Gender differences in immigrant health: the case of Mexican and Middle Eastern immigrants

This article draws on theories of gender inequality and immigrant health to hypothesize differences among the largest immigrant population, Mexicans, and a lesser known population of Middle Easterners. Using data from the 2000-2007 National Health Interview Surveys, we compare health outcomes among immigrants to those among U.S.-born whites and assess gender differences within each group. We find an immigrant story and a gender story. Mexican and Middle Eastern immigrants are healthier than U.S.-born whites, and men report better health than women regardless of nativity or ethnicity. We identify utilization of health care as a primary mechanism that contributes to both patterns. Immigrants are less likely than U.S.-born whites to interact with the health care system, and women are more likely to do so than men. Thus, immigrant and gender health disparities may partly reflect knowledge of health status rather than actual health.     

Expert panel reviews of research centers: the site visit process

Site visits are used extensively in a variety of settings within the evaluation community. They are especially common in making summative value decisions about the quality and worth of research programs/centers. However, there has been little empirical research and guidance about how to appropriately conduct evaluative site visits of research centers. We review the processes of two site visit examples using an expert panel review: (1) a process to evaluate four university research centers and (2) a process to review a federally sponsored research center. A set of 14 categories describing the expert panel review process was obtained through content analysis and participant observation. Most categories were addressed differently through the two processes highlighting the need for more research about the most effective processes to use within different contexts. Decisions about how to structure site visits appear to depend on the research context, practical considerations, the level at which the review is being conducted and the intended impact of the report. Future research pertaining to the selection of site visitors, the autonomy of the visitors in data collection and report writing, and the amount and type of information provided would be particularly valuable.     

Figures of Motion: Integrating Movement Theories in Clinical Practice

In this paper the author summarizes and illustrates with case examples her theory of the clinical significance of nonverbal interaction and the usefulness of her integration of aspects of movement theory to facilitate its recognition and analysis. In this discussion, she reviews the concepts of kinetic transference and countertransference, the kinetic temperament, embodied history, kinetic therapeutic action and the kinetic text. Case examples illustrate the clinical importance of recognizing various aspects of movement, namely, the qualities of tension change, preferred movement dimensions, and body attitude, which come meaningfully into patient-analyst interaction.     

Adolescent girls’ race/ethnic status, identities, and drive for thinness

Using data from 7272 adolescent US girls, we explore how girls’ race/ethnic group status affects their bodyweight, perceptions of overweight, and weight control practices. We hypothesize that a girl’s race/ethnic status influences her basic identity which in turn prompts her to adopt or reject a “drive for thinness.” After controlling for family and peer support, school engagement, family SES, maturation, and family structure, we find that girls’ race/ethnic status influences their susceptibility to the thinness ideals of mainstream culture. African American girls weigh more than Asian, Hispanic, or White girls, but at any given weight they perceive themselves as overweight and attempt to control their weight less. Asian American and White girls invest most in thinness dynamics. Some evidence also suggests girls from lower SES families are less driven to be thin. Our results affirm the utility of viewing material bodies as “situations” that are experienced and interpreted in accord with identity group relations and dynamics.     

The Relationship Between Sexual Minority Verbal Harassment and Utilization of Health Services: Results from Countywide Risk Assessment Survey (CRAS) 2004

In this article we examine the prevalence of and associations between sexual orientation–based verbal harassment and reported utilization of health services across levels of sexual orientation in a diverse sample of adult recipients of Los Angeles County–funded HIV-related health and social services. Thirty-two percent reported they had experienced verbal harassment, the majority (80.3%) of whom identified as lesbian, gay, or bisexual (LGB). Those who reported being verbally harassed received significantly more services overall than those who were not verbally harassed, and service utilization varied by sexual orientation. These findings inform future efforts to identify and assess social discrimination in health and social service settings.