Impact of Culture on Lactation Policies: The Case of United States and Liberia

ABSTRACT

Programs or policies that are effective in reducing social problems have several things in common: They acknowledge the realities of culture, respect the sociocultural underpinnings of the community, and are often built on an innovative understanding of the issues. Policies that are created without regard for the culture in which they are to operate are destined to fail. This study discusses cultural attributes of different motivations, benefits, and approaches to breast-feeding, depending on the development of their infrastructure, scientific understanding, reliance on myths to understand their environment, and social norms. It argues that in some cases ignorance and lack of scientific information result in policies (both formal and informal) that negatively impact breast-feeding, whereas in other cases cultural or social norms drive policy decisions. Three examples of policies that impact breast-feeding negatively are discussed in this article. Two of them relate to developing nations and the third occurred in the United States, although it could also occur anywhere people lack basic information about the impact of hormones on normal human physiology and human sexual response.     

Maternal Health Policies in Countries in Transition: Poland and Kyrgyzstan, 1990–2006

ABSTRACT

Starting with the initiation of democratic and market economic transitions, unsupportive policies concerning women's reproductive health were implemented in Kyrgyzstan and Poland in the period 1990–2006. These policies were expressed by (1) political decisions limiting available funding to support medical practices protecting women's reproductive health, (2) diminishing or restricted dissemination of knowledge about family planning, and (3) the implementation of new contraception and abortion policies. Could these changes be perceived as combat between democratic liberalism, cosmopolitanism, and tolerance versus traditionalism, insularism, and fundamentalism? We use analyses of policies concerning women's reproductive and maternal health to manifest rivalry between economic crisis and the push toward modernity and between traditionalism and liberalism. We demonstrate that the return to traditional gender roles and gender policies, and their practical application expressed in maternal health policies, illustrates cultural backlash toward diffusing Western liberalism in countries in political and economic transition.     

When Injustice Gets Old: A Systematic Review of Trans Aging

A lack of knowledge regarding the needs and experiences of trans and gender-nonconforming older adults contributes to and perpetuates the experiences of marginalization associated with being trans. Mitigating the conditions of marginalization—including those that are compounded by age—requires the production of trans aging knowledge. It was with the intent to produce such knowledge that this systematic review was undertaken. In so doing, five medical databases, eight social science databases, and two gray literature databases were searched. These included the following: CINAHL (1942–), Medline (1942–), Health Services/Technology Assessment Texts, Web of Science, EMBASE (1947–), Sociological Abstracts (1952), Social Services Abstracts (1806–), Gender Studies Database (1972–), LGBT Life with Full Text, Ageline (1978–), PsycINFO (1806–), Scopus, ERIC, The New York Academy of Medicine Grey Literature Report, and Dissertations & Theses: Full Text. A total of 436 titles and abstracts were independently reviewed. Of these, 106 full-text articles were retrieved; 34 met the inclusion criteria and were reviewed. The following themes were identified: 1. the methodological challenges associated with conducting research with trans and gender nonconforming older adults;

2. violence and abuse among trans and gender nonconforming older adults;

3. discriminatory policies and practices in health and mental health care;

4. the lack of appropriate HIV/AIDS education, prevention, and treatment strategies for trans and gender nonconforming older adults;

5. obstacles in education, employment, government systems, and housing; and

6. the lack of adequate social support networks.

Gaps in the literature, recommendations for future research, and implications for policy and practice were also identified.     

Traversing the Margins: Intersectionalities in the Bullying of Lesbian,Gay, Bisexual and Transgender Youth

SUMMARY

This study explores the perspectives of service providers and youth advocates on bullying of lesbian, gay, bisexual and transgender (LGBT) youth and intersectionalities in LGBT peer victimization. In depth, semi-structured interviews were conducted with nine key informants (4 male, 4 female, 1 transgender male; 4 gay, 3 lesbian, 2 non-identified; 6 white, 1 South Asian, 2 Middle Eastern) recruited using purposive sampling from diverse education and social service settings. Narrative thematic analysis and a constant comparative method were used to identify themes. Five themes emerged from the data: (1) “transgressing gender norm boundaries”; (2) homophobic sexism vs. sexist homophobia; (3) “you choose sexuality or you choose race”; (4) newcomer youth and citizenship; and (5) “multiple wires together … create the cage.” Findings suggest the importance of an intersectional approach to conceptualizing and addressing LGBT bullying and to uncovering the differential experiences of bullying among LGBT youth. Bullying related to sexual orientation should not be assumed to be the only or primary form of violence shaping the lives of LGBT youth.     

Women Reentering the Community: Understanding Addiction and Trauma-Related Characteristics of Recidivism

Women represent 26% of those arrested for serious crimes; many have posttraumatic stress and co-occurring substance use disorders, which may influence recidivism. This study examined 57 women residing in a community re-entry program after exiting prison. Participants completed the Trauma Symptom Inventory and Substance Abuse Subtle Screening Inventory. A discriminant function analysis accounted for 34% of between-group variability and provided a profile of women who recidivated. Women who recidivated had greater alcohol dependence and lower rates of sexual dysfunction and sexual concerns. Practitioners should consider potential links between substance abuse, trauma, and sexual behavior in treatment settings.     

Comparing the Ethnic Identity and Well-Being of Adopted Korean Americans With Immigrant/U.S.-Born Korean Americans and Korean International Students

This study compared the ethnic identity and well-being of Korean Americans who were adopted internationally with immigrant/U.S.-born Korean Americans and Korean international students, as well as the relationship between ethnic identity and well-being for each group. One-hundred seven college students completed measures of ethnic identity and subjective well-being. Immigrant/U.S.-born Korean Americans had higher ethnic identity scores than the other two groups. Immigrant/U.S.-born Korean Americans also had higher positive affect scores than international students. Ethnic identity was positively correlated with positive affect for all three groups (r = .27 to .34) but was negatively correlated with negative affect for international students (r = –.44). Overall, the results suggest that ethnic identity, although slightly lower than in non-adopted peers, is relevant to the well-being of adopted Korean American college students.     

The Quantitative Estimation of IT‐Related Risk Probabilities

How well can people estimate IT‐related risk? Although estimating risk is a fundamental activity in software management and risk is the basis for many decisions, little is known about how well IT‐related risk can be estimated at all. Therefore, we executed a risk estimation experiment with 36 participants. They estimated the probabilities of IT‐related risks and we investigated the effect of the following factors on the quality of the risk estimation: the estimator's age, work experience in computing, (self‐reported) safety awareness and previous experience with this risk, the absolute value of the risk's probability, and the effect of knowing the estimates of the other participants (see: Delphi method). Our main findings are: risk probabilities are difficult to estimate. Younger and inexperienced estimators were not significantly worse than older and more experienced estimators, but the older and more experienced subjects better used the knowledge gained by knowing the other estimators' results. Persons with higher safety awareness tend to overestimate risk probabilities, but can better estimate ordinal ranks of risk probabilities. Previous own experience with a risk leads to an overestimation of its probability (unlike in other fields like medicine or disasters, where experience with a disease leads to more realistic probability estimates and nonexperience to an underestimation).     

Engineer-to-order (ETO) production planning and control: an empirical framework for machinery-building companies

This paper illustrates the results of an empirical study involving 21 engineer-to-order (ETO) companies, operating in the machinery-building industry. The study investigates the needs and requirements of such companies in terms of software support for governing the businesses, with particular emphasis on production planning and control (PPC) processes. An empirical analysis investigated two main aspects: (i) the set of business activities performed by the companies in the analysed industry and (ii) the relevant, high-level software functionalities required for the execution of such activities. As an answer to the observed compelling need for reviewing the general approaches to PPC in machinery-building companies, we develop an empirical, high-level production planning and scheduling reference framework, encompassing all the activities involved in the order fulfilment process.     

Ownership and control in local public utilities: the Italian case

The paper discusses the ownership and control structures of local public utilities by showing evidence from the Italian case. In this discussion, the focus is on three main aspects: the ownership structure, the board composition and independence, and citizens’ involvement (service charters). The main results from this study reveal that there are controversial aspects, which need further investigation. The existence of a principal–principal conflict is clearly arising from an in-depth analysis of the ownership structures. In addition, the board of directors, because of the lack of actual independence, does not seem to be a useful arena to manage and solve these conflicts. Other governance mechanisms are thus needed, to increase accountability to citizens. Within this, service charters seem to be a useful tool to protect the “public interest”. However, service charters content analysis suggests that further implementation actions are due. The paper contributes to the debate on conflicts of interests and governance mechanisms in local public utilities suggesting possible developments of agency theory and discussing implications for further research.