Impact of caregiver-receiver relationship quality on burden and satisfaction

The purpose of this study was to investigate, through an interview process, both the burden and satisfaction of the caregiving relationship between female primary caregivers and female care-receivers living in the same home. The ten cases were families involved in a caregiver/care-receiver shared-residence situation of at least one year's duration. The primary method of data collection was semi-structured interviews. The results of the qualitative approach called for a reversal of perspective. The intent was to examine how burden and satisfaction impacted the caregiver-receiver relationship quality. However, it was the quality of the relationship between the caregiver and care-receiver which distinguished low burden and high satisfaction.     

Diversity and Dynamics in Late-Life Mother-Daughter Relationships

SUMMARY

We employed gerontological and feminist frameworks in an investigation of normative late-life mother-daughter relationships. Building on previous research, we used data from a representative sample of older mothers to explore in depth the predictors of relationship quality and the satisfactions and complaints prevalent in relationships with mothers in later life. Structured interview data revealed that the intimacy dimension of relationship quality is influenced by contact satisfaction, past conflict, control issues, and amount of discretionary contact whereas the antagonism dimension is affected by present conflict, control issues, and mother's education. Analysis of semistructured interview data showed that elements of companionship, cohesion, and conflict underscore perceptions of relationship quality. The discussion and conclusion locate the findings within the gerontology-feminist literature and provide implications for researchers and practitioners.     

The Guardianship Experience of Women: The Relationship Between Older Wards and Their Guardians

SUMMARY

This research examined how 156 female legal caregivers responded to difficulties of being a guardian, how they derived meaning from their guardianship activities, and how the role of guardian influenced their perception of aging. The most frequent activities in which guardians engaged were visiting, providing emotional support, and to a lesser extent, giving instrumental assistance. Guardians described their emotional relationships with their wards as either “sympathetic,” “sad,” “challenged,” or “hostile.” Despite hardships associated with the duties of being a guardian, most of the women perceived benefits and expressed satisfaction from this role. Guardians reported that the relationship with their female wards shaped their perception of aging and the conception of their own aging.     

“It’s my body,my future”: Older women’s views of their interactions with physicians

ABSTRACT

Based on data obtained from in-depth, qualitative interviews conducted with 30 older Canadian women, this article examines older women’s experiences with, and views of, physicians. The research participants report a very high level of satisfaction with the patient–physician relationship; however, they also report physician shortcomings. Findings indicate that participants’ satisfaction with the patient–physician relationship was influenced by “stories about other doctors,” rationalizations and justifications, and a high level of patient assertiveness.     

Life Satisfaction,Self-Esteem,and Loneliness Among LGB Adults and Heterosexual Adults in China

ABSTRACT

Low levels of life satisfaction have been linked to low self-esteem and loneliness, but this association has never been tested directly in LGB (lesbian/gay/bisexual) populations. We compared 275 Chinese LGB adults to 275 demographic-matched Chinese heterosexual controls on life satisfaction, self-esteem, and loneliness. LGB adults reported lower levels of self-esteem and higher levels of loneliness than heterosexuals, but similar levels of overall life satisfaction. Self-esteem partially mediated (but did not moderate) the relationship between loneliness and life satisfaction in both groups. Hierarchical regressions indicated that demographic variables, loneliness, and self-esteem can predict life satisfaction in both LGB and heterosexual adults, but explained more variance of life satisfaction in the LGB group. Thus self-esteem and loneliness play a more important role in life satisfaction for LGB rather than heterosexual Chinese adults.     

Sense of community,loneliness, and satisfaction in five elder cohousing neighborhoods

ABSTRACT

Data were collected at five elder cohousing neighborhoods to understand more about who lives in these communities, their reasons for moving, their satisfaction, and to explore the intersection between loneliness and sense of community. The average age of the predominantly white, female, and well-educated sample (n = 86, 56% response rate), was 68 ± 6.573 at move-in. Respondents moved in search of a sense of community and were generally satisfied with their experiences. Prevalence of loneliness was lower than the national average, but still affected 24% of the sample. Findings suggest that senior cohousing is delivering on the promise to promote sense of community.     

Developing an instrument to measure satisfaction with continuity of midwifery care drawing on the Delphi technique

BackgroundMaternal satisfaction with maternity care is an important indicator of quality maternity services. Continuity of midwifery models of care are increasing in Australia and while several instruments have been developed to measure satisfaction with maternity care most of these have not been validated and there are none that are appropriate to continuity of midwifery maternity care models.AimTo develop a questionnaire to measure women’s satisfaction with maternity services provided in a continuity of midwifery care service model.MethodsA modified Delphi technique was used. A heterogenous panel of eight experts provided feedback over four rounds. The starting point for the questionnaire was informed by two systematic literature reviews focusing on available instruments for measuring maternal satisfaction with maternity care and what women value continuity of midwifery models of care.FindingsThe Continuity of Midwifery Care Satisfaction Survey (COMcareSS) was developed after four rounds of feedback with the expert panel. The survey comprises nine domains and fifty-nine questions. The domains include demographics, maternity care outcomes, facilities, the midwife/woman relationship, building capacity-empowerment, decision making and involvement, personalised care, advice care and support and general.ConclusionsConsumer satisfaction is an important indicator of quality care. This is the first instrument to be developed that is appropriate to continuity of midwifery models of care. The important next step is to pilot test the instrument to establish its validity and reliability.     

Reduction of Intimate Partner Violence in a Gay Couple Following Alcohol Treatment

ABSTRACT

Although intimate partner violence among heterosexual couples is a growing topic of investigation, there remains a critical deficiency in the amount of research on violence and relationship functioning in gay men. This article presents baseline and follow-up data on a case study examining the effects of partial hospital alcohol treatment on one gay couple. This information may be helpful in understanding the relationship between alcohol use, violence, and relationship functioning in this population. On the basis of past research involving heterosexual couples as participants, we predicted that subsequent to one patient receiving alcohol treatment: 1) alcohol consumption would be reduced; 2) there would be a reduction in the amount of psychological aggression between partners; 3) there would be a reduction in the frequency of physically violent episodes; and 4) an overall improvement in relationship satisfaction would be evident. The couple was followed-up 6 and 12 months following the patient's alcohol treatment. The results indicate a decrease in alcohol use as well as reduced physical and psychological aggression, but no increase in relationship satisfaction. This case illustration may provide insight into the context surrounding intimate partner violence and relationship functioning in gay couples, with implications for further research and treatment.     

Staging Gender and Sexuality in Experimental TV Entertainment

ABSTRACT

Via examples from recent Norwegian experimental TV shows, this article explores the function of “eye-catchers,” parodic (hetero)sexualization, female masquerade and neo-masculinization as strategies for “repetitions with a difference” of traditional styles and motifs by female show hosts, as well as the queer gendering and sexualization of men and masculinities by their male counterparts. Both formats represent innovative renegotiations of gender and sexuality that illustrate the relationship between post-modernism and queer aesthetics.     

Midwives’ job satisfaction and intention to leave their current position in developing regions of Ethiopia

BackgroundThe aim of this research was to analyze midwives’ job satisfaction and intention to leave in developing regions of Ethiopia.MethodsA facility-based cross-sectional study was conducted amongst 107 midwives in four developing regions of Ethiopia. All midwives who were working in 26 health facilities participated in the study. A structured self-administered questionnaire, and in depth key informant interview guides, were used to collect data. Job satisfaction was measured by nine dimensions and intention to leave their current position was measured using three questions.ResultsMore than two-thirds (67%) of the midwives were female, with a mean age of 26.1 (sd ± 4.2) years old. Less than half (45%) of the midwives were satisfied with their job, less than half (42%) were satisfied with ‘work environment’ and less than half (45%) were satisfied with ‘relationship with management’ and ‘job requirements’. Relatively better satisfaction rates were reported regarding ‘professional status’, of which more than half (56%) of midwives were satisfied, followed by more than half (54%) of midwives being satisfied with ‘staff interaction’. Almost two-fifths (39%) of midwives intended to leave their current position.ConclusionJob dissatisfaction and intention to leave rates amongst midwives in developing regions in Ethiopia are a source of concern. The majority of midwives were most dissatisfied with their working environment and issues related to payment. Their intention to leave their current position was inversely influenced by job satisfaction. The introduction of both financial and nonfinancial mechanisms could improve midwives’ job satisfaction, and improve retention rates within the profession.     

Loneliness and Subjective Well-Being Among Chinese Undergraduates: The Mediating Role of Self-Efficacy

Previous studies have shown a negative relationship between loneliness and one’s subjective well-being. However, it has not been fully examined within the Chinese context which highlights the importance of social relationship and interpersonal harmony for one’s life, and the mechanism between them has not been thoroughly explored. Based on social cognitive theory, this study examined the main effects of loneliness on individuals’ stress, depression, and life satisfaction, as well as the mediating effect of self-efficacy between them. Survey data were obtained from 444 Chinese undergraduates. The results of multiple regressions revealed that loneliness was negatively correlated with life satisfaction and positively correlated with stress and depression. Moreover, self-efficacy partially mediated the relationship between loneliness and stress, as well as depression, and fully mediated the relationship between loneliness and life satisfaction. Implications for research and practice are discussed.

     

Plastic surgery in gynaecology: Factors affecting women’s decision to undergo labiaplasty. Mind the risk of body dysmorphic disorder: A review

ABSTRACT

Aesthetic surgery of the female genitalia is on the rise. Many procedures are performed. Body dysmorphic disorder (BDD) is a psychiatric disorder and often goes unrecognized in plastic surgery. This review examines actual knowledge of plastic surgery in gynecology, knowledge of motivational factors of women, and BDD. We carried out a systematic electronic search. We used a combination of relevant keywords to construct the search strategy. Included studies were systematic reviews or primary studies published 1990–2017 and containing information about BDD. Reviewers independently assessed study eligibility, extracted data, and assessed quality, undertaking narrative synthesis. The research revealed a variety of plastic procedures available and why women consider undergoing labia reduction surgery.     

Comparing Self-Rated Health, Satisfaction and Quality of Life Scores Between Diabetics and Others Living in The Bella Coola Valley

Objective: To investigate the relative effect that diabetes has on self-rated health, satisfaction with various specific domains of life, and satisfaction with quality of life operationalized as happiness, satisfaction with life as a whole, and satisfaction with overall quality of life. Design: Mixed methods – mailed survey and chart review. Study Population: All people aged 17 years or older, residing in the Bella Coola Valley in September 2001 and having a chart at the Bella Coola Medical Clinic. Main outcome measures: Self-rated health, self-rated stress, rating of self-care received, global life satisfaction (Life as whole; Overall standard of living; Overall quality of life; and Overall happiness); and satisfaction with various domains of life. Results: A total of 968 useable surveys were returned for a response rate of 56 (968/1734). Age was negatively related to General Health, but positively related to Life Satisfaction. Not being of Aboriginal descent was positively related to all of the four global health indicators and to Subjective Well-Being. After accounting for age, race, and weight, we found that diabetics report significantly poorer self-rated health, and lower satisfaction with health scores compared to people without diabetes. Participants with diabetes who were the least compliant with their treatment regimens rated their current health significantly lower than those who were the most compliant. People with diabetes were, however, no more likely to be unhappy or dissatisfied with their lives as a whole or with the overall quality of their lives compared to people without diabetes. Among people with diabetes, however, those who used insulin did report significantly less satisfaction with the overall quality of their lives than those who didn’t use insulin. Conclusion: Diabetics understand they have poorer health than others, but they do not have poorer global life satisfaction scores. This may explain why it is difficult to get diabetics to adopt behaviours which may lower their quality of life – e.g., diet plans, lose weight, engage in exercise programs, or take medications.     

Predictors of Sports Motivation Among Gay and Bisexual Men

ABSTRACT

Athletic activities are associated with reduced levels of stress and negative mood states among heterosexuals; thus, examining this association among gay/bisexual men is warranted. The current study examined the relationship between sports motivation and mood states, self-esteem, body esteem, life satisfaction, perceptions of masculinity/femininity, and parental encouragement for athletic endeavors among 195 gay/bisexual men. The results were mixed, but suggest that sports participation among gay/bisexual men may relate to a desire to express their masculinity and maintain a positive body image. Gay/bisexual men may be more likely to participate in sports if they receive positive reinforcement from others.     

Development and Gendered Mobilities: Narratives from the Women of Mardin,Turkey

Abstract

This paper addresses gendered mobilities in Mardin in the context of the implications of transport investments for the female labour market. I seek to illustrate that the relationship between infrastructure provision and gendered mobilities is entangled in a wider context which encompasses politics and cultural geographies. Drawing on theories of mobilities, I argue that a lack of understanding of the complementary and contradictory impacts of local context and physical infrastructure investments may undermine social and cultural conditions within communities, resulting in misguided development policies.     

Kaizen,time-budgets and eldercare research

Based on the kaizen principle of continuous improvement, the use of time-budget methodology in caregiving and eldercare research is provided. Suggestions are provided to link caregiving activities to caregiver satisfaction or to caregiver burden. The advantages of time-budget methodology in caregiving and eldercare research are noted.     

Social support,parental role competence and satisfaction among Chinese mothers and fathers in the early postpartum period: A cross-sectional study

BackgroundA sense of parental competence and satisfaction during the transition to parenthood can have a tremendous impact on the quality of parenting behaviors, with social support being an important facilitator.AimTo examine parental role competence and satisfaction of Chinese mothers and fathers in the early postpartum period with regard to social support.MethodsA cross-sectional study was conducted in a regional teaching hospital in Guangzhou, China. The study was conducted between June 5 and November 16, 2015. One hundred and eighty parental pairs at 6–8 weeks after birth completed the Parenting Sense of Competence Scale, Perceived Social Support Scale, and socio-demographic questionnaires.ResultsParental role competence and satisfaction of Chinese mothers and fathers were at a moderate level, affected each other and there were no significant differences between the mothers and the fathers. The Competence Scale scores had a significant positive correlation with social support. Multiple regression analysis revealed two variables that predicted maternal Competence Scale scores: maternal social support and the paternal Competence Scale scores. Paternal social support and maternal Competence Scale scores contributed significantly to paternal Competence Scale scores.ConclusionParental role competence and satisfaction of mothers and fathers were at a moderate level and affected by the parenting partner. To improve parental role competence and satisfaction, health care professionals should develop strategies that impact the whole family and not just a single individual. Supportive parenting programs should be implemented for both mothers and fathers.     

Economic Theory and Subjective Well-being: Mexico

Several studies have been conducted on the topic of well-being. Most of them, however, have been done in industrialized countries where income is distributed relatively more equitatively and the population tends to be more homogeneous. This paper studies the relationship between subjective and economic well-being in Mexico, a country where the economic differences among the population are more clearly marked.

According to the economic definition of well-being, higher levels of income are associated with higher levels of well-being through greater levels of material consumption. Taking into consideration this definition, it is worth asking just how important income is for an individual's happiness?Existing studies in psychology have found a positive correlation between economic well-being (socioeconomic status) and subjective well-being (happiness). However, this positive relationship is weak and a large percentage of human happiness remains unexplained.

Although the mentioned studies make a good approximation of the existing relationship between income and happiness, the characteristics or specification of the function that generates the relationship between these two variables is often assumed to be linear and positive. The main objective of this paper is to investigate further the relationship between subjective and economic well-being. In this study different specifications and approaches are used to approximate the relationship between these variables.

An empirical analysis is made from the results of a survey conducted in two Mexican cities. The investigation studies the impact of demographic, social, and economic variables on subjective well-being in Mexico. Several hypotheses are tested to identify the relationship between household income and individual well-being. It is found that income does not have a strong influence on neither well-being nor on the probability of happiness. However, people tend to overstress the impact that additional income would have on their subjective well-being. This fact could explain the importance that people place on increasing their income level, and it could possibly explain the relative sense of dissatisfaction once a higher income level is achieved.

The relationship between income and the sense of basic need satisfaction is also explored. A main assumption in economic theory suggests the existence of a direct relationship between these variables; however, empirical results show this relationship to be extremely weak. Results indicate that subjective well-being is positively related to the sense of basic need satisfaction but not to income.

     

Factors Associated With Emotional Satisfaction During First Anal Intercourse in a Sample of YMSM

ABSTRACT

We sought to determine, in a sample of 2,813 HIV seronegative young men who had sex with other men age 18–24, whether physical satisfaction would explain emotional satisfaction during first anal intercourse and whether emotional satisfaction would impact having sex with a partner a second time. Emotional satisfaction was explained mostly by physical satisfaction during the event, but partner type also had direct impact on emotional satisfaction. Our findings suggest that first anal intercourse experiences in young men are both emotionally and physically satisfying and may impact subsequent sexual behavior and partner decision-making.