Expression and ambivalence over expression of negative emotion: cross-sectional associations with psychosocial factors and health-related quality of life in postmenopausal women

Inhibition of emotional expression has been associated with the incidence and progression of breast cancer and other chronic illnesses. The important health-related factor, however, may be ambivalence about the expression of emotions rather than repression itself. This cross-sectional analysis of baseline data from 159,557 participants in the Women's Health Initiative examined the influence of expression of negative emotion and ambivalence about expression of emotion on psychosocial factors and health-related quality of life measured by the Medical Outcomes Study Short-form 36 (SF-36). Overall, observed correlations were modest but in the expected direction; that is, greater ambivalence about negative emotional expression was associated with worse general health and poorer psychosocial risk profile. Ambivalence about expressing negative emotion was more highly correlated with psychosocial factors and health-related quality of life than emotional expression. In general, our analysis supports prior studies suggesting that ambivalence may be more important to consider in studies of health-related outcomes than expression.     

Apprehensive about retirement: Women,life transitions,and relationships

Understanding women’s attitudes toward retirement is crucial for being able to help women adjust to this transition. The present study uses interviews and questionnaires to understand retirement ambivalence and the role that close relationships play in women’s retirement experiences. Findings indicate that women have mixed feelings about retirement; they are both excited and fearful. They particularly enjoy the freedom and control this transition brings but are also moderately fearful of retirement, especially about shifting relationships. A better-quality relationship correlates with greater satisfaction and less fear. Such insights can be used to help women prepare for this major transition.     

Before and After “I Do”: Marriage Processes for Mid-Life Gay and Lesbian Married Couples

ABSTRACT

This qualitative study examines how mid-life gay and lesbian married individuals articulate their decision to marry. Using 2013 data from 30 mid-life couples in Massachusetts, this study challenges previous literature that conceptualized marriage as entirely positive or negative for same-sex individuals. Mid-life individuals’ unique social and historical context influence their experiences of marriage, as mid-life individuals have witnessed the rise and feasibility of marriage equality, have formed relationships outside of the bounds of marriage, and have been in committed relationships long before they married. Using the framework of ambivalence, our findings provide three main contributions to the literature. First, we show that marital ambivalence is a common experience in our sample. Second, we detail how marital ambivalence is indicative of the age, life-course stage, and length of relationship for mid-life lesbian and gay individuals. Third, we explore ambivalence at the level of the relationship, not just as an individual experience. This study provides new insight into how sexuality shapes both intimate relationship dynamics as well as the effect of same-sex marriage on LGBT communities and identities.     

Knowledge and correlates of osteoporosis: a comparison of Israeli-Jewish and Israeli-Arab women

The present study examined levels and correlates of knowledge about osteoporosis among 176 Israeli-Jewish (mean age = 55) and 80 Israeli-Arab (mean age = 51) women. Levels of knowledge about the disease were low among all women, especially regarding some of the risk factors. Knowledge and awareness about the disease were especially deficient among Arab women. Younger age and lower education were the main vulnerability factors among Jewish women, and lower desire to seek information from the medical establishment, higher religiosity, and the lack of extended medical insurance among Arab women. Educational programs, geared to the needs and capabilities of the different ethnic populations, should be encouraged.     

Knowledge and Correlates of Osteoporosis: A Comparison of Israeli-Jewish and Israeli-Arab Women

ABSTRACT

The present study examined levels and correlates of knowledge about osteoporosis among 176 Israeli-Jewish (mean age = 55) and 80 Israeli-Arab (mean age = 51) women. Levels of knowledge about the disease were low among all women, especially regarding some of the risk factors. Knowledge and awareness about the disease were especially deficient among Arab women. Younger age and lower education were the main vulnerability factors among Jewish women, and lower desire to seek information from the medical establishment, higher religiosity, and the lack of extended medical insurance among Arab women. Educational programs, geared to the needs and capabilities of the different ethnic populations, should be encouraged.     

Unclaimed treasures:older women's reflections on lifelong singlehood

Ever-single, older women are a diverse group, whose experiences of singlehood have received little attention from researchers. In this qualitative study, eight women between the ages of 65 and 77 living in a mid-sized Southwestern Ontario city were interviewed about being ever single, including their perspectives of the benefits and drawbacks of this status at their current age. Data were collected in semi-structured interviews, and the constant comparative method was used for data analysis. Emergent themes illustrated how the women's stories of singlehood were affected by the sociopolitical contexts of their youth. Upon reflection, the women articulated the benefits of lifelong singlehood, strongly emphasizing their independence and "ability to be alone," which was viewed as very important as they aged. The drawbacks of singlehood focused on loneliness and the absence of a social support network, which took on particular importance as the women experienced increasing age and frailty. Overall, the participants expressed satisfaction with their marital status and defied common stereotypes about older, single women. Implications of these findings relate to the social structure of marital status and its impact upon the lives of women who remain single.     

代际支持对老年人主观幸福感的影响--基于年龄组的差异性分析

本文从年龄组差异的角度分析了代际支持对老年人心理健康的影响。研究发现,在控制了客观健康状况等变量后,老年人的心理健康水平并非随着年龄增长呈现出下降趋势。其次,接受代际支持和给予代际支持都对老年人心理健康有着显著的促进作用。第三,对于不同年龄组来说,代际支持对老年人心理健康产生的效果既有共同点也存在着差异。相似之处在于充足的经济支持对65－74岁、75－84岁和85岁及以上这三个年龄组老人的心理健康都是有利的。然而,更突出的是这三个年龄组之间的相异点：对于65－74岁这一组别而言,老人与子女之间的经济交换最为频繁。这种经济上的互惠提升了老人的积极情绪、抑制了消极情绪的产生。就75－84岁的老年人来说,子女在日常照料的作用表现的十分显著。和子女共同居住、在生病时由子女照料的老人表现出更少的消极情绪。至于85岁以上的高龄老人,得到充足的情感支持对于提升主观幸福感的作用更为显著;最先和子女分享想法的老人有着更高的心理健康水平。因此就现实状况来看,当父母逐渐衰老,作为子女,应当更加关注对父母的日常照护和情感关怀。尤其是对于这些高龄老人,他们对子女的情感态度更为敏感;子女提供的充足的情感支持对其心理健康有着十分显著的促进作用。     

Unclaimed Treasures: Older Women's Reflections on Lifelong Singlehood

ABSTRACT

Ever-single, older women are a diverse group, whose experiences of singlehood have received little attention from researchers. In this qualitative study, eight women between the ages of 65 and 77 living in a mid-sized Southwestern Ontario city were interviewed about being ever single, including their perspectives of the benefits and drawbacks of this status at their current age. Data were collected in semi-structured interviews, and the constant comparative method was used for data analysis. Emergent themes illustrated how the women's stories of singlehood were affected by the sociopolitical contexts of their youth. Upon reflection, the women articulated the benefits of lifelong singlehood, strongly emphasizing their independence and “ability to be alone,” which was viewed as very important as they aged. The drawbacks of singlehood focused on loneliness and the absence of a social support network, which took on particular importance as the women experienced increasing age and frailty. Overall, the participants expressed satisfaction with their marital status and defied common stereotypes about older, single women. Implications of these findings relate to the social structure of marital status and its impact upon the lives of women who remain single.     

The experience of giving birth with epidural analgesia

Problem and backgroundThere is a lack of literature about what constitutes good midwifery care for women who have epidural analgesia during labour. It is known that an increasing number of women receive epidural analgesia for labour pain. We also know that while women rate the painkilling effect of the epidural analgesia as high, in general, their satisfaction with labour is unchanged or even lower when epidural analgesia is used.QuestionHow do women experience being in labour with epidural analgesia, and what kind of midwifery care do they, consequently, need?MethodsA field study and semi-structured interviews were conducted on a phenomenological basis. Nine nulliparous women were observed from initiation of epidural analgesia until birth of their baby. They were interviewed the day after the birth and again 2 months later. The involved midwives were interviewed 2–3 h after the birth.FindingsInitiation of epidural analgesia can have considerable implications for women's experience of labour. Two different types of emotional reactions towards epidural analgesia are distinguished, one of which is particularly marked by a subtle sense of worry and ambivalence.Another important finding refers to the labouring woman's relationship with the midwife, which represents an essential influencing factor on the woman’ experience of labour. Within this relationship, some rather unnoticed matters of communication and recognition appear to be of decisive significance.ConclusionAfter initiation of epidural analgesia the requirements of midwifery care seem to go beyond how women verbalise and define their own needs. The midwife should be attentive to the labouring woman's type of emotional reaction to epidural analgesia and her possible intricate worries.     

Self reported fear of childbirth and its association with women's birth experience and mode of delivery: A longitudinal population-based study

ObjectiveTo explore fear of childbirth (FOC) during pregnancy and one year after birth and its association to birth experience and mode of delivery.DesignA longitudinal population-based study.PopulationPregnant women who were listed for a routine ultrasound at three hospitals in the middle-north part of Sweden.MethodDifferences between women who reported FOC and who did not were calculated using risk ratios with a 95% confidence interval. In order to explain which factors were most strongly associated to suffer from FOC during pregnancy and one year after childbirth, multivariate logistic regression analyses were used.ResultsFOC during pregnancy in multiparous women was associated with a previous negative birth experience (RR 5.1, CI 2.5–10.4) and a previous emergency caesarean section (RR 2.5, CI 1.2–5.4). Associated factors for FOC one year after childbirth were: a negative birth experience (RR 10.3, CI 5.1–20.7), fear of childbirth during pregnancy (RR 7.1, CI 4.4–11.7), emergency caesarean section (RR 2.4, CI 1.2–4.5) and primiparity (RR 1.9, CI 1.2–3.1).ConclusionFOC was associated with negative birth experiences. Women still perceived the birth experience as negative a year after the event. Women's perception of the overall birth experience as negative seems to be more important for explaining subsequent FOC than mode of delivery. Maternity care should focus on women's experiences of childbirth. Staff at antenatal clinics should ask multiparous women about their previous experience of childbirth. So that FOC is minimized, research on factors that create a positive birth experience for women is required.     

Factors associated with advance care planning among older women in Southwest Florida

As the nation's population continues to age, many older women will face care needs that can be anticipated in advance. However, little is known about the advance care plans of older women and the characteristics of those who plan. This study utilized a stratified random sampling design to survey older women (n = 124) in the state of Florida regarding their attitudes toward future care and planning behavior in social-environmental, health, and financial domains. Regression analyses were conducted to determine factors most predictive of attitudes toward future care and planning behavior by domain. Results suggest that advanced age predicts greater planning behavior, while living alone is associated with less advance care planning behavior. Other factors associated with less planning by domains of care needs include income status, chronic health conditions, educational attainment, and religious status. Nonaccepting attitudes toward planning were associated with a decreased likelihood to have advance care planning documents.     

Changes in childlessness in the United States: A demographic path analysis

Summary This paper describes changes in the incidence of marital childlessness among United States women since 1940 and tests a model to explain recent observed trends toward increasing childlessness. Based on U.S. Bureau of the Census sources, data are presented that indicate a substantial increase in childlessness for married women under 30 years of age since 1960. A path model is developed based on previous research on childlessness, in an attempt to explain this change. The model is composed of 1960-70 changes in (1) mean age at first marriage, (2) mean educational attainment, (3) the proportion of women in the labour force, (4) the proportion of women enrolled as students, (5) the incidence of marital disruption, and (6) the proportion of women living in urban environments. Using quarter-year age cohort data derived from the 1960 and 1970 1/100 Public Use Samples the results indicate that a substantial part of the increase in childlessness csn be explained by this model. Particularly important were increased enrolment of married women in education, labour force participation, and mean age of first marriage. The results suggest the relevance of structural changes along with birth expectation attitudes in predicting trends in childlessness in the United States.     

Socio-demographic Correlates of Subjective Well-being in Urban India

This study aimed to explore subjective well-being (SWB) in an urban Indian sample. Adults (n = 1099) belonging to two wards in the city of Bangalore in South India, responded to a study-specific questionnaire. This paper is based on data generated as part of an ongoing larger study looking at correlates of SWB. Almost equal number of men and women responded to the study and their age ranged from 20 to 81 years (mean age 37 years). Majority of them were married, Hindus, from middle socio-economic status, had studied above pre-university level and more than half were earning. The mean scores on positive affect (40.9), negative affect (27.6) and life satisfaction (24) suggested above average levels of SWB. Higher age, being married, having higher education, higher income and working in a full time job seemed to improve life satisfaction and decrease negative affect. Religion was also significantly associated with negative affect. Step-wise regression analysis suggested that only education and income were important predictors of positive affect, while negative affect was better predicted by age, income, work status and religion. Life satisfaction was predicted by income, age and education. The important correlates of SWB for men and women were somewhat different. Overall, sociodemographic variables have minimal effect on SWB in urban India and research needs to explore other predictors of SWB.     

Sex differences in morbidity and mortality

Women have worse self-rated health and more hospitalization episodes than men from early adolescence to late middle age, but are less likely to die at each age. We use 14 years of data from the U.S. National Health Interview Survey to examine this paradox. Our results indicate that the difference in self-assessed health between women and men can be entirely explained by differences in the distribution of the chronic conditions they face. This is not true, however, for hospital episodes and mortality. Men with several smoking-related conditions--including cardiovascular disease and certain lung disorders--are more likely to experience hospital episodes and to die than women who suffer from the same chronic conditions, implying that men may experience more-severe forms of these conditions. While some of the difference in mortality can be explained by differences in the distribution of chronic conditions, an equally large share can be attributed to the larger adverse effects of these conditions on male mortality. The greater effects of smoking-related conditions on men's health may be due to their higher rates of smoking throughout their lives.     

Gendered egos: attitude functions and gender as predictors of homonegativity

This study used a correlational design with a sample of university students to clarify the relationships between attitude functions and homonegativity with respect to gender. Classic work on attitude functions posits that attitudes serve psychological needs for the attitude holder. Herek (1986b) adapted this theory to explain attitudes toward homosexuality. Herek (1987) identified four functions: ego-defensive (defense of threats to the self), value-expressive (expression of key values), social-expressive (expression of important social norms), and experiential (based on past experiences). Results suggested that men were more likely to attribute their attitudes to the ego-defensive function. Men and women were equally likely to attribute their attitudes to the experiential function. The ego-defensive function was the best predictor of homonegativity for men and women, whether they held generally positive or generally negative attitudes toward homosexuality. The experiential function did not predict homonegativity. Participants tended to be neither very homonegative nor very ego-defensive.     

Gendered Egos: Attitude Functions and Gender as Predictors of Homonegativity

This study used a correlational design with a sample of university students to clarify the relationships between attitude functions and homonegativity with respect to gender. Classic work on attitude functions posits that attitudes serve psychological needs for the attitude holder. Herek (1986b) adapted this theory to explain attitudes toward homosexuality. Herek (1987) identified four functions: ego-defensive (defense of threats to the self), value-expressive (expression of key values), social-expressive (expression of important social norms), and experiential (based on past experiences). Results suggested that men were more likely to attribute their attitudes to the ego-defensive function. Men and women were equally likely to attribute their attitudes to the experiential function. The ego-defensive function was the best predictor of homonegativity for men and women, whether they held generally positive or generally negative attitudes toward homosexuality. The experiential function did not predict homonegativity. Participants tended to be neither very homonegative nor very ego-defensive.     

Factors Associated with Advance Care Planning Among Older Women in Southwest Florida

ABSTRACT

As the nation's population continues to age, many older women will face care needs that can be anticipated in advance. However, little is known about the advance care plans of older women and the characteristics of those who plan. This study utilized a stratified random sampling design to survey older women (n = 124) in the state of Florida regarding their attitudes toward future care and planning behavior in social-environmental, health, and financial domains. Regression analyses were conducted to determine factors most predictive of attitudes toward future care and planning behavior by domain. Results suggest that advanced age predicts greater planning behavior, while living alone is associated with less advance care planning behavior. Other factors associated with less planning by domains of care needs include income status, chronic health conditions, educational attainment, and religious status. Nonaccepting attitudes toward planning were associated with a decreased likelihood to have advance care planning documents.     

Forming relationships in Australia: Qualitative insights into a process important to human wellbeing

Drawing on in-depth interviews conducted during 2002–03 for the Australian Family Formation Decisions (AFFD) Project, this paper probes the relationship formation experiences of 115 women, men and couples of family-forming age living in eastern Australia. Contemporary relationship formation is characterized by a mixture of ambivalence and resignation to having limited control over the process on the one hand (if it happens it happens), and urgency on the other, especially among women seeking to fulfil maternal ambitions in their thirties after prioritizing other things earlier in their adult lives. For most the process of partnering involves trial and error, with timing — finding someone whose expectations of a relationship match one's own — posing a major challenge. It gives rise to a common phenomenon, the ‘too soon syndrome’, where relationships with many positive attributes are abandoned because one party perceives the other as too keen to ‘settle down’, and/or himself or herself as not ready to do so. The paper also examines impediments to partnering, including traditional ones like shyness; negative trial-and-error experiences; the demands of study and career establishment; pursuit of agendas emphasizing travel and enjoyment; sole parenthood; and parental marriage breakdown. A framework is provided by Beck's (1992) concept of reflexive modernization, and his associated proposition that life has become highly individualized with an emphasis on creating do-it-yourself biographies.     

Abortion in amsterdam

Abstract Mortality from abortion is low in the Netherlands to-day, and approximately equal to mortality at delivery. Calculations suggest that about 4,000 abortions occur in Amsterdam every year, of which about 2,100 are induced. The abortion rate shows a very gradual decline after the Second World War. An investigation of the social background of women with induced abortion showed no relationship between occupational group and the incidence of abortion, but a strong negative correlation between religion and abortion. Abortion was more common among women with disturbed relationships in their own or parental families. Induced abortion usually occurred in pregnancies resulting from failure of contraception; these failures were caused not by lack of knowledge of good contraceptives, but by ineffective practice of contraception. The inability to use contraceptive methods in an effective way is related to a lack of communication between the two partners, and to a negative attitude of the women towards sex. An attempt has been made to formulate a theory of the causes of induced abortion among the women interviewed in Amsterdam.