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PubMedDate not supplied

Adolescent health concerns: a comparison of adolescent and health care provider perceptions.

The purpose of this study was to ascertain adolescent perceptions of health concerns and to contrast the health care provider perceptions of adolescent concerns. The student sample consisted of 179 students from the 9th, 10th, and 11th grade in a 2,000-student suburban high school. The health care provider sample consisted of 74 physicians, nurse practitioners, and school nurses. The largest number of students reported concerns about AIDS, schoolwork, making friends, sex, discrimination, and dental problems. Additionally, menstruation, violence, rape, abuse, pregnancy, sadness, and obesity were of concern to a greater number of female than male students. Homosexuality, sex, auto accidents, and low weight were of concern to a greater number of male than female students. The findings of this study support the following conclusions: (a) Adolescents have more diverse health concerns with greater magnitude than expected by health care providers; (b) health care providers underestimate adolescent psychological and social health concerns; (c) female adolescents were more concerned about their health and more concerned about gender-specific and violent issues than males; (d) women's health care providers are unaware of female adolescent concern about violent acts against women.

Adolescent↗
PubMed2005

Infidelity in committed relationships II: a substantive review.

This article, a follow-up on our methodological review of infidelity studies, provides a substantive review of the research findings on infidelity in committed relationships. The aim of this article is to present the most conclusive findings available to both researcher and practitioner on the subject of infidelity. We highlight attitudes toward infidelity; prevalence data; types of infidelity; gender dynamics and infidelity; issues in the primary relationship and their relationship to infidelity; race, culture, and infidelity; education, income, employment, and infidelity; justifications for infidelity; individual issues and their relationship to infidelity; same-sex couples and infidelity; attachment and infidelity; opportunity and infidelity; the aftermath and recovery process from infidelity; and clinical practices.

Culture↗
PubMed2002

Diverse realities: sexually transmitted infections and HIV in India.

There are many features that make India a vulnerable country as far as a sexually transmitted infection (STI)/HIV epidemic is concerned. These include the lack of a strong evidence base on which to formulate decision making, a pluralistic and often unregulated health sector, and a highly vulnerable population. Nonetheless, India has shown strong commitment to other areas of a comprehensive reproductive health care programme, and may be able to do so in the field of STI/HIV control. Vast numbers of people in India are severely disadvantaged in terms of income, education, power structures, and gender. Addressing these basic issues of human rights lies at the core of achieving better health outcomes.

Developing Countries↗
PubMed2005

"Like a bird in a cage": Vietnamese women survivors talk about domestic violence.

In recent years, a growing literature has emerged that explores the role of culture in domestic violence for ethnic minority populations, including immigrants and refugees. This article presents qualitative data collected from Vietnamese refugee women through a research project in partnership with the Refugee Women's Alliance in Seattle, Washington. Through the women's stories, their own self-awareness of domestic violence as Vietnamese women residing in the United States is available for reflection and review. Issues of acculturation, changing gender roles, examples of strength, and cultural persistence constitute the thematic structure within which these women articulate their needs for creating and sustaining a life free of abuse for themselves and their children.

Adult↗
PubMed2007

Swazi men's contraceptive knowledge, attitudes, and practices.

This study investigated Swazi men's contraceptive knowledge, attitudes, and practices. Thirty adolescent men, aged from 16 to 18, and 86 adult men from urban and rural areas participated in focus group interviews. Adult Swazi men indicated that men were the sole decision makers about sexual and reproductive issues. The number and gender of children remains socially significant in Swaziland. Adolescent men expressed contradictory notions in expecting girls to refuse unprotected sex but maintaining that men were the sole decision makers about sexual matters. They agreed that women should commence childbearing activities at the age of 21 or later. This finding holds some promise for enabling more Swazi women to use contraceptives at least until they have completed their schooling. Contraceptive services were not readily accessible to men in Swaziland.

Adolescent↗
PubMed2003

Research on health inequalities in Latin America and the Caribbean: bibliometric analysis (1971-2000) and descriptive content analysis (1971-1995).

We conducted a bibliometric and content analysis of research on health inequalities produced in Latin American and Caribbean countries. In our bibliometric analysis (n = 576), we used indexed material published between 1971 and 2000. The content analysis (n = 269) covered the period 1971 to 1995 and included unpublished material. We found recent rapid growth in overall output. Brazil, Chile, and Mexico contributed mostly empirical research, while Ecuador and Argentina produced more conceptual studies. We found, in the literature reviewed, a relative neglect of gender, race, and ethnicity issues. We also found remarkable diversity in research designs, however, along with strong consideration of ecological and ethnographic methods absent in other research traditions.

Bibliometrics↗
PubMed1996

Accounting for the public's health: an introduction to selected papers from a U.S. conference on "measuring social inequalities in health".

Accounting for, and being accountable to, the public's health requires carefully documenting and analyzing social inequalities in health. Controversies abound over which measures of socioeconomic position to use, at which points in time, and at what level-e.g., individual, household, and neighborhood. Important debates also concern how to analyze these data and relate them to inequalities involving race/ethnicity and gender. Addressing these complex issues is particularly timely in the light of persistent- and even widening- social inequalities in health. To improve tools for evaluating socioeconomic gradients in health, in 1994 the U.S. Public Health Service and National Institutes of Health sponsored a conference on Measuring Social Inequalities in Health. This introduction to the Section on Social Inequalities in Health introduces five articles presented by participants at the conference. Topics include: a historical review of efforts to measure socioeconomic inequalities in health in the U.S. between 1990 and 1950; income dynamics and health; measuring inequalities in health among nonemployed persons; analyzing links between racial/ethnic and socioeconomic disparities in health; and using neighborhood-based socioeconomic data in public health research. Together, these five articles point to a new emphasis on refining methodologies to assess relationships between social position and health and their expression in population patterns of social inequalities in health.

Ethnicity↗
PubMedDate not supplied

Effectiveness of a women's mental health treatment program: a pilot study.

This exploratory pilot study sought to determine the effectiveness of a Women's Mental Health Treatment Program. This program was offered in a women's unit within a private psychiatric hospital and advertised as a way to help women deal with problems and issues unique to their gender. Twenty-six women responded to a survey questionnaire that explored their quality of life, social support network, ratings of the program, and feelings of self-esteem after discharge. These women were admitted for depression, anxiety attacks, marital problems, and eating disorders. Overall results pointed to the effectiveness of the program as indicated by the women's positive ratings of their current life situation, self-esteem, ability to resume work after discharge, and written appreciative comments. The various therapies rated as effective as part of the program treatment package were group therapy, individual therapy, assertiveness training, victim survivor, steps study, and esteem building.

Adult↗
PubMed1997

Detecting alcohol abuse: the value of carbohydrate deficient transferrin.

The author, an advocate of CDT testing for insurance applicants, senses considerable uncertainty among medical directors concerning the value of the test. This review of CDT literature and the history of CDT testing in insurance laboratories is an attempt to mitigate that confusion. Two principle problems are identified: 1) the expected sensitivity of the CDT test in insurance applicants will be 50% at most, usually considerably less. 2) adapting CDT testing to commercial laboratories has been, and still is, an unsolved problem for there remains an important disparity between the method used at Clinical Reference Laboratories and LabOne. Other important issues are also reviewed: gender differences, ethnicity, LFT's and CDT, and technical facts.

Alcoholism↗
PubMed2000

Physician unions: organizing women in the year 2000.

Interest in physician unions is growing, but surprisingly little has been written about whether union membership addresses the particular needs and interests of women physicians. We begin by looking at the history of physician unions in the United States and then examine physician unions today, and how labor laws influence union membership of physicians. The third section looks at why women join unions, whether these reasons hold true for women physicians, and what role women are playing in physician unions. Finally, we give examples of union responses to gender discrimination and such issues as maternity leave, salary inequities, sexual harassment, and promotions. Since women are prominent as leaders in physician unions, these unions seem to be responsive to the needs of their women members.

Female↗
PubMed2001

Women's oral health across the lifespan.

To address women's oral health conditions, it is important that oral health care providers understand basic female physiology and reproductive biology and consider the complex interaction between the environment, biology, and psychosocial development of women. Most oral health issues are not gender-specific but rather are aspects of conditions that may affect women differently. Oral health care providers should recognize that using this information to provide competent care requires knowledge, attitudes, and behaviors that are culturally and gender-sensitive. Recognizing the potential for gender-based differences in oral health and disease processes is a first step to becoming gender-competent.

Adult↗
PubMed2002

On self-perceived oral health in Swedish adolescents.

Aiming to investigate adolescents' perceptions of oral health, with a focus on gender differences, quantitative and qualitative studies were conducted in Skaraborg County, Sweden. Adolescents (13-18 years; n = 17,280) answered a school questionnaire, epidemiological indices on oral health were collected, and 17 semi-structured interviews were conducted. Most adolescents perceived their oral health as good, girls more often than boys. The oral behavior of girls was also more often healthy (floss usage: girls 31%, boys 21%), and they were consistently less satisfied with the appearance of their teeth than boys. Girls considered their own consumption of candy to be too high more often than boys. Acknowledging the importance of sound teeth was strongly associated with self-perceived oral health: boys, odds ratio (OR) 8.58 [confidence interval (CI) 7.12-10.34]; girls, OR 5.56 [CI 4.23-7.30]. Adolescents living with a single mother (13-15-yr-olds OR 1.37 [CI 1.20-1.57], 16-18-yr-olds OR 1.51 [CI 1.28-1.77]), or with neither parent, more often reported bleeding gums than those who lived with both parents, while adolescents who lived with a single father did not. Weak correlations between epidemiological indices and self-perceived oral health were found at the school level. In the interviews, adolescents perceived the possibilities to influence their own oral health as limited. Perceptions of influences on oral health were related to personal and professional care, social support, social impact, and external factors such as time and economy. Support from the mother--more than from the father--was emphasized. This thesis showed that positive oral health attitudes and parental support are of great importance if oral health is to be perceived as good. There were gender differences in all issues related to self-perceived oral health.

Adolescent↗
PubMed2003

Predicting adolescent eating and activity behaviors: the role of social norms and personal agency.

Guided by the theory of planned behavior, this 2-week longitudinal study examined health behaviors in a sample of 279 adolescents. Social norms and perceived behavioral control (PBC) were tested as predictors of self-reported intentions and behaviors in 2 domains, eating and physical activity. Differentiating, as opposed to aggregating, parent and peer norms provided unique information. For PBC, the authors distinguished global causality beliefs from self-related agency beliefs and intraself (effort, ability) from extraself (parents, teachers) means. Intraself agency beliefs strongly predicted healthy intentions, whereas intraself causality beliefs had a negative influence. Patterns differed somewhat across behaviors and gender. Results highlight theoretical issues and provide potential targets for research on health promotion programs for youth.

Adolescent↗
PubMed1992

Lung cancer in women. Rising epidemic, preventable disease.

Lung cancer is a preventable disease. Like acquired immunodeficiency syndrome, lung cancer is reaching epidemic proportions in women. This article overviews selected epidemiology of lung cancer and discusses public health issues that are gender-specific to women. Community nursing approaches are advocated that address risk behaviors in women and girls.

Adolescent↗
PubMed1992

Mental health consequences and correlates of reported medical student abuse.

OBJECTIVE: To assess the prevalence, correlates, and mental health consequences of reported medical training-related abuses. DESIGN: A longitudinal cohort study of 137 students surveyed from medical school entrance (time 1) through the winter of the fourth training year (time 4). SETTING: A state college of medicine. OUTCOME MEASURES: Reported training-related abuses (measured at time 4) and mental health status measured at times 1 and 4 (depressive and anxiety symptoms, hostility, problem drinking, escapist drinking, alcohol consumption levels, and gender role orientations). RESULTS: Seventy-two percent of students reported at least one abusive experience during medical training. Females were significantly more likely than males to report gender discrimination, exclusion from informal settings, discomfort from sexual humor, and unwanted sexual advances. Abuse was significantly related to most psychopathological outcomes, controlling for pre-existing psychopathology. Males low in masculinity and females low in femininity were most likely to report abuse. CONCLUSIONS: The data provide further support for the assumption that a high proportion of medical students not only experience the training process as abusive in nature but also suffer measurable psychopathological consequences. Efforts should be made to reform medical education, with a prominent focus on gender role-related issues.

Alcohol Drinking↗
PubMed1990

Postpartum myocardial infarction: a rehabilitation challenge.

Myocardial infarction in pregnancy or the puerperium is an uncommon occurrence. Thus, when young pregnant women sustain a myocardial infarction, they present a complex challenge to cardiovascular nurses. Issues such as female gender, young age, and child-bonding must be considered in addition to assisting the recovery from the myocardial infarction itself. This case study describes the rehabilitative nursing care of a young woman who sustained a postpartum myocardial infarction.

Adult↗
PubMed1995

Challenges to providing integrated treatment of anxiety disorders.

Although anxiety disorders are among the most common psychiatric conditions, a number of factors in the current health care scene pose challenges to providing effective, integrated treatment. The author describes nine specific challenges, including lack of recognition of the disorder by both patients and physicians. Other challenges include lack of gender-based research, comorbidity issues, differing etiological and ideological perspectives, the burgeoning of pharmacological treatments, and the tendency to adopt an "either/or," pharmacological versus psychotherapeutic approach to treatment. The author concludes that the overarching challenge is to disseminate the increasing knowledge of these disorders so that practitioners can provide the most effective, integrated treatment.

Anti-Anxiety Agents↗
PubMed1996

Alcohol elimination and simulator performance of male and female aviators: a preliminary report.

OBJECTIVES: In this preliminary study of alcohol effects on aviators' flight simulator performance, we addressed some methodological issues regarding possible gender-related differences in response to alcohol. METHODS: Subjects were 11 male and 12 female general aviation pilots, ages 21-40. Subjects received 8 h of training before they were tested with alcohol. On the alcohol test day they were tested before drinking, while intoxicated (target BAC of 0.08%), and 8 h after drinking. RESULTS: The average, observed peak BAC readings for men and women were within 0.003% of each other. We observed faster disappearance rates for women such that women reached the FAA cutoff of 0.04% approximately 1 h before men, on average. Compared to predrink performance, there was a significant decrement in simulator performance during acute intoxication, but not 8 h after drinking. There were no significant gender differences in performance before or after drinking alcohol. Slower rates of alcohol elimination were associated with larger performance changes 8 h after drinking. This is the first report to our knowledge suggesting a possible relation between alcohol elimination rate and change in performance after drinking alcohol. CONCLUSIONS: A 12.5% dose reduction for women appears to be adequate for achieving comparable peak BAC's for male and female groups. Future studies using measures of circadian rhythmicity in conjunction with pharmacokinetic and performance measures could potentially shed light on differences in subjects' acute and delayed responses to alcohol.

Adult↗