Depression during menopausal transition: a review of treatment strategies and pathophysiological correlates

It has long been recognized that women are at a higher risk than men to develop depression and that such risk is particularly associated with reproductive cycle events. Recent long-term, prospective studies have demonstrated that the transition to menopause is associated with higher risk for new onset and recurrent depression. A number of biological and environmental factors are independent predictors for depression in this population, including the presence of hot flushes, sleep disturbance, history of severe premenstrual syndrome or postpartum blues, ethnicity, history of stressful life events, past history of depression, body mass index, socioeconomic status and the use of hormones and antidepressants. Accumulated evidence suggests that ovarian hormones modulate serotonin and noradrenaline neurotransmission, a process that may be associated with underlying pathophysiological processes involved in the emergence of depressive symptoms during periods of hormonal fluctuation in biologically predisposed subpopulations. Transdermal estradiol and serotonergic and noradrenergic antidepressants are efficacious in the treatment of depression and vasomotor symptoms in symptomatic, midlife women. The identification of individuals whom might be at a higher risk for depression during menopausal transition could guide preventive strategies for this population.     

Health expectancies in Japan: gender differences and policy implications for women

Based on prospective observation of elderly people in the community in Japan, we compared the time-course of development and progression of physical disability between women and men. Men experienced disability at a younger age and at a faster rate than did women. The duration of time spent with disability in women was twice as long as in men. Consequently, women consume about two-thirds of the total resources of formal caregiving services in Japan. Women in Japan are increasingly educated, postponing marriage to higher ages, and less likely to care for parents in the home. Given these changes in family structure and social norms, the capacity for informal family caregiving has decreased dramatically. A recently enacted national long-term care insurance system may further change the picture of caregiving.     

Fortress Europe’s far-flung borderlands: ‘Illegality’ and the ‘deportation regime’ in France’s Caribbean and Indian Ocean territories

ABSTRACT

This article argues that the French overseas territories of the Caribbean and Indian Ocean, which are also European ‘outermost regions,’ make up the first borders of ‘Fortress Europe,’ geographically, historically and legislatively. Since the 1980s, a set of laws, described as ‘laws of exception,’ place the majority of the foreign residents in a state of ‘illegality.’ These overseas territories are in the vanguard of a French ‘regime of deportation’ that targets foreign nationals, indigenous populations and former colonial subjects. They are places of experimentation for legal exceptions, which are then implemented in metropolitan France. This paper will analyze how the reinforcement of borders contradicts the popular and scholarly representation of the Caribbean and the Indian Ocean as sites of mobility.     

Urbanization and the fertility transition in Ghana

This paper examines the way in which migration and urban residence operate to alter fertility outcomes. While urban-rural fertility differentials have long been established for most developing societies, the nature of these differences among migrants and between migrants and those of succeeding generations is not well understood. The evidence presented here suggests that rural-urban migration and urbanization may contribute positively to processes of fertility transition. Using data from the 1998 Kumasi Peri-Urban Survey, which included a 5-year retrospective monthly calendar of childbearing, we suggest that migrants adapt quickly to an urban environment. Our results also reveal generational differences in recent and cumulative fertility. While migrants exhibit higher cumulative fertility than urban residents of the second and third generation, their fertility is significantly lower than rural averages in Ghana. Children of migrants exhibit childbearing patterns quite similar to those in higher-order generations. Most noteworthy is the nature of the disparities in childbearing patterns between migrants and the succeeding generations. Migrant women have higher lifetime fertility than urban natives. Migrant women also exhibit higher fertility over the last 5 years than second generation or high-order urban natives. But these first generation women exhibit lower fertility (vs. urban natives) for the year immediately prior to the survey. These patterns lend support to an interpretation that combines rather than opposes theories of selectivity, disruption, adaptation and socialization. We conclude by discussing mechanisms that might explain these interrelated processes of fertility adjustment and suggest that policies discouraging rural-urban migration need to be revisited.     

The use of multiple regression analysis in employment discrimination cases

This paper explores the use of multiple regression in employment discrimination cases brought under the Equal Pay Act of 1963 or Title VII of the Civil Rights Act of 1964. Through examining the outcomes of the cases and judicial commentary about regression analyses as evidence, the paper concludes that plaintiffs are most likely to prevail in cases where both the plaintiffs and defendants utilize regression. Plaintiffs who do not present regression analyses as evidence are at a distinct disadvantage when defendants do so. However, defendants are not similarly disadvantaged when responding to a plaintiffs regression analysis without their own statistical showing. Finally, plaintiffs who support their regression analyses with witness testimony of discriminatory employer acts appear to be more likely to prevail than plaintiffs who do not present such witnesses.     

Racial Identity–Related Differential Attributions of Inadequate Responses to Hurricane Katrina: A Social Identity Perspective

This study examines the attribution of responsibility for the problematic response to Hurricane Katrina in the fall of 2005. Based on social identity theory, the study compared the attribution with racism and non-racism factors (situational vs. dispositional attributions) between African American and European American students (n = 505). As hypothesized, African American identity was related to greater racism attribution, even after controlling for demographics, faith factors, and cognitive-emotional reactions to the hurricanes. European American identity was associated with more executive-responsibility attributions, but the effect vanished after adjusting other factors. The study underscores the importance of acknowledging group identity rather than an overarching American identity in exploring the race effect after a national collective trauma. The consequential implications for disaster planning, future research investigation, and social service delivery are discussed.     

Socioeconomic status, neighborhood disadvantage, and poverty-related stress: Prospective effects on psychological syndromes among diverse low-income families

Living with persistent poverty is toxic for one’s psychological health. This study examined SES, income, neighborhood disadvantage, and poverty-related stress as predictors of a wide range of psychological problems including anxiety, depression, aggression, relationship problems, physical problems, and trouble with the law. Longitudinal analyses were conducted with a low-income multiethnic sample of 98 families recruited from the greater Denver, CO metropolitan area (300 family members: 136 adults, 82 preadolescents, 82 adolescents) using hierarchical linear modeling to predict all eight ASEBA narrow band syndromes. Analyses showed that poverty-related stress was directly related to anxious/depressed symptoms and social problems and interacted with prior symptoms, contributing to worsening symptoms for delinquency, attention problems, somatic complaints, and anxious/depressed symptoms. Hollingshead SES also had direct predictive effects for certain syndromes, though these effects were in the opposite direction predicted. In contrast, lower income-to-needs predicted more problems as expected. Neighborhood disadvantage also predicted psychological syndromes. Developmental differences are discussed. Our data show that parents are not the only family members who are affected by stress from living in poverty. SES, neighborhood disadvantage and poverty-related stress take a toll on children, adolescents, and adults.     

Maid-in-Singapore: representing and consuming foreign domestic workers in Singapore cinema

The Maid, a Singapore-made horror film featuring a foreign domestic worker as its protagonist, was released in 2005 to very favourable reviews in the local press. The critical audience generally used the film to praise the development of the local film industry while ignoring the social commentary of the foreign domestic worker experience in Singapore. This paper aims to address this lack of commentary on the issues and circumstances surrounding foreign domestic service in The Maid. Doing so reveals a multilayered representation of order in Singapore based firmly on ethnicity and class, where the images of foreign maids are dramatised, reconstructed and consumed in various discursive forms by various social agents.     

BANANAS: providing child care services to a multi-ethnic community

BANANAS, Inc. is a nonprofit organization that has provided child care resource and referral services for over 35 years. BANANAS emerged as a grassroots effort initiated by a group of female volunteers who sought to build a network of women with children who needed childcare. As the organization developed, its leaders recognized and responded to additional needs, including resource and information sharing, workshops and classes, and political advocacy. Beginning as a collective, BANANAS has grown into a multifaceted service delivery and advocacy nonprofit operating with an annual budget of $12 million. This history of the agency reflects the development of a unique community-based effort, its challenges and rewards, and the multiple successes that this pioneering nonprofit has experienced.