Facilitators and barriers to pregnant women’s participation in research: A systematic review

Background

Although there is consensus among many that exclusion of pregnant women from clinical research should be justified, there is uncertainty as to whether and why pregnant women themselves would be willing to participate even if they were found to be eligible. The objective was to identify the reasons why pregnant women participate in clinical research and thereby to distinguish between facilitators and barriers.

Social resources and Arab women’s perinatal mental health: A systematic review

Background

Women’s mental health in the perinatal period is understudied worldwide and in Arab countries especially.

Women’s experiences of health care utilization in cases of early pregnancy loss: A scoping review

BackgroundApproximately 25% of pregnancies end in miscarriage, most occurring within the first trimester (<13 weeks). For many women early pregnancy loss has implications for short- and long- term mental health, and women’s well-being following early pregnancy loss is impacted by their experiences within the healthcare setting. To improve quality of care, it is crucial to understand women’s’ experiences within the healthcare system in cases of early pregnancy loss.QuestionsWhat does the research literature tell us about the experiences of early pregnancy loss within healthcare settings? Are these experiences positive or negative? ‘How can care improve for those experiencing early pregnancy loss?’MethodsA scoping review of the research literature was undertaken. Three research databases were searched for relevant articles published in English since 2009, with key words related to ‘Experience’, ‘Healthcare’ and ‘Early Pregnancy Loss’. A thematic analysis was undertaken to identify and summarize key findings emerging from the research literature.FindingsTwenty-seven (27) articles met our inclusion criteria. Three main themes were identified: (1) issues related to communication, (2) challenges within care environments, and (3) inadequacies in aftercare.DiscussionThe literature suggests that women’s experiences related to healthcare for early pregnancy loss are largely negative, particularly within emergency departments. Recommendations to improve women’s experiences should extend beyond attempts to improve existing care structures, to include emerging environments and providers.ConclusionWomen’s experiences identified within the literature provide further insights on what women are seeking from their care, and how care models can be improved.     

Women’s experiences of birth trauma: A scoping review

BackgroundA high number of Australian women report experiencing traumatic birth events. Despite high incidence and potential wide spread and long-lasting effects, birth trauma is poorly recognised and insufficiently treated. Birth trauma can trigger ongoing psychosocial symptoms for women, including anxiety, tokophobia, bonding difficulties, relationship issues and PTSD. Additionally, women’s future fertility choices can be inhibited by birth trauma.AimTo summarize the existing literature to provide insight into women’s experiences of birth trauma unrelated to a specific pre-existing obstetric or contextual factor.MethodsThe review follows 5 stages of Arksey and O’Malley’s framework. 7 databases were searched using indexed terms and boolen operators. Data searching identified 1354 records, 5 studies met inclusion criteria.FindingsThree key themes emerged; (1) health care providers and the maternity care system. (2) Women’s sense of knowing and control. (3) Support.DiscussionContinuity of carer creates the foundations for facilitative interactions between care provider and woman which increases the likelihood of a positive birth experience. Women are able to gain a sense of feeling informed and being in control when empowering and individualized care is offered. Functional social supports and forms of debriefing promotes psychological processing and can enable post traumatic growth.ConclusionExisting literature highlights how birth trauma is strongly influenced by negative health care provider interactions and dysfunctional operation of the maternity care system. A lack of education and support limited informed decision-making, resulting in feelings of losing control and powerlessness which contributes to women’s trauma. Insufficient support further compounds women’s experiences.     

A Study on China’s Marriage Squeeze

China's male marriage squeeze and its potential consequence have attracted much attention and given rise to debate, but most studies contribute this squeeze to sex structure and neglect the age structure, and some studies use fl awed method to study the contribution of age structure in this squeeze. In this paper we develop an indicator of Spousal Sex Ratio(SSR) and apply a decomposition method into age and sex structure. Based on the data from China's 2010 census and projection, we predict that from 2010 to 2020, the age structure will be the dominant factor for China's male marriage squeeze, and from 2020 to 2034, the contribution of sex structure will be increasing, whereas that of age structure will be decreasing. From 2034 to 2045, China's male marriage squeeze will mainly from imbalanced sex structure, and the age structure will contribute little or negatively to China's male marriage squeeze.     

Media Representation of Tongxinglian in China: A Case Study of the People’s Daily

Over the past few decades, the worldwide lesbian and gay movements have diversified and increased their rights claims. The achievement of gay rights claims in society is the result of an interplay among various social factors and forces. Media is one of most influential players in building homosexual images and promoting mutual understanding. Chinese homosexuals were not treated as criminals or mental illness patients anymore in 1997 and 2001, respectively, after decriminalization and depathologization. Thus this article aims to explore how homosexuals were portrayed in the official media of China, particularly the People’s Daily, to illustrate the changing perception of homosexuals in China’s political and social spheres. It argues that representation of homosexuals in the People’s Daily changed gradually from a negative perception to a more positive one with less discrimination and prejudice as shown by the article’s quantitative and qualitative results.     

The Short-Term Impact of Involuntary Migration in China’s Three Gorges: A Prospective Study

The aim of this study is to measure the short-term impact of involuntary migration resulting from China’s Three Gorges Dam project on the 1.3 million persons being displaced. We focus on the social, economic, and mental and physical health impact using three sets of indicators. Using a prospective research design, we gathered information about these indicators from a sample of migrants first before they moved and then again after they moved. Changes in the migrants’ wellbeing during the period, when benchmarked to corresponding changes computed for a control group of non-migrants, are attributed to the impact of involuntary migration. Our results showed that although the displaced have enjoyed a relative gain in housing quality, most of the changes were in the negative direction and many of such negative changes were statistically significant.     

China’s Tibetan Population and Population in Tibet

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Women’s experiences of care and support following perinatal death in high burden countries: A metasynthesis

ProblemThe experiences of women in low and middle-income countries following perinatal death remains difficult and challenging, thereby increasing their susceptibility to negative psychological impact particularly with insufficient bereavement care and support.BackgroundPerinatal death invariably brings intense grief which significantly impacts women, and requires adequate bereavement care to limit negative outcomes in the short and long-term.AimTo develop deeper understanding of women’s experience of care and support following perinatal death in high burden settings.MethodsSix electronic databases were searched with relevant terms established using the SPIDER tool, supplemented by hand search of reference lists. Studies were independently screened for inclusion by all authors. Meta-ethnography (Noblit and Hare,1988) was used to synthesise existing qualitative studies.FindingsEight studies conducted in Sub-Saharan African and South Asian countries namely South Africa, Uganda, Ghana, Kenya, India and Malawi were included, and three main themes were identified; mothers’ reaction to their baby’s death, care and support after perinatal death, and coping strategies in the absence of care and support. Perinatal death was not appropriately acknowledged therefore care and support was inadequate and, in some cases, non-existent. Consequently, mothers resorted to adopting coping strategies as they were unable to express their grief.DiscussionThere is insufficient care and support for women following perinatal death in high burden settings.ConclusionsFurther research is required into the care and support being given by healthcare professionals and families in high burden settings, thereby ultimately aiding the development of guidance on perinatal bereavement care.     

Pet Dogs Benefit Owners’ Health: A ‘Natural Experiment’ in China

This paper reports results from a ‘natural experiment’ taking place in China on the impact of dogs on owners’ health. Previous Western research has reported modest health benefits, but results have remained controversial. In China pets were banned in urban areas until 1992. Since then dog ownership has grown quite rapidly in the major cities, especially among younger women. In these quasi-experimental conditions, we hypothesise that dog ownership will show greater health benefits than in the West. Results are given from a survey of women aged 25–40 in Beijing, Shanghai and Guangzhou (N = 3031). Half the respondents owned dogs and half did not. Owners reported better health-related outcomes. They exercised more frequently, slept better, had higher self-reported fitness and health, took fewer days off sick from work and were seen less by doctors. The concluding section indicates how these results may be integrated and suggests further research on the potential economic benefits of pets.

Women’s experiences of their maternity care: A principle- based concept analysis

BackgroundDespite many countries employing the use of national and large scale regional surveys to explore women’s experiences of their maternity care, with the results informing national maternity policy and practice, the concept itself is ambiguous and ill-defined having not been subject of a structured concept development endeavour.AimThe aim of this review is to report on an in-depth analysis conducted on the concept of ‘women’s experiences of their maternity care’.MethodsUsing the principle-based method of concept analysis by Penrod and Hupcey (2005), the concept of ‘women’s experiences of their maternity care’ was analysed under the epistemological, pragmatic, linguistic and logical principles. The final dataset included 87 items of literature published between 1990 and 2017 retrieved from a systematic search of the MEDLINE, CINAHL, EMBASE and PSYCinfo databases.FindingsThe epistemological principle identified that a theoretical definition of the concept is elusive with a variety of implicit meanings. The pragmatic principle supports the utility of the concept in scientific literature, however the lack of a theoretical definition has led to inconsistent use of the concept, as highlighted by the linguistic principle. Furthermore, the logical principle highlighted that as the concept lacks definition blurring is identifiable when theoretically positioned with related concepts.ConclusionThe outcome of this concept analysis is a theoretical definition of a previously undefined concept. This definition highlights the subjective nature of the concept, its dependency upon a woman’s individual needs, expectations and circumstances and the influence of the organisation and delivery of maternity care.     

A Queer Theorist’s Critique of Online Domestic Violence Advocacy: Critically Responding to the National Coalition Against Domestic Violence Web Site

Since the foundations of the contemporary anti-violence movement in the 1960s and 1970s, advocates have sought to establish a critical understanding of domestic violence that we can use to direct our efforts for social change. Yet many advocates and advocacy organizations continue to rely on a problematic narrative of sameness that marginalizes and erases diverse victims’ experiences and needs. In this article, I conduct a critical discourse analysis of the National Coalition Against Domestic Violence Web site to identify outcomes of this narrative for the inclusivity of advocacy efforts. I argue that despite the organization’s numerous claims to represent diverse victims’ experiences, Web site content reveals that its purportedly general account of domestic violence normalizes the experiences of a small group of victims—namely, heterosexual, cisgender women. Further, the Web site’s content greatly limits the potential for thinking about and discussing violence across difference. I conclude with recommendations for changes in advocacy practices.     

Changes in children’s time with parents: A correction

This article provides corrected estimates of the weekly time that 3- to 12-year-old children spent either directly engaged with their parents or with their parents accessible to them in 1997, replicating the figures presented in the original 2001 Demography article. The data come from the 1997 Child Development Supplement to the Panel Study of Income Dynamics. The results show a considerably greater increase in children's total time in 1997 with mothers, fathers, or either parent than was shown in the original article. Some alternative estimates, likely reasons for the larger change, and the implications are discussed.     

Ethical Leadership and Subordinates’ Occupational Well-Being: A Multi-level Examination in China

Prior research and managerial practices have often over-emphasized employees’ performance and ignored their occupational well-being. However, a series of employee suicide scandals in China have drawn people’s attention to employees’ occupational well-being and heightened the importance of how ethical leadership can enhance such well-being. Based on social exchange theory, this study examined the main effect of ethical leadership on subordinates’ occupational well-being in China, as well as the underlying mechanisms and contextual factors between them. Our sample comprised 302 employee questionnaires and 34 questionnaires completed by supervisors about their group. Using a multi-level approach, we implemented hierarchical linear modeling to examine the hypotheses. The results revealed that ethical leadership positively influenced the subordinates’ occupational well-being. This effect was partially mediated by distributive justice and interpersonal justice. Moreover, group level collectivism moderated the influence of ethical leadership on employees’ perception of distributive justice, interpersonal justice and their occupational well-being.     

How do family planning workers’ visits affect women’s contraceptive behavior in bangladesh?

In Bangladesh, family planning workers' visits reduce the costs of contraception and may increase the demand. If visits increase demand or if workers are targeting their visits, past visits by family planning workers should have a positive and significant effect on later probabilities of adopting contraceptive methods. Longitudinal data show that past visits are not significant in hazard models for adoption of contraceptive methods, whereas visits in the current round are significant. Therefore family planning workers' visits affect women's contraceptive behavior by decreasing the costs of contraception. Results of contraceptive discontinuation hazard models further support this hypothesis.     

Public primary health care and children’s health in Brazil: evidence from siblings

The Family Health Program (Programa Saúde da Família) is an initiative of the Brazilian Ministry of Health designed to deliver free primary health care services within communities and households. The program was implemented by municipalities in different periods of time, creating variation in its availability among siblings of different ages. The empirical approach uses this variation to estimate the effect of the program on children’s health in Brazil, in an attempt to control for family and municipality unobserved factors possibly related to the program’s adoption. The results indicate that children for whom the Family Health Program was available in their municipalities during the prenatal period are healthier than children for whom the program was not available during the same period of their lives.     

Babes in tech land: expo labor as capitalist technology’s erotic body

This article investigates the tech industry practice of hiring “booth babes”—female models costumed in erotic outfits—to introduce new technologies at expos. My research identifies a gendered industrial logic that simultaneously sexualizes promotional spectacles while undervaluing women who create them. Challenging industrial ideologies that view booth babe labor as outside of the tech industry, I engage first in a discourse analysis of job calls for tradeshow modeling gigs, gray literature that evidences not only their industrial presence but also the values that tech companies place on their work. I then turn to their labor conditions, as conveyed through ethnographic interviews with tradeshow models, before drawing connections between booth babe work and other forms of post-Fordist labor. Finally, I propose that the utility of booth babes to the tech industry stems from their enactment of “promosexuality,” a set of corporate erotics oriented toward capitalist promotion.