AIDS as a US National Security Threat: Media Effects and Geographical Imaginations

This paper is concerned with how Australian print news media journalists, male and female, remember, talk about, experience, acknowledge, condemn, and/or deny sexually harassing behaviour in the newsroom. A total of seventeen in-depth, semi-structured interviews were conducted with eight male and nine female journalists in late 2003 and early 2004. The interviewees ranged in age from 19 to 56 and differed in levels of industry experience. The interviews were not set up to specifically discuss sexually harassing behaviour in the newsroom; however it was a theme that arose in seven of the interviews about newsroom culture, my broader PhD project. The female interviewees make clear their encounters are constant reminders of how their bodies do not “fit” and/or where and how they do fit in this occupation. This is the case, even though some women do not use the term “sexual harassment” to describe the behaviour that clearly constitutes it under Australian government legislation. The two male journalists interviewed who mentioned harassment talk about it in defence of accepted office behaviour, or in passing about procedural business policy. The use of the term “sexual harassment,” or lack of its use, also tells us about the place of feminism and/or feminist inspired government legislation in journalism's occupational culture.     

“It Makes My Skin Crawl”: Women’s experience of breastfeeding aversion response (BAR)

ProblemSome women who intend to breastfeed experience a breastfeeding aversion response (BAR) while breastfeeding.BackgroundLittle is known about the experience of those who have feelings of aversion while breastfeeding.AimThis study aimed to investigate the experiences of women who have an aversion response to breastfeeding while their infant is latched at the breast. This is the first study that aims to understand this breastfeeding aversion response (BAR) as described by women who experience this phenomenon.MethodsInterpretative phenomenological analysis (IPA) was used to conduct and analyse ten semi-structured in-depth interviews with women who self-identified as experiencing BAR.FindingsFour overarching themes were identified: (1) Involuntary, strong sensations of aversion in response to the act of breastfeeding, (2) Internal conflict and effects on maternal identity, (3) The connection between BAR and relationships with others, and (4) Reflections on coping with BAR and building resilience.DiscussionSome women who intend to breastfeed can experience BAR, and this negative sensation conflicts with their desire to breastfeed. BAR can impact on maternal wellbeing. Those who experience BAR may benefit from person-centred support that directly addresses the challenges associated with BAR to achieve their personal breastfeeding goals.ConclusionThe experience of BAR is unexpected and difficult for mothers. If support is not available, BAR can have detrimental effects on maternal identity, mother–child bonds, and intimate family relationships.     

Norms and Behaviour in Burkinabe Fertility

In this paper a combination of methods is used to investigate the determinants of birth-interval length in a single city in Burkina Faso. First, a multi-round survey provided accurate measurement of dates of reproductive events. Secondly, open-ended interviews with a sub-sample of women from the survey were tape-recorded and transcribed. In order to disentangle the direct and indirect biological and behavioural determinants of birth-interval length, seven series of hazards models were estimated. These results were compared with women's perceptions of the same relationships revealed in the in-depth interviews. The lesson we draw is that no single data-collection strategy can provide answers to all questions of interest. The multi-round survey provides accurate information on actual behaviour, but at great cost. The in-depth interviews enable the investigator to study norms and motivations, but this method is impractical for data collection for a large representative sample. Combining the two strategies can yield insights that may enhance the effectiveness of programme interventions.     

Women's expectations and experiences with labour pain in medical and midwifery models of birth in the United States

BackgroundThis research focuses on how women understand and experience labour as related to two competing views of childbirth pain. The biomedical view is that labour pain is abnormal and anaesthesia/analgesia use is encouraged to relieve the pain. The midwifery view is that pain is a normal part of labour that should be worked with instead of against.AimsTo determine differences in the preparation for and experiences with labour pain by women choosing midwives versus obstetricians.MethodsPrenatal and postpartum in-depth semi-structured interviews were conducted with a convenience sample of 80 women in Florida (United States): 40 who had chosen an obstetrician and 40 who had chosen a licensed midwife as their birth practitioner.FindingsWomen in both groups were concerned with the pain of childbirth before and after their labour experiences. Women choosing midwives discussed preparing for pain through various non-pharmaceutical coping methods, while women choosing physicians discussed pharmaceutical and non-pharmaceutical pain relief.ConclusionsEqual numbers of women expressed concerns with childbirth pain during the prenatal interviews, while more women choosing doctors spoke about pain after their births. Women had negative experiences when their planned pain relief method, either natural or medical, did not occur. The quandary facing women when it comes to labour pain relief is not choosing what they desire, but rather preparing themselves for the possibility that they may have to accept alternatives to their original preferences.     

Barriers to women's disclosure of and treatment for substance use during pregnancy: A qualitative study

IntroductionThe use of alcohol and or illicit drugs during pregnancy is a complex public health issue. There are many adverse short- and long-term health implications of substance use during pregnancy that can potentially affect the mother-foetal dyad. Although prevention and treatment options — such as counselling, pharmacotherapy, rehabilitation, support and case management and withdrawal management — are available, a range of barriers impedes women's ability to disclose their substance use, which limits access and engagement with available services.ObjectiveThis research explored barriers women encountered in disclosing substance use and accessing substance use treatment in pregnancy.MethodsParticipants were recruited from a longitudinal cohort study of people with a history of injecting drug use from metropolitan Melbourne. One-on-one in-depth interviews with 15 participants were conducted using a semi-structured interview guide. To be included in this study, participants must have reported a history of substance use during one or more of their pregnancies.ResultsThe fear of losing child custody associated with the involvement of the child protection services was one of the main barriers to disclosing substance use during pregnancy and accessing treatment and rehabilitation services. Other barriers including stigma and perceived limited treatment options impacted women in various ways.ConclusionPregnancy is an important time for women and offers opportunities for service providers to support women who are using substances. While not all barriers can be removed, careful consideration of individual cases and circumstances may help service providers to tailor interventions that are likely to be more successful.     

“Nobody Don’t Really Know What That Mean”: Understandings of “Queer” among Urban LGBTQ Young People of Color

ABSTRACT

Drawing from in-depth, semi-structured interviews with 40 urban LGBTQ young people of color, I explore their uses, understandings, and meanings of “queer.” With several notable exceptions—those who at least occasionally self-identified as queer—most of the young people avoided using the term altogether. Although the majority expressed confusion about what “queer” meant, many understood it to be somehow related to sexuality or being gay, but considered it potentially insulting. I discuss the relevance of these findings for work in queer fields, where research participants may not explicitly identify as queer or make use of the word.     

Using Qualitative Methods with Poor Children in Urban Ethiopia: Opportunities &; Challenges

This paper discusses the advantages and challenges of using qualitative methods to elicit poor children’s perspectives about threats and positive influences on their wellbeing. It draws on research carried out by the author on the subjective experiences of poor children in Addis Ababa, the capital of Ethiopia in terms of their understandings of wellbeing, threats to their wellbeing, coping strategies, and positive or resilient outcomes. After a brief introduction reviewing previous approaches to child poverty in general and research on Ethiopian children in particular, the second section describes the research setting and the ethical approach to the study, which influenced how consent was obtained and the data analysed. The paper then describes the use of qualitative methods such as semi-structured interviews, draw-and-tell, and diaries, the kinds of data they produced and the methodological and ethical dilemmas and tensions encountered in using them. It concludes that despite the challenges qualitative methods are invaluable in order to understand what poor children see as threats and positive influences on their wellbeing.

Determinants of contraceptive switching behavior in rural Sri Lanka

This study examines the influence of a selected set of determinants of contraceptive method switching in rural Sri Lanka. Of interest is the question of how change in contraceptive practice at the individual level can account for patterns observed at the aggregate level. Based on calendar data on contraceptive use over a 3-year period, collected for more than 3,000 married women in a 1986 survey, the multivariate analysis shows that women who attain all or a significant proportion of their desired fertility tend to switch to more effective methods. Women who experience method failure tend to switch methods, usually to a type that is more effective. The woman's background determinants of age and education have small but significant effects on method switching, whereas the effect of household economic well-being is not significant. There is strong indication that rural couples are practicing contraception in a nonrandom fashion, switching methods in accordance with changes in their fertility motivations and contraceptive experience.     

Comparing sexual behavioral patterns between two bathhouses: implications for HIV prevention intervention policy

There is a glaring lack of data to inform culturally appropriate HIV prevention interventions targeting environments such as bathhouses where men who have sex with men (MSM) practice sexual risk behaviors. This study compares sexual behavioral patterns across two bathhouse sites in order to identify important themes to address when tailoring HIV prevention interventions to bathhouse environments. We analyzed semi-structured interviews with workers and patrons at two bathhouses to explore similarities and differences. A coding scheme was established and data were organized according to conceptual themes. We found that differences between the two sites emerged in six key areas: bathhouse clientele, attraction to particular sites, sexual practices and condom use, communication about sex and HIV status, bathhouse rules, and substance use. Implications for HIV prevention intervention policy are discussed.     

Women's access needs in maternity care in rural Tasmania,Australia: A mixed methods study

ObjectivesThis study investigates (i) maternity care access issues in rural Tasmania, (ii) rural women's challenges in accessing maternity services and (iii) rural women's access needs in maternity services.MethodsA mixed-method approach using a survey and semi-structured interviews was conducted. The survey explored women's views of rural maternity services from antenatal to postnatal care, while interviews reinforced the survey results and provided insights into the access issues and needs of women in maternity care.FindingsThe survey was completed by n = 210 women, with a response rate of 35%, with n = 22 follow-up interviews being conducted. The survey indicated the majority of rural women believed antenatal education and check-ups and postnatal check-ups should be provided locally. The majority of women surveyed also believed in the importance of having a maternity unit in the local hospital, which was further iterated and clarified within the interviews. Three main themes emerged from the interview data, namely (i) lack of access to maternity services, (ii) difficulties in accessing maternity services, and (iii) rural women's access needs.ConclusionThe study suggested that women's access needs are not fully met in some rural areas of Tasmania. Rural women face many challenges when accessing maternity services, including financial burden and risk of labouring en route. The study supports the claim that the closure of rural maternity units shifts cost and risk from the health care system to rural women and their families.     

新型农村养老保险参保决策影响因素研究

农民的现实情况及参保决策的影响因素是新型农村养老保险试点工作顺利推进的关键因素。以新型农村养老保险试点县彰武县2363个样本的问卷调查结果为基础,综合运用描述统计、交叉列联表卡方检验和二分类Logistic回归分析方法,从个体特征层面、政策信任层面、政策推广实施层面分析农民参加新型农村养老保险的影响因素。结果表明:"新农保"试点政策存在制度缺位。"新农保"试点政策吸引中低收入水平、中低学历程度、健康水平低、参保回报时间短的人群。政策了解程度、参保手续便捷、经办人员服务态度等因素对农民参保决策有正向影响。据此提出建立有效的个人账户参保激励机制、提升基层工作人员宣传服务意识、保证政策实施的可持续性、建立多种养老保障制度之间的联动机制来促进"新农保"政策的完善与发展。     

Perceptions of teen motherhood in Australian adolescent females: Life-line or lifederailment

PurposeThe findings presented in this paper describe the beliefs and attitudes of three different groups of adolescent females about teen motherhood. These were elicited from a larger analysis that explored and theorized contraceptive pathways in a sample of young Australian women.MethodsA purposive sample of females aged 14 to 19 years was recruited from three distinct populations in the city of Perth, Western Australia: (1) never-pregnant; (2) pregnant-terminated; and (3) pregnant-continued. Grounded theory principles were used to analyze data generated from 69 semi-structured interviews conducted over a 21 month period (2006–2008).ResultsTwo categories that described teenagers’ attitudes to pregnancy and motherhood were elicited from the analysis. These explained the level of priority that teenagers placed on using contraception and postponing the transition to parenthood. The category labeled ‘life derailment’ represented how those who had never had a pregnancy or had terminated a pregnancy constructed teen motherhood as potentially restricting their personal, career and social transition to adulthood. The alternative category, ‘life-line’, reflected how those who continued with their pregnancy perceived teen motherhood as a positive and transformative experience that fostered personal growth.ConclusionsThe findings from this study contribute further insight into the complex nature of adolescent contraceptive use and pregnancy risk. The analysis has strengthened evidence of the critical role of self-perceptions of pregnancy and childbearing on teenagers’ fertility outcomes. It has also emphasized the broader life circumstances that shape these attitudes, intentions and related behavior. Strategies directed toward academic support and vocational skill development may broaden teenage girls’ perceived future options and achievement capacity, thus influencing key reproductive health outcomes.     

Krise im Betrieb

Since 2008 European societies are confronted with fundamental economic, political and social crises. While southern European countries are especially struck by the ongoing economic crisis, economic data suggests a relative stability for Austria. But what remains from the crisis also in Austria are strong feelings of insecurity and uncertainty within the Austrian population. The concrete perceptions of the economic crisis were therefore analyzed with the aid of semi-structured, quantitative interviews with workers?? councils (n?=?99). The survey concentrated itself on questions such as what the crisis means for workers, whether there are connections between the perceptions of the crisis and feelings of insecurity and uncertainty and which societal consequences these feelings of insecurity and uncertainty could have.     

The impact of Multiple Mini Interviews on the attrition and academic outcomes of midwifery students

BackgroundAdmission to the Bachelor of Midwifery (BMid) in Australia has traditionally been based on academic ranking. The BMid is a high demand course offered to a limited number of students and therefore choosing applicants who complete the degree is important. Multiple Mini Interviews (MMIs) are used to assess non-cognitive skills and select students into healthcare degrees. One university in Australia has introduced MMIs as part of the application process for the BMid.AimCompare attrition rates and Grade Point Average (GPA) scores between students admitted into the BMid using both academic ranking and MMIs, to those admitted on academic ranking alone.MethodsA basic convergent mixed methods design, using an explanatory unidirectional framework to integrate data. Attrition rates, GPA, and multiple mini interview scores (2013–2019), were linked and compared for before and after the use of MMI’s. Focus groups with students, interviewers, and hospital-based educators, explored stakeholder experiences. Open-ended questions from an applicant survey were added to the qualitative data set, which was analysed thematically.FindingsStudents who enrolled via the MMI’s had significantly lower attrition rates than those enrolled before MMI’s were introduced. GPA scores were significantly higher for students who enrolled via the MMI’s. Integration of data found MMI’s identified students passionate to undertake midwifery, and that success at the interviews increased students’ confidence to successfully complete their studies.ConclusionMMI’s as part of the entry process into the BMid enabled identification of applicants more likely to remain in the course and succeed in their studies.     

Australian and New Zealand Indigenous mothers’ report respect for smoking bans in homes

BackgroundThere is limited data about the reasons behind residential rules to reduce environmental tobacco smoke (ETS) exposure or the establishment or enforcement of such rules in Indigenous populations.AimWe aimed to gain an understanding of smokefree rules around Australian and New Zealand (NZ) Indigenous infants.MethodThis was a qualitative study nested within a randomised controlled trial that aimed to test the efficacy of a family-centred tobacco control programme about environmental tobacco smoke (ETS) to improve the respiratory health of Indigenous infants in Australia and New Zealand. Qualitative semi-structured interviews were conducted with 26 Indigenous mothers of infants in Australia (n = 7) and NZ (n = 19). We asked about the presence of smokefree rules, who set the rules, how the rules were set and enforced, and presence of smokefree rules in participants’ wider social circle. Interviews were audiotaped, transcribed, and inductively analysed to identify key themes.FindingsSixty-nine percent of mothers had partners, 77% smoked and all reported some presence of smokefree rules for house and car. Three main themes were identified: strategies to minimise exposure to ETS, establishing smokefree rules in homes and cars, and, adherence and enforcement of smokefree rules. Several strategies were identified to limit children's exposure to ETS, including rules to limit exposure to third-hand smoke. Mothers extended their smokefree rules to apply to other people's houses or cars, and reported that their family and social circles also had smokefree rules. The main reason for having smokefree rules was for the health of their children. Rules were most commonly set by the mother, often jointly with their partner. Few mothers reported challenges or problems with other people adhering to the smokefree rules.ConclusionWomen tried very hard to, and believed that they were effective in, protecting their children from the harmful effects of ETS exposure. In this context, health professionals need to emphasise smoking cessation in parents, so that children are maximally protected from ETS exposure.     

独生子女不幸死亡家庭特征对完善计生工作的启示——以苏州市吴中区为例

利用苏州市吴中区独生子女不幸死亡家庭的问卷调查和深入访谈资料，在分析不幸死亡独生子女及其家庭特征的基础上，着重探讨这些家庭对优先优惠计生政策的需求，建议加强独生子女意外死亡事故防范意识，建立独生子女死亡家庭特别扶助金的长效保值机制，在依托并充分利用普惠型福祉制度的基础上实现对独生子女不幸死亡家庭的关爱，建立计生工作人员与独生子女不幸死亡家庭之间的关爱结对。加强对他们的精神慰藉。     

The lesbian corporate experience

By means of semi-structured interviews, this study investigates the work experience of 13 lesbians employed by large corporations. The respondents, who were already discredited for being women, had to manage the further potentially discrediting information of their lesbianism. The author examines the strategies used to manage such information. Because these strategies frequently included deception, the respondents then had to design a series of counter-strategies to avoid seeing themselves as dishonest. Each woman's strategy was unique; nevertheless, certain perceptions and approaches were common to all the respondents.     

Mobility,Perceptions of Quality of Life and Neighbourhood Stability in Saskatoon

Why people move, their well-being or self-assessed quality of life and the impact that this has on the stability of neighbourhoods are linked in many ways. One of the expected outcomes related to the attachment to and meaning of place is the level of intra-urban mobility by individuals and families. Those who have negative or neutral feelings towards the place they reside are expected to experience a greater level of intra-urban mobility. The objective of this paper is to examine the relationship between residential mobility and perceived well-being or self-assessed quality of life in Saskatoon, Saskatchewan across three clusters of neighbourhoods representing different socio-economic status (SES) (low, middle and high). The paper begins with a review of the literature on residential mobility and highlights concepts such as the life-cycle, social cohesion and social isolation. It employs data from three sources: a telephone survey collected from residents in 2001, a series of face-to-face interviews and 2001 Census data. The data are analysed statistically using a mixed model approach. The results show that mobility is an important feature of Saskatoon, and that a significant difference exists in the length of residency among the three neighbourhood clusters. However, the analysis indicates that there is no relationship between residential mobility and well-being as measured by self-reported quality of life and health.     

Estimation of mortality from orphanhood in adulthood

This paper extends earlier research into methods for estimating adult mortality from information on the recent incidence of orphanhood. It presents a series of regression coefficients for estimating female and male mortality from synthetic cohort data on the subsequent orphanhood of those who had a living mother or father at exact age 20. Such information can be obtained either where questions about parental survival have been asked in two inquiries or by asking retrospectively about dates of orphanhood in a single survey. Although the method is somewhat sensitive to errors in the reporting of ages and dates, it is a promising source of up-to-date estimates of adult mortality that are free from bias due to the underreporting of the orphanhood of young children ("the adoption effect").