Aging male symptomatology and eating behavior

Objective: The literature on eating disorders in older males is still very limited. We assessed the relationship between aging male symptomatology and eating behavior in middle-aged and older men.

Method: We distributed anonymous questionnaires to men aged 40–75?years living in or near Innsbruck, Austria, covering demographic items, current eating disorder symptoms (as defined by DSM-5), and associated measures of eating pathology, body image, and sports activity (including exercise addiction). We also administered the Aging Males’ Symptoms scale (AMS), and classified respondents as “high-AMS” (AMS score ≥37; N?=?82) or “low-AMS” (AMS score <37; N?=?386).

Results: High-AMS men reported a significantly higher mean current BMI, a greater prevalence of eating disorder symptoms, higher scores on the Eating Disorder Examination Questionnaire, greater risk of exercise addiction, and more negative body image than low-AMS men.

Discussion: We found a marked association between aging-male symptomatology and eating-disorder symptomatology in aging men. Our findings suggest that clinicians should carefully inquire about eating disorder symptoms in men aged 40 and above reporting aging-male symptomatology. Importantly, several men in the study reported “purging” via excessive exercise (as opposed to the more common methods of vomiting or use of laxatives or diuretics), and therefore this should be a subject of inquiry in clinical evaluations. To pursue these findings, subsequent studies of eating disorders in older men should consider assessing endocrinological measures, particularly testosterone levels, and should use longitudinal designs.     

Collaborating with families in differential responses: practitioners' views

Child protection authorities in many countries are concerned with reducing the rates of investigations and with diverting at‐risk families from the child protection service system. In several countries, differential responses have been introduced into child protection law providing service providers with some choice between investigative or family support pathways, depending upon the level of risk posed in the circumstance. In this paper, we report on a study into a form of differential response known as Intervention with Parents' Agreement introduced in Queensland, Australia, in 2005. A unique feature of this differential response is that it occurs after an initial child protection investigation, although it does provide child protection services with options for providing supportive interventions to at‐risk families to prevent the further escalation of concerns. In this paper, we analyse practitioners' perceptions of factors that inhibit and promote implementation of the Intervention with Parents' Agreement. Drawing upon interviews with 25 practitioners, we identify factors that become important for securing participation after an initial investigation has occurred. We discuss the implications for the development of differential responses in child protection service systems.     

The meaning of gender while aging with paralytic polio

The purpose of this article is to report the influence of gender on aging with childhood onset paralytic polio. The hermeneutic phenomenological exploration of gender was done using multiple qualitative interviews with 25 women, age 55 to 75 years of age, who had polio since before 14 years of age. We noted three themes: (a) the movement of her body, (b) integrating body and gender, and (c) gender discrepancies. Findings are discussed in the context of gendered expectations and the women's bodies.     

Estimation and forecasting hospital admissions due to Influenza: Planning for winter pressure. The case of the West Midlands, UK

Winters are a difficult period for the National Health Service (NHS) in the United Kingdom (UK), due to the combination of cold weather and the increased likelihood of respiratory infections, especially influenza. In this article we present a proper statistical time series approach for modelling and analysing weekly hospital admissions in the West Midlands in the UK during the period week 15/1990 to week 14/1999. We consider three variables, namely, hospital admissions, general practitioner consultants, and minimum temperature. The autocorrelations of each series are shown to decay hyperbolically. The correlations of hospital admission and the lag of other series also decay hyperbolically but with different speed and directions. One of the main objectives of this paper is to show that each of the three series can be represented by a Fractional Differenced Autoregressive integrated moving average model, (FDA). Further, the hospital admission winter and summer residuals shows significant interdependency, which may be interpreted as hidden periodicities within the last 10-years time interval. The short-range (8 weeks) forecasting of hospital admission of the FDA model and a fourth-order AutoRegressive AR(4) model are quite similar. However, our results reveal that the long-range forecasting of FDA is more realistic. This implies that, using the FDA approach, the respective authority can plan for winter pressure properly.     

Gender differences in the initiation and attribution of tactile intimacy

Cultural norms may restrict the demonstration of intimacy between men, such that male adults are relatively unlikely (in comparison to females) to display affection in public by hugging or putting hands around one another's waists. Study 1 examined via a role playing technique how the gender composition of a dyad and types of friendship influence tactile greetings. Males displayed less physical intimacy with male friends than with female (platonic or dating) friends and less than females displayed with their same-sex friends. Study 2 examined subjects' perceptions of and attributions about reciprocal touch. Male-male behavior was rated as less normal as a function of the level of physical touch (going from no touch, hugging, to arms around the waist). The normalcy rating of opposite-sex pairs did not vary as a function of the touch manipulation, but female, same-sex pairs' behavior was rated as less normal in the arms around the waist than in either the no touch or hug conditions. In the male same-sex pairs, hugging was seen as more likely to reflect a sexual relationship than no touch, while arms around one another's waist was rated as even more likely to represent a sexual relationship. It was suggested that homophobia, the fear of appearing or being homosexual, may operate to inhibit physical intimacy between men.     

Continuous Parenting and the Clean Break: The Aftermath of Marriage Breakdown

This paper examines the financial disparity between men and women after marriage breakdown in the context of the debate about public support for children and their caretakers. The Australian Institute of Family Studies research into the economic consequences of marriage breakdown, the government's endorsement of reforms for the assessment and collection of child maintenance and the Law Reform Commission's recommendations for the reform of matrimonial property law indicate the need for more clarity and predictability for family law clients. In addition, empirical work highlights the need to eradicate any notion that the clean break philosophy is appropriate for parenting after separation. Whilst family law reforms are already underway in this area, the issues of womens' independence and of child welfare must be looked at in the broader context of employment opportunities and child care.     

Not Ready to Make Nice: Aberrant mothers in contemporary culture

The story of motherhood in popular culture has never been a simple one. Cross-cut by race, class, and sexuality (and, importantly, marital status), interwoven with changing psychological and biological theories and fantasies, tied up with nation-building and citizenship claims, images of motherhood remain both template and signpost upon which we project our desires for kinship and care and our most vexed understandings of womanhood and femininity. This essay examines fictional motherhood in an era of real-life Octomoms and presidential candidates. We argue that a new type of mother has emerged—particularly on TV—that presents a radical departure. From the suburban mom/drug dealer of Showtime's outré series Weeds to the vapid 1960s wife of Mad Men, aberrant mothers abound in contemporary culture. But, unlike aberrant mothers of earlier eras, these mothers are by and large heroines, unapologetically non-normative in their maternal functioning. The parenting is cursory at best and often downright neglectful, behavior that has typically resulted in sure death for Hollywood mothers of earlier eras. We examine these images as a challenge to normative familialism and rigid gender ideologies.     

Changing the risky beliefs of post-partum women about therapeutic sun-exposure

BackgroundMany post-partum women hold risky beliefs about perceived therapeutic benefits of sun-exposure in the post-partum period and infancy.QuestionCan a maternity hospital based educational intervention reduce the prevalence of such beliefs among post-partum women?MethodsIn this outcome evaluation of an interventional study, two groups of healthy post-partum women (hospital inpatients) were interviewed, 1–4 days following delivery. The first cross-section (106 women) was recruited prior to in-services for maternity staff; the second (203 women) was recruited after completion of the in-services. Data were compared between the groups.FindingsMore pre-intervention than post-intervention women reported they would expose their baby to sunlight to treat suspected jaundice (28.8% vs 13.3%; p < 0.001) or help his/her skin adapt to the sun (10.5% vs 2.5%; p = 0.003); or use sunlight to manage breastfeeding-associated sore/cracked nipples (7.6% vs 2%; p = 0.026).ConclusionThis simple, effective educational intervention could be implemented in programmes for parents, health professionals and students.     

从和谐的角度看全球不同女性及性别文化

在人类学研究领域中,当"女性"分析范畴尚属一片空白之时,"男性"却在民族志研究的中心舞台上拥有了一席之地,研究者丝毫没有顾及到潜在的文化元素,不论是内在的还是外在的(即内部构成上的或外部结构上的),"男性化主义"都被当成了社会的人造产物,而未被看作是生物自然力量的结果.以往的许多研究对更早前该学科过分男性化(或者只考虑男性)的趋势采取了一种应对和纠正的态度,认为其缺乏对女性真正的关注.在近30年里,许多形式的人类学调查、分析以及理论构建都非常认真地关注着女性(指妇女和女童)的生活经历、社会地位、机构设置、身份认同等,它们发展迅速,在理论与文化层面变得越来越丰富多样.