Diversity in Midwifery Care: Working toward Social Justice

La pratique de la sage‐femme opérant dans la communauté a apporté avec elle, lorsque devenu une profession régie et financée par l’état vers la fin du vingtième siècle, les objectifs et aspirations de son mouvement social. Parmi ces objectifs, elles désiraient à faire attention à l’équité et la diversité sociale lors de la provision de soins pendant la naissance. Dans cet article, nous utilisons des interviews avec des sage‐femmes qui pratiquent en ce moment en Ontario, afin de nous concentrer sur les conceptualisations de la diversité des sage‐femmes. Nous explorons leurs efforts, dans le travail quotidien, visant à supporter et fortifier la diversité sociale des clientes et des sage‐femmes elles‐mêmes. Nous proposons que la transition de la pratique de la sage‐femme vers le système de soins santé gouvernemental ne signale pas l'abandon des projets et engagements de changement social. Les réponses à la diversité sociale en soins de santé varie des efforts à améliorer l'accès aux soins de santé jusqu'à l’étude du rôle de la justice sociale en reconnaissant les besoins des populations diverses. L'aspiration de ‘créer un monde meilleur’ continue à animer le travail des sage‐femmes nonobstant la réglementation de leur pratique. Cet article explore le patrimoine de pratique des sage‐femmes en tant que mouvement social et décrit les rapports entre la diversité, la justice sociale et la pratique actuelle des sage‐femmes. As midwifery moved from lay practice to a regulated health‐care profession in Ontario toward the end of the twentieth century, it brought with it many of its social movement goals and aspirations. Among these was the desire to attend to diversity and equity in the provision of birthing care. Drawing on interviews with currently practicing Ontario midwives, this paper focuses on midwives’ conceptualizations of diversity and explores their everyday work to support and strengthen diversity among those using and those providing midwifery care. We argue that midwifery's recent relocation within state structured health care means neither that the social change projects of midwifery are complete nor that midwifery has abandoned its movement‐based commitment to social change. Responses to social diversity in health care range from efforts to simply improve access to care to analyses of the role of social justice in recognizing the needs of diverse populations. The social justice aspiration to “create a better world” continues to animate the work of midwives postregulation. This paper explores the legacy of midwifery as a social movement, addressing the connections between diversity, social justice and midwifery care.     

Hindsight,foresight and insight: The challenges of longitudinal qualitative research

This paper describes a UK based longitudinal qualitative study following approximately 100 young people over 9 years. It provides an overview of the research design, methods of data collection and analysis as well as reflecting on the strengths and weaknesses of the strategies employed. We focus on the value of a devolved research design, complementary cross-section and temporal analytic approaches and the effects of being involved in a longitudinal study on researchers and participants. The paper aims to contribute to a growing understanding of the practical, ethical and epistemological challenges presented by longitudinal qualitative methods, and highlights those challenges that are specific to this method as well as those which are amplified by this kind of approach.     

The Mother‐Citizen and the Working Girl: First‐Wave Feminist Citizenship Claims in Canada and Discursive Opportunities for Twenty‐First Century Childcare Policy

L'État providence Canadien est déséquilibré: leader mondial dans certains domaines de l'investissement social—plus particulièrement en soins de santé et enseignement supérieur—il traîne dans d'autres domaines de la dépense d'aide sociale, y compris les politiques de garde d'enfants. Nous constatons qu'aujourd'hui la résistance dans la plupart des régions du Canada à la politique de garde d'enfants universel a des racines historiques profondes. Elle est de fait intégré dans le cadre même du bien‐être social canadien: le contrat de citoyenneté sociale. Nous employons une approche de “bas en haut” sur l'état du bien‐être en nous concentrant sur la façon dont les acteurs collectifs, en particulier, les féministes de la première vague et leurs contemporains au sein des organisations du mouvement ouvrier, ont encadrées et caractérisé la citoyenneté sociale féminine; Nous constatons que l'exclusion de l'adhésion des femmes employées tronque les possibilités discursives par lesquelles des revendications pour des provisions universelles de bien‐être sociale pourraient être apportées. Canada's welfare state is lopsided: while leading the world in some areas of social investment—most notably health care and higher education—it is a laggard in other areas of social welfare spending, including childcare policies. We find that policy resistance to universal childcare in most regions of Canada today has deep historical roots and is, indeed, embedded into the very framework of the Canadian welfare state: the social citizenship contract. We employ a “bottom‐up” perspective on the welfare state focusing on how collective actors, in particular, first‐wave feminists and their contemporaries within labor movement organizations, framed and characterized female social citizenship in ways that excluded employed women from full membership and, in this, truncated discursive opportunities by which claims for universal welfare state provisions could be made.     

Native American Food Security and Traditional Foods: A Review of the Literature

This piece explores the emergent themes and subthemes represented within the recent contemporary discourse on Native American food security. Analysis revealed traditional foods as the most common theme present within the sampled literature. We offer a review of this theme (and related subthemes such as food access and human and environmental health) to illuminate the primary concerns, opportunities, preferences, and barriers associated with Native American food security. Our assessments also provide a nuanced understanding of existing literature related to food security and sovereignty, as well as key dimensions of environmental and social equality.     

Marriage Delay,Time to Play? Marital Horizons and Hooking Up in College

Previous research suggests that an increasing age at first marriage has contributed to the prevalence of sexual hookups on U.S. college campuses. In this article, we use life course and marital horizons theories to analyze the influence of ideal age at first marriage on hooking up among unmarried heterosexual college students. Analyses of the Online College Social Life Survey (N = 17,981) show a positive association between ideal age at first marriage and hookups for most students, but not for students whose mothers have no post‐secondary education, Asian men, Asian women, and Latina women. Variation in ideal marriage timing does not account for gender, racial/ethnic, and class gaps in hookup participation. Results are discussed with reference to the role of sexuality in processes of stratification throughout young adulthood.     

IT'S NOT JUST A JOKE

Sexism is a recurrent part of women's everyday lives. One understudied area within gender scholarship is the content and implications of sexist humor as a form of sexism. In this article, we explore the sexist content of 153 Internet jokes. Our analysis demonstrates that sexist jokes offer portrayals of misogyny that serve many functions, some of which include the sexual objectification of women, devaluation of their personal and professional abilities, and support of violence against women. Implications of such humor are discussed as well as future research possibilities in this area.     

Perception vs. Circumstances of the Child Sexual Abuse Event in Relation to Depression and Post-traumatic Stress Symptomatology

The study examined the impact of the circumstances of childhood sexual abuse on post-traumatic stress symptoms and depression among female adult survivors of childhood sexual abuse. The sample consisted of 225 Israeli women divided into two groups according to the identity of the perpetrator (nonfamily perpetrator versus a family member perpetrator). A self-report questionnaire was used consisting of the following scales: demographic variables, the Traumatic Events Questionnaire, Childhood Sexual Experiences Scale, Post-Traumatic Stress Disorder Symptom Scale, and Depression Scale. The findings indicated that the identity of the offender significantly differed between groups only if intercourse had occurred. Women who experienced coerced intercourse scored significantly higher on depression and post-traumatic stress compared to those who experienced other forms of childhood sexual abuse.     

Accessing Higher Education: The Influence of Cultural and Social Capital on University Choice

Over recent years, sociologists of education have paid increasing attention to the higher education sector. They have highlighted the ways in which, despite the significant expansion in the number of university places available in many countries across the world, access to and choices about higher education continue to be strongly influenced by social class. This article provides an overview of recent literature in this field and explores how scholars have tended to explain this influence by drawing on Pierre Bourdieu's concepts of habitus and cultural and social capital.