Diversity in Midwifery Care: Working toward Social Justice

La pratique de la sage‐femme opérant dans la communauté a apporté avec elle, lorsque devenu une profession régie et financée par l’état vers la fin du vingtième siècle, les objectifs et aspirations de son mouvement social. Parmi ces objectifs, elles désiraient à faire attention à l’équité et la diversité sociale lors de la provision de soins pendant la naissance. Dans cet article, nous utilisons des interviews avec des sage‐femmes qui pratiquent en ce moment en Ontario, afin de nous concentrer sur les conceptualisations de la diversité des sage‐femmes. Nous explorons leurs efforts, dans le travail quotidien, visant à supporter et fortifier la diversité sociale des clientes et des sage‐femmes elles‐mêmes. Nous proposons que la transition de la pratique de la sage‐femme vers le système de soins santé gouvernemental ne signale pas l'abandon des projets et engagements de changement social. Les réponses à la diversité sociale en soins de santé varie des efforts à améliorer l'accès aux soins de santé jusqu'à l’étude du rôle de la justice sociale en reconnaissant les besoins des populations diverses. L'aspiration de ‘créer un monde meilleur’ continue à animer le travail des sage‐femmes nonobstant la réglementation de leur pratique. Cet article explore le patrimoine de pratique des sage‐femmes en tant que mouvement social et décrit les rapports entre la diversité, la justice sociale et la pratique actuelle des sage‐femmes. As midwifery moved from lay practice to a regulated health‐care profession in Ontario toward the end of the twentieth century, it brought with it many of its social movement goals and aspirations. Among these was the desire to attend to diversity and equity in the provision of birthing care. Drawing on interviews with currently practicing Ontario midwives, this paper focuses on midwives’ conceptualizations of diversity and explores their everyday work to support and strengthen diversity among those using and those providing midwifery care. We argue that midwifery's recent relocation within state structured health care means neither that the social change projects of midwifery are complete nor that midwifery has abandoned its movement‐based commitment to social change. Responses to social diversity in health care range from efforts to simply improve access to care to analyses of the role of social justice in recognizing the needs of diverse populations. The social justice aspiration to “create a better world” continues to animate the work of midwives postregulation. This paper explores the legacy of midwifery as a social movement, addressing the connections between diversity, social justice and midwifery care.     

Hindsight,foresight and insight: The challenges of longitudinal qualitative research

This paper describes a UK based longitudinal qualitative study following approximately 100 young people over 9 years. It provides an overview of the research design, methods of data collection and analysis as well as reflecting on the strengths and weaknesses of the strategies employed. We focus on the value of a devolved research design, complementary cross-section and temporal analytic approaches and the effects of being involved in a longitudinal study on researchers and participants. The paper aims to contribute to a growing understanding of the practical, ethical and epistemological challenges presented by longitudinal qualitative methods, and highlights those challenges that are specific to this method as well as those which are amplified by this kind of approach.     

The Mother‐Citizen and the Working Girl: First‐Wave Feminist Citizenship Claims in Canada and Discursive Opportunities for Twenty‐First Century Childcare Policy

L'État providence Canadien est déséquilibré: leader mondial dans certains domaines de l'investissement social—plus particulièrement en soins de santé et enseignement supérieur—il traîne dans d'autres domaines de la dépense d'aide sociale, y compris les politiques de garde d'enfants. Nous constatons qu'aujourd'hui la résistance dans la plupart des régions du Canada à la politique de garde d'enfants universel a des racines historiques profondes. Elle est de fait intégré dans le cadre même du bien‐être social canadien: le contrat de citoyenneté sociale. Nous employons une approche de “bas en haut” sur l'état du bien‐être en nous concentrant sur la façon dont les acteurs collectifs, en particulier, les féministes de la première vague et leurs contemporains au sein des organisations du mouvement ouvrier, ont encadrées et caractérisé la citoyenneté sociale féminine; Nous constatons que l'exclusion de l'adhésion des femmes employées tronque les possibilités discursives par lesquelles des revendications pour des provisions universelles de bien‐être sociale pourraient être apportées. Canada's welfare state is lopsided: while leading the world in some areas of social investment—most notably health care and higher education—it is a laggard in other areas of social welfare spending, including childcare policies. We find that policy resistance to universal childcare in most regions of Canada today has deep historical roots and is, indeed, embedded into the very framework of the Canadian welfare state: the social citizenship contract. We employ a “bottom‐up” perspective on the welfare state focusing on how collective actors, in particular, first‐wave feminists and their contemporaries within labor movement organizations, framed and characterized female social citizenship in ways that excluded employed women from full membership and, in this, truncated discursive opportunities by which claims for universal welfare state provisions could be made.     

Native American Food Security and Traditional Foods: A Review of the Literature

This piece explores the emergent themes and subthemes represented within the recent contemporary discourse on Native American food security. Analysis revealed traditional foods as the most common theme present within the sampled literature. We offer a review of this theme (and related subthemes such as food access and human and environmental health) to illuminate the primary concerns, opportunities, preferences, and barriers associated with Native American food security. Our assessments also provide a nuanced understanding of existing literature related to food security and sovereignty, as well as key dimensions of environmental and social equality.     

Marriage Delay,Time to Play? Marital Horizons and Hooking Up in College

Previous research suggests that an increasing age at first marriage has contributed to the prevalence of sexual hookups on U.S. college campuses. In this article, we use life course and marital horizons theories to analyze the influence of ideal age at first marriage on hooking up among unmarried heterosexual college students. Analyses of the Online College Social Life Survey (N = 17,981) show a positive association between ideal age at first marriage and hookups for most students, but not for students whose mothers have no post‐secondary education, Asian men, Asian women, and Latina women. Variation in ideal marriage timing does not account for gender, racial/ethnic, and class gaps in hookup participation. Results are discussed with reference to the role of sexuality in processes of stratification throughout young adulthood.     

IT'S NOT JUST A JOKE

Sexism is a recurrent part of women's everyday lives. One understudied area within gender scholarship is the content and implications of sexist humor as a form of sexism. In this article, we explore the sexist content of 153 Internet jokes. Our analysis demonstrates that sexist jokes offer portrayals of misogyny that serve many functions, some of which include the sexual objectification of women, devaluation of their personal and professional abilities, and support of violence against women. Implications of such humor are discussed as well as future research possibilities in this area.     

Perception vs. Circumstances of the Child Sexual Abuse Event in Relation to Depression and Post-traumatic Stress Symptomatology

The study examined the impact of the circumstances of childhood sexual abuse on post-traumatic stress symptoms and depression among female adult survivors of childhood sexual abuse. The sample consisted of 225 Israeli women divided into two groups according to the identity of the perpetrator (nonfamily perpetrator versus a family member perpetrator). A self-report questionnaire was used consisting of the following scales: demographic variables, the Traumatic Events Questionnaire, Childhood Sexual Experiences Scale, Post-Traumatic Stress Disorder Symptom Scale, and Depression Scale. The findings indicated that the identity of the offender significantly differed between groups only if intercourse had occurred. Women who experienced coerced intercourse scored significantly higher on depression and post-traumatic stress compared to those who experienced other forms of childhood sexual abuse.     

Visual Access and Attention in Two‐Year‐Olds' Event Reasoning and Object Search

Several recent studies have revealed substantial limitations in 2‐year‐olds' ability to search accurately for objects that have undergone unseen movement, even along highly constrained paths. In many of these studies, children observed a ball as it rolled down a track and behind an occluding panel that contained 4 doors. The track had a barrier that was partly visible and could be placed in locations corresponding to the doors. When the ball came to a rest against the barrier and behind the occluder, the child's task was to find the ball by opening the correct door. The search accuracy of 2‐year‐olds has not differed from chance across several variations of this task. This research was conducted to identify the source of 2‐year‐olds' limitation in this domain. Children were granted a full view of the event before the ball was occluded with a door panel. Children's performance was better under this condition, but was still not systematically accurate unless their gaze remained locked onto the correct location. Two‐year‐olds' weak performance in these search tasks appears to be more a consequence of limitations in spatial integration than in their representation of unseen movement.     

Quantitative Risk Assessment for Bovine Spongiform Encephalopathy in Low- or Zero-Prevalence Countries: The Example of Norway

A predictive case-cohort model is applied to Norwegian data to analyze the interaction between challenge and stability factors for bovine spongiform encephalopathy (BSE) during the period 1980-2010. For each year, the BSE risk in cattle is estimated as the expected number of cases. The age distribution of expected cases as well as the relative impact of different challenges is estimated. The model consists of a simple, transparent, and practical deterministic spreadsheet calculation model, in which the following country-specific inputs are entered: (i) annual imports of live cattle and meat and bone meal, (ii) age distribution of native cattle, and (iii) estimated annual basic reproduction ratio (R(0)) for BSE. Results for Norway indicate that the highest risk of BSE cases was in 1989, when a total BSE risk of 0.13 cases per year was expected. After that date, the year-to-year decrease in risk ranged between 3% and 47%, except for a secondary peak in 1994 at 0.06 cases per year. The primary peak was almost entirely (99%) attributable to the importation of 11 cattle from the United Kingdom between 1982 and 1986. The secondary peak, in 1994, originated mainly from the recycling of the U.K. imported cattle (92%). In 2006, the remaining risk was 0.0003 cases per year, or 0.001 per million cows per year, with a maximal age-specific incidence of 0.03 cases per million per year in 10-year-old cattle. Only 15% of the cases were expected in imported cattle. The probability of having zero cases in Norway in 2006 was estimated to be 99.97%. The model and results are compared to previous risk assessments of Norway by the EU.