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1.

Background

Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth. Although there are a few First Nations communities in Canada that have re-established community birthing and Aboriginal midwifery is growing, most First Nations communities are still reliant on the evacuation policy for labour and birthing services. In one Canadian province, Manitoba, First Nations women are evacuated to The Pas, Thompson, or Winnipeg but most – including all women with high-risk pregnancies – go to Winnipeg.

Aim

To contribute scholarship that describes First Nations women’s and community members’ experiences and perspectives of Health Canada’s evacuation policy in Manitoba.

Methods

Applying intersectional theory to data collected through 12 semi-structured interviews with seven women and five community members (four females, one male) in Manitoba who had experienced the evacuation policy. The data were analyzed thematically, which revealed three themes: resignation, resilience, and resistance.

Findings

The theme of resignation was epitomized by the quote, “Nobody has a choice.” The ability to withstand and endure the evacuation policy despite poor or absent communication and loneliness informed of resilience. Resistance was demonstrated by women who questioned the necessity and requirement of evacuation for labour and birth. In one instance, resistance took the form of a planned homebirth with Aboriginal registered midwives.

Conclusion

There is a pressing need to improve the maternity care services that First Nations women receive when they are evacuated out of their communities, particularly when understood from the specific legal and constitutional position of First Nations women in Manitoba.  相似文献   

2.
How is the cultural construct of individualism-collectivism relate to self-esteem? This is a complex and challenging proposition. Self-esteem (i.e., a person’s global, evaluative view of his/her self), has resisted unequivocal definition or clear operationalization. There is a substantial literature on self-esteem hypothesis which may be stated thus: self-concept and self-esteem play important roles in a person’s decisions to engage in certain behaviour. Due to inconsistent and indeterminate findings, business researchers and cross-cultural scholars, have failed to take into account possible interaction between culture/gender and social behaviour (self). Through analyses of variance, we provide evidence, that nationality yielded a highly significant levels of self-esteem with a distinctive statistically significant main and interaction effects. This result is robust to different benchmarks (for example, Hofstede’s cultural indicators) used to measure self-esteem. The results are consistent with previous research, the cross-cultural stability of the measure makes it a potentially useful tool for evaluating the nature of self-conception across cultures. Caveats and implications are discussed.  相似文献   

3.
BackgroundBreastfeeding behaviour remains a public health priority worldwide. Despite evidence-based guidelines, healthy women who give birth to healthy, term infants continue to face barriers to breastfeeding. Understanding women’s experiences of feeding in the early postnatal period is crucial to identify how support may be better tailored to improve breastfeeding outcomes, including women’s experiences.QuestionTo understand women’s experiences of infant feeding amongst healthy women who give birth to healthy, average-weight, term infants.MethodsGrounded Theory methodology was used to analyse data from a nested qualitative interview study. Twelve women between four and twelve months postpartum were recruited from a longitudinal cohort study and public advertisements. Semi-structured face-to-face interviews were audio-recorded and transcribed for analysis.FindingsThree distinct themes were found, subsuming identified super-categories: Perceived indicators of ‘good’ feeding (infant ‘output’; infant crying; weight gain; feeding frequency and duration); Women’s experiences of breastfeeding latch (‘good’ latch; ‘bad’ latch with pain and discomfort); and Overall breastfeeding experience (positive; negative; and uncertain). Data suggest women give precedence to their latch experiences over indicators of ‘good’ feeding, highlighting breastfeeding latch as a possible mediating factor to the overall breastfeeding experience. Feeding experience can be achieved through four distinct pathways.DiscussionThe physical and psychological impacts of latch pain were pronounced. Even amongst healthy women with healthy infants, a positive breastfeeding experience overall was uncommon, highlighting the difficulties women continue to encounter. Understanding women’s perceptions of ‘good’ feeding, and ensuring a pain-free latch, may better support women to have a positive breastfeeding experience.  相似文献   

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Yang  Xinya  Geng  Liuna 《Social indicators research》2022,162(3):1261-1279
Social Indicators Research - Public health and health inequality have been widely researched as they are essential for human development and social justice. Although factors influencing public...  相似文献   

7.
Despite repeated acclaim within the television industry, feminist media scholars have argued that TLC’s long-running program, A Baby Story, disciplines women into selecting obstetrical intervention by offering a standard episodic structure for understanding a complex birth experience. This article thickens this line of inquiry by arguing that TLC uses a narrow, but decipherable, range of temporalities to leverage biomedicine’s claim to childbirth. Drawing on the rhetorical concepts of chronos as narrative duration-time and kairos as interruptive moments of possibility, I argue that episodes are structured by a chronic articulation of “family completion” and “hospital biomedical duration” that conditions women to expect a kairotic interruption of selected birth plans. I conclude with implications for studying birth temporalities and rhetorically crafting women-centered birth narratives.  相似文献   

8.
This study examines children’s images in constitutions and/or amendments as articulated in the Convention on the Rights of the Child while they intersect with the three dimensions of the Human Development Index (HDI) of 2008: life expectancy, educational index, and GDP. The connection between the images of the child and the fulfillment of the dimensions within countries represents the current childhood conditions and determines their future wellbeing. It is the interdependency of the elements of HDI and the premises of the CRC that potentially impact nation-state’s developmental outcome with the process of rights. This study highlights the strength of the connection among the dimensions, and emphasizes the importance of considering children as vital to dialogue around human rights and a human development agenda.  相似文献   

9.
In 2012, the U.S. actress Cynthia Nixon was quoted in the New York Times Magazine as having stated that “for me, it [being gay] is a choice. I understand that for many people it’s not, but for me it’s a choice, and you don’t get to define my gayness for me.” The interview attracted international media attention and public criticism by lesbian and gay activists. This article suggests a rhetorical approach to understanding etiological beliefs and provides a discursive analysis of 198 online comments by readers of Pink News, a gay news Web site that reported on Nixon’s controversial interview. This article explores common arguments used in readers’ comments about Nixon and examines the rhetorical construction of sexuality. The analysis examines three themes within the data. First, biological essentialism was treated by many readers as common knowledge; second, readers suggested that only bisexuals have “choice”; and, third, it was suggested by both Nixon’s critics and her supporters that counterarguments colluded with homophobia. The article suggests that there is an ideological dilemma whereby both “born-this-way” and “choice” arguments can be understood as colluding with anti-gay prejudice.  相似文献   

10.
Assumptions that single mothers are “time poor” compared with married mothers are ubiquitous. We tested theorized associations derived from the time poverty thesis and the gender perspective using the 2003–2012 American Time Use Surveys (ATUS). We found marital status differentiated housework, leisure, and sleep time, but did not influence the amount of time that mothers provided childcare. Net of the number of employment hours, married mothers did more housework and slept less than never-married and divorced mothers, counter to expectations of the time poverty thesis. Never-married and cohabiting mothers reported more total and more sedentary leisure time than married mothers. We assessed the influence of demographic differences among mothers to account for variation in their time use by marital status. Compositional differences explained more than two-thirds of the variance in sedentary leisure time between married and never-married mothers, but only one-third of the variance between married and cohabiting mothers. The larger unexplained gap in leisure quality between cohabiting and married mothers is consistent with the gender perspective.  相似文献   

11.
This article reports on older women’s experiences and advice on condom use, male-female relationships, HIV risk, and prevention education. It reports on findings from five written, open-ended questions with 110 ethnically and economically diverse women, 40–80 years old. Analysis revealed four themes: (a) Gap between condom use advice and condom use behavior; (b) invisibility with age; (c) negative expectations of men; and (d) desire for education that breaks the silence on sex. The article discusses the meaning of the findings as they relate to current knowledge about HIV prevention education and midlife and older women and offers recommendations for research and education.  相似文献   

12.
This paper uses a semiparametric latent variable transformation model for multiple outcomes to examine the effect of education and maternal education on female multidimensional well-being and proposes a procedure to build a well-being index that is less susceptible to functional form misspecification. We model multidimensional well-being as an unobserved common factor underlying the observed well-being outcomes. The semiparametric methodology allows us to alleviate misspecification bias by combining multiple indicators into a latent construct in an unspecified, data-driven way. Using data from female participants of the 1974–2010 waves of the US General Social Survey, we find that education, intelligence, and maternal education contribute positively to multidimensional well-being. However, the effects of education and maternal education on female multidimensional well-being declined steadily between the mid-1970s and the 1990s, and have not rebounded since.  相似文献   

13.
Giving the central focus to ‘religious affiliation’ which ‘was once at the forefront of demographic research (McQuillan 2004: 25), this paper examines the association between religion and women’s market employment. Generally speaking, gender characteristics such as high fertility and low employment levels for Muslim women in both intracountry and worldwide comparisons have been asserted in an extensive literature. The context, method and comparison groups of this study provide the opportunity to examine the longstanding debate as to whether religionper se or other determinants explain such gender characteristics in Islamic settings. It is, however, acknowledged that the present study faces limitations mainly associated with the selectivity of migrants. Using logistic regression and the multicultural context of Australia containing a substantially diverse ethnic composition of Muslims, this paper highlights Muslim/non-Muslim employment differentials. The paper also analyses the employment level of Muslim women across the regions of origin representing various contexts in order to provide empirical evidence to examine the above debate.  相似文献   

14.
《Journal of homosexuality》2012,59(6):783-807
ABSTRACT

Although religious and spiritual issues have emerged as areas of focus in counseling, very few scholars have explored the meaning and experiences of lesbian, gay, and bisexual (LGB) clients who addressed their sexual and religious/spiritual identities in counseling. Using consensual qualitative research (CQR; Hill, 2012), the current study explores the perspectives of 12 LGB persons who sought counseling that involved religious/spiritual concerns. Four themes in participant interviews are identified, including (a) self-acceptance, (b) goals of counseling, (c) identification with counselor, and (d) counseling environment and relationship. Implications of findings for the counseling field are discussed.  相似文献   

15.
《Mobilities》2013,8(2):143-165
This paper contains a re‐reading of Simmel and Goffman with an eye to the mobility practices of the contemporary city. The paper offers a ‘new’ perspective on mobility in the contemporary city by re‐reading two sociological ‘classics’ as there is a need to conceptualise the everyday level of flow and mobility in the midst of an intellectual climate dominated by grand theories of networks and globalisation. In the re‐reading of Simmel and Goffman, the aim is to reach an understanding of how contemporary material mobility flows and symbolic orders and meanings are produced and re‐produced. You may argue that other academic disciplines such as anthropology and human geography have made important contributions to this understanding. What has not been done, however, is to show how these two sociological thinkers can move beyond mere application to this field of study. With their sociological sensitivity, they rather carry important insights that will benefit the sociology of mobility. Arguably Simmel and Goffman offer the opportunity to connect the global flows to the everyday level of social practice, as well as linking more basic/classic sociological theory to contemporary issues of mobility. The reason to ‘look back’ is therefore to capture some of the past's ‘sociological imagination’ and relate it to an important social phenomenon of the present.  相似文献   

16.
This paper draws on a visceral approach to explore the role of sound/music for people who drive cars. We examine the ways in which gendered subjectivities emerge from the pleasures associated with listening to sound/music during short car trips. The first part of the paper reviews the recent literature on ‘feelings for cars’. We highlight why gender is often absent from the literature before offering a conceptual lens drawing on geographical feminist thinking to consider sound/music, feelings, gender and mobility. We draw on driving ethnographies to explore the role of sound/music in how gender is assembled with the flow of connections between bodies, spaces and affects/emotions. Considering the contextual pleasures of listening to sound/music on these trips and emergent gender subjectivities we provide a more nuanced interpretation of why people choose to drive cars. To conclude, we point to the implications for applied research for new context-specific transport and climate change policy.  相似文献   

17.
A sizable literature claims that female labor force participation (FLFP) follows a U-shaped trend as countries develop due to structural change, education, and fertility dynamics. We show that empirical support for this secular trend is feeble and depends on the data sources used, especially GDP estimates. The U also vanishes under dynamic panel estimations. Moreover, cross-country differences in levels of FLFP related to historical contingencies are more important than the muted U patterns found in some specifications. Given the large error margins in international GDP estimates and the sensitivity of the U relationship, we propose a more direct approach to explore the effect of structural change on FLFP using sector-specific growth rates. The results suggest that structural change affects FLFP consistent with a U pattern, but the effects are small. We conclude that the feminization U hypothesis as an overarching secular trend driving FLFP in the development process has little empirical support.  相似文献   

18.
BackgroundThe provision of midwife-led continuity of care (MLCC) is effective in high-resource settings in improving maternal satisfaction. This study aimed to evaluate the effect of MLCC on women’s satisfaction with care in a low-income/resource setting.MethodA study with a quasi-experimental design was conducted from August 2019 to September 2020 in four primary hospitals in the north Shoa zone, Amhara regional state, Ethiopia. A total of 1178 low-risk women were allocated to one of two groups; the MLCC (intervention group) that received all antenatal, intrapartum, and immediate postnatal care from a primary midwife or backup midwife) (n = 589) and the shared model of care (SMC) group that received care following established practice in Ethiopia, care from different staff members at different times) (n = 589). Data for this paper were collected using face-to-face interviews at the women’s home at the end of the postpartum period. The study’s outcome was the mean sum-score of satisfaction with care through the antenatal, intrapartum, and postnatal period continuum, where mean sum-scores range from 1 (lowest) to 5 (highest).FindingsCompared with SMC, MLCC was associated with statistically significantly higher satisfaction with all continuity of care (4.07 vs. 2.79 adjusted mean difference 1.27, 95% CI 1.18–1.35; p < 0.001), during antenatal care (4.14 vs. 2.81 adjusted mean difference 1.33 (95% CI 1.22–1.52), intrapartum care (3.83 vs. 2.71 adjusted mean difference 1.06 (95% CI 0.88–1.23) and postnatal care (5.46 vs. 3.71 adjusted mean difference 1.75 (95% CI 1.54–1.94)).ConclusionMLCC increased women's satisfaction with maternity care for women at low risk of medical complications. These findings confirm that the MLCC model will be applicable in the Ethiopian health care system with similar settings.  相似文献   

19.
Using longitudinal data from the German Socio-Economic Panel, we estimate the variation of subjective well-being experienced by Germans over the last two decades testing the role of some of the major correlates of people’s well-being. Our results suggest that the variation of Germans’ well-being between 1996 and 2007 is well predicted by changes over time of income, demographics and social capital. The increase in social capital predicts the largest positive change in subjective well-being. Income growth, also predicts a substantial change in subjective well-being, but it is compensated for about three fourths by the joint negative predictions due to income comparison and income adaptation. Finally, we find that aging of the population predicts the largest negative change in subjective well-being. This result appears to hinge on the large loss of satisfaction experienced by individuals in old age.  相似文献   

20.
As media organizations struggle to remain financially viable, and layoffs become more common, crowdfunding has been championed as one way for journalists to finance new ventures and create work outside of mainstream media. There is a growing body of research that is starting to critically examine the relationship between journalism and crowdfunding. This research, however, has tended to look at journalism as a whole, rather than specific genres. The purpose of this paper is to look at how crowdfunding is being used to create feminist online magazines, online spaces, and freelance journalism to tell stories about women, or aimed at a female-identified audience. It argues that beyond simply wanting to write and produce content the hope is to create change and often the crowdfunding campaigns are positioned as trying to create a “community” and/or a “movement.” This article uses a political economic framework, drawing on the concept of structuration, to analyze how these crowdfunding campaigns are being used to push back against, and open up, mainstream dialogues of what it means to be a woman or female-identified, as well as create safe and open spaces for these conversations.  相似文献   

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