: (1) the shifting universe of political discourse in each country - whether it permits the identification of macroeconomic policy as a gender issue - which is conditioned in part by the diverse forms of engagement with liberalism as a political philosophy in each country, and (2) the organizational structure of women's movements in each country, their relationships with their respective states, and their role within broader coalitions.     

Women's rights in Peru: insights from two organizations

In this article we explore the appropriation of ideas about women's rights in Lima, Peru through an ethnographic study of two non‐governmental organizations. SEA is a local NGO grounded in the Catholic Church's liberation theology movement, which seeks to promote integrated human development, and is linked to the worldwide Catholic Church. DEMUS, the second NGO, with feminist roots, actively fights gender discrimination and belongs to networks of international women's human rights movements and UN organizations. We argue that the struggle for women's rights is part of a broader struggle for recognition and equality for the poor, shaped by changing notions of national identity, citizenship and diversity. Our research revealed clear examples of vernacularization, whereby local context, values and culture played a decisive role in the adoption of women rights ideas. Encounters with other concepts and movements, including social justice, family violence and women's mobilization, intimately shaped the vernacularization of women's rights. Ultimately, the adoption of rights ideas involved changes in women's individual and collective empowerment.     

Translating women's human rights in a globalizing world: the spiral process in reducing gender injustice in Baroda,India

In this article we analyse the translation of global women's rights ideas in a local context, based on an ethnographic study of three women's organizations from Baroda, Gujarat state, India. On a macro‐level, the local social and cultural norms, the development context, and the nature and role of the state strongly shaped the translation process. Micro processes of translation depend on the organization's core activity, the actors who direct the translation and where they are culturally anchored. Translation involves meaning‐making, which consists of several simultaneous processes, including recuperation, hybridization, simplification and compartmentalization. The direction of the translation process is not linear, but resembles a spiral with ideas moving from global to local to global. Lastly, there are different types of translators, including converters, generators, conveyers, adaptors and transformers.     

Travelling theory in China: contextualization,compromise and combination

In this article we explore the dissemination of human rights ideas in China through an ethnographic study of three women's organizations: the government's ‘letters and complaints’ department, the governmental NGO affiliated with it, and a legal aid centre; all are located in Beijing. We argue that there are two paths in China for the transmission of international human rights ideas – a government one and a non‐government one. The government path, featured as contextual and compromising, is rooted in socialist and collective values, and the governmental organizations we studied function squarely within the domestic legal framework and the concept of ‘women's rights and interests’. The non‐governmental path, by contrast, characterized by vernacularization, namely a combination of international ideas with local practice to promote legal reform in China, is the result of economic development and interactions with the international community. Both paths interact within their different spheres to further the development of women's rights.     

The contested spatialities of transnational activism: gendered gatekeeping and gender struggles in an African association of informal workers

In this article I explore the geographies of emerging transnational networks of organized informal workers, with empirical reference to a local association based in Mozambique and a transnational network of which it is part. I uncover the gendered spatialities of this transnational activism to demonstrate how participation is unequal and heavily mediated rather than direct. In particular, I show how influential actors have engaged in practices of gendered gatekeeping that tend to keep women in place. I also explore the tensions that emerged because of these practices and the negotiation of divergent gender ideologies and strategies within the network. In the article, I relate to recent theoretical work that problematizes the unequal and contested geographies of transnational activism, and introduce insights from feminist scholarship to reflect on gender inequalities and gender visions in transnational networks.     

Vernacularization on the ground: local uses of global women's rights in Peru,China, India and the United States

The articles published in this special journal issue examine how global ideas about women's rights actually get used in four contexts – China, India, Peru and the United States. Our findings result from collaborative research conducted by teams in each country. We call the process of appropriation and local adoption of globally generated ideas and strategies vernacularization. In each country, vernacularization differed depending on the contents of the global women's rights packages at play, the work of vernacularizers and the different social positions they occupy, how human rights ideas are framed, the channels and technologies of transmission, and the local geographies of history and culture within which circulation and vernacularization take place. We find that vernacularization is a widespread practice that takes different forms in different kinds of organizations and in different cultural and historical contexts. Ongoing tensions between global and national rights ideas are quite common. Finally, our work brings to light two dilemmas in the way human rights are appropriated and used – a resonance dilemma and an advocacy dilemma – both arising from the disparity between human rights as law and human rights as a social movement.     

New Zealand's turbulent waters: the use of forced labour in the fishing industry

In this article, we make an empirical and conceptual contribution to the emerging debate on unfree labour in the context of labour chains and global value chains. We recast an historical view of poor labour practices aboard some foreign charter vessels fishing in New Zealand's waters as something more nefarious. Applying the International Labour Organization (ILO) and European Commission (EC) operational indicators of human trafficking for forced labour to 293 interviews, we evaluate the extent to which we can consider migrant fishing crew aboard South Korean vessels as victims of forced labour. We find that they are indeed victims of forced labour and that there is a need to extend the ILO/EC operational indicators to take into account exit strategies. Specifically, there is insufficient recognition of deception, exploitation and coercion at the point of exit, which can prevent a trafficked victim from exiting the employment relationship. Thus, it is crucial to take account of all stages, from recruitment to exit, to understand fully unfree labour in labour and global value chains.     

Continental transnational activism and women workers' networks within NAFTA

In this article, I present some experiences of transnational networking among women workers, women's groups, and feminist organizations at both the transcontinental and transborder level in the FTAA and NAFTA areas. These transnational efforts are analyzed as forms of resistance to the encroachments of global capital. The record of these networks is both encouraging and problematic. Encouraging because certain issues have received greater attention from both the state and multinational companies, and Mexican organizations have received strategic support to empower themselves and even, in some cases, develop a feminist workers' perspective. The record is also problematic as cooperation is not always free from conflict, or asymmetric relations, among the organizations. Asymmetries often reflect unequal access to power and financial resources. In spite of this, it seems undeniable that transnational networks among women's organizations are modeling new forms of resistance to the processes of global restructuring.     

Women's Human Rights Activists as Cross-Cultural Theorists

In addition to offering a basis for the criticism of universal human rights theorizing and practice, women's experience contributes to universal human rights theory building. Women's human rights activists' insights provide the foundation for a theory of universal human rights that is cross-cultural and critical. In sharing their work and strategies, two online working groups of women's human rights activists demonstrate that a theory of universal human rights must offer both (1) common ground on which the parallel efforts of human rights activists around the world can be acknowledged and (2) recognition that though sometimes networked and integrated with those parallel efforts, activism for social change is local, and uses locally appropriate ways to promote women's human rights. Using a theoretical method that treats non-theoretical texts as important sources for theoretical insights, the article introduces an activist-authored cross-cultural theory of human rights, its assumptions, and its theoretical framework. Finally, it draws implications from the activists' theory for human rights scholars.     

Protecting difference or promoting equality? US Government approaches to women's rights and the UN Commission on the Status of Women, 1945–50

Abstract

American propagandists and policy-makers throughout the Cold War era embraced the discourse of domesticity and the need to protect women as key markers of difference between the United States and the Soviet Union. However, with the establishment of the United Nations institutions, legislation and discourse on women's equality emerged, which prioritized equality over the protection of difference. This article will explore how the United States sought to negotiate between these two competing strands in women's status. It will focus on the relationship between the US government, particularly the State Department, and Dorothy Kenyon, the first US delegate to the Commission on the Status of Women at the United Nations. It will demonstrate that, whilst Kenyon became increasingly convinced of the need for the USA to embrace a more proactive position on international women's rights, the US government's position remained dismissive and superficial.     

Perception of changes in the cost of living

A survey of 122 Christchurch residents revealed systematic underestimation of the extent to which costs in New Zealand have risen during the period 1967–1983. The extent of the underestimation was largely unaffected by demographic and attitudinal variables measured and was not reflected in or related to estimates of the inflation rate. The results are consistent with previous experimental work showing systematic misperception of exponential growth.     

Introduction

Abstract

This article introduces the initial issue of the new Journal of Child Custody and lays the framework for an emerging field. To date there is no peer-reviewed journal dedicated specifically and only to issues related to child custody. Something has been missing in the field of child custody. The Journal of Child Custody provides the missing piece in the puzzle called child custody.     

Children's Voices: Conflict‐Affected Orphans in Residential Care in Jammu and Kashmir

This paper is based on a study of thirty‐one children who lost their parent(s) in the course of armed conflict in the state of Jammu and Kashmir in India, and were put in various orphanages across the state. The qualitative research method was employed in order to examine and understand and the nature of problems faced by these children. It explores ways in which these children seek to come to terms with the reality, and highlights the importance and relevance of incorporating their views in programmes meant for their rehabilitation and reintegration into the society.     

Representing children's views and best interests in court: an international comparison

This paper provides a comparison of a number of alternative models of international practice in relation to the appointment and organization of guardians ad litem and other children's representatives in child care and family proceedings. The paper notes that, in their attempts to address the need for children to have representation in matters affecting their welfare, English‐speaking countries have tended to conflate the two salient Articles of the United Nations Convention on the Rights of the Child, that is, Article 3, which deals with the child's best interests, and Article 12, which deals with their right to express their wishes and feelings. Where systems other than ‘stand alone’ legal representation have been put in place, the child's representative is charged with both assessing their best interests and, often as a secondary duty, communicating their views. The paper concludes that for some groups of children in public or private law proceedings, an advocate (rather than a best interest oriented guardian, and where necessary in addition to a legal representative) may enable better representation of the child in the courts and greater participation by children in legal proceedings, an increased role for children as citizens and a fuller implementation of their rights. Copyright © 2005 John Wiley & Sons, Ltd.