Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Gender Issues”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,495 records · Page 83Linked to original sources
PubMed1998

Children of Armageddon. Common developmental threats in high-conflict divorcing families.

This article traces how parental vulnerability to the feelings of humiliation and loss (inherent in highly conflicted divorce and custody litigation) distorts parenting capacities and parent-child relationships in distinctive ways, putting children at risk for specific kinds of developmental difficulties. Pre-oedipal children often fail to achieve a complete separation from their primary caretakers. Oedipal children, already struggling with separation issues, manifest sexualized anxiety and discomfort with gender identity. By latency, these children present as fragmented within themselves and in relationships with others. Each stage-specific response is discussed and illustrated. It is argued that mental health and legal professionals can use this in-depth understanding of child responses to help parents reframe their disputing agendas in terms of the child's developmental concerns and preoccupations to produce custody settlements that are more protective of the child's best interests.

Adolescent↗
PubMedDate not supplied

Infertility counselling: the ISSUE experience of setting up a telephone counselling service.

This paper explores the role of telephone counselling for people experiencing fertility problems. It examines the first nine months of the evening telephone counselling service offered by ISSUE (The National Fertility Association). Records of the service were analysed for number, duration and nature of calls. The results suggest that there is significant demand for such a service and that this demand has grown in line with availability. All counsellors working on the service were interviewed. Qualitative analysis of the interviews generated key themes concerning gender and culture, supervision and training, counselling process issues, boundaries and managerial issues. In addition, specific issues about counselling in the field of reproductive medicine were highlighted. Findings are discussed in relation to implications for service provision in this area of health care.

Counseling↗
PubMedDate not supplied

[Influence of patient's sex on the quality of medicine taken].

OBJECTIVE: To analyse the relationship between patient's sex and quality of medicine taken by monitoring the most pertinent predictive variables. DESIGN: Observational cross-sectional study. SETTING: Thirteen Health Centres in the Community of Valencia. PARTICIPANTS: Adult users, selected by consecutive sampling. MAIN MEASUREMENTS: A semi-structured questionnaire collected the following variables: social and personal details, use of medicines for health problems, frequency of use of services, and place where prescription was issued. The quality of the medication was measured by its intrinsic value (IV). RESULTS: 412 of the 812 patients were women. Men took more medication with a high IV, and women more with an unacceptable IV. Women over 45 took more medication with a not-high IV. Multivariate analysis showed: a) women took one and a half times more medicines with a not-high IV than men, with differences not significant, and b) in the 45-64 age-group, being a woman operated as a modifier of effect, increasing prevalence of consumption of not-high IV to two and a half times more than men. This was adjusted for frequency of attendance, health problems and where the prescription was issued. CONCLUSIONS: The study helped clarify the influence of gender on the quality of medicine, by pointing to the greater likelihood of women between 45 and 64 taking lower-quality medication. In addition, it showed the effect of where the prescription was issued and of health problems on explaining this difference in consumption.

Adolescent↗
PubMed2004

Interpersonal and group processes in long-term spaceflight crews: perspectives from social and organizational psychology.

The issues of interpersonal and group processes in long-term spacecrews from the perspectives of social and organizational psychology are considered here. A contrast between the Amundsen vs. Scott expeditions to the South Pole 90 yrs. ago highlights the importance of personnel selection and attention to interpersonal and group dynamics in expeditions to extreme and dangerous environments, such as long-term spaceflights today. Under the rubric of personnel selection, some further psychological "select-in" and "select-out" criteria are suggested, among them implicit measures of human motivation, intergroup attitudes ("implicit" and "explicit" measures of prejudice, social dominance orientation, and right-wing authoritarianism), attachment styles, and dispositional hardiness. The situational interview and the idea of "selection for teams," drawn from current advances in organizational psychology, are recommended for selecting members for future spacecrews. Under the rubrics of interpersonal and group processes, the social relations model is introduced as a technique for modeling and understanding interdependence among spacecrew members and partialling out variance in behavioral and perceptual data into actor/perceiver, partner/target, and relationship components. Group cohesion as a multidimensional construct is introduced, along with a consideration of the groupthink phenomenon and its controversial link to cohesion. Group composition issues are raised with examples concerning cultural heterogeneity and gender composition. Cultural value dimensions, especially power distance and individual-collectivism, should be taken into account at both societal and psychological levels in long-term space missions. Finally, intergroup processes and language issues in crews are addressed. The recategorization induction from the common ingroup identity model is recommended as a possible intervention for overcoming and inhibiting intergroup biases within spacecrews and between space- and groundcrews.

Astronauts↗
PubMedDate not supplied

Counseling Latino alcohol and other substance users/abusers. Cultural considerations for counselors.

This article presents a sociocultural alcohol/drug counseling model for counselors working with Latino users/abusers. Intended to supplement different treatment models, this model addresses pre-treatment issues of Latino users/abusers. A demographic overview of Latinos and a discussion of selected Latino cultural values and issues as they relate to substance use/abuse are included. These cultural values include Simpatía, Personalismo, Familismo, Gender Roles (Machismo and Hembrismo/Marianisimo), Vergüenza, and Espiritismo. Along with identifying misperceptions and issues that may occur within the counseling session, specific recommendations and interventions for counselors are provided.

Cross-Cultural Comparison↗
PubMed2005

A dual-route account for access to grammatical gender: evidence from functional MRI.

Research investigating the neural correlates of grammatical gender processing has provided contradictory evidence with respect to activation in the left inferior frontal gyrus (IFG). A possible account for these discrepancies is a dual-route model proposing explicit vs implicit access to the gender information. In this event-related fMRI experiment, we investigated this issue by taking into account different processing strategies reported by the subjects. The participants performed two tasks, a gender judgement of German nouns and a non-lexical baseline task (spacing of consonant letter strings). Depending on the reported strategy (silent production of the definite determiner or direct access to the gender information), different patterns of activation in the left IFG were observed. Direct access to gender information yielded activation in the inferior tip of BA 44, whereas the verbalisation strategy elicited activation in the superior portion of BA 44, BA 45/47, and the fronto-median wall. These results speak in favour of a dual-route account for modelling the access to grammatical gender information during language comprehension.

Adolescent↗
PubMed1999

Female genital mutilation: the penultimate gender abuse.

OBJECTIVE: The five goals established for the development of this article were to: (1) provide an historical overview of the practice, (2) describe the procedure and its sequelae in realistic terms, (3) explore cultural justifications for the continuation of this action, (4) evaluate inherent moral/ethical/legal issues and, (5) focus worldwide professional attention on a gender-specific child atrocity. METHOD: A review of the past and current historical, popular and professional literature was undertaken to determine the precursors, magnitude, settings, rationale, and moral-ethical-legal-treatment issues associated with this mutilating procedure. RESULTS: Four forms of female genital mutilation were identified. These are: (1) sunna (removal of the prepuce of the clitoris); (2) clitoridectomy (removal of the prepuce and the clitoris); (3) excision (removal of the prepuce, clitoris, upper labia minora and perhaps the labia majora); and, (4) infibulation (removal of the prepuce, clitoris, labia minora, and labia majora). The "surgery" is performed most frequently by untrained midwives who use sharp rocks, razor blades, kitchen knives, broken glass, or even their teeth. As a rule, no anesthetics, antiseptics, analgesics or antibiotics are available to victims. Consequently, these females typically suffer from massive short-term and long-term physical, emotional, sexual and obstetrical sequelae. CONCLUSIONS: The justifications tendered by proponents do not withstand moral-legal-ethical scrutiny. Female genital mutilation is a violation of human rights and an atrocity perpetrated against helpless individuals who are unable to provide informed consent and who must therefore be protected through education and legislation.

Child↗
PubMed1998

Age, relationship, and touch initiation.

Gender asymmetry in touch in U.S. populations is related to the age of the participants in some studies and to the relationships between the participants in others. In the present study, researchers observed dyads in public settings in the United States frequented by couples and recorded the occurrence of touch, the touch initiator, and the body areas touched. The researchers then approached the couples and asked them to complete questionnaires indicating their ages, their relationship, and their level of agreement on major issues. Age and relationship were predictive of the gender of touch initiators. Although levels of agreement were less predictive of touch initiation, the women indicated higher levels of agreement than the men did. The results were generally consistent with a model of sex differences in reproductive strategies.

Adolescent↗
PubMed2004

Age- and sex-stratified prevalence of physical disabilities and handicap in the general population.

BACKGROUND AND AIMS: Our aim was to provide age- and sex-stratified prevalence estimates of physical disabilities and handicap in the general Belgian population. METHODS: A cross-sectional and demographically representative health interview survey was conducted nationwide in Belgium in 1997. The 8836 persons aged 15 years and over who answered the health interview were included in this study. Seventeen items from the survey encompassing main activities of daily living (ADL) and confining were analyzed. To provide prevalence estimates as detailed as possible, neither aggregation nor dichotomization were applied. RESULTS: Women consistently reported more disability than men: mobility (p < 0.001), transfer in-out bed (p < 0.001), transfer in-out chair (p < 0.001), dressing (p = 0.004), washing hands and face (p = 0.029), getting to and using toilet (p = 0.003), continence (p < 0.001), seeing (p < 0.001) and mastication (p < 0.001). As expected, there was a marked trend for increased prevalence of disability with increasing age for both sexes. Moderate disability arose mainly from the 25-34 age group for both sexes. For both genders, severe disability appeared mainly at higher ages, particularly for the 65-74 age group. Nevertheless, the data suggest that continence problems for women, mobility and transfer issues for men, as well as mastication problems for both genders, clearly emerge earlier than age 65. Regarding handicap, observed prevalence rates were increasing, in age as was the case for disability, but no differences were found between men or women, except for confinement to house/garden, for which women presented a higher rate in general (p < 0.001) and in the 75-84 age group (p = 0.036) in particular. CONCLUSIONS: This study shows the wide range of disability types in the general population and their association with handicap. While elderly individuals consistently report higher degrees of disability and handicap, attention should also be paid to younger age groups. Disability calls for wide, coherent and relevant medical as well as social responses.

Activities of Daily Living↗
PubMed2000

Women and tobacco: oral health issues.

As a female-dominated profession, dental hygiene has a heightened interest in women's health issues. An area of disease prevention and health promotion that merits gender specific interventions is tobacco use. Tobacco initiation, habituation, and cessation are different for men and women, and their effects on women's health also are more varied and unique. This paper addresses trends in tobacco use by women, gender specific developmental and sociocultural considerations in initiation and habituation; the pregnant tobacco user and the developing fetus; menopause, osteoporosis, heart disease, and tobacco use; the economic impact of pregnancy and tobacco use; and successful interventions with women who use tobacco. Since women present for more dental office visits than males, female patients are more accessible to the dental hygienist's tobacco intervention message, and gender specific strategies may be most successful. Dental hygienists' strong counseling and motivational abilities, along with their inherent interest in women's issues, can make prevention and cessation activities with female patients who use tobacco both challenging and rewarding.

Adolescent↗
PubMed2004

Domestic violence--a comparison of activities in the health care sector in Brazil and Germany.

During the last decades an, international discussion has started on how to reduce the gender gap in women's and men's health. Feminist activists and public health scientists in Canada, Latin America (foremost Brazil), the States and South Africa issued a declaration of intention to focus on health impacts caused by gender-related domestic violence. In Europe, and particularly in Germany, the topic as an issue of medical care has lately been given increased attention. In this article, we present activities undertaken to overcome the obstacles in integrating the topic of domestic violence as a medical issue. The successful Brazilian strategy served as a model, in particular for implementing a hot-line for victims of domestic violence within the day-to-day clinical setting. The General Medical Council (Arztekammer), the Women's Medical Association of Lower-Saxony, and the Hanover Medical School founded a working committee "domestic violence" in co-operation with the Ministry of Women, Work and Social Affairs. Between 2002 and 2003, this task force worked out several guidelines and hand-outs for physicians to promote gender-sensitive treatment of abused women, gaining increasing acceptance by the German medical care providers in medical education and in-training services for physicians.

Brazil↗
PubMed2005

An international comparison of women's occupational health issues in the Philippines, Thailand, Malaysia, Canada, Hong Kong and Singapore: the CIDA-SEAGEP study.

BACKGROUND: An international comparison study of women's occupational health issues was carried out in 2000 for the Philippines, Thailand, Malaysia, Canada, Hong Kong and Singapore. The study was funded by the Canadian International Development Agency's Southeast Asia Gender Equity Program. AIM: The objective was to compare the issues, risk factors, social determinants, and challenges in women's occupational health, according to the status of economic development as defined by the World Bank. METHOD: Data were collected through 27 key informant interviews of high-ranking government officials and senior researchers, self-administered questionnaires on country or regional statistics and 16 courtesy calls. RESULTS: Results indicated that women's occupational health problems common in these countries or regions included women's long hours of work (double workday), shift work and a caring role for family and friends. Problems reported in developing countries but not developed countries included poor access to training and protective equipment, and insufficient legislation to protect women's rights. Problems reported in developed countries but not in developing countries included obesity, smoking and not including women in health research. CONCLUSION: This paper provides insights into the changing environment in the workplace, such as increasing participation of women in the paid workforce and changes in gender differences due to the changing country economy, for improving women's occupational health.

Adult↗
PubMed2001

Physician gender and hormone replacement therapy discussion.

Hormone replacement therapy (HRT) is a major issue confronting millions of women today, and general internal medicine and family practice physicians are an important source of information and counseling on this issue. Previous studies have suggested that HRT discussion and prescribing are more frequent with female than with male physicians, but others have suggested age and practice setting may be the reason for observed differences. We attempted to determine if physician gender influenced HRT discussion frequency between physicians and their patients using cross-sectional, secondary analysis of data collected at general internal medicine and family practice clinics at the University of New Mexico Health Sciences Center. Twenty-seven family practice and internal medicine resident physicians (15 female, 12 male) participated. There were 127 female patients age 45 and older. Audio-taped observations of patient-physician visits collected during 1995 for a study on patient-physician communication and patient satisfaction were used. There was less frequent discussion with female than male physicians (OR = 0.42, p = 0.0014). HRT was discussed during 51 visits. Patients initiated HRT discussion in 39.2% of visits in which it was discussed. Patients with diabetes were less likely to discuss HRT (OR = 0.25, p = 0.0122). Increasing year of physician residency was associated with decreased discussion of HRT (OR = 0.51, p < 0.0001). In this health sciences center, with physicians similar in age and training, male physicians discussed HRT significantly more often than did female physicians.

Age Factors↗
PubMed2006

Variation in pediatric intensive care therapies and outcomes by race, gender, and insurance status.

CONTEXT: The differential allocation of medical resources to adult patients according to characteristics such as race, gender, and insurance status raises the serious concern that such issues apply to critically ill children as well. OBJECTIVE: This study examined whether medical resources and outcomes for children admitted to pediatric intensive care units differed according to race, gender, or insurance status. DESIGN: An observational analysis was conducted with use of prospectively collected data from a multicenter cohort. Data were collected on 5,749 consecutive admissions for children from three pediatric intensive care units located in large urban children's hospitals. PARTICIPANTS: Children aged </=18 years admitted over an 18-month period beginning in June 1996 formed the study sample. MAIN OUTCOME MEASURES: Hospital mortality, length of hospital stay, and overall resource use were examined in relation to severity of illness. Standardized ratios were formed with generalized regression analyses that included the Pediatric Index of Mortality for risk adjustment. RESULTS: After adjustment for differences in illness severity, standardized mortality ratios and overall resource use were similar with regard to race, gender, and insurance status, but uninsured children had significantly shorter lengths of stay in the pediatric intensive care unit. Uninsured children also had significantly greater physiologic derangement on admission (mortality probability, 8.1%; 95% confidence interval [CI], 6.2-10.0) than did publicly insured (3.6%; 95% CI, 3.2-4.0) and commercially insured patients (3.7%; 95% CI, 3.3-4.1). Consistent with greater physiologic derangement, hospital mortality was higher among uninsured children than insured children. CONCLUSIONS: Risk-adjusted mortality and resource use for critically ill children did not differ according to race, gender, or insurance status. Policies to expand health insurance to children appear more likely to affect physiologic derangement on admission rather than technical quality of care in the pediatric intensive care unit setting.

Adolescent↗