Focus Groups Identified Women's Perceptions of Dairy Foods

ABSTRACT

Focus groups were conducted with 39 Caucasian women (ages 30–55 years) to gain insight regarding their thoughts and feelings toward dairy foods. Women resided in Virginia; all had at least a high school education. Themes characterizing the group discussions were identified. Women knew that dairy foods were a good source of calcium and discussed it in relation to osteoporosis. Although many knew the risk factors related to osteoporosis, most were confused about measures to prevent it. Many used calcium supplements or vitamin/mineral supplements to help meet calcium requirements. Most thought dairy foods were high in fat. Women also discussed the sensory attributes of dairy foods as well as convenience and cost of dairy foods in relation to their dairy food choices.     

The effect of protein diets in postmenopausal women with osteoporosis: Systematic review of randomized controlled trials

The main objective of this systematic review was to examine the effectiveness of protein supplementation through diet or dietary supplements on osteoporosis in postmenopausal women as evidenced by randomized controlled trials (RCTs). Five RCTs were included using dietary protein (N = 2), protein supplements (N = 2), and proteins through diet and supplements (N = 1). A total of 677 postmenopausal woman were included, all diagnosed with osteoporosis (T score < –2.5) and aged between 50 and 80 years. Results have found that combined protein administration through diet, mainly from animal sources and supplemental proteins (whey proteins, 86 g/d PRO including 6 g WPI), for a short period of time (up to 12 months) may positively affect osteoporosis in postmenopausal women. In addition, a positive effect can also be achieved by the single administration of a 250 mg/d supplement in which 10 g was WPI for a six-month period. In this review, it is shown that both combined administration of proteins through diet and supplements and single administration through protein supplements may reduce the risk of fracture in postmenopausal osteoporotic women. In contrast, dietary proteins alone, in doses similar to and/or higher than the RDA values, may not have any positive effect on treating osteoporosis.     

Survey of women's perceptions of information provided in the prevention or treatment of iron deficiency anaemia in an Australian tertiary obstetric hospital

BackgroundThere is limited literature to understand the perceptions of Australian women regarding the information provided by healthcare professionals relating to the prevention and treatment of iron deficiency anaemia in pregnancy.AimTo establish an insight into the key themes and trends within a tertiary obstetric hospital related to the provision of dietary advice and use of iron supplements in pregnancy.MethodsA prospective patient survey of pregnant women and women up to 4 weeks postnatal attending hospital.FindingsOf the 110 women who participated, 73.6% were provided with information on iron rich foods and 67% made dietary changes. Eighty percent of women were advised to take oral iron and 65.5% of women were taking it at the time of the survey. In women who had independently ceased oral iron, 41.7% failed to inform their healthcare professional. In the women who did inform their healthcare professional 89.5% received advice to help overcome the reason that led to cessation. The main causes included forgetfulness and side effects. Women were less likely to require intravenous iron if oral iron was commenced early.ConclusionsCompliance with recommended oral iron is variable within a population of pregnant women. Women are provided with information on a range of issues relating to the prevention and treatment of iron deficiency anaemia; yet there is a disparity between the information provided and the resulting action. Further research should focus on targeted measures to improve understanding and compliance with treatment from the both women's and health professionals perspective.     

Risk factors associated with osteoporosis in Hispanic women

This study examined risk factors for osteoporosis in Hispanic women. Factors examined included ethnicity, gender, age, height, weight, family and personal history of fractures, height loss, exercise, diet, time since menopause or hysterectomy, hormone replacement therapy (HRT), calcium supplementation, hypertension, thyroid disease, diabetes, arthritis, chemotherapy, family history of breast cancer, use of water pills, fosamax, steroids, alcohol, and smoking. Most results found parallel those found in the Caucasian population. Heavier patients had greater bone density, as well as patients who exercised and those using HRT. Older patients had lower bone density as did diabetic patients. Results not anticipated were higher bone density in patients not taking calcium supplements, and in patients who consumed alcohol.     

Osteoporosis and Older Women:

Osteoporosis, a metabolic bone disorder, affects four times as many women as men. Each year 1.3 million fractures, primarily of the vertebra, hip, and wrist can be attributed to osteoporosis. Risk factors for the development of this disease include age, sex, body build, family history, race, loss of estrogen, calcium deficiency, sedentary lifestyle, smoking, and the excessive use of alcohol. Three common approaches used in the treatment and prevention of osteoporosis are hormone replacement therapies, nutrition interventions. and exercise programs. These strategies are aimed at maintaining or stabilizing bone mass and preventing further loss. Living with osteoporosis presents older women with a variety of physical, psychological, and social challenges. To maintain a productive and healthy lifestyle, older women must recognize their physical limitations and make adjustments in their daily lives to cope successfully with these changes.     

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.     

Causal Attributions and Parents’ Acceptance of Their Homosexual Sons

This Internet-based study examined the association between Israeli parents’ attributions regarding the cause of their son’s homosexuality and their level of acceptance of their homosexual son. The sample (N = 57) was recruited via Internet Web sites (gay forums and support groups). Findings suggest that more essentialist (versus constructivist) causal attributions were associated with higher levels of parental acceptance. Length of time parents knew of their son’s homosexual orientation predicted the degree to which their attributions were essentialist. Implications are discussed.     

现代夫妻关系对妇女男孩偏好的影响

在影响妇女男孩偏好的因素中，夫妻关系是非常重要的一个方面。文章利用中国人民大学人口与发展研究中心2010年在浙江、湖北和河北3个省份开展的“农村妇女家庭及生育状况”专题调查数据，运用回归模型分析了现代夫妻关系对妇女男孩偏好的影响。研究发现，目前我国的夫妻关系表现出明显的现代特征，而且现代夫妻关系对妇女的男孩偏好起着弱化的作用。家庭地位高、权力资源丰富、对丈夫家依赖程度较低的妇女，她们的男孩偏好比较弱。     

Studies on the mating system of the winter cherry bug, Acanthocoris sordidus Thunberg (Heteroptera: Coreidae) II. Harem defence polygyny

Summary The mating system of the winter cherry bug,Acanthocoris sordidus, was analyzed precisely. As a result, it was found that male adults of this species establish a small territory for mating on the stem of host plant which harbors females. These males abandoned their territories soon after the disappearance of monopolized females. Thus it was confirned that the cue for the territorial establishment of males is the presence of females per se on the host plant. Moreover, most aggregations of adults observed on the host plant contained only a single male. This one-male unit in the mating was named a harem. Harem holding males were usually big in body-size and had a high chance of copulations. The defence behaviors of harem holding males, the mating disparity among males, and the oviposition habit of females in relation to the mating system, were observed. The results obtained were discussed in relation to the sexual selection theories.     

After Menopause

Women of 50 today have roughly the same number of years to look forward to as they have already lived as reproductive women. Many women will live 30,40 or even 50 years post menopause. This very important period in women's lives has been studied little and viewed negatively by the medical profession and society at large. The purpose of this paper is to examine the psychological and physiological concerns of women at menopause. Self-help measures that are effective in managing the physical and psychological aspects of menopause are discussed. Hormone replacement therapy as a method of managing menopause is examined. Women are challenged to sort out the myths surrounding menopause, to take charge of their health and to move into this second season of their lives filled with vitality and joy.     

Induction of labour: Experiences of care and decision-making of women and clinicians

BackgroundThere has been a rise in induction of labour over recent decades. There is some tension in the literature in relation to when induction is warranted and when not, with variability between guidelines and practice. Given these tensions, the importance of shared decision-making between clinicians and women is increasingly highlighted as paramount, but it remains unclear to what extent this occurs in routine care.MethodUsing a scoping review methodology, quantitative and qualitative evidence were considered to answer the research question “What are the views, preferences and experiences of women and clinicians in relation to induction of labour more broadly, and practices of decision-making specifically?” To identify studies, the databases PubMed, Maternity and Infant Care, CINAHL and EMBASE were searched from 2008 to 2018, and reference lists of included studies were examined.Findings20 papers met inclusion criteria, in relation to (a) women’s preferences, experiences and satisfaction with IOL; (b) women’s experience of shared-decision making in relation to induction; (c) interventions that improve shared decision-making and (d) factors that influence decision-making from the perspective of clinicians. Synthesis of the included studies indicates that decision-making in relation to induction of labour is largely informed by medical considerations. Women are not routinely engaged in the decision making process with expectations and preferences largely unmet.ConclusionThere is a need to develop strategies such as decision aids, the redesign of antenatal classes, and clinician communication training to improve the quality of information available to women and their capacity for informed decision-making.     

Perspectives on family and fertility in developing countries

Abstract Two aspects of the family in relation to fertility in developing countries are discussed: set stratification within the family and extended family networks. As both these are central to J. C. Caldwell's theory of fertility transition, the paper is structured as a critique of his position. Drawing on examples and data from Asia, it is argued that the causal significance of sex stratification for fertility lies in the economic risks it imposes on women, deriving from their dependence on men, rather than, as Caldwell suggests, in the disproportionate gain that men derive from their dominant position within families. While Caldwell and others associate strong extended family networks of mutual obligation and support with persistent high fertility, it is argued here that such systems should, instead, facilitate fertility decline. Close-knit and strong kin networks can be viewed as alternatives to children as sources of insurance, and may facilitate fertility decline by preventing children from becoming the focal point of parental concerns for security.     

Prevalence of low bone health using quantitative ultrasound in Indian women aged 41–60 years: Its association with nutrition and other related risk factors

The purpose of this study was to find the prevalence of low bone health conditions and assess associated nutritional and other risk factors in Indian women aged 41–60 years. A total of 1,911 women participated in this cross-sectional study. Bone health was assessed using an Omnisense multisite quantitative ultrasound bone densitometer on two sites (radius and tibia). Crude prevalence of osteopenia and osteoporosis was found to be 30.09% and 19.89%, respectively. The Indian women were deficient in a majority of nutrients. Postmenopause, hysterectomy, hyperthyroid, hypothyroid, hypertension, low physical activity, low sun exposure, high stress levels, and low calcium levels were found to be independent risk factors of low bone health.     

Queerest Little City in the World: Gay Reno in the Sixties

This article is a history of the lesbian, gay, bisexual, and transgender (LGBT) community in Reno, Nevada, during the 1960s. Despite prevalent beliefs that there was not a coherent LGBT community in Reno before Stonewall, my article shows the opposite. Linked by several LGBT-owned businesses and public places, Reno had a well-defined community that people knew about. The article also shows how Reno was looked at as a failing marginalized city throughout the 1960s and that this, in turn, allowed it to become a prime place for LGBT peoples to move and start gentrifying the area. The article also shows how the unusual nature of Nevada and its relation to vice during the middle decades made it fertile ground for businesses to spring up that catered to the LGBT community. Overall, the article shows a dense series of networks between LGBT Northern Nevada natives, tourists, and the spaces they inhabited during the 1960s.     

Knowledge and practices regarding iodine supplementation: A national survey of healthcare providers

Background

Little is known of healthcare providers’ awareness and implementation of the National Health and Medical Research Council's recommendation regarding iodine supplementation during pre-conception, pregnancy and lactation.

The Influence of Health Promoting Practices on the Quality of Life of Community Adults in Hong Kong

The importance of a healthy lifestyle is receiving increasing attention due to its impact on health and well-being. However, very few studies have been done on health promoting practices of the general public in Hong Kong. The present study aimed to identify the patterns of health promoting practices of the general public in Hong Kong, to compare health promoting practices across gender and education levels, and to examine the relationship between health promoting practices and quality of life. A total of 941 community adults were recruited using a randomized household survey design. Results revealed that a large proportion of participants reported practicing various types of health promoting behavior related to healthy food choice, engaging in stress management strategies, and refraining from health compromising behavior such as smoking and drinking excessively. Female participants were more likely to choose healthy food, refrain from smoking and drinking alcohol excessively, and take vitamin supplements, whereas male participants were more likely to exercise regularly. Both men and women with higher levels of education were more likely to report not smoking, not drinking alcohol excessively, and participating in social activities. Women with higher levels of education were also more likely to engage in relaxing activities but less likely to report exercising regularly and sleeping sufficiently. Hierarchical regression analyses revealed that stress management and social relations significantly predicted better quality of life for both male and female participants, and types of preventive health behavior were significant predictors of quality of life for female participants only. Results highlighted the importance of advocating health promoting practices among the general public in Hong Kong. Implications for future practice were discussed.     

Breaking through the silence in antenatal care: Fetal movement and stillbirth education

BackgroundFetal movements are a key indicator of fetal health. Research has established significant correlations between altered fetal activity and stillbirth. However, women are generally unaware of this relationship. Providing pregnant women with information about the importance of fetal movements could improve stillbirth rates. However, there are no consistent fetal movements awareness messages globally for pregnant women.AimsThis study aimed to explore the antenatal care experiences of Australian mothers who had recently had a live birth to determine their knowledge of fetal movements, the nature and source of that information.MethodsAn online survey method was used for 428 women who had a live birth and received antenatal care in Australia. Women’s knowledge of fetal movements, stillbirth risk, and the sources of this knowledge was explored.FindingsA large proportion of participants (84.6%; n = 362) stated they had been informed by health care professionals of the importance of fetal movements during pregnancy. Open-ended responses indicate that fetal movements messages are often myth based. Awareness that stillbirth occurs was high (95.2%; n = 398), although, 65% (n = 272) were unable to identify the current incidence of stillbirth in Australia.ConclusionWomen who received antenatal care have high-awareness of fetal movements, but the information they received was inconsistent. Participants knew stillbirth occurred but did not generally indicate they had obtained that knowledge from health care professionals. We recommend a consistent approach to fetal movements messaging throughout pregnancy which focuses on stillbirth prevention.     

A phenomenological exploration of parenting after birth trauma: Mothers perceptions of the first year

ProblemWhile perinatal mental health issues are considered to have an impact on a mother’s parenting capacity, there is limited research exploring mothers’ perceptions of their relationship with their child following traumatic birth experiences and how these might affect their parenting capacity.BackgroundBirth trauma is a well-recognised phenomenon which may result in ongoing physical and perinatal mental health difficulties for women. This may impact on their attachment to their children, their parenting capabilities, and their self-identity as mothers.AimsTo explore maternal self-perceptions of bonding with their infants and parenting experiences following birth trauma.MethodsIn-depth interviews with ten mothers were undertaken using an Interpretative Phenomenological Analysis methodology.FindingsWomen who experienced birth trauma often described disconnection to their infants and lacking confidence in their parental decision making. Many perceived themselves as being ‘not good enough’ mothers. For some women the trauma resulted in memory gaps of the immediate post-partum period which they found distressing, or physical recovery was so overwhelming that it impacted their capabilities to parent the way they had imagined they would. Some women developed health anxiety which resulted in an isolating experience of early parenthood.ConclusionsWomen who have suffered birth trauma may be at risk of increased fear and anxiety around their child’s health and their parenting abilities. Some women may experience this as feeling a lower emotional attachment to their infant. Women who experience birth trauma should be offered support during early parenting. Mother-Infant relationships often improve after the first year.     

Fertility and socio-economic status in Rural Bangladesh: Differentials and linkages

Summary Socio-economic differentials in fertility are examined by using data collected from a daily registration system covering over 100,000 persons in rural Bangladesh during the period 1968 to 1970. The findings indicate that fertility was generally higher among women in the higher than in the lower socio-economic groups. Several factors associated with high socio-economic status and their relation with the intermediate variables are discussed as providing the linkages with high fertility. These include, health status, breastfeeding, the enforcement of 'purdah' and migration.     

Evaluation of a regional midwifery caseload model of care integrated across five birthing sites in South Australia: Women’s experiences and birth outcomes

IntroductionThe ongoing closure of regional maternity services in Australia has significant consequences for women and communities. In South Australia, a regional midwifery model of care servicing five birthing sites was piloted with the aim of bringing sustainable birthing services to the area. An independent evaluation was undertaken. This paper reports on women’s experiences and birth outcomes.AimTo evaluate the effectiveness, acceptability, continuity of care and birth outcomes of women utilising the new midwifery model of care.MethodAn anonymous questionnaire incorporating validated surveys and key questions from the Quality Maternal and Newborn Care (QMNC) Framework was used to assess care across the antenatal, intrapartum and postnatal period. Selected key labour and birth outcome indicators as reported by the sites to government perinatal data collections were included.FindingsThe response rate was 52.6% (205/390). Women were overwhelmingly positive about the care they received during pregnancy, birth and the postnatal period. About half of women had caseload midwives as their main antenatal care provider; the other half experienced shared care with local general practitioners and caseload midwives. Most women (81.4%) had a known midwife at their birth. Women averaged 4 post-natal home visits with their midwife and 77.5% were breastfeeding at 6–8 weeks. Ninety-five percent of women would seek this model again and recommend it to a friend. Maternity indicators demonstrated a lower induction rate compared to state averages, a high primiparous normal birth rate (73.8%) and good clinical outcomes.ConclusionThis innovative model of care was embraced by women in regional SA and labour and birth outcomes were good as compared with state-wide indicators.