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PubMed1995

[Plasmacytomas of the upper respiratory tract].

Nine cases of plasmocytoma of the upper airways in the current biopsy material are studied over a three-year period (1991-1993). Initially, all nine cases are clinically diagnosed as neoplasms: hemangiofibroma--one, chondrosarcoma--one, suspected carcinoma--five, and unspecified diagnosis--two. "Plasmocytoma" diagnosis is made on the ground of histological investigation of the material, supported histochemically and electron-microscopically. Some diagnostic problems (differential diagnosis inclusive) are discussed, as well as issues relating to the clinical and morphological evolution of the disease, and predilected gender and age groups.

Adult↗
PubMed1998

[Adolescents and sexuality in family practice. A pilot study].

It is well established that teenagers are generally dissatisfied with the sexual education they receive from school and parents. While several alternative sources of sex counselling have been suggested (i.e. an anonymous and semi-official telephone hot-line), the role of the general practitioner in sexual guidance of youngsters is only poorly evaluated. One hundred and sixty-eight teenage callers of "The Adolescent Sexuality Hot-line" were asked about their experience with sexual counselling by their family doctor. One third had actually discussed such topics with their g.p., and a total of 44.6% (significantly more girls than boys) regarded their g.p. as a desirable interlocutor on these issues. The reasons for having approached a g.p. for counselling differed according to gender, as did the causes for not wanting to involve a g.p. in sexual matters: boys tended to state shyness and lack of anonymity as main causes, whereas girls more often pointed to personal aspects of the doctor.

Adolescent↗
PubMed1993

The house of difference: gender, culture, and the subject-in-process on the American stage.

A lesbian woman of color is often defined by her multiple differences as "other" and/or "object." Yet these very differences can also allow her to challenge culturally held notions of gender, subjectivity, and representation. This article examines one such example, Cherríe Moraga's teatro Giving Up the Ghost where, for the first time, the issue of Chicana lesbian sexuality is addressed on the stage.

Acculturation↗
PubMed1993

Gender and conflict structure in marital interaction: a replication and extension.

Twenty-nine married couples engaged in 2 videotaped discussions: 1 in which the husband requested a change in the wife and 1 in which the wife requested a change in the husband. Conflict behavior was assessed by self-report and observer ratings. Neither conflict structure (who requested the change) nor gender was associated with the positivity or negativity of spouses' behavior. During discussions of husbands' issues, wives and husbands did not differ in demand/withdraw behavior, whereas when discussing wives' issues, wives were more demanding and husbands were more withdrawing. Husband-demand/wife-withdraw interaction predicted an increase in wives' satisfaction 1 year later, whereas wife-demand/husband-withdraw interaction predicted a decline in wives' satisfaction 1 year later. These results replicate and extend those of our earlier study (Christensen & Heavey, 1990).

Adult↗
PubMed2006

Health policy considerations for our sexual minority patients.

Homosexuality and transsexuality are still widely viewed by lay individuals as morally negative and deserving of legal proscription. Peer-reviewed data confirm that experiences of legal discrimination are associated with stress-related health problems, reduced utilization of health care, and financial and legal challenges for individuals and families, especially those with children. In the last 3 years, the American Psychiatric Association, American Psychological Association, and American Psychoanalytic Association have each reviewed the research on sexual orientation and identity, and each has confirmed that sexual orientation and gender identity do not correlate with mental illness or immorality. They have each endorsed laws that confer equality to sexual minorities, including nondiscrimination in employment, medical insurance coverage, adoption, and access to civil marriage. The American College of Obstetricians and Gynecologists (ACOG), by virtue of its history of advocacy for women's health, is in a position to promote policy and make similar recommendations, recognizing that sexual minority women's health and their family issues are an integral component of taking care of all women. The College should review the policies of America's premier mental health associations and consider including sexual orientation and gender identity in its own nondiscrimination policy, and ACOG should issue a policy statement in support of laws to provide safety from violence and discrimination, equal employment opportunities, equal health insurance coverage, and equal access to civil marriage.

Evidence-Based Medicine↗
PubMed1996

Nicotine dependence and intentions to quit smoking in three samples of male and female recovering alcoholics and problem drinkers.

We report gender-specific data on tobacco use and quitting smoking from three studies of nicotine-related issues during alcoholism treatment. Study 1 data are from 309 alcoholism treatment professionals who were current or former smokers with a personal history of alcoholism or problem drinking. Study 2 data are from 496 smokers receiving counseling for their problems with alcohol in outpatient alcoholism treatment centers. Study 3 data are from 90 smokers receiving intensive alcoholism treatment in residential or inpatient programs. Interest in smoking cessation was high in all groups. Significant gender differences were apparent among the recovering alcoholics but not among the problem drinkers. Severity of alcohol use problems also showed some association with smoking cessation behaviors.

Adult↗
PubMed1993

Using focus group interviews to identify salient issues concerning college students' alcohol abuse.

Despite extensive efforts to decrease alcohol abuse among college students, prevention approaches have had limited success. This study attempted to clarify reasons for this limited success and to identify directions for future interventions by directly interviewing college students on this topic. Five issues were discussed in the focus group interviews: (1) reasons for drinking alcohol, (2) reasons for not drinking alcohol, (3) circumstances surrounding overconsumption of alcohol, (4) topics and methods for prevention, and (5) gender differences in drinking patterns. The focus group interviews were found to be a valid tool for elucidating sensitive aspects of these issues and the relative importance of these issues to each other. The students revealed how susceptible they are to societal pressures to drink alcohol and how the limitations of their intrapersonal skills affect their alcohol consumption, most notably regarding sexuality issues. The authors contend that improving intrapersonal skills should be a major focus of programs to prevent alcohol abuse.

Adult↗
PubMedDate not supplied

Psychosocial considerations in the management of late-diagnosed male pseudohermaphroditism.

Male pseudohermaphroditism (MPH), which causes ambiguous genitalia, rarely presents during adolescence. Herein we report two siblings diagnosed with MPH at the ages of 16 and 12 years and raised unambiguously as girls. Individuals with MPH provide caregivers the opportunity to observe the complex interaction between the biologic and psychosocial forces which shape gender identity. Factors which contribute to gender identity and the management of sex assignment may differ between cultures with regard to dominating sociocultural attitudes towards masculinity and femininity in a given society. The decision to perform feminizing surgery on both patients was made in consideration of these issues.

Adolescent↗
PubMed1998

Gender and age differences in the concerns of adolescents in Northern Ireland.

This study surveyed the self-expressed worries of 3,983 adolescents in Northern Ireland, with a specific focus on identifying age and gender differences. Students aged thirteen to eighteen years completed a 138-item scale in which they indicated frequency of worry across a range of social and personal issues. Analysis of their responses revealed that females reported worrying significantly more frequently than did males, particularly in regard to transition from school and personal and academic issues. Students over sixteen years old reported worrying significantly less frequently than did their younger counterparts. These results are discussed in the context of societal, gender-related, and developmental influences.

Adolescent↗
PubMed2002

Health care reform in New Zealand: the diversity of gender experience.

Women are a heterogeneous group with varying experiences and needs of health care systems. It is important that we recognise not only differences between women, but also that individual women may have different, even contradictory, health care issues and needs. These may vary according to women's different roles, identities, contexts, and resources (financial, social, etc.). This paper explores situated ideas about identity, gender, and place and how these relate to perceptions of accessibility of health care services in the context of New Zealand's restructured health care system.

Delivery of Health Care↗
PubMedDate not supplied

Understanding the breast cancer experience of Asian American women.

Breast cancer is the most common form of cancer in women and affects women across all ethnic groups. Although the psychosocial impact of breast cancer is being studied, there is little information on ethnic minorities. To better understand the breast cancer experience of Asian American women, we conducted key informant and focus group interviews. Six professionals participated in the key informant interviews. A total of 34 Asian American breast cancer survivors participated in focus group interviews, including Korean (n=10), Chinese (n=11), and a mixed Asian group (n=13). The common themes identified in this series of qualitative studies included: lack of knowledge about breast cancer; medical care issues such as cost and amount of time spent with physician; cultural factors related to beliefs about illness, gender role and family obligations (e.g. self-sacrifice) and language barriers; the importance of spirituality; and psychosocial concerns related to worry about children, burdening the family, body image and sexual health concerns. A primary source of support and coping for Asian American women with breast cancer was their spiritual beliefs. The results from this qualitative study have been used to prepare a survey instrument to examine these issues in a larger sample of Asian American women.

Adaptation, Psychological↗

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