Fertility awareness: the University of California/Berkeley experience

A woman must first register at the Health Education office before participating in the University of California's (Berkeley) Fertility Awareness program. At that time she receives a packet containing all class materials: the San Francisco Health Center 4's Fertility Awareness booklet, a bibliography, basic goal s and premises of Fertility Awareness, 3 blank charts, a questionnaire, a class outline. During the 1st class the most material is covered, and the class outline is reviewed. Instructors review the goals and premises of Fertility Awareness and briefly discuss its history. Throughout the meeting, student participation and interaction are encouraged. The instructors present the first fertility symptom, mucus. Mucus is discussed in terms of the fertility phases of the menstrual cycle: relatively infertile, fertile, and infertile. Students are taught how to check their cervical mucus, how to chart it, and how to calculate the beginning of their infertile phase. The intent exercise is then introduced, reminding the group that if a woman is planning on using Fertility Awareness to contracept, her success may be affected by her and her partner's feelings about pregnancy and their own fertility. Students break up into smaller groups and share their responses if they so choose. When the entire group is together again, participants are encouraged to continue thier discussions outside of class. At this point just enough information about the temperature symptom is presented so that everyone can begin charting during the following week. The last symptom discussed is the cervical symptom. The 2nd class begins with a review of male and female reproductive anatomy and physiology, with the aid of some slides. Next the temperature symptom is discussed. The 2nd class closes with an excellent film depicting ovulation, conception, and fetal development. During the 3rd class, students' charts are reviewed after viewing 6 slides of sample Fertility Awareness charts. Class participation is very active. Several changes in the program have been made as a result of student input. Follow-up has been rather minimal. Teaching Fertility Awareness has been a stimulating experience. Classes are always full and there is a demand for additional classes each quarter.     

Evidence of Empowerment in Resident Council Groups: An Examination of Two Leadership Models in Assisted Living

Individuals living in long-term care facilities and the professionals working with them are seeking methods to enhance resident choice and self-direction in personal care and internal community planning. This article presents findings from a study examining the incidence of empowerment opportunities in two resident council groups in assisted living facilities; one group used a resident leadership model and the other used an administrative leadership model by residents' choice. Results indicate that even with health and mental health challenges, residents were able to exercise choice in complicated situations under both leadership models, suggesting that resident council groups are a beneficial empowerment strategy.     

Success of University Student Volunteers in Obtaining Consent for Reviewing Private Health Information for Emergency Research

This study aimed to determine the success of university student volunteers in obtaining consent from parents to allow review of their child’s personal health information (PHI) for emergency research screening. This study also aimed to examine the variables associated with successful consent. This was a prospective cross-sectional study conducted at a pediatric emergency department (ED). University students, who functioned as delegates of the health information custodian, approached parents for consent. Of 2,506 parents, 1,852 (73.9%) provided consent to allow review of their child’s PHI for research screening. Variables associated with successful consent were high (≥12 months) versus low (<12 months) volunteer experience (OR = 2.0), research related (vs. unrelated) to the child’s chief complaint (OR = 2.0), child treated regularly by specialists at the study institution (OR = 1.7), and ED presentation mid-week vs. weekend (OR = 1.7) and morning vs. evening presentation (OR = 1.4). When approached by a university student volunteer, about 25% of parents declined to have their child’s PHI reviewed for research screening. This model of obtaining consent may put some emergency research at risk for selection bias. Variables that increase the odds of successful consent can be considered in program design to improve the effectiveness of this model.     

Relations Between Economic Well-Being,Family Support,Community Attachment,and Life Satisfaction Among LGBQ Adults

While studies with the general population indicate that one’s life satisfaction is related to economic well-being and social support, much less is known about these constructs among lesbian, gay, bisexual, and queer (LGBQ) populations. The current study examines the relationship between economic well-being and life satisfaction in a sample of 458 LGBQ individuals. Further, the direct and moderating effects of family and community support are examined. As hypothesized, perceived financial stress and proximal family support each had a significant main effect on life satisfaction. Household income (adjusted by number of individuals living in the household) had a non-linear effect on life satisfaction. Community support for LGBQ individuals was not associated with life satisfaction, and the moderating hypotheses were not supported. The findings and the implications for future research are discussed.     

Counting women's labour: a reanalysis of children's net production using Cain's data from a Bangladeshi village

The economic contribution of children to their parents' households has long interested demographers because of its potential to influence fertility levels. Valuing children's labour in pre-industrial economies, however, is inherently difficult. The same is true of women's labour, a crucial component of any analysis of net production. Here we use Mead Cain's seminal study (Population and Development Review 3(3): 201-227, 1977) of children's economic contributions in a Bangladeshi village to illustrate these points. We combine Cain's data on landless women's and men's hours of work with data on the efficiency per hour of work from other pre-industrial settings (Mueller, Population and Development: The Search for Selective Interventions. Baltimore, MD: Johns Hopkins University Press, pp. 98-153, 1976; Kramer, Dissertation, Department of Anthropology, University of New Mexico, 1998). When women's labour is incorporated, we find that the Bangladeshi children begin to produce as much as they consume by ages 10 (girls) or 11 (boys). Despite these productive contributions, neither women nor men 'pay' for their cumulative consumption until their early 20s. We believe our methods could be usefully applied in other contexts.     

Getting Under the Skin: Children’s Health Disparities as Embodiment of Social Class

Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.     

Neighbourhood Ethnic Density Effects on Behavioural and Cognitive Problems Among Young Racial/Ethnic Minority Children in the US and England: A Cross-National Comparison

Studies on adult racial/ethnic minority populations show that the increased concentration of racial/ethnic minorities in a neighbourhood—a so-called ethnic density effect—is associated with improved health of racial/ethnic minority residents when adjusting for area deprivation. However, this literature has focused mainly on adult populations, individual racial/ethnic groups, and single countries, with no studies focusing on children of different racial/ethnic groups or comparing across nations. This study aims to compare neighbourhood ethnic density effects on young children’s cognitive and behavioural outcomes in the US and in England. We used data from two nationally representative birth cohort studies, the US Early Childhood Longitudinal Study-Birth Cohort and the UK Millennium Cohort Study, to estimate the association between own ethnic density and behavioural and cognitive development at 5 years of age. Findings show substantial heterogeneity in ethnic density effects on child outcomes within and between the two countries, suggesting that ethnic density effects may reflect the wider social and economic context. We argue that researchers should take area deprivation into account when estimating ethnic density effects and when developing policy initiatives targeted at strengthening and improving the health and development of racial and ethnic minority children.     

At‐Home Father Families in the United States: Gender Ideology,Human Capital,and Unemployment

The rising population of stay‐at‐home fathers is driven by economic conditions, human capital, and changing gender ideology. When unemployment rates increase, women become breadwinners in these families. The growing gender education gap is a crucial factor in spousal work and caregiving arrangements. The authors test these propositions by tracking individuals using data from the National Longitudinal Surveys of Youth and the Current Population Survey. They find that unemployment rates are associated with having both caregiving and unable‐to‐work stay‐at‐home father families and that the probability that households choose stay‐at‐home father arrangements is greater when mothers have more education than fathers. Finally, individual differences in gender ideology have strong effects on the probability that families choose a caregiving stay‐at‐home father family structure.