The Limits of Self-Management: Community and Health Care System Barriers Among Latinos With Diabetes

Although numerous studies examine diabetes self-care, few regard ecological framework correlates such as community and institutional level factors as fundamental for understanding diabetes management for Latinos. This article addresses the dearth of research that exists regarding social contextual forces and diabetes management for Latinos. Given the scarcity of research on this topic, studies of non-Latino groups were reviewed to illustrate the importance of community and institutional influences on diabetes care. Consideration of fundamental correlates within the ecological framework may better discern the underlying rationale for inadequate diabetes self-management for individuals who live in impoverished communities.     

The Utility of a Gender-Specific Definition of Binge Drinking on the AUDIT

Abstract

Objective: Although binge drinking is commonly defined as the consumption of at least 5 drinks in 1 sitting for men and 4 for women, the Alcohol Use Disorders Identification Test (AUDIT) defines binge drinking as the consumption of 6 or more drinks in 1 sitting for both men and women. This study examined the effect of using gender-specific binge drinking definitions on overall AUDIT scores. Participants: Participants were 331 college men and 1224 college women. Methods: Participants completed a self-report questionnaire, which included the AUDIT. Results: Findings showed that defining binge drinking as 4 or more drinks for women, rather than 6 or more, does impact their AUDIT scores and could affect the percentage of women classified as hazardous users. Among men, AUDIT scores were unaffected by the use of a gender-specific definition of binge drinking. Conclusions: Results suggest that the AUDIT might be underidentifying hazardous users among college women.     

Feasibility and acceptability of using a web-based contraceptive support tool in a university health clinic

Abstract

Objective: To evaluate feasibility of integrating Bedsider.org, a web-based contraceptive decision support tool, at a university health clinic (UHC). Participants: Female students (ages 18–29) seeking contraceptive care at the UHC were enrolled in September 2015 (n?=?46). Methods: Providers recruited eligible patients during reproductive healthcare visits and introduced Bedsider. Surveys were administered immediately following the visit and a follow-up 2–4?weeks later. Electronic health records through 6?weeks post-enrollment were extracted. Results: Most patients had positive views toward Bedsider and appreciated receiving information during their UHC encounters. None were using long-acting reversible contraceptives (LARC) at enrollment. At follow-up, two patients self-reported IUD use. Among those recently sexually active, use of more effective contraceptive methods increased from 65% to 74%; 11% had initiated or were scheduled to receive a LARC. Conclusion: Bedsider can be feasibly integrated into UHC visits and may support women’s selection of more effective contraceptive methods, including LARCs.     

Sex, Age, and the Implementation of the Motor Voter Act: The 1996 Presidential Election

Objective . Among the existing studies of political participation, few discuss differences between men and women. Of those published, most have focused upon substantive policy preferences, perhaps noting women's newly dominant electoral presence but not probing its characteristics or limits. In this analysis we build on the work of Schlozman, Burns, and Verba (1994) by examining the compound effects of closing dates, state National Voter Registration Act implementation delay, and age upon women and men. Methods . Using the 1996 Current Population Survey Voter Supplement we compare the impact of legal obstacles among different age groups of men and women in the 1996 presidential election. Results . We find that legal restrictions do have a different impact on men and women, especially the youngest and oldest members of the latter group. Conclusions . The most significant implication of our work is that policy efforts aimed at further reducing legal barriers to political participation may facilitate women's growing electoral dominance.     

Jill Meagher CCTV

“Jill Meagher CCTV,” the security camera recording of Melbourne woman Jill Meagher's last minutes alive, registered more than 677,000 views on YouTube by early 2014. Little happens for most of its 232 seconds and, as would be expected with surveillance footage, there is no sound. In Australia, “Jill Meagher CCTV” forms part of a haunting iconography of a rape and murder victim that not only resonates with fictional narratives in other places, but also influences the way the Jill Meagher story, as a whole, is read. As Melissa Jane Hardie (2010) suggests of the “true crime” story (citing Bronski 2005, 29), the public reaction to high profile stories of violent crime “is often an emblematic cultural citation that represents a social problem or fixation.” This article considers “Jill Meagher CCTV” as such a cultural citation and goes further by highlighting its gothic tendencies. Highlighting the gothic aspects of “Jill Meagher CCTV” resonates with surrounding narratives of violence and gender justice, which have material consequences for women in the way that the most prevalent forms of violence against women continue to be downplayed in those narratives.     

How Older People Position Their Late‐Life Childlessness: A Qualitative Study

This research explored how older people describe their paths to late‐life childlessness. In‐depth accounts from 38 childless older people, age 63–93, highlight the complex journeys and diverse meanings of childlessness for male and female participants, single and partnered, including some who had outlived children. Positioning theory is used to show how the conventional voluntary – involuntary binary is insufficient for capturing their experiences. Childlessness was for some an active choice to break a family violence cycle; for others, it was an outcome of social upheaval. It evoked feelings of both grief and relief over time, it was seen as evidence of discernment in being unwilling to parent at any price, or it was something that felt “natural” within a meaningful life. Rates of childlessness are increasing; this research highlights the fact that pathways and meanings of childlessness vary so much that it is unwise to assume that people have similar experiences of nonparenthood, especially in later life.     

Former ses travailleurs seniors pour ne pas les perdre? Illustration par le cas allemand

Une vague de départs à la retraite s'annonce en Allemagne, qui privera les entreprises d'une main‐d'?uvre parfois difficile à remplacer. Dans ce contexte, les auteurs s'intéressent à l'apport de la formation en entreprise, recherchant une corrélation entre formation, salaire et probabilité de départ. Ils montrent que cette probabilité diminue lorsque l'établissement propose des programmes de formation spécifiques pour les seniors mais seulement au sein des effectifs féminins – et surtout parmi les bas salaires –, sans doute sous l'effet de la progression salariale. Les formations ciblées pourraient donc encourager les femmes faiblement rémunérées à rester actives plus longtemps, améliorant ainsi leurs perspectives de carrière.     

SUGAR AND SPICE, TOADS AND MICE: GENDER ISSUES IN FAMILY THERAPY TRAINING

Whereas family therapists have become increasingly aware of gender as a central organizing principle in how we think about families, few methods have been presented to help trainees and clinicians articulate how to adress gender. Four experiential exercises (including gender survival messages, gender framed circular questions, and process observation sheets) that can be used in training and adapted for use with clients are described. What we have learned about gender from our families of origin, the larger culture, and in the construction of family therapy models can be examined with these activities.