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Biomedical subjects

J G Lipson

Publications and source records attributed to J G Lipson.

31 records · Page 2Linked to original sources
PubMed1982

Effects of a support group on the emotional impact of cesarean childbirth.

Childbirth by cesarean, especially when unexpected, can be a source of acute emotional distress, stemming from unmet expectations for childbirth and the experience of major surgery, among other factors. Some women experience negative feelings months or years after the birth. A difficult cesarean birth experience has potential negative effects on a woman's relationship with her spouse or infant. Cesarean support groups play an important role in the prevention of emotional distress by facilitating the resolution of the birth experiences and allowing women to plan and prepare for more positive birth experiences in the future.

Cesarean Section↗
PubMedDate not supplied

Pregnancy, birth, and disability: women's health care experiences.

This qualitative study examined the pregnancy, birth and postpartum experiences of 12 women with mobility-limiting physical disabilities. Analysis of semi-structured interviews of one to two hours revealed that the women's experiences were influenced by their own perspectives and the characteristics of health care system within which they were treated. The woman's experience included the effect of her disability, her resources, and her personality and approach. Health care system factors included provider attitudes, knowledge about disability and structural and political factors. Implications for health care providers are described.

Activities of Daily Living↗
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Changing roles of Afghan refugee women in the United States.

Refugee women face many challenges, such as traumatic flight, loss of family members and property, and dramatic cultural differences in the country of resettlement. We examined the adjustment issues and role changes of Afghan women refugees in northern California. Afghans comprise the largest refugee population in the world, and continuing political turmoil prevents most Afghans in the United States from returning home. Data are presented from interviews with 32 Afghan women. These interviews were conducted as part of a larger ethnographic study that included participant observation and interviews with 90 Afghans and the American health and social service providers who worked with them. Although similar issues were expressed by most Afghan women, generation influenced the experience of such issues. The elderly suffer from social isolation and lack of respect; the middle generation shoulders the triple burden of housewife, employee, and mediator between children and spouse; and young and single women face culture conflict and the lack of appropriate mates.

Acculturation↗
PubMedDate not supplied

Health issues among Afghan women in California.

Afghan refugee women are part of the largest refugee population in the world. In the United States, they deal with loss of family members, property, and status and cultural, familial, religious, role, and generational conflict in making the transition from a traditional patriarchal society to a more egalitarian postindustrial society. Findings from a San Francisco Bay Area Afghan community health assessment conducted from 1992 to 1993 are presented. The assessment included 38 telephone interviews, seven community meetings, and a survey of 196 Afghan families. Six years of ethnographic study with more than 200 Afghans and their health providers provide contextual data. We describe cultural characteristics that influence women's access to health care, women's approach toward preventive care, control of information regarding sexuality, and spouse abuse.

Adolescent↗
PubMedDate not supplied

Menopausal transition of Korean immigrant women: a literature review.

The menopausal transition needs to be understood in terms of the multiple mediating factors within the context in which women experience it. For immigrant women especially, the menopausal experience is complicated by multiple transitions and social marginality, so it cannot be adequately explained without considering this complexity. In this paper we review the literature on the menopausal transition of a group of vulnerable immigrant women in two ways: describing the transitions themselves (menopause, immigration, and housewife to employee), and describing factors that mediate the menopausal transition experience (family norms, meaning of menopause and women's work, and health practices). We emphasize the context and suggest areas of needed research.

Attitude to Health↗
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Information sources, menopause beliefs, and health complaints of midlife Filipinas.

Although the perimenopausal transition is a universal experience for women who live long enough, its cross-cultural variations have been explored only recently. In this study, we investigated some of the expectations and health beliefs of 165 midlife Filipina Americans using focus groups and a short-answer questionnaire. Participants reported on (a) how they learned about menopause, (b) who they talked to about menopause symptoms or issues, (c) how Filipino women and men feel about menopause, and (d) the most common health complaints of midlife Filipinas. Findings revealed that midlife Filipina Americans primarily obtain their information from and talk about menopause with female relatives and friends. They usually viewed menopause as a normal life phase, yet knew less about how Filipino men feel about menopause. Health complaints of midlife Filipinas were mainly estrogen-related menopause symptoms and negative affect symptoms.

Adult↗
PubMedDate not supplied

Repeat cesarean births. Social and psychological issues.

Up to 30% of the current American cesarean birth rate has been attributed to routine repeat cesareans . Social and psychological issues associated both with repeat cesarean birth and with vaginal birth after a cesarean are reviewed. Current changes in the obstetrical community and among consumers are described; factors that influence the decision-making process in women planning future births are discussed; suggestions are offered to nurses who work with pregnant and laboring women who have had previous cesareans .

Attitude of Health Personnel↗
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Afghan refugees in California: mental health issues.

Refugees are a particularly vulnerable population that is at risk for mental health problems for a variety of reasons: traumatic experiences in and escapes from their countries of origin, difficult camp or transit experiences, culture conflict and adjustment problems in the country of resettlement, and multiple losses--family members, country, and way of life. Afghan refugees comprise the largest refugee population in the world, at its peak numbering more than 6 million, living mainly in Pakistan and Iran. Based on an ethnographic study of Afghan refugees in Northern California, this article describes common antecedents to and examples of mental health problems in this population, such as depression, somatic symptoms, and posttraumatic stress disorder. It reviews some of the literature on traumatized refugees and makes some suggestions to mental health providers.

Acculturation↗
PubMedDate not supplied

Ethnicity and health among five Middle Eastern immigrant groups.

The relationships among immigration, ethnic identity, and health were investigated in subjects who emigrated from the Middle East to the United States. Egyptian, Yemeni, Iranian, Armenian, and Arab immigrants (N = 88) were interviewed to determine the relationship among ethnic group (country/culture of origin), strength of ethnic identity (four factors and perceived ethnic identity), and mental and physical health (perceived health, physical and psychological symptoms, and morale). The findings show significant differences among the five groups on cultural attitudes, social attitudes, family orientation, the number of physical symptoms, the number of psychological symptoms, perceived health status and positive morale. Subjects who perceived themselves to be more traditionally ethnic tended to have more physical symptoms and less positive morale. Ethnic group accounted for a significant percentage of variance in positive morale and perceived health status. Ethnic identity accounted for a significant proportion of variance in physical symptoms. The results support the need for considering ethnic identity as well as country of origin in providing care for clients.

Adult↗
PubMedDate not supplied

Cesarean support groups: mutual help and education.

In the context of the natural childbirth movement and a recent sharp rise in the cesarean birthrate, an unexpected cesarean can be a source of acute psychological stress. Cesarean support groups provide information, peer emotional support, a reference group and role models, and an opportunity to help others, as well as increasing consumer activism in the health care system. Illustrations are drawn from participant observation in two support groups and interviews of selected participants.

Adult↗