Is the Lack of Specific Lesbian,Gay, Bisexual,Transgender and Queer/Questioning (LGBTQ) Health Care Education in Medical School a Cause for Concern? Evidence From a Survey of Knowledge and Practice Among UK Medical Students

Lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) people frequently report negative health care encounters. Medical professionals may inadequately manage LGBTQ persons’ health if they have not received training in this area. An anonymous survey measuring efficacy in health situations among LGBTQ persons was answered by 166 medical students across all years of a UK university. Results show that 84.9% of participants reported a lack of LGBTQ health care education, with deficits in confidence clarifying unfamiliar sexual and gender terms, deciding the ward in which to nurse transgender patients, finding support resources, and discussing domestic abuse with LGBTQ patients. Most participants reported that they would not clarify gender pronouns or ask about gender or sexual identity in mental health or reproductive health settings. Participants reported infrequently observing doctors making similar inquiries. Participants held positive attitudes toward LGBTQ patients, with attitude scores positively correlating with LGBTQ terminology knowledge scores (r_s = 0.5052, p < .01). Addressing gender identity and sexuality issues within medical curricula may remove barriers to accessing health care and improve encounters for LGBTQ patients.     

Urgent engagement in 9/11 pregnant widows and their infants: Transmission of trauma

The potential effects of maternal trauma on mother–infant interaction remain insufficiently studied empirically. This study examined the effects of the September 11, 2001, trauma on mother–infant interaction in mothers who were pregnant and widowed on 9/11, and their infants aged 4–6 months. Split‐screen videotaped interaction was coded on a one‐second basis for infant gaze, facial affect, and vocal affect; and mother gaze, facial affect, and touch. We examined the temporal dynamics of communication: self‐contingency and interactive contingency of behavior by time‐series methods. We documented heightened maternal and infant efforts at engagement in the 9/11 (vs. control) dyads. Both partners had difficulty tolerating moments of looking away as well as moments of negative behavior patterns. Heightened efforts to maintain a positive visual engagement may be adaptive and a potential source of resilience, but these patterns may also carry risk: working too hard to make it work. A vigilant, hyper‐contingent, high‐arousal engagement was the central mode of the interpersonal transmission of the trauma to these infants, with implications for intervention.     

Preservation of self in the nursing home: Contradictory practices within two models of care

Researchers have identified several aspects of nursing home care that interfere with residents' preservation of self. This paper examines how different models of care shape residents' opportunities for preserving a sense of self, adult identity, and agency. Using ethnographic data, I analyze staff practices in two facilities that reflect the contrast between the home and hospital models of long-term care. Previous research on long-term care suggests that an informal, “home-like” approach to care creates more opportunities for residents to preserve a sense of self-identity, whereas a formal, “institutional” approach fosters depersonalizing practices that interfere with residents' psychosocial well-being. My research suggests, however, that both approaches can have contradictory effects on residents' preservation of self. I analyzed patterns of objectification and infantilization that emerged in the social interactions between residents and staff members, as well as practices that mitigated these patterns. This study highlights how a larger culture of ageism and stigma surrounding dependency can become embedded in micro-level practices and underscores the challenges of defining and implementing “good” care.     

The wage gap and the leisure gap for double-earner couples

Empirical research has consistently shown that, on average, men are paid higher wages than women. Moreover, men enjoy more leisure time than women. We develop a noncooperative model of the private provision of family public goods to analyze whether the wage gap and the leisure gap are related. Simultaneous and sequential decision-making structures within a couple lead to different empirical hypotheses. Our estimates based on the German Socio-Economic Panel data show that husbands enjoy, other things equal, more leisure time than their wives. This advantage can be explained if the husband is the Stackelberg leader in a sequential private provision game.      

Activities, engagement, and emotion in after-school programs (and elsewhere)

Experiences that are deeply engaging and enjoyable, engender full concentration, and present a balance between challenge and skill promote children's development. This chapter describes a study that sought to identify the kinds of settings and activities that foster engagement and, by extension, positive youth development. The after-school experiences of 191 ethnically diverse youth living in three states, some of whom participated in after-school programs and some of whom did not, were studied. Youth were equipped with logbooks and watches that were programmed to signal at random times. When signaled, youth recorded their location, social partners, activity, and feelings. The study found pervasive differences in the experiences at programs and elsewhere. Youth spent more time in academic and arts enrichment, organized sports and physical activities, community service, and homework at programs versus elsewhere, and they spent less time eating and watching TV at programs. They also reported higher levels of motivation, engagement, and positive affect at programs. At the same time, there were few differences in activities, emotions, effort, or motivation of program participants and nonparticipants when both groups were elsewhere. The similarities in these experiences while elsewhere suggest that the program context, not differences in youth characteristics or interests, was responsible for the feelings of engagement that were reported at programs.     

Desire for Marriage and Children: A Comparison of Feminist and Non-feminist Women

Research indicates that liberal gender ideologies and feminist beliefs are related to a lower desire for marriage and children, but the importance of feminist self-identification has not been assessed. In Study 1, self-identified feminist and non-feminist women were asked to rate their own and the typical woman’s desire for marriage and children. Non-feminists desired marriage and children more than did feminists. Both groups believed that the typical woman desired these more than they did. In Study 2, feminist and non-feminist women provided information about feminist beliefs as well as their own and the typical feminist’s desire for marriage and children. Consistent with the results from Study 1, non-feminists desired marriage and children more than did feminists. Feminist identity was also found to predict decreased desire for marriage above and beyond feminist beliefs. Our results indicated that stereotypes of feminists, in this context, are somewhat accurate.     

Time to care: socioeconomic,family, and workplace factors in men and women’s parental leave use

ABSTRACT

Parental leave has important benefits for women, men, and families. This study examines how individual, family, and workplace factors are associated with the length of parental leaves taken by workers in diverse jobs and work contexts, but with the same employer, focusing on gender differences in the factors associated with longer parental leaves. The data are the result of a collaboration between university researchers and a municipal employer. We find that gender was a major driver of the duration of parental leaves for these workers, who must use their accumulated paid time off or take unpaid leave for parental leave; women’s leaves were almost three times longer than men’s. We also find gender differences in the factors associated with leave duration. For women, socioeconomic status seemed to matter most, while for men, family and workplace context influenced leave length. The results indicate the centrality of financial considerations in parents’ leave decisions, reinforcing the importance of having a dedicated paid parental leave policy. We argue that paid parental leaves would help reduce disparities between and within genders at work and in the family.     

Disproportionality and Resource‐Based Environmental Inequality: An Analysis of Neighborhood Proximity to Coal Impoundments in Appalachia

Environmental hazards created by resource extraction impose numerous risks on rural populations, but have been understudied in quantitative analyses of environmental inequality. This study fills that gap by examining whether neighborhoods with socioeconomic disadvantages are disproportionately proximate to coal impoundments in Appalachia. Coal impoundments are large, hazardous dams that hold billions of gallons of wastewater and slurry, a sludge‐like by‐product of processing coal. I ground this study in William Freudenburg's double diversion framework, which highlights “disproportionality”—the unequal trade‐off between economic benefits and environmental costs of certain industries. Disproportionality is evident in Appalachia, where coal mining makes up a small percentage of the region's jobs, but threatens local communities through the creation of environmental hazards. Spatial regression results indicate that neighborhoods closest to impoundments are slightly more likely to have higher rates of poverty and unemployment, even after controlling for rurality, mining‐related variables, and spatial dependence. The findings also suggest that a neighborhood's proximity to past mining activity is a stronger predictor of impoundment proximity than current levels of mining employment. This article lays the groundwork for future research on resource‐based environmental inequality that considers the uneven spatial distribution of hazards created by resource extraction.