Coping with perceived discrimination: does ethnic identity protect mental health?

Using data (N = 2,109) from a large-scale epidemiological study of Filipino Americans, this study examines whether ethnic identity is linked to mental health and reduces the stress of discrimination. The strength of identification with an ethnic group is found to be directly associated with fewer depressive symptoms. In other words, having a sense of ethnic pride, involvement in ethinic practices, and cultural commitment to one's racial/ethnic group may protect mental health. Self-reports of racial/ethnic discrimination over a lifetime and everyday discrimination in the past month not due to race/ethnicity are associated with increased levels of depressive symptoms. Yet ethnic identity buffers the stress of racial/ethnic discrimination. This suggests that ethnic identity is a coping resource for racial/ethnic minorities that should not be overlooked. The strong link between ethnic identity and better mental health has implications for social-psychological theories on race/ethnicity and assimilation in the United States.     

Is discrimination an equal opportunity risk?: racial experiences, socioeconomic status, and health status among black and white adults

Using the 2004 Behavioral Risk Factor Surveillance System, we explore the relationship between racial awareness, perceived discrimination, and self-rated health among black (n = 5,902) and white (n = 28,451) adults. We find that adjusting for group differences in racial awareness and discrimination, in addition to socioeconomic status, explains the black-white gap in self-rated health. However, logistic regression models also find evidence for differential vulnerability among black and whites adults, based on socioeconomic status. While both groups are equally harmed by emotional and/or physical reactions to race-based treatment, the negative consequences of discriminatory experiences for black adults are exacerbated by their poorer socioeconomic standing. In contrast, the association between racial awareness and self-rated health is more sensitive to socioeconomic standing among whites. Poorer health is more likely to occur among whites when they reflect at least daily on their own racial status-but only when it happens in tandem with mid-range educational achievement, or among homemakers.     

Compounded or confused? Bioidentical hormones and menopausal health

The aim of this article is to focus on compounded bioidentical hormone (BH) formulations for menopausal symptoms and to discuss the impact of these on women's choice of treatment. The practice of compounding BHs for individualized treatment of women with menopausal symptoms has developed in the USA. In spite of claims of superiority, there is no evidence to suggest that these formulations are any more efficacious or safe than conventional hormone replacement therapy (HRT). In fact, there are some concerns about dosing inconsistencies and usefulness of saliva testing that is carried out as part of this type of treatment. While there should be no serious safety issues for women, there is a mismatch between the reality of compounded BH formulations and women's perception of them.     

Social focus on health and children’s well-being

This special section on children’s health and well-being is an outgrowth of the 2010 International Sociological Association’s (ISA) World Congress in Gothenburg, Sweden. Within the Congress, the Research Committee 53, Sociology of Childhood, organized a panel focused on the health and well-being of children. Together, this collection makes two distinct contributions: first in terms of considering children’s health disparities as an area of concern within sociology, and second by considering children’s health as a factor that shapes other areas of children’s well-being. In addition, these papers offer novel empirical research on children’s health and varied methodological and theoretical orientations. Each paper also makes contributions to social policy, first in the area of infant health affecting later educational outcomes, second in the area of family structure and children’s health, and additionally in understanding type 2 diabetes for children at the individual and structural levels. Finally, these studies highlight the interplay—between the individuals’ health on the one hand and structure and culture on the other—as children’s life chances are shaped.     

Changing work, changing health: can real work-time flexibility promote health behaviors and well-being?

This article investigates a change in the structuring of work time, using a natural experiment to test whether participation in a corporate initiative (Results Only Work Environment; ROWE) predicts corresponding changes in health-related outcomes. Drawing on job strain and stress process models, we theorize greater schedule control and reduced work-family conflict as key mechanisms linking this initiative with health outcomes. Longitudinal survey data from 659 employees at a corporate headquarters shows that ROWE predicts changes in health-related behaviors, including almost an extra hour of sleep on work nights. Increasing employees' schedule control and reducing their work-family conflict are key mechanisms linking the ROWE innovation with changes in employees' health behaviors; they also predict changes in well-being measures, providing indirect links between ROWE and well-being. This study demonstrates that organizational changes in the structuring of time can promote employee wellness, particularly in terms of prevention behaviors.     

Work and health in Gnosjö: a longitudinal study

This study includes women and men born between 1934 and 1953 in the municipality of Gnosj? in the south of Sweden and covers the period 1998 to 2001. Compared with the country, a large proportion of the population of the municipality of Gnosj? works in the manufacturing industry. The aim was to examine associations between physical and psychological stress factors in and outside work, sickness absence and cardiovascular and musculoskeletal diseases, from a gender perspective. Information about working conditions and other aspect of life was collected by a questionnaire in 1998, and register data about sickness absence, cardiovascular diseases and musculoskeletal diseases 1999-2001. The impact on sickness absence consisted mainly of demand and control aspects of the psychosocial working conditions, but also temporary employment and of low sense of coherence. In relation to musculoskeletal health, demand and control was important among women, but not among men. Very few physical factors in the work environment were related to musculoskeletal diseases. Low sense of coherence had an impact also on musculoskeletal diseases. Cardiovascular diseases among women were influenced by demand and control and by life style related factors. We hope that the knowledge gained from our study makes it possible to develop better tools for both the preventive work in Gnosj? and for the rehabilitation of the people already ill. Because of our holistic approach, both public health aspects and working life aspects are covered. The municipality of Gnosj? is small, and therefore foreseeable in a way that many municipalities are not. Still, we do believe that our finding, in this longitudinal study, can be of value also in the public efforts and the efforts to develop adequate and successful rehabilitation approaches.     

Family separation and refugee mental health–A network perspective

How do the structure and relational features of family networks affect refugees’ mental health after migration, particularly when refugees are geographically separated from their family? Using the first wave of the IAB-BAMF-SOEP Survey of Refugees, which is representative of the population of refugees who arrived in Germany between 2013 and 2016, this study finds that the size of the nuclear family has a significant positive relationship with refugees’ mental health, whereas family separation has a significant negative relationship. In addition to members of the nuclear family, only fathers show a significant positive correlation with refugees’ mental health. The structural and relational aspects are discussed in light of health literature focusing on migration stressors and their relationship with mental health as well as in the context of changing family reunification policies in Germany amid the increase in immigration of refugees since 2015.     

The health care Titanic: women and children first?

The plight of people who lack access to health care has captured national attention and led to a number of proposals to remedy the problem. The authors look at three types of proposals being advanced--"pro-competition" plans, "pay-or-play" plans, and a national health care system--and find that they fail to address adequately the pressing needs of two groups of the poor: women of childbearing age and elderly women.     

How does transnationalism affect the perceptions of discrimination among Dominicans,Puerto Ricans and Cubans?

Transnationalism provides first- and second-generation immigrants with a dual frame of reference that shapes perceptions of their experiences in the United States (USA). For Caribbean Latino/as, who are likely targets of racial and ethnic discrimination, transnational ties can impact their interpretations of discriminatory incidents. This study explores the relationship between transnationalism and perceptions of discriminatory experiences of 1,577 Caribbean Latino/as Dominicans (n = 335), Cubans (n = 420), and Puerto Ricans (n = 822). These Latino/as were selected from the 2006 Latino National Survey. Suggested by our study findings, after having controlled for demographic and immigration variables, transnational Caribbean Latino/as are more likely to perceive discrimination than those not maintaining transnational ties. We conclude with a discussion of the research and practice implications.     

The intimacies of young people’s sexual health and pleasure

This paper considers the discourse of intimacy in young people’s accounts of sexual health. In interviews with people from Sydney aged 18–25 years, diverse understandings of sexual safeties are offered, reflecting a range of sex partner intimacies. This is seen in participants’ accounts of having a range of different partners, having different experiences with a particular partner, and having sex with friends. This discourse is considered against Australian sexual health websites for young people. In the websites, connections between safeties and intimacies are not explored, and discussion of safety is limited to condom use, as per the concept of ‘safe sex’. How condom use is supported and/or challenged by sexual and friendship intimacies is overlooked. In considering research claims about the missing discourse of pleasure in formal approaches to young people’s sexual health, I extend this to a missing discourse of intimacy. Connections between pleasure, intimacy, safety, and friendship are explored throughout this paper, and theorisations of intimacy as cultural, public, and intersubjective are considered, drawing upon the works of Lauren Berlant and Eva Illouz. It is argued that sexual health research and promotion that engages with young people’s conceptualisations of intimacy will better engage with young people’s sexual cultures, and hence be more relevant and useful to this population.     

Language proficiency and health status: are bilingual immigrants healthier?

Bilingual immigrants appear to have a health advantage, and identifying the mechanisms responsible for this is of increasing interest to scholars and policy makers in the United States. Utilizing the National Latino and Asian American Study (NLAAS; n = 3,264), we investigate the associations between English and native-language proficiency and usage and self-rated health for Asian and Latino U.S. immigrants from China, the Philippines, Vietnam, Mexico, Cuba, and Puerto Rico. The findings demonstrate that across immigrant ethnic groups, being bilingual is associated with better self-rated physical and mental health relative to being proficient in only English or only a native language, and moreover, these associations are partially mediated by socioeconomic status and family support but not by acculturation, stress and discrimination, or health access and behaviors.     

Reproductive health technologies and gender: Is participation the key?

This article discusses the impact of a community-based contraceptive distribution (CBD) project in Eastern Province, Zambia, on reproductive health and gender relations. Participatory learning action techniques with peer groups analysis were used in the evaluation. Both men and women appreciated the modern contraceptives because they were easy to use, free and reliable. The most frequently cited negative effects of contraceptive technologies were menstrual irregularities, infertility, and side effects associated with pill and injectable hormonal methods. Both sexes cited more harmonious marital relations as the most positive impact of the service-delivery component on sexual and gender relations. The impact of involvement in the CBD project on the CBD agents themselves was also assessed. Many felt that their training helped improve gender relations with their marital partners. Participatory approaches can enable providers of reproductive health services to gain a better understanding of their clients' needs.     

Status inequalities, perceived discrimination, and eudaimonic well-being: do the challenges of minority life hone purpose and growth?

Considerable prior research has investigated links between racial/ethnic status and diverse aspects of mental functioning (e.g. psychological disorders, quality of life, self-esteem), but little work has probed the connections between minority status and eudaimonic well-being. Derived from existential and humanistic perspectives, eudaimonia describes engagement in life challenges and is operationalized with assessments of purpose in life, personal growth, autonomy, environmental mastery, self-acceptance, and positive relations with others. Using Midlife in the United States (MIDUS), a national survey of Americans aged 25-74, plus city-specific samples of African Americans in New York City and Mexican Americans in Chicago, minority status was found to be a positive predictor of eudaimonic well-being, underscoring themes of psychological strength in the face of race-related adversity. Perceived discrimination was found to be a negative predictor of eudaimonic well-being, although such effects were gender-specific: it was women, both majority and minority, with high levels of discrimination in their daily lives whose sense of growth, mastery, autonomy, and self-acceptance was compromised.     

Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States

We investigate the frequency and psychological correlates of institutional and interpersonal discrimination reported by underweight, normal weight, overweight, obese I, and obese II/III Americans. Analyses use data from the Midlife Development in the United States study, a national survey of more than 3,000 adults ages 25 to 74 in 1995. Compared to normal weight persons, obese II/III persons (body mass index of 35 or higher) are more likely to report institutional and day-to-day interpersonal discrimination. Among obese II/III persons, professional workers are more likely than nonprofessionals to report employment discrimination and interpersonal mistreatment. Obese II/III persons report lower levels of self-acceptance than normal weight persons, yet this relationship is fully mediated by the perception that one has been discriminated against due to body weight or physical appearance. Our findings offer further support for the pervasive stigma of obesity and the negative implications of stigmatized identities for life chances.     

Teenagers’ risky health behaviors and time use during the great recession

This paper uses individual-level data from both the 2003–2011 American Time Use Survey and Youth Risk Behavior Survey along with state-level unemployment rates to examine the effects of a weakening economy during the Great Recession on U.S. teenagers’ activities. Black male teenagers had less sex and spent more time with their parents. Hispanic male teenagers spent less time playing sports and more time watching time TV, and were more likely to be obese. Female teenagers, on the other hand, spent less time working, but made greater investments in their education. However, there were signs that female teenagers were stressed by the weak economic conditions, because they slept less and were more likely to smoke daily. Black females also consumed more alcohol.     

Students’ health engagement and affective relations in Danish upper secondary school

To increase our understanding of the dynamics of young people’s embodied engagement in health, this article analyses Danish upper secondary school students’ understandings and practices of health and the role of the school environment in these dynamics. Participatory, visual and narrative data were collected during fieldwork with 37 students aged 16–17. Deleuze and Guattari’s philosophy of the body is applied to analyse the affective relations and emerging body-health assemblages within the students’ school life, which generated force and vitality (here conceptualised as health). Through becoming within sensuous, social and political body-health assemblages, the students attempted to curb school stress, sustain social belonging in an individualistic school environment and both reproduce affirming power discourses and subvert their territorialisation. The study proposes an analytical shift in perspective on young people’s health away from an individualistic ‘components approach’ towards a relational understanding, and suggests that students’ health at school relates to collectivity, quality, rhythm and co-produced engagement, rather than individuality, quantity, rules and performance, which increasingly characterise Danish health discourse and school policy.