Do We Think Children Need a Mom and Dad?: Understanding How Gender Ideology Impact Attitudes Toward Same-Gender Parent Family Rights

Research and opinion polls demonstrate that attitudes toward same-gender parent families have been improving in recent years among Western countries; however, the history of oppression toward, and misconceptions about, same-gender parent families continue to be demonstrated in Australian family rights policies. Common misconceptions include the belief that children need both male and female role models, and this could be influencing peoples’ support for same-gender family rights and having a wider impact on legislation change. Yet a dearth of research exists exploring a connection between gender role beliefs and support for same-gender family rights using a broad international sample, including Australia. To investigate this connection, a sample (N = 615) from 18 English-speaking countries responded to a series of questions to determine the importance of gender norm beliefs on same-gender family prejudice. Regression analysis demonstrated that people with traditional beliefs about gender norms were more likely to endorse a negative attitude toward same-gender marriage and same-gender parenting. Findings suggest a link between socially prescribed gender norms and prejudice toward same-gender parent families that may be fueling arguments against same-gender family rights policies. The implications of these findings on same-gender parent families and their rights require future investigation.     

Measuring Sexual Prejudice Against Gay Men and Lesbian Women: Development of the Sexual Prejudice Scale (SPS)

The presence of bias against gay men and lesbian women remains an ongoing issue, and accurate measurement is essential to targeted intervention. A validation study of a new instrument, the Sexual Prejudice Scale, is reported. Students (N = 851) from 4 different universities participated in this study. An exploratory factor analysis and confirmatory factor analysis were conducted, and results of these analyses indicated a 3-factor solution (affective – valuation, stereotyping, and social equality beliefs) for each of the sex-specific scales. Evidence of validity and the results of the reliability analysis are reported. Implications for future research are discussed.     

Attitudes and Stereotypes Regarding Older Women and HIV Risk

Persons aged 50 years and over will soon disproportionately represent the future of the HIV/AIDS epidemic. It is estimated that by 2015 older adults will represent 50% of persons living with HIV in the United States. Despite the HIV/AIDS growing population among older adults, attitudes, beliefs, and stereotypes toward older adults that exist in general society have affected HIV prevention, education, and care. Specifically, ageist attitudes about the sexuality of older adults in general and older women in particular, low clinical HIV suspicion among healthcare providers, lack of knowledge about risk among older women, and differentials in power related to negotiating sexual practices all lead to heightened concerns for the prevention, identification, and treatment of HIV disease in mature women. This article examines common attitudes, beliefs, and stereotypes that exist within general society as well as health and social service providers that place older women at a disadvantage when it comes to HIV prevention, education, and treatment.     

Portuguese Adolescents' Attitudes Toward Sexual Minorities: Transphobia,Homophobia, and Gender Role Beliefs

Research has shown that negative attitudes toward lesbians and gay men are common and widespread in Western societies. However, few studies have addressed attitudes toward transgender individuals. In addition, although research has shown that homophobic harassment and bullying is highly common among adolescents, little is known about adolescent's attitudes toward sexual minorities. This study aimed to fill these gaps in knowledge, by investigating adolescents' attitudes toward transgender individuals and possible attitudinal correlates of those attitudes. Participants (N?=?188; 62 males and 126 females) were recruited in high schools in Lisbon, Portugal. Age ranged from 15 to 19 years (M?=?17; SD = .96). Participants completed a questionnaire booklet measuring attitudes toward transgender individuals, lesbians, and gay men, and gender role beliefs. Results revealed that attitudes toward transgender individuals were significantly correlated with all attitude measures. Specifically, it was revealed that those participants who endorsed negative attitudes toward transgender individuals were also endorsing of negative attitudes toward lesbians and gay men and tended to adhere to traditional gender roles. A significant gender effect was found with males being more negative toward sexual minorities than females, but these negative attitudes were more extreme toward gay men than toward lesbian women. Implications of these findings are discussed.     

“I’m in control: I’m not stumbling in the dark anymore”: Midlife women’s experiences of successfully negotiating safer sex with new partners

The rates of STIs in women over 45 years have been steadily increasing in Australia and other Western countries. Traditionally sexual health and STI prevention and research has positioned young people as the priority population; to date, insufficient attention has been paid to the sexual health of women over 45 years. Using a strengths-based approach, the objective of this study was to explore the factors and mechanisms that enable Australian women aged 45 to 64 years to successfully negotiate safer sex practices in new relationships. Interpretative Phenomenological Analysis (IPA) was employed for an in-depth exploratory study of a sample of eight women. Three broad themes emerged: being informed, being prepared, and being empowered. These findings provide a valuable insight into how we can initiate change and support safer sex practices for this target group.     

Women at Midlife: Women's Perceptions,Physicians' Perceptions

Research and assessment of the well-being of women at midlife, for the most part, focuses on assumptions based on stereotypes and myths that hinder our ability to realistically appraise women's experiences. Women's reproductive role, manifested in the centrality of menopause, predominates in the health literature. This paper looks at how physicians and midlife women view the experiences of midlife women. Attribution theory is used to offer explanations for different perceptions that may hinder appropriate health care. Suggestions to mitigate these differences in the future are offered.     

Because We Don't Take Better Care of Ourselves: Rural Black Women's Explanatory Models of Heart Disease

Introduction: Among women aged 45–54, Black women are 2.5 to 3 times more likely than White women to die from coronary heart disease (CHD) and less likely to exercise. This study explored Black women's beliefs about the causes and risks of heart disease. Methods: Convenience sampling was used to recruit 20 Black women aged 40–58 years with at least one risk factor for CHD. Results: Participants identified 11 causes of heart disease within three factors: Lifestyle, Physiologic Causes, and Going to Get It. Discussion/Conclusion: The findings provide a focus for educational interventions to decrease risk for CHD in this population.     

Essentialist Beliefs About Homosexuality Predict Positive and Negative Behavioral Intentions Toward Lesbian Women and Gay Men

This study focuses on essentialist beliefs about homosexuality as determinants of discriminatory intentions against gay men and lesbian women (LG) and the readiness to engage in positive action toward them. A sample of 997 exclusively heterosexual adults participated in an online study set in Croatia, a country with high homophobia undergoing social change that threatens the higher status of the heterosexual majority. Beliefs about immutability and universality of homosexuality were associated with less intention to discriminate and more readiness to engage in positive behavior, while discreteness beliefs were inversely related to both. Furthermore, attitudes toward LGs seem to be the mechanism behind the observed links. Results suggest essentialist beliefs might be fuel for attitudes, which are in turn associated with behavioral intentions. Importantly, essentialist beliefs had both indirect (with attitudes as mediators) and direct effects on behavioral intentions speaking in favor of their robust role in explaining LG-related phenomena.     

Changing the risky beliefs of post-partum women about therapeutic sun-exposure

BackgroundMany post-partum women hold risky beliefs about perceived therapeutic benefits of sun-exposure in the post-partum period and infancy.QuestionCan a maternity hospital based educational intervention reduce the prevalence of such beliefs among post-partum women?MethodsIn this outcome evaluation of an interventional study, two groups of healthy post-partum women (hospital inpatients) were interviewed, 1–4 days following delivery. The first cross-section (106 women) was recruited prior to in-services for maternity staff; the second (203 women) was recruited after completion of the in-services. Data were compared between the groups.FindingsMore pre-intervention than post-intervention women reported they would expose their baby to sunlight to treat suspected jaundice (28.8% vs 13.3%; p < 0.001) or help his/her skin adapt to the sun (10.5% vs 2.5%; p = 0.003); or use sunlight to manage breastfeeding-associated sore/cracked nipples (7.6% vs 2%; p = 0.026).ConclusionThis simple, effective educational intervention could be implemented in programmes for parents, health professionals and students.     

西部农村留守妇女的身心健康及其影响因素——来自四川农村的报告

本文采用西部地区24个行政村千余名农村妇女的调查数据,探讨了农村留守妇女的身心健康及影响因素。研究发现,留守确实影响了农村妇女的身心健康,留守妇女比非留守妇女更担心自己的身体健康状况,更倾向认为自己的身体健康状况不及同龄女性和比以前更差了,更容易出现一些生理和心理不健康的症状;留守妇女的家庭压力、社会支持网络、当地医疗卫生状况等因素对其身心健康有不同程度的影响。文章最后提出建立夫妻间良好的沟通机制、构建社会支持网络、改善农村医疗卫生状况三点建议。     

“You’re a ‘high-risk’ customer”: A qualitative study of women’s experiences of receiving information from health professionals regarding health problems or complications in pregnancy

BackgroundExperiencing complications in pregnancy is stressful for women and can impact on fetal and maternal outcomes. Supportive encounters with health professionals can reduce the worry women experience. Further research is needed to understand women’s perspectives on communicating with their healthcare providers about their concerns.AimThis study explored women’s experiences of receiving information about pregnancy complications from healthcare providers and their interactions with multiple professionals and services during pregnancy.MethodsThis was a qualitative interpretive study. Semi-structured interviews were conducted with 20 women experiencing pregnancy complications recruited from antenatal services at two hospitals in Sydney. Inductive thematic analysis was used to analyse the data.FindingsWomen had a range of reactions to their diagnoses, including concern for their baby, for themselves and for their labour. Most women reported that communication with healthcare providers was distressing, they were not listened to and staff used insensitive, abrupt language. Women were also distressed by delays in education, receiving contradictory information and having to repeatedly share their stories with different health professionals. In some cases, this damaged the therapeutic relationship and reduced trust towards healthcare providers. Midwives were generally preferred over doctors because they had a more woman-centred approach.ConclusionTo improve women’s experiences of care for pregnancy complications, it is critical to improve the communication skills of maternity service providers. Women’s need for information, resources and support can best be provided by continuity of care with a named health professional, for example, a midwife working within an integrated multidisciplinary antenatal service model.     

Knowledge and Attitudes About HIV/AIDS Among Community-Living Older Women: Reexamining Issues of Age and Gender

ABSTRACT

Although older women face unique risks related to HIV/AIDS, little empirical data is available regarding HIV/AIDS among women over the age of 65. In the present study, 160 community-living older women and men completed questionnaires regarding knowledge and attitudes about HIV/AIDS. Findings showed that although older women were less likely to talk to their physician about HIV than men, they maintained greater knowledge and generally dispelled myths about viral transmission. However, most older women believed that HIV/AIDS had limited personal relevance, possessed virtually no knowledge of age and gender specific risk factors, and professed HIV-associated stigma. These findings highlight the need for gender and age specific prevention programs.     

Stigma,guilt and motherhood: Experiences of pregnant women with COVID-19 in Brazil

BackgroundThe COVID-19 pandemic raises health issues worldwide. Infected pregnant women may have negative mental health outcomes, but little is known about their emotional experiences.AimWe aimed to understand the experience of women infected with COVID-19 during pregnancy, regarding their feelings, their relationships, and the influence of social media.MethodsWe conducted a qualitative study among 22 women infected with COVID-19 during pregnancy, from a tertiary hospital during the first wave of the pandemic in Brazil (May–August 2020). We applied semi-directed interviews, sociodemographic and health data sheets, and field diaries. We built the sample purposefully. Interviews were audio-recorded and transcribed verbatim. We used thematic analysis and discussed data considering the health psychology framework.ResultsWe created five categories following a timeline perspective, from before infection to the experience after recovering. Pregnant women were resistant to believing the diagnosis. They described a fear of serious symptoms or death, concerns about the fetus, sorrow from being isolated, and worries about stigma. Family relationships were ambiguous, generating either support or tension. The attachment to the health team through telemedicine or support during hospitalization produced a feeling of security.ConclusionsParticipants psychologically denied the COVID-19 diagnosis and did not accomplish isolation properly, even upon medical recommendations. The illness may produce a traumatic experience, regardless of mild or severe symptoms, but family/friend support and contact with the health team helped them to cope. We offer important insights for the clinical approach and future research, emphasizing that infected pregnant women require emotional support.     

Exploring the Relationship Between Public Opinion and Personal Attitudes and Behavior Toward Lesbians and Gay Men: Social Conformity Revisited

This study investigated the relationship between social conformity, gender-role egalitarianism, and personal levels of heterosexism, or prejudice based on same-sex orientation. Mock public opinion polls of a positive or negative nature regarding same-sex orientation were used to study attitudinal and behavioral change of participants and attitude-behavior consistency. The study sample included 194 undergraduate students from a Midwestern university. A correlation existed between participants' traditional gender role beliefs and heterosexism. Participants who viewed the positive public opinion poll demonstrated behavioral support for a lesbian and gay organization, as did participants with positive attitudes toward lesbians and gay men. Findings are analyzed within a social prejudice framework.     

Seeking and Processing Information for Health Decisions among Elderly Chinese Singaporean Women

Information behavior includes activities of active information seeking, passive acquisition of information, and information use. Guided by the Elaboration Likelihood Model, this study explored elderly Singaporean women’s health information behavior to understand how they sought, evaluated, and used health information in everyday lives. Twenty-two in-depth interviews were conducted with elderly Chinese women aged 61 to 79. Qualitative analysis of the interview data yielded three meta-themes: information-seeking patterns, trustworthiness of health information, and peripheral route of decision making. Results revealed that elderly women took both systematic and heuristic approaches to processing information but relied on interpersonal networks to negotiate health choices.     

子女孩次性别结构与女性再生育——基于孩次性别递进生育率的分析

现有子女的孩次性别结构是影响女性再生育的重要因素。使用中国2000年人口普查数据和时期孩次性别递进生育指标对女性生育水平进行了测算。结果显示,女性普遍生育但终身只生育一个孩子的比例很大,基于孩次性别结构的生育行为体现了男孩偏好;城市和镇在生育第一孩时就存在性别选择;第一个孩子是女孩的女性生育二孩的可能性较大,且二孩是男孩的比例显著大于是女孩的比例;第一个孩子是男孩的城市和镇的女性大部分不再生育,而农村女性有很大比例会生育二孩,但几乎不存在性别选择。采用某地区2019年的数据进行补充验证,同样发现:只有一个女孩的女性相比较只有一个男孩的女性生育者生第二孩的可能性要高很多,以上研究发现对当前二孩生育行为具有一定的启示意义。     

Body Dissatisfaction in Midlife Women

ABSTRACT

We examined the extent and correlates of body dissatisfaction among 1026 54-year-old women from the MRC National Survey of Health and Development. Weight dissatisfaction was reported by nearly 80% of the sample and by over 50% of ‘normal weight” women (BMI < 25). Women indicated being most dissatisfied with their bodies currently, relative to their younger years, including their forties. Adjusting for BMI, dissatisfaction was highest in higher social class women and in those who rated themselves in poorer health. Women with poor body esteem, regardless of body size, were likely to avoid various everyday situations because of how they felt about their bodies. Adjusting for BMI, women who were happy with their weight were more likely to report distress about other aspects of their appearance. We suggest that body dissatisfaction in women of this age group merits further attention.     

Factors affecting rural women's utilisation of continuum of care services in remote or isolated villages or Pakistan – A mixed-methods study

IntroductionAn effective continuum of care for pregnancy and childbirth connects women and girls with essential reproductive and maternity care services. This study aimed to estimate the continuum of care utilisation rate of women who lived in remote and isolated regions of Pakistan and explored factors that influence women's utilisation of reproductive and maternity care services.MethodsA mixed-methods study was conducted in five rural villages of Sindh, Pakistan. A cross-sectional survey with 669 women who gave birth between July 2010 and September 2014 investigated women's maternity-care service utilisation during pregnancy, childbirth, and in the postpartum period. In-depth interviews with 15 women explored their maternity-care experiences with health providers.ResultsOnly 6.4% of 669 women participants reported to have completed the continuum of care for their last pregnancy. Skilled birth attendants, including health professionals, were used by 56.1% for antenatal care, 40.8% for both antenatal and childbirth, 22.3% for antenatal, childbirth and postnatal, and only 6.4% reported using all pregnancy-related and postpartum services. Limited knowledge about affordable health services, poor health literacy, and access to health services was associated with women's fragmented utilisation of maternity care. A lack of respectful maternity-care was also identified as a major barrier to women's utilisation of primary health care facilities, especially for childbirth.ConclusionThe existing primary health structure in Pakistan provides a good foundation to deliver continuity of care services; however, health services utilisation for reproductive and maternity care remains suboptimal in women who live in geographically remote regions of Pakistan.