Young Women's Use of a Vaginal Microbicide Surrogate: The Role of Individual and Contextual Factors in Acceptability and Sexual Pleasure

Currently in clinical trials, microbicides have historically been promoted as a woman-controlled (although more recently woman initiated) method of sexually transmitted infection (STI) prevention. The contradicition that exists in this rationale is that women's bodies, specifically the genitals, have been constructed as a negotiated space within sexual interactions. This study qualitatively explored the factors influencing 40 young women's use of a vaginal moisturizer (VM), utilized as a microbicide surrogate. The results indicated that use of the VM was dependent upon product characteristics (i.e., the lubricating qualities affect on sexual pleasure, timing of insertion), individual factors (i.e., reproductive health goals, experiences with side effects of existing contraceptive methods), and contextual factors (i.e., social norms). An understanding of these bodily and social issues may be beneficial in designing targeted educational campaigns and effective instructional materials as well as in facilitating positive dialogue around women's bodies and their sexuality.     

Frailty in self-neglecting older adults: A secondary analysis

ABSTRACT

Self-neglect (SN) and frailty in older adults is associated with increased disability and mortality. Despite these commonalities, there have been no studies objectively assessing frailty in older adults who SN. This secondary analysis classified frailty in N = 37 older adults with Adult Protective Services validated SN using the Fried Frailty Phenotype (FFP) of weight loss, weakness, exhaustion, activity level, and walking speed. Overall, 3% were classified as robust, 62% as prefrail, and 35% as frail. Most (72%) were overweight/obese, with clinically significant decreases in activity level (60%) and walking speed (97%). Compared to the original FFP population, older adults who SN exhibit important differences in frailty phenotypes, and finding that the largest percentage of older adults who SN were prefrail may indicate a critical opportunity for intervening in this population to reduce future functional decline and mortality.     

SO,HOW DID BOURDIEU LEARN TO PLAY TENNIS? HABITUS,CONSCIOUSNESS AND HABITUATION

Bourdieu's development of the notion of ‘habitus’ has proved a rich vein for cultural theory. Habitus has been useful, with the growing interest in processes of embodiment, in countering the cognitive and representational bias in much cultural analysis, and in providing a basis for avoiding the dualisms - of mind and body, structure and agency - that trouble social theory. However, in stressing the unconscious nature of embodiment, and refusing to engage with the question of consciousness, an implicit form of mechanistic determinism has crept into Bourdieu"s implementation of habitus. By returning to the Spinozan monism that informs Bourdieu's work, this paper elaborates a productive conceptualization of habitus that attends to the various intensities of consciousness, the relations between multiple mind-bodies and processes of habituation through a focus on the literature of sports training.     

Neighborhood resources, racial segregation, and economic mobility: Results from the Gautreaux program

This study uses the unique design of the Gautreaux residential mobility program to estimate the long-run impacts of placement neighborhood conditions on the AFDC receipt (N = 793) and employment levels (N = 1258) of low-income Black women. We find that women initially placed in neighborhoods with few Black residents and moderate to high neighborhood resources experienced significantly more time employed when compared with women placed in neighborhoods with higher concentrations of Blacks and a low level of resources. Women placed in neighborhoods with high levels of resources and low Black populations also spent significantly less time on welfare than women placed in highly Black segregated areas with low levels of resources.     

Family size and child mental disorders in Bahia,Brazil

The relationship between family size and child mental disorders was assessed through a prevalence study conducted in an urban neighborhood of Salvador, Brazil. From a representative sample of 828 children aged between 5 and 14 years, 23.3% were diagnosed as exhibiting varying degrees of mental disorders. Diagnoses were based on psychiatric interviews, following screening using the QMPI (a Portuguese-language screening questionnaire). Results supported the hypotheses that: (1) children from smaller families would exhibit higher prevalence of mental disorders than those from larger families; and (2) prevalence of neurotic and psychosomatic disorders would be lower for children from larger families than from smaller ones. Significant associations were also found between family size and diagnosis and severity of child mental disorders. Controlled analyses indicated that these relationships were not confounded by age or sex of the child, family social class, or family type.     

Wife or frau,women do worse: A comparison of men and women in the United States and Germany after marital dissolution

Longitudinal data from the Panel Study of Income Dynamics and the German Socio-Economic Panel show that in the Federal Republic of Germany, women experience even sharper drops in economic status immediately after a marital split than in the United States, while German and American men fare about the same. German social policy does little to reduce the disparities.     

Poverty dynamics in eight countries

Despite very different macroeconomic conditions, demographic structures and degrees of income inequality, favorable income changes among low-income families with children were widespread and strikingly similar across the eight countries in our study. In most European countries, the combination of modest inequality and extensive mobility among the poor enabled virtually all families to avoid relative income deprivation at least occasionally. However, even substantial mobility among the poor in the Unites States could not elevate the living standards of one in seven white and two in five black families to a level that was half that enjoyed by a typical American family.This paper is the result of a collaborative research project sponsored by the Rockefeller Foundation, the Russell Sage Foundation and the European Science Foundation as part of its Network on Household Panel Studies. CEPS/INSTEAD provided substantial in-kind support. Deborah Laren provided excellent research assistance. Jos Berghman, Tim Callan, Bengt-Olof Gert, Peter Gottschalk, Pierre Hausman, Bruno Jeandidier, Kjell Janssen, Stephen Jenkins, Anders Klevmarken, Katherine McFate, Udo Neumann, Willard Rodgers, Gaston Schaber, Tim Smeeding, Daniel Stripinis, Hedwig Vermeulen, Wolfgang Voges and Brendan Whelan provided substantial assistance and advice during the course of the project. An earlier version of the paper was presented at the conference Poverty and Public Policy in Paris in January, 1991. The paper was edited by Timothy M. Smeeding, Syracuse University, using two anonymous referees.     

Putting the Logos to Work: A Reply to Meyer

Abstract

Journalist Janet Malcolm recently published several articles and a book in which she accused her own profession of manipulation and deceit in its listening and interviewing practices. Specifically, she focused on the Jeffrey MacDonald murder case, on which Joe McGinniss' book, Fatal Vision, was based. McGinniss, she claimed, fostered a close and seemingly empathic relationship with the accused in order to betray him later—and in this event Malcolm saw the prototypical journalist-interviewee relationship. Her accusations about the role of journalism raised intense professional scrutiny. This essay examines the case from the standpoint of journalistic listening. Are the temptations for deceptive or “slanted” empathy inherent in the journalistic interview? Does the journalist have a responsibility not only to listen to the person being interviewed, but to “listen” equally well to the demands of a developing story—as if it, too, were a living entity? Do ethical standards within journalism demand that an interviewer's listening style, especially as it is seen in empathic behavior, be congruent with his or her unexpressed conclusions?     

Triangulating perspectives to inform the development of a smartphone application for foster,kinship, and adoptive parents

Abstract

This article describes the initial phase of a user-centered, inductive process for informing the development of a smartphone application (app) to complement an in-person trauma-focused knowledge and skills training class for child welfare resource parents (i.e. foster, kinship, and adoptive parents). Based on the participatory design approach for technology development, a qualitative study was designed to capture and triangulate relevant knowledge and opinions from resource parents, training instructors, and parenting education experts. The most prevalent themes emerging among these stakeholder groups included the need for a simple app interface and the potential for the app to (1) cultivate connection, affirmation, and combat resource parent feelings of isolation; (2) reinforce in-class knowledge and support skill practice at home; and (3) monitor resource parent, child, and family progress over time. Detailed findings are presented, including direct quotes from focus group and interview participants and elaboration on the prevalent themes, which may benefit others in the early stages of human services app design and contribute to the creation of guidelines for the development of technology-based human services interventions.