Socioeconomic Factors in Menopausal Women's Use of Hormone Replacement Therapy

This study examines if education, income, and medical insurance coverage are primary factors in determining whether menopausal women use hormone replacement therapy (HRT). To accomplish this purpose, the author conducted a survey of 62 women between 30 and 60 years of age. These women completed a self-administered questionnaire that provided both quantitative and qualitative information. The results suggest that these socioeconomic factors increase the likelihood that menopausal women will receive treatment with HRT. Implications for clinical practice are discussed.     

Nativity and Older Women's Health: Constructed Reliance in the Health and Retirement Study

ABSTRACT

Gender and nativity are known risk factors for physical and economic dependency. Immigrant women are particularly disadvantaged because of their greater lack of social and economic resources. In this study, we investigate how women immigrants coordinate and utilize various support systems as they approach retirement age, as well as how choices and constraints affect their physical well-being. Experiences throughout the life course play a role in the maintenance of health, but the pre-retirement years are particularly crucial to the establishment of patterns of reliance to be used in later life. We examine the effects of economic resources, social support, and family ties (as well as several exogenous variables) on women's physical health using data from the Health and Retirement Survey. For the women in this study, demographic characteristics, such as Hispanic ethnicity and low education are strong risk factors for poor health. Findings also indicate that reliance patterns across resource domains do not differ significantly by nativity and that both economic and familial resource access significantly lessens the risk of poor health for both native and foreign born women.     

Formerly Homeless,Older Women's Experiences with Health,Housing, and Aging

The perspectives of formerly homeless, older women are absent in the academic literature on aging and homelessness. In this study, a group of formerly homeless women, aged 45 years and older were surveyed (N = 15) and interviewed (n = 11) about their experiences with health, housing, and aging. The qualitative themes to be explored include the women's perceptions of their current health, coping with low incomes, dealing with addictions to alcohol and drugs, and the importance of supportive housing and other community services. The female participants' views on adapting to home, planning for their elderly years, and views on growing older are also explored.     

Expression and ambivalence over expression of negative emotion:psychometric analysis in the Women's Health Initiative

Inhibition of emotional expression has been associated with the incidence and progression of breast cancer and other chronic illnesses. Others have theorized that it may not be repression itself, but rather ambivalence over the expression of emotions that is the important health-related factor. The Women's Health Initiative (WHI), a long-term, national study focusing on disease prevention among postmenopausal women, is unique in its assessment of expression and ambivalence of negative emotion in a large study sample of multiethnic, older women. Psychological factors such as expression of negative emotion and ambivalence about expression of emotion are also determined by social patterning. The current study examined the psychometric properties of the instruments used to measure each construct and variation across race/ethnicity and age. The analysis suggests that the scales can be used with confidence in diverse ethnic and age groups. Examining ambivalence about expression of negative emotion in future longitudinal research will further elucidate its role in predicting disease incidence and recovery, both important in reducing the public health burden of chronic disease.     

Measurement of Women's Reproductive Health and Reproductive Rights: An Analysis of Developing Countries

This study attempts to develop measurement scales for women'sreproductive health and reproductive rights by using data from125 developing countries. Data were obtained from varioussources, such as the United Nations and the World Bank. Existing studies on women's reproductive rights suggest atwo-factor model. Women's reproductive health is viewed as beingunidimensional. These proposed attributes are evaluated usingconfirmatory factor analysis. Results indicate the presence oftwo sub-dimensions related to women's reproductive rights. Aone-dimension model of women's reproductive health is empiricallysupported. Validity and reliability of the scales are assessed.Limitations of the measurement scales are discussed.     

Women's Transitions in Retirement:

To facilitate insight into the choices and options each woman has for her retirement. the retirement olanner should guide each woman through a self ass~ssmenptr ocess. 'he first step invilves an examination of how she has cooed and made decisions during the other of life's transitions. This is 'followed by an assessment 07 the meaning work has for each individual: its social aspects, the slructure, and the issues of identity, prestige, and power. Continuing the process, the retirement planner helps women evaluate the changing relationships with friends and family. The married woman will assess her marriage in the framework of her need for privacy, independence and autonomy. Sample questions from self assessment scales are included.     

Women's perceived body image: relations with personal happiness

The present study examined the relationships between body image and happiness in adult women. One hundred and forty-four women, with an average age of 40 years, were surveyed. Within the sample, three age groups were established: college-aged women, middle-aged women, and older women. Each participant completed the Body Esteem Scale (Franzoi & Shields, 1984), the Eating Attitudes Test (Garner & Garfinkel, 1979), and the Life Satisfaction Index A (Neugaten, Havighurst, & Tobin, 1961). Results indicated that happiness significantly and positively correlated with the three components of body esteem: sexual attractiveness, weight concern, and physical condition. There were no significant differences among the types of body satisfaction expressed by women of different ages. The results are discussed in terms of the importance of recognizing body image as a major contributor to overall life happiness in women.     

Women's satisfaction with antenatal care: Comparing women in Sweden and Australia

BackgroundSatisfaction with antenatal care could differ depending on the organisation and the context of care.AimTo compare antenatal care in Australia and Sweden, to identify deficiencies in the content of antenatal care and what aspects contributed most in dissatisfaction with antenatal care.MethodsA longitudinal survey of 123 Australian and 386 Swedish women recruited during one year in regional hospitals in Sweden and Australia. Data collected by three questionnaires.ResultsWomen in Australia had more antenatal visits, less continuity of midwife caregiver but were more satisfied with antenatal education and the emotional aspects of antenatal care. Although the overall satisfaction was high, deficiencies were found in more than half of the studied variables in the content of care. Women in Sweden were more dissatisfied with information about labour and birth (OR 3.1; 1.8–5.3) and information about the time following birth (OR 3.8; 2.2–6.3), but more satisfied with the involvement of the father (OR 0.3; 0.2–0.6). Factors that contributed most to dissatisfaction with antenatal care overall were deficiency in information about pregnancy related issues (OR 3.4; 1.3–8.7) and not being taken seriously by the midwife (OR 4.1; 1.6–10.1).ConclusionSatisfaction with antenatal care was high in both groups of women. Australian women were more satisfied than the Swedish women with the emotional aspects of care. Deficiencies were found in more than half of the variables measured relating to the specific aspects of care. Lack of information and not being treated seriously were important factors for not being satisfied.     

Mental Health and Coping Patterns in Jewish Gay Men in Israel: The Role of Dual Identity Conflict,Religious Identity,and Partnership Status

This study examined the effects of dual-identity conflict, religious identity (religious/spiritual vs. sexual), and partnership status on the coping strategies and mental health of gay Jewish men in modern Israeli society. Participants were 73 religious and 71 secular gay men recruited via e-mail, social networking sites, and online resources targeting sexual minority men. Participants were assessed via measures of identity conflict, mental health, and coping strategies. Jewish gay men who reported more severe identity conflict also reported using less problem-focused and avoidance coping and more emotion-focused coping strategies and reported poorer mental health than their less identity-conflicted counterparts. Furthermore, gay men who self-identified as religious reported poorer mental health as well as less problem-focused coping and more emotion-focused coping compared to secular men. Religious gay men in romantic relationships reported lower intensities of dual-identity conflict and better mental health compared to their nonpartnered counterparts.     

Caregiver Decision-Making: Household Response to Child Illness in Sub-Saharan Africa

We draw upon a framework outlining household recognition and response to child illness proposed by Colvin et al. (Soc Sci Med 86:66–78, 2013) to examine factors predictive of treatment sought for a recent child illness. In particular, we model whether no treatment, middle layer treatment (traditional healer, pharmacy, community health worker, etc.), or biomedical treatment was sought for recent episodes of diarrhea, fever, or cough. Based on multinomial, multi-level analyses of Demographic and Health Surveys from 19 countries in sub-Saharan Africa, we determine that if women have no say in their own healthcare, they are unlikely to seek treatment in response to child illness. We find that women in sub-Saharan Africa need healthcare knowledge, the ability to make healthcare decisions, as well as resources to negotiate cost and travel, in order to access biomedical treatment. Past experience with medical services such as prenatal care and a skilled birth attendant also increases the odds that biomedical treatment for child illness is sought. We conclude that caregiver decision-making in response to child illness within households is critical to reducing child morbidity and mortality in sub-Saharan Africa.     

Junior partners: Women's contribution to family income in Canada

This research examines the degree of financial contribution of married women to their overall family income. This phenomenon is analyzed from the point of view of sex-role/human capital orientations. The sex-role position argues that regardless of women's social, economic and education background their financial input to household economy will always be less than fifty percent because women's financial opportunities are impeded by sex-role configurations and expectations. The human capital thesis explains women's apparent inability to contribute more than half of the family income as a function of their lower human capital; that is, education, professionalization and training in the labour market. Individual data pertaining to thirty-year old married women, taken from the 1981 Canadian census, are examined. Generally, we find support for the positions: Women with relatively high human capital assmulation contribute significantly to overall household income, but invariably that contribution is less than 50 percent of total family income. On average, all women contribute 22 percent of their families annual income, while working women provide approximately 33 percent of the total. This analysis demonstrates what appears to be a pervasive phenomenon in industrial nations: married women are generally junior economic partners within the family. The extent of junior partnerships, however, is somewhat conditioned by women's human capital resources.     

Employment first,then childbearing: Women's strategy in post-socialist Poland

Poland experienced a rapid fertility decline after the end of the socialist regime in 1989. At the same time, it became much more difficult, especially for women, to act on their determination to find and keep paid employment. To investigate whether women postponed childbearing until they found a job, we undertook a simultaneous estimation of transitions to childbirth and entry to and exit from employment. The results reveal a strong incompatibility between childbearing and employment, but also that employment does not function as a barrier to childbearing but rather that it is an important precursor when women plan how to reconcile their intentions to work and to have children. We conclude that better prospects for women's employment could result in increased fertility.     

High Rates of Access to Health Care,Disclosure of Sexuality and Gender Identity to Providers Among House and Ball Community Members in New York City

The House and Ball community is an important cultural manifestation of resiliency for Black and Latino gay and bisexual men and transgender women. Participants at the August 2013 House of Latex Ball in New York City were surveyed about insurance coverage, health care access, experiences in health care, and housing instability. The sample (n = 367) was 58% Black/African American and 20% Hispanic/Latino, with a mean age of 31. Fifty-five percent were gay and bisexual men. Although only 6% identified as transgender, nearly one half were gender nonconforming. Strong majorities had health insurance, were in regular medical care, and were “out” to their providers. Some were unstably housed and had recently exchanged sex for shelter or money. High rates of health care access and disclosure indicate resiliency and agency. Unstable housing and income insecurity may be structural drivers of vulnerability for this population to HIV infection and other health risks.