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Mendenhall R, Lee MJ, Cole SW, Morrow R, Rodriguez-Zas SL, Henderson L, Turi KN, Greenlee A. Black Mothers in Racially Segregated Neighborhoods Embodying Structural Violence: PTSD and Depressive Symptoms on the South Side of Chicago. J Racial Ethn Health Disparities 2023; 10:2513-2527. [PMID: 36715821 PMCID: PMC9885931 DOI: 10.1007/s40615-022-01432-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2022] [Revised: 10/12/2022] [Accepted: 10/12/2022] [Indexed: 01/31/2023]
Abstract
This study employs multi-level and mixed-methods approaches to examine how structural violence affects the health of low-income, single Black mothers. We use multilevel regression models to examine how feeling "trapped" in racially segregated neighborhoods with high levels of violence on the South Side of Chicago affects mothers' (N = 69) reports of posttraumatic stress disorder and depressive symptoms. The relationship between feeling "trapped" and variations in expression of mRNA for the glucocorticoid receptor gene NR3C1 using microarray assays was also examined. The regression models revealed that feeling "trapped" significantly predicted increased mental distress in the form of PTSD, depressive symptoms, and glucocorticoid receptor gene regulation. The mothers' voices revealed a nuanced understanding about how a lack of financial resources to move out of the neighborhood creates feelings of being "trapped" in dangerous situations.
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Affiliation(s)
- Ruby Mendenhall
- Department of African American Studies, Carle Illinois College of Medicine, 702 S. Wright Ave, Urbana, IL 61822 USA
- Department of Sociology, University of Illinois, Urbana-Champaign, 702 South Wright St, Champaign, IL 61820 USA
| | - Meggan J. Lee
- Department of Sociology, University of Illinois, Urbana-Champaign, 702 South Wright St, Champaign, IL 61820 USA
| | - Steven W. Cole
- Department of Psychiatry & Biobehavioral Sciences and Medicine, UCLA School of Medicine, 11-934 Factor Building, Los Angeles, CA 90095 USA
| | - Rebecca Morrow
- Department of Criminal Justice, Tarleton State University, 1333 Washington Street, Stephenville, TX T-0665 USA
| | - Sandra L. Rodriguez-Zas
- Department of Animal Sciences, University of Illinois, Urbana-Champaign, 306 Animal Sciences Laboratory, 1207 W. Gregory Dr., Urbana, IL 61801 USA
| | - Loren Henderson
- School of Public Policy, University of Maryland, Baltimore County, Public Policy Building, Fourth Floor, 1000 Hilltop Circle, Baltimore, MD 21250 USA
| | - Kedir N. Turi
- Center for Asthma Research, Vanderbilt University School of Medicine, 1215 21ts Ave South, 6000 Medical Center East, North Tower, Nashville, TN 37232 USA
| | - Andrew Greenlee
- Department of Urban and Regional Planning, University of Illinois, Urbana-Champaign 611 Taft Drive, Champaign, IL 61820 USA
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Pabayo R, Liu S, Grinshteyn E, Steele B, Cook D, Muennig P. Voting restrictions associated with health inequities in teenage birth rates. Public Health 2023; 218:121-127. [PMID: 37019027 DOI: 10.1016/j.puhe.2023.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 02/13/2023] [Accepted: 02/27/2023] [Indexed: 04/05/2023]
Abstract
OBJECTIVES Since the Landmark Shelby V. Holder Supreme Court Ruling, the number of laws in the United States that make it difficult to vote has increased dramatically. This may lead to legislation that limits access to health care, including options for family planning services. We determine whether voting restrictions are associated with county-level teenage birth rates. STUDY DESIGN This is an ecological study. METHODS The Cost of Voting Index, a state-level measure of barriers to voting during US elections from 1996 to 2016, was used as a proxy for access to voting. County-level teenage birth rates were obtained from the County Health Rankings data. We used multilevel modeling to determine whether restrictive voting laws were associated with county-level teenage birth rates. We tested whether associations varied across racial and socio-economic groups. RESULTS When confounders were included, a significant association was observed between increasing voting restrictions and teenage birth rates (β = 1.72, 95% confidence interval: 0.54, 2.89). A Cost of Voting Index-median income interaction term was tested and was statistically significant (β = -1.00, 95% confidence interval: -1.36, -0.64), indicating that the observed relationship was particularly strong among lower-income counties. The number of reproductive health clinics per capita within each state is a potential mediator. CONCLUSION Restrictive voting laws were associated with higher teenage birth rates, particularly for low-income counties. Future work should use methods in which a causal relation can be identified.
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McConnell EA, Minshew R. Feminist Therapy at The Intersection of Gender Diversity and Neurodiversity. Women & Therapy 2023. [DOI: 10.1080/02703149.2023.2189776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
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Lemke J, Mollen D, Buzolits JS. Sterilized and Satisfied: Outcomes of Childfree Sterilization Obtainment and Denials. Psychology of Women Quarterly 2023. [DOI: 10.1177/03616843231164069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
Abstract
As more women choose to forgo motherhood, childfree women and people assigned female at birth (AFAB) are important to study, particularly given pronatalist ideals that can make the choice not to have children difficult to exercise. Although temporary contraception prevents motherhood, physicians sometimes discourage or deny women access to more permanent options, including sterilization, due to their belief that childfree women and those AFAB will regret their decision. From a reproductive justice framework, we examined psychological outcomes of sterilization approval and denials among a sample of 154 childfree women and nonbinary people AFAB who sought and either obtained or were denied sterilization. Participants completed measures of psychological well-being, self-esteem, and sexual quality of life. Childfree participants who obtained sterilization reported higher self-esteem, better sexual quality, and higher well-being than childfree individuals who were denied the procedure. Neither age nor time since making the sterilization request accounted for the differences between the groups in terms of sexual quality of life and psychological well-being. Collectively, these findings offer the first empirical evidence of the potential outcomes among childfree women seeking sterilization.
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Blunden N. A grounded theory of improvisation in therapy: Lessons from decoloniality. Couns and Psychother Res 2023. [DOI: 10.1002/capr.12634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2023]
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Ambrogi I, Brito L, Griner A, Bull S. Gender inequity and COVID-19 vaccination policies for pregnant women in the Americas. Wellcome Open Res 2023. [DOI: 10.12688/wellcomeopenres.18939.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
The region of the Americas has been the epicenter of the COVID-19 pandemic’s worst outcome in terms of number of deaths due to COVID-19. SARS-CoV-2 infection during pregnancy and the postpartum period has been found to be associated with increased risk of mortality and severe disease. Several Latin American and Caribbean countries have disproportionally high maternal mortality rates due to COVID-19. Although this region achieved relatively high vaccination rates among the general adult population, there were differing restrictions regarding the vaccination of those who were pregnant. In a pandemic, policies reflect political priorities in responses to the threats posed to populations and play an important role in promoting gender equity. This paper reports the results of an ethical analysis of 45 national COVID-19 vaccination public policies from seven countries – Argentina, Brazil, Canada, Colombia, Mexico, Peru, and United States. The analysis drew on reproductive justice and feminist bioethics frameworks, paying close attention to whether and how gender and social and economic inequities were addressed. It found that exclusionary approaches in immunization policies which restricted access to vaccination during pregnancy were often justified on the basis of a lack of evidence about the effects of immunization of pregnant persons, and on the grounds of medical expertise, to the detriment of women’s autonomy and agency. As such these policies reiterate patriarchal moral understandings of women, pregnancy and motherhood. In practice, they counter human rights gender equity and equality principles, and became lethal, particularly to racialized women in Latin America. During an emerging lethal disease, policies and policy development must consider the intersection of oppressive structures to protect and guarantee rights of women, girls, and pregnant persons.
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Redd SK, Mosley EA, Narasimhan S, Newton-Levinson A, AbiSamra R, Cwiak C, Hall KS, Hartwig SA, Pringle J, Rice WS. Estimation of Multiyear Consequences for Abortion Access in Georgia Under a Law Limiting Abortion to Early Pregnancy. JAMA Netw Open 2023; 6:e231598. [PMID: 36877521 PMCID: PMC9989903 DOI: 10.1001/jamanetworkopen.2023.1598] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 01/18/2023] [Indexed: 03/07/2023] Open
Abstract
Importance Following the US Supreme Court ruling in Dobbs v Jackson Women's Health Organization, Georgia's law limiting abortion to early pregnancy, House Bill 481 (HB481), was allowed to go into effect in July 2022. Objectives To estimate anticipated multiyear effects of HB481, which prohibits abortions after detection of embryonic cardiac activity, on abortion incidence in Georgia, and to examine inequities by race, age, and socioeconomic status. Design, Setting, and Participants This repeated cross-sectional analysis used abortion surveillance data from January 1, 2007, to December 31, 2017, to estimate future effects of HB481 on abortion care in Georgia, with a focus on the 2 most recent years of data (2016 and 2017). Abortion surveillance data were obtained from the 2007-2017 Georgia Department of Public Health's Induced Termination of Pregnancy files. Linear regression was used to estimate trends in abortions provided at less than 6 weeks' gestation and at 6 weeks' gestation or later in Georgia, and χ2 analyses were used to compare group differences by race, age, and educational attainment. Data were analyzed from July 26 to September 22, 2022. Exposures HB481, Georgia's law limiting abortion to early pregnancy. Main Outcome and Measures Weeks' gestation at abortion (<6 vs ≥6 weeks). Results From January 1, 2007, to December 31, 2017, there were 360 972 reported abortions in Georgia, with an annual mean (SD) of 32 816 (1812) abortions. Estimates from 2016 to 2017 suggest that 3854 abortions in Georgia (11.6%) would likely meet eligibility requirements for abortion care under HB481. Fewer abortions obtained by Black patients (1943 [9.6%] vs 1280 [16.2%] for White patients), patients younger than 20 years (261 [9.1%] vs 168 [15.0%] for those 40 years and older), and patients with fewer years of education (392 [9.2%] with less than a high school diploma and 1065 [9.6%] with a high school diploma vs 2395 [13.5%] for those with some college) would likely meet eligibility requirements under HB481. Conclusions and Relevance These findings suggest that Georgia's law limiting abortion to early pregnancy (HB481) would eliminate access to abortion for nearly 90% of patients in Georgia, and disproportionately harm patients who are Black, younger, and in lower socioeconomic status groups.
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Affiliation(s)
- Sara K. Redd
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
| | - Elizabeth A. Mosley
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
- Center for Innovative Research on Gender Health Equity, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Suba Narasimhan
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
| | - Anna Newton-Levinson
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
| | | | - Carrie Cwiak
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
- Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia
| | - Kelli Stidham Hall
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
- Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York
| | - Sophie A. Hartwig
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
| | - Johanna Pringle
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
| | - Whitney S. Rice
- Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, Georgia
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Fields ND, VanKim NA, Whitcomb BW, Bertone-Johnson ER, Martínez AD, Chae DH. Racism-Related Experiences and Adiposity: Findings From the Black Women's Experiences Living With Lupus (BeWELL) Study. Womens Health Issues 2023; 33:153-159. [PMID: 36319516 PMCID: PMC10010936 DOI: 10.1016/j.whi.2022.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 09/01/2022] [Accepted: 09/22/2022] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Studies suggest that higher rates of excess adiposity in Black women may in part be driven by experiences of racism. Racial microaggressions, which include unintentional and subtle slights and insults, and responses to racism such as racism-related vigilance, may contribute to adiposity in this population. This study examined these understudied racism-related facets as well as interpersonal racial discrimination in relation to adiposity in a cohort of Black women with systemic lupus erythematosus. METHODS Data are from the Black Women's Experiences Living with Lupus (BeWELL) Study (2015-2017; n = 432). Linear regression was used to examine adiposity measures (body mass index [BMI], percent body fat, and waist-to-hip ratio), measured during a physical examination, in relation to self-reported measures of racial microaggressions, racism-related vigilance, and interpersonal racial discrimination. RESULTS Compared with infrequent microaggressions, very frequent experiences of microaggressions were associated with 2.9 kg/m2 higher BMI (95% confidence [CI], 0.63-5.21) and 2.6% higher body fat (95% CI, 0.32-4.80) after adjusting for covariates. Racism-related vigilance, measured continuously, was positively associated with BMI (b = 0.84; 95% CI-0.08, 1.61) and percent body fat (b = 0.89; 95% CI, 0.14-1.64). Very frequent experiences of everyday discrimination were associated with a higher BMI (b = 2.70; 95% CI, 0.58-4.83) and waist-to-hip ratio (b = 0.32; 95% CI, 0.09-0.55) compared with less frequent everyday discrimination. CONCLUSIONS Our results suggest that various dimensions of racism are associated with excess adiposity. Efforts to address obesity among Black women with systemic lupus erythematosus should consider these multiple aspects to decrease racial inequities in adiposity.
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Affiliation(s)
- Nicole D Fields
- Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, Massachusetts.
| | - Nicole A VanKim
- Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, Massachusetts
| | - Brian W Whitcomb
- Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, Massachusetts
| | - Elizabeth R Bertone-Johnson
- Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, Massachusetts; Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, Massachusetts
| | - Airín D Martínez
- Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, Massachusetts
| | - David H Chae
- Department of Social, Behavioral, and Population Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana
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McGlothen-Bell K, McGrath JM, Brownell EA, Shlafer RJ, Crawford AD. Applying a Reproductive Justice Lens to Enhance Research Engagement Among Systematically Underrepresented Childbearing Women. Nurs Res 2023; 72:132-40. [PMID: 36508567 DOI: 10.1097/NNR.0000000000000639] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
BACKGROUND Historically, childbearing women from diverse and systematically hard-to-reach populations have been excluded from nursing research. This practice limits the generalizability of findings. Maximizing research strategies to meet the unique needs of these populations must be a priority. OBJECTIVES The aim of this study was to provide methodological context for the comprehensive application of reproductive justice strategies to guide research methods and promote engagement of underrepresented childbearing women while decreasing systemic bias. METHODS In this article, we use a reproductive justice lens to characterize and define strategies for enhancing ethical and equitable engagement in research involving childbearing women who are often systematically underrepresented using a case study approach. Using a specific case study exemplar, the core tenets of reproductive justice are outlined and affirm the need to advance research strategies that create ethical engagement of diverse populations, transform oppressive social structures, and shift research paradigms so research objectives intentionally highlight the strengths and resiliency inherent to the targeted communities. RESULTS We begin by describing parallels between the tenets of reproductive justice and the ethical principles of research (i.e., respect for persons, beneficence, and justice). We then apply these tenets to conceptualization, implementation (recruitment, data management, and retention), and dissemination of research conducted with childbearing women from diverse backgrounds who are systemically underrepresented. We highlight our successful research strategies from our case study example of women with histories of incarceration. DISCUSSION To date, outcomes from our research indicate the need for multilevel strategies with a focus on respectful, inclusive participant and key community partner engagement; the time investment in local communities to promote equitable collaboration; encouragement of the patient's autonomous right to self-determination; and mitigation of power imbalances. Nurse researchers are well positioned to advance research justice at the intersection of reproductive justice and ethics to fully engage diverse populations in advancing health equity to support the best health outcomes.
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Garth H. Food, Taste, and the Body: Ingestion and Embodiment in Santiago de Cuba. Med Anthropol Q 2023; 37:5-22. [PMID: 36367138 DOI: 10.1111/maq.12738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Using a Black feminist embodied approach, this article analyzes the ways in which people in Santiago de Cuba draw on their own embodied practices, sensory experiences, and popular knowledge to determine what forms of ingestion (food, drink, etc.) are good for the body. Influenced by historical ideals of food consumption and colonial entanglements, Cubans use a combination of knowledge gleaned from biomedicine, official nutrition guidelines, and humoral medicine, which are not always in agreement, to ensure that they are taking care of their bodies appropriately. In addition to these external sources, they also continuously assess their own embodied responses to ingestion (e.g., pain, illness, headaches, or other bodily sensations) to determine which foods and drinks should be consumed. Practices of healthy ingestion may also vary between people and circumstance, which people learn over time and from one another, layering on another interpersonal dimension of embodied knowledge. [Cuba, food, embodiment, health, ingestion].
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Affiliation(s)
- Hanna Garth
- Department of Anthropology, Princeton University, USA
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Chang JS, Saxton K, Bright G, Jorden MA, Gutierrez A, Xia K. Deaths of profound despair: A retrospective cohort study of mortality among people experiencing homelessness. PLoS One 2023; 18:e0281912. [PMID: 36795773 DOI: 10.1371/journal.pone.0281912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 02/03/2023] [Indexed: 02/17/2023] Open
Abstract
INTRODUCTION The number of people dying while unhoused is increasing nationally. In Santa Clara County (SCC), deaths of unhoused people have almost tripled in 9 years. This is a retrospective cohort study examining mortality trends among unhoused people in SCC. The objective of the study is to characterize mortality outcomes in the unhoused population, and compare these to the SCC general population. MATERIALS AND METHODS We obtained data from the SCC Medical Examiner-Coroner's Office on unhoused people's deaths that occurred between 2011-2019. We analyzed demographic trends and cause of death, compared to mortality data on the SCC general population obtained from CDC databases. We also compared rates of deaths of despair. RESULTS There were a total of 974 unhoused deaths in the SCC cohort. The unadjusted mortality rate among unhoused people is higher than the general population, and unhoused mortality has increased over time. The standardized mortality ratio for unhoused people is 3.8, compared to the general population in SCC. The most frequent age of death among unhoused people was between 55-64 years old (31.3%), followed by 45-54 (27.5%), compared to 85+ in the general population (38.3%). Over ninety percent of deaths in the general population were due to illness. In contrast, 38.2% of unhoused deaths were due to substance use, 32.0% illness, 19.0% injury, 4.2% homicide, and 4.1% suicide. The proportion of deaths of despair was 9-fold higher in the unhoused cohort compared to the housed cohort. DISCUSSION Homelessness has profound impacts on health, as people who are unhoused are dying 20 years younger, with higher rates of injurious, treatable, and preventable causes, than people in the general population. System-level, inter-agency interventions are needed. Local governments need to systematically collect housing status at death to monitor mortality patterns among unhoused people, and adapt public health systems to prevent rising unhoused deaths.
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Sawyer JE, Gampa A. Social Movements as Parsimonious Explanations for Implicit and Explicit Attitude Change. Pers Soc Psychol Rev 2023; 27:28-51. [PMID: 35652682 DOI: 10.1177/10888683221095697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Recently, interest in aggregate and population-level implicit and explicit attitudes has opened inquiry into how attitudes relate to sociopolitical phenomenon. This creates an opportunity to examine social movements as dynamic forces with the potential to generate widespread, lasting attitude change. Although collective action remains underexplored as a means of reducing bias, we advance historical and theoretical justifications for doing so. We review recent studies of aggregate attitudes through the lens of social movement theory, proposing movements as a parsimonious explanation for observed patterns. We outline a model for conceptualizing causal pathways between social movements and implicit and explicit attitudes among participants, supporters, bystanders, and opponents. We identify six categories of mechanisms through which movements may transform attitudes: changing society; media representations; intergroup contact and affiliation; empathy, perspective-taking, and reduced intergroup anxiety; social recategorization; and social identification and self-efficacy processes. Generative questions, testable hypotheses, and promising methods for future work are discussed.
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Affiliation(s)
- Jeremy E Sawyer
- Kingsborough Community College, City University of New York, Brooklyn, USA
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Schaaf M, Jaffe M, Tunçalp Ö, Freedman L. A critical interpretive synthesis of power and mistreatment of women in maternity care. PLOS Glob Public Health 2023; 3:e0000616. [PMID: 36962936 PMCID: PMC10021192 DOI: 10.1371/journal.pgph.0000616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Labouring women may be subjected to physical and verbal abuse that reflects dynamics of power, described as Mistreatment of Women (MoW). This Critical Interpretive Synthesis on power and MoW consolidates current research and advances theory and practice through inter-disciplinary literature exploration. The review was undertaken in 3 phases. Phase 1 consisted of topic scoping; phase 2 entailed exploration of key power-related drivers emerging from the topic scoping; and phase 3 entailed data synthesis and analysis, with a particular focus on interventions. We identified 63 papers for inclusion in Phase 1. These papers utilized a variety of methods and approaches and represented a wide range of geographic regions. The power-related drivers of mistreatment in these articles span multiple levels of the social ecological model, including intrapersonal (e.g. lack of knowledge about one's rights), interpersonal (e.g. patient-provider hierarchy), community (e.g. widespread discrimination against indigenous women), organizational (e.g. pressure to achieve performance goals), and law/policy (e.g. lack of accountability for rights violations). Most papers addressed more than one level of the social-ecological model, though a significant minority were focused just on interpersonal factors. During Phase 1, we identified priority themes relating to under-explored power-related drivers of MoW for exploration in Phase 2, including lack of conscientization and normalization of MoW; perceptions of fitness for motherhood; geopolitical and ethnopolitical projects related to fertility; and pressure to achieve quantifiable performance goals. We ultimately included 104 papers in Phase 2. The wide-ranging findings from Phase 3 (synthesis and analysis) coalesce in several key meta-themes, each with their own evidence-base for action. Consistent with the notion that research on power can point us to "drivers of the drivers," the paper includes some intervention-relevant insights for further exploration, including as relating to broader social norms, health systems design, and the utility of multi-level strategies.
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Affiliation(s)
- Marta Schaaf
- Independent Consultant, Brooklyn, New York, United States of America
| | - Maayan Jaffe
- Independent Consultant, Brooklyn, New York, United States of America
| | - Özge Tunçalp
- Department of Sexual and Reproductive Health and Research, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland
| | - Lynn Freedman
- Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York, United States of America
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Auerbach SL, Coleman-Minahan K, Alspaugh A, Aztlan EA, Stern L, Simmonds K. Critiquing the Unintended Pregnancy Framework. J Midwifery Womens Health 2023; 68:170-178. [PMID: 36637112 DOI: 10.1111/jmwh.13457] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 10/12/2022] [Accepted: 10/17/2022] [Indexed: 01/14/2023]
Abstract
The unintended pregnancy framework, a central tenet of sexual and reproductive health care delivery and research, has been depicted as an adverse outcome that should be prevented. There is growing criticism of the inadequacies of this framework, although little modification in public health guidelines, measurement, or clinical practice has been seen. This article critically reviews the literature on unintended pregnancy to encourage reflection on how this framework has negatively influenced practice and to inspire the advancement of more patient-centered care approaches. We begin by outlining the historical origins of the unintended pregnancy framework and review how this framework mischaracterizes patients' lived experiences, fails to account for structural inequities, contributes to stigma, and is built upon weakly supported claims of a negative impact on health outcomes. We close with a discussion of the relationship between health care provision and unintended pregnancy care and the implications and recommendations for realigning clinical practice, research, and policy goals.
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Affiliation(s)
| | - Kate Coleman-Minahan
- College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, Colorado
| | - Amy Alspaugh
- College of Nursing, University of Tennessee, Knoxville, Tennessee
| | | | - Lisa Stern
- Coalition to Expand Contraceptive Access, San Francisco, California
| | - Katherine Simmonds
- Roux Institute, Bouvé College of Health Sciences, Northeastern University, Portland, Maine
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Williamson KM. Anti‐Black
racism, anthropology, and reparations: QUESTION: How can economic anthropology promote the construction of just and anti‐racist economic forms? Economic Anthropology 2023. [DOI: 10.1002/sea2.12273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Kenneth M. Williamson
- Department of Geography and Anthropology, Department of Interdisciplinary Studies Kennesaw State University Kennesaw GA USA
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Yates L, Morgan I, Tucker C, Henderson C, Shuler TO, Cilenti D. A Path Towards Reproductive Justice: Incorporating a RJ Framework into North Carolina's Improving Community Outcomes for Maternal and Child Health Initiative. Matern Child Health J 2023; 27:7-14. [PMID: 36352285 PMCID: PMC9646266 DOI: 10.1007/s10995-022-03563-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 06/01/2022] [Accepted: 09/15/2022] [Indexed: 11/11/2022]
Abstract
PURPOSE Long-acting reversible contraception (LARC) is encouraged as a strategy to address racial disparities in birth outcomes. Black woman-led organizations and stakeholders recommend a thoughtful integration of Reproductive Justice for any LARC programs. This paper will describe how one state-funded maternal and child health program reconceptualized an evidence-based strategy (EBS) focused on increasing access to LARC, to a broader strategy that incorporated principles of Reproductive Justice to improve birth outcomes. DESCRIPTION In 2016, North Carolina established the Improving Community Outcomes for Maternal and Child Health (ICO4MCH) program. As part of this program, five county health departments were awarded funding to "increase access to LARC". Noting community partners' concerns with this strategy, ICO4MCH leadership revised the strategy to focus on using the Reproductive Justice framework to improve utilization of reproductive life planning and access to LARC. Leaders modified the strategy by changing performance measures and scope of work/deliverables required by grantees. ASSESSMENT Using quarterly reports and focus group data from ICO4MCH grantees, we identified key steps communities have taken to prioritize Reproductive Justice. Key findings include that sites hosted Reproductive Justice trainings for team members and changed language describing family planning services. These activities were tailored to fit community context and existing perceptions about reproductive health services. CONCLUSION The ICO4MCH program was able to modify a LARC EBS to better emphasize Reproductive Justice. Local agencies desiring to shift their LARC programs should include and value feedback from those with lived experience and partner with organizations committed to Reproductive Justice.
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Affiliation(s)
- Lindsey Yates
- grid.10698.360000000122483208Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, McGavran-Greenberg Hall, CB#7445, 27599-7445 Chapel Hill, NC USA
| | - Isabel Morgan
- grid.10698.360000000122483208Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, McGavran-Greenberg Hall, CB#7445, 27599-7445 Chapel Hill, NC USA
| | - Christine Tucker
- grid.10698.360000000122483208Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, McGavran-Greenberg Hall, CB#7445, 27599-7445 Chapel Hill, NC USA
| | - Cathy Henderson
- Mecklenburg County Public Health, 249 Billingsley Road, 28211 Charlotte, NC USA
| | - Tara Owens Shuler
- Women’s Health Branch, North Carolina Division of Public Health¸2001Health¸2001 Mail Service Center, 27699-2001 Raleigh, NC USA
| | - Dorothy Cilenti
- grid.10698.360000000122483208Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, McGavran-Greenberg Hall, CB#7445, 27599-7445 Chapel Hill, NC USA
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17
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Jahn JL, Wallace M, Theall KP, Hardeman RR. Neighborhood Proactive Policing and Racial Inequities in Preterm Birth in New Orleans, 2018‒2019. Am J Public Health 2023; 113:S21-S28. [PMID: 36696607 PMCID: PMC9877384 DOI: 10.2105/ajph.2022.307079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2022] [Indexed: 01/26/2023]
Abstract
Objectives. To measure neighborhood exposure to proactive policing as a manifestation of structural racism and its association with preterm birth. Methods. We linked all birth records in New Orleans, Louisiana (n = 9102), with annual census tract rates of proactive police stops using data from the New Orleans Police Department (2018-2019). We fit multilevel Poisson models predicting preterm birth across quintiles of stop rates, controlling for several individual- and tract-level covariates. Results. Nearly 20% of Black versus 8% of White birthing people lived in neighborhoods with the highest rates of proactive police stops. Fully adjusted models among Black birthing people suggest the prevalence of preterm birth in the neighborhoods with the highest proactive policing rates was 1.41 times that of neighborhoods with the lowest rates (95% confidence interval = 1.04, 1.93), but associations among White birthing people were not statistically significant. Conclusions. Taken together with previous research, high rates of proactive policing likely contribute to Black‒White inequities in reproductive health. Public Health Implications. Proactive policing is widely implemented to deter violence, but alternative strategies without police should be considered to prevent potential adverse health consequences. (Am J Public Health. 2023;113(S1):S21-S28. https://doi.org/10.2105/AJPH.2022.307079).
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Affiliation(s)
- Jaquelyn L Jahn
- Jaquelyn L. Jahn is with The Ubuntu Center on Racism, Global Movements, and Population Health Equity at Drexel University Dornsife School of Public Health, Philadelphia, PA. Maeve Wallace and Katherine P. Theall are with the Department of Social, Behavioral, and Population Science and the Mary Amelia Center for Women's Health Equity Research at the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Rachel R. Hardeman is with the Division of Health Policy and Management, the Center for Antiracism Research for Health Equity at the University of Minnesota School of Public Health, as well as the Minnesota Population Center, Minneapolis
| | - Maeve Wallace
- Jaquelyn L. Jahn is with The Ubuntu Center on Racism, Global Movements, and Population Health Equity at Drexel University Dornsife School of Public Health, Philadelphia, PA. Maeve Wallace and Katherine P. Theall are with the Department of Social, Behavioral, and Population Science and the Mary Amelia Center for Women's Health Equity Research at the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Rachel R. Hardeman is with the Division of Health Policy and Management, the Center for Antiracism Research for Health Equity at the University of Minnesota School of Public Health, as well as the Minnesota Population Center, Minneapolis
| | - Katherine P Theall
- Jaquelyn L. Jahn is with The Ubuntu Center on Racism, Global Movements, and Population Health Equity at Drexel University Dornsife School of Public Health, Philadelphia, PA. Maeve Wallace and Katherine P. Theall are with the Department of Social, Behavioral, and Population Science and the Mary Amelia Center for Women's Health Equity Research at the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Rachel R. Hardeman is with the Division of Health Policy and Management, the Center for Antiracism Research for Health Equity at the University of Minnesota School of Public Health, as well as the Minnesota Population Center, Minneapolis
| | - Rachel R Hardeman
- Jaquelyn L. Jahn is with The Ubuntu Center on Racism, Global Movements, and Population Health Equity at Drexel University Dornsife School of Public Health, Philadelphia, PA. Maeve Wallace and Katherine P. Theall are with the Department of Social, Behavioral, and Population Science and the Mary Amelia Center for Women's Health Equity Research at the Tulane University School of Public Health and Tropical Medicine, New Orleans, LA. Rachel R. Hardeman is with the Division of Health Policy and Management, the Center for Antiracism Research for Health Equity at the University of Minnesota School of Public Health, as well as the Minnesota Population Center, Minneapolis
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18
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Debrosse R. Playing to their strengths: Can focusing on typical in‐group strengths be detrimental to people of colour? Euro J Social Psych 2022. [DOI: 10.1002/ejsp.2915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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19
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Seminog V, Institute of macromolecular Chemistry NAS of Ukraine, 48, Kharkivske shose, Kyiv, 02155, Ukraine, Myshak V, Institute of macromolecular Chemistry NAS of Ukraine, 48, Kharkivske shose, Kyiv, 02155, Ukraine. RECYCLING, MODIFICATION AND DEVELOPMENT OF NEW COMPOSITE MATERIALS BASED ON POLYMER WASTE. Polym J 2022; 44:255-270. [DOI: 10.15407/polymerj.44.04.255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The review article considers the current problem of environmental pollution with polymer waste. To solve one of the highest priority tasks, their recycling is considered, which is advisable from an economic, practical and scientific point of view. An assessment of the resources of secondary polymeric raw materials was made. The main ways of utilization of polymeric waste are given. The features of polymer waste recycling methods are determined. The issues of modification of polymer wastes are considered and the main methods of compatibilization of polymer mixtures are shown. Particular attention is paid to the methods and mechanisms of compatibilization of polymer composites based on recycled thermoplastics and crumb rubber from waste tires as a means of obtaining new composite polymer materials with valuable performance properties. The dependence of the properties of polymer composites on the filler concentration, particle size and shape, surface treatment methods, type and content, modifying additives and compatibilizers is shown. The creation of polymer composites based on secondary polymers and fillers of various nature contributes to the solution of social and economic problems of polymer waste.
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20
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Shannon G, Morgan R, Zeinali Z, Brady L, Couto MT, Devakumar D, Eder B, Karadag O, Mukherjee M, Peres MFT, Ryngelblum M, Sabharwal N, Schonfield A, Silwane P, Singh D, Van Ryneveld M, Vilakati S, Watego C, Whyle E, Muraya K. Intersectional insights into racism and health: not just a question of identity. Lancet 2022; 400:2125-2136. [PMID: 36502850 DOI: 10.1016/s0140-6736(22)02304-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 11/01/2022] [Accepted: 11/04/2022] [Indexed: 12/13/2022]
Abstract
Intersectionality is a useful tool to address health inequalities, by helping us understand and respond to the individual and group effects of converging systems of power. Intersectionality rejects the notion of inequalities being the result of single, distinct factors, and instead focuses on the relationships between overlapping processes that create inequities. In this Series paper, we use an intersectional approach to highlight the intersections of racism, xenophobia, and discrimination with other systems of oppression, how this affects health, and what can be done about it. We present five case studies from different global locations that outline different dimensions of discrimination based on caste, ethnicity and migration status, Indigeneity, religion, and skin colour. Although experiences are diverse, the case studies show commonalities in how discrimination operates to affect health and wellbeing: how historical factors and coloniality shape contemporary experiences of race and racism; how racism leads to separation and hierarchies across shifting lines of identity and privilege; how racism and discrimination are institutionalised at a systems level and are embedded in laws, regulations, practices, and health systems; how discrimination, minoritisation, and exclusion are racialised processes, influenced by visible factors and tacit knowledge; and how racism is a form of structural violence. These insights allow us to begin to articulate starting points for justice-based action that addresses root causes, engages beyond the health sector, and encourages transnational solidarity.
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Affiliation(s)
- Geordan Shannon
- Institute for Global Health, University College London, London, UK.
| | - Rosemary Morgan
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | | | - Leanne Brady
- Emergency Medical Services, Western Cape Department of Health, Cape Town, South Africa
| | - Marcia Thereza Couto
- Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Delan Devakumar
- Institute for Global Health, University College London, London, UK
| | - Ben Eder
- Institute of Development Studies, University of Sussex, Brighton, UK
| | - Ozge Karadag
- Center for Sustainable Development, Earth Institute, Columbia University, New York, NY, USA
| | | | | | - Marcelo Ryngelblum
- Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Nidhi Sabharwal
- Centre for Policy Research in Higher Education, National Institute of Educational Planning and Administration, New Delhi, India
| | - Amos Schonfield
- Oxford Department of International Development, University of Oxford, Oxford, UK
| | - Pamela Silwane
- Gugulethu Community Action Network, Cape Town Together Community Action Network, Cape Town, South Africa
| | - David Singh
- School of Public Health & Social Work, Queensland University of Technology, Brisbane, QLD, Australia
| | - Manya Van Ryneveld
- School of Public Health, University of the Western Cape, Cape Town, South Africa
| | - Siyasanga Vilakati
- Phillipi Community Action Network, Cape Town Together Community Action Network, Cape Town, South Africa
| | - Chelsea Watego
- School of Public Health & Social Work, Queensland University of Technology, Brisbane, QLD, Australia
| | - Eleanor Whyle
- School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
| | - Kui Muraya
- KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya
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21
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Abstract
A growing number of adolescents in the United States identify as transgender and gender nonbinary, and many will seek medical management of menstruation. In this evidence-based review, we recommend a model of gender-affirming care grounded in the tenants of reproductive justice, emphasizing patient autonomy and the development of holistic management plans centered around the patient's unique goals for affirming their gender identity. We then review strategies for achieving menstruation suppression for transgender and gender nonbinary adolescents, including dosing considerations, menstruation, ovulation, contraceptive effects, and metabolic considerations specific to the adolescent population.
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22
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Meiss LN, Jain R, Kazmerski TM. Family Planning and Reproductive Health in Cystic Fibrosis. Clin Chest Med 2022; 43:811-820. [PMID: 36344082 DOI: 10.1016/j.ccm.2022.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Family planning in cystic fibrosis (CF) is an increasingly important aspect of care, as improvements in care and outcomes lead to a rise in the number of pregnancies and parenthood in people with CF. This article highlights: (1) Health considerations for people with CF related to pregnancy, contraception, and parenthood. (2) Facets of reproductive planning, fertility, and preconception counseling. (3) Relationship-centered reproductive health discussions.
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Affiliation(s)
- Lauren N Meiss
- Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, 20 York Street, New Haven, CT 06510, USA
| | - Raksha Jain
- Department of Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-8558, USA
| | - Traci M Kazmerski
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Center for Innovative Research on Gender Health Equity (CONVERGE), University of Pittsburgh, Pittsburgh, PA, USA.
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23
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Lowe P, Rowlands S. Long-acting reversible contraception: Targeting those judged to be unfit for parenthood in the United States and the United Kingdom. Glob Public Health 2022; 17:3773-3784. [PMID: 35239450 DOI: 10.1080/17441692.2022.2048408] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
There is a long history of regarding marginalised groups as unfit to parent and of eugenic policies targeting those with 'undesirable' bodily conditions or behaviours. This is part of a broader pattern of stratified reproduction - structural conditions that enable or discourage certain groups from reproducing - that often brings about and exacerbates injustices. This paper critically assesses the US and UK social and medical literature on applying pressure to marginalised groups, or those who have behaved 'irresponsibly', to use long-acting reversible contraception (LARC). Targeting young people for LARC fails to recognise that social inequality is the context for teenage pregnancy, not the result of it. Provider pressure on women of colour to use LARC is linked to institutional racism, whilst policy for those with physical and intellectual disabilities is shaped by disability discrimination. Other groups to be targeted include so-called 'welfare mothers', substance users, those who have had children put into care and offenders. Particularly controversial are cases in which LARC has been ordered by courts. LARC policy incorporating these kind of discriminatory practices needs to stop; future policy should focus on person-centred care that bolsters reproductive justice.
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Affiliation(s)
- Pam Lowe
- Department of Sociology and Policy, Aston University, Birmingham, UK
| | - Sam Rowlands
- Department of Medical Science & Public Health, Bournemouth University, Bournemouth, UK
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24
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Mosley EA, Ayala S, Jah Z, Hailstorks T, Hairston I, Rice WS, Hernandez N, Jackson K, Scales M, Gutierrez M, Goode B, Filippa S, Strader S, Umbria M, Watson A, Faruque J, Raji A, Dunkley J, Rogers P, Ellison C, Suarez K, Diallo DD, Hall KS. " I don't regret it at all. It's just I wish the process had a bit more humanity to it … a bit more holistic": a qualitative, community-led medication abortion study with Black and Latinx Women in Georgia, USA. Sex Reprod Health Matters 2022; 30:2129686. [PMID: 36368036 PMCID: PMC9664998 DOI: 10.1080/26410397.2022.2129686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Traditional family planning research has excluded Black and Latinx leaders, and little is known about medication abortion (MA) among racial/ethnic minorities, although it is an increasingly vital reproductive health service, particularly after the fall of Roe v. Wade. Reproductive justice (RJ) community-based organisation (CBO) SisterLove led a study on Black and Latinx women's MA perceptions and experiences in Georgia. From April 2019 to December 2020, we conducted key informant interviews with 20 abortion providers and CBO leaders and 32 in-depth interviews and 6 focus groups (n = 30) with Black and Latinx women. We analysed data thematically using a team-based, iterative approach of coding, memo-ing, and discussion. Participants described multilevel barriers to and strategies for MA access, wishing that "the process had a bit more humanity … [it] should be more holistic." Barriers included (1) sociocultural factors (intersectional oppression, intersectional stigma, and medical experimentation); (2) national and state policies; (3) clinic- and provider-related factors (lack of diverse clinic staff, long waiting times); and (4) individual-level factors (lack of knowledge and social support). Suggested solutions included (1) social media campaigns and story-sharing; (2) RJ-based policy advocacy; (3) diversifying clinic staff, offering flexible scheduling and fees, community integration of abortion, and RJ abortion funds; and (4) social support (including abortion doulas) and comprehensive sex education. Findings suggest that equitable MA access for Black and Latinx communities in the post-Roe era will require multi-level intervention, informed by community-led evidence production; holistic, de-medicalised, and human rights-based care models; and intersectional RJ policy advocacy.
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Affiliation(s)
- Elizabeth A. Mosley
- Affiliated Faculty Member, Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health Atlanta, GA, USA,Assistant Professor, Center for Innovative Research on Gender Health Equity, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Correspondence:
| | - Sequoia Ayala
- Director of Policy and Advocacy, SisterLove, Inc., Atlanta, GA, USA
| | - Zainab Jah
- Research Director, SisterLove, Inc., Atlanta, GA, USA
| | - Tiffany Hailstorks
- Assistant Professor, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA
| | - Indya Hairston
- Community-Based Research Program Manager, SisterLove, Inc., Atlanta, GA, USA
| | - Whitney S. Rice
- Assistant Professor, Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, GA, USA
| | | | - Kwajelyn Jackson
- Executive Director, Feminist Women’s Health Center, Atlanta, GA, USA
| | - Marieh Scales
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Mariana Gutierrez
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Bria Goode
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Sofia Filippa
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Shani Strader
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Mariana Umbria
- Research Intern, SisterLove, Inc., Atlanta, GA, USA,MPH Student, Georgia State University School of Public Health, Atlanta, GA, USA
| | - Autumn Watson
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Joya Faruque
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Adeola Raji
- Research Intern, SisterLove, Inc., Atlanta, GA, USA,MPH Student, Georgia State University School of Public Health, Atlanta, GA, USA
| | - Janae Dunkley
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Peyton Rogers
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Celeste Ellison
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | - Kheyanna Suarez
- MPH Student, Emory University Rollins School of Public Health, Atlanta, GA, USA,Research Intern, SisterLove, Inc., Atlanta, GA, USA
| | | | - Kelli S. Hall
- Founding Director, Center for Reproductive Health Research in the Southeast, Emory University Rollins School of Public Health, Atlanta, GA, USA,Associate Professor, Columbia University Mailman School of Public Health, New York, NY, USA
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25
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Jacoby SF, Smith RN, Beard JH. Rethinking "recidivism" in firearm injury research and prevention. Prev Med 2022; 165:107221. [PMID: 36002055 DOI: 10.1016/j.ypmed.2022.107221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 08/16/2022] [Accepted: 08/18/2022] [Indexed: 11/29/2022]
Abstract
Interpersonal firearm injuries pose a persistent public health threat in the United States (US). Strategic interventions to curb these injuries require evaluation of measurable outcomes that prove effectiveness and substantiate efforts for wider scaling and implementation. One common outcome of interest used among injury prevention researchers and practitioners is 'recidivism' referring to recurrent injury from acts of violence in a previously firearm injured person. In this commentary we urge that the term which can insinuate racialized criminality and reinforce stigma, no longer be used to describe people who experience firearm injuries. We also advocate for reconsideration of 'recidivism' as an ideal evaluation metric for the success of tertiary firearm injury prevention programs.
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Affiliation(s)
- Sara F Jacoby
- Department of Family and Community Health, School of Nursing, University of Pennsylvania, USA.
| | - Randi N Smith
- Department of Surgery, Emory University School of Medicine, USA
| | - Jessica H Beard
- Division of Trauma and Surgical Critical Care, Department of Surgery, Lewis Katz School of Medicine, Temple University, USA
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26
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Mavuso JMJJ, Chadwick R. Reproductive governance and the affective economy. Feminism & Psychology 2022. [DOI: 10.1177/09593535221106644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The governance of reproductive practices, processes, decision-making, experiences, desires, subjectivities, and bodies has received and continues to receive significant attention in feminist efforts to name and resist reproductive oppression. And over the last 30 years, articles published in Feminism & Psychology have made significant contributions to the visibilisation and critique of this form of oppression. In this Virtual Special Issue on Reproductive Governance and the Affective Economy, we apply repronormativity and affect to our reading of 20 articles published in Feminism & Psychology. Collectively, these articles provide a glimpse of the wide-ranging scope of reproductive regulation (including that which is re-produced by/within feminism itself), and the various work that repronormativity and affect do in this governance. The challenging of reproductive governance notwithstanding, we conclude by arguing that the centring and circulation of certain reproductive subjects and their experiences within feminist knowledge production is itself a part of and upholds repronormativity and forecloses the possibility of reproductive freedom for all.
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27
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Paynter MJ, Norman WV. The Intersection of Abortion and Criminalization: Abortion Access for People in Prisons. Semin Reprod Med 2022; 40:264-267. [PMID: 36535662 DOI: 10.1055/s-0042-1758481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Most incarcerated women are of reproductive age, and more than a third of women will have an abortion during their reproductive years. Although women are the fastest growing population in Canadian prisons, no one has studied the effect of their incarceration on access to abortion services. Studies outside of Canada indicate rates of abortion are higher among people experiencing incarceration than in the general population, and that abortion access is often problematic. Although international standards for abortion care among incarcerated populations exist, there conversely appear to be no Canadian guidelines or procedures to facilitate unintended pregnancy prevention or management. Barriers to abortion care inequitably restrict people with unintended pregnancy from attaining education and employment opportunities, cause entrenchment in violent relationships, and prevent people from choosing to parent when they are ready and able. Understanding and facilitating equitable access to abortion care for incarcerated people is critical to address structural, gender-, and race-based reproductive health inequities, and to promote reproductive justice. There is an urgent need for research in this area to direct best practices in clinical care and support policies capable to ensure equal access to abortion care for incarcerated people.
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Affiliation(s)
- Martha J Paynter
- Faculty of Nursing, University of New Brunswick, Fredericton, Canada
| | - Wendy V Norman
- Department of Family Practice, University of British Columbia, Vancouver, Canada.,Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom
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28
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Abstract
This article reviews key works in the anthropology of mass incarceration, generated by anthropologists and their interlocutors whose research is directed outside physical sites of imprisonment. My geographical focus is on the United States during the last decade's political and economic Zeitgeist, shaped by the manifestations and consequences of the carceral state and the prison industrial complex. My discussion is also guided by research invigorated by anthropology's decolonizing drive and growing concern about racism within and outside the academy. Along the way, and emphasized in the final section, I make the case that anthropology's abiding interest in kinship is a productive approach for configuring our understanding of the American carceral state and the racial landscapes of carcerality. The research reviewed shows how deeply carcerality is embedded in race, illuminating its destructiveness in Black and brown communities, yet also revealing the creation of regenerative spaces of kinship.
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Affiliation(s)
- Aisha Khan
- Department of Anthropology, New York University, New York, NY, USA
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29
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Young LE, Tang JL, Nan Y. Social Media Communication and Network Correlates of HIV Infection and Transmission Risks Among Black Sexual Minority Men: Cross-sectional Digital Epidemiology Study. JMIR Form Res 2022; 6:e37982. [PMID: 36264617 PMCID: PMC9634521 DOI: 10.2196/37982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 08/27/2022] [Accepted: 09/06/2022] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND In the United States, HIV disproportionately affects Black cisgender sexual minority men (BSMM). Although epidemiological and behavioral surveillance are integral to identifying BSMM at risk of HIV infection and transmission, overreliance on self-reported data, inability to observe social contexts, and neglect of populations with limited engagement in health care systems limits their effectiveness. Digital epidemiological approaches drawing on social media data offer an opportunity to overcome these limitations by passively observing in organic settings activities, beliefs, behaviors, and moods that indicate health risks but are otherwise challenging to capture. OBJECTIVE The primary aim of this study was to determine whether features of Facebook communication and networks were associated with biological, behavioral, and psychological indicators of HIV infection and transmission risk. METHODS Facebook and survey data were collected from BSMM aged 18 to 35 years living in Chicago (N=310). Participants' Facebook posts were characterized using 4 culturally tailored topic dictionaries related to aspects of HIV protection and risk among BSMM (sexual health; substance use; sex behavior; and ballroom culture, a salient subculture in lesbian, gay, bisexual, transgender, and queer communities of color). Social network methods were used to capture structural features of BSMM's Facebook friendships (centrality, brokerage, and local clustering) and Facebook group affiliations. Multivariable regressions revealed relationships between these Facebook features and 5 ground truth indicators of HIV infection and transmission risk (sexually transmitted infection incidence, condomless sex, sex drug use, biomedical prevention, and depression). RESULTS Although analysis of participants' Facebook posts revealed that HIV-related topics occupied a small portion of the total messages posted by each participant, significant associations were found between the following HIV risk indicators and Facebook features: Condomless sex, including communication about sexual health (odds ratio [OR] 1.58, 95% CI 1.09-2.29), ballroom culture (OR 0.76, 95% CI 0.63-0.93), and friendship centrality (OR 0.69, 95% CI 0.52-0.92); Sex drug use, including communication about substance use (OR 1.81, 95% CI 1.17-2.79) and friendship centrality (OR 0.73, 95% CI 0.55-0.96) and brokerage (OR 0.71, 95% CI 0.51-0.99); Biomedical prevention, including communication about ballroom culture (OR 0.06, 95% CI 0.01-0.71); and Depression, including communication about sexual health (β=-0.72, 95% CI -1.42 to -0.02), ballroom culture (β=.80, 95% CI 0.27-1.34), friendship centrality (β=-0.90, 95% CI -1.60 to -0.21), and Facebook group affiliations (β=.84, 95% CI 0.25-1.43). Facebook features provided no significant explanatory value for sexually transmitted infection incidence. CONCLUSIONS Finding innovative strategies to detect BSMM at risk of contracting or transmitting HIV is critical to eliminating HIV disparities in this community. The findings suggest that social media data enable passive observance of social and communicative contexts that would otherwise go undetected using traditional HIV surveillance methods. As such, social media data are promising complements to more traditional data sources.
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Affiliation(s)
- Lindsay E Young
- Annenberg School for Communication and Journalism, University of Southern California, Los Angeles, CA, United States
| | - Jack Lipei Tang
- Annenberg School for Communication and Journalism, University of Southern California, Los Angeles, CA, United States
| | - Yuanfeixue Nan
- Annenberg School for Communication and Journalism, University of Southern California, Los Angeles, CA, United States
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Babers MC. Cowboy Cool: A Professional Black Cowboy’s Perspective. Transforming Anthropology 2022. [DOI: 10.1111/traa.12241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Brownlow BN. How Racism "Gets Under the Skin": An Examination of the Physical- and Mental-Health Costs of Culturally Compelled Coping. Perspect Psychol Sci 2022; 18:576-596. [PMID: 36179058 DOI: 10.1177/17456916221113762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Historically and contemporarily, Black Americans have been compelled to use effortful coping styles characterized by high behavioral and emotional restraint in the face of systematic racism. Lynch and colleagues have previously conceptualized a class of regulatory strategies-overcontrolled coping-characterized by emotional suppression, hypervigilance for threat, and high distress tolerance, which bear close analogy to coping styles frequently used among individuals facing chronic racial stress. However, given the inherent culture of racism in the United States, engaging in highly controlled coping strategies is often necessitated and adaptive, at least in the short term. Thus, for Black Americans this class of coping strategies is conceptualized as culturally compelled coping rather than overcontrolled coping. In the current article, I offer a critical examination of the literature and introduce a novel theoretical model-culturally compelled coping-that culturally translates selected components of Lynch's model. Cultural translation refers to considering how the meaning, function, and consequences of using overcontrolled coping strategies changes when considering how Black Americans exist and cope within a culture of systematic racism. Importantly, this model may offer broad implications for future research and treatment by contextualizing emotion regulation as a central mechanism, partially answering how racism "gets under the skin" and affects the health of Black Americans.
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Morison T. Using reproductive justice as a theoretical frame up in qualitative research in psychology. Qualitative Research in Psychology 2022. [DOI: 10.1080/14780887.2022.2121236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Tracy Morison
- Massey University, School of Psychology, Palmerston North, New Zealand
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Finlay J, Esposito M, Langa KM, Judd S, Clarke P. Cognability: An Ecological Theory of neighborhoods and cognitive aging. Soc Sci Med 2022; 309:115220. [PMID: 35926362 PMCID: PMC9661364 DOI: 10.1016/j.socscimed.2022.115220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 05/19/2022] [Accepted: 07/13/2022] [Indexed: 11/17/2022]
Abstract
While a growing body of evidence points to potentially modifiable individual risk factors for dementia, the built and social environments in which people develop and navigate cognitive decline are largely overlooked. This paper proposes a new theoretical concept, Cognability, to conceptualize how supportive an area is to cognitive health among aging residents. Cognability incorporates a constellation of both positive and negative neighborhood features related to physical activity, social interaction and cognitive stimulation in later life. We analyzed data from the REasons for Geographic And Racial Differences in Stroke Study, a national sample of older Black and white adults in the United States (n = 21,151; mean age at assessment = 67; data collected 2006-2017). Generalized additive multilevel models examined how cognitive function varied by neighborhood features. Access to civic and social organizations, recreation centers, fast-food and coffee establishments, arts centers, museums, and highways were significantly associated with cognitive function. Race-, gender-, and education-specific models did not yield substantial improvements to the full-model. Our results suggest that the unequal distribution of amenities and hazards across neighborhoods may help account for considerable inequities observed in cognitive health among older adults. Cognability advances ecological theories of aging through an innovative "whole neighborhood" approach. It aims to identify which specific neighborhood features are most protective of cognitive health among aging adults to inform upstream public health initiatives, community interventions, and policy.
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Affiliation(s)
- Jessica Finlay
- Social Environment and Health Program, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI, 48104, United States; Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109, United States.
| | - Michael Esposito
- Department of Sociology, Washington University in St. Louis, St. Louis, MO, 63130, United States
| | - Kenneth M Langa
- Department of Internal Medicine, Division of General Medicine, 2800 Plymouth Road, Ann Arbor, MI, 48109, United States
| | - Suzanne Judd
- School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, Birmingham, AL, 35233, United States
| | - Philippa Clarke
- Social Environment and Health Program, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI, 48104, United States; Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109, United States
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Chadwick RJ. Visceral Acts: Gestationality as Feminist Figuration. Signs: Journal of Women in Culture and Society 2022. [DOI: 10.1086/720431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Jokela-Pansini M. Beyond "toxic bodies": Multiplied rationalities of women's reproductive health in a high-risk environmental area (Taranto, Italy). Health Place 2022; 77:102900. [PMID: 36044813 DOI: 10.1016/j.healthplace.2022.102900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 06/06/2022] [Accepted: 08/17/2022] [Indexed: 11/17/2022]
Abstract
This study investigates women's reproductive health concerns in Taranto, a steel town and a "high-risk environmental area" in Italy. It draws on participatory ethnographic research (body mapping, interviews and fieldnotes) and analyses political and social aspects of women's reproductive health in relation to pollution. I argue that in highly polluted environments, both political rationalities and women's health concerns over their bodies are multiplied, extending beyond a focus on their bodies as shaped by toxic exposure. Women make sense of knowledge about their reproductive health and questions of responsibility in relation not only to societal norms, but also through reference to the wider polluted environment and the political-economic structures they inhabit. By focusing on women's own experiences, the study contributes to our understanding of women's agency over their environment-health relations and seeks to complicate women's role as environmental subjects beyond "toxic bodies".
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Affiliation(s)
- Maaret Jokela-Pansini
- School of Geography and the Environment, University of Oxford, South Parks Road, Oxford, OX1 3QY, United Kingdom.
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Mosley EA, Ayala S, Jah Z, Hailstorks T, Dixon Diallo D, Hernandez N, Jackson K, Hairston I, Hall KS. Community-led research for reproductive justice: Exploring the SisterLove Georgia Medication Abortion project. Front Glob Womens Health 2022; 3:969182. [PMID: 36033920 PMCID: PMC9412101 DOI: 10.3389/fgwh.2022.969182] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 07/26/2022] [Indexed: 11/15/2022] Open
Abstract
Introduction While reproductive injustice indicators are improving globally, they are worsening in the United States particularly for Black and other marginalized communities. Eugenics and obstetric violence against low-income and communities of color create well-founded distrust of sexual and reproductive health (SRH). Transformational, reparative ways of conducting SRH research are needed. Proposed principles of community-led research for reproductive justice Drawing on our collective experience as reproductive justice leaders, SRH researchers, and clinicians, we propose the following principles of community-led research for reproductive justice: 1) Center the marginalized community members most affected by SRH inequities as leaders of research; 2) Facilitate equitable, collaborative partnership through all phases of SRH research; 3) Honor multiple ways of knowing (experiential, cultural, empirical) for knowledge justice and cross-directional learning across the team; 4) Build on strengths (not deficits) within the community; 5) Implement the tenets of reproductive justice including structural-level analysis and the human rights framework; 6) Prioritize disseminating useful findings to community members first then to other audiences; 7) Take action to address social and reproductive injustices. SisterLove's community-led georgia medication abortion project We offer the community-led Georgia Medication Abortion (GAMA) Project by reproductive justice organization SisterLove from 2018-2022 as a case study to demonstrate these principles along with the strengths and challenges of reproductive justice research. Discussion Community-led reproductive justice research offers innovative and transformational methods for truly advancing SRH in an era of increasing policy restrictions and decreasing access to care. Yet existing funding, research administrative, and publishing systems will require structural change.
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Affiliation(s)
- Elizabeth A. Mosley
- Center for Reproductive Health Research in the Southeast (RISE), Emory University School of Public Health, Atlanta, GA, United States,*Correspondence: Elizabeth A. Mosley
| | | | - Zainab Jah
- SisterLove, Inc., Atlanta, GA, United States,National Birth Equity Collaborative, Washington, DC, United States
| | - Tiffany Hailstorks
- Center for Reproductive Health Research in the Southeast (RISE), Emory University School of Public Health, Atlanta, GA, United States,Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, United States
| | | | - Natalie Hernandez
- Center for Maternal Health Equity, Morehouse School of Medicine, Atlanta, GA, United States
| | | | | | - Kelli S. Hall
- Center for Reproductive Health Research in the Southeast (RISE), Emory University School of Public Health, Atlanta, GA, United States,Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, United States
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Corpuz JS, Simmonds K. Empowering the Nurse Practitioner With the Reproductive Justice Framework. J Nurse Pract 2022. [DOI: 10.1016/j.nurpra.2022.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Crawford AD, McGlothen-Bell K, Cleveland LM. "I did whatever they wanted me to do": a qualitative secondary analysis using reproductive justice to explore sexual violence among justice-involved Latina mothers. BMC Public Health 2022; 22:1453. [PMID: 35908051 PMCID: PMC9338647 DOI: 10.1186/s12889-022-13865-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 07/11/2022] [Indexed: 12/01/2022] Open
Abstract
Background One in three women experience sexual violence during their lifetime; however, little is known about this phenomenon with respect to justice-involved Latina mothers. Using the reproductive justice framework as a theoretical lens, we examined sexual violence in Latina mothers who had experienced incarceration and were thus involved in the justice system. Methods This was a secondary analysis of a qualitative data set. The reproductive justice framework provided a theoretical lens for examining the women’s rights to bodily autonomy, to have or not have children, and to live in safe, sustainable environments given the intersection of incarceration and sexual violence. Results Women (N = 12) recounted their experiences of sexual violence after having been incarcerated. Incarceration and resulting sexual violence led to discrimination, limited bodily autonomy, sexual exploitation, substance use, depression, anxiety, re-traumatization, recidivism, underreporting of violence, underutilization of healthcare resources, strained relationships, family separation, and unsafe environments. Conclusions More research is needed to understand the social, economic, and political contexts that perpetuate sexual violence among justice-involved women. Universal healthcare, participatory research, changing cultural mindsets, decriminalization of sex work, and more comprehensive tracking and prosecution of sexual predators may be key to ending sexual violence in justice-involved mothers.
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Affiliation(s)
- A D Crawford
- The University of Texas at Austin, School of Nursing, 1710 Red River Street, Austin, TX, 78712, USA.
| | - K McGlothen-Bell
- The University of Texas Health at San Antonio School of Nursing, 7703 Floyd Curl Drive, Mail Code 7951, San Antonio, TX, 78229-3900, USA
| | - L M Cleveland
- The University of Texas Health at San Antonio School of Nursing, 7703 Floyd Curl Drive, Mail Code 7951, San Antonio, TX, 78229-3900, USA
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Grace D, Stewart M, Blaque E, Ryu H, Anand P, Gaspar M, Worthington C, Gilbert M. Challenges to communicating the Undetectable equals Untransmittable (U=U) HIV prevention message: Healthcare provider perspectives. PLoS One 2022; 17:e0271607. [PMID: 35862361 PMCID: PMC9302742 DOI: 10.1371/journal.pone.0271607] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 07/01/2022] [Indexed: 11/19/2022] Open
Abstract
“Undetectable equals Untransmittable”, or U=U, is a public health message designed to reduce HIV stigma and help communicate the scientific consensus that HIV cannot be sexually transmitted when a person living with HIV has an undetectable viral load. Between October 2020-February 2021 we conducted 11 in-depth interviews and 3 focus groups with diverse HIV/STI service providers (nurses, public health workers, physicians, frontline providers, and sexual health educators) in Ontario, Canada (n = 18). Our objective was to understand how U=U was communicated to sexual health service users in healthcare interactions. Interview questions were embedded in a larger study focused on improving access to HIV/STI testing. Transcripts were transcribed verbatim and analysed following grounded theory. Most providers emphasized the significance of U=U as a biomedical advancement in HIV prevention but had some challenges communicating U=U in everyday practice. We discovered four interrelated barriers when communicating the U=U message: (1) provider-perceived challenges with “zero risk” messaging (e.g., wanting to “leave a margin” of HIV risk); (2) service users not interested in receiving sexual health information (e.g., in order to provide “client centered care” some providers do not share U=U messages if service users are only interested in HIV/STI testing or if other discussions must be prioritized); (3) skepticism and HIV stigma from service users (e.g., providers explained how the hesitancy of some service users accepting the U=U message was shaped by a legacy of HIV prevention messages and persistent HIV stigma); and (4) need for more culturally appropriate resources (e.g., communities other than sexual and gender minority men; non-English speaking service users; that account for broader legal context). We discuss ways to overcome barriers to communicating the U=U message as well as the limitations and potential unintended consequences of U=U framings in the context of unequal access to HIV prevention and treatment.
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Affiliation(s)
- Anna Kheyfets
- MOTHER Lab, Tufts University School of Medicine, Boston, MA 02111, USA.
| | - Brenna Miller
- MOTHER Lab, Tufts University School of Medicine, Boston, MA 02111, USA
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Subramani S. The Entrepreneurial Catch. Current Anthropology 2022. [DOI: 10.1086/720713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Abstract
As two academics researching in the area of maternal health, we are increasingly concerned with what we see as a positivist turn in midwifery research. In this paper, we examine this idea of the quantification of midwifery research, using as an example the current esteem given to the systematic literature review, and its creep into other methodologies. We argue that the current favor toward quantitative research and expertise in midwifery academia risks the future of midwifery research by the lack of equal development of qualitative experts, diluting qualitative research rigor within the profession, and limiting the kinds of questions asked. We identify the similarity between the current prominence of quantitative research and medical dominance in midwifery and maintain that it is of vital importance to the profession (research and practice) that the proper attention, contemplation, and merit are given to qualitative research methods.
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Affiliation(s)
- Elizabeth Newnham
- Griffith UniversityBrisbaneQueenslandAustralia,University of NewcastleNew South WalesNew South WalesAustralia
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Bogdan-Lovis E, Zhuang J, Goldbort J, Shareef S, Bresnahan M, Kelly-Blake K, Elam K. Do Black birthing persons prefer a Black health care provider during birth? Race concordance in birth. Birth 2022; 50:310-318. [PMID: 35635034 DOI: 10.1111/birt.12657] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 04/24/2022] [Accepted: 05/12/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND For many years in the United States, there has been an active discussion about whether race concordance between care providers and patients contributes to better health outcomes. Although beneficial provider-patient communication effects have been associated with concordance, there is minimal evidence for concordance benefits to health outcomes. METHODS A cross-sectional survey was conducted including 200 Black mothers who had given birth within the last 2 years asking about the perceived racial identity of their birth health provider, whether they preferred to have Black women providers, and the intersection between race and gender concordance on birth outcomes. In addition to race and gender concordance, other variables were tested for their impact on birth satisfaction including respect, trust for the care provider, perceived competence, care provider empathy, and inclusive communication. RESULTS Forty-one percent of the mothers in this study were assisted in birth by a Black woman provider. Although patient-provider concordance did not result in measurable health outcomes, it is clear that compared to other studies of birth satisfaction among Black birthing persons, this study showed relatively higher levels of satisfaction, perceived trust, empathy, perceived provider competence, inclusive communication, and equal respect for both concordant and discordant care providers. CONCLUSIONS Although many participants showed a preference for race concordance, participants equally valued respect, competence, and trust with their care providers. Further community-based research needs to be conducted to examine whether race, gender, and cultural concordance results in other beneficial health outcomes.
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Affiliation(s)
| | - Jie Zhuang
- Department of Communication Studies, Texas Christian University, Fort Worth, Texas, USA
| | - Joanne Goldbort
- College of Nursing, Michigan State University, East Lansing, Michigan, USA
| | - Sameerah Shareef
- Sexual Assault Healthcare Program, Michigan State University, East Lansing, Michigan, USA
| | - Mary Bresnahan
- Department of Communication, Michigan State University, East Lansing, Michigan, USA
| | - Karen Kelly-Blake
- College of Human Medicine, Michigan State University, East Lansing, Michigan, USA
| | - Kendra Elam
- College of Nursing, Michigan State University, East Lansing, Michigan, USA
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Mian Akram A. Navigating Triple Consciousness in the Diaspora: An Autoethnographic Account of an Ahmadi Muslim Woman in Canada. Religions 2022; 13:493. [DOI: 10.3390/rel13060493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
In 1974, the Pakistani Constitution was amended to declare Ahmadi Muslims as “non-Muslim”, initiating a systematic and hegemonic structural attempt to restrict Ahmadi Muslims from professing and practicing the Islamic faith in Pakistan. This state-sanctioned exclusion led to the mass migration of Ahmadis out of Pakistan into diasporic contexts. Using autoethnography, this article examines how being an Ahmadi Muslim woman in Canada remains rooted in deeply divisive politico-religious conflicts that transcend temporal and spatial boundaries and result in multiple layers of marginalities in the diaspora. I am conscious that my self-formation is racialized, gendered, and classed across three primary intersections: as a Pakistani/South Asian; as an Ahmadi Muslim; and as a woman. This “triple consciousness”, a term coined by Black feminist scholars and Afro-Latinx scholars in the United States to extend W. E. B. Du Bois’ “double consciousness”, produces a liminal and contradictory space of belonging—one that requires further reflection and analysis in the Canadian context where the racial continues to dominate our social world and proximity to Whiteness is privileged and rewarded.
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Abstract
BACKGROUND Racism constitutes a barrier towards achieving equitable healthcare as documented in research showing unequal processes of delivering, accessing, and receiving healthcare across countries and healthcare indicators. This review summarizes studies examining how racism is discussed and produced in the process of delivering, accessing and receiving healthcare across various national contexts. METHOD The PRISMA guidelines for scoping reviews were followed and databases were searched for peer reviewed empirical articles in English across national contexts. No starting date limitation was applied for this review. The end date was December 1, 2020. The review scoped 213 articles. The results were summarized, coded and thematically categorized in regards to the aim. RESULTS The review yielded the following categories: healthcare users' experiences of racism in healthcare; healthcare staff's experiences of racism; healthcare staff's racial attitudes and beliefs; effects of racism in healthcare on various treatment choices; healthcare staff's reflections on racism in healthcare and; antiracist training in healthcare. Racialized minorities experience inadequate healthcare and being dismissed in healthcare interactions. Experiences of racism are associated with lack of trust and delay in seeking healthcare. Racialized minority healthcare staff experience racism in their workplace from healthcare users and colleagues and lack of organizational support in managing racism. Research on healthcare staff's racial attitudes and beliefs demonstrate a range of negative stereotypes regarding racialized minority healthcare users who are viewed as difficult. Research on implicit racial bias illustrates that healthcare staff exhibit racial bias in favor of majority group. Healthcare staff's racial bias may influence medical decisions negatively. Studies examining healthcare staff's reflections on racism and antiracist training show that healthcare staff tend to construct healthcare as impartial and that healthcare staff do not readily discuss racism in their workplace. CONCLUSIONS The USA dominates the research. It is imperative that research covers other geo-political contexts. Research on racism in healthcare is mainly descriptive, atheoretical, uses racial categories uncritically and tends to ignore racialization processes making it difficult to conceptualize racism. Sociological research on racism could inform research on racism as it theoretically explains racism's structural embeddedness, which could aid in tackling racism to provide good quality care.
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Affiliation(s)
- Sarah Hamed
- Department of Sociology, Uppsala University, Uppsala, Sweden.
| | - Hannah Bradby
- Department of Sociology, Uppsala University, Uppsala, Sweden
| | - Beth Maina Ahlberg
- Department of Sociology, Uppsala University, Uppsala, Sweden.,Skaraborg Institute for Research and Development, Skövde, Sweden
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Estriplet T, Morgan I, Davis K, Crear Perry J, Matthews K. Black Perinatal Mental Health: Prioritizing Maternal Mental Health to Optimize Infant Health and Wellness. Front Psychiatry 2022; 13:807235. [PMID: 35573337 PMCID: PMC9098970 DOI: 10.3389/fpsyt.2022.807235] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Accepted: 03/18/2022] [Indexed: 11/14/2022] Open
Abstract
Infant mental health is interconnected with and affected by maternal mental health. A mother or birthing person's mental health before and during pregnancy and the postpartum period is essential for a child's development. During the first year of life, infants require emotional attachment and bonding to strive. Perinatal mood disorders are likely to hinder attachment and are associated with an increased risk of adverse mental health effects for children later in life. The Black community is faced with a crisis as Black mothers experience a higher prevalence of perinatal mood disorders, including postpartum depression and anxiety, compared to the United States national estimates. The aim of the research is to identify social, structural, and economic disparities of Black perinatal women and birthing people's experience to understand the impact of perinatal mental health on infants' mental health. Black mothers and birthing people may often face social and structural barriers that limit their opportunity to seek and engage with interventions and treatment that address the root causes of their perinatal mood disorder. To enhance understanding of racial disparities caused by social and structural determinants of health on Black mothers and birthing people's mental health and health care experiences that influence infant mental health, the study team conducted semi-structured interviews among self-identified cisgender Black women health professionals nationwide, who provide care to pregnant or postpartum Black women and birthing people. Our study attempted to identify themes, pathways, interventions, and strategies to promote equitable and anti-racist maternal and infant mental health care. Using a Rigorous and Accelerated Data Reduction (Radar) technique and a deductive qualitative analytic approach it was found that limited access to resources, lack of universal screening and mental health education, and the disjointed healthcare system serves as barriers, contribute to mental health issues, and put Black mothers and birthing people at a disadvantage in autonomous decision making. Our study concluded that instituting education on healthy and culturally appropriate ways to support infant development in parent education programs may support Black parents in establishing healthy attachment and bonds. Prioritizing strategies to improve maternal mental health and centering Black parents in developing these educational parenting programs may optimize parenting experiences.
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Affiliation(s)
- Tracey Estriplet
- National Birth Equity Collaborative, New Orleans, LA, United States
| | - Isabel Morgan
- National Birth Equity Collaborative, New Orleans, LA, United States
| | - Kelly Davis
- National Birth Equity Collaborative, New Orleans, LA, United States
| | - Joia Crear Perry
- National Birth Equity Collaborative, New Orleans, LA, United States
| | - Kay Matthews
- Shades of Blue Project, Houston, TX, United States
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Eysenbach G, Leung T, Callegari LS, Kazmerski TM, Borrero S. A Framework for Femtech: Guiding Principles for Developing Digital Reproductive Health Tools in the United States. J Med Internet Res 2022; 24:e36338. [PMID: 35482371 PMCID: PMC9100540 DOI: 10.2196/36338] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 03/14/2022] [Accepted: 04/01/2022] [Indexed: 01/21/2023] Open
Abstract
The United States has abysmal reproductive health indices that, in part, reflect stark inequities experienced by people of color and those with preexisting medical conditions. The growth of "femtech," or technology-based solutions to women's health issues, in the public and private sectors is promising, yet these solutions are often geared toward health-literate, socioeconomically privileged, and/or relatively healthy white cis-women. In this viewpoint, we propose a set of guiding principles for building technologies that proactively identify and address these critical gaps in health care for people from socially and economically marginalized populations that are capable of pregnancy, as well as people with serious chronic medical conditions. These guiding principles require that such technologies: (1) include community stakeholders in the design, development, and deployment of the technology; (2) are grounded in person-centered frameworks; and (3) address health disparities as a strategy to advance health equity and improve health outcomes.
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Affiliation(s)
| | | | - Lisa S Callegari
- Center for Innovative Research on Gender Health Equity, University of Pittsburgh, Pittsburgh, PA, United States.,Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA, United States.,Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, WA, United States
| | - Traci M Kazmerski
- Center for Innovative Research on Gender Health Equity, University of Pittsburgh, Pittsburgh, PA, United States.,Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, United States
| | - Sonya Borrero
- Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA, United States.,Center for Innovative Research on Gender Health Equity, University of Pittsburgh, Pittsburgh, PA, United States.,Center for Health Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA, United States
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48
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Butler-mokoro S. Broken Family Ties: Black, Enceinte, and Indigent at Tewksbury Almshouse. Genealogy 2022; 6:29. [DOI: 10.3390/genealogy6020029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Tracing family lineage through women has unique challenges that are made only more difficult when a woman has resided in a state-run social institution and is Black. This article focuses on six pregnant Black women who were residents at the Tewksbury Almshouse in Massachusetts between 1854 and 1884. I examine the way the women’s names and other aspects of their identities were recorded in the intake records and in state birth and U.S. Census records. I contend that the women were not treated with dignity and respect, such that their names were often misspelled, shortened, and documented incorrectly. Part of my argument is that this was done partially because many of the women were pregnant with a white man’s baby and were poor, domestic Black women carrying a bi-racial baby out of wedlock. All of this has made it challenging to trace the family ties of the women once they left Tewksbury. I argue that the way in which these women were treated and documented (or not) reflects the devaluing of Black women and, especially, Black pregnant women.
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Erving CL, Zajdel R. Assessing the Validity of Self-rated Health Across Ethnic Groups: Implications for Health Disparities Research. J Racial Ethn Health Disparities 2022; 9:462-477. [PMID: 33544329 DOI: 10.1007/s40615-021-00977-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 01/21/2021] [Accepted: 01/25/2021] [Indexed: 01/12/2023]
Abstract
OBJECTIVES This study examines the association between morbidity (i.e., chronic health conditions) and self-rated health (SRH) with the aim of testing the within-group and across-group validity of SRH across nine ethnic groups: non-Latinx White, Mexican, Puerto Rican, Cuban, African American, Afro-Caribbean, Chinese, Filipino, and Vietnamese Americans. In addition, we assess whether acculturation (i.e., nativity, years of US residency, language of interview) and health-related factors (e.g., mental disorder) account for ethnic distinctions in SRH. DESIGN Data are from the National Survey of American Life (NSAL) and the National Latino and Asian American Study (NLAAS) (N = 8338). Weighted proportions and means for SRH and chronic conditions are reported. Ordered logistic regression analysis is used to determine ethnic group patterns in SRH. RESULTS Despite evidence of within-group validity of SRH for each ethnic group, our results seriously challenge the across-group validity of SRH. For example, Chinese and Vietnamese respondents report lower SRH despite having fewer chronic conditions relative to non-Latinx Whites. Moreover, Mexican Americans report fewer chronic health problems but lower SRH compared to non-Latinx Whites. Acculturation factors (e.g., language of interview) partially explain the Mexican-White difference in SRH. Among Chinese Americans, completing an interview in English is associated with higher SRH relative to those who completed an interview in Chinese. CONCLUSION These findings have implications for health disparities research that uses SRH as the dependent measure. Studies that compare the health profiles of diverse ethnic groups should use the SRH measure with caution, as SRH does not align with ethnic patterns of morbidity.
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Affiliation(s)
- Christy L Erving
- Department of Sociology, Vanderbilt University, Nashville, TN, USA.
| | - Rachel Zajdel
- Department of Sociology, Vanderbilt University, Nashville, TN, USA
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Javaid M, Khan MH, Kaur S, Qazalbash F. Islamophobia in the West: A Critical Discourse Analysis of Imran Khan’s UNGA Speech. Religions 2022; 13:284. [DOI: 10.3390/rel13040284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The tragic and horrendous attack on the World Trade Center also served to construct an unmistakable shape to Islamophobia in the West. It worked as fuel for the already-lit fire of Islamophobia and aggravated the situation with numerous indiscriminate attacks on Muslims. The situation worsened with George Bush’s unequivocal statement: “either you are with us or against us”. This was the call for a cultural war between the West and Muslims framed by the Us versus Them schemata. This research has analyzed the speech of Imran Khan which he delivered at the 74th session of the United Nations General Assembly, employing van Dijk’s Ideological Square Model with a specific focus on NVivo 12 Plus to inspect the magnitude of the impact of linguistic memorandums from authoritative institutes. The researchers have investigated the lexicalization of Khan’s speech to explore how he uses language to sketch the picture of the West as “them” parallel to “us”. His rhetoric is critically examined through the micro and macro-strategies of the Ideological Square Model. The findings reveal that instead of challenging and interrogating the Us versus Them schema that permeates Islamophobia, Khan himself uses the very same schema to show ideological differences between the West and Muslims.
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