Adaptation and Dissonance in Quality of Life: A Case Study in Mekelle,Ethiopia

This study aimed to determine predictability of life satisfaction by focusing on social support, substance abuse, socio-demographic factors as well as received health services from medical and traditional centers in the elderly with dementia. The subjects were 1,210 non-institutionalized Malaysian elderly with cognitive problems. In addition, age, ethnicity, sex differences, marital status, educational level, social support, substance abuse and receiving health services were evaluated to predict the risk of falls in samples. Social support was measured by Lubben score. Substance abuse was referred to smoking per day, addiction to alcohol consumption as well as dependency to medications. Health care supports, which were received by individuals included medical and traditional treatments. Life satisfaction was measured by asking in general ‘Are you satisfied with your current life’. The multiple logistic regression analysis was used to determine the effects of contributing variables on life satisfaction in respondents. Approximately 83 % of subjects reported that they were satisfied with their current life. The results of multiple regression analysis showed that marital status (OR = 1.98), traditional treatments (OR = 0.43), social support (OR = 2.28) and educational level (OR = 1.79) significantly affected life satisfaction in samples (p < 0.05). Furthermore, age, ethnicity, sex differences, substance abuse and medical treatments were not significant predictors of life satisfaction (p > 0.05). It was concluded that social support, being married and education increased life satisfaction in subjects but traditional treatments decreased life satisfaction.     

“She Finally Smiles … for Real”: Reducing Depressive Symptoms and Bolstering Resilience Through a Camp Intervention for LGBTQ Youth

ABSTRACT

While summer camps are a recognized evidence-based strategy for building social and emotional skills among youth (U.S. Centers for Disease Control and Prevention [CDC], 2009), no known studies have evaluated the effects of camp programming for LGBTQ youth in the United States. This pilot study evaluates a novel program (Brave Trails) for LGBTQ youth ages 12 to 20, using a pre-post camper survey (N = 56) and a post-camp parent survey (N = 54). Results show campers experienced increases in identity affirmation and hope and a reduction in depressive symptoms. Regression analyses found changes in identity affirmation predicted reductions in depressive symptoms and increases in resilience. Additionally, campers’ experience of key camp programming features predicted changes in depressive symptoms. Findings from the parent survey were consistent with camper survey results. Theoretical and practical implications are discussed.     

Factors affecting intention to breastfeed of a group of Brazilian childbearing women

Background

Knowing the intention of mothers is important to plan actions to improve exclusive breastfeeding rates.

Analysis of GLBTQ Youth Community-Based Programs in the United States

Gay, lesbian, bisexual, transgender, and queer/questioning (GLBTQ) youth face oppression despite some increases in cultural support for GLBTQ individuals. Research has revealed the psychological and social distress associated with oppression and the benefits of peer social support programs. This study was conducted to analyze the types and frequency of services, age of participants, and organizational structures of the 116 GLBTQ community-based programs operating in the United States. Using an Internet survey, information from 61 of the programs was secured. The results revealed the community-based youth programs provide critical and unique programs and services that can promote the mental and physical health of GLBTQ youth.     

The Social Context of Depression Symptomology in Sexual Minority Male Youth: Determinants of Depression in a Sample of Grindr Users

ABSTRACT

The purpose of this study was to understand which social context factors most influence depression symptomology among sexual minority male youth (SMMY). In 2011, 195 SMMY who use Grindr were recruited to complete an online survey in Los Angeles, California. Items focused on social context variables and depression symptomology. Hierarchical multiple regressions were conducted using an ecological framework. The best fitting model accounted for 29.5% of the variance in depression. Experiences of homophobia, gay community connection, presence of an objecting network member, and emotional support were found to be significant predictors. Past experiences of homophobia continuing to affect youth indicates the need for intervention to reduction of homophobia in youths’ social contexts. Interventions that teach youth skills to manage objecting viewpoints or help youth to reorganize their social networks may help to reduce the impact of an objecting network alter.     

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.     

“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.     

The Role of Institutional Placement,Family Conflict,and Homosexuality in Homelessness Pathways Among Latino LGBT Youth in New York City

ABSTRACT

Despite the overrepresentation of Lesbian, Gay, Bisexual, and Transgender (LGBT) youth among the homeless, the processes leading to their homelessness are understudied. This ethnographic study sought to elucidate the role of sexual orientation in the pathway to housing instability among young gay men. Fieldwork included 18 months of participant observations in public spaces and at a homeless LGBT youth organization in New York City, as well as formal semistructured interviews with 14 Latino young men and five staff. Three distinct pathways emerged. Some youth became homeless after placement in state systems of care disrupted their social support systems, while others became homeless after extreme family conflict over sexual orientation. Nonetheless, most youths became homeless as a result of long-term processes of family disintegration in which normative adolescent development and disclosure of homosexuality exacerbated preexisting conflict. These findings suggest the need to examine the accumulation of risks before disclosure exacerbates family conflict and increases their risk of homelessness.     

Intersectionality in the Lives of LGBTQ Youth: Identifying as LGBTQ and Finding Community in Small Cities and Rural Towns

This article presents an analysis of the views of younger bisexual and lesbian women and transgender youth living in a western Canadian small city on their sexual and gender identities. Data were collected through focus groups and interviews and analyzed thematically through an intersectional lens. The purposive sample was composed of 13 youth who identified as lesbian, gay, bisexual, transgender, or queer (LGBTQ) and whose average age was 19.8 years. The analytical themes of (1) living in a small town, (2) identifying and being identified, and (3) talking intersectionality indicate that the sexual identities and gender identities and expressions of LGBTQ youth change across time and context and are impacted by often overlooked factors including faith, Indigenous ancestry, disability, and class. Further, the size and character of the community significantly impacts LGBTQ youth identity development and expression. This research demonstrates the uniqueness of individual youth’s experiences—opposing notions of milestone events as singularly important in queer youth identity development.     

Resistance training is linked to heightened positive motivational state and lower negative affect among healthy women aged 65–70

Resistance training (RT) improves overall health, but the psychological effects of RT in healthy old adults have not been tested. The aim of this study was to investigate a sample of 65–70-year-old healthy and physically active women to assess their sense of coherence, health-related quality of life, hope, and affect, before and after taking part in a 24-week RT intervention (N = 14), compared to controls (N = 18). Findings showed a significant increase in hope (p = 0.013) and a significant decrease in negative affect (p = 0.002). Starting RT after age 65 does not appear to negatively impact on women’s psychological health but seems to be associated with important psychological health benefits.     

Women’s Empowerment in the Context of Millennium Development Goal 3: A Case Study of Married Women in Ghana

This paper assesses women’s empowerment in Ghana in the light of the Millennium Development Goal 3. Data for the study were drawn from the 2008 Ghana Demographic Health Survey with an analytic sample of 1,876 married women aged 15–49. Using binary logistic regression in determining the factors that influence women empowerment, this paper examines the relationship between wealth and women’s involvement in household decision-making in the context of healthcare, large household purchases, daily house hold purchases and mobility. The findings show that wealthier married women were significantly more likely to be involved in decision-making on their own healthcare (OR = 2.14, p ≤ 0.001). Also, age, tertiary education and employment significantly shaped the involvement of married women in household decision-making in Ghana. Surprisingly, married women in the Upper East region (the second poorest) were significantly more likely to be involved in three measures of decision-making except for decisions on large household purchases relative to those in the Greater Accra region (the capital). Policies oriented towards an increase in accessibility to tertiary education, employment equity and the creation of income generating activities for women would enhance women’s empowerment in Ghana.     

Maternal,prenatal and traditional practice factors associated with perinatal mortality in Yemen

Background

Perinatal mortality remains a major international problem responsible for nearly six million stillbirths and neonatal deaths.

Reaching Egyptian Gays Using Social Media: A Comprehensive Health Study and a Framework for Future Research

The Internet has revolutionized research on sexual minorities by providing direct and safe access to hidden, stigmatized, and high-risk populations. This study investigated the possibility of using Facebook to reach Egyptian gays. The questionnaire was manually distributed to an extensive list of Facebook pages and groups related to the topic that has been collected using a snowball-like technique. The recruitment lasted from August 2015 to May 2016. Among the 461 eligible participants, the mean age was 26.6 (SD = 7.6), and the majority (74%) were highly educated. Only 17% use condoms consistently, and 34% have ever tested for HIV. Guilt feelings and trying to change sexual orientation were very high and were associated with higher religiosity and low condom use and HIV testing (p < .05). Also, 10% have ever tried to end their life. Most of the participants did not disclose their sexual orientation to anybody other than their partners, and 60% will not disclose it to health care providers even if needed. The low health awareness among Egyptian gays requires Internet-based health campaigns.     

Is the Lack of Specific Lesbian,Gay, Bisexual,Transgender and Queer/Questioning (LGBTQ) Health Care Education in Medical School a Cause for Concern? Evidence From a Survey of Knowledge and Practice Among UK Medical Students

Lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) people frequently report negative health care encounters. Medical professionals may inadequately manage LGBTQ persons’ health if they have not received training in this area. An anonymous survey measuring efficacy in health situations among LGBTQ persons was answered by 166 medical students across all years of a UK university. Results show that 84.9% of participants reported a lack of LGBTQ health care education, with deficits in confidence clarifying unfamiliar sexual and gender terms, deciding the ward in which to nurse transgender patients, finding support resources, and discussing domestic abuse with LGBTQ patients. Most participants reported that they would not clarify gender pronouns or ask about gender or sexual identity in mental health or reproductive health settings. Participants reported infrequently observing doctors making similar inquiries. Participants held positive attitudes toward LGBTQ patients, with attitude scores positively correlating with LGBTQ terminology knowledge scores (r_s = 0.5052, p < .01). Addressing gender identity and sexuality issues within medical curricula may remove barriers to accessing health care and improve encounters for LGBTQ patients.     

Helping Young People Stay Afloat: A Qualitative Study of Community Resources and Supports for LGBTQ Adolescents in the United States and Canada

LGBTQ youth are at increased risk of poor health outcomes. This qualitative study gathered data from LGBTQ adolescents regarding their communities and describes the resources they draw on for support. We conducted 66 go-along interviews with diverse LGBTQ adolescents (mean age = 16.6) in Minnesota, Massachusetts, and British Columbia in 2014–2015, in which interviewers accompanied participants in their communities to better understand those contexts. Their responses were systematically organized and coded for common themes, reflecting levels of the social ecological model. Participants described resources at each level, emphasizing organizational, community, and social factors such as LGBTQ youth organizations and events, media presence, and visibility of LGBTQ adults. Numerous resources were identified, and representative themes were highly consistent across locations, genders, orientations, racial/ethnic groups, and city size. Findings suggest new avenues for research with LGBTQ youth and many opportunities for communities to create and expand resources and supports for this population.     

Male dominance and sexism on YouTube: results of three content analyses

This study conceptually and empirically extends a study by Wotanis and McMillan in which the authors claimed that female video producers are underrepresented on YouTube and receive much more negative (including hostile and sexist) feedback than male YouTubers. Using quantitative content analysis, this study supported the claim of female underrepresentation. Among the top 100 most subscribed YouTube channels in nine different countries (N = 900 channels), with a statistically significant proportion of only 25%, female video producers were strongly underrepresented. Additionally, a second content analysis of N = 2,400 video comments directly replicated the original study’s main quantitative results. This analysis confirmed that the popular female US comedy YouTuber Jenna Mourey (“JennaMarbles”) received much more negative (including hostile and sexist) feedback than her male counterpart Ryan Higa (“nigahiga”). However, a third content analysis of N = 6,000 video comments from five other pairs of comparable comedy YouTubers did not reveal that women’s videos generally attract a larger number of negative video comments. Possibly, women attract more negative comments only if they display their sexuality (like Jenna Mourey) or address feminist topics, but not if they conform to gender role expectations. Future research directions and practical implications are discussed.     

When “They” Become “Us”: The Effect of Time and Ingroup Identity on Perceptions of Gay and Lesbian Group Members

ABSTRACT

Prejudice change manipulations rarely produce the expected attitude change effects. Our research suggests that attitude change depends on time-dependent memory consolidation processes. This study tested the effects of group information and time on perceptions of gays and lesbians. Heterosexual participants (N = 90) were randomly assigned to a condition where their ingroup, or an outgroup, included gay and lesbian individuals. We measured participants’ gay and lesbian political attitudes and evaluations of the groups’ members at a short or long delay. Results showed no effect of our manipulations on political attitudes, F(1, 86) = 0.14, p = .72. Contrary to predictions, participants evaluated gay and lesbian ingroup members less positively at the long versus short delay, t(49) = 3.72, p = .0004, d = 1.01. Results suggest that members of stigmatized groups are perceived more negatively when associated with one’s ingroup.     

新冠肺炎疫情影响下青年就业政策研究——基于省级层面的政策文本分析

青年就业的政策体系属于国家积极就业政策的重要组成部分。疫情当下,研究青年就业的政策工具及其组合应用对于提升政策效能,避免政策盲目性和片面性,完善国家积极就业政策具有重要理论意义和实践价值。研究各省在疫情期间青年就业政策工具及其组合应用,探析其政策工具的特点和不足,为提高各省青年就业的政策效能,进一步促进青年就业提供策略参考和政策建议。构建政策目标—工具整合性分析框架,运用NVivo11 Plus质性分析软件,对疫情前后22个省级层面青年就业政策文本进行量化统计分析。总结归纳得到引领动员型、能力提升型、保障支持型、监督评价型4类政策工具类目,并进一步细化得到14个政策工具条目,在此基础上,探究不同阶段、不同施策对象政策工具的结构特点及其组合应用。研究发现,各省相关职能部门在政策制定和落实过程中的枢纽协调作用较为明显,在保障青年就业的过程中积极发挥作用,引导青年树立正确的就业观,疏解了疫情期间青年对就业产生的恐慌感,提升了青年就业者的专业技能,保障了青年就业环境稳定。未来,各省应进一步挖掘需求,使政策更加精准地服务青年就业;加强各类政策工具的统筹组合,整合各类政府、社会资源,多功能向度、多...