Health Beliefs of College Students Born in the United States,China, and India

Abstract

The authors surveyed 243 urban public university students who were born in the United States, China, and India to compare the health beliefs of the China-born, India-born, and US-born students. Although the China- and India-born students shared beliefs in many preventive and therapeutic practices of Western medicine with the US-born students, they retained some of their traditional health beliefs. This suggests that student health service clinicians should assess students' cultural beliefs and individualize healthcare for students from different countries     

Trends in the occupations of eminent black entrepreneurs in the United States

This study analyzes the occupations of black Americans who have been nationally recognized for their business achievements. Data from renowned encyclopedic sources of biographical information show that occupational niches that arose because of racial segregation and limited opportunities for blacks to participate in the economic mainstream, such as personal services and undertaking, are no longer important routes into the “black business elite.” Yet, these data also suggest that, during the 20th century, entertainment, beauty products, and advertising became major pathways into this elite because of an opportunity structure that promoted blacks’ participation in these occupational niches yet restricted it in others, notably, in construction and manufacturing.     

Breast cancer coverage in China and the United States: a comparative analysis of wire service news stories

The incidence rate of breast cancer is relatively high but declining in the United States whereas it is relatively low but increasing in China. This study analyzes coverage from the Associated Press (AP) and the Xinhua News Agency (Xinhua) to compare how news media in each nation have covered breast cancer. The results indicate that the AP was more likely to cover treatment and personal stories whereas Xinhua was more likely to cover risk reduction and prevention and to cover early detection and diagnosis. Subtler differences also emerged in coverage of breast cancer. The patterns observed may reflect not only differences between the two nations in incidence rates and efforts to address the disease but also broader differences in their news and medical values, practices, and institutions. News coverage of breast cancer, in turn, may influence how citizens of each nation will form perceptions regarding the disease.     

Exploring the utilization of end-of-life documentation among an online sample of sexual- and gender-minority individuals in the United States

ABSTRACT

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) persons often receive end-of-life care incongruent with wishes. Evidence with heterosexual samples supports associations among end-of-life documentation (do not resuscitate [DNR] orders, durable power of attorney for health care orders [DPOAH], living wills [LW]), and care consistent with wishes. However, little is known about the knowledge, attitudes, and willingness regarding utilization of these documents among LGBTQ persons. Of 107 participants, most had heard of each document (95% DNR, 91% DPOAH, 97% LW), but had not procured them (26% DNR, 50% DPOAH, 51% LW). Answers above 4 on a 5-point Likert scale indicated willingness to pursue these documents and belief documents would be enforced. However, approximately one-third of respondents believed documents would be enforced more for heterosexual persons than themselves. This result indicates sexuality or gender minority-related stigma may be a barrier to document utilization. Future research, policies, and guidelines should address these concerns.     

Changing the narrative: the role of frontline worker attitudes and beliefs in shaping dementia-friendly services in England

Applying the main principles of the social model of disability as a guide, this article argues that the attitudes and beliefs of staff and volunteers employed in frontline service delivery can play an important role in the achievement of dementia-friendly communities, particularly through influencing the types of services offered. This position is supported by findings from an evaluation of an awareness-raising intervention run by Age UK, aimed at organisations which provide services for people living with dementia in England. The article contributes to an understanding of the cultural climate within frontline service delivery, which is often neglected in favour of discussions around meeting more immediate care and support needs. More specifically, the article reflects on whether there is a need for an additional conceptualisation within the discourse around dementia-friendly communities which ensures inclusion of the cultural environment.     

Translating Spirituality: Universalism and Particularism in the Diffusion of Spiritual Care from the United States to Israel

Research on the transnational diffusion of ideas and practices shows how cultural objects go through translation, adaptation, and vernacularization when implemented in new localities. Less attention is given to the translators themselves and their heterogeneous and often conflicting visions. Drawing on the notion of transnational social fields (TSF s), this article investigates how cultural objects get vernacularized differently in different parts of the TSF , demonstrating how processes of translation reflect larger social and political struggles over questions of identity. As a case study, we focus on the attempt of actors from Israel and the United States to institutionalize spiritual care in Israeli health‐care organizations. The analysis reveals how spiritual care functioned as a porous cultural object, open to a wide range of interpretations and debates. While actors in New York saw in spiritual care the opportunity to bridge to Israeli Jews and create a global Jewish identity, Israeli actors split between using spiritual care as a vehicle for creating a local Israeli Jewish identity and seeing in spiritual care the opportunity to establish universal identities, broader than the Jewish one. The disagreement and conflicts between the groups influenced the translation process, turning it into a contentious struggle that involved different positions on the continuum between particularism and universalism.     

The Ahmao (Miao) schism: the problem of spiritual agency in encounters between church and state in southwest China

The majority of Ahmao in southwest China have been Christian since a mass conversion movement took place in the 1900s. Throughout the century, Ahmao congregations have gone through several reforms and survived many political campaigns. After two decades of prosperity through China’s reform era, since the 2000s many Ahmao congregations in northern Yunnan have experienced schisms. This paper sets out to investigate a schism that took place in a medium-size Ahmao congregation between 2005 and 2015. Based upon several years of continuous fieldwork, I found that the alleged schism in this Ahmao congregation – rather than describing a long-standing fracture in the community – appears intermittently and should be considered as an effect of religious regulation that problematizes the agency of spiritual practice. Under the regime of religious regulation in contemporary China, Ahmao congregations have been delicately negotiating between different modes of agency as changes in Christian practice become necessary or inevitable.     

Cultures of Denial: Avoiding Knowledge of State Violations of Human Rights in Argentina and the United States

Why and how do individuals distance themselves from information about their government's participation in torture and other human rights violations? Such citizen (non)response implicitly legitimates and thus facilitates the continuation of abusive state actions. Drawing on a model of socially organized denial, we explore how sociocultural contexts and practices mediate individuals’ avoidance, justification, normalization, silencing, and outright denial of human rights abuses in two sites: Argentina during the last military dictatorship (1976–1983) and the United States during the “war on terror” post September 11, 2001. The study is based on 40 in‐depth interviews with members of diverse civic, religious, community, and political organizations in both countries (20 in each site). Comparing the political circumstances of a dictatorship and an electoral democracy, the analysis shows the roles of patriotic and national security ideologies and practices of silence and talk as organizers of cultures of denial.     

Ethnographic Study of Gay and Bisexual Working-Class Men in the United States

SUMMARY

Thirty-nine working-class gay and bisexual men were interviewed using ethnographic techniques to better understand their resilience in light of homophobia, heterosexism, classism, AIDS, violence and discrimination. Several themes emerged: heterosexual assumption, sense of difference, socialized to hide, gay identity confusion, coming-out as an ongoing process, managing stigma, conflict with religion, family support, relationships, self-concept, working-class attitudes, and drug and alcohol abuse.     

War and Peace: Social Work and the State of Chemical Dependency Treatment in the United States

SUMMARY

In recent decades, treatment for alcohol and drug problems in the United States has been influenced by a number of factors. This article discusses several of these factors, including the “War on Drugs,” with its emphasis on law enforcement and interdiction, and managed health care, which has compromised access to treatment. In spite of these factors, the U.S. invests a goodly amount in alcohol and drug prevention and treatment services and research. Efforts are being made to ensure that research findings are being translated into improved clinical practice. Among the controversial issues in the treatment arena are recent efforts by the Bush administration to promote public funding of faith- or religious-based groups in delivering chemical dependency services. Social workers commonly see people with alcohol and drug problems in their practices, but only a small number of social workers are well prepared to treat this group of clients.     

Gendered Self-Improvement: Autonomous Personhood and the Marriage Predicament of Young Women in Urban China

How does gender shape the experience and imaginaries of self-realisation? This article explores practices of self-improvement among young women in China, namely workshops for interpersonal skills. These practices direct participants to express themselves as autonomous persons, disembedded from social hierarchies and familial responsibilities. Unmarried women who attend workshops conceive of marriage as an unavoidable impediment to their self-realisation. This is due to a prevailing gender inequality in marriage, as well as the ongoing expansion of an ideal of individual autonomy in China through economic reforms. In this article, I do not centre my analysis on a cultural clash between this ideal and local cultural practices. Instead, it is the possibility of this ideal, which is always shaped and restricted by socio-economic imperatives, that induces women’s frustration with their local culture. The fact that this ideal promises universal attainment highlights for women the gender roles that limit their autonomy.     

A Preliminary Exploration of Immigrant Substance Abusers from the Former Soviet Union Living in Israel,Germany and the United States: A Multi-National Perspective

SUMMARY

The Former Soviet Union (FSU) has historically been seen as having an unusually large population of individuals with alcohol problems. Since the fall of the communist regime, a growing drug abusing population has become visible. With the large migration of its residents to western countries and to Israel, the rates of alcohol and drug problems among these immigrants appear to be disproportionally high, although reliable data are lacking. The purpose of this article is to summarize exploratory data regarding alcohol and other drug use among immigrants from the Former Soviet Union living in Israel, Germany and the United States, and to identify further research needs and implications for treatment and policy.     

Social marking and the mental coloring of identity: Sexual identity construction and maintenance in the United States

This article theoretically develops the concepts of social markingand mental coloringas processes in assigning and maintaining other-defined sexual identities in the United States. While most studies of sexual identity focus exclusively on sexual orientation as the foundation for identity construction, I demonstrate that contemporary sexual identities are formed along six hierarchically arranged dimensions represented as continuums. These dimensions include (1) quantity of sex, (2) timing of sex, (3) level of perceived enjoyment, (4) degree of consent, (5) orientation, and (6) social value of agents. Along these dimensions, the social marking process is used to construct discrete identities at each extreme. Social marking is a rigid, asymmetrical classification process that accents one side of a contrast as unnatural, thereby tacitly naturalizing the unmarked side. Mental coloring intensifies the rigid contrast by figuratively painting all members of the marked category under a single stereotypical image. I introduce two ideal-typical classification conventions for assigning marked identities: the mental one-drop ruleand the mental entire-ocean rule.These conventions maintain the rigidity of the marking process by preventing identity categories from overlapping. I conclude that the cognitive sociological processes outlined in this article are generalizable to the broader study of identity constructions. Ultimately the social marking of identity legitimates unequal treatment of marked categories by creating the illusion that they are less natural than the unmarked. An earlier version of this paper was presented at the Eastern Sociological Society's annual meeting, Philadelphia, PA, March 1995.     

The Difficult History of Ancillary Units: The Obstacles and Potential Opportunities to Increase the Heterogeneity of Neighborhoods and the Flexibility of Households in the United States

ABSTRACT

Most aging Americans express the desire to stay in their current home for the rest of their lives. However, as literature and practice indicate, aging in place cannot be successfully achieved in all places, especially in those places where zoning regulations and building codes act as barriers to the flexible adaptation of environments. One possible solution could come from the legalization of what is commonly known as granny flats, or more technically as Ancillary Dwelling Units. This article is divided into three parts. The first part is a brief history of Ancillary Dwelling Units. The second part focuses on the critical role played by local and state urban planning policies in the future of Ancillary Dwelling Units. California is used as a noteworthy example. The third part discusses how positive outcomes for senior residents who have Ancillary Dwelling Units legally present in their neighborhoods are linked to the appropriateness of their design.     

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.     

Hidden in full view: the organization of public secrecy in Miéville’s The City and the City

ABSTRACT

In this article, we explore China Mieville’s novel The City and the City as a literary experiment for analyzing the dynamics of public secrecy. We explore public secrets as an intrinsic part of organizational life and as a framework for paying attention to the politics of organizing. First, we focus on the novel’s invention and use of the verb ‘unseeing’ to bring out the embodied and sensuous aspects of public secrecy as part of organizational processes. Second we unfold how, although the content of public secrets may turn out to be less spectacular than expected, it is exactly their mundaneness which is key to their political importance. This is important because in an increasingly disorganized and uncertain world, secrecy proliferates and the visibility of secrecy is often a strategic move to justify certain hidden actions.     

Bringing experiential educational groups to the United States: an analysis of group development in an international travel and study program

International exchanges and travel and study projects have been gaining popularity in many fields including social work. Embedded in a group context, the success of these initiatives depends heavily on the group process of all members involved. This article analyzes the impact group dynamics have on an international travel and study project that brought 11 doctoral students and their dean from Ethiopia for a one-month experiential education program. A model of group development, which emphasizes behavioral outcomes in groups (forming, storming, norming, performing, and adjourning), is presented as an organizing framework. The discussion draws on a qualitative analytical study, which revisits Tuckman's model, and proposes a revised model that defines group development stages by individual, group, purpose, and work concerns that drive conflict throughout all group stages. Implications for social work education include de-emphasizing stages of group development, being mindful about what is known about small groups, and improving empirical research and training for leading international groups.     

Child-care burden and intentions to have a second child: effects of perceived justice in the division of child-care

Fertility rates have fallen dramatically in Western Europe during the last 50 years. Initially explanations were tied to women taking on work obligations and choosing to reduce their fertility. But this explanation is no longer valid in Western Europe because those countries where women are least likely to work, the Mediterranean countries, are also among the countries with the lowest fertility rates. A more recent explanation rests on the availability of child-care; for example, Sweden and France have universal child-care and fertility rates near replacement. Much of this discussion has focused on socio-political conditions and structural explanations outside of the family, e.g. state policies and programs to support working mothers, as well as institutional models of the family as a breadwinner family or as a non-breadwinner family (cf. McDonald 2000a). Clearly there have been many important changes in this area. But, perhaps, even more important to understanding fertility decisions may be what is happening to interpersonal relationships within the couple. One aspect of this decision which has not been fully explored is an understanding of the perceived justice of the couple situation after the birth of the first child and its impact on the decision for a second child. This research will review the concept of justice, with a focus on justice in the division of child-care, and indicate how it can be used to understand a woman's fertility plans after the birth of the first child.     

The Square of Polish Innocence: POLIN Museum of the History of Polish Jews in Warsaw and its symbolic topography

The text refers to the space around the Nathan Rapoport’s Monument to the Fighters and Martyrs of the Ghetto and the Museum of the History of Polish Jews POLIN in Warsaw (Poland). The site of death – at the heart of the former Warsaw Ghetto – has now become a site overloaded with other symbolic messages. Two main symbolic centers (the 1948 Monument and the 2013 Museum) are today encircled by ten other, additional memorials. The message emerging from the content as well as the proportion of commemorations is that Polish solidarity with the Jews was a fact and it stood the test of terror and death brought by the Germans. Although it does not undermine the veracity of the few and isolated exceptions, such a version of events is drastically different from the actual facts. Both symbolic centers are perceived as emblems of Jewish minority narrative. Additional artefacts are a message formulated by the Polish majority. They constitute a kind of symbolic encirclement, block. Emphasizing the dominant majority’s version of the events in this place is in fact a symbolic pre-emptive action. It is meant to silence the unwanted narrative or suppress even the mere possibility that it might emerge. What turns out to be at stake in the dominant Polish narrative about the Holocaust and Polish-Jewish relations is the image of Poland and the Poles. This shows not only the topographic and symbolic situation but also the socio-cultural context of the functioning of the new Museum.