Perinatal loss and parental grief: the challenge of ambiguity and disenfranchised grief

Following perinatal loss, a type of ambiguous loss, bereaved couples struggle with and experience distress due to various forms of ambiguity. Moreover, the juxtaposition of their grief with society's minimization often disenfranchises them from traditional grieving processes. The purpose of this study was to explore sources of ambiguity and disenfranchised grief related to perinatal loss. Audio-taped interviews with 13 bereaved couples at 2, 6, and 13 months following the death of their fetus or infant were analyzed. Several categories of ambiguity and disenfranchised grief emerged, pertaining to: (a) the viability of the pregnancy; (b) the physical process of pregnancy loss; (c) making arrangements for the remains; and (d) sharing the news. This study uncovers the many sources of ambiguity and disenfranchised grief that bereaved couples face in interactions with family, friends, society, and healthcare professionals. These insights may inform healthcare professionals in their attempts to ease distress related to perinatal loss.     

Cohabiting partners’ economic circumstances and marriage

Past studies of the transition to marriage generally have relied on information about only one individual or have attempted to measure characteristics of potential spouses indirectly. Drawing on data from the two waves of the National Survey of Families and Households (NSFH), we examine the effects of economic circumstances of both partners in cohabiting unions on the transition to marriage. Focusing on both partners in a relationship affords a more direct test of the relative importance of men’s versus women s economic circumstances. Our findings suggest that only the male partner’s economic resources affect the transition to marriage, with positive economic situations accelerating marriage and deterring separation. Our results imply that despite trends toward egalitarian gender-role attitudes and increasing income provision among women, cohabiting men s economic circumstances carry far more weight than women’s in marriage formation.     

Determinants of national family planning effort

In light of recent research demonstrating a substantial impact of family planning programs on fertility, we develop and estimate a multivariate model of the determinants of national differences in family planning program effort (FPPE). The framework that guides the specification of this model identifies three broad classes of factors—those that create demand for family planning, those that facilitate the initiation and expansion of family planning programs, and finally those that encourage or inhibit program development. The results from multiple regression using 84 less developed countries indicate that demand for family planning, facilitating infrastructure, and certain demographic and geographic factors are important determinants of program effort. These results suggest that popular demand for family planning is helpful, but that policy makers must perceive the adverse consequences of high fertility and have the infrastructure necessary to develop an effective organized family planning program. Current U.S. policies relevant to reducing birth rates are discussed and found to reflect quite well research on determinants of fertility declines among LDCs. U.S. policy also balances the often competing claims of family planners and their opponents by encouraging support to both developmental projects as well as direct aid to family planning program activities.     

Birth Intervals and Childhood Mortality in Rural Bangladesh

This study investigates the relationship between birth intervals and childhood mortality, using longitudinal data from rural Bangladesh known to be of exceptional accuracy and completeness. Results demonstrate significant but very distinctive effects of the previous and subsequent birth intervals on mortality, with the former concentrated in the neonatal period and the latter during early childhood. The impact of short birth intervals on mortality, however, is substantially less than that found in many previous studies of this issue, particularly for the previous birth interval. The findings are discussed in terms of the potential for family planning programs to contribute to improved child survival in settings such as Bangladesh.     

Amanda Smith Barusch. Love Stories of Later Life: A Narrative Approach to Understanding Romance

There is a sparsity of research about women in midlife career transitions. This study focuses on the career patterns of twenty-nine first and second year MSW women students (ages 27-60). Previous professional career events, role models and other factors most affecting career change are examined. The findings identify frustrated relationship needs, barriers to achievement in previous careers, and the attraction of social work produced incentives for change. Women in the oldest age group (over 50) appear to have the most din~culti me adapting to the student lie.     

Cowboy of the World? Gender Discourse and the Iraq War Debate

In this article we examine the debate preceding the most recent war in Iraq to show how gendered framing can compromise the quality of debate. Drawing on a sample of national news discourse in the year before the war began, we show that both anti-war and pro-war speakers draw on binary images of gender to construct their cases for or against war. Speakers cast the Bush administration’s argument for invasion either as a correct “macho” stance or as inappropriate, out-of-control masculinity. The most prominent gendered image in war debate is that of the cowboy, used to characterize both President Bush and US foreign policy in general. The cowboy is positioned against a diplomatic form of masculinity that is associated with Europe and valued by anti-war speakers, but criticized by pro-war speakers. Articles that draw on gender images show a lower quality of the debate, measured by the extent to which reasons rather than ad hominem arguments are used to support or rebut assertions.

Refusal Bias in the Estimation of HIV Prevalence

In 2007, UNAIDS corrected estimates of global HIV prevalence downward from 40 million to 33 million based on a methodological shift from sentinel surveillance to population-based surveys. Since then, population-based surveys are considered the gold standard for estimating HIV prevalence. However, prevalence rates based on representative surveys may be biased because of nonresponse. This article investigates one potential source of nonresponse bias: refusal to participate in the HIV test. We use the identity of randomly assigned interviewers to identify the participation effect and estimate HIV prevalence rates corrected for unobservable characteristics with a Heckman selection model. The analysis is based on a survey of 1,992 individuals in urban Namibia, which included an HIV test. We find that the bias resulting from refusal is not significant for the overall sample. However, a detailed analysis using kernel density estimates shows that the bias is substantial for the younger and the poorer population. Nonparticipants in these subsamples are estimated to be three times more likely to be HIV-positive than participants. The difference is particularly pronounced for women. Prevalence rates that ignore this selection effect may be seriously biased for specific target groups, leading to misallocation of resources for prevention and treatment.     

Gender-linked Risks for Peer Physical and Relational Victimization in the Context of School-level Poverty in First Grade

In a short‐term longitudinal study of 432 first‐grade children, we examined whether gender interacted with contextual differences (school‐level poverty) and individual differences at school entry (behavioral problems, emotional problems, and social competence) to predict changes in peer physical and relational victimization and receipt of prosocial acts. Gender differences in peer victimization were observed in schools with low levels of student poverty, such that girls showed significant decreases in peer victimization relative to boys. Girls in schools with high levels of student poverty were at greater risk for increases in victimization relative to girls in low‐poverty schools. Individual differences at school entry also contributed to risks for physical (but not relational) victimization. Girls with high levels of behavioral problems and boys with low levels of social competence showed increased risks for physical victimization. We discussed the implications of the present findings for school‐based peer‐victimization prevention programs.