Reflections on front‐line medical work during COVID‐19 and the embodiment of risk

Drawing on the voice of a woman NHS front‐line doctor during the current COVID‐19 pandemic, we explore her lived experience of the embodiment of risk in the crisis. We explore her struggles and difficulties, giving her voice and mobilizing our writing to listen to these experiences, reflecting on them as a way of living our own feminist lives. Her story illustrates that the current crisis is not only a crisis of health, but a crisis for feminism. Through telling her story, we cast light upon the embodied amplification of inequalities, paternalistic discourses around risk and lived experience of exposure to risk of contracting a deadly virus. We explore her work on the NHS front line, providing a conceptual framework of the multi‐level facets of the embodiment of risk, through lived experiences of risk and observations of the inequality of risk in the context of the COVID‐19 pandemic in the UK.     

Housing and neighborhood quality among undocumented Mexican and Central American immigrants

Extensive research has documented the challenges that undocumented immigrants face in navigating U.S. labor markets, but relatively little has explored the impact of legal status on residential outcomes despite their widespread repercussions for social well-being. Using data from the 1996–2008 panels of the Survey of Income and Program Participation to impute documentation status among Mexican and Central American immigrants, we examine group differences in residential outcomes, including homeownership, housing crowding, satisfaction with neighborhood and housing quality, problems with neighborhood crime/safety, governmental services, and environmental issues, and deficiencies with housing units. Results from our analysis indicate that undocumented householders are far less likely to be homeowners than documented migrants, and also live in more crowded homes, report greater structural deficiencies with their dwellings, and express greater concern about the quality of public services and environmental conditions in their neighborhoods. In comparison to native whites, undocumented migrants’ residential circumstances are lacking, but their residential outcomes tend to be superior to those of native-born blacks. Overall, our results highlight the pervasive impact of legal status on stratifying Mexicans’ and Central Americans’ prospects for successful incorporation, but also underscore the rigidity of the black/nonblack divide structuring American residential contexts.     

Social Integration and Health Insurance Status Among African American Men and Women

Using 2010 national data, we investigate the relationship between social integration and health insurance for African American adults. During the previous year 21.6% of men and 19.8% of women lacked continuous health insurance. The effect of marital status, income, and employment on insurance coverage differed by age and gender. Additionally, frequency of church attendance was positively associated with continuous health insurance for women aged 51–64. Spiritual/religious identity was marginally associated with insurance status for men aged 36–50. As provisions of the Affordable Care Act take effect, implementation programs should expand enrollment efforts to include the conjugal unit and the church.     

Portraying Trafficking in Lukas Moodysson's Lilya 4-Ever

The issue of human trafficking is frequently represented in visual images on television and in cinema. These narratives often focus on the selling of young women into the sex industry. One of the most prominent productions on the subject is the Swedish film Lilya 4-Ever (2002). Written and directed by Lukas Moodysson, the film tells the story of a tough adolescent, Lilya. Abandoned by her mother and left to fend for herself, Lilya turns to prostitution in order to survive. She is later trafficked to Sweden. She eventually commits suicide. Set in an unnamed post-Soviet city, the film reflects the reality of the increase in trafficked women from this region since the collapse of the USSR. The article analyzes Moodysson's film as an important model for depicting trafficking. Specific focus is given to the way the director defines Lilya and her milieu and engages seriously with issues of globalization, poverty, post-Soviet realities, and the very real issue of human trafficking. Most notably, Moodysson's film offers a depiction of trafficking that eschews any sexual objectification of the film's protagonist and combines progressive filmmaking with a melodramatic narrative to create a film that inspires extra-diegetic activism. Lilya 4-Ever is an emotionally impactful narrative, a modern-day melodrama for the twenty-first century.     

Estimand framework: Are we asking the right questions? A case study in the solid tumor setting

The estimand framework requires a precise definition of the clinical question of interest (the estimand) as different ways of accounting for “intercurrent” events post randomization may result in different scientific questions. The initiation of subsequent therapy is common in oncology clinical trials and is considered an intercurrent event if the start of such therapy occurs prior to a recurrence or progression event. Three possible ways to account for this intercurrent event in the analysis are to censor at initiation, consider recurrence or progression events (including death) that occur before and after the initiation of subsequent therapy, or consider the start of subsequent therapy as an event in and of itself. The new estimand framework clarifies that these analyses address different questions (“does the drug delay recurrence if no patient had received subsequent therapy?” vs “does the drug delay recurrence with or without subsequent therapy?” vs “does the drug delay recurrence or start of subsequent therapy?”). The framework facilitates discussions during clinical trial planning and design to ensure alignment between the key question of interest, the analysis, and interpretation. This article is a result of a cross-industry collaboration to connect the International Council for Harmonisation E9 addendum concepts to applications. Data from previously reported randomized phase 3 studies in the renal cell carcinoma setting are used to consider common intercurrent events in solid tumor studies, and to illustrate different scientific questions and the consequences of the estimand choice for study design, data collection, analysis, and interpretation.     

A culture of whiteness: How integration failed in cities,suburbs, and small towns

As America's neighborhoods have become more racially diverse in the last half century, are these shared spaces fulfilling the “promise of integration”? In this study, I review the literature on desegregation as it occurs in urban, suburban, and rural places, illuminating how a culture of whiteness works in each of these types of places to reproduce racial domination. The literature on multiethnic urban areas demonstrates how a culture of whiteness reframes gentrification as ‘revitalization’ and nostalgia, which result in social control and cultural displacement of non-white residents. In suburban places, I draw out the ways a culture of whiteness is expressed as ‘niceness’ and ‘governmentality’, resulting in symbolic exclusion and forced assimilation of people of color. Finally, in rural places, a culture of whiteness uses narratives of ‘pollution’ and ‘parasitism’ to understand often low-income migrants of color, which renders them invisible and reproduces their structural disadvantage in the community. Revealing the subtle and obscure mechanisms through which a culture of whiteness reproduces racial domination in diverse places ultimately provides the key to their undoing and opens the door to the promise of integration.     

Most and Least Meaningful Learning Experiences in Marriage and Family Therapy Education

Marriage and family therapy educators increasingly emphasize training competencies. What we know less about is what makes family therapy education meaningful to marriage and family therapy (MFT) graduate students and what does not. In this study, through an Internet survey, we explored the most and least meaningful learning experiences of 68 MFT graduate students and recent graduates of Commission on Accreditation for Marriage and Family Therapy Education—accredited programs. We used thematic analysis to identify and illustrate resulting themes, which included the importance of experiential and personal components to learning, the professor‐student alliance, tying theory to practice, and the experiences of students with their clients, among others. We discuss the implications of these findings to support family therapy education and offer tentative suggestions for formative discussions both within and across programs. Video Abstract is found in the online version of the article .     

Preventing Face Loss in Donor-Assisted Families

Grounded in face theory (see Brown & Levinson, 1987; Cupach & Metts, 1994; Goffman, 1967) and exploratory in nature, the present study sought to understand the face-related experiences of parents whose children were conceived with an anonymous donor. The sample included 19 parents from the United States, United Kingdom, and Canada, who experienced infertility, were in a lesbian relationship, or identified as solo parents. The researchers identified face-related concerns parents have for themselves and their children and preventative facework strategies they enact to avoid or minimize face loss. Findings showcase parents’ desire for social approval, autonomy, respect, and preventing rejection. Also discussed are a variety of facework strategies, namely, disclosure, avoidance, closedness, humor, deception, and strategic donor choice. The findings support and extend previous research on donor-assisted families and showcase the complexity of face for members of these families by highlighting instances where communication simultaneously preserves and threatens face.     

Diversity in flowering plants and their characteristics: integrating humans as a driver of urban floral resources

Urban neighborhoods vary in development intensity and in the life style and demographics of their residents. Decisions made by urban residents affect plant communities, their functional characteristics, and the floral resources they provide. We recorded flowers in front-facing yards in 58 neighborhoods in Chicago, IL (USA) and examined patterns in community composition and species turnover between neighborhoods. We investigated how species richness and plant characteristics, including origin, cultivation intent, and life cycle, are affected by neighborhood socioeconomic factors. Urban plant species tended to be perennial, ornamental, and non-native. White clover had the broadest distribution and the highest floral abundance but was not present in several of the highest-income neighborhoods. Although we found 144 morpho-species across neighborhoods, most occurred infrequently. Species turnover was highest for ornamental species and lowest for weedy species, suggesting that intentional plantings are driving beta diversity across the landscape. We found the highest species richness in neighborhoods with intermediate numbers of Hispanic and white residents and with intermediate number of residential lots; neighborhoods with racially or ethnically homogenous populations had fewer plant species. The high frequency of weeds in low-income neighborhoods, the occurrence of certain ornamental plant species in whiter, wealthier communities, and high turnover of species from one neighborhood to another, all suggest a disparity in plant-related ecosystem services across cities. Complexity in urban plantings may be influenced by the suite of perspectives that residents bring towards habitat management. Cultivation sustains a diversity of plants and creates a disparity in plant traits by neighborhood socioeconomics.     

Naturalized habitat on golf courses: source or sink for natural enemies and conservation biological control?

Urban Ecosystems - Many golf courses are converting out-of-play areas to meadow-like habitat to reduce mowing, irrigation, and chemical inputs. Such naturalized roughs, which often constitute...