WorldWideScience

Sample records for black women experience

  1. Decolonised Sexualities : The Lived Experiences of Black Township Women Who Love Women

    NARCIS (Netherlands)

    Mbasalaki, P.K.|info:eu-repo/dai/nl/369405560

    2018-01-01

    This thesis centres the lived experiences of black township women in same-sex relationships in Cape Town and Johannesburg. The main question—‘How do black township women construct their same-sex sexuality?’—called for a mixed methods approach, combining qualitative and quantitative data. Set against

  2. Black women in menopausal transition.

    Science.gov (United States)

    Im, Eun-Ok; Lee, Seung Hee; Chee, Wonshik

    2010-01-01

    To describe the experience of menopausal symptoms of midlife Black women in the United States. Qualitative online forum using a feminist perspective. Internet communities for midlife women and Blacks. Twenty midlife Black women recruited using a quota sampling method. A 6-month online forum was conducted with seven discussion topics on menopausal symptoms. The discussion topics were posted sequentially on the forum site, and the women posted messages at their convenience over 6 months. The data were analyzed using thematic analysis. The identified themes were raised to be strong, accepting a natural aging process, silent and without knowledge, and our own experience. The women tried to be strong during their menopausal transitions while dealing with other important family matters. The women did not report their menopausal symptoms and were silent about or downplayed their symptoms, but many emphasized the importance of education about menopausal symptoms and highlighted their own lack of knowledge. These women generally did not talk about their symptoms because they believed that nobody except other Black midlife women could understand their menopausal experience. Health care providers need to develop a mechanism to deliver the necessary knowledge about menopausal symptoms and management strategies to Black midlife women in their health care practices.

  3. New Directions for Black Women?

    Science.gov (United States)

    McGuigan, Dorothy, Ed.

    1978-01-01

    This collection of papers deals with various aspects of the black female experience in America. "The Black Woman in Transition" discusses the effects of sexism and racism on black women with particular reference to employment and education; it is noted that black women, in comparison with other groups in society, suffer a proportionately higher…

  4. Exploring the Experience of Life Stress Among Black Women with a History of Fetal or Infant Death: a Phenomenological Study.

    Science.gov (United States)

    Brown, Kyrah K; Lewis, Rhonda K; Baumgartner, Elizabeth; Schunn, Christy; Maryman, J'Vonnah; LoCurto, Jamie

    2017-06-01

    Disparate birth outcomes among Black women continue to be a major public health problem. Whereas prior research has investigated the influence of stress on Black women's birth outcomes, few studies have explored how stress is experienced among Black women across the life course. The objectives of this study were to describe the experience of stress across the life course among Black women who reported a history of fetal or infant death and to identify stressful life events (SLE) that may not be represented in the widely used SLE inventory. Using phenomenological, qualitative research design, in-depth interviews were conducted with six Black women in Kansas who experienced a fetal or infant death. Analyses revealed that participants experienced multiple, co-occurring stressors over the course of their lives and experienced a proliferation of stress emerging in early life and persisting into adulthood. Among the types of stressors cited by participants, history of sexual assault (trauma-related stressor) was a key stressful life event that is not currently reflected in the SLE inventory. Our findings highlight the importance of using a life-course perspective to gain a contextual understanding of the experiences of stress among Black women, particularly those with a history of adverse birth outcomes. Further research investigating Black women's experiences of stress and the mechanisms by which stress impacts their health could inform efforts to reduce disparities in birth outcomes. An additional focus on the experience and impact of trauma-related stress on Black women's birth outcomes may also be warranted.

  5. Clinical trial experience with prophylactic human papillomavirus 6/11/16/18 vaccine in young black women.

    Science.gov (United States)

    Clark, Liana R; Myers, Evan R; Huh, Warner; Joura, Elmar A; Paavonen, Jorma; Perez, Gonzalo; James, Margaret K; Sings, Heather L; Haupt, Richard M; Saah, Alfred J; Garner, Elizabeth I O

    2013-03-01

    Human papillomavirus (HPV) is the causative agent of cervical cancer. Black women are disproportionally diagnosed and have higher mortality from cervical cancer in the United States. Here we describe the prophylactic efficacy and safety of a quadrivalent HPV-6/11/16/18 vaccine in black women. A total of 700 black women from Latin America, Europe, and North America (aged 16-24 years) received the vaccine or placebo in one of two studies. Analyses focused on the efficacy and safety of the vaccine. Baseline rates of Chlamydia trachomatis infection and history of past pregnancy were more than twice as high in black women compared with the non-black women who were enrolled in these trials. HPV-6/11/16 or 18 DNA was detected in 18% of black women versus 14.6% in non-black women at day 1. For black women, vaccine efficacy against disease caused by HPV-6/11/16/18 was 100% for cervical intraepithelial neoplasia (0 vs. 15 cases; 95% confidence interval, 64.5%-100%) and 100% for vulvar and vaginal intraepithelial neoplasia and condylomata acuminata (0 vs. 17 cases; 95% confidence interval, 69.3%-100%). There were no serious vaccine-related adverse experiences. A similar proportion of pregnancies resulted in live births (75.8% vaccine; 72.7% placebo) and fetal loss (24.2% vaccine; 27.3% placebo). Prophylactic quadrivalent HPV-6/11/16/18 vaccination of young black women demonstrated high efficacy, safety, and tolerability. HPV vaccination has the potential to reduce cervical cancer-related health disparities both in the United States and around the world. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  6. Reconceptualizing successful aging among black women and the relevance of the strong black woman archetype.

    Science.gov (United States)

    Baker, Tamara A; Buchanan, NiCole T; Mingo, Chivon A; Roker, Rosalyn; Brown, Candace S

    2015-02-01

    Although there are multiple pathways to successful aging, little is known of what it means to age successfully among black women. There is a growing body of literature suggesting that black women experience a number of social challenges (sexism and racism) that may present as barriers to aging successfully. Applying aspects of the Strong Black Women ideal, into theoretical concepts of successful aging, may be particularly relevant in understanding which factors impair or promote the ability of black women to age successfully. The Strong Black Women archetype is a culturally salient ideal prescribing that black women render a guise of self-reliance, selflessness, and psychological, emotional, and physical strength. Although this ideal has received considerable attention in the behavioral sciences, it has been largely absent within the gerontology field. Nevertheless, understanding the dynamics of this cultural ideal may enhance our knowledge while developing an appreciation of the black woman's ability to age successfully. Rather than summarize the social, physical, and mental health literature focusing on health outcomes of black women, this conceptual review examines the Strong Black Women archetype and its application to the lived experiences of black women and contributions to current theories of successful aging. Focusing on successful aging exclusively among black women enhances our understanding of this group by considering their identity as women of color while recognizing factors that dictate their ability to age successfully. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  7. Coupling Processes and Experiences of Never Married Heterosexual Black Men and Women: A Phenomenological Study.

    Science.gov (United States)

    Awosan, Christiana I; Hardy, Kenneth V

    2017-07-01

    Over the past decades, the decline in Black marriages and the upsurge of never-married Blacks have stimulated much theoretical focus, but researchers conducted few studies on never-married heterosexual Black adults' coupling unions. Guided by an integrated framework of Africana womanism and symbolic interactionism, this qualitative hermeneutic phenomenological study used comprehensive individual interviews to explore the experiences of 26 never-married heterosexual Black men and women between the ages 25 and 35 about their attempts to cultivate and maintain intimate romantic relationships as well as their desire for marriage. Findings revealed mixed emotions from participants' lived experiences in developing and sustaining romantic relationships. Clinical implications highlighted the need to effectively attend to Black romantic relationships and experiences in their sociohistorical and sociocultural contexts. © 2017 American Association for Marriage and Family Therapy.

  8. The angry black woman: the impact of pejorative stereotypes on psychotherapy with black women.

    Science.gov (United States)

    Ashley, Wendy

    2014-01-01

    In the aftermath of slavery and the resulting social, economic, and political effects, Black women have become the victims of negative stereotyping in mainstream American culture. Such stereotypes include the myth of the angry Black woman that characterizes these women as aggressive, ill tempered, illogical, overbearing, hostile, and ignorant without provocation. Symptoms presented by Black women during mental health treatment may reinforce this myth. However, many of the negative characteristics of the angry Black woman developed in response to external stressors and historical factors. Black women also have a unique experience with and expressions of anger that shape the presenting symptoms interpreted by the mental health clinician. This myth and corresponding negative stereotypes significantly affect Black women intrapsychically, interpersonally, and are likely to influence the efficacy of mental health treatment. Understanding and treatment of Black women in a mental health context should be influenced by the cultural norms and sociopolitical dynamics affecting these clients. Successful mental health treatment requires cultural competence and clinicians who are well prepared to navigate the inherent complexities of culture with clients. Awareness of the angry Black woman mythology, including its genesis, manifestations, and the unique experiences of Black women, may raise the standards of cultural competence for clinicians and provide more successful treatment outcomes in working with this population. A case example illustrates the assiduity essential to practicing in a culturally competent manner. A client is presented from a traditional psychotherapeutic perspective and then viewed through a lens that integrates psychotherapeutic practice with conscious awareness of the mythology and stereotypes impacting Black women. Implications for culturally relevant practice are discussed.

  9. Influence of experiences of racial discrimination and ethnic identity on prenatal smoking among urban black and Hispanic women.

    Science.gov (United States)

    Nguyen, Kim Hanh; Subramanian, S V; Sorensen, Glorian; Tsang, Kathy; Wright, Rosalind J

    2012-04-01

    Although the prevalence of prenatal smoking among minority women exceeds the projected 2010 national objective, data on the determinants of prenatal smoking among minorities remain sparse. We examined associations between self-reported experiences of racial discrimination on prenatal smoking among urban black and Hispanic women aged 18-44 years (n=677). Our main independent variable was created from the Experiences of Discrimination (EOD) scale. Multivariable logistic regression models were estimated to examine the relationship between EOD (moderate EOD as the referent group) and smoking for the entire sample and then separately by race/ethnicity adjusted for sociodemographic variables. We also examined the role of ethnic identity (EI) as a buffer to racial discrimination (n=405). The prevalence of smoking was 18.1% versus 10% for black and Hispanic women, respectively (p=0.002). There were no significant differences in the level of EOD based on race. In multivariate regressions, compared to those reporting moderate EOD, women reporting high discrimination (OR 2.64, 95% CI 1.25 to 5.60) had higher odds of smoking. In stratified analyses, this relationship remained significant only in black women. Results suggest that foreign-born Hispanic women with higher EI were less likely to smoke compared to their low-EI counterparts (3.5 vs 10.1%; p=0.08). These are the first data in pregnant minority women showing an association between discrimination and increased risk of smoking particularly among black women. Ethnic identity and nativity status were also associated with smoking risk. Smoking cessation programmes should consider such factors among childbearing minority women.

  10. Experiences of racism and the incidence of adult-onset asthma in the Black Women's Health Study.

    Science.gov (United States)

    Coogan, Patricia F; Yu, Jeffrey; O'Connor, George T; Brown, Timothy A; Cozier, Yvette C; Palmer, Julie R; Rosenberg, Lynn

    2014-03-01

    Chronic stress resulting from experiences of racism may increase the incidence of adult-onset asthma through effects on the immune system and the airways. We conducted prospective analyses of the relation of experiences of racism with asthma incidence in the Black Women's Health Study, a prospective cohort of black women in the United States followed since 1995 with mailed biennial questionnaires. Among 38,142 participants followed from 1997 to 2011, 1,068 reported incident asthma. An everyday racism score was created based on five questions asked in 1997 and 2009 about the frequency in daily life of experiences of racism (eg, poor service in stores), and a lifetime racism score was based on questions about racism on the job, in housing, and by police. We used Cox regression models to derive multivariable incidence rate ratios (IRRs) and 95% CIs for categories of each racism score in relation to incident asthma. The IRRs were 1.45 (95% CI, 1.19-1.78) for the highest compared with the lowest quartile of the 1997 everyday racism score (P for trendracism. Among women who reported the same levels of racism in 1997 and 2009, the IRRs for the highest categories of everyday and lifetime racism were 2.12 (95% CI, 1.55-2.91) and 1.66 (95% CI, 1.20-2.30), respectively. Given the high prevalence of experiences of racism and asthma in black women in the United States, a positive association between racism and asthma is of public health importance.

  11. Exploring the Cervical Cancer Screening Experiences of Black Lesbian, Bisexual, and Queer Women: The Role of Patient-Provider Communication.

    Science.gov (United States)

    Agénor, Madina; Bailey, Zinzi; Krieger, Nancy; Austin, S Bryn; Gottlieb, Barbara R

    2015-01-01

    Few studies have focused on the health and health care of U.S. black lesbian, bisexual, and queer (LBQ) women. To understand the facilitators of and barriers to cervical cancer screening in this population, focus group discussions were conducted in Boston and Cambridge, Massachusetts between November and December 2012. Using purposive sampling methods, the authors enrolled 18 black LBQ women who participated in one of four focus groups. Using thematic analysis, patient-provider communication was identified, which consisted of four sub-themes--health care provider communication style and demeanor; heteronormative provider assumptions; heterosexism, racism, and classism; and provider professional and sociodemographic background--as the most salient theme. Participants reported fears and experiences of multiple forms of discrimination and preferred receiving care from providers who were knowledgeable about same-sex sexual health and shared their life experiences at the intersection of gender, race/ethnicity, and sexual orientation. The cervical cancer screening experiences of black LBQ women would be improved by training all health care providers in same-sex sexual health, offering opportunities for clinicians to learn about the effects of various forms of discrimination on women's health care, and increasing the presence of LBQ women of color in health care settings.

  12. Severe physical violence and Black women's health and well-being.

    Science.gov (United States)

    Lacey, Krim K; Sears, Karen Powell; Matusko, Niki; Jackson, James S

    2015-04-01

    We evaluated the association between intimate partner violence and the mental and physical health status of US Caribbean Black and African American women. We used 2001 to 2003 cross-sectional data from the National Survey of American Life-the most detailed study to date of physical and mental health disorders of Americans of African descent. We assessed participants' health conditions by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (Washington, DC; American Psychological Association) Composite International Diagnostic Interview. We found differences in health conditions between abused African American and Caribbean Black women. There were increased risks for lifetime dysthymia, alcohol dependence, drug abuse, and poor perceived health for African American victims of partner abuse, and binge eating disorder was associated with partner violence among Caribbean Black women. Severe intimate partner violence was associated with negative mental and physical health outcomes for US Black women, with different patterns between African American and Caribbean Blacks. Understanding intimate partner violence experiences of US Black women requires recognition of key intragroup differences, including nativity and immigrant status, and their differential relationships to women's health.

  13. Stereotype Threat Among Black and White Women in Health Care Settings

    Science.gov (United States)

    Abdou, Cleopatra M.; Fingerhut, Adam W.

    2016-01-01

    The first of its kind, the present experiment applied stereotype threat—the threat of being judged by or confirming negative group-based stereotypes—to the health sciences. Black and White women (N = 162) engaged in a virtual health care situation. In the experimental condition, one’s ethnic identity and negative stereotypes of Black women specifically were made salient. As predicted, Black women in the stereotype threat condition who were strongly identified as Black (in terms of having explored what their ethnic identity means to them and the role it plays in their lives) reported significantly greater anxiety while waiting to see the doctor in the virtual health care setting than all other women. It is hypothesized that stereotype threat experienced in health care settings is one overlooked social barrier contributing to disparities in health care utilization and broader health disparities among Black women. PMID:25045944

  14. An Intersectional Social Capital Analysis of the Influence of Historically Black Sororities on African American Women's College Experiences at a Predominantly White Institution

    Science.gov (United States)

    Greyerbiehl, Lindsay; Mitchell, Donald, Jr.

    2014-01-01

    Research exploring the college experiences of African American women at predominantly White institutions (PWI) continues to be a necessity as African American women graduate at lower rates than their racial/ethnic peers. This qualitative study explored the influence historically Black sororities had on the college experiences of African American…

  15. Sexual safety and sexual security among young Black women who have sex with women and men.

    Science.gov (United States)

    Alexander, Kamila Anise; Fannin, Ehriel F

    2014-01-01

    To examine sexuality narratives of Black women who have sex with women and men and explore factors that influence their sexual safety and sexual security. Secondary qualitative content analysis. We recruited young self-identified Black women from beauty salons and community-based organizations. Our sample included a subset of five sexually active, Black women age 19 to 25 who reported engaging in sexual relationships with women and men. Participants were selected from a larger parent study that included sexuality narratives from 25 women. We analyzed interview transcripts in which participants described sexual relationships. We used constant comparative techniques and conventional content analysis methodology. We uncovered three themes illustrating influences on sexual safety and sexual security: institutional expectations, emotional connectedness, and sexual behaviors. From this analysis, we derive valuable insights into decision-making processes within sexual relationships from the perspectives of young Black women who have sex with women and men. Clinicians and investigators can use these findings to inform programs designed to improve the sexual health of this often invisible group of women. Nurses are uniquely positioned to support young women as they navigate societal institutions and emotional experiences that inform future sexual decisions and behaviors. © 2014 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  16. HIV Stigma, Retention in Care, and Adherence Among Older Black Women Living With HIV.

    Science.gov (United States)

    Sangaramoorthy, Thurka; Jamison, Amelia M; Dyer, Typhanye V

    Stigma is recognized as a barrier to the prevention, care, and treatment of HIV, including engagement in the HIV care continuum. HIV stigma in older Black women may be compounded by preexisting social inequities based on gender, age, and race. Using semi-structured interviews and survey questionnaires, we explore experiences of HIV stigma, retention in care, and antiretroviral therapy (ART) adherence in 35 older Black women with HIV from Prince George's County, Maryland. Study findings indicated that older Black women experienced high levels of HIV stigma, retention in care, and ART adherence. Findings suggest that experiences of HIV stigma were intensified for older Black women due to multiple stigmatized social positions. Participants also reported experiences of marginalization in health care that hindered retention in care and ART adherence. Interventions aimed at improving HIV prevention, care, and treatment outcomes should incorporate HIV stigma reduction strategies as core elements. Copyright © 2017 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.

  17. Affirmative action and the Black women in South Africa.

    Science.gov (United States)

    Serote, P

    1994-02-01

    An overview was given of how affirmative action for Blacks and women in South Africa in fact marginalizes Black women. The definition of the problem influences the solution; affirmative action obscures the complex nature of discrimination experienced by Black women by class, role, and culture and focuses only on gender and race. Secondly, the power of White women and Black men supercede the power of Black women. Apartheid benefitted White women over Black men. Affirmative action, as shifting power between groups, would solidify White women's power. The debates have taken place within university and academic contexts, a place where Black women have been excluded and the dominant groups are White men, followed by White women, and then Black men. The debate in the private sector also is devoid of Black women's voices; multinationals began to hire and train Black male managers, and there was criticism that standards were falling. Recruitment of Black women is unknown, but only 1.1% of managers are Black. Visibility within the academic and private sector debates has excluded Black women. In the articulation of ideas, most literature has been written by White men. The intersection of power and privilege belongs to males and White women as part of the larger dominant ideology. Black women's marginalization means their issues will not be addressed. The people who stand to benefit the most from affirmative action are those who are in need of improved living conditions, literacy, and employment, or those excluded from jobs and position in spite of being qualified. Black women without a societal power base have no bargaining power. To insure that Black women benefit, there is need to treat Black women as a distinctive group with priority. There is also a need to examine the myths that have been spun around Black women, their needs, abilities, and controlling images. There is a need to integrate Black womens ideas into the mainstream and recognize that maybe Black women need

  18. ?Look at the Whole Me?: A Mixed-Methods Examination of Black Infant Mortality in the US through Women?s Lived Experiences and Community Context

    OpenAIRE

    Wallace, Maeve E.; Green, Carmen; Richardson, Lisa; Theall, Katherine; Crear-Perry, Joia

    2017-01-01

    In the US, the non-Hispanic Black infant mortality rate exceeds the rate among non-Hispanic Whites by more than two-fold. To explore factors underlying this persistent disparity, we employed a mixed methods approach with concurrent quantitative and qualitative data collection and analysis. Eighteen women participated in interviews about their experience of infant loss. Several common themes emerged across interviews, grouped by domain: individual experiences (trauma, grieving and counseling; ...

  19. Differences in the self-reported racism experiences of US-born and foreign-born Black pregnant women

    OpenAIRE

    Dominguez, Tyan Parker; Strong, Emily Ficklin; Krieger, Nancy; Gillman, Matthew W.; Rich-Edwards, Janet W.

    2009-01-01

    Differential exposure to minority status stressors may help explain differences in United States (US)-born and foreign-born Black women’s birth outcomes. We explored self-reports of racism recorded in a survey of 185 US-born and 114 foreign-born Black pregnant women enrolled in Project Viva, a prospective cohort study of pregnant women in Boston, Massachusetts, USA. Self-reported prevalence of personal racism and group racism was significantly higher among US-born than foreign-born Black preg...

  20. Black Undergraduate Women and Their Sense of Belonging in STEM at Predominantly White Institutions

    Science.gov (United States)

    Dortch, Deniece; Patel, Chirag

    2017-01-01

    Because little work exists on the sense of belonging focusing on just Black undergraduate women in science, technology, engineering, and math (STEM), especially at highly selective predominantly white institutions (PWIs), this study takes a phenomenological approach to understand the lived experiences of Black undergraduate women in STEM by…

  1. Black and White College Women's Perceptions of Sexual Harassment.

    Science.gov (United States)

    Shelton, J. Nicole; Chavous, Tabbye M.

    1999-01-01

    Examined how racial factors influence college women's perceptions of sexual harassment with samples of 46 black and 89 white women. Data suggest that sexual harassment between black women and black men is trivialized compared to sexual behavior between black women and white men. Discusses implications for the study of sexual harassment. (SLD)

  2. Sexual well-being: a comparison of U.S. black and white women in heterosexual relationships.

    Science.gov (United States)

    Bancroft, John; Long, J Scott; McCabe, Janice

    2011-08-01

    In the United States, considerable attention has been directed to sexual behaviors of black and white adolescents, particularly age at first sexual experience and the prevalence of teenage pregnancies. More limited attention has been paid to comparing established sexual relationships in these two racial groups. In this study, we used a national probability sample to compare black (n = 251) and white (n = 544) American women, aged 20-65 years, who were in an established heterosexual relationship of at least 6 months duration. We focused on two aspects of their sexual well-being; how a woman evaluated (1) her sexual relationship and (2) her own sexuality. A range of possible determinants of sexual well-being, including demographic factors, physical and mental health, and aspects of the women's recent sexual experiences, were also assessed using Telephone-Audio-Computer-Assisted Self-Interviewing (T-ACASI). We found no significant difference between black and white women in their evaluation of their sexual relationships nor in the independent variables that were correlated with this evaluation. Black women, however, evaluated their own sexuality more positively than white women. In examining the correlates of this evaluation, a woman's rating of her own sexual attractiveness proved to be the strongest predictor, with black women rating themselves significantly more sexually attractive than did the white women. Overall, these findings were consistent with previous findings that, compared to white women, black women in the United States have higher self-esteem and tend towards more independence and individualism.

  3. How older black women perceive the effects of stigma and social support on engagement in HIV care.

    Science.gov (United States)

    McDoom, M Maya; Bokhour, Barbara; Sullivan, Meg; Drainoni, Mari-Lynn

    2015-02-01

    As black women over age 50 represent a growing share of women living with HIV, understanding what helps them persist and engage in ongoing HIV care will become increasingly important. Delineating the specific roles of social support and stigma on HIV care experiences among this population remains unclear. We qualitatively examined how experiences with stigma and social support either facilitated or inhibited engagement in HIV care, from the perspective of older black women. Semi-structured interviews were conducted with 20 older black women currently receiving HIV care at primary care clinics in the Metropolitan Boston area. Women expressed that experiences with stigma and seeking support played an important role in evaluating the risks and benefits of engaging in care. Social support facilitated their ability to engage in care, while stigma interfered with their ability to engage in care throughout the course of their illness. Providers in particular, can facilitate engagement by understanding the changes in these women's lives as they struggle with stigma and disclosure while engaging in HIV care. The patient's experiences with social support and stigma and their perceptions about engagement are important considerations for medical teams to tailor efforts to engage older black women in regular HIV care.

  4. Complicated Contradictions Amid Black Feminism and Millennial Black Women Teachers Creating Curriculum for Black Girls

    Science.gov (United States)

    Nyachae, Tiffany M.

    2016-01-01

    Millennial Black women teachers wrestle with two simultaneous burdens: disrupting the racist and sexist status quo of schooling through curriculum, and employing tactics to survive school politics among their majority White women colleagues. This article describes how the "Sisters of Promise" (SOP) curriculum aligned with Black feminism…

  5. Black breast cancer survivors experience greater upper extremity disability.

    Science.gov (United States)

    Dean, Lorraine T; DeMichele, Angela; LeBlanc, Mously; Stephens-Shields, Alisa; Li, Susan Q; Colameco, Chris; Coursey, Morgan; Mao, Jun J

    2015-11-01

    Over one-third of breast cancer survivors experience upper extremity disability. Black women present with factors associated with greater upper extremity disability, including: increased body mass index (BMI), more advanced disease stage at diagnosis, and varying treatment type compared with Whites. No prior research has evaluated the relationship between race and upper extremity disability using validated tools and controlling for these factors. Data were drawn from a survey study among 610 women with stage I-III hormone receptor positive breast cancer. The disabilities of the arm, shoulder and hand (QuickDASH) is an 11-item self-administered questionnaire that has been validated for breast cancer survivors to assess global upper extremity function over the past 7 days. Linear regression and mediation analysis estimated the relationships between race, BMI and QuickDASH score, adjusting for demographics and treatment types. Black women (n = 98) had 7.3 points higher average QuickDASH scores than White (n = 512) women (p disability by 40 %. Even several years post-treatment, Black breast cancer survivors had greater upper extremity disability, which was partially mediated by higher BMIs. Close monitoring of high BMI Black women may be an important step in reducing disparities in cancer survivorship. More research is needed on the relationship between race, BMI, and upper extremity disability.

  6. Retelling the educational pathways of Black women physicists: Stories of experiencing and overcoming obstacles in life

    Science.gov (United States)

    Mensah, Felicia

    This is an empirical study on the underrepresentation of people of color in scientific careers. Grounded in critical race theory, the paper examines the lived experiences of six Black women physicists and addresses obstacles faced in their career paths and strategies used to overcome these obstacles. Data for this study were collected through semi-structured interviews and coded for emergent themes. The findings reveal that college recruitment and funding were fundamental for these women to choose physics over other STEM fields. In addition, Black women experience unique challenges of socialization in STEM, particularly by exclusion of study groups. We suggest physics departments provide a more inclusive environment to support Black women in science. CAPES, the Fulbright Program, Comissão Fulbright Brasil, and the Office of Diversity at Teachers College, Columbia University.

  7. Gendered racism and the sexual and reproductive health of Black and Latina Women.

    Science.gov (United States)

    Rosenthal, Lisa; Lobel, Marci

    2018-02-15

    To understand health disparities, it is important to use an intersectional framework that examines unique experiences of oppression faced by particular groups due to their intersecting identities and social positions linked to societal structures. We focus on Black and Latina women and their experiences with 'gendered racism' - unique forms of oppression due to the intersection of race/ethnicity and gender - to foster understanding of disparities between Black and Latina versus White women in sexual and reproductive health outcomes in the U.S. Specifically, we focus on stereotype-related gendered racism (ongoing discrimination and stereotype threat based on historically-rooted stereotypes about Black and Latina women's sexuality and motherhood) and birth control-related mistrust (ongoing mistrust of the government and medical system related to birth control due to historical and current abuses). We analyzed data from two survey studies with adult women in New York (Study 1: paper-and-pencil community data collection, N = 135, M age  = 43.35) and across the U.S. (Study 2: online data collection, N = 343, M age  = 29.49) who were currently pregnant or had at least one child and identified as Black, Latina, or White. Black and Latina women reported greater frequency of and concern over stereotype-related gendered racism (F(3,131) = 17.90, p stereotype-related gendered racism was positively associated with pregnancy-specific stress (ß = .40, p gendered racism may play an important role in existing racial/ethnic disparities in women's sexual and reproductive health outcomes, and interventions addressing gendered racism at multiple levels are needed to promote health equity.

  8. Black Women in the Academy: The Secrets to Success and Achievement.

    Science.gov (United States)

    Gregory, Sheila T.

    This book presents selected historical data focusing on three aspects in the lives of Black women: resilience of Black women and their families; strengths of the Black church and community; and formidable gains made by Black women in the workforce. The status and achievements of Black women professors and scholars in the academy are reviewed, with…

  9. Prevalent Vertebral Fractures in Black Women and White Women

    OpenAIRE

    Cauley, Jane A; Palermo, Lisa; Vogt, Molly; Ensrud, Kristine E; Ewing, Susan; Hochberg, Marc; Nevitt, Michael C; Black, Dennis M

    2008-01-01

    Vertebral fractures are the most common osteoporotic fracture. Hip and clinical fractures are less common in black women, but there is little information on vertebral fractures. We studied 7860 white and 472 black women ≥65 yr of age enrolled in the Study of Osteoporotic Fractures. Prevalent vertebral fractures were identified from lateral spine radiographs using vertebral morphometry and defined if any vertebral height ratio was >3 SD below race-specific means for each vertebral level. Infor...

  10. Becoming Black Women: Intimate Stories and Intersectional Identities

    Science.gov (United States)

    Wilkins, Amy C.

    2012-01-01

    In this article, I argue that intimate stories are an important resource for the achievement of intersectional identities. Drawing on in-depth interviews with black college students at two predominantly white universities, I examine the stories black college women tell about interracial relationships between black men and white women. I argue that…

  11. Educational pathways of Black women physicists: Stories of experiencing and overcoming obstacles in life

    Science.gov (United States)

    Rosa, Katemari

    2017-01-01

    This talk presents an empirical study on the underrepresentation of people of color in scientific careers. Grounded in Critical Race Theory, the presentation examines the lived experiences of six Black women physicists in the United States, addresses obstacles faced in their career paths, and strategies used to overcome these obstacles. Data for this study were collected through semi-structured interviews and coded for emergent themes, which are invitation to engage in science, communities of science practices, and isolation in the academy. The findings reveal that college recruitment and funding were fundamental for these women to choose Physics over other STEM fields. The analysis shows Physics can be a hostile environment for these women. In addition, Black women experience unique challenges of socialization in Physics, particularly by exclusion of study groups. In this talk, suggestions will be presented to make Physics departments a more inclusive space to support Black women in science. This presentation is based on work supported by the Brazilian government through CAPES (BEX1907-07-7), the Fulbright Program, Comissño Fulbright Brasil, and the Office of Diversity at Teachers College, Columbia University.

  12. Gender, Ethnicity, and Physics Education: Understanding How Black Women Build Their Identities as Scientists

    Science.gov (United States)

    Rosa, Katemari Diogo da

    This research focuses on the underrepresentation of minoritized groups in scientific careers. The study is an analysis of the relationships between race, gender, and those with careers in the sciences, focusing on the lived experiences of Black women physicists, as viewed through the lens of women scientists in the United States. Although the research is geographically localized, the base-line question is clear and mirrors in the researcher's own intellectual development: "How do Black women physicists describe their experiences towards the construction of a scientific identity and the pursuit of a career in physics?" Grounded on a critical race theory perspective, the study uses storytelling to analyze how these women build their identities as scientists and how they have negotiate their multiple identities within different communities in society. Findings show that social integration is a key element for Black women physicists to enter study groups, which enables access to important resources for academic success in STEM. The study has implications for physics education and policymakers. The study reveals the role of the different communities that these women are part of, and the importance of public policies targeted to increase the participation of underrepresented groups in science, especially through after-school programs and financial support through higher education.

  13. From whence cometh their strength: social support, coping, and well-being of Black women professionals.

    Science.gov (United States)

    Linnabery, Eileen; Stuhlmacher, Alice F; Towler, Annette

    2014-10-01

    In the workplace, Black women encounter different job demands than their White counterparts and often experience less control. Demand-control theory offers a framework to examine the challenges Black women face as well as how factors such as coping strategies and social support can moderate levels of well-being. In this study we examined the impact of Black women's social support and coping strategies on job-family role strain, career satisfaction, and life satisfaction. Responses were collected from 188 highly educated Black American women employed in variety of occupations. Results of path modeling found that social support is important to well-being, and that self-help coping can overcome deficient social support's impact on well-being. Exploratory analyses revealed that support from ones' family, church, coworkers, and supervisor each individually related to aspects of well-being, particularly when self-help coping is low. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  14. Black men's experiences regarding women's and children's rights : a social work perspective / S.E. Mogosetsi

    OpenAIRE

    Mogosetsi, Seipati Elizabeth

    2003-01-01

    The promotion of women's and children's rights excluded men from the process. The implementation of these rights called for a shift in domestic power relations. Men, especially certain black men, were plunged in predicament as some felt that the changes undermined their cultural and traditional masculine identities and that women and children abused their rights. In many cases the relationships between men, women and children came under pressure. This research is conducted a...

  15. Racism, Segregation, and Risk of Obesity in the Black Women's Health Study

    Science.gov (United States)

    Cozier, Yvette C.; Yu, Jeffrey; Coogan, Patricia F.; Bethea, Traci N.; Rosenberg, Lynn; Palmer, Julie R.

    2014-01-01

    We assessed the relation of experiences of racism to the incidence of obesity and the modifying impact of residential racial segregation in the Black Women's Health Study, a follow-up study of US black women. Racism scores were created from 8 questions asked in 1997 and 2009 about the frequency of “everyday” racism (e.g., “people act as if you are dishonest”) and of “lifetime” racism (e.g., unfair treatment on the job). Residential segregation was measured by linking participant addresses to 2000 and 2010 US Census block group data on the percent of black residents. We used Cox proportional hazard models to estimate incidence rate ratios and 95% confidence intervals. Based on 4,315 incident cases of obesity identified from 1997 through 2009, both everyday racism and lifetime racism were positively associated with increased incidence. The incidence rate ratios for women who were in the highest category of everyday racism or lifetime racism in both 1997 and 2009, relative to those in the lowest category, were 1.69 (95% confidence interval: 1.45, 1.96; Ptrend racism contributes to the higher incidence of obesity among African American women. PMID:24585257

  16. Racism, segregation, and risk of obesity in the Black Women's Health Study.

    Science.gov (United States)

    Cozier, Yvette C; Yu, Jeffrey; Coogan, Patricia F; Bethea, Traci N; Rosenberg, Lynn; Palmer, Julie R

    2014-04-01

    We assessed the relation of experiences of racism to the incidence of obesity and the modifying impact of residential racial segregation in the Black Women's Health Study, a follow-up study of US black women. Racism scores were created from 8 questions asked in 1997 and 2009 about the frequency of "everyday" racism (e.g., "people act as if you are dishonest") and of "lifetime" racism (e.g., unfair treatment on the job). Residential segregation was measured by linking participant addresses to 2000 and 2010 US Census block group data on the percent of black residents. We used Cox proportional hazard models to estimate incidence rate ratios and 95% confidence intervals. Based on 4,315 incident cases of obesity identified from 1997 through 2009, both everyday racism and lifetime racism were positively associated with increased incidence. The incidence rate ratios for women who were in the highest category of everyday racism or lifetime racism in both 1997 and 2009, relative to those in the lowest category, were 1.69 (95% confidence interval: 1.45, 1.96; Ptrend racism contributes to the higher incidence of obesity among African American women.

  17. The Self-Efficacy Beliefs of Black Women Leaders in Fortune 500 Companies

    Science.gov (United States)

    Jackson, LaTonya R.

    2012-01-01

    Black women are underrepresented in leadership positions within organizations. The extent to which self-efficacy influences the advancement potential of Black females is unknown. The purpose of this study was to examine the self-efficacy beliefs of black women in leadership positions and to determine how Black women leaders' careers are…

  18. Revealing a Hidden Curriculum of Black Women's Erasure in Sexual Violence Prevention Policy

    Science.gov (United States)

    Wooten, Sara Carrigan

    2017-01-01

    This article aims to challenge the framework by which rape and sexual assault prevention in higher education are being constituted by centring Black women's experiences of sexual violence within a prevention and response policy framework. Numerous research studies exist in the literature regarding the specific experience of sexual violence for…

  19. High risk of metabolic syndrome among black South African women ...

    African Journals Online (AJOL)

    Background: There is an increased prevalence of metabolic syndrome (MetS) in individuals with severe mental illness (SMI) globally. The prevalence of MetS is higher in black women compared to black men from South Africa. Aim: To compare the prevalence of MetS between black South African men and women with SMI ...

  20. Experiences of sexual relationships of young black women in an atmosphere of coercion.

    Science.gov (United States)

    Clüver, Frances; Elkonin, Diane; Young, Charles

    2013-03-01

    Negotiations surrounding sexual activity are characterised by multiple power disparities that include race, social status and age, with gender being the most dominant differential in heterosexual interactions. Research has shown that women are physiologically more at risk of contracting HIV than men, as indicated by the higher infection rates of the former. Many African societies operate via a hegemonic masculinity, with patriarchal governance and female subordination being the norm, placing women at even greater risk of HIV infection. In this qualitative phenomenological study, four black school-going adolescent women living in Grahamstown were interviewed using a semi-structured interview to gather data. An interpretative phenomenological analysis was conducted on the data to provide subjective insights of the experiences of the participants with regard to their interactions with men. From the findings, it became apparent that the participants felt pressured, coerced or manipulated by male counterparts. This pressure and coercion was not just felt in their interactions with older men, but also in their romantic partnerships. Three of the participants experienced pressure to engage in sexual intercourse with their boyfriends when they were unwilling or unready, and they reported being faced with additional pressure to engage in unprotected sex. Furthermore, it became apparent that each participant had an underlying fear of being raped and considered this as a genuine threat to her safety and sexual health. The atmosphere within which these participants negotiate their sexual agency is thus heavily informed by male control, coercion and the threat of violence or rape.

  1. Severe Physical Intimate Partner Violence and the Mental and Physical Health of U.S. Caribbean Black Women.

    Science.gov (United States)

    Lacey, Krim K; Mouzon, Dawne M

    2016-09-01

    Intimate partner violence is a threat to women's health. Relative to other racial/ethnic groups, African American and immigrant women are at an increased risk for violence. However, despite the growing presence of Caribbean Black immigrants in this country, few studies have examined the association between severe physical intimate partner violence (SPIPV) and the health of Caribbean Black women currently residing in the United States. This study examined the mental and physical health of U.S. Caribbean Black women with and without a history of SPIPV. We also explored the role of generational status-first, second, or third-in association with the physical and mental health of abused Caribbean Black women. Data from the National Survey of American Life, the largest and the only known representative study on Caribbeans residing in the United States, were analyzed. The World Health Organization (WHO) World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to determine DSM-IV mental disorders. The presence of physical health conditions was based on respondents' self-reports of physician diagnoses. The findings indicate an association between SPIPV and the mental and physical health status of U.S. Caribbean Black women. Rates of physical conditions and mental health disorders were generally higher among women with a history of SPIPV than those without a history. Generational status also played a role in women's health outcomes. The study has interventions and preventive implications for both detecting and addressing the health needs of U.S. Caribbean Black women who experience severe physical abuse by an intimate partner.

  2. A unicorn's tale: Examining the experiences of Black women in engineering industry

    OpenAIRE

    Ross, Monique S

    2016-01-01

    Black women have recently been identified as the most educated demographic in the United States, and yet they are grossly underrepresented in engineering. They comprise 6.4 % of the U.S. population and only 0.72 % of engineering industry. Meanwhile, engineers have been identified as the key to the United States’ ability to maintain its prominence and leadership in a competitive global economy due to their contribution to maintaining and improving our infrastructures and standard of living. Th...

  3. The psychosocial experiences of breast cancer amongst Black, South Asian and White survivors: do differences exist between ethnic groups?

    Science.gov (United States)

    Patel-Kerai, Geeta; Harcourt, Diana; Rumsey, Nichola; Naqvi, Habib; White, Paul

    2017-04-01

    Very little UK-based research has examined breast cancer-related experiences of Black and Minority Ethnic populations, and we do not know whether the psychosocial impact of diagnosis and treatment in this group is any different to that of White women. Therefore, this study examined similarities and differences amongst Black, South Asian and White breast cancer survivors. A quantitative, cross-sectional survey was conducted; 173 breast cancer survivors (80 White, 53 South Asian and 40 Black) completed a questionnaire, which assessed psychological functioning, social support, body image and beliefs about cancer. Significant differences (p Asian participants: compared with White women, South Asian participants reported higher levels of anxiety and depression, poorer quality of life and held higher levels of internal and fatalistic beliefs pertaining to cancer. Black and South Asian women reported higher levels of body image concerns than White women, and held stronger beliefs that God was in control of their cancer. South Asian women turned to religion as a source of support more than Black and White women. This study enhances current understanding of the experience and impact of breast cancer amongst Black and South Asian women, and demonstrates similarities and differences between the ethnic groups. The findings highlight implications for healthcare professionals, particularly in relation to providing culturally sensitive care and support to their patients. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  4. The Black Woman Worker: A Minority Group Perspective on Women at Work.

    Science.gov (United States)

    Hesse-Biber, Sharlene

    1986-01-01

    Being black and female is a double disadvantage in the labor market. Black women work in higher proportions than other women, but their wages are less and many have undesirable jobs. Some black women are experiencing more employment success, but as racial discrimination lessens, they face sexism. (VM)

  5. Black Women Students at Predominantly White Universities: Narratives of Identity Politics, Well-Being and Leadership Mobility

    Science.gov (United States)

    Hotchkins, Bryan

    2017-01-01

    This narrative inquiry study uses personal experiences as a method of ethnographic research among Black women student leaders. The collegiate life stories of six African American women undergraduates experiencing gendernoir racial battle fatigue are described and analyzed. Combined are participant journaling, lived experiential interviews, and…

  6. Normal Axillary Lymph Node Variability Between White and Black Women on Breast MRI.

    Science.gov (United States)

    Grimm, Lars J; Viradia, Neal K; Johnson, Karen S

    2018-03-01

    This study aimed to determine if there were differences in the imaging features of normal lymph nodes between white and black women using magnetic resonance imaging. Following institutional review board approval, we identified white and black women who underwent breast magnetic resonance imaging from November 1, 2008 to December 31, 2013 at our institution. To identify normal lymph nodes for measurement, patients with any benign or malignant causes for lymph node enlargement and patients with any subsequent breast cancer in the following 2 years were excluded. Black and white women were age matched at a 1:2 ratio. The largest lymph node in each axilla was measured for the long-axis length and maximal cortical thickness. Comparisons were made between white and black women using a conditional logistic regression to control for matching. There were 55 black women and 110 white women for analysis. The mean lymph node long-axis length was 14.7 ± 5.3 mm for black women and 14.4 ± 6.4 mm for white women (P = .678). The mean maximum cortical thickness was 3.3 ± 1.6 mm for black women and 2.6 ± 1.4 mm for Caucasian women (P < .001). A significantly higher percentage of black than white women had cortical thicknesses greater than threshold values of 3, 4, 5, 6, and 7 mm (P < .01 for all). The normal lymph node cortical thickness in black women is significantly greater than in white women, which should be considered when deciding to recommend a lymph node biopsy. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  7. Uncovering Black Womanhood in Engineering

    Science.gov (United States)

    Gibson, Sheree L.; Espino, Michelle M.

    2016-01-01

    Despite the growing research that outlines the experiences of Blacks and women undergraduates in engineering, little is known about Black women in this field. The purpose of this qualitative study was to uncover how eight Black undergraduate women in engineering understood their race and gender identities in a culture that can be oppressive to…

  8. Barriers to early diagnosis of symptomatic breast cancer: a qualitative study of Black African, Black Caribbean and White British women living in the UK

    Science.gov (United States)

    Jones, Claire E L; Maben, Jill; Lucas, Grace; Davies, Elizabeth A; Jack, Ruth H; Ream, Emma

    2015-01-01

    Objectives Understanding barriers to early diagnosis of symptomatic breast cancer among Black African, Black Caribbean and White British women in the UK. Design In-depth qualitative interviews using grounded theory methods to identify themes. Findings validated through focus groups. Participants 94 women aged 33–91 years; 20 Black African, 20 Black Caribbean and 20 White British women diagnosed with symptomatic breast cancer were interviewed. Fourteen Black African and 20 Black Caribbean women with (n=19) and without (n=15) breast cancer participated in six focus groups. Setting Eight cancer centres/hospital trusts in London (n=5), Somerset (n=1), West Midlands (n=1) and Greater Manchester (n=1) during 2012–2013. Results There are important differences and similarities in barriers to early diagnosis of breast cancer between Black African, Black Caribbean and White British women in the UK. Differences were influenced by country of birth, time spent in UK and age. First generation Black African women experienced most barriers and longest delays. Second generation Black Caribbean and White British women were similar and experienced fewest barriers. Absence of pain was a barrier for Black African and Black Caribbean women. Older White British women (≥70 years) and first generation Black African and Black Caribbean women shared conservative attitudes and taboos about breast awareness. All women viewed themselves at low risk of the disease, and voiced uncertainty over breast awareness and appraising non-lump symptoms. Focus group findings validated and expanded themes identified in interviews. Conclusions Findings challenged reporting of Black women homogenously in breast cancer research. This can mask distinctions within and between ethnic groups. Current media and health promotion messages need reframing to promote early presentation with breast symptoms. Working with communities and developing culturally appropriate materials may lessen taboos and stigma

  9. Barriers to early diagnosis of symptomatic breast cancer: a qualitative study of Black African, Black Caribbean and White British women living in the UK.

    Science.gov (United States)

    Jones, Claire E L; Maben, Jill; Lucas, Grace; Davies, Elizabeth A; Jack, Ruth H; Ream, Emma

    2015-03-13

    Understanding barriers to early diagnosis of symptomatic breast cancer among Black African, Black Caribbean and White British women in the UK. In-depth qualitative interviews using grounded theory methods to identify themes. Findings validated through focus groups. 94 women aged 33-91 years; 20 Black African, 20 Black Caribbean and 20 White British women diagnosed with symptomatic breast cancer were interviewed. Fourteen Black African and 20 Black Caribbean women with (n=19) and without (n=15) breast cancer participated in six focus groups. Eight cancer centres/hospital trusts in London (n=5), Somerset (n=1), West Midlands (n=1) and Greater Manchester (n=1) during 2012-2013. There are important differences and similarities in barriers to early diagnosis of breast cancer between Black African, Black Caribbean and White British women in the UK. Differences were influenced by country of birth, time spent in UK and age. First generation Black African women experienced most barriers and longest delays. Second generation Black Caribbean and White British women were similar and experienced fewest barriers. Absence of pain was a barrier for Black African and Black Caribbean women. Older White British women (≥70 years) and first generation Black African and Black Caribbean women shared conservative attitudes and taboos about breast awareness. All women viewed themselves at low risk of the disease, and voiced uncertainty over breast awareness and appraising non-lump symptoms. Focus group findings validated and expanded themes identified in interviews. Findings challenged reporting of Black women homogenously in breast cancer research. This can mask distinctions within and between ethnic groups. Current media and health promotion messages need reframing to promote early presentation with breast symptoms. Working with communities and developing culturally appropriate materials may lessen taboos and stigma, raise awareness, increase discussion of breast cancer and promote

  10. Black and White Women Managers: Access to Opportunity

    Science.gov (United States)

    Hite, Linda M.

    2004-01-01

    This study explores the differing views of Black and White female managers regarding access to key career opportunities for White women and women of color. Items addressed include access to hiring, promotions, key assignments, salary increases, acknowledgment for work, and mentors. Access to each is described by comparing White women and women of…

  11. Mortality risk among Black and White working women: the role of perceived work trajectories.

    Science.gov (United States)

    Shippee, Tetyana P; Rinaldo, Lindsay; Ferraro, Kenneth F

    2012-02-01

    Drawing from cumulative inequality theory, the authors examine the relationship between perceived work trajectories and mortality risk among Black and White women over 36 years. Panel data from the National Longitudinal Survey of Mature Women (1967-2003) are used to evaluate how objective and subjective elements of work shape mortality risk for Black and White women born between 1923 and 1937. Estimates from Cox proportional hazards models reveal that Black working women manifest higher mortality risk than White working women even after accounting for occupation, personal income, and household wealth. Perceived work trajectories were also associated with mortality risk for Black women but not for White women. The findings reveal the imprint of women's work life on mortality, especially for Black women, and illustrate the importance of considering personal meanings associated with objective work characteristics. © The Author(s) 2012

  12. Understanding the Black Aesthetic Experience.

    Science.gov (United States)

    Curtis, Marvin V.

    1988-01-01

    Discussing the importance of the Black aesthetic experience, Curtis examines Black cultural heritage and participatory style, the spiritual, and the creation and recreation of Black music. Advocating multicultural music education in teacher training, he suggests that Black music be studied for its value and contribution to society. Lists five ways…

  13. The association of perceived stress, contextualized stress, and emotional eating with body mass index in college-aged Black women.

    Science.gov (United States)

    Diggins, Allyson; Woods-Giscombe, Cheryl; Waters, Sandra

    2015-12-01

    A growing body of literature supports the association between adverse stress experiences and health inequities, including obesity, among African American/Black women. Adverse stress experiences can contribute to poor appetite regulation, increased food intake, emotional eating, binge eating, and sedentary behavior, all of which can contribute to weight gain and obesity. Most research studies concerning the effect of psychological stress on eating behaviors have not examined the unique stress experience, body composition, and eating behaviors of African American/Black women. Even fewer studies have examined these constructs among Black female college students, who have an increased prevalence of overweight and obesity compared to their counterparts. Therefore, the aim of the current study is to examine the associations among emotional eating, perceived stress, contextualized stress, and BMI in African American female college students. All participants identified as African American or Black (N=99). The mean age of the sample was 19.4 years (SD=1.80). A statistically significant eating behavior patterns×perceived stress interaction was evident for body mass index (BMI) (β=0.036, S.E.=.0118, pstress interaction was observed for BMI (β=0.007, S.E.=.0027, p=.015). Findings from this study demonstrate that the stress experience interacts with emotional eating to influence BMI. Based on these findings, culturally relevant interventions that target the unique stress experience and eating behavior patterns of young African American women are warranted. Copyright © 2015. Published by Elsevier Ltd.

  14. Invited Reaction: Black and White Women Managers--Access to Opportunity

    Science.gov (United States)

    Higginbotham, Elizabeth

    2004-01-01

    In a survey of Black and White women managers, Linda M. Hite identifies differences in the managers' perceptions of opportunities available to different race and gender groups. Her findings reveal divergent beliefs about the opportunities for people of color; there is more similarity in Black and White women's views when comparing opportunities…

  15. Nutrition of Black Women During Pregnancy.

    Science.gov (United States)

    Myles, Melissa; Gennaro, Susan; Dubois, Nancy; O'Connor, Caitlin; Roberts, Kayla

    To examine the consistency and adequacy of nutritional intake in a population of Black women in the second and third trimesters of pregnancy. This was a longitudinal descriptive study. Data were collected from women with low-risk pregnancies at 22- to 24-week prenatal visits and two subsequent visits. Participants were recruited from urban prenatal clinics in one city in the Northeastern United States. Pregnant women who self-identified as Black (N = 195). A 24-hour diet recall was obtained at each of the three study time points. Food models and measuring cups were used to improve the accuracy of portion size reporting. Data from diet recalls were manually entered in Food Processor software to compute nutritional content. A linear mixed-effects model was used to examine dietary intake. Dietary patterns were stable from the second to the third trimesters, and caloric intake was inadequate. Women met minimal daily requirements for carbohydrate and protein intake, but the overall percentages of fat, protein, and carbohydrates indicated that additional calories needed to come from protein. Although more than 80% of women regularly took prenatal vitamins, micronutrient and fiber intake were consistently inadequate. Prenatal care to help women identify foods that are rich in fiber, protein, and micronutrients is important for the health of women and newborns. Knowing that nutritional intake is consistently inadequate, nurses can counsel pregnant women whenever they have contact with them to attempt to improve nutritional intake and make women aware of inexpensive nutrient sources. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  16. Difficulties encountered by black women entrepreneurs in accessing ...

    African Journals Online (AJOL)

    The long period of colonialism and apartheid, imposed oppression and exploitation on women especially black African women, meant that they could not own property in their own rights or enter into a contract. The dawn of democracy brought about changes in the role played by women. They have emerged significantly ...

  17. Black US college women's strategies of sexual self-protection.

    Science.gov (United States)

    Anakaraonye, Amarachi R; Mann, Emily S; Annang Ingram, Lucy; Henderson, Andrea K

    2018-04-24

    While previous scholarship on the sexual practices of college students in the USA has explored how the co-constitution of whiteness, economic privilege and gender inequality are central to 'hooking up', less attention has been paid to how the sexual culture of predominantly white universities shape Black college women's sexual practices. In this article, we use an intersectional theoretical framework informed by Black feminism to analyse interviews with Black, cisgender, heterosexual women, aged 18-22, attending a university in the south-eastern USA. We explore how they interpret the university's sexual culture and in turn how that informs their sexual decision-making. We find that the intersection of racism and sexism limits Black college women's sexual partner options and leads them to pursue sexual relationships outside the university setting. While most do not engage in committed romantic relationships with off-campus partners, they do engage in a range of strategies to protect their social, emotional and sexual well-being. The study findings expand the scholarship on hook-up culture by centring the narratives of a group often excluded from the literature.

  18. HIV sexual risk behavior in older black women: a systematic review.

    Science.gov (United States)

    Smith, Tanyka K; Larson, Elaine L

    2015-01-01

    Human immunodeficiency virus (HIV) is a major public health concern in the United States, particularly among older Black women who comprise approximately 40% of the newly diagnosed cases among women. This systematic review sought to answer the research question: What are the sexual practices in older Black women associated with HIV risk? CINAHL, PubMed, MEDLINE, and Web of Knowledge electronic databases were searched for English-language research studies published between 2003 and 2013 that focused on the HIV sexual risk practices of Black women over the age of 50. Using PRISMA guidelines, two reviewers independently reviewed and appraised the quality of relevant articles; agreement of select studies was achieved by consensus. Among the 3,167 articles surveyed, 9 met inclusion criteria. The majority (88%) were quantitative, observational studies. All nine articles addressed at least one of three factors that contribute to HIV sexual risk: Behavioral (inconsistent condom use and multiple sexual partners), psychological (risk perception, depression/stress, trauma, and self-esteem issues), and social factors (economics, education, and drugs/alcohol use). Outcome measures varied across studies. Although this systematic review appraised few studies, findings suggest that many older Black women are engaged in HIV risk-taking practices. Clinicians and researchers need to be aware of the HIV risk practices of older Black women to improve health outcomes through education, effective communication and risk appraisal. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  19. Physical activity energy expenditure and sarcopenia in black South African urban women

    NARCIS (Netherlands)

    Kruger, Herculina S.; Havemann-Nel, Lize; Ravyse, Chrisna; Moss, Sarah J.; Tieland, Michael

    2016-01-01

    Background: Black women are believed to be genetically less predisposed to age-related sarcopenia. The objective of this study was to investigate lifestyle factors associated with sarcopenia in black South African (SA) urban women. Methods: In a cross-sectional study, 247 women (mean age 57 y)

  20. African American Women's Sexual Objectification Experiences: A Qualitative Study

    Science.gov (United States)

    Watson, Laurel B.; Robinson, Dawn; Dispenza, Franco; Nazari, Negar

    2012-01-01

    The purpose of our study was to investigate African American women's experiences with sexual objectification. Utilizing grounded theory methodology as well as Black feminist thought and objectification theory as the research lenses, the results of this study uncovered how racist, sexist, and classist ideologies contributed to sexual…

  1. Discrimination and excessive weight gain during pregnancy among Black and Latina young women.

    Science.gov (United States)

    Reid, Allecia E; Rosenthal, Lisa; Earnshaw, Valerie A; Lewis, Tené T; Lewis, Jessica B; Stasko, Emily C; Tobin, Jonathan N; Ickovics, Jeannette R

    2016-05-01

    Excessive weight gain during pregnancy is a major determinant of later life obesity among both Black and Latina women and their offspring. However, psychosocial determinants of this risk, including everyday discrimination, and potential moderators of such effects remain unexplored. We examined the influence of discrimination, a culturally relevant stressor, on odds of gaining weight beyond Institute of Medicine recommendations during pregnancy. Whether the effect was moderated by race/ethnicity, age, or depressive symptoms was also examined. Participants were 413 Black and Latina pregnant young women, ages 14-21 years. Experience with discrimination and all moderators were assessed in the second trimester. Last weight recorded in the third trimester was abstracted from medical records and used to determine excessive weight gain. Ever experiencing discrimination was associated with a 71% increase in the odds of excessive weight gain. The effect of discrimination was primarily present among women who attributed this treatment to membership in a historically oppressed group (e.g., ethnic minority, female) or to membership in other stigmatized groups (e.g., overweight). The effect of ever experiencing discrimination was not moderated by race/ethnicity or age but was moderated by depressive symptoms. Supporting the perspective of the environmental affordances model, discrimination strongly predicted excessive weight gain when women were low in depressive symptoms but had no effect when women were high in depressive symptoms. The moderating role of depressive symptoms was equivalent for Black and Latina women. Results highlight the role of discrimination in perpetuating weight-related health disparities and suggest opportunities for improving health outcomes among young pregnant women. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Discrimination and Excessive Weight Gain During Pregnancy Among Black and Latina Young Women

    Science.gov (United States)

    Reid, Allecia E.; Rosenthal, Lisa; Earnshaw, Valerie A.; Lewis, Tené T.; Lewis, Jessica B.; Stasko, Emily C.; Tobin, Jonathan N.; Ickovics, Jeannette R.

    2016-01-01

    Rationale Excessive weight gain during pregnancy is a major determinant of later life obesity among both Black and Latina women and their offspring. However, psychosocial determinants of this risk, including everyday discrimination, and potential moderators of such effects remain unexplored. Objective We examined the influence of discrimination, a culturally relevant stressor, on odds of gaining weight beyond Institute of Medicine recommendations during pregnancy. Whether the effect was moderated by race/ethnicity, age, or depressive symptoms was also examined. Method Participants were 413 Black and Latina pregnant young women, ages 14-21 years. Experience with discrimination and all moderators were assessed in the second trimester. Last weight recorded in the third trimester was abstracted from medical records and used to determine excessive weight gain. Results Ever experiencing discrimination was associated with a 71% increase in the odds of excessive weight gain. The effect of discrimination was primarily present among women who attributed this treatment to membership in a historically oppressed group (e.g., ethnic minority, female) or to membership in other stigmatized groups (e.g., overweight). The effect of ever experiencing discrimination was not moderated by race/ethnicity or age but was moderated by depressive symptoms. Supporting the perspective of the environmental affordances model, discrimination strongly predicted excessive weight gain when women were low in depressive symptoms but had no effect when women were high in depressive symptoms. The moderating role of depressive symptoms was equivalent for Black and Latina women. Conclusion Results highlight the role of discrimination in perpetuating weight-related health disparities and suggest opportunities for improving health outcomes among young pregnant women. PMID:27038321

  3. In and out of love with hip-hop: saliency of sexual scripts for young adult African American women in hip-hop and Black-oriented television.

    Science.gov (United States)

    Coleman, M Nicole; Butler, Ebony O; Long, Amanda M; Fisher, Felicia D

    2016-10-01

    Hip-hop media and Black-oriented reality television are powerful mechanisms for conveying and promoting stereotypes of Black women. Black women's sexuality is frequently presented as highly-salient in each medium. However, little is known about the impact of those images on Black women's sexuality and identity. The current study uses focus-group methodology to engage young adult Black in critical discussion of two predominant sexual scripts found in hip-hop music and Black-oriented reality television - the Freak and the Gold Digger. Analyses revealed shared and distinct aspects of each sexual script represented in both media and the impact of those scripts on participants' experiences. Implications for future research are discussed.

  4. Racial discrimination, response to unfair treatment, and depressive symptoms among pregnant black and African American women in the United States.

    Science.gov (United States)

    Ertel, Karen A; James-Todd, Tamarra; Kleinman, Kenneth; Krieger, Nancy; Gillman, Matthew; Wright, Rosalind; Rich-Edwards, Janet

    2012-12-01

    To assess the association between self-reported racial discrimination and prenatal depressive symptoms among black women. Our study population consisted of two cohorts of pregnant women: the Asthma Coalition on Community, Environment, and Social Stress project (ACCESS) and Project Viva. We measured self-reported racial discrimination among black women using a modified Experiences of Discrimination scale (score 0-8). We assessed elevated depressive symptoms (EDS) with the Edinburgh Postnatal Depression Scale (≥13 on a 0-30 scale). Fifty-four percent of ACCESS and 78% of Viva participants reported experiencing racial discrimination. After adjusting for age, marital status, income, education, and nativity, a 1-U increment in Experiences of Discrimination score was associated with 48% increased odds of EDS (odds ratio, 1.48; 95% confidence interval, 1.24-1.76) for ACCESS participants but was not significantly associated among Viva participants (odds ratio, 1.12; 95% confidence interval, 0.92-1.37). In both cohorts, responding to unfair treatment by talking to others was associated with the lowest odds of EDS. Our findings suggest that higher levels of perceived racial discrimination may increase depressive symptoms during pregnancy among U.S. black women. Interventions involving talking to others may aid in reducing the risk of depressive symptoms among black women experiencing higher levels of racial discrimination. Copyright © 2012 Elsevier Inc. All rights reserved.

  5. Employment gains and wage declines: the erosion of black women's relative wages since 1980.

    Science.gov (United States)

    Pettit, Becky; Ewert, Stephanie

    2009-08-01

    Public policy initiatives in the 1950s and 1960s, including Affirmative Action and Equal Employment Opportunity law, helped mitigate explicit discrimination in pay, and the expansion of higher education and training programs have advanced the employment fortunes of many American women. By the early 1980s, some scholars proclaimed near equity in pay between black and white women, particularly among young and highly skilled workers. More recent policy initiatives and labor market conditions have been arguably less progressive for black women's employment and earnings: through the 1980s, 1990s, and the first half of the 2000s, the wage gap between black and white women widened considerably. Using data from the Current Population Survey Merged Outgoing Rotation Group (CPS-MORG), this article documents the racial wage gap among women in the United States from 1979 to 2005. We investigate how demographic and labor market conditions influence employment and wage inequality among black and white women over the period. Although shifts in labor supply influence the magnitude of the black-white wage gap among women, structural disadvantages faced by black women help explain the growth in the racial wage gap.

  6. Black Women: Double Solos in the Workplace.

    Science.gov (United States)

    Fontaine, Deborah C.; Greenlee, Shelia P.

    1993-01-01

    Studies 12 black women in solo status positions in academia. Solo status is being the only member, or one of a small number, of a sex or racial group or both, in the workplace. As double solos, these women felt they had to outperform majority group counterparts. Common perceptions of barriers and facilitators are discussed. (SLD)

  7. Stereotypes of Black American Women Related to Sexuality and Motherhood

    Science.gov (United States)

    Rosenthal, Lisa; Lobel, Marci

    2016-01-01

    Intersectionality theorists and researchers suggest the importance of examining unique stereotypes associated with intersecting group identities. We focus on the unique stereotypes of Black women in the United States related to sexuality and motherhood. In an online experimental study, 435 undergraduates from a Northeastern U.S. university were randomly assigned to one of the four conditions in which they viewed a photograph and read a description of a target young woman. The target’s race (Black vs. White) and pregnancy status (pregnant vs. no pregnancy information) were varied. A Black female target (pregnant or not) was perceived more negatively on items related to historically rooted societal stereotypes about sexual activity, sexual risk, motherhood status, and socioeconomic status than was a White female target, but there were no differences on items unrelated to societal stereotypes. A Black target described as pregnant was also perceived as more likely to be a single mother and to need public assistance than was a White target described as pregnant. Current findings, along with evidence that societal stereotypes have damaging effects, underscore the importance of diversifying images of Black women and increasing awareness of how stereotypes affect perceptions of Black women. Findings also highlight the value of research employing intersectionality to understand stereotypes. PMID:27821904

  8. Stereotypes of Black American Women Related to Sexuality and Motherhood.

    Science.gov (United States)

    Rosenthal, Lisa; Lobel, Marci

    2016-09-01

    Intersectionality theorists and researchers suggest the importance of examining unique stereotypes associated with intersecting group identities. We focus on the unique stereotypes of Black women in the United States related to sexuality and motherhood. In an online experimental study, 435 undergraduates from a Northeastern U.S. university were randomly assigned to one of the four conditions in which they viewed a photograph and read a description of a target young woman. The target's race (Black vs. White) and pregnancy status (pregnant vs. no pregnancy information) were varied. A Black female target (pregnant or not) was perceived more negatively on items related to historically rooted societal stereotypes about sexual activity, sexual risk, motherhood status, and socioeconomic status than was a White female target, but there were no differences on items unrelated to societal stereotypes. A Black target described as pregnant was also perceived as more likely to be a single mother and to need public assistance than was a White target described as pregnant. Current findings, along with evidence that societal stereotypes have damaging effects, underscore the importance of diversifying images of Black women and increasing awareness of how stereotypes affect perceptions of Black women. Findings also highlight the value of research employing intersectionality to understand stereotypes.

  9. Cultural Connections: An Ethnocultural Counseling Intervention for Black Women in College

    Science.gov (United States)

    Jones, Martinque K.; Sam, Thomandra S.

    2018-01-01

    Counseling interventions that support the exploration of ethnocultural concerns are beneficial to the overall well-being of Black women in college. The authors describe Cultural Connections, a theoretically based and culturally adapted group counseling intervention for Black women in college. Also presented are a case example demonstrating the…

  10. The Spirit Bears Witness: Reflections of Two Black Women's Journey in the Academy

    Science.gov (United States)

    Generett, Gretchen Givens; Cozart, Sheryl

    2012-01-01

    This article describes our evolution as two Black American women academics who, after years of dealing with our community's marginalization and our own marginalization in the academy, began to employ research as a way of surviving. To share the significance of this experience, we first reflect on our understandings of our positionality within the…

  11. Social Support and Leisure Time Physical Activity in Young Black Women

    Science.gov (United States)

    Martin, Jasel

    2018-01-01

    Problem: Compared with other ethnic groups, Black women are the least likely group to engage in the recommended amount of physical activity. However, few studies have specifically identified or addressed barriers to physical activity in Black college-aged women. Method: This cross-sectional study analyzed data from the 2013 National Health…

  12. Communication Between Middle SES Black Women and Healthcare Providers About HIV Testing.

    Science.gov (United States)

    Fray, Niasha A; Caldwell, Kia Lilly

    2017-01-01

    This article explores the impact of patient and healthcare provider communication (PPC) on the HIV testing behaviors of middle socioeconomic status (SES) Black women in North Carolina. We explore how PPC about STIs and HIV (or the lack thereof) affects the provision of STI/HIV testing by either confirming the need for middle SES Black women to test routinely or potentially deterring women from feeling they need to be tested. After conducting 15 qualitative interviews with middle SES Black women between 25 and 45 years of age, we uncovered the role of patient self-advocacy in promoting HIV testing among middle SES Black women when they communicate with their healthcare providers. We discuss the importance of healthcare providers engaging their middle SES Black female patients in routine discussions about sexual health and sexual risk reduction, regardless of providers' perceptions of their potential STI/HIV risk. We recommend including SES as a variable in data collection and research in order to better understand how social class, race, and gender affect sexual health behavior and the provision of STI and HIV/AIDS prevention to diverse populations. Copyright © 2016 National Medical Association. Published by Elsevier Inc. All rights reserved.

  13. Normative Ideals, “Alternative” Realities: Perceptions of Interracial Dating among Professional Latinas and Black Women

    Directory of Open Access Journals (Sweden)

    Rocio Garcia

    2015-11-01

    Full Text Available Family types continue to expand in the U.S., yet normative patterns of endogamy and the privileging of nuclear families persist. To understand how professional women of color navigate endogamy and family ideals, I draw on 40 in-depth interviews of professional Black women and Latinas to ask how they construct partner preferences. I find that professional Latinas and Black women prefer same-race, similarly educated partners but report significant barriers to satisfying these desires. Respondents’ experiences with racism, the rejection of ethno-racial and cultural assimilation, gendered racism from men of color, and the college gender gap emerge as mechanisms for endogamous preferences. These preferences resist and support hegemonic family formation, an ideological and behavioral process that privileges, white, middle class, endogamous, heteronormative ideals for families comprising courtship, marriage, and biological childbearing. By challenging the racial devaluation of people of color while preferring the normativity that endogamy offers, the women in this study underscore the fluidity embedded in endogamy.

  14. The Work and Family Responsibilities of Black Women Single Parents. Working Paper No. 148.

    Science.gov (United States)

    Malson, Michelene R.; Woody, Bette

    One aspect of the general rise in the number of single parent households is the high proportion of them that are headed by black women. Black families headed by women tend to be larger and are more likely to be impoverished. Contrary to popular belief, many black single mothers considered poor are employed women, not recipients of welfare. An…

  15. Sexual health among U.S. black and Hispanic men and women: a nationally representative study.

    Science.gov (United States)

    Dodge, Brian; Reece, Michael; Herbenick, Debby; Schick, Vanessa; Sanders, Stephanie A; Fortenberry, J Dennis

    2010-10-01

    Little is known about the prevalence of sexual behaviors among the black and Hispanic populations in the United States outside the context of sexual risk and disease transmission in "high-risk" samples. This study sought to establish current rates of sexual behaviors, sexual health care practices (i.e., experiences with testing and diagnosis of sexually transmitted infections [STIs]), and condom use in a probability sample of black and Hispanic adult men and women in the United States. Sexual behaviors including solo masturbation, partnered masturbation, receiving oral sex and giving oral sex, vaginal intercourse, and anal intercourse were assessed. Self-reported rates of HIV and other STI testing, and self-reported history of STI diagnosis were examined. Also assessed were rates of condom use during most recent and past 10 vaginal intercourse events. Data from a probability sample of 1246 black and Hispanic adults were analyzed to explore sexual behaviors, condom use, and STI testing and diagnosis trends. Masturbation, oral sex, and vaginal intercourse were prevalent among black and Hispanic men and women throughout the life course. Anal intercourse and same-gender sexual activities were less common. Self-reported rates of HIV testing were relatively high but varied by gender across age groups. Similarly, rates of testing for other STI were high and differed by gender across age groups. Overall rates of condom use among black and Hispanic men and women were relatively high and did not appear to be related to a variety of situational factors including location of sexual encounter, relationship status, other contraceptive use, and substance use during sexual activity. These data provide a foundation for understanding diverse sexual behaviors, sexual health-care practices, and condom use among the general population of black and Hispanic men and women in the United States. © 2010 International Society for Sexual Medicine.

  16. Rural black women's agency within intimate partnerships amid the ...

    African Journals Online (AJOL)

    The HIV pandemic reveals the contradictions between women's legal rights and the persistence of women's cultural and sexual subordination. It reflects the impact of poverty, gender roles, culture and religion. Although HIV and AIDS cuts across class, South African rural black women's infection risk seems particularly high ...

  17. Women's willingness to experiment with condoms and lubricants: A study of women residing in a high HIV seroprevalence area.

    Science.gov (United States)

    Sanders, Stephanie A; Crosby, Richard A; Milhausen, Robin R; Graham, Cynthia A; Tirmizi, Amir; Yarber, William L; Beauchamps, Laura; Mena, Leandro

    2018-03-01

    The objective of this study was to investigate women's willingness to experiment with new condoms and lubricants, in order to inform condom promotion in a city with high rates of poverty and HIV. One hundred and seventy-three women (85.9% Black) sexually transmitted infection clinic attendees in Jackson, Mississippi, United States completed a questionnaire assessing willingness to experiment with condoms and lubricants and sexual pleasure and lubrication in relation to last condom use. Most women were willing to: (1) experiment with new types of condoms and lubricants to increase their sexual pleasure, (2) touch/handle these products in the absence of a partner, and (3) suggest experimenting with new condoms and lubricants to a sex partner. Previous positive sexual experiences with lubricant during condom use predicted willingness. The role women may play in male condom use should not be underestimated. Clinicians may benefit women by encouraging them to try new types of condoms and lubricants to find products consistent with sexual pleasure.

  18. How Black women make sense of 'White' and 'Black' fashion magazines: a qualitative think aloud study.

    Science.gov (United States)

    Ogden, Jane; Russell, Sheriden

    2013-12-01

    This qualitative think aloud study explored how Black women (n = 32) processed information from a White or Black fashion magazine. Comments to the 'White' magazine were characterised by rejection, being critical of the media and ambivalence, whereas they responded to the 'Black' magazine with celebration, identification and a search for depth. Transcending these themes was their self-identity of being a Black woman that was brought to the fore either by a sense of exclusion (White magazine) or engagement (Black magazine). Such an identity provides resilience against the media's thin ideals by minimising the processes of social comparison and internalisation.

  19. SisterTalk: final results of a culturally tailored cable television delivered weight control program for Black women

    OpenAIRE

    Risica, Patricia Markham; Gans, Kim M; Kumanyika, Shiriki; Kirtania, Usree; Lasater, Thomas M

    2013-01-01

    Background Obesity among Black women continues to exceed that of other women. Most weight loss programs created without reference to specific cultural contexts are less effective for Black than White women. Weight control approaches accessible to Black women and adapted to relevant cultural contexts are important for addressing this problem. This paper reports the final results of SisterTalk, the randomized controlled trial of a cable TV weight control program oriented toward Black women. Met...

  20. Mortality risk of black women and white women with invasive breast cancer by hormone receptors, HER2, and p53 status

    International Nuclear Information System (INIS)

    Ma, Huiyan; Folger, Suzanne G; Simon, Michael S; Sullivan-Halley, Jane; Press, Michael F; Bernstein, Leslie; Lu, Yani; Malone, Kathleen E; Marchbanks, Polly A; Deapen, Dennis M; Spirtas, Robert; Burkman, Ronald T; Strom, Brian L; McDonald, Jill A

    2013-01-01

    Black women are more likely than white women to have an aggressive subtype of breast cancer that is associated with higher mortality and this may contribute to the observed black-white difference in mortality. However, few studies have investigated the black-white disparity in mortality risk stratified by breast cancer subtype, defined by estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2) status. Furthermore, it is not known whether additional consideration of p53 protein status influences black-white differences in mortality risk observed when considering subtypes defined by ER, PR and HER2 status. Four biomarkers were assessed by immunohistochemistry in paraffin-embedded breast tumor tissue from 1,204 (523 black, 681 white) women with invasive breast cancer, aged 35–64 years at diagnosis, who accrued a median of 10 years’ follow-up. Multivariable Cox proportional hazards regression models were fit to assess subtype-specific black-white differences in mortality risk. No black-white differences in mortality risk were observed for women with triple negative (ER-negative [ER-], PR-, and HER2-) subtype. However, older (50–64 years) black women had greater overall mortality risk than older white women if they had been diagnosed with luminal A (ER-positive [ER+] or PR+ plus HER2-) breast cancer (all-cause hazard ratio, HR, 1.88; 95% confidence interval, CI, 1.18 to 2.99; breast cancer-specific HR, 1.51; 95% CI, 0.83 to 2.74). This black-white difference among older women was further confined to those with luminal A/p53- tumors (all-cause HR, 2.22; 95% CI, 1.30 to 3.79; breast cancer-specific HR, 1.89; 95% CI, 0.93 to 3.86). Tests for homogeneity of race-specific HRs comparing luminal A to triple negative subtype and luminal A/p53- to luminal A/p53+ subtype did not achieve statistical significance, although statistical power was limited. Our findings suggest that the subtype-specific black-white difference in

  1. Is It because I'm Black? A Black Female Research Experience

    Science.gov (United States)

    Maylor, Uvanney

    2009-01-01

    This article examines what it means to be a Black female researcher in contemporary Britain. Drawing on Black feminist theory and critical race theory (CRT), this article seeks to highlight some of the experiences and challenges that Black female researchers face when undertaking research, particularly research that has diversity, equality or…

  2. Why Not Academia?--The Streamlined Career Choice Process of Black African Women Engineers: A Grounded Theory Study

    Science.gov (United States)

    Mlambo, Yeukai Angela

    2017-01-01

    Black African women are grossly underrepresented as academic staff in engineering programs at South African universities. The problem is exacerbated at historically White institutions (HWI) where Black women are simply absent as engineering research and teaching staff. The absence of Black African women in the academy occurs despite Black African…

  3. "Bringing home more than a paycheck:" an exploratory analysis of Black lesbians' experiences of stress and coping in the workplace.

    Science.gov (United States)

    Bowleg, Lisa; Brooks, Kelly; Ritz, Susan Faye

    2008-01-01

    Although the workplace stress that Black women and lesbian, gay, bisexual and transgender (LGBT) people experience due to prejudice and discrimination has been well-documented in the social science literature, much of this literature focuses on Black women or LGBTs as if these groups were distinct and mutually exclusive. Consequently, there is a void of theory and research on the workplace stress that Black lesbians experience. This qualitative study involved exploratory analyses of workplace stress due to race, sex/gender, and sexual orientation, and coping strategies among a predominantly middle-class, highly educated sample of 19 Black lesbians between the ages of 26 and 68. Four workplace stressors emerged, those relevant to: heterosexism/ sexual identity; racism/race; sexism/sex/gender; and intersections of race, sex/gender, and sexual orientation. Three primary coping strategies emerged: being out and managing being out, covering their sexual orientation, and confronting or educating coworkers about prejudice and discrimination.

  4. Young, Depressed, and Black: A Comparative Exploration of Depressive Symptomatology among Black and White Collegiate Women

    Science.gov (United States)

    Longmire-Avital, Buffie; Robinson, Ruthie

    2018-01-01

    This comparative study explored the rates of depression and psychosocial correlates for 369 collegiate White and Black females. Women between the ages of 18 and 25 were recruited to participate in this anonymous online survey. Black females reported significantly greater amounts of depressive symptomatology (M = 24.61) in comparison to the White…

  5. Correlates of persistent thinness in black and white young women

    NARCIS (Netherlands)

    Franko, DL; Thompson, D; Russell, R; Schreiber, GB; Crawford, PB; Daniels, [No Value; Striegel-Moore, RH

    2005-01-01

    Objective: To examine health and psychosocial correlates of persistent thinness in black and white young adult women. Research Methods and Procedures: 1830 females (n = 988 black, n = 842 white) who participated in the National Heart, Lung, and Blood Institute Growth and Health Study were asked to

  6. Sexual harassment across the color line: experiences and outcomes of cross- versus intraracial sexual harassment among Black women.

    Science.gov (United States)

    Woods, Krystle C; Buchanan, Nicole T; Settles, Isis H

    2009-01-01

    The current study examined differences in appraisal, harassment, and severity of posttraumatic stress symptoms among 105 Black women who were sexually harassed by either a White (cross-racial sexual harassment) or a Black man (intraracial sexual harassment). Analyses revealed that women appraised cross-racial more negatively than intraracial harassment, despite there being no significant differences in the likelihood of experiencing gender harassment, unwanted sexual attention, or sexual coercion. Further, cross-racial harassment was more likely to include racialized sexual harassment (harassing behaviors combining race and gender simultaneously) and higher status perpetrators. Finally, cross-racial sexual harassment had an indirect (but not direct) mediated effect on posttraumatic stress via participants' appraisals of their harassment. Specifically, the more negative appraisal associated with cross-racial sexual harassment was associated with increased posttraumatic stress symptoms. In light of these findings, consideration of perpetrator race and racially sexualized behaviors could prove significant additions to current models of sexual harassment.

  7. Black Feminism: An Integrated Review of Literature.

    Science.gov (United States)

    Love, Katie L

    2016-01-01

    This study presents a systematic literature review exploring the uses and potential benefits of Black Feminism in nursing research. Black Feminism may benefit knowledge development for nursing in a variety of ways, such as illuminating the multifaceted factors of Black women's identities in helping scholars move away from generalization of experiences, to improve understanding of health disparities, and making such changes by broadening the social consciousness of the nurse researchers, who are predominantly White. Discrimination in health disparities may be deconstructed if the focus is placed on asking different research questions and offering different interventions with the social structures that contributes to such actions. When Black Feminism guides the research method (including research questions and analysis), the accuracy of representing the experiences of Black women is increased. In this research, Black Feminism highlights experience, coping mechanisms, spiritual values, a tradition of strength, and a holistic view of identity.

  8. The Measured Black-White Wage Gap among Women Is Too Small.

    Science.gov (United States)

    Neal, Derek

    2004-01-01

    Existing work suggests that black-white gaps in potential wages are much larger among men than women and further that black-white differences in patterns of female labor supply are unimportant. However, panel data on wages and income sources demonstrate that the modal young black woman who does not engage in market work is a single mother…

  9. Food prices and food shopping decisions of black women.

    Science.gov (United States)

    DiSantis, Katherine I; Grier, Sonya A; Oakes, J Michael; Kumanyika, Shiriki K

    2014-06-01

    Identifying food pricing strategies to encourage purchases of lower-calorie food products may be particularly important for black Americans. Black children and adults have higher than average obesity prevalence and disproportionate exposure to food marketing environments in which high calorie foods are readily available and heavily promoted. The main objective of this study was to characterize effects of price on food purchases of black female household shoppers in conjunction with other key decision attributes (calorie content/healthfulness, package size, and convenience). Factorial discrete choice experiments were conducted with 65 low- and middle-/higher-income black women. The within-subject study design assessed responses to hypothetical scenarios for purchasing frozen vegetables, bread, chips, soda, fruit drinks, chicken, and cheese. Linear models were used to estimate the effects of price, calorie level (or healthfulness for bread), package size, and convenience on the propensity to purchase items. Moderating effects of demographic and personal characteristics were assessed. Compared with a price that was 35% lower, the regular price was associated with a lesser propensity to purchase foods in all categories (β = -0.33 to -0.82 points on a 1 to 5 scale). Other attributes, primarily calorie content/healthfulness, were more influential than price for four of seven foods. The moderating variable most often associated with propensity to pay the regular versus lower price was the reported use of nutrition labels. Price reductions alone may increase purchases of certain lower-calorie or more healthful foods by black female shoppers. In other cases, effects may depend on combining price changes with nutrition education or improvements in other valued attributes. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Black women talk about workplace stress and how they cope.

    Science.gov (United States)

    Hall, J Camille; Everett, Joyce E; Hamilton-Mason, Johnnie

    2012-01-01

    Black women face the same struggles as White women; however, they have to face issues of diversity on top of inequality. The purpose of this study was to explore work-related stressors that affect the lives of Black women and how they cope with them. Using an exploratory design with grounded-theory methods, five basic themes emerged that identify when racism and sexism are experienced as stressors for African American women in the workplace. The themes are: (1) being hired or promoted in the workplace, (2) defending one’s race and lack of mentorship, (3) shifting or code switching to overcome barriers to employment, (4) coping with racism and discrimination, and (5) being isolated and/or excluded. The results from this study indicate African American women use emotion- and problem-focused coping responses to manage stress (e.g., racism and sexism) in the workplace. The article concludes with a discussion of practice implications of these findings.

  11. Employment and breastfeeding outcomes in a sample of black women in the United States.

    Science.gov (United States)

    McCarter-Spaulding, Deborah; Lucas, Jennifer; Gore, Rebecca

    2011-12-01

    Black women have lower rates of breastfeeding initiation and duration than other racial groups have, but the effects of employment on breastfeeding, specifically for Black women, have not been studied extensively. The purpose of this research was to determine the influence of work or maternity leave on breastfeeding duration in a sample of Black women. Participants were recruited in the first postpartum week, and then followed monthly for six months or until complete weaning. The timing of returning to work significantly influenced the risk of weaning. Women who returned to work prior to 12 weeks were more likely to wean their babies than both those who returned to work after 12 weeks as well as those who remained at home. Policies that allow for at least 12 weeks' maternity leave would be likely to increase breastfeeding duration for employed Black women. Interdisciplinary research is needed to address health and economic issues of maternity leave and to eliminate racial disparities.

  12. An Examination of the Sociodemographic and Health Determinants of Major Depressive Disorder Among Black Women.

    Science.gov (United States)

    Amutah-Onukagha, Ndidiamaka N; Doamekpor, Lauren A; Gardner, Michelle

    2017-12-01

    Black women disproportionately share the distribution of risk factors for physical and mental illnesses. The goal of this study was to examine the sociodemographic and health correlates of major depressive disorder (MDD) symptoms among black women. Pooled data from the 2005-2010 National Health and Nutrition Examination Survey (NHANES) were used to assess the sociodemographic and health correlates of MDD symptoms among black women (n = 227). Multivariate logistic regression techniques assessed the association between MDD symptoms and age, socioeconomic status, health status, and health behaviors. Poverty income ratio and smoking status were significantly associated with the likelihood of having MDD symptoms. Black women who were smokers were also more likely to have MDD symptoms compared to non-smokers [OR = 8.05, 95% CI = (4.56, 14.23)]. After controlling for all other socioeconomic and health variables, this association remained statistically significant. In addition, after controlling for all other variables, the multivariate analyses showed that black women below 299% federal poverty level (FPL) were nearly three times more likely to have MDD symptoms compared to women above 300% FPL [OR = 2.82, 95% CI = (1.02, 7.96)]. These analyses suggest that poverty and smoking status are associated with MDD symptoms among black women. A deeper understanding of the underlying mechanisms and key factors which influence MDD symptoms are needed in order to develop and create mental health programs targeting women of color.

  13. Experiences of Racism and the Incidence of Adult-Onset Asthma in the Black Women’s Health Study

    Science.gov (United States)

    Yu, Jeffrey; O’Connor, George T.; Brown, Timothy A.; Cozier, Yvette C.; Palmer, Julie R.; Rosenberg, Lynn

    2014-01-01

    Background: Chronic stress resulting from experiences of racism may increase the incidence of adult-onset asthma through effects on the immune system and the airways. We conducted prospective analyses of the relation of experiences of racism with asthma incidence in the Black Women’s Health Study, a prospective cohort of black women in the United States followed since 1995 with mailed biennial questionnaires. Methods: Among 38,142 participants followed from 1997 to 2011, 1,068 reported incident asthma. An everyday racism score was created based on five questions asked in 1997 and 2009 about the frequency in daily life of experiences of racism (eg, poor service in stores), and a lifetime racism score was based on questions about racism on the job, in housing, and by police. We used Cox regression models to derive multivariable incidence rate ratios (IRRs) and 95% CIs for categories of each racism score in relation to incident asthma. Results: The IRRs were 1.45 (95% CI, 1.19-1.78) for the highest compared with the lowest quartile of the 1997 everyday racism score (P for trend racism. Among women who reported the same levels of racism in 1997 and 2009, the IRRs for the highest categories of everyday and lifetime racism were 2.12 (95% CI, 1.55-2.91) and 1.66 (95% CI, 1.20-2.30), respectively. Conclusions: Given the high prevalence of experiences of racism and asthma in black women in the United States, a positive association between racism and asthma is of public health importance. PMID:23887828

  14. The Body of the Mother in Contemporary Black Women Narratives: (ReWriting immanence towards transcendence

    Directory of Open Access Journals (Sweden)

    Cristina M. T. Stevens

    2015-01-01

    Full Text Available http://dx.doi.org/10.5007/2175-8026.2015v68n2p93 Articulating class, gender and race issues, we analyze black motherhood in novels by contemporary black women writers, the harsh reality of this experience under slavery, colonization and its consequences in contemporary society. hey expose the bodily aspects of labor, in deep contrast with the patriarchal, idealized images of western motherhood; in doing so, however, they reject its characterization as a purely immanent process which deines and entraps women’s body in utterly distorted, essentialist terms.

  15. "They Are Hiring the White Women but They Won't Hire the Colored Women": Black Women Confront Racism and Sexism in the Richmond Shipyards During World War II

    OpenAIRE

    Tuft, Paige

    2015-01-01

    During World War II, black women migrated largely out of the South to take advantage of the growing defense industries in California. Black women flocked to the shipbuilding industry in Richmond for the great economic opportunities industrial jobs offered. What they found when they arrived and attempted to secure jobs in the shipyards hardly lived up to their dreams and expectations. Black women found themselves faced with dual discrimination due to their race and gender. The shortage of a...

  16. Maternity and paternity leave and career progression of black African women in dual-career couples

    Directory of Open Access Journals (Sweden)

    Lucky L. Motaung

    2017-09-01

    Full Text Available Orientation: The study focused on examining the perceptions of dual-career couples at a stateowned company about the influence of taking maternity and paternity leave on the career progression of black African women in middle management and leadership occupations. Research purpose: The primary purpose of the study was to identify core barriers in relation to maternity and paternity leave that contribute negatively in the career progression of black African women in dual-career couples. Motivation for the study: To obtain insight into the underrepresentation and progression of black African women within dual-career couples, in middle management and leadership occupations. Research design, approach and method: This study was qualitative, comprising a sample of 10 black African women and 10 black African men, with data collected through in-depth semistructured interviews. Thematic analysis was utilised to analyse the interview dialogues. Main findings: The findings established that taking maternity leave has a negative influence on the career progression of black African women in dual-career couples at the state-owned company. The participants further confirmed that involuntary time off work and productiveness were principal influencing barriers of taking maternity leave, leading to other undesirable consequences, such as unproductiveness and reliability. Practical and managerial implications: The state-owned company should review its current talent management and recruitment and selection policies, in order to positively contribute to increasing the representation and facilitating career progression of black African women within dual-career couples, in middle management and leadership occupations. Contributions or value-add: Insights were provided on the influences of taking maternity and paternity leave in the underrepresentation and progression of black African women within dual-career couples, in middle management and leadership occupations.

  17. High risk of metabolic syndrome among black South African women with severe mental illness

    Directory of Open Access Journals (Sweden)

    Shamima Saloojee

    2017-04-01

    Full Text Available Background: There is an increased prevalence of metabolic syndrome (MetS in individuals with severe mental illness (SMI globally. The prevalence of MetS is higher in black women compared to black men from South Africa. Aim: To compare the prevalence of MetS between black South African men and women with SMI taking antipsychotic medication. Further, this prevalence was compared to the prevalence in a matched control group of black South African men and women without SMI. Setting: A general hospital psychiatric unit. Methods: A cross-sectional study was undertaken to compare the prevalence of MetS in a group of multi-ethnic participants with SMI treated with antipsychotic medication and a matched control group without SMI, applying the 2009 Joint Interim Statement (JIS criteria. Here, we included only the black African participants to compare MetS prevalence between men and women. Results: There were 232 participants in the group with SMI (male 155 and female 77 and without SMI (male 156 and female 76. The prevalence of MetS was more than three times higher in women with SMI compared to men with SMI (37.7% vs. 10.3%, p < 0.001. There was no significant difference in the prevalence of MetS in men or women between the groups with and without SMI. In multivariate logistic regression analysis, female gender (odds ratio [OR] 7.66, advancing age (OR 1.08 and longer duration of illness (OR = 1.15 were significant risk factors for MetS in SMI. Conclusion: In black South Africans with SMI on antipsychotic medication, there is a higher prevalence and risk for MetS in women compared to men.

  18. Body image and eating disordered behavior in a community sample of Black and Hispanic women.

    Science.gov (United States)

    Hrabosky, Joshua I; Grilo, Carlos M

    2007-01-01

    The current study examined body image concerns and eating disordered behaviors in a community sample of Black and Hispanic women. In addition, this study explored whether there are ethnic differences in the correlates or in the prediction of body image concerns. Participants were 120 (67 Black and 53 Hispanic) women who responded to advertisements to participate in a study of women and health. Participants completed a battery of established self-report measures to assess body image, eating disordered behaviors, and associated psychological domains. Black and Hispanic women did not differ significantly in their self-reports of body image, eating disordered behaviors, or associated psychological measures. Comparisons performed separately within both ethnic groups revealed significant differences by weight status, with a general graded patterning of greater concerns in obese than overweight than average weight groups. In terms of predicting body image, multiple regression analyses testing a number of variables, including BMI, performed separately for Black and Hispanic women revealed that eating concern and depressive affect were significant predictors of body image concern for both groups. Overall, Black and Hispanic women differed little in their self-reports of body image, eating-disordered features, and depressive affect. Higher weight was associated with a general pattern of increased body image concerns and features of eating disorders in both groups and with binge eating in Black women. Eating concerns and depressive affect emerged as significant independent predictors of body image for both ethnic groups.

  19. Systematic review of stigma reducing interventions for African/Black diasporic women.

    Science.gov (United States)

    Loutfy, Mona; Tharao, Wangari; Logie, Carmen; Aden, Muna A; Chambers, Lori A; Wu, Wei; Abdelmaseh, Marym; Calzavara, Liviana

    2015-01-01

    Literature indicates that racism, sexism, homophobia and HIV-related stigma have adverse impacts on health, well-being, and quality of life among HIV-positive women of African descent (African/Black diaspora). However, limited evidence exists on the effectiveness of interventions aimed at reducing stigma tailored for these women. This study systematically reviewed randomized controlled trials (RCTs), non-randomized observational and quasi-experimental studies evaluating the effectiveness of interventions aimed at reducing stigma experienced by this population. The Cochrane methodology was used to develop a search strategy in consultation with a librarian scientist. Databases searched included the Cochrane Library, Ovid EMBASE, PsycInfo, and 10 others. Two reviewers independently assessed the studies for potential relevance and conducted the Cochrane grading of RCTs to assess risk of bias and the Newcastle-Ottawa scale to assess the quality of non-randomized studies. Eligible papers were selected if they employed an intervention design with African/Black diasporic women living with HIV as the target population and had a primary outcome of stigma reduction. Of the five studies that met all of the eligibility criteria, four demonstrated the effectiveness of interventions in reducing HIV-related stigma. Only two of the five studies were designed specifically for HIV-positive African/Black diasporic women. Limitations included the absence of interventions addressing other forms of stigma and discrimination (e.g. gender discrimination, racism, heterosexism). Our findings suggest that there are limited interventions designed to address multiple forms of stigma, including gender and racial discrimination, experienced by HIV-positive African/Black diasporic women.

  20. The Effects of HIV/AIDS on the Retention of Black Women in College

    Science.gov (United States)

    Henry, Wilma J.

    2013-01-01

    Although only contributing approximately 12% to the United States population, Black Americans account for the majority (51%) of new HIV/AIDS diagnoses in this country. Black women in college between the ages of 18 and 24 fall directly in the center of these alarming statistics. These young women are faced with the psychosocial manifestations of…

  1. Identifying Contextual and Emotional Factors to Explore Weight Disparities between Obese Black and White Women

    Directory of Open Access Journals (Sweden)

    NiCole R. Keith

    2016-01-01

    Full Text Available Background Obese black women enrolled in weight loss interventions experience 50% less weight reduction than obese white women. This suggests that current weight loss strategies may increase health disparities. Objective We evaluated the feasibility of identifying daily contextual factors that may influence obesity. Methods In-home interviews with 16 obese (body mass index ≥ 30 black and white urban poor women were performed. For 14 days, ecological momentary assessment (EMA was used to capture emotion and social interactions every other day, and day reconstruction method surveys were used the following day to reconstruct the context of the prior day's EMA. Results Factors included percentage of participants without weight scales (43.8% or fitness equipment (68.8% in the home and exposed to food at work (55.6%. The most frequently reported location, activity, and emotion were home (19.4 ± 8.53, working (7.1 ± 8.80, and happy (6.9 ± 10.03, respectively. Conclusion Identifying individual contexts may lead to valuable insights about obesogenic behaviors and new interventions to improve weight management.

  2. Exploring Discrimination and Mental Health Disparities Faced By Black Sexual Minority Women Using a Minority Stress Framework.

    Science.gov (United States)

    Calabrese, Sarah K; Meyer, Ilan H; Overstreet, Nicole M; Haile, Rahwa; Hansen, Nathan B

    2015-09-01

    Black sexual minority women are triply marginalized due to their race, gender, and sexual orientation. We compared three dimensions of discrimination-frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)-and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 Black sexual minority women and each of two groups sharing two of three marginalized statuses: (a) 67 White sexual minority women and (b) 67 Black sexual minority men. Black sexual minority women reported greater discrimination frequency, scope, and number of bases and poorer psychological and social well-being than White sexual minority women and more discrimination bases, a higher level of depressive symptoms, and poorer social well-being than Black sexual minority men. We then tested and contrasted dimensions of discrimination as mediators between social status (race or gender) and mental health outcomes. Discrimination frequency and scope mediated the association between race and mental health, with a stronger effect via frequency among sexual minority women. Number of discrimination bases mediated the association between gender and mental health among Black sexual minorities. Future research and clinical practice would benefit from considering Black sexual minority women's mental health in a multidimensional minority stress context.

  3. Tough or Tender: (Dis)Similarities in White College Students' Perceptions of Black and White Women

    Science.gov (United States)

    Donovan, Roxanne A.

    2011-01-01

    Although intersectional theory and empirical evidence suggest that race impacts how women are perceived, there is a dearth of research on how the dominant culture stereotypes Black women compared to White women. The current study addresses this gap using an intersectional framework to investigate White college students' stereotypes of Black and…

  4. Richard Wright's Thematic Treatment of Women in "Uncle Tom's Children,""Black Boy," and "Native Son."

    Science.gov (United States)

    Brewton, Butler E.

    Richard Wright's literary work emphasizes a contrast between black women and white women. Although both are "givers" to black boys, the nature of what they give is different. The black woman gives physical life, feeds it, and protects it at the expense of spiritual or creative vitality. Her goal is to survive bodily, to breathe, to have…

  5. Neural-humoral responses during head-up tilt in healthy young white and black women

    Directory of Open Access Journals (Sweden)

    Sara S Jarvis

    2014-03-01

    Full Text Available Young black women have higher prevalence of hypertension during pregnancy compared to white women, which may be attributable to differences in blood pressure (BP regulation. We hypothesized that young normotensive black women would demonstrate augmented muscle sympathetic nerve activity (MSNA and renal-adrenal responses to orthostasis. Fifteen white and ten black women (30±4 vs. 32±6 yrs; means±SD had haemodynamics and MSNA measured during baseline (BL, 30° and 60° head-up tilt (HUT, and recovery. Blood was drawn for catecholamines, direct renin, vasopressin, and aldosterone. BL brachial systolic BP (SBP: 107±6 vs. 101±9 mmHg and diastolic BP (DBP: 62±4 vs. 56±7 mmHg were higher in white women (both p< 0.05. ΔDBP (60° HUT-BL was greater in black women compared to white (p< 0.05. Cardiac output and total peripheral resistance was similar between groups. MSNA burst frequency was higher in whites (BL: 16±10 vs. 14±9 bursts/min, p< 0.05 and increased in both groups during HUT (60°: 39±8 vs. 34±13 bursts/min, p< 0.05 from BL. Noradrenaline was higher in white women (BL: 210±87 vs. 169±50 pg/ml; 60° HUT: 364±102 vs. 267±89 pg/ml, p< 0.05. Direct renin was higher and vasopressin and Δaldosterone tended to be higher in blacks (BL, direct renin: 12.1±5.0 vs. 14.4±3.7 pg/ml, p< 0.05; BL, vasopressin: 0.4±0.0 vs. 1.6±3.6pg/ml, p=0.065; Δaldosterone: -0.9±5.1 vs. 3.8±7.5 ng/ml; p=0.069. These results suggest that young normotensive white women rely on sympathetic neural more so than black women who have a tendency to rely on the renal-adrenal system to regulate BP during an orthostatic stress.

  6. Neural-humoral responses during head-up tilt in healthy young white and black women

    Science.gov (United States)

    Jarvis, Sara S.; Shibata, Shigeki; Okada, Yoshiyuki; Levine, Benjamin D.; Fu, Qi

    2014-01-01

    Young black women have higher prevalence of hypertension during pregnancy compared to white women, which may be attributable to differences in blood pressure (BP) regulation. We hypothesized that young normotensive black women would demonstrate augmented muscle sympathetic nerve activity (MSNA) and renal-adrenal responses to orthostasis. Fifteen white and ten black women (30 ± 4 vs. 32 ± 6 years; means ± SD) had haemodynamics and MSNA measured during baseline (BL), 30 and 60° head-up tilt (HUT), and recovery. Blood was drawn for catecholamines, direct renin, vasopressin, and aldosterone. BL brachial systolic BP (SBP: 107 ± 6 vs. 101 ± 9 mmHg) and diastolic BP (DBP: 62 ± 4 vs. 56 ± 7 mmHg) were higher in white women (both p < 0.05). Δ DBP (60° HUT-BL) was greater in black women compared to white (p < 0.05). Cardiac output and total peripheral resistance were similar between groups. MSNA burst frequency was higher in whites (BL: 16 ± 10 vs. 14 ± 9 bursts/min, main effect p < 0.05) and increased in both groups during HUT (60°: 39 ± 8 vs. 34 ± 13 bursts/min, p < 0.05 from BL). Noradrenaline was higher in white women during 60° HUT (60° HUT: 364 ± 102 vs. 267 ± 89 pg/ml, p < 0.05). Direct renin was higher and vasopressin and Δ aldosterone tended to be higher in blacks (BL, direct renin: 12.1 ± 5.0 vs. 14.4 ± 3.7 pg/ml, p < 0.05; BL, vasopressin: 0.4 ± 0.0 vs. 1.6 ± 3.6 pg/ml, p = 0.065; Δ aldosterone: −0.9 ± 5.1 vs. 3.8 ± 7.5 ng/ml; p = 0.069). These results suggest that young normotensive white women may rely on sympathetic neural activity more so than black women who have a tendency to rely on the renal-adrenal system to regulate BP during an orthostatic stress. PMID:24624092

  7. An Investigation Into the Social Context of Low-Income, Urban Black and Latina Women

    OpenAIRE

    Shelton, Rachel C.; Goldman, Roberta E.; Emmons, Karen M.; Sorensen, Glorian; Allen, Jennifer D.

    2011-01-01

    Understanding factors that promote or prevent adherence to recommended health behaviors is essential for developing effective health programs, particularly among lower-income populations who carry a disproportionate burden of disease. We conducted in-depth qualitative interviews (n=64) with low-income Black and Latina women who shared the experience of requiring diagnostic follow-up after having an abnormal screening mammogram. In addition to holding negative and fatalistic cancer-related bel...

  8. Controlling images: How awareness of group stereotypes affects Black women's well-being.

    Science.gov (United States)

    Jerald, Morgan C; Cole, Elizabeth R; Ward, L Monique; Avery, Lanice R

    2017-10-01

    This paper presents research exploring how stereotypes that are simultaneously racialized and gendered affect Black women. We investigated the mental and physical health consequences of Black women's awareness that others hold these stereotypes and tested whether this association was moderated by the centrality of racial identity. A structural equation model tested among 609 young Black women revealed that metastereotype awareness (i.e., being aware that others hold negative stereotypes of one's group) predicted negative mental health outcomes (e.g., depression, anxiety, hostility), which, in turn, predicted diminished self-care behaviors and greater drug and alcohol use for coping. High racial centrality exacerbated the negative association between metastereotype awareness and self-care. We discuss implications of the findings for clinical practice and for approaches to research using intersectionality frameworks. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  9. Exploring Discrimination and Mental Health Disparities Faced By Black Sexual Minority Women Using a Minority Stress Framework

    Science.gov (United States)

    Calabrese, Sarah K.; Meyer, Ilan H.; Overstreet, Nicole M.; Haile, Rahwa; Hansen, Nathan B.

    2015-01-01

    Black sexual minority women are triply marginalized due to their race, gender, and sexual orientation. We compared three dimensions of discrimination—frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)—and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 Black sexual minority women and each of two groups sharing two of three marginalized statuses: (a) 67 White sexual minority women and (b) 67 Black sexual minority men. Black sexual minority women reported greater discrimination frequency, scope, and number of bases and poorer psychological and social well-being than White sexual minority women and more discrimination bases, a higher level of depressive symptoms, and poorer social well-being than Black sexual minority men. We then tested and contrasted dimensions of discrimination as mediators between social status (race or gender) and mental health outcomes. Discrimination frequency and scope mediated the association between race and mental health, with a stronger effect via frequency among sexual minority women. Number of discrimination bases mediated the association between gender and mental health among Black sexual minorities. Future research and clinical practice would benefit from considering Black sexual minority women's mental health in a multidimensional minority stress context. PMID:26424904

  10. Utilisation of maternity services by black women in rural and urban ...

    African Journals Online (AJOL)

    An epidemiological survey was undertaken to evaluate the utilisation of maternal services for black women in the. Orange Free State. Two hundred and forty clusters were selected from the rural (fanns) and urban (local authorities) black population and eight households were interviewed in each cluster. Information was ...

  11. Utilisation of maternity services by black women in rural and urban ...

    African Journals Online (AJOL)

    An epidemiological survey was undertaken to evaluate the utilisation of maternal services for black women in the Orange Free State. Two hundred and forty clusters were selected from the rural (farms) and urban (local authorities) black population and eight households were interviewed in each cluster. Information was ...

  12. The metabolic syndrome in black hypertensive women waist ...

    African Journals Online (AJOL)

    Objective. To examine the association between measures of obesity and features of the metabolic syndrome in treated black female hypertensive subjects. Design. Cross-sectional study. Setting. An urban primary health care centre in Mamelodi, Pretoria. Subjects. Women with hypertension and without known diabetes ...

  13. Staying in the Hood: Black Lesbian and Transgender Women and Identity Management in North Philadelphia.

    Science.gov (United States)

    Brooks, Siobhan

    2016-12-01

    The concept Don't Ask, Don't Tell regarding Black LGBT sexuality in Black communities has been an acceptable form of identity management for Black LGBT people. In other words, Black LGBT people are accepted as long as they are not vocal about their sexuality. However, this is changing with the issue of gay marriage, which is creating a space where Black LGBT people are more open about their gender identity and sexuality in heterosexual Black spaces. This new form of openness allows Black LGBT people to "stay in" their communities, as opposed to coming out. In this article I examine how Black LGBT women in North Philadelphia stay in their communities: being politically active regarding LGBT issues, disengaging from LGBT issues, passing, and educating straight Black people about issues affecting the Black LGBT community. I conclude with implications of staying in and intersectionality among Black heterosexual and LGBT women fighting for social change.

  14. Cultural Parallax and Content Analysis: Images of Black Women in High School History Textbooks

    Science.gov (United States)

    Woyshner, Christine; Schocker, Jessica B.

    2015-01-01

    This study investigates the representation of Black women in high school history textbooks. To examine the extent to which Black women are represented visually and to explore how they are portrayed, the authors use a mixed-methods approach that draws on analytical techniques in content analysis and from visual culture studies. Their findings…

  15. Women Mentoring in the Academe: A Faculty Cross-Racial and Cross-Cultural Experience

    Science.gov (United States)

    Guramatunhu-Mudiwa, Precious; Angel, Roma B.

    2017-01-01

    Two women faculty members, one White from the southeastern United States and one Black African from Zimbabwe, purposefully explored their informal mentoring relationship with the goal of illuminating the complexities associated with their cross-racial, cross-cultural experience. Concentrating on their four-year mentor-mentee academic relationship…

  16. Recruitment of black and Latina women to a randomized controlled trial.

    Science.gov (United States)

    Martin, Anika; Negron, Rennie; Balbierz, Amy; Bickell, Nina; Howell, Elizabeth A

    2013-08-01

    Minority women are often not adequately represented in randomized controlled trials, limiting the generalizability of research trial results. We implemented a recruitment strategy for a postpartum depression prevention trial that utilized patient feedback to identify and understand the recruitment barriers of black and Latina postpartum women. Feedback on patients' reasons for trial refusal informed adaptations to the recruitment process. We calculated weekly recruitment rates and analyzed qualitative and quantitative data from patient refusals. Of the 668 women who were approached and completed the consent process, 540 enrolled in the trial and 128 declined participation. Over 52-weeks of recruitment, refusal rates decreased from 40% to 19%. A taxonomy of eight reasons for refusal derived from patient responses identified barriers to recruitment and generated targeted revisions to the recruitment message. A recruitment strategy designed to incorporate and respond to patient feedback improved recruitment of Black and Latina women to a clinical trial.

  17. The development of SisterTalk: a cable TV-delivered weight control program for black women.

    Science.gov (United States)

    Gans, Kim M; Kumanyika, Shiriki K; Lovell, H Joan; Risica, Patricia M; Goldman, Roberta; Odoms-Young, Angela; Strolla, Leslie O; Decaille, Donna O; Caron, Colleen; Lasater, Thomas M

    2003-12-01

    Overweight and obesity have reached epidemic proportions in the United States, with black women disproportionately affected. SisterTalk is a weight control program designed specifically for delivery to black women via cable TV. The theoretical and conceptual frameworks and formative research that guided the development and cultural tailoring of SisterTalk are described. Social Action Theory was applied in the development of SisterTalk along with a detailed behavioral analysis of the way that black women view weight and weight loss within the context of their cultural and social realities. The entire intervention development process was framed using this information, rather than by changing only superficial aspects of program delivery. Community networking and both qualitative and quantitative interview techniques from the fields of social marketing and cultural anthropology were used to involve black women from Boston in the design and implementation of a program that would be practical, appealing, and culturally sensitive. Also discussed are strategies for evaluating the program, and lessons learned that might have broader applicability are highlighted. The development of the SisterTalk program could provide a useful starting point for development of successful weight control programs for black women in other parts of the United States as well as for other ethnic and racial groups.

  18. Gender and race matter: the importance of considering intersections in Black women's body image.

    Science.gov (United States)

    Capodilupo, Christina M; Kim, Suah

    2014-01-01

    Traditionally, body image literature has used race as a variable to explain ethnic-specific differences in body satisfaction and the prevalence of eating disorders. Instead of employing race as an explanatory variable, the present study utilized a qualitative method to explore the relationships among race, ethnicity, culture, discrimination, and body image for African American and Black women. The purpose of the study was to gain a deeper understanding of how race and gender interface with and inform body image. Women were recruited through community centers in a major metropolitan city and represented a diversity of ethnicities. In total, 26 women who identified racially as Black (mean age = 26 years) participated in 6 focus groups, which explored body ideals, societal messages, cultural values, racism, and sexism. Narrative data from the focus groups were analyzed using grounded theory. The central category, Body/Self Image, was informed by perceptions of and feelings about not only weight and shape but also hair, skin, and attitude. Three additional categories, each with multiple properties, emerged: Interpersonal Influences, Experiences of Oppression, and Media Messages. These categories interact to explain the central category of Body/Self Image, and an emergent theory is presented. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  19. The mental health of US Black women: the roles of social context and severe intimate partner violence.

    Science.gov (United States)

    Lacey, Krim K; Parnell, Regina; Mouzon, Dawne M; Matusko, Niki; Head, Doreen; Abelson, Jamie M; Jackson, James S

    2015-10-19

    Black women continue to have rates of mental health conditions that can be negative for their well-being. This study examined the contribution of social and contextual factors and severe physical intimate partner violence on the mental health of US Black women (African-American and Caribbean Black). Data were largely collected via in-person community interviews at participants' homes. We studied 3277 African-American and Black Caribbean women from the 2001-2003 National Survey of American Life (NSAL), the largest and most complete sample of Blacks residing in the USA. Key outcomes included an array of psychiatric disorders based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Bivariate results revealed noticeably high rates of any anxiety disorder, post-traumatic stress disorder, any substance disorder, alcohol abuse disorder, suicide ideation and attempts, and any overall mental disorder among African-American women relative to Caribbean Black women. Multiple social and contextual factors were associated with various mental disorders among both sets of Black women in multivariate models, with the most consistent associations found for severe physical intimate partner violence. Everyday discrimination was associated with anxiety disorders (95% AOR=2.08 CI 1.23 to 3.51), eating disorders (95% AOR=2.69 CI 1.38 to 5.22), and any disorder (95% AOR=2.18 CI 1.40 to 3.40), while neighbourhood drug problems contributed to mood (95% AOR=1.19 CI 1.04 to 1.36), substance disorders (95% AOR=1.37 CI 1.11 to 1.69) and any disorder (95% AOR=1.18 CI 1.03 to 1.34). Severe physical intimate partner violence, discrimination, and to a lesser extent, neighbourhood problems are important predictors of Black women's health, findings that inform intervention and clinical services tailored to meet the needs of Black women from diverse ethnic and cultural backgrounds. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under

  20. Does the Environment Exacerbate Effects of Stress on Black ...

    African Journals Online (AJOL)

    Diet and obesity are major risk factors for a large number of non-communicable diseases, for which black women experience disproportionately high morbidity and mortality. Psychosocial stress and the food environment have emerged as two potentially important influences on black women's food choices. The combination ...

  1. Family identity: black-white interracial family health experience.

    Science.gov (United States)

    Byrd, Marcia Marie; Garwick, Ann Williams

    2006-02-01

    The purpose of this interpretive descriptive study was to describe how eight Black-White couples with school-aged children constructed their interracial family identity through developmental transitions and interpreted race to their children. Within and across-case data analytic strategies were used to identify commonalities and variations in how Black men and White women in couple relationships formed their family identities over time. Coming together was the core theme described by the Black-White couples as they negotiated the process of forming a family identity. Four major tasks in the construction of interracial family identity emerged: (a) understanding and resolving family of origin chaos and turmoil, (b) transcending Black-White racial history, (c) articulating the interracial family's racial standpoint, and (d) explaining race to biracial children across the developmental stages. The findings guide family nurses in promoting family identity formation as a component of family health within the nurse-family partnership with Black-White mixed-race families.

  2. I'm a Jesus girl: coping stories of Black American women diagnosed with breast cancer.

    Science.gov (United States)

    Gregg, Godfrey

    2011-12-01

    Breast cancer continues to be the most diagnosed cancer for all women, excluding non-melanoma skin cancer, in the United States. Incidence rates are 1 in 8 for an American woman being diagnosed. Moreover, statistics indicate that every 13 min an American woman dies from complications related to breast cancer. Despite all the gains made in the area of cancer research, Black American women continue to have a 67% higher mortality rate than their White counterparts. There is no preparation for a diagnosis of breast cancer. Upon hearing the words: you have breast cancer, a woman's life is forever altered. The woman's initial reactions of denial and/or anger yield to strategic responses. These responses may strengthen the woman's resiliency both during and following treatments. Research indicates that Black Americans, specifically Black American women, exhibit greater religiosity/spirituality than do other racial/ethnic groups. In addition, the use of religiosity/spirituality by Black Americans increases during a crisis. This qualitative study examines how religiosity/spirituality was utilized as a coping mechanism by a group of Black American women following their diagnoses of breast cancer.

  3. Multiple Intimate Partner Violence Experiences: Knowledge, Access, Utilization and Barriers to Utilization of Resources by Women of the African Diaspora.

    Science.gov (United States)

    Sabri, Bushra; Huerta, Julia; Alexander, Kamila A; St Vil, Noelle M; Campbell, Jacquelyn C; Callwood, Gloria B

    2015-11-01

    This study examined knowledge, access, utilization, and barriers to use of resources among Black women exposed to multiple types of intimate partner violence in Baltimore, Maryland and the U.S. Virgin Islands (USVI). We analyzed quantitative survey data collected by 163 women recruited from primary care, prenatal or family planning clinics in Baltimore and the USVI. In addition we analyzed qualitative data from in-depth interviews with 11 women. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed using thematic analysis. A substantial proportion of Black women with multiple types of violence experiences lacked knowledge of, did not have access to, and did not use resources. Barriers to resource use were identified at the individual, relationship, and community levels. There is need for programs to develop awareness, promote access and utilization of resources, and eliminate barriers to resource use among abused Black women.

  4. Women's Awareness of, Interest in, and Experiences with Long-acting Reversible and Permanent Contraception.

    Science.gov (United States)

    Burns, Bridgit; Grindlay, Kate; Dennis, Amanda

    2015-01-01

    Long-acting reversible contraception (LARC) and sterilization are popular contraceptive methods. However, they have been associated with safety concerns and coercive practices. We aimed to understand women's opinions and experiences related to these methods, including whether the methods' fraught histories influence use or interest. Between May and July 2013, we conducted an online survey with a convenience sample of 520 women aged 14 to 45. We used quota sampling to ensure women of color were at least 60% of our sample. Descriptive statistics, χ(2) tests, and multivariable logistic regression were used to estimate participants' awareness of, interest in, and experiences with LARCs and sterilization. Overall, 30% of women reported current LARC use and 67% interest in future LARC use. Four percent reported sterilization use and 48% interest in future sterilization. In multivariate analyses, current LARC use was lower among Asian women versus White women (odds ratio [OR], 0.24), and interest in future use was higher among women aged 14 to 24 versus 35 to 45 (OR, 5.49). Interest in sterilization was higher among women aged 14 to 24 and 25 to 34 versus 35 to 45 (ORs, 3.29-3.66) and women with disabilities (OR, 1.64), and lower among Black compared with White women (OR, 0.41). Method misperceptions were evident, and concerns about contraceptive coercion were reported. Concerns about contraceptive coercion were not predominant reasons for noninterest in LARCs and sterilization, but were reported by some participants. Lower sterilization interest among Black women and higher sterilization interest among women with disabilities warrant further research. Efforts to address misperceptions about LARCs and sterilization, including their safety and efficacy, are needed. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  5. Hip-Hop Feminism: A Standpoint to Enhance the Positive Self-Identity of Black College Women

    Science.gov (United States)

    Henry, Wilma J.

    2010-01-01

    The popularity of hip-hop among young Black college women, coupled with the deluge of negative and positive messages in this culture regarding these women's identity, signals an opportunity for the arrival of a contemporary, culturally relevant epistemology--hip-hop feminism. Through the lens of Black feminist theory, this article explores hip-hop…

  6. HIV Stigma and Its Relation to Mental, Physical and Social Health Among Black Women Living with HIV/AIDS.

    Science.gov (United States)

    Travaglini, Letitia E; Himelhoch, Seth S; Fang, Li Juan

    2018-02-07

    Black women living with HIV/AIDS (LWHA) are a subgroup with the highest growing rates of HIV infection in the United States. Stigma and co-occurring mental and physical health problems have been reported among Black women LWHA, and research on the benefits of social and religious support, often major protective factors among Black women, has been met with mixed findings. The current study examined the relation between anticipated HIV stigma and mental and physical health symptoms and risk and protective factors (discrimination, coping, social support) among Black women LWHA (N = 220). Results showed that greater anticipated stigma was significantly related to poorer mental health status, greater discrimination, and greater use of negative coping strategies. Stigma was not related to physical health, perceived social support or use of positive coping strategies. This study lends support to the need for psychosocial interventions that reduce anticipated stigma among individuals LWHA, particularly Black women LWHA.

  7. Lung cancer risk and workplace exposures in black men and women.

    Science.gov (United States)

    Muscat, J E; Stellman, S D; Richie, J P; Wynder, E L

    1998-02-01

    There are little data on workplace exposures and lung cancer risk in blacks. An ongoing case-control study of lung cancer that included 550 black men and women with lung cancer and 386 age-matched controls was examined by reported occupational exposures and job titles. In men, significant associations were observed with reported exposure to asbestos [odds ratio (OR), 1.8; 95% confidence intervals (CI) 1.03-3.1] and coal dust (OR, 2.8; 95% CI 1.1-7.0). Elevated but nonsignificant risks of 1.4 or more were detected for the following occupations: police/security guards, farmers/farm workers, laborers, and motor-vehicle drivers. In women, nonsignificant increased risks were found with reported exposure to paint (OR, 1.8) and gas fumes (OR, 4.9). Women employed as farmers/farm workers and building maintenance workers had elevated but nonsignificant risks.

  8. Original research: rates of remission, improvement, and progression of urinary incontinence in Asian, Black, and White women.

    Science.gov (United States)

    Townsend, Mary K; Curhan, Gary C; Resnick, Neil M; Grodstein, Francine

    2011-04-01

    Evidence suggests that race affects the prevalence and incidence of urinary incontinence (UI) in women. But little is known about racial differences in the rates of remission, improvement, and progression of UI in women. We sought to compare changes in UI frequency over two years among Asian, black, and white women with UI. Participants in the Nurses' Health Study and the Nurses' Health Study II responded to mailed questionnaires (in 2000 and 2002, and 2001 and 2003, respectively), giving information on race and the frequency of UI. Prospective analyses were conducted over two years from data gathered on 57,900 women, ages 37 to 79, who had at least monthly UI at baseline. Over the two two-year study periods, black women were significantly more likely than white women to report remission of UI (14% versus 9%, respectively), and Asian women were significantly more likely than white women to report less frequent UI (40% versus 31%, respectively). Improvement was more common in older black women than in older white women, but rates of improvement were comparable between younger black and younger white women. Black women were less likely than white women to report more frequent UI at follow-up (30% versus 34%, respectively), and, after adjusting for health and lifestyle factors, the difference was borderline statistically significant. Changes in the frequency of UI appear to vary by race, even after adjustment for risk factors. These findings may account for some of the previously observed differences in UI prevalence across racial groups. Although UI is a common condition in women of all races, nurses and other clinicians should be aware that its presentation may vary according to race. Such an understanding could increase clinicians' confidence in discussing UI with patients, reducing the possibility that the condition goes unrecognized. epidemiology, progression, race, remission, urinary incontinence.

  9. Stigma and Postpartum Depression Treatment Acceptability Among Black and White Women in the First Six-Months Postpartum.

    Science.gov (United States)

    Bodnar-Deren, Susan; Benn, E K T; Balbierz, Amy; Howell, E A

    2017-07-01

    Objective To measure stigma associated with four types of postpartum depression therapies and to estimate the association between stigma and the acceptance of these therapies for black and white postpartum mothers. Methods Using data from two postpartum depression randomized trials, this study included 481 black and white women who gave birth in a large urban hospital and answered a series of questions at 6-months postpartum. Survey items included socio demographic and clinical factors, attitudes about postpartum depression therapies and stigma. The associations between race, stigma, and treatment acceptability were examined using bivariate and multivariate analyses. Results Black postpartum mothers were less likely than whites to accept prescription medication (64 vs. 81%, p = 0.0001) and mental health counseling (87 vs. 93%, p = 0.001) and more likely to accept spiritual counseling (70 vs. 52%, p = 0.0002). Women who endorsed stigma about receipt of postpartum depression therapies versus those who did not were less likely to accept prescription medication, mental health and spiritual counseling for postpartum depression. Overall black mothers were less likely to report stigma associated with postpartum depression therapies. In adjusted models, black women versus white women remained less likely to accept prescription medication for postpartum depression (OR = 0.42, 95% CI 0.24-0.72) and stigma did not explain this difference. Conclusions Although treatment stigma is associated with lower postpartum depression treatment acceptance, stigma does not explain the lower levels of postpartum depression treatment acceptance among black women. More research is needed to understand treatment barriers for postpartum depression, especially among black women.

  10. Black women with polycystic ovary syndrome (PCOS) have increased risk for metabolic syndrome and cardiovascular disease compared with white women with PCOS [corrected].

    Science.gov (United States)

    Hillman, Jennifer K; Johnson, Lauren N C; Limaye, Meghana; Feldman, Rebecca A; Sammel, Mary; Dokras, Anuja

    2014-02-01

    To determine the prevalence of metabolic syndrome (MetSyn) and Framingham cardiovascular disease (CVD) risk in white and black adolescents and adult women with polycystic ovary syndrome (PCOS) compared with controls. Retrospective cohort study. Center for PCOS. Subjects with PCOS with data on race and cardiometabolic risk (n = 519). Controls were age and race matched from the National Health and Nutrition Examination Survey (NHANES) population (1999-2006). None. MetSyn, coronary heart disease risk, and general CVD risk. Black adolescents and young adults with PCOS had an increased prevalence of MetSyn compared with their white counterparts (adolescents relative risk 2.65 [95% confidence interval 1.29-5.4], adults relative risk 1.44 [95% confidence interval 1.21-2.6]). In contrast, there was no difference in risk of MetSyn between black and white adolescents and adult women in the NHANES dataset. After controlling for age and body mass index, black women with PCOS had a significantly increased prevalence of low high-density lipoprotein and high glucose. The general CVD risk was significantly increased in black adults with PCOS. This is the first study to comprehensively demonstrate increased risk of MetSyn in both black adolescents and adult women with PCOS compared with white subjects with PCOS. This racial disparity was not present in the NHANES controls. Longitudinal studies are needed to assess the independent impact of PCOS and race on CVD risk in women. Copyright © 2014 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  11. Hair penalties: The negative influence of Afrocentric hair on ratings of Black women's dominance and professionalism.

    Directory of Open Access Journals (Sweden)

    Tina R. Opie

    2015-08-01

    Full Text Available Purpose: Women are penalized if they do not behave in a stereotype-congruent manner (Eagly & Carli, 2007; Heilman, 1983; 2001. For example, because women are not expected to be agentic they incur an agency penalty for expressing anger, dominance or assertiveness (Brescoll & Uhlmann, 2008; Eagly & Karau, 2002; Livingston, Rosette, & Washington, 2012; Rudman, 1998; Rudman & Fairchild, 2004; Rudman & Glick, 1999, 2001. Yet, all women are not equally penalized (Livingston, Rosette, & Washington, 2012. We make a novel contribution by examining how both White and Black evaluators respond to Black women’s dominance, in this case, whether Black women choose to wear Afrocentric or Eurocentric hairstyles. Design/methodology/approach: We conducted three experimental studies to examine the influence of target hairstyle and participant race on ratings of the target’s professionalism (Studies 1, 2 and 3 and dominance (Study 2. Study 1 was an online experimental study with 200 participants (112 females, 87 males, 1 missing gender; 160 Whites, 19 Blacks, 11 Latinos, 7 Asian Americans and 3 who identify as other; Mage= 35.5, SD = 11.4. Study 2 was an online experimental study with 510 participants (276 women, 234 males; 256 Blacks, 254 Whites; Mage = 41.25 years, SD = 12.21. Study 3 was an online experimental study with 291 participants (141 Blacks, 150 Whites, Mage= 47.5 years, SD = 11.66. Findings: Black, as compared to White, evaluators gave higher agency penalties to Black employment candidates when they donned Afrocentric versus Eurocentric hair, rating them as more dominant and less professional. Implications: The present research illustrates the significance of considering both target and evaluator race when examining the influence of agency, and specifically dominance, on ratings of professionalism.

  12. Nine optical black-box experiments for lower-secondary students

    Science.gov (United States)

    Rode, Henning; Friege, Gunnar

    2017-05-01

    In this paper a sequence of nine, easy to manufacture optical black-box experiments with increasing levels of difficulty, and supportive frameworks for physics classes are introduced. They have been evaluated in a lower-secondary school at the end of optics lessons. A black-box is a kind of experimental task where the inner structure is not visible to the experimenter. Using mirrors, beam-splitters, and blockers in a black-box to manipulate the light beam’s direction through this specific experiment, students are instructed to vary input and observe the output of light to get an idea of the possible inner structure. The presented sequence of black-box experiments requires a basic knowledge of the linear propagation of light and is suitable for beginner physics. Furthermore a framework for concrete implementation to physics classes is given, which covers suitable structure of class, examples for helpful worksheets, and authentic students’ solutions. The difficulty of the specific black-box experiments is given by the students’ success within observing input-output correlation and conclusion of an inner structure. The experiments’ implementation to physics classes may cover elaboration, practice, and aspects of the nature of science even in a beginner’s class. Evaluation has been conducted with students of young age (11-12 years old), however they are suitable for older students also. Although dealing with a time extensive sequence of experiments, students showed a high level of motivation throughout. Overall, implementing this sequence of black-box experiments is seen as valuable and helpful for physics classes.

  13. Psychological Predictors of Sexual Intimate Partner Violence against Black and Hispanic Women

    Directory of Open Access Journals (Sweden)

    Brianna Preiser

    2017-12-01

    Full Text Available Background: Although various types of intimate partner violence (IPV tend to co-occur, risk factors of each type of IPV may differ. At the same time, most of the existing literature on risk factors of IPV among minorities has used a cross-sectional design and has focused on physical rather than sexual IPV. We conducted the current study to compare Black and Hispanic women for psychological predators of change in sexual IPV over time. Methods: Using data from the Fragile Families and Child Wellbeing Study (FFCWS, this study followed 561 Black and 475 Hispanic women with their male partners for four years. Independent variables included male partners’ depression, anxiety, problem alcohol use, and male-to-female physical and psychological IPV perpetration. The dependent variable was sexual IPV reported by female partners, measured at baseline, two years, and four years later. Covariates included age, income, marital status and educational level. We used a multi-group latent growth curve model (LGCM to explain intercept, linear, and quadratic slopes, which represent the baseline, and linear and curvilinear trajectories of male-to-female sexual IPV, where groups were defined based on ethnicity. Results: Psychological IPV was associated with sexual IPV at baseline among both ethnic groups. The male partner’s depression was a risk factor for an increase in sexual IPV over time among Black but not Hispanic women. Anxiety, problem alcohol use and physical IPV did not have an effect on the baseline or change in sexual IPV over time. Psychological IPV was not associated with an increase in sexual IPV over time in either ethnic groups. Conclusions: There is a need for screening of sexual IPV in the presence of psychological IPV among minority women. There is also a need for screening and treatment of male partners’ depression as a strategy to reduce sexual IPV among Black women.

  14. Psychological Predictors of Sexual Intimate Partner Violence against Black and Hispanic Women.

    Science.gov (United States)

    Preiser, Brianna; Assari, Shervin

    2017-12-27

    Background: Although various types of intimate partner violence (IPV) tend to co-occur, risk factors of each type of IPV may differ. At the same time, most of the existing literature on risk factors of IPV among minorities has used a cross-sectional design and has focused on physical rather than sexual IPV. We conducted the current study to compare Black and Hispanic women for psychological predators of change in sexual IPV over time. Methods: Using data from the Fragile Families and Child Wellbeing Study (FFCWS), this study followed 561 Black and 475 Hispanic women with their male partners for four years. Independent variables included male partners' depression, anxiety, problem alcohol use, and male-to-female physical and psychological IPV perpetration. The dependent variable was sexual IPV reported by female partners, measured at baseline, two years, and four years later. Covariates included age, income, marital status and educational level. We used a multi-group latent growth curve model (LGCM) to explain intercept, linear, and quadratic slopes, which represent the baseline, and linear and curvilinear trajectories of male-to-female sexual IPV, where groups were defined based on ethnicity. Results: Psychological IPV was associated with sexual IPV at baseline among both ethnic groups. The male partner's depression was a risk factor for an increase in sexual IPV over time among Black but not Hispanic women. Anxiety, problem alcohol use and physical IPV did not have an effect on the baseline or change in sexual IPV over time. Psychological IPV was not associated with an increase in sexual IPV over time in either ethnic groups. Conclusions: There is a need for screening of sexual IPV in the presence of psychological IPV among minority women. There is also a need for screening and treatment of male partners' depression as a strategy to reduce sexual IPV among Black women.

  15. Exploring opinions and beliefs about cord blood donation among Hispanic and non-Hispanic black women.

    Science.gov (United States)

    Rucinski, Dianne; Jones, Risé; Reyes, Brenda; Tidwell, Lawon; Phillips, RoiAnn; Delves, Denise

    2010-05-01

    Despite higher birth rates among non-Hispanic blacks and Hispanics, the availability of umbilical cord blood from these groups is lower due to lower donation rates than that of non-Hispanic whites. Similar racial and ethnic disparities in donation rates have been found for blood and organ donation. This study is among the first to explore beliefs and attitudes toward umbilical cord blood donation among Hispanic and non-Hispanic black women. Five focus groups composed of Hispanic and non-Hispanic black women were conducted to explore how women conceptualize information needs about umbilical cord blood donation and from whom women want to receive information about donation. Participants were adult women who had given birth within the past year or were pregnant. Lack of basic information regarding umbilical cord blood, its harvesting and use, and the steps and conditions necessary to donate were primary barriers to donation. Women expressed confusion over the differences between "donation" and "banking." The social value of donation was explicitly weighed in terms of the cost of the donation effort. Doctors were viewed as critical sources for information about donation, although women expressed skepticism about doctors' ability to convey sufficient information during short office visits. Efforts to increase donation rates among Hispanic and non-Hispanic black women should include information about both the technical aspects and the social value of donation. The specific terms "umbilical" and "donation" should be used consistently to prevent misunderstanding. Information should be provided by physicians with follow-up by other health providers.

  16. Toward the Development of the Stereotypic Roles for Black Women Scale

    Science.gov (United States)

    Thomas, Anita Jones; Witherspoon, Karen McCurtis; Speight, Suzette L.

    2004-01-01

    Preliminary findings on the validation of the Stereotypic Roles for Black Women Scale (SRBWS) are presented. A sample of 186 African American women took the SRBWS along with the Rosenberg Self-Esteem Scale and the Racial Identity Attitude Scale-B. A confirmatory factor analysis supported a four-factor structure of the scale, and moderate…

  17. "If You Only Knew": Lessons Learned from Successful Black Entrepreneurs.

    Science.gov (United States)

    Smith, Cheryl A.

    2001-01-01

    A qualitative study investigated success in entrepreneurship from the standpoint of Black women entrepreneurs, one of the fastest growing groups of new small business owners. It explored the business and learning experiences of successful Black women graduates of an entrepreneurship training program in New York State to identify learning…

  18. Social hazards on the job: workplace abuse, sexual harassment, and racial discrimination--a study of Black, Latino, and White low-income women and men workers in the United States.

    Science.gov (United States)

    Krieger, Nancy; Waterman, Pamela D; Hartman, Cathy; Bates, Lisa M; Stoddard, Anne M; Quinn, Margaret M; Sorensen, Glorian; Barbeau, Elizabeth M

    2006-01-01

    This study documents the prevalence of workplace abuse, sexual harassment at work, and lifetime experiences of racial discrimination among the United for Health cohort of 1,202 predominantly black, Latino, and white women and men low-income union workers in the Greater Boston area. Overall, 85 percent of the cohort reported exposure to at least one of these three social hazards; exposure to all three reached 20 to 30 percent among black women and women and men in racial/ethnic groups other than white, black, or Latino. Workplace abuse in the past year, reported by slightly more than half the workers, was most frequently reported by the white men (69%). Sexual harassment at work in the past year was reported by 26 percent of the women and 22 percent of the men, with values of 20 percent or more in all racial/ ethnic-gender groups other than Latinas and white men. High exposure to racial discrimination was reported by 37 percent of the workers of color, compared with 10 percent of the white workers, with black workers reporting the greatest exposure (44%). Together, these findings imply that the lived--and combined-experiences of class, race, and gender inequities and their attendant assaults on human dignity are highly germane to analyses of workers' health.

  19. From Mammy to Superwoman: Images that Hinder Black Women's Career Development

    Science.gov (United States)

    Reynolds-Dobbs, Wendy; Thomas, Kecia M.; Harrison, Matthew S.

    2008-01-01

    Black women, like other women of color, find themselves at the intersection of both racism and sexism in the workplace. Due to their unique dual status as racial and gender minorities, they encounter unique and unexplored barriers that inhibit their career as well as leadership development. The goal of this article is to highlight the emerging…

  20. EN-ACT: Black Women's Identity in Action. A Facilitator's Workshop Manual.

    Science.gov (United States)

    Coe, Sherri N.; Morgan, Rosalind A.

    This workshop manual is intended for use by counselors, psychologists, and community and social workers. It may be used as an adult developmental activity, for black women 18 or older, at the secondary and post-secondary levels, as part of a women's cultural studies program, or as a continuing education offering. Chapter 1 of the manual provides a…

  1. Articulating cultures: socio-cultural experiences of black female ...

    African Journals Online (AJOL)

    Articulating cultures: socio-cultural experiences of black female immigrant students in South African schools 1. ... Gender and Behaviour ... and worrisome issue is that of the erosion of the social and cultural mores of Black3 immigrant students.

  2. "Let's Do This!": Black Women Teachers' Politics and Pedagogy.

    Science.gov (United States)

    Dixson, Adrienne D.

    2003-01-01

    Examined how contemporary African American women teachers continued the tradition of political involvement, noting the extent to which issues of race, class, and gender identity informed their pedagogy and situating their activities in a black feminist activist tradition. Interviews with two elementary teachers indicated that while they did not…

  3. What Black Women Know and Want to Know About Counseling and Testing for BRCA1/2.

    Science.gov (United States)

    Adams, Inez; Christopher, Juleen; Williams, Karen Patricia; Sheppard, Vanessa B

    2015-06-01

    Black women are just as likely to have hereditary breast cancer mutations as White women, yet their participation in genetic counseling and testing is substantially lower. This study sought to describe Black women's awareness and perceptions of BRCA1/2 testing and to identify barriers and motivators to seeking BRCA1/2 services. Fifty intercept interviews were conducted with Black women in public places (a professional women's basketball game, a grocery store, a faith-based community event, and the waiting area at a breast care clinic) in Washington, DC. More than half of the women (54%) were aware that genetic tests to determine risk for certain breast and ovarian cancers exist, but the majority (88%) had never heard of BRCA1/2, specifically. After hearing a description of BRCA1/2 genetic markers, 82% stated that they would agree to BRCA1/2 testing if it was offered to them. Perceived advantages of testing included cancer prevention and the ability to share information with family members. Perceived disadvantages included emotional distress associated with identification of the mutation and the potential misuse of results to deny healthcare or employment. Physician recommendation, self-care, and known family history were among the motivators for testing. Women listed possible media and venues for intervention. In spite of low rates of BRCA1/2 testing in the Black community, women in this sample were open to the idea. Interventions that address barriers and include cultural tailoring are necessary.

  4. The association between trust in health care providers and medication adherence among Black women with hypertension

    Directory of Open Access Journals (Sweden)

    Willie M. Abel

    2013-12-01

    Full Text Available Background: Black women have the highest prevalence of hypertension in the world. Reasons for this disparity are poorly understood. The historical legacy of medical maltreatment of Blacks in the U.S. provides some insight into distrust in the medical profession, refusal of treatment, and poor adherence to treatment regimens.Methods: Black women (N=80 who were prescribed antihypertensive medications were recruited from urban communities in North Carolina. Study participants completed the Trust in Physician and Hill-Bone Compliance to High Blood Pressure Therapy questionnaires. An exact discrete-event model was used to examine the relationship between trust and medication adherence.Results: Mean age of study participants was 48 ± 9.2 years. The majority of participants (67% were actively employed and 30% had incomes at or below the federal poverty level. Increasing levels of trust in the health care provider was independently associated with greater medication adherence (PTrend=0.015.Conclusions: Black women with hypertension who trusted their health care providers were more likely to be adherent with their prescribed antihypertensive medications than those who did not trust their health care providers. Findings suggest that trusting relationships between Black women and health care providers are important to decreasing disparate rates of hypertension.

  5. The Variables Associated With Health Promotion Behaviors Among Urban Black Women.

    Science.gov (United States)

    Hepburn, Millie

    2018-04-24

    To improve understanding of variables impacting health promotion behaviors among urban Black women. A cross-sectional survey was used. Urban Black women (N = 132) between the ages of 30 to 64 years participated. The study was conducted in a U.S. metropolitan region in 2015. Health literacy (Newest Vital Sign [NVS]), self-efficacy (New General Self-Efficacy Scale [NGSE]), and readiness for change (Health Risk Instrument [HRI]) were correlated with health promotion behaviors (Health Promotion Lifestyle Profile II [HPLPII]). Univariate statistics addressed demographic characteristics; bivariate/simultaneous linear regression determined the relationships between the NVS, NGSE, and HRI to health promotion behaviors (HPLPII). Demographics: 72.6% completed high school and 25% completed college, and the mean body mass index (BMI) was >32. Positive correlations existed between each variable to health promotion behaviors: NVS (r = .244, p promotion behaviors. Education and health literacy were also correlated (r s = .414, p = .001). Although health literacy, self-efficacy, and readiness for change are associated with health promotion behaviors, readiness for change was the most highly correlated. The development and incorporation of interventions to promote health promotion behaviors should include readiness for change, health literacy, BMI, and education, especially among urban Black women in order to reduce critical health disparities. Community-based and culturally relevant strategies in promoting health that are integrated into existing lifestyles and designed to impact readiness for change will have the greatest impact on reducing health disparities both in the United States and in countries experiencing rapid urbanization. For example, healthy eating behaviors or increased physical activity may be best adopted when integrated into existing community-based spiritual or cultural events via trusted community leaders. Replication of this study in other populations of Black

  6. UK-born ethnic minority women and their experiences of feeding their newborn infant.

    Science.gov (United States)

    Twamley, Katherine; Puthussery, Shuby; Harding, Seeromanie; Baron, Maurina; Macfarlane, Alison

    2011-10-01

    to explore the factors that impact on UK-born ethnic minority women's experiences of and decisions around feeding their infant. in-depth semi-structured interviews. 34 UK-born women of Black African, Black Caribbean, Pakistani, Bangladeshi, Indian and Irish parentage and 30 health-care professionals. women and health-care professionals were recruited primarily from hospitals serving large numbers of ethnic minority women in London and Birmingham. despite being aware of the benefits of exclusive breast feeding, many women chose to feed their infant with formula. The main barriers to breast feeding were the perceived difficulties of breast feeding, a family preference for formula feed, and embarrassment about breast feeding in front of others. Reports from women of South Asian parentage, particularly those who lived with an extended family, suggested that their intentions to breast feed were compromised by the context of their family life. The lack of privacy in these households and grandparental pressure appeared to be key issues. Unlike other participants, Irish women reported an intention to feed their infant with formula before giving birth. The key facilitators to breast feeding were the self-confidence and determination of women and the supportive role of health-care professionals. these findings point to common but also culturally specific mechanisms that may hinder both the initiation and maintenance of breast feeding in UK-born ethnic minority women. They signal potential benefits from the inclusion of family members in breast-feeding support programmes. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. A study of the relationship between food group recommendations and perceived stress: findings from black women in the Deep South.

    Science.gov (United States)

    Carson, Tiffany L; Desmond, Renee; Hardy, Sharonda; Townsend, Sh'Nese; Ard, Jamy D; Meneses, Karen; Partridge, Edward E; Baskin, Monica L

    2015-01-01

    Black women in the Deep South experience excess morbidity/mortality from obesity-related diseases, which may be partially attributable to poor diet. One reason for poor dietary intake may be high stress, which has been associated with unhealthy diets in other groups. Limited data are available regarding dietary patterns of black women in the Deep South and to our knowledge no studies have been published exploring relationships between stress and dietary patterns among this group. This cross-sectional study explored the relationship between stress and adherence to food group recommendations among black women in the Deep South. Participants (n = 355) provided demographic, anthropometric, stress (PSS-10), and dietary (NCI ASA-24 hour recall) data. Participants were obese (BMI = 36.5 kg/m(2)) and reported moderate stress (PSS-10 score = 16) and minimal adherence to Dietary Guidelines for Americans food group recommendations (1/3 did not meet recommendations for any food group). Participants reporting higher stress had higher BMIs than those reporting lower stress. There was no observed relationship between stress and dietary intake in this sample. Based on these study findings, which are limited by potential misreporting of dietary intake and limited variability in stress measure outcomes, there is insufficient evidence to support a relationship between stress and dietary intake.

  8. A Study of the Relationship between Food Group Recommendations and Perceived Stress: Findings from Black Women in the Deep South

    Directory of Open Access Journals (Sweden)

    Tiffany L. Carson

    2015-01-01

    Full Text Available Black women in the Deep South experience excess morbidity/mortality from obesity-related diseases, which may be partially attributable to poor diet. One reason for poor dietary intake may be high stress, which has been associated with unhealthy diets in other groups. Limited data are available regarding dietary patterns of black women in the Deep South and to our knowledge no studies have been published exploring relationships between stress and dietary patterns among this group. This cross-sectional study explored the relationship between stress and adherence to food group recommendations among black women in the Deep South. Participants (n=355 provided demographic, anthropometric, stress (PSS-10, and dietary (NCI ASA-24 hour recall data. Participants were obese (BMI = 36.5 kg/m2 and reported moderate stress (PSS-10 score = 16 and minimal adherence to Dietary Guidelines for Americans food group recommendations (1/3 did not meet recommendations for any food group. Participants reporting higher stress had higher BMIs than those reporting lower stress. There was no observed relationship between stress and dietary intake in this sample. Based on these study findings, which are limited by potential misreporting of dietary intake and limited variability in stress measure outcomes, there is insufficient evidence to support a relationship between stress and dietary intake.

  9. Preferences for HIV test characteristics among young, Black Men Who Have Sex With Men (MSM) and transgender women: Implications for consistent HIV testing

    Science.gov (United States)

    Frye, Victoria; Hirshfield, Sabina; Chiasson, Mary Ann; Lucy, Debbie; Usher, DaShawn; McCrossin, Jermaine; Greene, Emily; Koblin, Beryl

    2018-01-01

    Background Promoting consistent HIV testing is critical among young, Black Men Who Have Sex With Men (MSM) and transgender women who are overrepresented among new HIV cases in the United States. New HIV test options are available, including mobile unit testing, one-minute testing, at home or self-testing and couples HIV testing and counseling (CHTC). In the context of these newer options, the objective of this study was to explore whether and how preferences for specific characteristics of the tests acted as barriers to and/or facilitators of testing in general and consistent testing specifically among young Black MSM and transgender women aged 16 to 29. Methods We conducted 30 qualitative, semi-structured, in-depth interviews with young, Black, gay, bisexual or MSM and transgender women in the New York City metropolitan area to identify preferences for specific HIV tests and aspects of HIV testing options. Participants were primarily recruited from online and mobile sites, followed by community-based, face-to-face recruitment strategies to specifically reach younger participants. Thematic coding was utilized to analyze the qualitative data based on a grounded theoretical approach. Results We identified how past experiences, perceived test characteristics (e.g., accuracy, cost, etc.) and beliefs about the “fit” between the individual, and the test relate to preferred testing methods and consistent testing. Three major themes emerged as important to preferences for HIV testing methods: the perceived accuracy of the test method, venue characteristics, and lack of knowledge or experience with the newer testing options, including self-testing and CHTC. Conclusions These findings suggest that increasing awareness of and access to newer HIV testing options (e.g., free or reduced price on home or self-tests or CHTC available at all testing venues) is critical if these new options are to facilitate increased levels of consistent testing among young, Black MSM and

  10. Preferences for HIV test characteristics among young, Black Men Who Have Sex With Men (MSM) and transgender women: Implications for consistent HIV testing.

    Science.gov (United States)

    Frye, Victoria; Wilton, Leo; Hirshfield, Sabina; Chiasson, Mary Ann; Lucy, Debbie; Usher, DaShawn; McCrossin, Jermaine; Greene, Emily; Koblin, Beryl

    2018-01-01

    Promoting consistent HIV testing is critical among young, Black Men Who Have Sex With Men (MSM) and transgender women who are overrepresented among new HIV cases in the United States. New HIV test options are available, including mobile unit testing, one-minute testing, at home or self-testing and couples HIV testing and counseling (CHTC). In the context of these newer options, the objective of this study was to explore whether and how preferences for specific characteristics of the tests acted as barriers to and/or facilitators of testing in general and consistent testing specifically among young Black MSM and transgender women aged 16 to 29. We conducted 30 qualitative, semi-structured, in-depth interviews with young, Black, gay, bisexual or MSM and transgender women in the New York City metropolitan area to identify preferences for specific HIV tests and aspects of HIV testing options. Participants were primarily recruited from online and mobile sites, followed by community-based, face-to-face recruitment strategies to specifically reach younger participants. Thematic coding was utilized to analyze the qualitative data based on a grounded theoretical approach. We identified how past experiences, perceived test characteristics (e.g., accuracy, cost, etc.) and beliefs about the "fit" between the individual, and the test relate to preferred testing methods and consistent testing. Three major themes emerged as important to preferences for HIV testing methods: the perceived accuracy of the test method, venue characteristics, and lack of knowledge or experience with the newer testing options, including self-testing and CHTC. These findings suggest that increasing awareness of and access to newer HIV testing options (e.g., free or reduced price on home or self-tests or CHTC available at all testing venues) is critical if these new options are to facilitate increased levels of consistent testing among young, Black MSM and transgender women. Addressing perceptions of

  11. Preferences for HIV test characteristics among young, Black Men Who Have Sex With Men (MSM and transgender women: Implications for consistent HIV testing.

    Directory of Open Access Journals (Sweden)

    Victoria Frye

    Full Text Available Promoting consistent HIV testing is critical among young, Black Men Who Have Sex With Men (MSM and transgender women who are overrepresented among new HIV cases in the United States. New HIV test options are available, including mobile unit testing, one-minute testing, at home or self-testing and couples HIV testing and counseling (CHTC. In the context of these newer options, the objective of this study was to explore whether and how preferences for specific characteristics of the tests acted as barriers to and/or facilitators of testing in general and consistent testing specifically among young Black MSM and transgender women aged 16 to 29.We conducted 30 qualitative, semi-structured, in-depth interviews with young, Black, gay, bisexual or MSM and transgender women in the New York City metropolitan area to identify preferences for specific HIV tests and aspects of HIV testing options. Participants were primarily recruited from online and mobile sites, followed by community-based, face-to-face recruitment strategies to specifically reach younger participants. Thematic coding was utilized to analyze the qualitative data based on a grounded theoretical approach.We identified how past experiences, perceived test characteristics (e.g., accuracy, cost, etc. and beliefs about the "fit" between the individual, and the test relate to preferred testing methods and consistent testing. Three major themes emerged as important to preferences for HIV testing methods: the perceived accuracy of the test method, venue characteristics, and lack of knowledge or experience with the newer testing options, including self-testing and CHTC.These findings suggest that increasing awareness of and access to newer HIV testing options (e.g., free or reduced price on home or self-tests or CHTC available at all testing venues is critical if these new options are to facilitate increased levels of consistent testing among young, Black MSM and transgender women. Addressing

  12. The Criminalization of Black Angeleno Women: Institutionalized Racism and Sexism in Los Angeles, 1928-1938

    OpenAIRE

    Boyd, Kaitlin Therese

    2012-01-01

    "The Criminalization of Black Angeleno Women" illuminates what happened in early 20th century Los Angeles when African American women, particularly working poor females, came into contact with the Los Angeles Police Department, the court system and the local, mainstream media. Individually, but especially collaboratively, these institutions lead to the overrepresentation of Black, statistically and in the public mind, in the local sex trade. Essentially, this thesis traces the biases of the...

  13. Social Roles in the Lives of Middle-Aged and Older Black Women.

    Science.gov (United States)

    Coleman, Lerita M.; And Others

    1987-01-01

    Explored participation in and impact of social roles on psychological and physical health of middle-aged and older Black women. Found that few such women participated in the three roles of parent, spouse, and employee simultaneously. Of these three roles, only employment showed a significant relationship to well-being, having a positive impact on…

  14. "It's Like Power to Move": Black Students' Psychosocial Experiences in Black Studies Courses at a Predominantly White Institution

    Science.gov (United States)

    Chapman-Hilliard, Collette; Beasley, Samuel T.

    2018-01-01

    This study examined Black students' experiences in culture-centered courses that focused on the historical and contemporary experiences of Blacks in America and across the African diaspora. Using a qualitative approach, the authors investigated the perceptions of how Black Studies courses shaped the psychosocial experiences and identity…

  15. Research Sources and Microforms in Black Studies: An Annotated Bibliography.

    Science.gov (United States)

    Ridinger, Robert B. Marks

    1985-01-01

    Analyzes 93 reference works and 23 microform collections concerning the Black American experience in 13 subject areas of the social sciences (anthropology, biography, race relations and civil rights, the Black church, communication studies, economics, education, dance, genealogy, Black history, sports, women's studies, and literature and language)…

  16. Sex ratio at birth and racial differences: Why do Black women give ...

    African Journals Online (AJOL)

    The two important questions that this paper will attempt to answer are: (1) why is it that regardless of race/ethnicity or geographic location, the sex ratio data at birth show more males than females?; and (2) Why is it that regardless of geographic location compared to other racial/ethnic groups, Black women or Women of ...

  17. Testing HIV positive in pregnancy: A phenomenological study of women's experiences.

    Science.gov (United States)

    Lingen-Stallard, Andrew; Furber, Christine; Lavender, Tina

    2016-04-01

    globally women receive HIV testing in pregnancy; however, limited information is available on their experiences of this potentially life-changing event. This study aims to explore women's experiences of receiving a positive HIV test result following antenatal screening. a qualitative, phenomenological approach. two public National Health Service (NHS) hospitals and HIV support organisations. a purposive sampling strategy was used. Thirteen black African women with a positive HIV result, in England, participated. data were collected using in-depth semi-structured interviews. An interpretive phenomenological approach to data analysis was used. the emergent phenomenon was transition and transformation of 'being,' as women accepted HIV as part of their lives. Paired themes support the phenomenon: shock and disbelief; anger and turmoil; stigma and confidentiality issues; acceptance and resilience. Women had extreme reactions to their positive HIV diagnosis, compounded by the cultural belief that they would die. Initial disbelief of the unexpected result developed into sadness at the loss of their old self. Turmoil was evident, as women considered termination of pregnancy, self-harm and suicide. Women felt isolated from others and relationship breakdowns often occurred. Most reported the pervasiveness of stigma, and how this was managed alongside living with HIV. Coping strategies included keeping HIV 'secret' and making their child(ren) the prime focus of life. Growing resilience was apparent with time. this study gives midwives unique understanding of the complexities and major implications for women who tested positive for HIV. Women's experiences resonated with processes of bereavement, providing useful insight into a transitional and transformational period, during which appropriate support can be targeted. midwives are crucial in improving the experience of women when they test HIV positive and to do this they need to be appropriately trained. Midwives need to

  18. Black Feminism: What Women of Color Went Through in Toni Morrison’s Selected Novels

    Directory of Open Access Journals (Sweden)

    Ayda Rahmani

    2015-05-01

    Full Text Available This article examines two of Toni Morrison’s novels, The Bluest Eye and Beloved in the lights of black feminism, racism, realism and naturalism. It is an attempt to reflect the powerlessness, inhumanity, and pains that women of color went through.  By using a feminist racist and naturalist filter,  a descriptive-analytical method of study and by analyzing the situations, the characters and themes, the status of women of color  in Literature based on Morrison’s selected  novels are revealed and represented. Morrison very well describes how different women characters react and respond differently to the injustice and the inhumanity imposed on them through for example the contrasting nature of Sethe in Beloved and Pauline in The Bluest Eye. She depicts the bravery and courage in Sethe , the self-absorbedness in Pauline and the passiveness in Pecola all of which raise powerful questions regarding black-women’s self-identity, self-concept, and  struggles to achieve freedom as a living being if not a human being: a path which will deepen our understanding of  women issues in general. The researcher believes that a womanish and racist study of the selected novels would contribute to broaden our views of humanity. The researcher selected women of color because she thinks the sorrows of black women, and the pains and toils they went through have always been deeper than those of the white ones.

  19. [Plummer-Vinson syndrome or related syndrome in 3 black African women].

    Science.gov (United States)

    Aubry, P; Oddes, B; Chazouillères, O; Lebourgeois, M; Delanoue, G; Seurat, P L

    1985-01-01

    The Plummer-Vinson syndrome or "sideropenic dysphagia" is exceptional among Blacks. One case was recently reported in a female patient from Guadeloupe. This study pertains to three cases observed in Senegalese Black women aged 28, 27, and 41 years. These three women were admitted for a dysphagia, in fact in evidence 10, 4, and 7 years respectively before the diagnosis was made. A clinical anemia was noted twice in addition to mucocutaneous disorders (cases 1 and 2). The laboratory tests showed in all three cases a hypochromic microcytic sideropenic anemia (serum iron levels at 32, 14, and 31 mcg 100 ml respectively). Barium swallow films showed esophageal rings in front of C5-C6 (case 1) of T2-T3 (case 2) and a web of fine mucosal folds in front of C5-C6 (case 3). These films were confirmed cineradiographically by esophagoscopy. The treatment consisted of blood transfusions (cases 1 and 2) and administration of iron by injections and or per os. The endoscopic exams were repeated two or three times. Medical treatment rapidly changed the course of disease for the better. No cause for bleeding was found. A chemical achlorhydria (case 1), a provoked hypoachlorhydria (cases 2 and 3) can be retained as associated factors. In light of the frequency of esophageal membranes in the general population and the incidence of sideropenic anemias among African women, the Plummer-Vinson syndrome should be more often detected in Black Africa.

  20. Black Women’s and Girls’ Return to Joy: Addressing Trauma, Healing, and Educational Opportunity

    Directory of Open Access Journals (Sweden)

    Dannielle Joy Davis

    2017-02-01

    Full Text Available The concept of thriving amidst trauma receives minimal attention when addressing negative life experiences of Black women and girls. This work examines strategies employed and recommended by Black women and girls that prompt thriving amidst traumatic circumstances. Radio broadcasts from the National Girls and Women of Color Council serve as data for the topic. Findings reveal the strength of Black women and girls in dealing with trauma, holding the potential to move beyond coping with circumstances, towards potential thriving in education and beyond.

  1. Testing the Association Between Traditional and Novel Indicators of County-Level Structural Racism and Birth Outcomes among Black and White Women.

    Science.gov (United States)

    Chambers, Brittany D; Erausquin, Jennifer Toller; Tanner, Amanda E; Nichols, Tracy R; Brown-Jeffy, Shelly

    2017-12-07

    Despite decreases in infants born premature and at low birth weight in the United States (U.S.), racial disparities between Black and White women continue. In response, the purpose of this analysis was to examine associations between both traditional and novel indicators of county-level structural racism and birth outcomes among Black and White women. We merged individual-level data from the California Birth Statistical Master Files 2009-2013 with county-level data from the United States (U.S.) Census American Community Survey. We used hierarchical linear modeling to examine Black-White differences among 531,170 primiparous women across 33 California counties. Traditional (e.g., dissimilarity index) and novel indicators (e.g., Black to White ratio in elected office) were associated with earlier gestational age and lower birth weight among Black and White women. A traditional indicator was more strongly associated with earlier gestational age for Black women than for White women. This was the first study to empirically demonstrate that structural racism, measured by both traditional and novel indicators, is associated with poor health and wellbeing of infants born to Black and White women. However, findings indicate traditional indicators of structural racism, rather than novel indicators, better explain racial disparities in birth outcomes. Results also suggest the need to develop more innovative approaches to: (1) measure structural racism at the county-level and (2) reform public policies to increase integration and access to resources.

  2. Decolonizing Higher Education: Black Feminism and the Intersectionality of Race and Gender

    Directory of Open Access Journals (Sweden)

    Heidi Safia Mirza

    2015-05-01

    Full Text Available Drawing on black feminist theory, this paper examines the professional experiences of postcolonial diasporic black and ethnicized female academics in higher education. The paper explores the embodiment of gendered and racialized difference and reflects on the power of whiteness to shape everyday experiences in such places of privilege. The powerful yet hidden histories of women of color in higher education, such as the Indian women suffragettes and Cornelia Sorabji in late nineteenth century, are symbolic of the erasure of an ethnicized black feminist/womanist presence in mainstream (white educational establishments. The paper concludes that an understanding of black and ethnicized female agency and desire for education and learning is at the heart of a black feminist analysis that reclaims higher education as a radical site of resistance and refutation.

  3. Health care practices influencing health promotion in urban black women in Tshwane

    Directory of Open Access Journals (Sweden)

    SCD Wright

    2008-09-01

    Full Text Available Health promotion is a multifaceted activity. Women and children are particularly vulnerable regarding access to quality health care, with young African women reportedly the poorest and most economically marginalised and least educated sector in South Africa. Understanding the context within which a person lives is an essential component in the health educator’s teaching strategy. Understanding urban black women’s health care practices will enable health promoters to develop interventions that are successful. The problem investigated was to gain an understanding of the health care practices of urban black women that could influence health promotion activities. The design was qualitative exploratory. The respondents were women living in an urban township in Tshwane, South Africa. The sampling method was convenient and purposive and the sample size was determined by saturation of the data. Data was gathered through semi-structured interviews using six specific themes and the analysed using open coding. The results indicated that the social environment created by the registered nurses in the primary health influenced the health care practices of the women negatively. Practices regarding the seriousness of a health problem suggest a possible reason for late admission of a person with a serious health problem.

  4. Evaluation of energy and macronutrient intake of black women in ...

    African Journals Online (AJOL)

    STORAGESEVER

    2008-11-19

    Nov 19, 2008 ... pre-menopausal black women living in Bloemfontein in South Africa. .... nity health worker explained the purpose of the study to possible participants. .... was almost three times higher than the RDA of 130 g/day. .... The beneficial metabolic effects of a ... disease viewpoint, excessive dietary fat intake may be.

  5. Insomnia symptoms and repressive coping in a sample of older Black and White women

    Directory of Open Access Journals (Sweden)

    Pierre-Louis Jessy

    2007-01-01

    Full Text Available Abstract Background This study examined whether ethnic differences in insomnia symptoms are mediated by differences in repressive coping styles. Methods A total of 1274 women (average age = 59.36 ± 6.53 years participated in the study; 28% were White and 72% were Black. Older women in Brooklyn, NY were recruited using a stratified, cluster-sampling technique. Trained staff conducted face-to-face interviews lasting 1.5 hours acquiring sociodemographic data, health characteristics, and risk factors. A sleep questionnaire was administered and individual repressive coping styles were assessed. Fisher's exact test and Spearman and Pearson analyses were used to analyze the data. Results The rate of insomnia symptoms was greater among White women [74% vs. 46%; χ2 = 87.67, p 1,1272 = 304.75, p s = -0.43, p s = -0.18, p Conclusion Relationships between ethnicity and insomnia symptoms are jointly dependent on the degree of repressive coping, suggesting that Black women may be reporting fewer insomnia symptoms because of a greater ability to route negative emotions from consciousness. It may be that Blacks cope with sleep problems within a positive self-regulatory framework, which allows them to deal more effectively with sleep-interfering psychological processes to stressful life events and to curtail dysfunctional sleep-interpreting processes.

  6. Latina and Black Women's Perceptions of the Dietetics Major and Profession

    Science.gov (United States)

    Whelan, Megan

    Racial and ethnic groups remain underrepresented in undergraduate health profession education programs and careers, such as nutrition and dietetics (Sullivan, 2004). Overwhelmingly, 82 percent of dietitians are White, three percent are Latino/Latina, and less than three percent are Black (Commission on Dietetic Registration, 2016). While the calls to increase recruitment of underrepresented minorities are plentiful and federal dollars are allotted to the effort, a critical lens is necessary to investigate the complexity of factors that impact the decision to pursue a career within dietetics. The purpose of this qualitative case study was to investigate how Latina and Black women enrolled in an undergraduate Health Career Opportunity Program (HCOP) narrated and reflected upon the dietetics profession. Through the lens of Critical Race Theory and situated learning, I sought to understand the sociocultural and historical underpinnings that hinder or promote career selection. Data collection methods included participant observation, interviews, artifacts, and reflexive journaling. Data were analyzed using inductive coding techniques. My findings revealed the ways in which Latina and Black women believed dietitians must match the socially constructed role model for body image, physical fitness, and healthy eating to be effective in practice. Using a critical media analysis to confront the stereotypical images of dietitians, the women used cliche messages as a selected discourse to mask perceptions of barriers to the dietetics field. Finally, the women believed a dietitian's professional role was to give diet advice which presented a barrier to the profession. Based on my findings I support early introduction to nutrition science as a means to empower individuals to support their health and the health of their community. Recruitment efforts must explicitly address the culture of dietetics which has embraced the stereotypical image. Collectively, the dietetics field must

  7. Tracking the dissemination of a culturally targeted brochure to promote awareness of hereditary breast and ovarian cancer among Black women.

    Science.gov (United States)

    Scherr, Courtney Lynam; Bomboka, Linda; Nelson, Alison; Pal, Tuya; Vadaparampil, Susan Thomas

    2017-05-01

    Black women have a higher rate of BRCA1 and BRCA2 (BRCA) mutations, compared with other populations, that increases their risk for hereditary breast and ovarian cancer (HBOC). However, Black women are less likely to know about HBOC and genetic testing. Based on a request from a community advisory panel of breast cancer survivors, community leaders and healthcare providers in the Black community, our team developed a culturally targeted educational brochure to promote awareness of HBOC among Black women. To reach the target population we utilized a passive dissemination strategy. Using Diffusion of Innovations (DOI) as a framework, we traced dissemination of the brochure over a five year period using self-addressed postcards contained inside the brochure that included several open-ended questions about the utility of the brochure, and a field for written comments. Closed-ended responses were analyzed using descriptive statistics and thematic analysis was conducted on the open-ended responses. DOI captured the proliferation of the brochure among Black women across the US. The use of passive dissemination strategies among pre-existing social networks proved to be a useful and sustainable method for increasing knowledge of HBOC among Black women. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  8. The differential impact of discrimination on health among Black and White women.

    Science.gov (United States)

    Versey, H Shellae; Curtin, Nicola

    2016-05-01

    Despite a large body of research examining the impact of discrimination on health, the ways in which perceived discrimination may lead to disparate health outcomes through a sense of self and system consciousness is less understood. The current paper is concerned with both mental and physical health consequences of discrimination, as well as mediating pathways among African American and White women. Indirect effects analyses examine mediating paths from discrimination to health outcomes via structural awareness and self-esteem, using data from the Women's Life Path Study (N = 237). Our findings suggest that discrimination is both directly and indirectly associated with health outcomes for both Black and White women, mediated by individual (self-esteem) and group-level (structural awareness) processes. Evidence from this study indicates that discrimination is associated with heightened structural awareness, as well as lower self-esteem - both of which are related to poorer health. Discrimination negatively affected health across three domains, although the mechanisms varied somewhat for Black and White women. Broad implications of this research for interdisciplinary scholarship on the effects of discrimination on health and health disparities are discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Physical Activity Energy Expenditure and Sarcopenia in Black South African Urban Women.

    Science.gov (United States)

    Kruger, Herculina S; Havemann-Nel, Lize; Ravyse, Chrisna; Moss, Sarah J; Tieland, Michael

    2016-03-01

    Black women are believed to be genetically less predisposed to age-related sarcopenia. The objective of this study was to investigate lifestyle factors associated with sarcopenia in black South African (SA) urban women. In a cross-sectional study, 247 women (mean age 57 y) were randomly selected. Anthropometric and sociodemographic variables, dietary intakes, and physical activity were measured. Activity was also measured by combined accelerometery/heart rate monitoring (ActiHeart), and HIV status was tested. Dual energy x-ray absorptiometry was used to measure appendicular skeletal mass (ASM). Sarcopenia was defined according to a recently derived SA cutpoint of ASM index (ASM/height squared) decreasing to 8.1% after exclusion of participants who were HIV positive. In multiple regressions with ASM index, grip strength, and gait speed, respectively, as dependent variables, only activity energy expenditure (β = .27) was significantly associated with ASM index. Age (β = -.50) and activity energy expenditure (β = .17) were significantly associated with gait speed. Age (β = -.11) and lean mass (β = .21) were significantly associated with handgrip strength. Sarcopenia was prevalent among these SA women and was associated with low physical activity energy expenditure.

  10. Strong, female and Black: Stereotypes of African Caribbean women's body shape and their effects on clinical encounters.

    Science.gov (United States)

    Andrews, Nicole; Greenfield, Sheila; Drever, Will; Redwood, Sabi

    2017-03-01

    The aim of this article is to explore how tendencies to stereotype minority ethnic groups intersect with lay discourses about them in ways that can reproduce cultural prejudices and reinforce inequalities in access to services and health outcomes. Drawing upon Black feminist and cultural studies literature, we present a theoretical examination, the stereotypes of the Black woman as 'mammy' and 'matriarch'. We suggest that the influence of these two images is central to understanding the normalisation of the larger Black female body within African Caribbean communities. This representation of excess weight contradicts mainstream negative discourses of large bodies that view it as a form of moral weakness. Seeking to stimulate reflection on how unacknowledged stereotypes may shape clinical encounters, we propose that for Black women, it is the perception of strength, tied into these racial images of 'mammy' and 'matriarch' which may influence when or how health services or advice are both sought by them and offered to them. This has particular significance in relation to how body weight and weight management are/are not talked about in primary care-based interactions and what support Black women are/are not offered. We argue that unintentional bias can have tangible impacts and health outcomes for Black women and possibly other minority ethnic groups.

  11. The Crisis in Black and Black.

    Science.gov (United States)

    Hutchinson, Earl Ofari

    These essays explore why the historic conflict between blacks and whites in the United States has become a crisis that divides many African Americans. The changing racial dynamic is not marked by conflicts. between the black middle class and the poor, black men and women, the black intellectual elite and rappers, black politicians and the urban…

  12. Incongruence in body image and body mass index: A surrogate risk marker in Black women for type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Rynal Devanathan

    2013-07-01

    Full Text Available Background: Excess weight contributes to the development and progression of Type 2 diabetes mellitus (T2DM. Distorted body image amongst urban Black women and the perception that thinness is linked with HIV, may however be compounding the problem, particularly in areas with a high HIV burden. Objectives: This study aimed to compare the perception of body image in urban Black women with and without T2DM. Methods: A cross-sectional comparative study was conducted on 328 Black women systematically sampled into two groups (with and without T2DM. Body mass index (BMI (weight [kg]/height[m2] was determined and the adapted Stunkard Body Image Silhouettes for Black women was used to determine perceived body image (PBI. Results: Seventy-two per cent had T2DM and in this group 89% were obese, with a mean BMI of 39.5 kg/m2 (s.d. ± 8.5. In the non-diabetes group (NDG 44% were obese, with a mean BMIof 31.3 kg/m2 (s.d. ± 9.0 Black women underestimated their body image across all weight categories (p < 0.05. Both groups (99% of the study group also perceived thinness as being associated with HIV. Conclusions: This study identified an incongruence between PBI and actual BMI amongst urban Black women. This, combined with their belief that thinness is associated with HIV, places those with T2DM at risk of secondary complications arising from diabetes mellitus, and those without diabetes mellitus at a higher risk of developing T2DM. A discrepancy between PBI and BMI may therefore serve as a risk marker to alert clinicians to use a more ethno-cultural specific approach in engaging with urban Black women regarding weight loss strategies in the future.

  13. Four Criteria for Labeling Black Women and Their Community as 'Others' in Toni Morrison's Novels

    Directory of Open Access Journals (Sweden)

    Sri Herminingrum

    2012-08-01

    Full Text Available The dynamics of Black women's life, from Slavery Era to Women Rights Movement in 1980-s, highlighted by Morrison in The Bluest Eyes, Sula, Song of Solomon, Tar Baby, Beloved, Jazz, Paradise, and Love is cultural expression which is in a non-exclusive territory. By applying interdisciplinary approach - integrating theories and perspectives of some disciplines, including the intersectional zone of the study of gender, sexuality, race, and ethnicity - to research these eight novels, it was discovered that there are four points engendering Black women regarded as 'other'. (1 Mother-centered culture practice. (2 Double lives for racism and sexim. (3 The impact of White culture invasion. (4 The struggle for building self dignity.

  14. Patterns, levels and correlates of self-reported physical activity in urban black Soweto women.

    Science.gov (United States)

    Gradidge, Philippe Jean-Luc; Crowther, Nigel J; Chirwa, Esnat D; Norris, Shane A; Micklesfield, Lisa K

    2014-09-08

    Urban black South African women have a high prevalence of non-communicable diseases such as obesity and type 2 diabetes. The aim of this study was to assess the physical activity patterns of a cohort of middle-aged urban-dwelling black African women and to determine if physical activity is associated with anthropometric measures and metabolic outcomes in this population. Physical activity and sitting time were assessed using the Global Physical Activity Questionnaire (GPAQ) in a cross-sectional study of 977 black African women (mean age 41.0 ± 7.84 years) from the Birth to Twenty study based in Soweto, Johannesburg. Anthropometric outcomes were measured and fasting blood glucose, insulin and lipid profile were analysed to determine metabolic disease risk and prevalence. Sixty-seven percent of the population were classified as active according to GPAQ criteria, and the domain that contributed most to overall weekly physical activity was walking for travel. Only 45.0% of women participated in leisure time activity. The prevalence of metabolic syndrome in this sample was 40.0%, and the prevalence of overweight and obesity was 29.2% and 48.0%, respectively. Women who reported owning a motor vehicle walked for travel less, and participated in more leisure-time activity (both p travel (both p travel is a major contributor to physical activity, future research should attempt to determine whether the intensity of this activity plays a role in the prevention of cardiometabolic diseases.

  15. Pathways to success in science: A phenomenological study, examining the life experiences of African-American women in higher education

    Science.gov (United States)

    Giscombe, Claudette Leanora

    This study is a qualitative investigation in which five African American women science faculty, in higher education, within the age range of 45--60, were the participants. The data that was collected, over twelve months, was primarily obtained from the in-depth phenomenological interviewing method (Seidman, 1991). The interpretation of the data was the result of ongoing cross analysis of the participants' life experiences, perceptions, and beliefs of the how they navigated and negotiated pathways to careers in the natural sciences, and the meanings they attach to these experiences. The software Ethnograph (V5.0) was used to organize the participants' responses into patterns and emergent themes. The Black women in this study articulated several themes that were critical determinants of their successes and achievements in science careers. From the analysis of the data set, four major findings were identified: (1) "Black Intentional Communities" acted as social agencies for the positive development of the participants; (2) "My World Reality" which was described by the participants as their acceptance of their segregated worlds, not being victims of inequities and injustices, but being resilient and determined to forge on to early academic successes. Early academic successes were identified as precursors and external motivational stimuli to their interests and achievements in science; (3) Their experiences of "Tensions and Double Consciousness" from race and gender negative images and career stereotypes, required the women to make "intra-cultural deviations" from stereotypic career roles and to develop "pragmatic coping strategies" to achieve in science careers and; (4) "Meaning-making"---Significant to the meaning of their journey was the fact that the participants grounded their experiences in a social context rather than in a scientific context and that they ended their journey with expressions of personal satisfactions about their journey and their unique drive and

  16. Perceived Advantages and Disadvantages of Using Pre-Exposure Prophylaxis (PrEP) among Sexually Active Black Women

    Science.gov (United States)

    Bond, Keosha T.; Gunn, Alana J.

    2017-01-01

    Knowledge of pre-exposure prophylaxis (PrEP) continues to remain scarce among Black women who are disproportionally affected by HIV in the United States. A thematic analysis of open-ended questions from a sample of Black women (n=119) who completed a mix-methods, online, e-health study was conducted to examine the perceived advantages and disadvantages of using PrEP. Being a female controlled method, empowerment, option for women with risky sex partners, and serodiscordant couples were advantages described. Disadvantages of PrEP were identified as the complexity of the choice, encouragement of sex with risky partners, increased burden, promotion of unprotected sex, and newness of the drug. PMID:28725660

  17. Black Otherfathering in the Educational Experiences of Black Males in a Single-Sex Urban High School

    Science.gov (United States)

    Brooms, Derrick R.

    2017-01-01

    Background/Context: A good deal of research has been written about the problems and challenges facing Black male youth in their educational endeavors, ranging from academic performances, aspirations, and outcomes to student-teacher relationships, social experiences, and identity development. Statements calling for more Black male teachers abound…

  18. Addressing the problem of obesity and associated cardiometabolic risk in black South African women - time for action!

    Science.gov (United States)

    Goedecke, Julia H

    2017-01-01

    The PhD thesis of Gradidge, entitled 'Factors associated with obesity and metabolic syndrome in an ageing cohort of black women living in Soweto, Johannesburg (Study of Women in and Entering Endocrine Transition [SWEET])', attempts to understand the determinants of obesity and metabolic syndrome (MetS) in a population of urban-dwelling black South African women. A conceptual framework is presented, which positions obesity as the central risk factor for MetS, and includes the possible influence of socioeconomic status, lifestyle behaviours and body size perceptions, as key determinants of obesity. This commentary focuses on the two main findings of Gradidge's thesis, namely, (i) physical activity and sedentary behaviour, and (ii) body composition and adiponectin, as risk factors for obesity and MetS in black South African women. Despite a high prevalence of obesity (48%), Gradidge showed that 75% of the women taking part in the study were meeting WHO guidelines on physical activity. This commentary suggests that the relationship between physical activity and cardiometabolic risk may be confounded by socioeconomic status. Alternatively, the intensity, and not necessarily the volume, of activity, as well as high rates of sedentary behaviour are posited as important determinants of obesity and MetS in black South African women. Accordingly, this commentary questions the veracity of the WHO guidelines on physical activity in developing countries, where most women meet the guidelines but have very poor cardiorespiratory fitness, are obese and are at high risk of MetS. Gradidge also showed that the most consistent and significant correlate of MetS in this cohort of middle-aged women was low serum levels of adiponectin. This commentary highlights various lifestyle interventions that have been shown to increase adiponectin levels. Finally, the importance of immediate action to address the problem of obesity and MetS is emphasised.

  19. Exploring Discrimination and Mental Health Disparities Faced By Black Sexual Minority Women Using a Minority Stress Framework

    OpenAIRE

    Calabrese, Sarah K.; Meyer, Ilan H.; Overstreet, Nicole M.; Haile, Rahwa; Hansen, Nathan B.

    2014-01-01

    Black sexual minority women are triply marginalized due to their race, gender, and sexual orientation. We compared three dimensions of discrimination—frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)—and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 Black sexual minority women and each of two gro...

  20. Experiences of Black Alumnae from PWIs: Did They Thrive?

    Science.gov (United States)

    Kelly, Bridget Turner; Segoshi, Megan; Adams, Lauren; Raines, Alyscia

    2017-01-01

    This study qualitatively examines 16 Black alumnae's college experiences from a Black feminist thought intersectional lens. Findings reveal they graduated but did not thrive in the ways described by the thriving quotient and point to ways institutions can measure success not by graduation alone but by all students leaving college with wholeness,…

  1. Measuring the Pros and Cons of What It Means to Be a Black Man: Development and Validation of the Black Men's Experiences Scale (BMES).

    Science.gov (United States)

    Bowleg, Lisa; English, Devin; Del Rio-Gonzalez, Ana Maria; Burkholder, Gary J; Teti, Michelle; Tschann, Jeanne M

    2016-04-01

    Although extensive research documents that Black people in the U.S. frequently experience social discrimination, most of this research aggregates these experiences primarily or exclusively by race. Consequently, empirical gaps exist about the psychosocial costs and benefits of Black men's experiences at the intersection of race and gender. Informed by intersectionality, a theoretical framework that highlights how multiple social identities intersect to reflect interlocking social-structural inequality, this study addresses these gaps with the qualitative development and quantitative test of the Black Men's Experiences Scale (BMES). The BMES assesses Black men's negative experiences with overt discrimination and microaggressions, as well their positive evaluations of what it means to be Black men. First, we conducted focus groups and individual interviews with Black men to develop the BMES. Next, we tested the BMES with 578 predominantly low-income urban Black men between the ages of 18 and 44. Exploratory factor analysis suggested a 12-item, 3-factor solution that explained 63.7% of the variance. We labeled the subscales: Overt Discrimination, Microaggressions, and Positives: Black Men . Confirmatory factor analysis supported the three-factor solution. As hypothesized, the BMES's subscales correlated with measures of racial discrimination, depression, resilience, and social class at the neighborhood-level. Preliminary evidence suggests that the BMES is a reliable and valid measure of Black men's experiences at the intersection of race and gender.

  2. Understanding Black Male Student Athletes' Experiences at a Historically Black College/University: A Mixed Methods Approach

    Science.gov (United States)

    Cooper, Joseph N.; Hall, Jori

    2016-01-01

    The purpose of this article is to describe how a mixed methods approach was employed to acquire a better understanding of Black male student athletes' experiences at a historically Black college/university in the southeastern United States. A concurrent triangulation design was incorporated to allow different data sources to be collected and…

  3. Interpersonal discrimination and health-related quality of life among black and white men and women in the United States.

    Science.gov (United States)

    Sellers, Sherrill; Cherepanav, Dasha; Hanmer, Janel; Fryback, Dennis G; Palta, Mari

    2013-08-01

    We assessed associations between discrimination and health-related quality of life among black and white men and women in the United States. We examined data from the National Health Measurement Study, a nationally representative sample of 3,648 adults aged 35-89 in the non-institutionalized US population. These data include self-reported lifetime and everyday discrimination as well as several health utility indexes (EQ-5D, HUI3, and SF-6D). Multiple regression was used to compute mean health utility scores adjusted for age, income, education, and chronic diseases for each race-by-gender subgroup. Black men and women reported more discrimination compared to white men and women. Health utility tended to be worse as reported discrimination increased. With a few exceptions, differences between mean health utility scores in the lowest and highest discrimination groups exceeded the 0.03 difference generally considered to be a clinically significant difference. Persons who experienced discrimination tended to score lower on health utility measures. The study also revealed a complex relationship between experiences of discrimination and race and gender. Because of these differential social and demographic relationships caution is urged when interpreting self-rated health measures in research, clinical, and policy settings.

  4. Timing of menarche related to carotid artery intima-media thickness in black and white young adult women: the Bogalusa Heart Study.

    Science.gov (United States)

    Bhuiyan, Azad R; Srinivasan, Sathanur R; Chen, Wei; Fernandez, Camilo; Xu, Ji-Hua; Berenson, Gerald S

    2015-06-01

    The early onset of menarche is related to the adulthood risk of cardiovascular (CV) disease. This study examines the relation of early onset of menarche to carotid artery intima-media thickness (IMT), which is a surrogate marker of CV disease, among asymptomatic young adult women in a black-white community. A cohort of 461 women (31% black, 69% white) aged 24 to 43 years (mean of 35.6 years) were participants in the Bogalusa Heart Study. The age at menarche was retrospectively collected. In addition to CV risk factor variable measurements B-mode ultrasound images of the far walls of carotid artery segments were obtained. The multivariate linear regression model along with mediating effect by Sobel test was applied to analyze menarcheal age effect on carotid artery IMT, adjusting for covariates. Waist to height ratio was significantly greater (P = .01) in early menarcheal age (women. Homeostasis model assessment of insulin resistance (HOMA-IR) was significantly greater (P = .01) in early menarcheal age (women and also similar direction in black women. Internal carotid artery IMT was the same in early menarcheal age (women but higher (P = .02) in black women. Given as previously mentioned these different associations, the mediation analysis by race was performed. The effect of early menarcheal age (women after adjusting for parental education and age. The mediating effect of waist to height ratio (Sobel test = -2.26 and P = .02) and HOMA-IR (Sobel test = -1.85 and P = .06) on internal carotid artery IMT was noted in white women. The direct effect of early menarcheal age (women. The observed deleterious effect of early onset of menarche on carotid artery IMT in asymptomatic black and white younger adult women has biological, social, and public health implications. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Black Women's Bodies, Ideology, and the Public Curriculum of the Pro- and Anti-Choice Movements in the US

    Science.gov (United States)

    Davidson, Maria del Guadalupe

    2018-01-01

    This paper explores how opposite sides of the abortion debate employ a discourse of endangerment to mobilise political support for their ideologies about black women's bodies. I examine the role of black women within that rhetorical strategy through various rhetorical artefacts. To analyse these artefacts, I employ the theoretical framework of…

  6. Racial/ethnic disparities in history of incarceration, experiences of victimization, and associated health indicators among transgender women in the U.S.

    Science.gov (United States)

    Reisner, Sari L; Bailey, Zinzi; Sevelius, Jae

    2014-01-01

    Limited national data document the prevalence of incarceration among transgender women, experiences of victimization while incarcerated, and associations of transgender status with health. Data were from the National Transgender Discrimination Survey (NTDS), a large convenience sample of transgender adults in the U.S., collected between September 2008 and March 2009. Respondents who indicated a transfeminine gender identity were included in the current study (n = 3,878). Multivariable logistic regression was used to model ever being incarcerated and experiencing victimization while incarcerated as a function of race/ethnicity and health-related indicators. Overall, 19.3% reported having ever been incarcerated. Black and Native American/Alaskan Native transgender women were more likely to report a history of incarceration than White (non-Hispanic) respondents, and those with a history of incarceration were more likely to report negative health-related indicators, including self-reporting as HIV-positive. Among previously incarcerated respondents, 47.0% reported victimization while incarcerated. Black, Latina, and mixed race transgender women were more likely to report experiences of victimization while incarcerated. Transgender women reported disproportionately high rates of incarceration and victimization while incarcerated, as well as associated negative health-related indicators. Interventions and policy changes are needed to support transgender women while incarcerated and upon release.

  7. Experiences of sexual relationships of young black women in an ...

    African Journals Online (AJOL)

    Research has shown that women are physiologically more at risk of contracting HIV than men, as indicated by the higher infection rates of the former. Many African societies operate via a hegemonic masculinity, with patriarchal governance and female subordination being the norm, placing women at even greater risk of HIV ...

  8. Trends of racial disparities in assisted reproductive technology outcomes in black women compared with white women: Society for Assisted Reproductive Technology 1999 and 2000 vs. 2004-2006.

    Science.gov (United States)

    Seifer, David B; Zackula, Rosey; Grainger, David A

    2010-02-01

    To determine trends in assisted reproductive technology (ART) in black and white women by comparing Society for Assisted Reproductive Technology (SART) database outcomes for 2004-2006 with previously reported outcomes for 1999 and 2000. Retrospective, cohort study. The SART member clinics that performed at least 50 cycles of IVF and reported race in more than 95% of cycles. Women receiving 158,693 IVF cycles. In vitro fertilization using nondonor embryos. Live birth rate per cycle started. Reporting of race increased from 52% to 60%. The proportion of black, non-Hispanic (BNH) women increased from 4.6% to 6.5%. For BNH women using fresh embryos and no prior ART, significant increasing trends were observed for older age, male factor, uterine factor, diminished ovarian reserve, and ovulation disorders. The BNH women were 2.5 times more likely to have tubal factor for those cycles with no prior ART. The proportion of live births per cycle started increased across all groups over time, although greater increases occurred for white women. There seems to be widening disparities in IVF outcomes between BNH and white women, perhaps attributable to poor prognostic factors among black women. Race continues to be a marker for prognosis for ART outcomes and should be reported. Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  9. General experiences + race + racism = Work lives of Black faculty in postsecondary science education

    Science.gov (United States)

    Parsons, Eileen R. C.; Bulls, Domonique L.; Freeman, Tonjua B.; Butler, Malcolm B.; Atwater, Mary M.

    2016-12-01

    Existent research indicates that postsecondary Black faculty members, who are sorely underrepresented in the academy especially in STEM fields, assume essential roles; chief among these roles is diversifying higher education. Their recruitment and retention become more challenging in light of research findings on work life for postsecondary faculty. Research has shown that postsecondary faculty members in general have become increasingly stressed and job satisfaction has declined with dissatisfaction with endeavors and work overload cited as major stressors. In addition to the stresses managed by higher education faculty at large, Black faculty must navigate diversity-related challenges. Illuminating and understanding their experiences can be instrumental in lessening stress and job dissatisfaction, outcomes that facilitate recruitment and retention. This study featured the experiences and perceptions of Black faculty in science education. This study, framed by critical race theory, examines two questions: What characterizes the work life of some Black faculty members who teach, research, and serve in science education? How are race and racism present in the experiences of these postsecondary Black faculty members? A phenomenological approach to the study situates the experiences of the Black participants as valid phenomena worthy of investigation, illuminates their experiences, and seeks to retain the authenticity of their voices.

  10. Erratum to: Interpersonal discrimination and health-related quality of life among black and white men and women in the United States.

    Science.gov (United States)

    Sellers, Sherrill L; Cherepanov, Dasha; Hanmer, Janel; Fryback, Dennis G; Palta, Mari

    2013-08-01

    We assessed associations between discrimination and health-related quality of life among black and white men and women in the United States. We examined data from the National Health Measurement Study, a nationally representative sample of 3,648 adults aged 35-89 in the non-institutionalized US population. These data include self-reported lifetime and everyday discrimination as well as several health utility indexes (EQ-5D, HUI3, and SF-6D). Multiple regression was used to compute mean health utility scores adjusted for age, income, education, and chronic diseases for each race-by-gender subgroup. Black men and women reported more discrimination than white men and women. Health utility tended to be worse as reported discrimination increased. With a few exceptions, differences between mean health utility scores in the lowest and highest discrimination groups exceeded the 0.03 difference generally considered to be a clinically significant difference. Persons who experienced discrimination tended to score lower on health utility measures. The study also revealed a complex relationship between experiences of discrimination and race and gender. Because of these differential social and demographic relationships caution is urged when interpreting self-rated health measures in research, clinical, and policy settings.

  11. SisterTalk: final results of a culturally tailored cable television delivered weight control program for Black women.

    Science.gov (United States)

    Risica, Patricia Markham; Gans, Kim M; Kumanyika, Shiriki; Kirtania, Usree; Lasater, Thomas M

    2013-12-27

    Obesity among Black women continues to exceed that of other women. Most weight loss programs created without reference to specific cultural contexts are less effective for Black than White women. Weight control approaches accessible to Black women and adapted to relevant cultural contexts are important for addressing this problem. This paper reports the final results of SisterTalk, the randomized controlled trial of a cable TV weight control program oriented toward Black women. A five group design included a comparison group and a 2 × 2 factorial comparison of a) interactive vs. passive programming and b) telephone social support vs no telephone support, with 12 weekly initial cable TV programs followed by 4 monthly booster videos. At baseline, 3, 8, and 12 months post randomization, telephone and in person surveys were administered on diet, physical activity, and physical measurements of height and weight were taken to calculate body mass index (BMI). Analysis of variance (ANOVA) was used to examine differences over time, and between treatment and comparison groups. Dose variables reflecting use of the TV/video and written materials were also assessed. At 3 months, BMI, weight, and dietary fat were significantly lower and physical activity significantly higher among women exposed to the Cable TV intervention compared to the wait-list comparison group. Significant dietary fat differences were still observed at 8 and 12 month evaluations, but not BMI or physical activity differences. Main effects were not observed for interactive programming or enhanced social support at any time point. Within the intervention group, higher watching of the TV series and higher reading of educational materials were both (separately) associated with significantly lower dietary fat. Cable TV was an effective delivery channel to assist Black women with weight control, increasing physical activity and decreasing dietary fat during an initial intervention period, but only dietary

  12. Black and White Women's Leadership

    OpenAIRE

    Showunmi, Victoria; Atewologun, Doyin

    2013-01-01

    This paper contributes to literature on ethnic identity and experiences in the workplace leadership and identity by examining how race, gender and class may confer disadvantage or bestow privilege in accessing leadership positions and enacting the role of leader. We interviewed 130 white and BME women leaders in public and private sector organisations in the UK to gather their reflections on how they defined leadership, how their identities as leaders had developed and their experiences of en...

  13. An Investigation into the Social Context of Low-income, Urban Black and Latina Women: Implications for Adherence to Recommended Health Behaviors

    OpenAIRE

    2011-01-01

    Understanding factors that promote or prevent adherence to recommended health behaviors is essential for developing effective health programs, particularly among lower-income populations who carry a disproportionate burden of disease. We conducted in-depth qualitative interviews (n=64) with low-income Black and Latina women who shared the experience of requiring diagnostic follow-up after having an abnormal screening mammogram. In addition to holding negative and fatalistic cancer-related bel...

  14. Gene Expression in Uterine Leiomyoma from Tumors Likely to Be Growing (from Black Women over 35) and Tumors Likely to Be Non-Growing (from White Women over 35)

    Science.gov (United States)

    Davis, Barbara J.; Risinger, John I.; Chandramouli, Gadisetti V. R.; Bushel, Pierre R.; Baird, Donna Day; Peddada, Shyamal D.

    2013-01-01

    The study of uterine leiomyomata (fibroids) provides a unique opportunity to investigate the physiological and molecular determinants of hormone dependent tumor growth and spontaneous tumor regression. We conducted a longitudinal clinical study of premenopausal women with leiomyoma that showed significantly different growth rates between white and black women depending on their age. Growth rates for leiomyoma were on average much higher from older black women than for older white women, and we now report gene expression pattern differences in tumors from these two groups of study participants. Total RNA from 52 leiomyoma and 8 myometrial samples were analyzed using Affymetrix Gene Chip expression arrays. Gene expression data was first compared between all leiomyoma and normal myometrium and then between leiomyoma from older black women (age 35 or older) and from older white women. Genes that were found significant in pairwise comparisons were further analyzed for canonical pathways, networks and biological functions using the Ingenuity Pathway Analysis (IPA) software. Whereas our comparison of leiomyoma to myometrium produced a very large list of genes highly similar to numerous previous studies, distinct sets of genes and signaling pathways were identified in comparisons of older black and white women whose tumors were likely to be growing and non-growing, respectively. Key among these were genes associated with regulation of apoptosis. To our knowledge, this is the first study to compare two groups of tumors that are likely to have different growth rates in order to reveal molecular signals likely to be influential in tumor growth. PMID:23785396

  15. CLINICAL AND SOCIO - ECONOMIC PROFILE OF BLACK WOMEN PRONE MATERNAL DEATH: ASSISTANCE TO WOMEN IN A UNIT OF PUBLIC DF

    Directory of Open Access Journals (Sweden)

    Judith Aparecida Trevisan

    2013-05-01

    Full Text Available Sample survey conducted in the Public Health Unit of the Federal District, with only blackwomen pregnant. Aims to verify the compliance of specific group and degree of receptivityand awareness on health pregnancy. The study area lies in women's health and training ofhealth professionals in nursing.The analyzed result goes against the interests of publicmanagement in health through compliance with international agreements established in theMillennium Development Goals to reduce maternal and infant death and the eradication ofracism-4th 5th and 9th MDG / UN. He attempts to verify the paucity of nursing actions inthe face of known pre-existing impairment of hypertension, abortions, sickle cell anemia, pre-eclampsia in women of black ethnic group, living in communities of less infrastructure andless education. Registers the range, in the Federal District, the public health policies aimed atfulfilling agreements for equality and reducing child mortality and achieving the targets for2015 of reducing the maternal and infant mortality, according tothe United Nations, which isthe 5th goal millennium.Keywords: Women's Health, the black population, the UnitedNations

  16. Pap Screening Goals and Perceptions of Pain among Black, Latina, and Arab Women: Steps toward Breaking down Psychological Barriers

    Science.gov (United States)

    Gauss, Julie W.; Mabiso, Athur; Williams, Karen Patricia

    2013-01-01

    BACKGROUND Understanding women’s psychological barriers to getting Papanicolaou (Pap) screening has potential to impact cancer disparities. This study examined pain perceptions of Pap testing among Black, Latina and Arab women and goal setting to receive Pap tests. METHODS Data on 420 women, a longitudinal study, were analyzed using Chi-square tests of differences and generalized linear mixed models. RESULTS At baseline, 30.3% of Black and 35.5% of Latina women perceived Pap tests to be very painful compared to 24.2% of Arab women. Perceptions of pain influenced goal settings, such as scheduling a first ever Pap test (Odds ratio = 0.58, 95% Confidence interval: 0.14-0.94). Immediately following the intervention, women’s perception that Pap tests are very painful significantly declined (P-valuetest is very painful significantly reduces the likelihood of Black, Latina and Arab women setting the goal to schedule their first ever Pap test. Latina women are the least likely to improve their perception that the Pap test is very painful, though national statistics show they have the highest rates of morbidity and mortality from cervical cancer. These findings are instructive for designing tailored interventions to break down psychological barriers to Pap screening among underserved women. PMID:23288606

  17. Weight gain prevention among black women in the rural community health center setting: The Shape Program

    Directory of Open Access Journals (Sweden)

    Foley Perry

    2012-06-01

    Full Text Available Abstract Background Nearly 60% of black women are obese. Despite their increased risk of obesity and associated chronic diseases, black women have been underrepresented in clinical trials of weight loss interventions, particularly those conducted in the primary care setting. Further, existing obesity treatments are less effective for this population. The promotion of weight maintenance can be achieved at lower treatment intensity than can weight loss and holds promise in reducing obesity-associated chronic disease risk. Weight gain prevention may also be more consistent with the obesity-related sociocultural perspectives of black women than are traditional weight loss approaches. Methods/Design We conducted an 18-month randomized controlled trial (the Shape Program of a weight gain prevention intervention for overweight black female patients in the primary care setting. Participants include 194 premenopausal black women aged 25 to 44 years with a BMI of 25–34.9 kg/m2. Participants were randomized either to usual care or to a 12-month intervention that consisted of: tailored obesogenic behavior change goals, self-monitoring via interactive voice response phone calls, tailored skills training materials, 12 counseling calls with a registered dietitian and a 12-month YMCA membership. Participants are followed over 18 months, with study visits at baseline, 6-, 12- and 18-months. Anthropometric data, blood pressure, fasting lipids, fasting glucose, and self-administered surveys are collected at each visit. Accelerometer data is collected at baseline and 12-months. At baseline, participants were an average of 35.4 years old with a mean body mass index of 30.2 kg/m2. Participants were mostly employed and low-income. Almost half of the sample reported a diagnosis of hypertension or prehypertension and 12% reported a diagnosis of diabetes or prediabetes. Almost one-third of participants smoked and over 20% scored above the clinical threshold

  18. Depressed mood and self-esteem in young Asian, black, and white women in America.

    Science.gov (United States)

    Woods, N F; Lentz, M; Mitchell, E; Oakley, L D

    1994-01-01

    During the last two decades, investigators have explored the relationship between women's life conditions and their mental health. Some have related women's socially disadvantaged status, or their socialization to a traditional feminine role, to depression and low self-esteem. Others have emphasized the consequences of women's roles, or the balance of social demands and resources, on their well-being. More recently, feminist scholars have proposed a developmental account of depression. We tested a model comparing the effects of personal resources, social demands and resources, socialization, and women's roles, on self-esteem and depressed mood in young adult Asian, Black, and White women in America. Women who resided in middle-income and racially mixed neighborhoods were interviewed in their homes. Personal resources were indicated by education and income and social resources by unconflicted network size as measured by Barrera's (1981) Arizona Social Support Interview Schedule. Social demands were assessed by conflicted network size as measured by the Barrera scale and by the Positive Life Events and Negative Life Events scales from Norbeck's (1984) revision of the Sarason Life Events Scale. Women's roles included employment, parenting, and partnership with an adult (e.g., marriage). Self-esteem was assessed with the Rosenberg Self Esteem Scale (Rosenberg, 1965) and depressed mood with the Center for Epidemiologic Studies Depression scale (Radloff, 1977). Although models for Asian, Black, and White women differed, social network and social demands as well as personal resources were common to each group as predictors of self-esteem and depression.

  19. Bringing Black History Home: Oral Sketches of the Black Experience from Africa to Montgomery to Bedford-Stuyvesant.

    Science.gov (United States)

    Levine, Richard

    This guide describes how to implement an interdisciplinary black history project designed to explore black experiences through a combination of personal anecdotes and text research. The program was designed by a teacher at Satellite East Junior High School in Brooklyn (New York). An introduction gives an overview of the structure and aims of the…

  20. The Lived Experience of Black Nurse Faculty in Predominantly White Schools of Nursing.

    Science.gov (United States)

    Whitfield-Harris, Lisa; Lockhart, Joan Such; Zoucha, Richard; Alexander, Rumay

    2017-03-01

    This study explored the experiences of Black nurse faculty employed in predominantly White schools of nursing. High attrition rates of this group were noted in previous literature. Understanding their experiences is important to increase nurse diversity. Hermeneutic phenomenology was used to explore the experiences of 15 Black nurse faculty using interviews. Four themes were extracted as the following: cultural norms of the workplace, coping with improper assets, life as a "Lone Ranger," and surviving the workplace environment. The study provided insight to understand the meaning that Black faculty members give to their experiences working in predominantly White schools of nursing. Findings exemplify the need to improve culturally competent work environments and mentoring programs. Results suggest that better communication and proper respect from students, colleagues, and administrators are necessary. The limited research on this topic illustrates that Black nurse faculty remain under investigated; research is necessary to determine effective change strategies.

  1. Preventing traumatic childbirth experiences: 2192 women?s perceptions and views

    OpenAIRE

    Hollander, M. H.; van Hastenberg, E.; van Dillen, J.; van Pampus, M. G.; de Miranda, E.; Stramrood, C. A. I.

    2017-01-01

    The purpose of this study is to explore and quantify perceptions and experiences of women with a traumatic childbirth experience in order to identify areas for prevention and to help midwives and obstetricians improve woman-centered care. A retrospective survey was conducted online among 2192 women with a self-reported traumatic childbirth experience. Women were recruited in March 2016 through social media, including specific parent support groups. They filled out a 35-item questionnaire of w...

  2. Marinobufagenin is related to elevated central and 24-h systolic blood pressures in young black women: the African-PREDICT Study.

    Science.gov (United States)

    Strauss, Michél; Smith, Wayne; Wei, Wen; Fedorova, Olga V; Schutte, Aletta E

    2018-03-01

    Marinobufagenin (MBG) is an endogenous steroidal α1-Na + K + -ATPase inhibitor. Because of its role in sodium handling, MBG has been associated with both antihypertensive and prohypertensive effects in normal physiology and pathology. MBG is positively associated with blood pressure in Dahl salt-sensitive rats exhibiting a similar hypertensive phenotype to black populations, characterized by impaired urinary Na + excretion. However, clinical studies exploring blood pressure (BP)-related effects of MBG in black populations are scant. We determined whether the MBG/Na + ratio (assessing the effectiveness of Na + excretion resistance to MBG) is related to systolic BP (SBP) in young black men and women, compared to whites. We included 331 apparently healthy participants (20-30 years) (42.9% black, 43.8% men) on a habitual diet. We obtained 24-h and central SBP, and 24-h urinary Na + and MBG levels. We found no ethnic differences in MBG, Na + or MBG/Na + . MBG excretion correlated positively with Na + excretion in all groups and to SBP in white men and black women (p ≤ 0.011). In black women only SBP related positively to MBG/Na + in single and multi-variable adjusted regression models: central SBP (R 2  = 0.26; ß = 0.28; p = 0.039), 24-h SBP (R 2  = 0.46; ß = 0.30; p = 0.011), daytime (R 2  = 0.38; ß = 0.28; p = 0.023) and nighttime SBP (R 2  = 0.38; ß = 0.33; p = 0.009). In contrast, inverse associations of MBG/Na + with nighttime SBP were evident in white women (r = -0.20; p = 0.038) but lost significance after multiple adjustments (R 2  = 0.36; ß = -0.13; p = 0.12). We found independent positive associations of SBP with MBG/Na + in black women. This data supports the concept that reduced MBG-mediated Na + excretion can contribute to adverse hemodynamics.

  3. The Role of Fathers in the Lives of Black Women of Achievement.

    Science.gov (United States)

    Willie, Charles V.; Lane, Jolene A.

    2001-01-01

    Investigated fathers' roles in the lives of successful black women using life history case studies. Fathers were proud of and confident in their daughters, and most performed the role of mentor. Fathers gave daughters a sense of security that helped them succeed because they were not afraid to risk failure. Most fathers were interested in…

  4. Teaching and Learning Color Consciousness in Black Families: Exploring Family Processes and Women's Experiences with Colorism

    Science.gov (United States)

    Wilder, JeffriAnne; Cain, Colleen

    2011-01-01

    Family is regarded as a powerful force in the lives of Black Americans. Often-times, families function as an agent of socialization that counters racism. At the same time, however, Black families can perpetuate skin tone consciousness and bias, or "colorism." Although there is an extensive body of revisionist literature on Black families and a…

  5. Fit and Phat: Black College Women and Their Relationship with Physical Activity, Obesity and Campus Recreation Facilities

    Science.gov (United States)

    Carter-Francique, Akilah R.

    2011-01-01

    The purpose of this paper was to recognize factors that contribute to Black female college students adoption of physically active behaviors. In addition, this paper acknowledges the prevalence of obesity in the United States for Black women, and examines the relationship between body mass index, physical activity and use of campus recreation…

  6. Satellite Data, Women Defectors and Black Markets in North Korea

    DEFF Research Database (Denmark)

    Ernst, Maximilian; Jurowetzki, Roman

    2016-01-01

    Koreans crossing the border into China, and eventually more North Koreans reaching South Korea. Findings - The findings of this paper are that there is a statistical significant correlation of the number of women that arrive in South Korea and the night-time lights emitted by a black market in Sinuiju......, at the Chinese border. Since luminosity of markets can be assumed as a proxy for market activity, the conclusion can be made that the reason for the high number of North Korean women arriving in South Korea is related to their higher mobility due to their leading role on the North Korean markets. Practical...... Implications - the evinced correlation of North Korean market activity along the Chinese border and the number of arrivals of North Koreans, and especially North Korean women, in South Korea may serve as a primer for further research that either uses the same methodology, i.e. satellite images, or other...

  7. Applying intersectionality to explore the relations between gendered racism and health among Black women.

    Science.gov (United States)

    Lewis, Jioni A; Williams, Marlene G; Peppers, Erica J; Gadson, Cecile A

    2017-10-01

    The purpose of this study was to apply an intersectionality framework to explore the influence of gendered racism (i.e., intersection of racism and sexism) on health outcomes. Specifically, we applied intersectionality to extend a biopsychosocial model of racism to highlight the psychosocial variables that mediate and moderate the influence of gendered racial microaggressions (i.e., subtle gendered racism) on health outcomes. In addition, we tested aspects of this conceptual model by exploring the influence of gendered racial microaggressions on the mental and physical health of Black women. In addition, we explored the mediating role of coping strategies and the moderating role of gendered racial identity centrality. Participants were 231 Black women who completed an online survey. Results from regression analyses indicated that gendered racial microaggressions significantly predicted both self-reported mental and physical health outcomes. In addition, results from mediation analyses indicated that disengagement coping significantly mediated the link between gendered racial microaggressions and negative mental and physical health. In addition, a moderated mediation effect was found, such that individuals who reported a greater frequency of gendered racial microaggressions and reported lower levels of gendered racial identity centrality tended to use greater disengagement coping, which in turn, was negatively associated with mental and physical health outcomes. Findings of this study suggest that gendered racial identity centrality can serve a buffering role against the negative mental and physical health effects of gendered racism for Black women. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  8. Racism-Related Stress, General Life Stress, and Psychological Functioning among Black American Women

    Science.gov (United States)

    Pieterse, Alex L.; Carter, Robert T.; Ray, Kilynda V.

    2013-01-01

    The relationship between general life stress, perceived racism, and psychological functioning was explored in a sample of 118 Black American women. Findings indicate that racism-related stress was not a significant predictor of psychological functioning when controlling for general life stress. Perceived racism was positively associated with…

  9. Gedanken experiments on nearly extremal black holes and the third law

    International Nuclear Information System (INIS)

    Chirco, Goffredo; Liberati, Stefano; Sotiriou, Thomas P.

    2010-01-01

    A gedanken experiment in which a black hole is pushed to spin at its maximal rate by tossing into it a test body is considered. After demonstrating that this is kinematically possible for a test body made of reasonable matter, we focus on its implications for black hole thermodynamics and the apparent violation of the third law (unattainability of the extremal black hole). We argue that this is not an actual violation, due to subtleties in the absorption process of the test body by the black hole, which are not captured by the purely kinematic considerations.

  10. Examining impulsivity as a moderator of the relationship between body shame and bulimic symptoms in Black and White young women.

    Science.gov (United States)

    Higgins, M K; Lin, Stacy L; Alvarez, Alexandra; Bardone-Cone, Anna M

    2015-06-01

    Impulsivity has been linked to bulimic symptomatology in a number of studies; however, few have examined this relationship among Black women. We investigated the correlations between impulsivity and bulimic symptoms, and tested impulsivity as a moderator of the body shame/bulimic symptoms relationship among a sample of female undergraduates (N=276; 97 Blacks, 179 Whites). These participants provided data on body shame, impulsivity, and bulimic symptoms (EDE-Q binge eating frequency, BULIT-R, EDI-Bulimia). Among Blacks, impulsivity was significantly positively associated with all bulimic symptoms measures; among Whites, impulsivity was only positively correlated with binge eating frequency. Furthermore, among Blacks, the combination of high body shame and high impulsivity was associated with the highest levels of bulimic symptoms; these findings were not observed among Whites. This study highlights the importance of impulsivity and body shame in identifying bulimic symptomatology among Black women. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. The Costs of Living as an Outsider Within: An Analysis of the Mentoring Relationships and Career Success of Black and White Women in the Corporate Sector.

    Science.gov (United States)

    Blake-Beard, Stacy D.

    1999-01-01

    A survey of business graduates (154 white women and 41 black women) investigated the impact of race on mentoring and career success for women. Results indicated no statistical difference in the amount of mentoring reported by black or white respondents. (Author/JOW)

  12. Efficacy and safety of ultrasound-guided high intensity focused ultrasound ablation of symptomatic uterine fibroids in Black women: a preliminary study.

    Science.gov (United States)

    Zhang, C; Jacobson, H; Ngobese, Z E; Setzen, R

    2017-08-01

    To evaluate the therapeutic effect and safety of ultrasound-guided high-intensity focused ultrasound (USgHIFU) treatment on symptomatic uterine fibroids in Black women. A feasibility study. Gynaecological department in a teaching hospital in South Africa. Premenopausal women with uterus fibroids. Twenty-six patients with 53 fibroids who underwent USgHIFU treatment were enrolled. The USgHIFU treatment information was recorded, including treatment time, sonication time and total energy. Adverse events were also observed and recorded during and after treatment. Safety and efficacy of USgHIFU for the treatment of uterine fibroids in Black women. The median volume of fibroids was 52.7 (interquartile range, 18.6-177.4) cm 3 . According to USgHIFU treatment plan, total energy of 298.6 ± 169.3 kJ (range, 76.0-889.2) within treatment time of 90.3 ± 43.3 minutes (range, 14.0-208.0), in which sonication time of 774.0 ± 432.9 seconds (range, 190.0-2224.0) was used to ablate fibroids. The average ablation rate was 80.6 ± 9.7% (range, 46.5-94.5%). During the procedure, 69.2% of the patients reported lower abdominal pain, 57.7% sciatic/buttock pain, 38.5% burning skin, and 34.6% transient leg pain. No severe complications were observed. USgHIFU is feasible and safe to use to treat symptomatic uterine fibroids in Black women. Multiple uterine fibroids are more frequently detected in Black women. USgHIFU is feasible and safe for the treatment of uterine fibroids in Black women. © 2017 Royal College of Obstetricians and Gynaecologists.

  13. Prevalence and comorbidity of major depressive disorder in young black and white women

    NARCIS (Netherlands)

    Franko, DL; Thompson, D; Barton, BA; Dohm, FA; Kraemer, HC; Iachan, R; Crawford, PB; Schreiber, GB; Daniels, [No Value; Striegel-Moore, RH

    Objective This study reports the prevalence and comorbidity of depression in two large samples of black and white young adult women. Method Clinical interviews of participants in a follow-up study of the National Heart, Lung, and Blood Institute Growth and Health Study (NGHS-Wave II; N = 378) were

  14. Perceived Advantages and Disadvantages of Using Pre-Exposure Prophylaxis (PrEP) among Sexually Active Black Women: An Exploratory Study.

    Science.gov (United States)

    Bond, Keosha T; Gunn, Alana J

    2016-01-01

    Knowledge of pre-exposure prophylaxis (PrEP) continues to remain scarce among Black women who are disproportionally affected by HIV in the United States. A thematic analysis of open-ended questions from a sample of Black women (n=119) who completed a mix-methods, online, e-health study was conducted to examine the perceived advantages and disadvantages of using PrEP. Being a female controlled method, empowerment, option for women with risky sex partners, and serodiscordant couples were advantages described. Disadvantages of PrEP were identified as the complexity of the choice, encouragement of sex with risky partners, increased burden, promotion of unprotected sex, and newness of the drug.

  15. Exploring the career choices of white and Black, Asian and Minority Ethnic women pharmacists: A qualitative study.

    OpenAIRE

    Howells, Kelly; Bower, Peter; Hassell, Karen

    2017-01-01

    ObjectiveIn the UK, a growing number of females entering pharmacy are women from Black, Asian and minority ethnic groups (BAME). Research shows that BAME women are more likely to work in the community sector and be self-employed locums than white women, and Asian women overrepresented in part-time, lower status roles. This study aims to explore the employment choices of white and BAME women pharmacists to see whether their diverse work patterns are the product of individual choices or other o...

  16. Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth.

    Science.gov (United States)

    McLemore, Monica R; Altman, Molly R; Cooper, Norlissa; Williams, Shanell; Rand, Larry; Franck, Linda

    2018-03-01

    Chronic stress is a known risk factor for preterm birth, yet little is known about how healthcare experiences add to or mitigate perceived stress. In this study, we described the pregnancy-related healthcare experiences of 54 women of color from Fresno, Oakland, and San Francisco, California, with social and/or medical risk factors for preterm birth. This study was a secondary analysis of focus group data generated as part of a larger project focused on patient and community involvement in preterm birth research. English and Spanish speaking women, age 18 or greater with social and/or medical risk factors for preterm birth participated in two focus groups, six weeks apart. Data from the first focus groups are included in this analysis. Five themes emerged from thematic analysis of the transcripts. Participants described disrespect during healthcare encounters, including experiences of racism and discrimination; stressful interactions with all levels of staff; unmet information needs; and inconsistent social support. Despite these adverse experiences, women felt confidence in parenting and newborn care. Participant recommendations for healthcare systems improvement included: greater attention to birth plans, better communication among multiple healthcare providers, more careful listening to patients during clinical encounters, increased support for social programs such as California's Black Infant Health, and less reliance on past carceral history and/or child protective services involvement. The women in this study perceived their prenatal healthcare as a largely disrespectful and stressful experience. Our findings add to the growing literature that women of color experience discrimination, racism and disrespect in healthcare encounters and that they believe this affects their health and that of their infants. Copyright © 2018 Elsevier Ltd. All rights reserved.

  17. Jeopardy not bonus status for African American women in the work force: why does the myth of advantage persist?

    Science.gov (United States)

    Sanchez-Hucles, J V

    1997-10-01

    African American women in the United States have a long history of employment outside of their homes. Their experiences are unique from other groups of majority and minority men and women due to the interaction of race, gender, and class. Despite long-standing and continuing struggles against discrimination, harassment, low pay, tokenism, and stereotypes, a myth that African American women enjoy a bonus or advantaged status in the work force has developed and persisted. In this article, Black women's work force experiences are examined from a social constructionist framework, misperceptions of Black women are critiqued, explanations are developed that explain the unique status of African American women and recommendations are proposed to eradicate the discrimination and marginal status that Black women have endured in the work force.

  18. Overweight and obesity amongst Black women in Durban, KwaZulu-Natal: A ‘disease’ of perception in an area of high HIV prevalence

    Directory of Open Access Journals (Sweden)

    Rynal Devanathan

    2013-02-01

    Full Text Available Background: Overweight and obesity is an emerging health problem, particularly amongst urban Black women living in areas of high HIV prevalence. Understanding factors affecting this pandemic is essential to enable effective weight loss programmes to be implemented. Thisstudy explored urban Black women’s perception of their body image against a backdrop of pre-existing non-communicable diseases (NCDs.Method: In this cross-sectional exploratory study 328 urban Black women were sampled systematically. Anthropometric measurements were conducted and women were interviewed using the Stunkard body image silhouettes as a tool to determine perception.Results: Most of the subjects (61% were in the 40–59 years age group. Mean body mass index (BMI was 37 (± 9.41 kg/m2 with over 90% being overweight or obese. Diabetes mellitus was the most common NCD, with a prevalence of 72%. Amongst the diabetic patients 7% were overweight and 64% obese. Perceived body image compared to derived BMI showed that women underestimated their body image across all weight categories. Over 40% indicated a normal to overweight preferred body image, with 99% of respondents associating the underweight silhouettes with disease and HIV infection.Conclusion: Urban Black women with underlying NCDs and living in an area of high HIV prevalence perceive themselves to be thinner than their actual BMI, which may be a barrier to weight loss management. This misperception may be used as a proxy risk marker for weightgain in urban Black women.

  19. The experience of stigma among Black mental health consumers.

    Science.gov (United States)

    Alvidrez, Jennifer; Snowden, Lonnie R; Kaiser, Dawn M

    2008-08-01

    Little is known about how stigma affects Black people receiving mental health treatment. For a project to develop a consumer-based stigma intervention, qualitative interviews were conducted with public-sector Black mental health consumers (N=34). Primary themes from the interviews regarding stigma concerns, experiences, and coping strategies were examined. Concerns about stigma prompted most consumers initially to avoid or delay treatment; once in treatment, consumers commonly faced stigmatizing reactions from others. Consumers identified numerous strategies to deal with stigma, including seeking support from accepting members of their existing social networks, and viewing their own health as more important than the reaction of others. These consumer perspectives may be valuable to Black individuals who are contemplating seeking mental health treatment.

  20. Five-dimensional Myers-Perry black holes cannot be overspun in gedanken experiments

    Science.gov (United States)

    An, Jincheng; Shan, Jieru; Zhang, Hongbao; Zhao, Suting

    2018-05-01

    We apply the new version of a gedanken experiment designed recently by Sorce and Wald to overspin the five-dimensional Myers-Perry black holes. As a result, the extremal black holes cannot be overspun at the linear order. On the other hand, although the nearly extremal black holes could be overspun at the linear order, this process is shown to be prohibited by the quadratic order correction. Thus, no violation of the weak cosmic censorship conjecture occurs around the five-dimensional Myers-Perry black holes.

  1. Experiences of Black MSM at an HBCU Regarding Stigma and HIV Risk Behavior

    Science.gov (United States)

    Jeter, Natasha Harden

    2016-01-01

    Black men who have sex with men (MSM) on Historically Black College/University (HBCU) campuses face a unique set of challenges. In addition to being disproportionately affected by HIV, Black MSM are impacted by risk behavior, stigma, and environmental policies and practices that adversely influence their experiences. The purpose of this study was…

  2. Patterns of Utilization of Adjuvant Radiotherapy and Outcomes in Black Women After Breast Conservation at a Large Multidisciplinary Cancer Center

    International Nuclear Information System (INIS)

    Edwards-Bennett, Sophia M.; Jacks, Lindsay M.; McCormick, Beryl; Zhang, Zhigang; Azu, Michelle; Ho, Alice; Powell, Simon; Brown, Carol

    2011-01-01

    Purpose: Population-based studies have reported that as many of 35% of black women do not undergo radiotherapy (RT) after breast conservation surgery (BCS). The objective of the present study was to determine whether this trend persisted at a large multidisciplinary cancer center, and to identify the factors that predict for noncompliance with RT and determine the outcomes for this subset of patients. Methods and Materials: Between January 2002 and December 2007, 83 black women underwent BCS at Memorial Sloan-Kettering Cancer Center and were therefore eligible for the present study. Of the 83 women, 38 (46%) had Stage I, 38 (46%) Stage II, and 7 (8%) Stage III disease. Of the study cohort, 31 (37%) had triple hormone receptor-negative tumors. RT was recommended for 81 (98%) of the 83 patients (median dose, 60 Gy). Results: Of the 81 women, 12 (15%) did not receive the recommended adjuvant breast RT. Nonreceipt of chemotherapy (p = .003) and older age (p = .009) were associated with nonreceipt of RT. With a median follow-up of 70 months, the 3-year local control, locoregional control, recurrence-free survival, disease-free survival, and overall survival rate was 99% (actuarial 5-year rate, 97%), 96% (actuarial 5-year rate, 93%), 95% (actuarial 5-year rate, 92%), 92% (actuarial 5-year rate, 89%), and 95% (actuarial 5-year rate, 91%), respectively. Conclusion: We found a greater rate of utilization adjuvant breast RT (85%) among black women after BCS than has been reported in recent studies, indicating that excellent outcomes are attainable for black women after BCS when care is administered in a multidisciplinary cancer center.

  3. Association between workplace psychosocial factors and mental health in Black, Hispanic, and White women: Cross-sectional findings from the National Health Interview Survey.

    Science.gov (United States)

    Mutambudzi, Miriam

    2017-01-01

    Research evaluating the relation of workplace psychosocial factors to mental health among U.S. women of different racial/ethnic backgrounds is limited. This study investigated the relationship between work-related psychosocial factors and mental health among non-Hispanic Black, Hispanic, and non-Hispanic White women using data from the 2010 National Health Interview Survey. Independent variables of interest included job insecurity, workplace harassment, and work-family conflict (WFC). Multiple Poisson regression models were used to examine the associations between the outcome and independent variables. The prevalence of unfavorable mental health was highest among non-Hispanic Black women (36%) compared to Hispanic (34%) and non-Hispanic White (30%) women. A higher proportion of non-Hispanic Black women reported WFC compared to Hispanics and non-Hispanic Whites (χ 2 = 15.50, p mental health were significantly higher for women reporting psychosocial work factors. Unexpectedly, a greater association between psychosocial work factors and unfavorable mental health was observed among non-Hispanic White women compared to non-White women; however, caution should be taken in interpreting these cross-sectional results. Future studies should investigate temporal associations and additional psychosocial variables that were not available for use in the current study.

  4. "Less than a Vapor": Positioning Black lesbian women in history teacher education.

    Science.gov (United States)

    Woodson, Ashley N

    2017-10-02

    In this article, I discuss the possibilities and implications of centering Black lesbian identities and relationships in history teacher education through a case study with one straight Black woman preservice history teacher named Danitra. Danitra's understanding and navigation of historical research on Black lesbians are discussed in relation to core themes of lesbian historiography and emancipatory historiography. Though the literature on this group is limited, I argue that critical considerations of Black lesbians' interests and experiences help educators to conceive of and teach about history, citizenship, justice, and sexuality in more liberatory ways. I conclude by offering recommendations to history teachers and teacher educators who hope to draw on lesbian and emancipatory historiographies to challenge discourses of invisibility in history teacher education classrooms.

  5. College Teaching on Sacred Ground: Judeo-Christian Influences on Black Women Faculty Pedagogy

    Science.gov (United States)

    Edwards, Kirsten T.

    2017-01-01

    This study examines the perceptions and ideals of Black women faculty in the US who self-identify as possessing strong faith commitments within a Judeo-Christian denomination. The study considers the influence religio-spirituality has on their perceptions of pedagogy and student engagement. There are four major findings that emerged in this study,…

  6. If This Is a "Real" Housewife, Who Are All These Women Around Me?: An Examination of The Real Housewives of Atlanta and the Persistence of Historically Stereotypical Images of Black Women in Popular Reality Television.

    OpenAIRE

    Bunai, Dominique Christabel

    2014-01-01

    Stereotypical images of blacks have persisted throughout multiple forms of media for decades, with one of the most recent arenas being reality television programming. This study examines the Bravo Television network series The Real Housewives of Atlanta to consider the impact of reality television on the image of black women in America today. This increasingly popular show is the most viewed in The Real Housewives franchise, and demonstrates that black women in America do not embody any one h...

  7. Degree of facial and body terminal hair growth in unselected black and white women: toward a populational definition of hirsutism.

    Science.gov (United States)

    DeUgarte, Catherine Marin; Woods, K S; Bartolucci, Alfred A; Azziz, Ricardo

    2006-04-01

    Hirsutism (i.e. facial and body terminal hair growth in a male-like pattern in women) is the principal clinical sign of hyperandrogenism, although its definition remains unclear. The purposes of the present study were to define 1) the degree of facial and body terminal hair, as assessed by the modified Ferriman-Gallwey (mFG) score, in unselected women from the general population; 2) the effect of race (Black and White) on the same; and 3) the normative cutoff values. We conducted a prospective observational study at a tertiary academic medical center. Participants included 633 unselected White (n = 283) and Black (n = 350) women presenting for a preemployment physical exam. Interventions included history and physical examination. Terminal body hair growth was assessed using the mFG scoring system; nine body areas were scored from 0-4 for terminal hair growth distribution. The mFG scores were not normally distributed; although cluster analysis failed to identify a natural cutoff value or clustering of the population, principal component and univariate analyses denoted two nearly distinct clusters that occurred above and below an mFG value of 2, with the bulk of the scores below. Overall, an mFG score of at least 3 was observed in 22.1% of all subjects (i.e. the upper quartile); of these subjects, 69.3% complained of being hirsute, compared with 15.8% of women with an mFG score below this value, and similar to the proportion of women with an mFG score of at least 8 who considered themselves to be hirsute (70.0%). Overall, there were no significant differences between Black and White women. Our data indicate that the prevalence and degree of facial and body terminal hair growth, as assessed by the mFG score, is similar in Black and White women and that an mFG of at least 3 signals the population of women whose hair growth falls out of the norm.

  8. Fear of a black (and working-class) planet: young women and the racialization of reproductive politics.

    Science.gov (United States)

    Griffin, C

    1992-10-01

    Racialized and class specific as well as gendered heterosexuality is compulsory for young women. Substantial academic literature addressed the incidence of premarital adolescent heterosexual intercourse paying particular attention to young working-class women and (especially in the US) to young women of color. During the 1980s, journals and academic texts in the US debated the so-called black underclass disregarding the effects of Reaganomics: increasing poverty, homelessness, ill health, and unemployment, which affected young African-American women. From a traditional (hetero)patriarchal standpoint, any teenage pregnancy is a problem. Hence pregnancy avoidance and planned parenthood focus on young working-class women and young women of color presumed to constitute the problem of the (hetero)sexually active teenager. The ideology of fetal rights as used in anti-abortion and pro-life arguments represents the life of a pregnant woman as in direct opposition to that of her fetus. The ideology of adolescence constructs all young people as inherently prone to irresponsibility, especially if they are female, working-class, and black. In the Third World, young women considered as irresponsible mothers more likely face enforced sterilization than access to abortion in the guise of genetic counseling for disabilities or without explicit consent during other gynecological operations. Feminists point out that under current legislation in England and Wales, fetuses defined as seriously handicapped can be aborted up to the moment of birth. The legacy of eugenicist ideas lives on in assumptions about the inherent deficiencies of young working-class women, young women of color, and young women with disabilities as potential mothers. Yet despite the institutional, cultural, and ideological force of appropriate heterosexual and reproductive activity, young women continue to challenge common sense definitions of normality and deviance.

  9. "It ain't all as bad as it may seem": young Black lesbians' responses to sexual prejudice.

    Science.gov (United States)

    Reed, Sarah J; Valenti, Maria T

    2012-01-01

    This article explores the ways in which young, Black lesbians manage their sexual minority identity when experiencing sexual prejudice. Fourteen Black lesbians between the ages of 16 and 24 participated in semistructured interviews. Instances of sexual prejudice and the young women's responses were thematically analyzed using open and axial qualitative coding techniques. Results indicated that participants experienced sexual prejudice frequently and even within the lesbian community. Responses to sexual prejudice included: cognitive reframing of heterosexist messages, passing, gaining support from self-created gay families, and fighting back (physically and verbally) in the event of isolated instances of sexual prejudice. Analysis focuses on how gender identity relates to experiences of sexual prejudice and identity management strategies. Findings suggest that there are parallels between the management strategies of these women and young, Black gay and bisexual males and between these women and Black women who are coping with sexism and racism.

  10. Black women, work, stress, and perceived discrimination: the focused support group model as an intervention for stress reduction.

    Science.gov (United States)

    Mays, V M

    1995-01-01

    This exploratory study examined the use of two components (small and large groups) of a community-based intervention, the Focused Support Group (FSG) model, to alleviate employment-related stressors in Black women. Participants were assigned to small groups based on occupational status. Groups met for five weekly 3-hr sessions in didactic or small- and large-group formats. Two evaluations following the didactic session and the small and large group sessions elicited information on satisfaction with each of the formats, self-reported change in stress, awareness of interpersonal and sociopolitical issues affecting Black women in the labor force, assessing support networks, and usefulness of specific discussion topics to stress reduction. Results indicated the usefulness of the small- and large-group formats in reduction of self-reported stress and increases in personal and professional sources of support. Discussions on race and sex discrimination in the workplace were effective in overall stress reduction. The study highlights labor force participation as a potential source of stress for Black women, and supports the development of culture- and gender-appropriate community interventions as viable and cost-effective methods for stress reduction.

  11. Antioxidant enzyme activity is associated with blood pressure and carotid intima media thickness in black men and women: The SABPA study.

    Science.gov (United States)

    van Zyl, Caitlynd; Huisman, Hugo W; Mels, Catharina M C

    2016-05-01

    In the urbanized black population of South Africa, oxidative stress may play a crucial role in the development of hypertension. Since oxidative stress may result from impaired antioxidant capacity we aimed to investigate antioxidant enzyme activity as well as its associations with vascular function and structure in a bi-ethnic population. Participants included 409 subjects almost equally stratified by ethnicity and sex. Blood pressure and carotid intima media thickness (cIMT) were measured and glutathione peroxidase (GPx), glutathione reductase (GR), superoxide dismutase (SOD) and catalase (CAT) enzyme activities were determined. GR activity was significantly higher in black men (7.71 nmol/min/ml vs 2.23 nmol/min/ml) and women (6.46 nmol/min/ml vs 2.86 nmol/min/ml) (p women, GPx activity was significantly lower (p women (31.9 nmol/min/ml vs 37.1 nmol/min/ml). In black men, cIMT was positively and independently associated with GR activity (R(2) = 0.30; β = 0.18; p = 0.048). In black women, systolic blood pressure (R(2) = 0.21; β = -0.24; p = 0.014), diastolic blood pressure (R(2) = 0.11; β = -0.20; p = 0.044) and mean arterial pressure (R(2) = 0.20; β = -0.31; p = 0.002) were inversely associated with GPx activity. No associations were found in the white groups. The positive association between GR activity and cIMT in black men may be the result of a compensatory response to prevent arterial remodelling. The inverse association between GPx activity and blood pressure in black women may indicate a role for decreased GPx activity in hypertension development in this population. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  12. Is It a Different World? Providing a Holistic Understanding of the Experiences and Perceptions of Non-Black Students at Historically Black Colleges and Universities

    Science.gov (United States)

    Arroyo, Andrew T.; Palmer, Robert T.; Maramba, Dina C.

    2016-01-01

    This qualitative study contributes an original holistic understanding of the perceptions and experiences of non-Black students (e.g., Asian American, Latino, and White) as they matriculate into historically Black colleges and universities (HBCUs), persist to graduation, and reflect on their experiences as graduates at HBCUs. Findings from this…

  13. Low-glycemic load decreases postprandial insulin and glucose and increases postprandial ghrelin in white but not black women.

    Science.gov (United States)

    Brownley, Kimberly A; Heymen, Steve; Hinderliter, Alan L; Galanko, Joseph; Macintosh, Beth

    2012-07-01

    Alterations in appetite hormones favoring increased postprandial satiety have been implicated in both the glycemic control and potential weight-loss benefits of a low-glycemic diet. Racial differences exist in dietary glycemic load and appetite hormone concentrations. This study examined the impact of glycemic load on appetite hormones in 20 black women [10 normal weight, BMI = 22.8 ± 1.42 (mean ± SD); 10 obese, BMI = 35.1 ± 2.77] and 20 white women (10 normal weight, BMI = 22.9 ± 1.45; 10 obese, BMI = 34.3 ± 2.77). Each woman completed two 4.5-d weight-maintenance, mixed-macronutrient, high-glycemic vs. low-glycemic load diets that concluded with a test meal of identical composition. Blood samples collected before and serially for 3 h after each test meal were assayed for plasma ghrelin and serum insulin and glucose concentrations. Compared with the high-glycemic load meal, the low-glycemic load meal was associated with lower insulin(AUC) (P = 0.02), glucose(AUC) (P = 0.01), and urge to eat ratings (P = 0.05) but with higher ghrelin(AUC) (P = 0.008). These results suggest the satiating effect of a low-glycemic load meal is not directly linked to enhanced postprandial suppression of ghrelin. Notably, these effects were significant among white but not black women, suggesting that black women may be less sensitive than white women to the glucoregulatory effects of a low-glycemic load. These findings add to a growing literature demonstrating racial differences in postprandial appetite hormone responses. If reproducible, these findings have implications for individualized diet prescription for the purposes of glucose or weight control in women.

  14. Incarcerated women's HPV awareness, beliefs, and experiences.

    Science.gov (United States)

    Pankey, Tyson; Ramaswamy, Megha

    2015-01-01

    The purpose of this paper is to explore incarcerated women's awareness, beliefs, and experiences with human papillomavirus (HPV) infection and vaccination. Researchers conducted focus groups with 45 incarcerated women in an urban Midwestern US jail to assess how women talked about their Papanicolaou (Pap) test screening and abnormal Pap test follow-up experiences. Some focus group questions specifically assessed individual awareness, beliefs, and experiences with HPV infection and vaccination. Based on these data, the authors described participants' awareness of HPV, as well as used open coding to ultimately extract themes related to beliefs and experiences with HPV infection and vaccine. While all 45 participants reported experiencing an abnormal Pap test event within the last five years, only two-thirds of participants (n=30) reported having heard of the HPV infection. Several themes emerged from the analysis of the data: the women's beliefs about cause and severity of HPV; frustration with age requirements of the vaccine; varied experiences with vaccinations for themselves and their children; the impact of media exposure on knowledge; and desire for more HPV infection and vaccine information. Incarcerated women's awareness and limited experiences with HPV infection and vaccination may be a barrier to adequate screening and cervical cancer prevention. This study has implications for the development of cervical health education for this high-risk group of women, who are four to five times as likely to have cervical cancer as non-incarcerated women.

  15. Women's experience of maternal morbidity: a qualitative analysis.

    LENUS (Irish Health Repository)

    Meaney, S

    2016-07-01

    Maternal morbidity refers to pregnancy-related complications, ranging in severity from acute to chronic. In Ireland one in 210 maternities will experience a severe morbidity. Yet, how women internalize their experience of morbidity has gone largely unexplored. This study aimed to explore women\\'s experiences of maternal morbidity.

  16. Women's existential experiences within Swedish abortion care.

    Science.gov (United States)

    Stålhandske, Maria L; Ekstrand, Maria; Tydén, Tanja

    2011-03-01

    To explore Swedish women's experiences of clinical abortion care in relation to their need for existential support. Individual in-depth interviews with 24 women with previous experience of unwanted pregnancy and abortion. Participants were recruited between 2006 and 2009. Interviews were analysed by latent content analysis. Although the women had similar experiences of the abortion care offered, the needs they expressed differed. Swedish abortion care was described as rational and neutral, with physical issues dominating over existential ones. For some women, the medical procedures triggered existential experiences of life, meaning, and morality. While some women abstained from any form of existential support, others expressed a need to reflect upon the existential aspects and/or to reconcile their decision emotionally. As women's needs for existential support in relation to abortion vary, women can be disappointed with the personnel's ability to respond to their thoughts and feelings related to the abortion. To ensure abortion care personnel meet the physical, psychological and existential needs of each patient, better resources and new lines of education are needed to ensure abortion personnel are equipped to deal with the existential aspects of abortion care.

  17. The experiences of Panamanian Afro-Caribbean women in STEM: Voices to inform work with Black females in STEM education

    Science.gov (United States)

    Miller, Beverly A. King

    This grounded theory case study examines the experiences of Panamanian Afro-Caribbean women and their membership in STEM (Science, Technology, Engineering and Mathematics) training and careers. The shortage of Science and Math teachers in 48 of 50 States heightens the need for those trained in STEM. Females of African phenotype have persistently been underrepresented in STEM. However, this trend does not appear to have held for Panamanian Afro-Caribbean women. The current study explores issues related to STEM participation for these women by addressing the overarching question: What key factors from the lived experiences of Panamanian Afro-Caribbean women in STEM careers can be used to inform work with females of African phenotype in their pursuit of STEM education and STEM careers? Five women were identified for inclusion in the study's purposive sample. The study draws upon assertions and implications about the relevance of self-identity and collective-identity for membership in STEM. Data for the study was gathered through qualitative interviews, surveys, and observations. The grounded theory approach was used to analyze emergent themes related to participants' responses to the research questions. Two models, the STEM Attainment Model (SAM) and the Ecological Model of Self-Confidence and Bi-Directional Effect, are proposed from evaluation of the identified information. Socio-cultural values and learned strategies were determined to influence self-confidence which is identified as important for persistence in STEM training and careers for females of African phenotype. Evidence supports that the influences of parents, country of origin, neighborhood communities, schools and teachers are factors for persistence. Through the voices of these women, recommendations are offered to the gatekeepers of STEM academic pathways and ultimately STEM careers.

  18. To Address Suffering That the Majority Can't See: Lessons from Black Women's Leadership in the Workplace

    Science.gov (United States)

    Dillard, Cynthia B.

    2016-01-01

    This chapter explores how both historically and in contemporary times of escalating violence against our bodies, minds, and spirits worldwide, Black women lead, love, and live within contexts of suffering.

  19. Race trouble: experiences of Black medical specialist trainees in South Africa.

    Science.gov (United States)

    Thackwell, Nicola; Swartz, Leslie; Dlamini, Sipho; Phahladira, Lebogang; Muloiwa, Rudzani; Chiliza, Bonginkosi

    2016-12-03

    This research aimed to identify and explore the experiences of Black registrars in their training in the Western Cape's academic hospitals in order to identify structures, practices, attitudes and ideologies that may promote or impede the advancement of Black doctors into specialist medicine. This is justified by the requirement for universities to work towards monitoring and evaluating efforts to create non-discriminatory and inclusive training environments. This study employed qualitative research methods. Ten Black African medical specialists were interviewed about their training experiences in two university training hospitals in the Western Cape Province, South Africa. Interview data was collected using open-ended questions and coded and analysed using thematic and critical discursive analysis techniques. Four experiential themes emerged from the interview data, they included: 1) experiences of everyday racism during work hours, 2) the physical and psychological effects of tokenism and an increased need to perform, 3) institutional racism as a result of inconsistent and unclear methods of promotion and clinical competence building, and 4) an organisational culture that was experienced as having a race and gender bias. This is a pilot study and there are limits on the generalizability of the data due to the small sample. What is clear from our participants, though, is the strong experiential component of finding it challenging to be a Black trainee in a White-dominated profession. We are undertaking further research to explore the issues raised in more detail.

  20. Menopausal women's positive experience of growing older

    DEFF Research Database (Denmark)

    Hvas, Lotte

    2006-01-01

    This paper aims to describe menopausal women's positive experience of growing older and becoming middle-aged.......This paper aims to describe menopausal women's positive experience of growing older and becoming middle-aged....

  1. “Coming to Town”: The Impact of Urbanicity, Cigarette Advertising, and Network Norms on the Smoking Attitudes of Black Women in Cape Town, South Africa

    OpenAIRE

    Williams, Chyvette T.; Grier, Sonya A.; Marks, Amy Seidel

    2008-01-01

    This study was conducted to examine the effect of urban living on smoking attitudes among black African women in South Africa. We examine how urbanicity affects attitudes toward smoking and how it moderates the relationship between both advertising exposure and network norms on black women’s smoking attitudes. Respondents were 975 black women currently living in Cape Town townships, some of which were raised in rural villages or small towns. Respondents completed a cross-sectional survey, whi...

  2. Site of delivery contribution to black-white severe maternal morbidity disparity.

    Science.gov (United States)

    Howell, Elizabeth A; Egorova, Natalia N; Balbierz, Amy; Zeitlin, Jennifer; Hebert, Paul L

    2016-08-01

    The black-white maternal mortality disparity is the largest disparity among all conventional population perinatal health measures, and the mortality gap between black and white women in New York City has nearly doubled in recent years. For every maternal death, 100 women experience severe maternal morbidity, a life-threatening diagnosis, or undergo a life-saving procedure during their delivery hospitalization. Like maternal mortality, severe maternal morbidity is more common among black than white women. A significant portion of maternal morbidity and mortality is preventable, making quality of care in hospitals a critical lever for improving outcomes. Hospital variation in risk-adjusted severe maternal morbidity rates exists. The extent to which variation in hospital performance on severe maternal morbidity rates contributes to black-white disparities in New York City hospitals has not been studied. We examined the extent to which black-white differences in severe maternal morbidity rates in New York City hospitals can be explained by differences in the hospitals in which black and white women deliver. We conducted a population-based study using linked 2011-2013 New York City discharge and birth certificate datasets (n = 353,773 deliveries) to examine black-white differences in severe maternal morbidity rates in New York City hospitals. A mixed-effects logistic regression with a random hospital-specific intercept was used to generate risk-standardized severe maternal morbidity rates for each hospital (n = 40). We then assessed differences in the distributions of black and white deliveries among these hospitals. Severe maternal morbidity occurred in 8882 deliveries (2.5%) and was higher among black than white women (4.2% vs 1.5%, P rates among New York City hospitals ranged from 0.8 to 5.7 per 100 deliveries. White deliveries were more likely to be delivered in low-morbidity hospitals: 65% of white vs 23% of black deliveries occurred in hospitals in the lowest

  3. Housework, children, and women's wages across racial-ethnic groups.

    Science.gov (United States)

    Parrott, Heather Macpherson

    2014-07-01

    Motherhood affects women's household labor and paid employment, but little previous research has explored the extent to which hours of housework may explain per child wage penalties or differences in such penalties across racial-ethnic groups. In this paper, I use longitudinal Panel Study of Income Dynamics (PSID) data to examine how variations in household labor affect the motherhood penalty for White, Black, and Hispanic women. In doing so, I first assess how children affect hours of household labor across these groups and then explore the extent to which this household labor mediates the relationship between children and wages for these women. I find that household labor explains a portion of the motherhood penalty for White women, who experience the most dramatic increases in household labor with additional children. Black and Hispanic women experience slight increases in housework with additional children, but neither children nor housework affects their already low wages. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Overweight and obesity amongst Black women in Durban, KwaZulu-Natal: A ‘disease’ of perception in an area of high HIV prevalence

    Directory of Open Access Journals (Sweden)

    Rynal Devanathan

    2013-02-01

    Method: In this cross-sectional exploratory study 328 urban Black women were sampled systematically. Anthropometric measurements were conducted and women were interviewed using the Stunkard body image silhouettes as a tool to determine perception. Results: Most of the subjects (61% were in the 40–59 years age group. Mean body mass index (BMI was 37 (± 9.41 kg/m2 with over 90% being overweight or obese. Diabetes mellitus was the most common NCD, with a prevalence of 72%. Amongst the diabetic patients 7% were overweight and 64% obese. Perceived body image compared to derived BMI showed that women underestimated their body image across all weight categories. Over 40% indicated a normal to overweight preferred body image, with 99% of respondents associating the underweight silhouettes with disease and HIV infection. Conclusion: Urban Black women with underlying NCDs and living in an area of high HIV prevalence perceive themselves to be thinner than their actual BMI, which may be a barrier to weight loss management. This misperception may be used as a proxy risk marker for weight gain in urban Black women.

  5. Les ombres noires de Saint Domingue: The Impact of Black Women on Gender and Racial Boundaries in Eighteenth- and Nineteenth-Century France

    OpenAIRE

    Mitchell, Robin

    2010-01-01

    AbstractLes ombres noires de Saint Domingue: The Impact of Black Women on Gender & Racial Boundaries in Eighteenth- and Nineteenth-Century FrancebyRobin MitchellDoctor of Philosophy in HistoryUniversity of California, BerkeleyProfessor Tyler Stovall, ChairThere were few black women on French soil in the nineteenth century, yet images of and discussions about them are found in political, artistic, scientific, and various social milieus. This paradox is explored for its symbolic and nationali...

  6. The Black Woman's Burden

    Science.gov (United States)

    Hayes, Dianne

    2012-01-01

    Not even the first lady of the most powerful nation in the world is immune to stereotypes that have plagued Black women since first setting foot on American soil. Stereotypes of being the "angry Black woman" and curiosity about differences in appearance still persist from the academy to 1600 Pennsylvania Ave. As African-American women rise in…

  7. Rural–urban variations in age at menarche, adult height, leg-length and abdominal adiposity in black South African women in transitioning South Africa

    Science.gov (United States)

    2018-01-01

    Abstract Background: The pre-pubertal socioeconomic environment may be an important determinant of age at menarche, adult height, body proportions and adiposity: traits closely linked to adolescent and adult health. Aims: This study explored differences in age at menarche, adult height, relative leg-length and waist circumference between rural and urban black South African young adult women, who are at different stages of the nutrition and epidemiologic transitions. Subjects and methods: We compared 18–23 year-old black South African women, 482 urban-dwelling from Soweto and 509 from the rural Mpumalanga province. Age at menarche, obstetric history and household socio-demographic and economic information were recorded using interview-administered questionnaires. Height, sitting-height, hip and waist circumference were measured using standardised techniques. Results: Urban and rural black South African women differed in their age at menarche (at ages 12.7 and 14.5 years, respectively). In urban women, a one-year increase in age at menarche was associated with a 0.65 cm and 0.16% increase in height and relative leg-length ratio, respectively. In both settings, earlier age at menarche and shorter relative leg-length were independently associated with an increase in waist circumference. Conclusions: In black South African women, the earlier onset of puberty, and consequently an earlier growth cessation process, may lead to central fat mass accumulation in adulthood. PMID:29557678

  8. Rural-urban variations in age at menarche, adult height, leg-length and abdominal adiposity in black South African women in transitioning South Africa.

    Science.gov (United States)

    Said-Mohamed, Rihlat; Prioreschi, Alessandra; Nyati, Lukhanyo H; van Heerden, Alastair; Munthali, Richard J; Kahn, Kathleen; Tollman, Stephen M; Gómez-Olivé, Francesc Xavier; Houle, Brian; Dunger, David B; Norris, Shane A

    2018-03-01

    The pre-pubertal socioeconomic environment may be an important determinant of age at menarche, adult height, body proportions and adiposity: traits closely linked to adolescent and adult health. This study explored differences in age at menarche, adult height, relative leg-length and waist circumference between rural and urban black South African young adult women, who are at different stages of the nutrition and epidemiologic transitions. We compared 18-23 year-old black South African women, 482 urban-dwelling from Soweto and 509 from the rural Mpumalanga province. Age at menarche, obstetric history and household socio-demographic and economic information were recorded using interview-administered questionnaires. Height, sitting-height, hip and waist circumference were measured using standardised techniques. Urban and rural black South African women differed in their age at menarche (at ages 12.7 and 14.5 years, respectively). In urban women, a one-year increase in age at menarche was associated with a 0.65 cm and 0.16% increase in height and relative leg-length ratio, respectively. In both settings, earlier age at menarche and shorter relative leg-length were independently associated with an increase in waist circumference. In black South African women, the earlier onset of puberty, and consequently an earlier growth cessation process, may lead to central fat mass accumulation in adulthood.

  9. Black Women Resident Assistants: Seeking and Serving as Bridges, Mentors, Advisors, Filters, and Community Builders

    Science.gov (United States)

    Roland, Ericka; Agosto, Vonzell

    2017-01-01

    This article reports on a phenomenographic study of Black women undergraduates who were resident assistants in a predominantly White institution (PWI) of higher education. Critical race feminism, namely intersectionality, was used to explore how they navigated the responsibilities of their position and social identities. Findings are that…

  10. African American women making race work in science, technology, engineering, and math (STEM)

    Science.gov (United States)

    Galloway, Stephanie Nicole

    African American women maintain distinctive social locations at the intersection of race, gender, and class (Crenshaw, 1991; Collins, 1986; 2000; Wing, 2003). However, their voices, interpretation of experiences, and concern with the use of formal education as a mechanism for racial uplift have not been priorities in feminist movements (hooks, 1981; 1989; Perkins, 1993; Smith, 1998; Spitzack & Carter, 1987). Alternatively, Black feminist thought (Collins, 1990; 2000) is a theory constructed by and for African American women. Given the consequences of pursuing formal education in the histories of African American women and the paucity of African American women represented in STEM fields, the purpose of this study was to (a) reveal how African American women conducting research in STEM disciplines accomplished their professional goals, (b) learn how the women negotiated their multiple identities (i.e. race, gender, and class), (c) link the history of educational experiences among African Americans with agendas for social justice, (d) understand how African American women in STEM align their personal accomplishments with broader agendas for activism in higher education, and (e) discover whether there is a collective identity that successful African American women in STEM share. Using Black feminist thought (Collins, 1986; 2000) and narrative analysis of semi- interviews with eight African American women in STEM, the findings from this study revealed: (a) the women in this study described the challenges of pursuing a career in STEM from a feminist perspective, identifying gender as more significant than race; (b) the women in this study experienced more positive interactions with Black male, White female, and White male mentors than with Black female mentors; (c) the women in this study described the use of empowering strategies for overcoming obstacles in their academic pathways; and (d) their collective academic identities were formed by early interactions with

  11. Associations of blood pressure with self-report measures of anger and hostility among black and white men and women.

    Science.gov (United States)

    Durel, L A; Carver, C S; Spitzer, S B; Llabre, M M; Weintraub, J K; Saab, P G; Schneiderman, N

    1989-01-01

    This study examined associations between blood pressure (BP) and dispositional variables pertaining to anger and hostility. Black and White 25- to 44-year old male and female normotensives and unmedicated mild to moderate hypertensives completed four reliable self-report scales--the Cook-Medley Hostility (Ho) Scale, the Trait Anger subscale of the State-Trait Anger Scale (STAS-T), and the Cognitive Anger and Somatic Anger subscales of the Cognitive-Somatic Anger Scale--plus the Framingham Anger Scale and the Harburg Anger Scale. They also engaged in three laboratory tasks--Type A Structured Interview (SI), a video game, and a cold pressor task--that elicit cardiovascular reactivity. Ambulatory BP readings at home and at work were also obtained from most subjects. Blacks had significantly higher Ho and lower STAS-T scores than did Whites. Women reported higher levels of somatic anger than did men. White women showed significant positive correlations between STAS-T and systolic BP (SBP) and diastolic BP (DBP) both at rest in the laboratory and during the SI. Black women revealed significant positive relationships between STAS-T and SBP and DBP at rest in the laboratory and at work as well as with DBP during the cold pressor test. For Black men, cognitive anger and DBP at rest were positively related. In contrast, White men revealed significant negative correlations between Ho scores and SBP at rest and during the video game; these men also showed significant negative relationships between somatic anger and SBP and DBP reactivity during the cold pressor test. Women, but not men, showed significant positive relationships between all four anger measures and ambulatory BP at work. Whereas main effects relating anger and cardiovascular measures were not apparent as a function of race, Blacks demonstrated significantly greater SBP and DBP reactivity than Whites during the cold pressor test, with the converse occurring during the SI. Men demonstrated significantly greater

  12. Women's Experience in the Workers' Compensation System.

    Science.gov (United States)

    Guthrie, Robert; Jansz, Janis

    2006-09-01

    Gender differences is a question of major importance within workers' compensation given the increased role of women in the workforce over the past several decades. This article reviews literature relating to women's experiences following work injury. An Australian study is used as background to exploring the broad issue of the question of gender equity in workers' compensation. In doing so it takes account of historical, legal and medical issues. Women's experience in the workers' compensation system is different to that of men due to a range of factors. It is heavily influenced by the industrial environment in which they work. Women are paid less than men in many instances and work in gender-segregated circumstances, which often reduces their industrial bargaining power. Women also suffer different forms of injury and disease to men because of the different nature of their work. The Australian experience suggests that as a consequence of the combination of lesser industrial bargaining power, lower wages and differing forms of injury and disease women often receive less than men in compensation payments, struggle to obtain equity in the dispute resolution process and experience greater difficulties in returning to work following injury or disease.

  13. Perceived racism and incident diabetes in the Black Women's Health Study.

    Science.gov (United States)

    Bacon, Kathryn L; Stuver, Sherri O; Cozier, Yvette C; Palmer, Julie R; Rosenberg, Lynn; Ruiz-Narváez, Edward A

    2017-11-01

    Our aim was to assess the association of perceived racism with type 2 diabetes, and the possible mediating influence of diet and BMI. The Black Women's Health Study, a follow-up of 59,000 African-American women, began in 1995. Over 16 years 5344 incident cases of diabetes occurred during 576,577 person-years. Cox proportional hazards models were used to estimated HRs and 95% CIs for categories of 'everyday racism' (interpersonal racism in daily life) and 'lifetime racism' (reporting ever treated unfairly due to race with respect to police, housing or work) and incident type 2 diabetes. Models were adjusted for age, questionnaire cycle, marital status, socioeconomic status, education, family history of diabetes, physical activity, alcohol use and smoking status, with and without inclusion of terms for dietary patterns and adult BMI. Compared with women in the lowest quartile of exposure, women in the highest quartile of exposure to everyday racism had a 31% increased risk of diabetes (HR 1.31; 95% CI 1.20, 1.42) and women with the highest exposure to lifetime racism had a 16% increased risk (HR 1.16; 95% CI 1.05, 1.27). Mediation analysis estimated that BMI accounted for half of the association between either the everyday or lifetime racism measure and incident diabetes. Perceived everyday and lifetime racism were associated with increased risk of type 2 diabetes in this cohort of African-American women and appear to be at least partly mediated by BMI.

  14. Racism in the form of micro aggressions and the risk of preterm birth among Black women

    Science.gov (United States)

    Slaughter-Acey, Jaime C.; Sealy-Jefferson, Shawnita; Helmkamp, Laura; Caldwell, Cleopatra H; Osypuk, Theresa L.; Platt, Robert W.; Straughen, Jennifer K.; Dailey-Okezie, Rhonda K.; Abeysekara, Purni; Misra, Dawn P.

    2015-01-01

    Purpose This study sought to examine whether perceived interpersonal racism in the form of racial micro aggressions was associated with preterm birth (PTB) and whether the presence of depressive symptoms and perceived stress modified the association. Methods Data stem from a cohort of 1410 Black women residing in Metropolitan Detroit, Michigan enrolled into the Life-course Influences on Fetal Environments (LIFE) Study. The Daily Life Experiences of Racism and Bother (DLE-B) scale measured the frequency and perceived stressfulness of racial micro aggressions experienced during the past year. Severe past-week depressive symptomatology was measured by the Centers for Epidemiologic Studies-Depression scale (CES-D) dichotomized at ≥23. Restricted cubic splines were used to model non-linearity between perceived racism and PTB. We used the Perceived Stress Scale (PSS) to assess general stress perceptions. Results Stratified spline regression analysis demonstrated that among those with severe depressive symptoms, perceived racism was not associated with PTB. However, perceived racism was significantly associated with PTB among women with mild to moderate (CES-D score ≤22) depressive symptoms. Perceived racism was not associated with PTB among women with or without high amounts of perceived stress. Conclusions Our findings suggest that racism, at least in the form of racial micro aggressions, may not further impact a group already at high risk for PTB (those with severe depressive symptoms), but may increase the risk of PTB for women at lower baseline risk. PMID:26549132

  15. Racism in the form of micro aggressions and the risk of preterm birth among black women.

    Science.gov (United States)

    Slaughter-Acey, Jaime C; Sealy-Jefferson, Shawnita; Helmkamp, Laura; Caldwell, Cleopatra H; Osypuk, Theresa L; Platt, Robert W; Straughen, Jennifer K; Dailey-Okezie, Rhonda K; Abeysekara, Purni; Misra, Dawn P

    2016-01-01

    This study sought to examine whether perceived interpersonal racism in the form of racial micro aggressions was associated with preterm birth (PTB) and whether the presence of depressive symptoms and perceived stress modified the association. Data stem from a cohort of 1410 black women residing in Metropolitan Detroit, Michigan, enrolled into the Life-course Influences on Fetal Environments (LIFE) study. The Daily Life Experiences of Racism and Bother (DLE-B) scale measured the frequency and perceived stressfulness of racial micro aggressions experienced during the past year. Severe past-week depressive symptomatology was measured by the Centers for Epidemiologic Studies-Depression scale (CES-D) dichotomized at ≥ 23. Restricted cubic splines were used to model nonlinearity between perceived racism and PTB. We used the Perceived Stress Scale to assess general stress perceptions. Stratified spline regression analysis demonstrated that among those with severe depressive symptoms, perceived racism was not associated with PTB. However, perceived racism was significantly associated with PTB among women with mild to moderate (CES-D score ≤ 22) depressive symptoms. Perceived racism was not associated with PTB among women with or without high amounts of perceived stress. Our findings suggest that racism, at least in the form of racial micro aggressions, may not further impact a group already at high risk for PTB (those with severe depressive symptoms), but may increase the risk of PTB for women at lower baseline risk. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. "I, Black woman, resist]" Katrina Payne talks to Alzira Rufino. Interview.

    Science.gov (United States)

    Payne, K

    1995-02-01

    In this interview, Alzira Rufino describes her involvement in the feminist movement and what caused her to found the Black Women's House of Culture in Brazil in 1990. Rufino located the center in Santos because it is a port city which sees a great deal of violence and is very sexist and racist. The center, which exists to assist all women, grew out of a Rufino's realization that Black women needed a group to support their rights. The name for the center came from the fact that women have been the keepers of African culture in Brazil. In Brazil, White men dominate the culture, even the cultural expressions produced by Black people such as the Carnival. The center has had to overcome the criticism directed at it because it was created for women and for Black women in particular, and Black feminists are beginning to understand that Black women make up 25% of the population of Brazil and must celebrate their heritage. Increasing the self-esteem of Black women can be instrumental in helping women undergo training for better jobs and to take the initiative to become entrepreneurs. Black women in Brazil are beginning to occupy positions formerly denied them and to denounce the racism and sexism directed toward them.

  17. Racial/ethnic and gender differences in the association between self-reported experiences of racial/ethnic discrimination and inflammation in the CARDIA cohort of 4 US communities.

    Science.gov (United States)

    Cunningham, Timothy J; Seeman, Teresa E; Kawachi, Ichiro; Gortmaker, Steven L; Jacobs, David R; Kiefe, Catarina I; Berkman, Lisa F

    2012-09-01

    Inflammation is etiologically implicated in cardiometabolic diseases for which there are known racial/ethnic disparities. Prior studies suggest there may be an association between self-reported experiences of racial/ethnic discrimination and inflammation, particularly C-reactive protein (CRP). It is not known whether that association is influenced by race/ethnicity and gender. In separate hierarchical linear models with time-varying covariates, we examined that association among 901 Black women, 614 Black men, 958 White women, and 863 White men in the Coronary Artery Risk Development in Young Adults (CARDIA) study in four US communities. Self-reported experiences of racial/ethnic discrimination were ascertained in 1992-93 and 2000-01. Inflammation was measured as log-transformed CRP in those years and 2005-06. All analyses were adjusted for blood pressure, plasma total cholesterol, triglycerides, homeostatic model assessment for insulin resistance (HOMA-IR), age, education, and community. Our findings extend prior research by suggesting that, broadly speaking, self-reported experiences of racial/ethnic discrimination are associated with inflammation; however, this association is complex and varies for Black and White women and men. Black women reporting 1 or 2 experiences of discrimination had higher levels of CRP compared to Black women reporting no experiences of discrimination (β = 0.141, SE = 0.062, P women reporting 3 or more experiences of discrimination and not independent of modifiable risks (smoking and obesity) in the final model. White women reporting 3 or more experiences of discrimination had significantly higher levels of CRP compared to White women reporting no experiences of discrimination independent of modifiable risks in the final model (β = 0.300, SE = 0.113, P discrimination and CRP was not statistically significant among Black and White men reporting 1 or 2 experiences of discrimination. Further research in other populations is needed

  18. Race differences in accuracy of self-reported childhood body size among white and black women

    NARCIS (Netherlands)

    Field, AE; Franko, DL; Striegel-Moore, RH; Schreiber, GB; Crawford, PB; Daniels, [No Value

    Objective: To assess the relation of self-reported current and recalled preadolescent body size to measured BMI (kilograms per meter squared) and interviewer's assessment of body size. 4Research Methods and Procedures: This was a prospective cohort study of 1890 white and black women who were 9 to

  19. Measuring the Pros and Cons of What It Means to Be a Black Man: Development and Validation of the Black Men?s Experiences Scale (BMES)

    OpenAIRE

    Bowleg, Lisa; English, Devin; del Rio-Gonzalez, Ana Maria; Burkholder, Gary J.; Teti, Michelle; Tschann, Jeanne M.

    2016-01-01

    Although extensive research documents that Black people in the U.S. frequently experience social discrimination, most of this research aggregates these experiences primarily or exclusively by race. Consequently, empirical gaps exist about the psychosocial costs and benefits of Black men?s experiences at the intersection of race and gender. Informed by intersectionality, a theoretical framework that highlights how multiple social identities intersect to reflect interlocking social-structural i...

  20. Worry about racial discrimination: A missing piece of the puzzle of Black-White disparities in preterm birth?

    Directory of Open Access Journals (Sweden)

    Paula Braveman

    adjustment for chronic worry (PR 1.30, 95% CI 0.93-1.81; it appeared further attenuated after adding the covariates (PR 1.17, 95% CI 0.85-1.63.Chronic worry about racial discrimination may play an important role in Black-White disparities in PTB and may help explain the puzzling and repeatedly observed greater PTB disparities among more socioeconomically-advantaged women. Although the single measure of experiences of racial discrimination used in this study precluded examination of the role of other experiences of racial discrimination, such as overt incidents, it is likely that our findings reflect an association between one or more experiences of racial discrimination and PTB. Further research should examine a range of experiences of racial discrimination, including not only chronic worry but other psychological and emotional states and both subtle and overt incidents as well. These dramatic results from a large statewide-representative study add to a growing-but not widely known-literature linking racism-related stress with physical health in general, and shed light on the links between racism-related stress and PTB specifically. Without being causally definitive, this study's findings should stimulate further research and heighten awareness of the potential role of unmeasured social variables, such as diverse experiences of racial discrimination, in racial disparities in health.

  1. Worry about racial discrimination: A missing piece of the puzzle of Black-White disparities in preterm birth?

    Science.gov (United States)

    Braveman, Paula; Heck, Katherine; Egerter, Susan; Dominguez, Tyan Parker; Rinki, Christine; Marchi, Kristen S; Curtis, Michael

    2017-01-01

    chronic worry (PR 1.30, 95% CI 0.93-1.81); it appeared further attenuated after adding the covariates (PR 1.17, 95% CI 0.85-1.63). Chronic worry about racial discrimination may play an important role in Black-White disparities in PTB and may help explain the puzzling and repeatedly observed greater PTB disparities among more socioeconomically-advantaged women. Although the single measure of experiences of racial discrimination used in this study precluded examination of the role of other experiences of racial discrimination, such as overt incidents, it is likely that our findings reflect an association between one or more experiences of racial discrimination and PTB. Further research should examine a range of experiences of racial discrimination, including not only chronic worry but other psychological and emotional states and both subtle and overt incidents as well. These dramatic results from a large statewide-representative study add to a growing-but not widely known-literature linking racism-related stress with physical health in general, and shed light on the links between racism-related stress and PTB specifically. Without being causally definitive, this study's findings should stimulate further research and heighten awareness of the potential role of unmeasured social variables, such as diverse experiences of racial discrimination, in racial disparities in health.

  2. Women's perceptions and experiences of fetal macrosomia.

    Science.gov (United States)

    Reid, Esther W; McNeill, Jenny A; Holmes, Valerie A; Alderdice, Fiona A

    2014-04-01

    to explore women's perceptions and experiences of pregnancy and childbirth following birth of a macrosomic infant (birth weight ≥4000g). a qualitative design utilising interviews conducted 13-19 weeks post partum in women's homes. The study was conducted in one Health and Social Care Trust in Northern Ireland between January and September 2010. Participants were identified from a larger cohort of women recruited to a prospective study exploring the impact of physical activity and nutrition on macrosomia. Eleven women who delivered macrosomic infants participated in this phase of the study. four overarching themes emerged: preparation for delivery; physical and emotional impact of macrosomia; professional relations and perceptions of macrosomia. Findings highlighted the importance of communication with health professionals in relation to both prediction of macrosomia and decision making about childbirth, and offers further understanding into the physical and emotional impact of having a macrosomic infant on women. Furthermore, there was evidence that beliefs and perceptions relating to macrosomia may influence birth experiences and uptake of health promotion messages. this study provides important insight into women's experiences of macrosomia throughout the perinatal period and how they were influenced by previous birth experiences, professional relations and personal perceptions and beliefs about macrosomia. Pregnant women at risk of having a macrosomic infant may require extra support throughout the antenatal period continuing into the postnatal period. Support needs to be tailored to the woman's information needs, with time allocated to explore previous birth experiences, beliefs about macrosomia and options for childbirth. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. "Coming to town": the impact of urbanicity, cigarette advertising, and network norms on the smoking attitudes of black women in Cape Town, South Africa.

    Science.gov (United States)

    Williams, Chyvette T; Grier, Sonya A; Marks, Amy Seidel

    2008-07-01

    This study was conducted to examine the effect of urban living on smoking attitudes among black African women in South Africa. We examine how urbanicity affects attitudes toward smoking and how it moderates the relationship between both advertising exposure and network norms on black women's smoking attitudes. Respondents were 975 black women currently living in Cape Town townships, some of which were raised in rural villages or small towns. Respondents completed a cross-sectional survey, which included data on smoking attitudes, norms, and exposure to cigarette advertising. Multiple linear regression analysis was performed with smoking attitudes as the response variable, and urbanicity, cigarette advertising exposure, and network smoking norms as primary explanatory variables. Interactions were tested to determine whether urbanicity modified the effect of advertising exposure and network norms on smoking attitudes. Independent effects of urbanicity, exposure to cigarette advertising, and greater smoking prevalence within women's networks were associated with more favorable smoking attitudes. In addition, urbanicity moderated the relationship between network smoking norms and smoking attitudes, but not cigarette advertising exposure and smoking attitudes. Urbanicity, cigarette advertising, and networks play important roles in women's attitudes toward smoking, and potentially, smoking behavior. Overall, our results suggest that strong and creative anti-smoking efforts are needed to combat the potential for a smoking epidemic among an increasingly urbanized population of black women in South Africa and similar emerging markets. Additional research is warranted.

  4. Women Students at Coeducational and Women's Colleges: How Do Their Experiences Compare?

    Science.gov (United States)

    Kinzie, Jillian L.; Thomas, Auden D.; Palmer, Megan M.; Umbach, Paul D.; Kuh, George D.

    2007-01-01

    This study compared the experiences of women attending women's colleges with those of women attending coeducational institutions. Analyses of data from the National Survey of Student Engagement (NSSE) from random samples of female first-year and senior students from 26 women's colleges and 264 other four-year institutions were conducted. Women at…

  5. Re-Configuring Inclusion, Decolonising Practice: Digital Participation and Learning in Black Women's Community-Led Heritage

    Science.gov (United States)

    Clarke, Rachel; Lewis, Rosie M.

    2016-01-01

    This article explores an innovative model of adult education within museums developed from a Black feminist approach. BAM! Sistahood! is a community-led project with regional heritage organisations, universities and women's centres in the UK, that offers a holistic approach to heritage development. The ethos is to challenge the perpetuation of…

  6. Woman in the Making: The Impact of the Constructed Campus Environment of Xavier University of Louisiana on the Construction of Black Womanhood

    Science.gov (United States)

    Njoku, Nadrea R.

    2017-01-01

    This study explores the experiences of African American women as students at Xavier University of Louisiana (XULA). This study specifically focuses on how these women's experiences at their HBCU facilitated their construction of Black womanhood. This study did not aim to compare, contrast, or situate the experiences of African American women…

  7. Is use of social networking sites associated with young women's body dissatisfaction and disordered eating? A look at Black-White racial differences.

    Science.gov (United States)

    Howard, Lindsay M; Heron, Kristin E; MacIntyre, Rachel I; Myers, Taryn A; Everhart, Robin S

    2017-12-01

    Maladaptive patterns of social networking site (SNS) use, such as excessive reassurance seeking, are associated with body dissatisfaction and disordered eating. However, it is unclear how these processes play out among different racial groups. This study examined racial differences in SNS use and body dissatisfaction and disordered eating. Black (n=445) and White (n=477) female undergraduates completed online measures of SNS use (frequency and reassurance seeking), body dissatisfaction, and disordered eating. Black women reported less body dissatisfaction, marginally less disordered eating, and less frequent Facebook use than White women; there were no race differences in SNS reassurance seeking. More frequent Facebook use was associated with more body dissatisfaction (but not disordered eating), and more SNS reassurance seeking predicted both more body dissatisfaction and disordered eating. Associations were not moderated by race, suggesting maladaptive SNS use may have negative consequences for both Black and White women. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Comparison of dietary habits and plans for dietary changes in black and white women seeking bariatric surgery.

    Science.gov (United States)

    McLean, Kendall L; Moore, Carolyn E; Miketinas, Derek C; Champagne, Catherine M

    2018-01-01

    Achieving weight loss after bariatric surgery depends on the individual's ability to sustain lifestyle changes involving dietary modifications. Presurgical dietary assessment is critical to evaluate usual dietary habits and identify the need for intervention before surgery. The objective of this study was to identify usual dietary habits of black and white women seeking bariatric surgery and to examine potential differences between these ethnic groups. An additional aim was to describe participants' plans to change dietary behaviors after surgery. This study examined data from an observational study sponsored by a benefits management group in Louisiana. In this cross-sectional study, a presurgical dietary assessment interview questionnaire collected information on dietary habits. Participants (n = 200) were adult women being screened for bariatric surgery; 54% were white, and 46% were black. Descriptive statistics were calculated and differences between groups were tested using 2-way analysis of the variance. Participants reported consuming fast food 2.9 ± 2.6 times per week, fried foods 2.1 ± 1.8 times per week, and desserts 3.4 ± 3.2 times per week. Blacks reported more frequent consumption of fast food (P<.01), sugar-sweetened sodas (P<.05), and sugar-sweetened tea (P<.01) compared with whites. Plans for changing dietary behaviors after surgery were similar between ethnic groups. Findings indicated that frequent consumption of fast foods, fried foods, desserts, and sugar-sweetened beverages was common among women seeking bariatric surgery. Blacks tended to consume these foods and beverages more often than whites. Current dietary habits and future plans to change dietary behaviors should be addressed before surgery for success. Follow-up studies investigating the assessment instrument's ability to predict dietary adherence and weight loss after surgery are warranted. Copyright © 2018 American Society for Bariatric Surgery. Published by Elsevier Inc. All

  9. This Bridge Called My Leadership: An Essay on Black Women as Bridge Leaders in Education

    Science.gov (United States)

    Horsford, Sonya Douglass

    2012-01-01

    The purpose of this essay is to contextualize the existing research literature on leadership for diversity, equity, and social justice in education with "bridge leadership" as historically practiced by Black women leaders in the USA. Its primary aim is to demonstrate how the intersection of race and gender as experienced by the Black…

  10. The association between high-sensitivity C-reactive protein and metabolic risk factors in black and white South African women: a cross-sectional study.

    Science.gov (United States)

    George, Cindy; Evans, Juliet; Micklesfield, Lisa K; Olsson, Tommy; Goedecke, Julia H

    2018-01-01

    High-sensitivity C-reactive protein (hsCRP) is associated with metabolic risk, however it is unclear whether the relationship is confounded by racial/ethnic differences in socioeconomic status (SES), lifestyle factors or central adiposity. The aims of the study was, (1) to investigate whether hsCRP levels differ by race/ethnicity; (2) to examine the race/ethnic-specific associations between hsCRP, HOMA-IR and serum lipids [total cholesterol (TC), triglycerides (TG), high-density lipoproteins (HDL-C) and low-density lipoproteins (LDL-C)]; and (3) to determine whether race/ethnic-specific associations are explained by SES, lifestyle factors or waist circumference (WC). The convenience sample comprised 195 black and 153 white apparently health women, aged 18-45 years. SES (education, assets and housing density) and lifestyle factors (alcohol use, physical activity and contraceptive use) were collected by questionnaire. Weight, height and WC were measured, and fasting blood samples collected for hsCRP, glucose, insulin, and lipids. Black women had higher age- and BMI-adjusted hsCRP levels than white women ( p  = 0.047). hsCRP was associated with HOMA-IR ( p  C (p C ( p  C in white women, and inversely associated with HDL-C in black women. Higher hsCRP was also associated with higher TC in white women and lower TC in black women. Furthermore, when adjusting for SES and lifestyle factors, the associations between hsCRP, and TC and TG, remained, however the associations between hsCRP, and HDL-C and LDL-C, were no longer significant. Although circulating hsCRP may identify individuals at increased metabolic risk, the heterogeneity in these associations between racial/ethnic groups highlights the need for prospective studies investigating the role of hsCRP for risk prediction in different populations.

  11. Reproductive health experiences of women with cardiovascular disease.

    Science.gov (United States)

    Chor, Julie; Oswald, Lora; Briller, Joan; Cowett, Allison; Peacock, Nadine; Harwood, Bryna

    2012-11-01

    Limited research exists exploring contraceptive and pregnancy experiences of women with cardiovascular diseases. We conducted semistructured interviews with reproductive-age women with chronic hypertension or peripartum cardiomyopathy exploring thoughts and behaviors regarding future fertility. Transcribed interviews were coded and analyzed identifying salient themes. We interviewed 20 women with chronic hypertension and 10 women with peripartum cardiomyopathy. Women described a spectrum of perspectives regarding the relationship between disease and fertility: from complete disconnect to full integration of diagnosis and future fertility plans. Integration of reproductive and cardiovascular health was influenced by and reflected in circumstances of diagnosis, pregnancy-related experiences, contraception-related experiences and conceptualization of disease risk related to reproductive health. Providers must better understand how women perceive and consider their reproductive and cardiovascular health in order to optimize contraceptive care of women with cardiovascular disease and help them make safe, informed decisions about future fertility. Copyright © 2012 Elsevier Inc. All rights reserved.

  12. Population-level correlates of preterm delivery among black and white women in the U.S.

    Directory of Open Access Journals (Sweden)

    Suzan L Carmichael

    Full Text Available OBJECTIVE: This study examined the ability of social, demographic, environmental and health-related factors to explain geographic variability in preterm delivery among black and white women in the US and whether these factors explain black-white disparities in preterm delivery. METHODS: We examined county-level prevalence of preterm delivery (20-31 or 32-36 weeks gestation among singletons born 1998-2002. We conducted multivariable linear regression analysis to estimate the association of selected variables with preterm delivery separately for each preterm/race-ethnicity group. RESULTS: The prevalence of preterm delivery varied two- to three-fold across U.S. counties, and the distributions were strikingly distinct for blacks and whites. Among births to blacks, regression models explained 46% of the variability in county-level risk of delivery at 20-31 weeks and 55% for delivery at 32-36 weeks (based on R-squared values. Respective percentages for whites were 67% and 71%. Models included socio-environmental/demographic and health-related variables and explained similar amounts of variability overall. CONCLUSIONS: Much of the geographic variability in preterm delivery in the US can be explained by socioeconomic, demographic and health-related characteristics of the population, but less so for blacks than whites.

  13. Vitamin D Supplementation in Elderly Black Women Does Not Prevent Bone Loss, a Randomized Controlled Trial.

    Science.gov (United States)

    Aloia, John F; Fazzari, Melissa; Islam, Shahidul; Mikhail, Mageda; Katumuluwa, Subhashini; Dhaliwal, Ruban; Stolberg, Alexandra; Usera, Gianina; Ragolia, Louis

    2018-06-15

    Black Americans have lower levels of serum 25(OH)D but superior bone health compared to white Americans. There is controversy over whether they should be screened for vitamin D deficiency and have higher vitamin D requirements than recommended by the Institute of Medicine (IOM). The purpose of this trial was to determine whether Vitamin D supplementation in elderly black women prevents bone loss. 260 healthy black American women, 60 years of age and older were recruited to take part in a two arm, double-dummy 3 year RCT of vitamin D 3 vs. placebo. The study was conducted in an ambulatory clinical research center. Vitamin D 3 dose was adjusted to maintain serum 25(OH)D above 75 nmol/L. Bone mineral density (BMD) and serum were measured for [parathyroid hormone (PTH), C-terminal crosslink telopeptide (CTX) and bone specific alkaline phosphatase (BSAP) every 6 months. Baseline serum 25(OH)D 3 was 54.8 ± 16.8 nmol/L. There was no group xtime interaction effect for any BMD measurement. For all BMD measurements, except for total body and spine, there was a statistically significant negative effect of time (P D above 75 nmol/L is comparable to the rate of loss with serum 25(OH)D at the RDA of 50 nmol/L. Black Americans should have the same exposure to vitamin D as white Americans. The trial was registered at clinical trials.gov: NCT01153568. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  14. Healthcare Providers' Formative Experiences with Race and Black Male Patients in Urban Hospital Environments.

    Science.gov (United States)

    Plaisime, Marie V; Malebranche, David J; Davis, Andrea L; Taylor, Jennifer A

    2017-12-01

    We explored health providers' formative personal and professional experiences with race and Black men as a way to assess their potential influence on interactions with Black male patients. Utilizing convenience sampling with snowballing techniques, we identified healthcare providers in two urban university hospitals. We compared Black and White providers' experiences based on race and level of training. We used the Gardener's Tale to conceptualize how racism may lead to racial health disparities. A semi-structured interview guide was used to conduct in-person interviews (n = 16). Using the grounded theory approach, we conducted three types of coding to examine data patterns. We found two themes reflective of personally mediated racism: (1) perception of Black males accompanied by two subthemes (a) biased care and (b) fear and discomfort and (2) cognitive dissonance. While this latter theme is more reflective of Jones's internalized racism level, we present its results because its novelty is compelling. Perception of Black males and cognitive dissonance appear to influence providers' approaches with Black male patients. This study suggests the need to develop initiatives and curricula in health professional schools that address provider racial bias. Understanding the dynamics operating in the patient-provider encounter enhances the ability to address and reduce health disparities.

  15. Physiological and behavioral factors related to physical activity in black women with type 2 diabetes mellitus.

    Science.gov (United States)

    Allen, Nancy A; Melkus, Gail D; Chyun, Deborah A

    2011-10-01

    To describe relationships among physical activity (PA), physiological factors, and psychological factors in Black women with type 2 diabetes mellitus (T2DM). A cross-sectional design was used (N = 109). Data were collected on PA(activity/inactivity, TV hours, bed confinement), physiology (blood pressure, lipids, hemoglobin A1c), psychology (anxiety,emotional distress, physical functioning, bodily pain, vitality), and health care provider (HCP) support. Walking was the preferred PA; TV viewing averaged 3.7 hours/day, and 24% reported confinement to bed >1 week in the last year. Inactive women had greater physiological and psychological problems than active women. Women watching TV >2 hours/day had more physiological problems than women watching TV Women reporting >1 week of confinement to bed in the last year had more physiological and psychological problems than those confined to bed women with T2DM should promote walking, address TV viewing time, incorporate HCP’s role of PA counseling/support,and address several psychological factors.

  16. Racialized Boundaries: Women's Studies and the Question of “Difference” in Brazil

    Directory of Open Access Journals (Sweden)

    Kia Lilly Caldwell

    2000-01-01

    Full Text Available This paper examines the Invisibility of race and black women's experiences in Brazilian Women's Studies scholarship. Through a comparative analysis of Women's Studies scholarship in England, the United States, Canada and Brazil, the author explores how the question of racial differences among women has been treated in different national contexts. The analysis underscores the absence of race in most Brazilian Women's Studies scholarship and suggests the need to focus on racial "difference" and the relationship between race and gender in order to better understand the diverse experiences of Brazilian women.

  17. Promoting the Inclusion of Tenure Earning Black Women in Academe: Lessons for Leaders in Education

    Science.gov (United States)

    Davis, Dannielle Joy; Reynolds, Rema; Jones, Tamara Bertrand

    2011-01-01

    This narrative work highlights one Black female faculty participant's experience of the Sisters of the Academy (SOTA) Research Boot Camp. She shares the benefits of the initiative, as well as how the program influenced her research and writing productivity as a faculty member. SOTA leadership supports Black female tenure-track and tenured faculty…

  18. D.S. Sense’s “On My Detroit Everything”: Self-Articulating Black Girl Magic

    Directory of Open Access Journals (Sweden)

    Kellie D. Hay

    2018-04-01

    Full Text Available Long before the hashtag #BlackGirlMagic was popularized on social network sites Black women in Detroit have been employing art in their processes of self-articulation and efforts to deal with the complexities and challenges of life in the city. The scripts of African American women that dominate the commercial hip hop industry and their impacts on girls and women have received thorough analysis in academia; yet, the practices, representations, and discursive articulations of independent, Black women hip hop artists remain underexplored. In particular, this essay draws on Deidre “D.S. Sense” Smith’s spoken word poem “On My Detroit Everything” to illuminate the counter-narratives and scripts that Black women have been creating to document, validate, and voice their experiences at a critical point in Detroit’s history as it underwent and continues to deal with the after effects of bankruptcy. Hip hop artists who use cultural production to accomplish grass roots community-building offer alternative visions of what it means to do political work. More than a strategy, we argue that such practices serve as the foundation for a movement that is significant and worthy of documentation in the contemporary neoliberal moment where in policies are accelerating the continued disenfranchisement of people of color in cities such as Detroit.

  19. Racial Microaggressions: The Schooling Experiences of Black Middle-Class Males in Arizona’s Secondary Schools

    Directory of Open Access Journals (Sweden)

    Quaylan Allen

    2010-05-01

    Full Text Available The literature on Black education has often neglected significant analysis of life in schools and the experience of racism among Black middle-class students in general and Black middle-class males specifically. Moreover, the achievement gap between this population and their White counterparts in many cases is greater than the gap that exists among working-class Blacks and Whites. This study begins to document the aforementioned by illuminating the racial microaggressions experienced by Black middle-class males while in school and how their families’ usage of social and cultural capital deflect the potential negative outcomes of school racism.

  20. Experiencing maternity care: the care received and perceptions of women from different ethnic groups.

    Science.gov (United States)

    Henderson, Jane; Gao, Haiyan; Redshaw, Maggie

    2013-10-22

    According to the Office for National Statistics, approximately a quarter of women giving birth in England and Wales are from minority ethnic groups. Previous work has indicated that these women have poorer pregnancy outcomes than White women and poorer experience of maternity care, sometimes encountering stereotyping and racism. The aims of this study were to examine service use and perceptions of care in ethnic minority women from different groups compared to White women. Secondary analysis of data from a survey of women in 2010 was undertaken. The questionnaire asked about women's experience of care during pregnancy, labour and birth, and the postnatal period, as well as demographic factors. Ethnicity was grouped into eight categories: White, Mixed, Indian, Pakistani, Bangladeshi, Black Caribbean, Black African, and Other ethnicity. A total of 24,319 women completed the survey. Compared to White women, women from minority ethnic groups were more likely to be younger, multiparous and without a partner. They tended to access antenatal care later in pregnancy, have fewer antenatal checks, fewer ultrasound scans and less screening. They were less likely to receive pain relief in labour and, Black African women in particular, were more likely to deliver by emergency caesarean section. Postnatally, women from minority ethnic groups had longer lengths of hospital stay and were more likely to breastfeed but they had fewer home visits from midwives. Throughout their maternity care, women from minority ethnic groups were less likely to feel spoken to so they could understand, to be treated with kindness, to be sufficiently involved in decisions and to have confidence and trust in the staff. Women in all minority ethnic groups had a poorer experience of maternity services than White women. That this was still the case following publication of a number of national policy documents and local initiatives is a cause for concern.

  1. Rethinking motherhood and motherly love in Toni Morrison’s Sula and Gloria Naylor’s The Women of Brewster Place

    Directory of Open Access Journals (Sweden)

    Ane Caroline Faria Ribeiro

    2017-01-01

    Full Text Available http://dx.doi.org/10.5007/2175-8026.2017v70n1p69 The present article examines how the novels Sula by Toni Morrison, and The Women of Brewster Place by Gloria Naylor, deconstruct long-held controlling images of black women, particularly the Matriarch. The characters Eva Peace and Mattie Michael provide great illustrations of black women who have denied many of the places reserved for them in society, consequently deconstructing controlling images white society imposes on them. These novels place emphasis on black women’s plural roles in society, thereby opening possibilities for a liberating experience of black womanhood.

  2. Pleasing the masses: messages for daily life management in African American women's popular media sources.

    Science.gov (United States)

    Black, Angela Rose; Peacock, Nadine

    2011-01-01

    Using African American women's insights on their own health experiences, we explored how their daily life management was linked to the "strong Black woman" (SBW) script, and the health implications of that script. Using the search term "strong Black woman," we identified 20 articles from African American women's magazines and 10 blog sites linked to the SBW script and analyzed their content. We created thematic categories (role management, coping, and self-care) and extracted issues relevant to African American women's health. Adherence to the SBW script was linked to women's daily life management and health experiences. Themes such as self-sacrificial role management ("please the masses"), emotional suppression ("game face"), and postponement of self-care ("last on the list") incited internal distress and evinced negative health consequences. Scientists, activists, and health care professionals would be aided in forming initiatives aimed at reducing health disparities among African American women by heeding the insights on their health experiences that they express in popular media sources.

  3. Body of knowledge: Black queer feminist pedagogy, praxis, and embodied text.

    Science.gov (United States)

    Lewis, Mel Michelle

    2011-01-01

    This article examines the "body as text" in the Black women's studies classroom. I transparently name this method of teaching "Black queer feminist pedagogy," an ordered and practical teaching method that relies on both the teaching of realities and teaching through interdisciplinary practices, while recognizing the body as a site of learning and knowledge. Illustrated by autoethnographic narratives drawn from classroom experiences, I discuss how the body inspires teachable moments, and consider how embodiment and subjectivity function as "equipment" for teaching and learning.

  4. Building South African women's leadership: A cohort model for the ...

    African Journals Online (AJOL)

    the University of the Western Cape (UWC) and California State University, Fullerton's ... limited representation of women in positions of academic leadership in African ... There was a need and interest from South African higher education faculty and ... of five black women and their experiences in this pilot PhD programme.

  5. Experiencing maternity care: the care received and perceptions of women from different ethnic groups

    Science.gov (United States)

    2013-01-01

    Background According to the Office for National Statistics, approximately a quarter of women giving birth in England and Wales are from minority ethnic groups. Previous work has indicated that these women have poorer pregnancy outcomes than White women and poorer experience of maternity care, sometimes encountering stereotyping and racism. The aims of this study were to examine service use and perceptions of care in ethnic minority women from different groups compared to White women. Methods Secondary analysis of data from a survey of women in 2010 was undertaken. The questionnaire asked about women’s experience of care during pregnancy, labour and birth, and the postnatal period, as well as demographic factors. Ethnicity was grouped into eight categories: White, Mixed, Indian, Pakistani, Bangladeshi, Black Caribbean, Black African, and Other ethnicity. Results A total of 24,319 women completed the survey. Compared to White women, women from minority ethnic groups were more likely to be younger, multiparous and without a partner. They tended to access antenatal care later in pregnancy, have fewer antenatal checks, fewer ultrasound scans and less screening. They were less likely to receive pain relief in labour and, Black African women in particular, were more likely to deliver by emergency caesarean section. Postnatally, women from minority ethnic groups had longer lengths of hospital stay and were more likely to breastfeed but they had fewer home visits from midwives. Throughout their maternity care, women from minority ethnic groups were less likely to feel spoken to so they could understand, to be treated with kindness, to be sufficiently involved in decisions and to have confidence and trust in the staff. Conclusion Women in all minority ethnic groups had a poorer experience of maternity services than White women. That this was still the case following publication of a number of national policy documents and local initiatives is a cause for concern. PMID

  6. Obesity and nutrition in women throughout adulthood.

    Science.gov (United States)

    Morin, Karen H; Stark, Mary Ann; Searing, Kimberly

    2004-01-01

    Nutritional challenges are particularly relevant to women. Almost 62% of women are overweight; of these women, 33% are obese. The incidence of obesity is even greater in non-Hispanic Black and Mexican American women. Women who are overweight or obese experience a greater number of adverse health outcomes, including an increased incidence of cardiovascular disease and breast and colon cancer. Dietary patterns influence health outcomes, with a heart-healthy pattern having the most positive health outcomes. Health care providers should encourage women to consume a diet high in fruits and vegetables and low in total and saturated fats.

  7. Validation of physical activity instruments: Black Women's Health Study.

    Science.gov (United States)

    Carter-Nolan, Pamela L; Adams-Campbell, Lucile L; Makambi, Kepher; Lewis, Shantell; Palmer, Julie R; Rosenberg, Lynn

    2006-01-01

    Few studies have reported on the validity of physical activity measures in African Americans. The present study was designed to determine the validity of a self-administered physical activity questionnaire (PAQ) that was used in a large prospective study of African American women in the United States against an accelerometer (actigraph), an objective assessment of movement, and a seven-day activity diary. The study was conducted among 101 women enrolled in the Black Women's Health Study (BWHS) cohort who resided in the Washington, DC, metropolitan area, representing 11.2% (101/900) of this sample. Physical activity levels were obtained from the parent BWHS PAQ (eg, 1997 and 1999) and repeated in the present study. This information entailed hours per week of participation in walking for exercise, hours per week of moderate activity (eg, housework, gardening, and bowling), and hours per week of strenuous activity (eg, basketball, swimming, running, and aerobics) during the previous year. The participants were required to wear actigraphs for seven days and then record their physical activities in their diaries (seven-day physical activity diary) during this time. The diaries were used to record the amount and pattern of daily energy expenditure. Significant positive correlations were seen between the BWHS PAQ and the actigraph for total activity, r=.28; walking, r=.26; and vigorous activity, r=.40, PPAQ also demonstrated significant correlations for total (r=0.42, PPAQ is a useful measure of physical activity in the BWHS cohort and thus has utility in prospective epidemiologic research.

  8. Feelings of Belonging: An Exploratory Analysis of the Sociopolitical Involvement of Black, Latina, and Asian/Pacific Islander Sexual Minority Women.

    Science.gov (United States)

    Harris, Angelique; Battle, Juan; Pastrana, Antonio; Daniels, Jessie

    2015-01-01

    This article compares and contrasts the sociopolitical involvement of Black, Latina, and Asian/Pacific Islander American sexual minority women within lesbian, gay, bisexual, and transgender (LGBT) communities of color. For the analysis, a sample of over 1,200 women from the Social Justice Sexuality project was analyzed. Findings indicate that, for all groups of women, feelings of connectedness to the LGBT community was the most significant predictor of sociopolitical involvement within LGBT communities of color.

  9. The Traumatic Experiences and Psychological Health of women ...

    African Journals Online (AJOL)

    The study examined the traumatic experiences and psychological health of women working in male-dominated professions. Their reported traumatic experiences and psychological health were compared with those of women working in female-dominated professions and men in male dominated processions. Samples of ...

  10. Decomposing Black-White Wage Gaps Across Distributions: Young U.S. Men and Women in 1990 vs. 2011

    OpenAIRE

    Richey, Jeremiah; Tromp, Nikolas

    2016-01-01

    We investigate changes in black-white wage gaps across wage distributions for young men and women in the U.S. between 1990 and 2011. Gaps are decomposed into composition and structural effects using a semi-parametric framework. Further, we investigate the roles of occupational choice and self-selection. We find a fall in the composition effect shrinks the wage gap at the lower end of the distribution for men and women. Conversely, an increase in the composition effect for men, and...

  11. Lived Experience of Thai Women with Alcohol Addiction.

    Science.gov (United States)

    Hanpatchaiyakul, Kulnaree; Eriksson, Henrik; Kijsomporn, Jureerat; Östlund, Gunnel

    2017-12-01

    This study explored the lived experiences of Thai women in relation to alcohol addiction in treatment. Twelve women aged 20 to 65 years, were participated. The participants were recruited from two special hospitals and one outpatient clinic in a general hospital. Descriptive phenomenology was applied to analyze the transcripts of the individual interviews. The explored phenomenon of Thai women experiencing alcohol addiction included four essential aspects, (1) feeling inferior and worthless (2) feeling physically and emotionally hurt, (3) fearing physical deterioration and premature death, and (4) feeling superior and powerful. Through these different aspects of Thai women's lived experiences, the following essence was synthesized. The essence of the lived experience of alcohol addiction among the studied Thai women was ambivalence between feeling inferior and worthless and feeling superior and powerful when acting as a man. Drinking alcohol lessened life's difficulties and fears; for example, of violence, bodily demolition, premature death and marginalization from family and society. Thai women who experience alcohol addiction are treated with gender-related double standards when trying to undo gender traditional roles. Their marginalization from family and society deepens making them even more vulnerable to the positive side effects of alcohol drinking. Copyright © 2017. Published by Elsevier B.V.

  12. Lived Experience of Thai Women with Alcohol Addiction

    Directory of Open Access Journals (Sweden)

    Kulnaree Hanpatchaiyakul, Ph.D., RN

    2017-12-01

    Full Text Available Summary: Purpose: This study explored the lived experiences of Thai women in relation to alcohol addiction in treatment. Methods: Twelve women aged 20 to 65 years, were participated. The participants were recruited from two special hospitals and one outpatient clinic in a general hospital. Descriptive phenomenology was applied to analyze the transcripts of the individual interviews. Result: The explored phenomenon of Thai women experiencing alcohol addiction included four essential aspects, (1 feeling inferior and worthless (2 feeling physically and emotionally hurt, (3 fearing physical deterioration and premature death, and (4 feeling superior and powerful. Through these different aspects of Thai women's lived experiences, the following essence was synthesized. The essence of the lived experience of alcohol addiction among the studied Thai women was ambivalence between feeling inferior and worthless and feeling superior and powerful when acting as a man. Drinking alcohol lessened life's difficulties and fears; for example, of violence, bodily demolition, premature death and marginalization from family and society. Conclusion: Thai women who experience alcohol addiction are treated with gender-related double standards when trying to undo gender traditional roles. Their marginalization from family and society deepens making them even more vulnerable to the positive side effects of alcohol drinking. Keywords: alcoholism, alcohol drinking, gender identity, violence

  13. Mother of a New World? Stereotypical Representations of Black Women in Three Postapocalyptic Films

    Directory of Open Access Journals (Sweden)

    Karima K. Jeffrey

    2014-06-01

    Full Text Available This essay explores three cinematic representations of Black matriarchs who play prophetic roles in redeeming humanity in the midst of apocalyptic change: Ika (Quest for Fire, Kee (Children of Men, and The Oracle (The Matrix trilogy. Not only do these courageous women resist the politics of domination, rebelling against a dying status quo, but they "give birth" to the leaders needed to rebuild a world in chaos and decay. One film ends with a pregnant woman rubbing her belly as she stands on the precipice of evolutionary change; another positions a mother and newborn adrift, waiting to be found by leaders of a new world order; in the third, a character sacrifices herself to empower resistance fighters with ideas and the means to choose their survival in a postapocalyptic world. Defying the politics of an annihilating patriarchy, these women portend a return to a naturally evolving world. However, despite their powerful influence, they can be understood, problematically, as modern-day reinventions of Black female stereotypes—Ika as Jezebel, Kee as Hagar, the Oracle as Mammy—because they, and the indices for understanding their roles in the community, are wedded to White patriarchs and to their own gendered functions as nurturing or sexual(ized beings.

  14. Direitos sexuais, direitos reprodutivos: concepções de mulheres negras e brancas sobre liberdade Sexual and reproductive rights: the conceptions of black and white women regarding freedom

    Directory of Open Access Journals (Sweden)

    Raquel Souzas

    2007-08-01

    is of a qualitative nature and approaches reproductive issues of women based on an outline of gender and race. Thirty-six women were interviewed, self-classified as white and black (black and mulatto, in conjugal union for, at least, one year. The discourses were analyzed articulating race/ethnicity and different levels of schooling. Overall, one can observe that the life conditions and reproductive health of black and white women differ due to socio-economic and cultural conditions. Comparatively, the discourses of the two groups can be interpreted in two characteristic levels, those of private life and public space: while white women focus on the delay of women in the equitable exercise of freedom compared to men, but highlight achievements in the world of labor, black women view freedom as concerning the possibility of a democratic experience of conjugality. The differences in discourses as to freedom can be related as much to the issue of racism in Brazil suffered daily by black women throughout history, as to the specifically cultural issues of the two groups that were studied.

  15. Waiting for oblivion: women's experiences with electroshock.

    Science.gov (United States)

    Leslie van Daalen-Smith, Cheryl

    2011-01-01

    This article presents findings and analysis stemming from a two-year qualitative study that explored, in their own voices, women's lived experience of electroshock. Feminist standpoint theory frames and provides the moorings for both the validity and methodology of this woman-centered inquiry. In addition, nurses' experiences with and views of ECT are explored and compared to the experiences reported by the women recipients themselves. Vulnerability and disconnection as emergent themes are presented for the nursing profession's sober consideration. The nurses interviewed believed electroshock culminated in a net gain for patients, but for the majority of the women interviewed, electroshock resulted in damage and devastating loss. This article closes with pressing questions for nurses to ask ourselves as we enter the second decade of this new and promising millennium.

  16. Black Adolescent Females’ Perceptions of Racial Discrimination When Accessing Reproductive and General Health Care

    Directory of Open Access Journals (Sweden)

    Valerie J. Lewis

    2016-09-01

    Full Text Available Adolescents, like adults, frequently experience discrimination, which can be particularly salient in the context of reproductive health care. We examined urban Black adolescent females’ perceived experiences of racial discrimination during reproductive health care encounters. Structured face-to-face interviews were conducted with female African American patients, from age 13 through 20, who obtained reproductive health care services at a single site. Twenty-four participants were enrolled. All were in or graduated from high school, with a mean age of 16.8 years. These young Black women reported infrequent race-based discrimination in the health care setting; however, many reported commonly experiencing discrimination in other places. An awareness of the discrimination that minority young women experience in non–health care settings can help providers demonstrate cultural humility when addressing such concerns with their patients. With this information, providers can provide anticipatory guidance and the tools necessary to navigate complex social systems.

  17. Women's experiences of postnatal distress: a qualitative study.

    Science.gov (United States)

    Coates, Rose; Ayers, Susan; de Visser, Richard

    2014-10-14

    Women can experience a range of psychological problems after birth, including anxiety, depression and adjustment disorders. However, research has predominantly focused on depression. Qualitative work on women's experiences of postnatal mental health problems has sampled women within particular diagnostic categories so not looked at the range of potential psychological problems. The aims of this study were to explore how women experienced and made sense of the range of emotional distress states in the first postnatal year. A qualitative study of 17 women who experienced psychological problems in the first year after having a baby. Semi-structured interviews took place in person (n =15) or on the telephone (n =2). Topics included women's experiences of becoming distressed and their recovery. Data were analysed using Interpretative Phenomenological Analysis (IPA). Themes were developed within each interview before identifying similar themes for multiple participants across interviews, in order to retain an idiographic approach. Psychological processes such as guilt, avoidance and adjustment difficulties were experienced across different types of distress. Women placed these in the context of defining moments of becoming a mother; giving birth and breastfeeding. Four superordinate themes were identified. Two concerned women's unwanted negative emotions and difficulties adjusting to their new role. "Living with an unwelcome beginning" describes the way mothers' new lives with their babies started out with unwelcome emotions, often in the context of birth and breastfeeding difficulties. All women spoke about the importance of their postnatal healthcare experiences in "Relationships in the healthcare system". "The shock of the new" describes women's difficulties adjusting to the demands of motherhood and women emphasised the importance of social support in "Meeting new support needs". These findings emphasise the need for exploration of psychological processes such as

  18. Racial/Ethnic Differences in Women's Experiences of Reproductive Coercion, Intimate Partner Violence, and Unintended Pregnancy.

    Science.gov (United States)

    Holliday, Charvonne N; McCauley, Heather L; Silverman, Jay G; Ricci, Edmund; Decker, Michele R; Tancredi, Daniel J; Burke, Jessica G; Documét, Patricia; Borrero, Sonya; Miller, Elizabeth

    2017-08-01

    To explore racial/ethnic differences in reproductive coercion (RC), intimate partner violence (IPV), and unintended pregnancy (UIP). We analyzed cross-sectional, baseline data from an intervention that was conducted between August 2008 and March 2009 in five family planning clinics in the San Francisco, California area, to examine the association of race/ethnicity with RC, IPV, and UIP among female patients aged 16-29 (n = 1234). RC was significantly associated with race/ethnicity, p women, with an overall range of 37.1%-50.3% among all racial/ethnic groups (p women (AOR = 1.72, 95% CI = 1.14-2.60). Black and multiracial women seeking care in family planning clinics have a disproportionately high prevalence of RC and UIP. RC may partially explain differences in UIP prevalence, with the effect of race/ethnicity slightly attenuated in RC-adjusted models. However, the impact of RC on risk for UIP was similar for White and Black women. Findings from this study support the need to understand and prevent RC, particularly among women of color. Results are foundational in understanding disparities in RC and UIP that may have implications for refinement of clinical care.

  19. Promoter polymorphisms in the nitric oxide synthase 3 gene are associated with ischemic stroke susceptibility in young black women.

    Science.gov (United States)

    Howard, Timothy D; Giles, Wayne H; Xu, Jianfeng; Wozniak, Marcella A; Malarcher, Ann M; Lange, Leslie A; Macko, Richard F; Basehore, Monica J; Meyers, Deborah A; Cole, John W; Kittner, Steven J

    2005-09-01

    Endothelial nitric oxide exerts a variety of protective effects on endothelial cells and blood vessels, and therefore the nitric oxide synthase 3 gene (NOS3) is a logical candidate gene for stroke susceptibility. We used the population-based Stroke Prevention in Young Women case-control study to assess the association of five NOS3 polymorphisms in 110 cases (46% black) with ischemic stroke and 206 controls (38% black), 15 to 44 years of age. Polymorphisms included 3 single nucleotide polymorphisms (SNPs) in the promoter region (-1468 T>A, -922 G>A, -786 T>C), 1 SNP in exon 7 (G894T), and 1 insertion/deletion polymorphism within intron 4. Significant associations with both the -922 G>A and -786 T>C SNPs with ischemic stroke were observed in the black, but not the white, population. This association was attributable to an increased prevalence of the -922 A allele (OR=3.0, 95% CI=1.3 to 6.8; P=0.005) and the -786 T allele (OR=2.9, 95% CI=1.3 to 6.4; P=0.005) in cases versus controls. These 2 SNPs were in strong linkage disequilibrium (D'=1.0), making it impossible to determine, within the confines of this genetic study, whether 1 or both of these polymorphisms are functionally related to NOS3 expression. Two sets of haplotypes were also identified, 1 of which may confer an increased susceptibility to stroke in blacks, whereas the other appears to be protective. Promoter variants in NOS3 may be associated with ischemic stroke susceptibility among young black women.

  20. Black Female Adolescents and Racism in Schools: Experiences in a Colorblind Society

    Science.gov (United States)

    Joseph, Nicole M.; Viesca, Kara Mitchell; Bianco, Margarita

    2016-01-01

    This article takes up the questions: (a) How do Black female adolescents define racism?, (b) What kind of experiences with racism to they report having in schools?, and (c) How can these perspectives and experiences inform educational reform efforts? The in-depth analysis of 18 student surveys and interviews revealed that most of the definitions…

  1. Domestic violence against women in Kosovo: a qualitative study of women's experiences.

    Science.gov (United States)

    Kelmendi, Kaltrina

    2015-02-01

    Research on gender-based violence describes domestic violence by male partners as a major public health issue and serious human rights violation. Many studies have been conducted in Kosovo to understand the factors that contribute to violence against women. The present study aims to examine the experiences of battered women and their understanding of the violence from an ecological framework, by asking questions regarding personal, situational, and socio-cultural factors. The study is qualitative, consisting of 50 in-depth interviews with victims of domestic violence, and uses a grounded theory approach to identify main themes of the women's experiences. Findings from the study suggest that poverty, a patriarchal culture, strictly defined gender roles, and lack of programs for reintegrating victims subordinate women and leave them susceptible to domestic violence. © The Author(s) 2014.

  2. Black Women's Intersectional Complexities: The Impact on Leadership

    Science.gov (United States)

    Curtis, Sharon

    2017-01-01

    Recent educational literature has produced a plethora of gendered experiences encountered by women working towards leadership positions in education. Gender plays a complex role that shapes the relationship between perceived ideals of womanhood and leadership. This paper focuses on the variations in leadership and management distributed in the…

  3. University Experiences and Women Engineering Student Persistence

    Science.gov (United States)

    Ayers, LoAnn Debra Gienger

    Riverside University (a pseudonym), like many universities, has not significantly increased the number of women who graduate with bachelor's degrees in engineering. The purpose of the study is to understand how the university experiences of women students influence the decision to persist in an undergraduate engineering degree and to understand the role of self-perception in how the students perceive experiences as supporting or hindering their persistence in the major. Archival data, documents and artifacts, observations, individual interviews, and a focus group with women engineering students provide insights into students' perceived barriers and supports of student success. Analysis of the data results in two major themes. First, students' self-confidence and self-efficacy influence how women assimilate university experiences as either supportive or diminishing of academic success. Second, university policies and practices shape the campus environment within which student experiences are formed and influence a student's level of institutional, academic, and social integration. The results of the study indicate opportunities for university leadership to enhance strategies that positively shape students' institutional, academic and social integration as precursors toward increasing the number of women students who successfully complete undergraduate engineering degrees at Riverside University. Future research is indicated to better understand how gender and gender identity intersects with other demographic factors, such as socio-economic status, immigration status, and life stage (e.g., traditional versus non-traditional students), to support or deter the persistence of engineering students to degree completion.

  4. Does the Environment Exacerbate Effects of Stress on Black ...

    African Journals Online (AJOL)

    the food environment have emerged as two potentially important influences on black women's ... Keywords: black women, USA, stress, environment, diet, obesity, non-communicable .... In this sample we found no association between ei-.

  5. A STUDY ON THE CONFLICTING IDEAS OF BLACK WOMEN'S ROLES IN SULA AND NEL'S FRIENDSHIP AS SEEN IN TONI MORRISON'S SULA

    Directory of Open Access Journals (Sweden)

    Helen Hendaria Kamandhari

    2001-01-01

    Full Text Available Toni Morrison's Sula portrays the conflicting ideas of two black women, Sula and Nel who used to settle themselves as soulmates. Starting as friends of deepest emotion and sharing all the deepest dark secrets in Medallion, Sula and Nel continue their journeys of life in separation and come to the gate of adulthood which drags them to meet again in different encounter. Those years of separation between both of them have set enough barriers on their relationship to know each other better as they used to in the past. Sula's and Nel's teenagehood which has been spent on different places brought them into an unending conflict of black women's roles in their relationships as friends.

  6. Race Has Always Mattered: An Intergeneration Look at Race, Space, Place, and Educational Experiences of Blacks

    Directory of Open Access Journals (Sweden)

    Denise G. Yull

    2014-01-01

    Full Text Available Within school settings race continues to be one of the most formidable obstacles for Black children in the United States (US school system. This paper expands the discussions of race in education by exploring how the social links among race, space, and place provide a lens for understanding the persistence of racism in the educational experiences of Black children. This paper examines how differences in a rural versus urban geographical location influence a student’s experience with race, racism, and racial identity across four generations of Black people in the context of school and community. Implications for research and practice are discussed.

  7. Rural black women's agency within intimate partnerships amid the South African HIV epidemic.

    Science.gov (United States)

    Thege, Britta

    2009-12-01

    In a particular way, the HIV pandemic exposes the prevailing gender relations and the definitions of male and female gender roles, both in intimate relationships and in the wider society. The HIV pandemic reveals the contradictions between women's legal rights and the persistence of women's cultural and sexual subordination. It reflects the impact of poverty, gender roles, culture and religion. Although HIV and AIDS cuts across class, South African rural black women's infection risk seems particularly high since they suffer notably from subordination and socio-economic hardships. Negotiating safer sex in marriage or intimate partnerships is very difficult for them in view of the traditional spaces in which they find themselves, where patriarchal structures are pervasive. Based on data obtained from a case study, this paper examines socio-cultural constraints to rural women's sexual agency in a patriarchal social order. These rules are based on a patriarchal code of respect, which is still pervasive in many aspects of the community under investigation. In terms of gender relations, the patriarchal code of respect is founded on an assumed 'naturalisation' of the two genders and the natural superiority of the male over the female. In terms of sexuality it is translated into male sex-right. The fear of HIV infection is omnipresent and results in unmarried women engaging in the negotiation of their wants and needs. Owing to the patriarchal code of respect, married women are perceived as having no choice in negotiating safer sex and are forced to put their lives at risk in contracting HIV. Unmarried women have greater although not endless choices in this regard. Although the study participants unexpectedly displayed a rather negative perception of other women, in order to strengthen women in their proximal environment the HIV epidemic may be seen as a vehicle for building solidarity among women in the community.

  8. Racial Differences in Access to High-Paying Jobs and the Wage Gap between Black and White Women.

    Science.gov (United States)

    Anderson, Deborah; Shapiro, David

    1996-01-01

    Data from black and white women ages 34-44 (1968-88) showed that differences in characteristics did not explain occupational segregation by race nor the racial wage gap. During the 1980s, the gap was influenced by widening differences in access to occupations and an increase in returns to education. (SK)

  9. The college life experiences of African American women athletes.

    Science.gov (United States)

    Sellers, R M; Kuperminc, G P; Damas, A

    1997-10-01

    The present study provides a descriptive analysis of four areas of African American women student athletes' college life experiences: academic performance; alienation and abuse; perceived social advantage as the result of athletics; and life satisfaction. Multivariate comparisons were made between the four areas of college life experiences of 154 African American women student athletes and 793 White women student athletes, 250 African American women nonathletes, and 628 African American men student athletes from a national sample of 39 NCAA Division I universities. Overall, African American women student athletes are performing adequately academically, integrating socially within the university, perceiving some social advantage as the result of being athletes, and are fairly satisfied with their life. Their experiences seem most consistent with African American women nonathletes. Results are discussed in the context of potential policy recommendations as well as the need for more research on this particular population.

  10. The relationship between gender role conflict and condom use among black MSM.

    Science.gov (United States)

    Malebranche, David J; Gvetadze, Roman; Millett, Gregorio A; Sutton, Madeline Y

    2012-10-01

    Gender role conflict may influence condom use among black MSM. We examined relationships between the Gender Role Conflict Scale (GRCS), social/demographic variables and condom use among 456 black MSM. Higher total GRCS scores did not predict unprotected insertive anal intercourse (UIAI) or unprotected receptive anal intercourse (URAI) with men, but were associated with unprotected vaginal or anal intercourse (UVI/UAI) with women among bisexually active participants (n = 69). Higher perceived HIV risk reduced the likelihood of both UIAI and URAI with men. Internet recruitment venues, sexual discrimination experiences, higher numbers of sex partners and UVI/UAI with women all increased the likelihood of UIAI with men, while education (college/technical school or college degree) was associated with URAI with men. Future sexual health interventions for black MSM should emphasize broader social/demographic and alternative gender role variables with male sexual partners, while traditional GRCS variables may prove useful among those with female sexual partners.

  11. Women's expectations and experiences of maternity care in NSW--what women highlight as most important.

    Science.gov (United States)

    Jenkins, Mary G; Ford, Jane B; Morris, Jonathan M; Roberts, Christine L

    2014-09-01

    Although surveys have identified that women are generally highly satisfied with maternity care provision, those aspects of care that women highlight as most important for achieving satisfaction and a satisfactory maternity care experience have not been reported. The aim of this study was to investigate how women understand and experience their maternity care and to report which aspects of care women highlight as most important. This large qualitative study explored women's expectations and experiences of maternity care provision. In-depth semi-structured interviews were conducted with 53 women experiencing maternity care in a range of tertiary, regional, rural, remote hospitals and midwife-led practices in the state of New South Wales, Australia during 2011-2012. Included in the interview schedule was the question 'What 3 aspects would you see as most important for delivery of maternity care?' Descriptive analyses of entire transcripts and responses to the question on most important aspects of care were undertaken. Descriptive analyses of women's responses identified 5 important aspects of care: woman-focused care, staff qualities, systems and facilities, family-focused care and continuity of care/information. First-time mothers were more likely to identify woman-focused care, staff qualities and continuity of care/information as important aspects than multiparous mothers. Urban and regional mothers highlighted staff qualities as having greater importance for satisfaction with their care while rural and particularly remote women nominated systems and facilities as important. Our study showed that women from a range of settings are more concerned with staff and relational issues than facilities. Differences in perceptions among primiparous versus multiparous women, at different stages of pregnancy and among women from rural and remote compared to urban settings highlight the need to include women with a diversity of experience when trying to understand the aspects

  12. Black deaf individuals' reading skills: influence of ASL, culture, family characteristics, reading experience, and education.

    Science.gov (United States)

    Myers, Candace; Clark, M Diane; Musyoka, Millicent M; Anderson, Melissa L; Gilbert, Gizelle L; Agyen, Selina; Hauser, Peter C

    2010-01-01

    Previous research on the reading abilities of Deaf individuals from various cultural groups suggests that Black Deaf and Hispanic Deaf individuals lag behind their White Deaf peers. The present study compared the reading skills of Black Deaf and White Deaf individuals, investigating the influence of American Sign Language (ASL), culture, family characteristics, reading experience, and education. (The descriptor Black is used throughout the present article, as Black Deaf individuals prefer this term to African American. For purposes of parallel construction, the term White is used instead of European American.) It was found that Black Deaf study participants scored lower on measures of both reading and ASL. These findings provide implications for possible interventions at the primary, secondary, and college levels of education.

  13. Determinants of change in body weight and body fat distribution over 5.5 years in a sample of free-living black South African women.

    Science.gov (United States)

    Chantler, Sarah; Dickie, Kasha; Micklesfield, Lisa K; Goedecke, Julia H

    To identify socio-demographic and lifestyle determinants of weight gain in a sample of premenopasual black South African (SA) women. Changes in body composition (dual-energy X-ray absorptiometry, computerised tomography), socio-economic status (SES) and behavioural/lifestyle factors were measured in 64 black SA women at baseline (27 ± 8 years) and after 5.5 years. A lower body mass index (BMI) and nulliparity, together with access to sanitation, were significant determinants of weight gain and change in body fat distribution over 5.5 years. In addition, younger women increased their body weight more than their older counterparts, but this association was not independent of other determinants. Further research is required to examine the effect of changing SES, as well as the full impact of childbearing on weight gain over time in younger women with lower BMIs. This information will suggest areas for possible intervention to prevent long-term weight gain in these women.

  14. An Evaluation of the Reliability and Construct Validity of Eating Disorder Measures in White and Black Women

    Science.gov (United States)

    Kelly, Nichole R.; Mitchell, Karen S.; Gow, Rachel W.; Trace, Sara E.; Lydecker, Janet A.; Bair, Carrie E.; Mazzeo, Suzanne

    2012-01-01

    Most measures of eating disorder symptoms and risk factors were developed in predominantly White female samples. Yet eating disorders affect individuals of all racial and ethnic backgrounds. Black women appear more vulnerable to certain forms of eating pathology, such as binge eating, and less susceptible to other eating disorder symptoms and risk…

  15. Symptom experience of Filipino American midlife women.

    Science.gov (United States)

    Berg, J A; Taylor, D L

    1999-01-01

    The purpose of this study was to describe the perimenopausal symptom experience of Filipino American midlife women with particular emphasis upon estrogen-related menopause symptoms (day sweats, hot flashes, night sweats, and vaginal dryness). A cross-sectional, descriptive survey was used to generate symptom experience data for 165 Filipina Americans between the ages of 35 and 56 who self-identified as Filipina American and were English-language proficient. The community-based sample completed questionnaires composed of sample characteristic questions and a 51-item menstrual symptom checklist with menopause-related symptoms embedded in it. Sample characteristics and symptom experience were compared among age groups of 35 to 39 (n = 39), 40 to 44 (n = 40), 45 to 49 (n = 37), and 50 to 56 (n = 49) and by perimenopausal phase, defined as premenopausal (n = 85), transitional (n = 33), and menopausal/postmenopausal (n = 47). The most reported individual symptoms were "felt energetic" (86.1%) and "well-being" (83.6%). Estrogen-related menopause symptoms were reported as "vaginal dryness" (39.4%), "hot flashes" (37.6%), "day sweats" (27.9%), and "night sweats" (24.2%) by the total sample. Distress associated with estrogen-related menopause symptoms was reported by 17% (n = 28) of all women. Subjects' chi 2 tests indicated that 50-to-56-year-old women were more likely to report fatigue/sleep symptoms, physical symptoms, and estrogen-related menopause symptoms than all other age groups. When compared by perimenopausal phase, transitional women were more likely to report moderate or extreme severity for day sweats. Premenopausal women were more likely to report minimal or mild severity and women in the perimenopausal transition were more likely to report moderate or extreme severity on estrogen-related menopause symptoms. Filipino American midlife women appear to consider the perimenopausal transition in a positive light and experience little distress associated with

  16. Young women's experiences of intrusive behavior in 12 countries.

    Science.gov (United States)

    Sheridan, Lorraine; Scott, Adrian J; Roberts, Karl

    2016-01-01

    The present study provides international comparisons of young women's (N = 1,734) self-reported experiences of intrusive activities enacted by men. Undergraduate psychology students from 12 countries (Armenia, Australia, England, Egypt, Finland, India, Indonesia, Italy, Japan, Portugal, Scotland, and Trinidad) indicated which of 47 intrusive activities they had personally experienced. Intrusive behavior was not uncommon overall, although large differences were apparent between countries when women's personal experiences of specific intrusive activities were compared. Correlations were carried out between self-reported intrusive experiences, the Gender Empowerment Measure (GEM), and Hofstede's dimensions of national cultures. The primary associations were between women's experiences of intrusive behavior and the level of power they are afforded within the 12 countries. Women from countries with higher GEM scores reported experiencing more intrusive activities relating to courtship and requests for sex, while the experiences of women from countries with lower GEM scores related more to monitoring and ownership. Intrusive activities, many of them constituent of harassment and stalking, would appear to be widespread and universal, and their incidence and particular form reflect national level gender inequalities. © 2015 Wiley Periodicals, Inc.

  17. Predictors of Participation in Mammography Screening among non-Hispanic Black, non-Hispanic White, and Hispanic Women

    Directory of Open Access Journals (Sweden)

    Cathy Melvin

    2016-09-01

    Full Text Available Introduction: Many factors influence women’s decisions to participate in guideline recommended screening mammography. We evaluated the influence of women’s socioeconomic characteristics, healthcare access, and cultural and psychological healthcare preferences on timely mammography screening participation.Materials and methods: A random digit dial survey of United States non-Hispanic Black, non-Hispanic White, and Hispanic women ages 40-75, from January-August 2009 determined self- reported time of most recent mammogram. Screening rates were assessed based on receipt of a screening mammogram within the prior 12 months, the interval recommended at the time by the American Cancer Society.Results: Thirty-nine percent of women reported not having a mammogram within the last 12 months. The odds of not having had a screening mammography was higher for non-Hispanic White women than for non-Hispanic Black (OR=2.16, 95% CI=0.26, 0.82, p=0.009 or Hispanic (OR=4.17, 95% CI=0.12, 0.48, p=0.01 women. Lack of health insurance (OR=3.22, 95% CI=1.54, 6.73, p=0.002 and lack of usual source of medical care (OR=3.37, 95% CI=1.43, 7.94, p=0.01 were associated with not being screened as were lower self-efficacy to obtain screening (OR=2.43, 95% CI=1.26, 4.73, p=0.01 and greater levels of religiosity and spirituality (OR=1.42, 95% CI=1.00, 2.00, p=0.05. Neither perceived risk nor present temporal orientation was significant.Discussion: Odds of not having a mammogram increased if women were uninsured, without medical care, non-Hispanic white, older in age, not confident in their ability to obtain screening, or held passive or external religious/spiritual values. Results are encouraging given racial disparities in healthcare participation and suggest that efforts to increase screening among minority women may be working.

  18. Targeting breast and cervical cancer screening to elderly poor black women: who will participate? The Harlem Study Team.

    Science.gov (United States)

    Mandelblatt, J; Traxler, M; Lakin, P; Kanetsky, P; Kao, R

    1993-01-01

    Factors associated with participation in breast and cervix cancer screening among elderly black women of low socioeconomic status were determined. Data from a baseline cross-sectional random survey were used together with data on whether screening was subsequently completed or refused. The subjects were a random sample of women attending an urban public hospital primary care clinic for routine medical care with a birth year of 1924 or earlier. Among the 271 women in the study group, 70% completed screening. Stated intent was the strongest predictor of participation; women who intended to have both mammography and Pap testing were 2.7 times more likely to participate than those who intended to have neither test (95% confidence interval 1.4, 4.9; P groups.

  19. Resistance Stories of African-Brazilian Women

    Directory of Open Access Journals (Sweden)

    Stela Nazareth Meneghel

    2005-01-01

    Full Text Available This study consists of an intervention using narrative workshops as a device to stimulate the empowerment of women. Ten women, victims of gender violence, took part in a workshop developed by non-governmental organization for African-Brazilian women Maria Mulher, which gives assistance to women living in Vila Cruzeiro do Sul, in the city of Porto Alegre. The main objective of the research was to debate questions related to gender and violence, making use of stories and histories related to the feminine, specifically African-Brazilian stories. Five meetings were held, where the women told and were told stories, took part in group discussions, experiences and rituals. The workshops gave those women a space where they could tell and hear stories, take part in the rituals of the orixás [African-Brazilian deities] of the black culture and tell their personal histories using those experiences. This intervention was an attempt at invoking different subjective experiences, and made it possible to empower the women who took part in the research, contributing for the rescue of the individual and collective memory of this group.

  20. The experience of Korean immigrant women adjusting to Canadian society.

    Science.gov (United States)

    Choi, Jaeyoung; Kushner, Kaysi E; Mill, Judy; Lai, Daniel W L

    2014-09-01

    The acculturation process is an important factor in the experience of all immigrants. Although previous studies have indicated the challenges faced by Korean immigrants, little attention has been paid to Korean women's immigration experiences. A focused ethnography was used to examine midlife and older Korean immigrant women's experiences following their immigration to Canada. Fifteen women were interviewed in a city in Western Canada. The findings showed that in coming to Canada, women focused on caring for their children and often sacrificed their personal dreams. They had to be employed to support their families, and received support from family and government. Women participated regularly in a Korean Church and drew on their Christian faith to ease their adjustment. They retained hopes for the future including good health and a better life for their children. Most women indicated that it was difficult to integrate into Canadian society but they never gave up on their adjustment to a new culture. In this manuscript, the adjustment experience of the immigrant women is discussed in the context of an acculturation framework. The findings will enhance health professionals' awareness of adjustment patterns and associated challenges to Korean immigrant women's quality of life.

  1. Agreement between specific measures of adiposity and associations with high blood pressure in black South African women.

    Science.gov (United States)

    Kruger, Herculina S; Botha-Ravyse, Chrisna; Havemann-Nel, Lize; Doubell, Maretha; van Rooyen, Johannes M

    2017-11-01

    To derive percentage body fat (%BF) cut-points according to body mass index (BMI) categories for adult black South African women and to investigate the agreement between adiposity classifications according to WHO BMI and %BF cut-points. The secondary aim was to determine the association between these different adiposity measures and high blood pressure. Black women aged 29-65 years (n = 435) from Ikageng, South Africa, were included in this cross-sectional study. Socio-demographic and anthropometric data were collected (weight, height and BMI). %BF using dual-energy X-ray absorptiometry and blood pressure were measured. There was significant agreement between three %BF categories: low/normal (high blood pressure (OR = 1.75, 95% CI 1.09-2.81 versus OR = 1.92, 95% CI 1.15-3.23, respectively). Despite significant agreement between BMI and %BF categories, considerable misclassification occurred in the overweight range. Participants with excessive %BF had a greater odds of high blood pressure than those in the highest BMI category. © 2017 Wiley Periodicals, Inc.

  2. Wandering in the dark: women's experiences with depression.

    Science.gov (United States)

    Schreiber, R

    2001-01-01

    In North America, rates of depression for women are consistently higher than for men. This phenomenon is poorly understood; nonetheless, the use of grounded theory to investigate women's experiences with depression, treatment, and recovery revealed some unexpected findings. In this article I discuss findings resulting from examination of data from three grounded theory studies of women and depression. In all, data were collected through participant observation and more than 70 interviews and the study sample included participants varying in race, marital status, cultural background, and sexual orientation between 18 to 69 years of age, and included both mothers and nonmothers. Findings included the presence in women of an internal dialogue, reinforcing the philosophical origins of the method in symbolic interactionism; oppression and marginalization of women's experiences; the impact of violence in women's lives; the roles of treatment and learning; and the hope of recovery. I will finish by identifying some questions arising from the findings.

  3. Storytellers - a women group experience

    Directory of Open Access Journals (Sweden)

    Stela Nazareth Meneghel

    2014-12-01

    Full Text Available This paper reports some psychosocial interventions in which were exploited the “storytelling", in workshops aimed at social workers and women in situation of vulnerability. The workshops were organized from the demands of social movements to combat violence and other extreme situations. The group was the field of intervention, from the demands, lived experiences of participants, based on methodological choice of narratives, life histories and stories of oral culture. We believe that groups of storytellers performed with women allow an exercise of critical reflection and change, as well as being an option for methodological research and practice feminist. Storytellers groups performed with women allow an exercise of critical reflection and change, as well as being a methodological option for feminist practice and research.

  4. "Pushed" to Teach: Pedagogies and Policies for a Black Women Educator Pipeline

    Science.gov (United States)

    Gist, Conra D.; White, Terrenda; Bianco, Margarita

    2018-01-01

    This research study examines the learning experiences of 11th- and 12th-grade Black girls participating in a precollegiate program committed to increasing the number of Teachers of Color entering the profession by viewing a teaching career as an act of social justice committed to educational equity. The pipeline functions as an education reform…

  5. Ethnic variations in pathways to acute care and compulsory detention for women experiencing a mental health crisis.

    Science.gov (United States)

    Lawlor, Caroline; Johnson, Sonia; Cole, Laura; Howard, Louise M

    2012-01-01

    Much recent debate on excess rates of compulsory detention and coercive routes to care has focused on young black men; evidence is less clear regarding ethnic variations among women and factors that may mediate these. To explore ethnic variations in compulsory detentions of women, and to explore the potential role of immediate pathways to admission and clinician-rated reasons for admission as mediators of these differences. All women admitted to an acute psychiatric inpatient ward or a women's crisis house in four London boroughs during a 12-week period were included. Data were collected regarding their pathways to care, clinician-rated reasons for admission, hospital stays, and social and clinical characteristics. Two hundred and eighty seven (287) women from white British, white other, black Caribbean, black African and black other groups were included. Adjusting for social and clinical characteristics, all groups of black patients and white other patients were significantly more likely to have been compulsorily admitted than white British patients; white British patients were more likely than other groups to be admitted to a crisis house and more likely than all the black groups to be admitted because of perceived suicide risk. Immediate pathways to care differed: white other, black African and black other groups were less likely to have referred themselves in a crisis and more likely to have been in contact with the police. When adjustment was made for differences in pathways to care, the ethnic differences in compulsory admission were considerably reduced. There are marked ethnic inequities not only between white British and black women, but also between white British and white other women in experiences of acute admission. Differences between groups in help-seeking behaviours in a crisis may contribute to explaining differences in rates of compulsory admission.

  6. Experiences of women living with borderline personality disorder ...

    African Journals Online (AJOL)

    There is limited understanding of the experiences of women living with borderline personality disorder. It was therefore decided to discover how women living with this disorder would tell their life story. For the researcher, who worked in a psychotherapy ward where most women were living with borderline personality ...

  7. Women's Experiences of Preeclampsia: Australian Action on Preeclampsia Survey of Women and Their Confidants

    Science.gov (United States)

    East, C.; Conway, K.; Pollock, W.; Frawley, N.; Brennecke, S.

    2011-01-01

    Introduction. The experience of normal pregnancy is often disrupted for women with preeclampsia (PE). Materials and Methods. Postal survey of the 112 members of the consumer group, Australian Action on Pre-Eclampsia (AAPEC). Results. Surveys were returned by 68 women (61% response rate) and from 64 (57%) partners, close relatives or friends. Respondents reported experiencing pre-eclampsia (n = 53), eclampsia (n = 5), and/or Hemolysis, Elevated Liver enzymes, and Low Platelets (HELLP syndrome) (n = 26). Many women had no knowledge of PE prior to diagnosis (77%) and, once diagnosed, did not appreciate how serious or life threatening it was (50%). Women wanted access to information about PE. Their experience contributed substantial anxiety towards future pregnancies. Partners/friends/relatives expressed fear for the woman and/or her baby and had no prior understanding of PE. Conclusions. The PE experience had a substantial effect on women, their confidants, and their babies and affected their approach to future pregnancies. Access to information about PE was viewed as very important. PMID:21547089

  8. Young women's perceptions and experiences with contraception supply in community pharmacies.

    Science.gov (United States)

    Fakih, Souhiela; Batra, Peter; Gatny, Heather H; Kusunoki, Yasamin; Barber, Jennifer S; Farris, Karen B

    2015-01-01

    Unintended pregnancy is a major public health problem in the United States.Correct contraceptive use can reduce the rate of unintended pregnancy. Community pharmacies are well positioned to provide contraceptives and advice about contraception. To determine young women's perceptions and experiences with contraception supply in community pharmacies and to identify whether pharmacy characteristics predicted very positive experiences. This study comprised two cross-sectional surveys including an online women's pharmacy perceptions and experiences (PPE) survey and a faxed/observed survey of community pharmacies. One county in Michigan. Young women and community pharmacies. The two surveys were merged to explore pharmacy characteristics that may impact women's perceptions and experiences with community pharmacies. Multiple logistic regression analysis was used to explore relationships between pharmacy characteristics and positive outcomes. The response rate for the PPE survey was 54% (n = 343/637). Data from all community pharmacies in the county was retrieved via fax (n = 41/94, 43.6%) or observation (n = 53/94, 56.4%). Women were included in this analysis if they indicated a regular pharmacy (one they go to most often) in the county of interest (n = 210). More than 50% of women (n = 125/210) visited a pharmacy more than once per month. Sixty percent of women were currently using something to prevent pregnancy (n = 124/210, 60.8%). Thirty-five percent of women had a positive experience (n = 73/210, 34.8%). In the multiple logistic regression, women who visited a chain pharmacy had almost 65% lower odds of an overall positive experience with their regular pharmacy compared with women who visited a grocery or mass merchandise pharmacy (odds ratio 0.35 [95% CI 0.16], P = 0.75). Young women visit community pharmacies and use contraceptives frequently. Interventions need to be developed and implemented to improve young women's perceptions and experiences with

  9. Deaf Women: Educational Experiences and Self-Identity

    Science.gov (United States)

    Najarian, Cheryl G.

    2008-01-01

    Using life history interviews with 10 college educated Deaf women this paper investigates connections between early education and college experience and how they identified as Deaf. The women developed strategies as they managed their impressions while employing Goffman's practices of loyalty, discipline and circumspection. Acknowledging deafness…

  10. Muslim women's experiences of domestic violence in the Nelson ...

    African Journals Online (AJOL)

    This article provides a reflection on the experiences of Muslim women with regard to domestic violence. A qualitative approach was utilised following an explorative, descriptive, phenomenological contextual research design, as the researchers sought to understand the lived experiences of Muslim women in abusive ...

  11. Perceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study.

    Science.gov (United States)

    Draper, Catherine E; Davidowitz, Kesiah J; Goedecke, Julia H

    2016-02-01

    A higher tolerance for a larger body size has been associated with obesity in black South African (SA) women. The aim of the present study was to explore perceptions regarding body size and weight loss in a sample of black women from a low-income community in Cape Town, SA. Qualitative pilot study including five focus groups. Data were analysed using thematic analysis. Khayelitsha, Cape Town, SA. Twenty-one black SA women. The majority of participants had positive perceptions of overweight/obesity, which were influenced by community and cultural perceptions, but some inconsistencies were observed as overweight/obesity was also associated with ill health. Participants identified many benefits to weight loss, but due to the association with sickness, they were concerned about being stigmatised in their community. Although participants had knowledge about healthy eating, the main barrier to eating healthily included the perceived higher cost of healthier food and food insecurity. All participants saw exercise as a strategy to lose weight and improve health, and were interested in participating in a community-based exercise intervention, but negative community perceptions and conflicting views regarding who should lead the intervention were identified as barriers. These findings highlight the complexities surrounding participants' perceptions regarding body size, weight loss and weight-loss interventions, and emphasise low socio-economic status as a barrier to change. The study also highlights the strong influence of cultural ideals and community perceptions on personal perceptions. These findings underscore the necessity for culturally appropriate weight-loss interventions in low-income, transitioning communities.

  12. Contemporary Black Theatre.

    Science.gov (United States)

    Thomas, Pearl

    The distinguishable black theatre in America, mirroring a distinguishable black experience, is an artistic product which demands audience involvement. Both the Afro-American oral tradition and the art of gesture are integral aspects of black theatre. In addition, the tragedy found black theatre is not tragedy in the classic sense, as blacks feel…

  13. Women's empowerment and reproductive experiences over the lifecourse.

    Science.gov (United States)

    Lee-Rife, Susan M

    2010-08-01

    This paper examines the complex interplay between reproductive experiences and women's empowerment using rich life history data from a survey in India. Previous research has examined the influence of a rather limited range of reproductive events, focusing on how many children or sons a woman has borne, and has only superficially incorporated the insights of lifecourse theory. Furthermore, it has often conceptualized empowerment as a static characteristic rather than a time-varying one, and has often failed to examine the influence of empowerment resources or previous empowerment levels. I focus on the cumulative influence of less-studied reproductive events-including unwanted or mistimed pregnancy, stillbirths, miscarriages, and abortions-on several dimensions of women's empowerment, including mobility, financial decision-making, experiences of violence, and threats of abandonment or homelessness using data collected from 2435 women in Madhya Pradesh, India during a 2002 household-based probability sample survey. Logistic regression revealed that, notably, few reproductive events have an impact on women's current empowerment, but rather, the extent of empowerment immediately after marriage emerges as a strong determinant of their current empowerment. However, women who have had abortions have higher odds of experiencing domestic violence, and experiencing mistimed pregnancies lowers the odds of violence. Incorporating the potential influence of prior life events and conditions, accounting for the possibility that experiences may accumulate to shape women's current empowerment portrays women's lives more completely and helps to identify key points of intervention. Copyright 2010 Elsevier Ltd. All rights reserved.

  14. Grief Interrupted: The Experience of Loss Among Incarcerated Women

    OpenAIRE

    Harner, Holly M.; Hentz, Patricia M.; Evangelista, Maria Carmela

    2010-01-01

    Incarcerated women face a number of stressors apart from the actual incarceration. Nearly half of all women in prison experience the death of a loved one during their incarceration. Our purpose for this study was to explore the experience of grief and loss among incarcerated women using a phenomenological method. Our study approach followed van Manen's method of phenomenology and Munhall's description of existential lifeworlds. Our analysis revealed four existential lifeworlds: temporality: f...

  15. "I'm Still Here:" Black Female Undergraduates' Self-Definition Narratives

    Science.gov (United States)

    Robinson, Subrina J.; Esquibel, Elena; Rich, Marc D.

    2013-01-01

    Drawing on Black feminism and oral narrative research, we examine how Black women undergraduates make sense of their identities as Black females. More specifically, we explore the dual impact of gender and race by considering what it means to be a Black woman on campus. The women in this study articulate compelling, and at times, diverging…

  16. Preventing traumatic childbirth experiences: 2192 women's perceptions and views

    NARCIS (Netherlands)

    Hollander, M.H.; Hastenberg, E. van; Dillen, J. van; Pampus, M.G. van; Miranda, E. de; Stramrood, C.A.I.

    2017-01-01

    The purpose of this study is to explore and quantify perceptions and experiences of women with a traumatic childbirth experience in order to identify areas for prevention and to help midwives and obstetricians improve woman-centered care. A retrospective survey was conducted online among 2192 women

  17. Weight loss experiences of obese perimenopausal women with metabolic syndrome.

    Science.gov (United States)

    Su, Mei-Chen; Lin, Hung-Ru; Chu, Nain-Feng; Huang, Chih-Hsung; Tsao, Lee-Ing

    2015-07-01

    To develop a descriptive theory for the weight loss experiences of obese perimenopausal women with metabolic syndrome. Obesity and metabolic syndrome both pose a threat to the health of perimenopausal women; therefore, understanding perimenopausal women's subjective feelings and experiences is beneficial to establishing effective prevention strategies. However, studies have rarely explored these relevant experiences. A qualitative study using the grounded theory method to establish a descriptive theory. Eighteen obese perimenopausal women with metabolic syndrome aged 45-60 years participated in comprehensive interviews. 'Crossing the gaps to making life modifications' was the core category, and 'the awareness of weight gain and health alarm' was the antecedent condition. In the weight loss experience, the following three interaction categories were identified: (1) 'experiencing bad feelings,' (2) 'encountering obstacles' and (3) 'making efforts to transition to a new life.' Some women adhered to new life habits through perceiving social support and by using self-incentives. Finally, women enjoyed and mastered self-monitoring of their health in their new life, and practiced new changes as part of their life. However, some participants felt that making changes to their life was too time-consuming. Therefore, these women chose to live with their abnormal health without making changes. Obese perimenopausal women with metabolic syndrome experienced various gaps in their weight loss process. Although they struggled with many obstacles, these women were able to learn from their experiences and face their health challenges. These findings can guide healthcare professionals to provide appropriate interventions to understand the hidden health problems of this particular group of women. Healthcare professionals should develop a set of plans by which women receive a complete weight loss program and support from professionals and family. © 2015 John Wiley & Sons Ltd.

  18. Urbanization of black South African women may increase risk of low bone mass due to low vitamin D status, low calcium intake and high bone turnover

    OpenAIRE

    Kruger, Annamarie; Kruger, Marlena C.; Kruger, Iolanthé Marike; Wentzel-Viljoen, Edelweiss

    2011-01-01

    Globally, rural to urban migration is accompanied by changes in dietary patterns and lifestyle that have serious health implications, including development of low bone mass. We hypothesized that serum 25 (OH) vitamin D3 (25[OH]D3) levels will be lower, bone turnover higher, and nutrition inadequate in urban postmenopausal black women, increasing risk for low bone mass. We aimed to assess the prevalence of risk factors for low bone mass in 1261 black women from rural and urban areas in the Nor...

  19. Sexual Harassment in a Residential Occupation: The Experiences of Women Seafarers

    Science.gov (United States)

    Thomas, Michelle A

    2006-01-01

    Objective: This paper reports women seafarers' experiences of sexual harassment. Design: Data reported in this paper were collected as part of a larger study exploring company policies and practices relating to women seafarers and the experiences of women seafarers themselves. Setting: Data reported here was collected with women from seven…

  20. Intimate Partner Violence: The Lived Experience of Single Women.

    Science.gov (United States)

    Thomas, Laura; Scott-Tilley, Donna

    2017-03-01

    Research in intimate partner violence has focused on married, cohabiting, adolescents, or college aged women. The experience of intimate partner violence by single women has not been studied separately from other groups of women. An interpretive phenomenological approach was used with feminist inquiry to gain insight into the experience of intimate partner violence by single women. The overarching theme was control and manipulation by the abuser. Subthemes included not feeling safe, poor communication skills, and caretaking. Nurses need to be aware of the occurrence of intimate partner violence in male and female partnered relationships to provide comprehensive and nonjudgmental care.

  1. Women With Dissociative Identity Disorder Who Experience Intimate Partner Violence.

    Science.gov (United States)

    Snyder, Briana L

    2018-05-01

    Women with dissociative identity disorder (DID) are significantly more likely than other women to experience intimate partner violence (IPV). The purpose of this qualitative investigation was to explicate the experiences of women with DID who experience IPV and describe how they cope. Grounded theory was used to conduct this investigation. Purposive sampling was used to recruit participants (N = 5) for face-to-face, semi-structured interviews. Verbatim transcripts were coded and categorized, and reflective memos were developed to explicate substantive categories. Women with DID used coping strategies that were consistent with their diagnoses, such as switching and dissociating. These coping mechanisms reflect past self-preservation strategies that were developed in association with severe childhood maltreatment. Women with DID who experienced IPV sought to mitigate and safeguard themselves from danger using strategies they developed as maltreated children. Nurses can use these findings to better recognize and understand the motivations and behaviors of women with DID who experience IPV. [Journal of Psychosocial Nursing and Mental Health Services, 56(5), 26-32.]. Copyright 2018, SLACK Incorporated.

  2. Cartesian and Corporeal Agency: Women's Studies Students' Reflections on Body Experience

    Science.gov (United States)

    Liimakka, Satu

    2011-01-01

    This article explores young women's agency in relation to the body and the possible role of women's studies in interpreting body experiences and constructing agency. The article is based on written accounts of one's body experience written by Finnish students of women's studies. The young women's accounts manifested two types of agency: the…

  3. Oh My Goddess: Anthropological Thoughts On the Representation of Marvel’s Storm and the Legacy of Black Women in Comics

    Directory of Open Access Journals (Sweden)

    Lucas do Carmo Dalbeto

    2015-06-01

    Full Text Available This study presents a qualitative analysis on the representation of black women in comic books using a sociocultural approach to their production-release background. We study the X-Men mutant character Storm, whose path reinforces and questions the social roles these women enact. We state that the analysis of cultural assets aimed at entertainment, like comic books, helps us consider the relationship between gender and ethnicity in our society.

  4. The Racial Wage Gap: The Importance of Labor Force Attachment Differences across Black, Mexican, and White Men

    Science.gov (United States)

    Antecol, Heather; Bedard, Kelly

    2004-01-01

    Labor market attachment differs significantly across young black, Mexican, and white men. Although it has long been agreed that potential experience is a poor proxy for actual experience for women, many view it as an acceptable approximation for men. Using the NLSY, this paper documents the substantial difference between potential and actual…

  5. Night shift work and incident diabetes among U.S. black women

    Science.gov (United States)

    Vimalananda, Varsha G.; Palmer, Julie R.; Gerlovin, Hanna; Wise, Lauren A.; Rosenzweig, James L.; Rosenberg, Lynn; Narváez, Edward A. Ruiz

    2015-01-01

    Aims To assess shift work in relation to incident type 2 diabetes among African American women. Methods In the Black Women's Health Study (BWHS), an ongoing prospective cohort study, we followed 28,041 participants for incident diabetes during 2005-2013. They answered questions in 2005 about having worked the night shift. We estimated hazard ratios (HR) and 95% confidence intervals (CI) for incident diabetes using Cox proportional hazards models. The basic multivariable model included age, time period, family history of diabetes, education, and neighborhood SES. In further models, we controlled for lifestyle factors and body mass index (BMI). Results Over the 8 years of follow-up, there were 1,786 incident diabetes cases. Relative to never having worked the night shift, HRs (95% CI) of diabetes were 1.17 (1.04, 1.31) for 1-2 years of night shift work, 1.23 (1.06, 1.41) for 3-9 years, and 1.42 (1.19, 1.70) for ≥ 10 years (P-trend shift work and type 2 diabetes remained after multivariable adjustment (P-trend = 0.02). The association did not vary by obesity status, but was stronger in women aged shift work were associated with an increased risk of type 2 diabetes. The association was only partially explained by lifestyle factors and BMI. A better understanding of the mechanisms by which shift work may affect risk of diabetes is needed in view of the high prevalence of shift work among U.S. workers. PMID:25586362

  6. Women's experiences during myocardial infarction: systematic review and meta-ethnography.

    Science.gov (United States)

    Madsen, Rikke; Birkelund, Regner

    2016-03-01

    The aim of this review is to identify, analyse and synthesise existing knowledge concerning female experiences during myocardial infarction. There is a lack of knowledge about women's experiences during myocardial infarction, and a meta-synthesis is needed to synthesise existing evidence. A systematic review and meta-ethnography. A systematic review was undertaken in September 2013. Four databases were searched. Grey literature and reference lists were screened for relevant studies. Four hundred and eighty-one papers were identified and 14 were included. The method of Noblit and Hare was used in the process of conducting this review and meta-ethnography. Three themes were identified. 1. 'Feeling the changes in my body', 2. 'Understanding the changes in my body' and 3. 'Acting on the changes in my body'. The majority of women did not experience their body changes as being severe and threatening. Therefore, the women chose to wait or self-medicate before consulting others. The women who initially experienced the symptoms related to myocardial infarction as being severe and threatening, chose to consult others earlier than the majority of women. Women's experiences and interpretation of body symptoms during myocardial infarction vary. Most commonly women do not initially recognise their body symptoms as being severe and life threatening. The theory of Merleau-Ponty's 'current and habituated body' is relevant for explaining women's ways of understanding and acting on their body changes during myocardial infarction. This review is relevant in a preventive and rehabilitating perspective for professionals working in health care. It helps professionals to understand women's experiences during myocardial infarction, optimises their ability to suspect myocardial infarction and teach women to react on these body changes. © 2016 John Wiley & Sons Ltd.

  7. Experiences of women living with borderline personality disorder

    Directory of Open Access Journals (Sweden)

    N. Ntshingila

    2016-10-01

    Full Text Available There is limited understanding of the experiences of women living with borderline personality disorder. It was therefore decided to discover how women living with this disorder would tell their life story. For the researcher, who worked in a psychotherapy ward where most women were living with borderline personality disorder, the care of these women was of vital importance, as they were less understood by mental health care providers.The research aimed to explore and describe the experiences of women living with borderline personality disorder. A qualitative, explorative, descriptive and contextual study design was used. Data was collected through in-depth phenomenological interviews that focused on the central question, “Tell me your life story”. Eight participants living with borderline personality disorder were interviewed. Tesch's method for data analysis was used (Creswell, 2009:186, along with an independent coder. Measures to ensure trustworthiness and ethical principles were applied throughout the research. From the findings obtained by means of the interviews of women living with borderline personality disorder, it was evident that there were childhood experiences of living in an unsafe space, related to unhealthy family dynamics, boundary violations and educational challenges. They experienced chronic feelings of emptiness in their relationships with theself. They also presented with a pattern of unstable interpersonal relationships and compromised mental health, which was apparent through the early on set of mental problems, emotional upheaval, looking for emotional escape and having different triggerfactors. Lastly, all these women yearned for facilitated mental health.

  8. Women's experience of hospitalized bed rest during high-risk pregnancy.

    Science.gov (United States)

    Rubarth, Lori Baas; Schoening, Anne M; Cosimano, Amy; Sandhurst, Holly

    2012-01-01

    To describe the lived experience of the hospitalized pregnant woman on bed rest. A qualitative, phenomenological design. Three high-risk antepartum units in the midwestern United States. A self-selected, convenience sample of 11 high-risk pregnant women. Phenomenological study using thematic analysis of completed handwritten journals and/or online blogs. Women described the battles that they fought each day for the lives of their unborn children. Using an imagery of war, three categories emerged: (a) the war within, (b) fighting each battle, and (c) bringing in reinforcements. Women experience many different emotions and stressors during restricted bed rest. A nurse's understanding of this experience is essential to provide adequate care and coping strategies for women at this time. © 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  9. Pregnancy as an ideal time for intervention to address the complex needs of black and minority ethnic women: views of British midwives.

    Science.gov (United States)

    Aquino, Maria Raisa Jessica V; Edge, Dawn; Smith, Debbie M

    2015-03-01

    maternal health inequalities exist across the world. In the United Kingdom, whilst there are variations within and between groups, Black and Minority Ethnic (BME) women tend to have worse maternal health outcomes than White British women. However, there is limited information about BME women's experience of maternity services. Midwives are central to the provision of safe maternity care but little is known about their perceptions of ethnically-based inequalities in maternal healthcare. Therefore, this study explored a cohort of midwives' experiences of providing care for BME women, focussing on their views on the relationship between maternal health inequalities and service delivery. using a specifically-designed topic guide, 20 semi-structured interviews were conducted with qualified midwives in one National Health Service (NHS) Trust in the North West of England over a two-month period. Data were subsequently transcribed and thematically analysed. three main and seven sub-themes were identified. Firstly, 'language' summarised difficulties midwives experienced in engaging with women whose English was limited. Secondly, 'expectations of maternity care' outlined the mismatch between midwives and women's expectations of maternity care. Finally, 'complex needs extending beyond maternity care' highlighted the necessity of inter-agency working to address women's care holistically when their needs transcend the scope of maternity services. Midwives' accounts indicated that they strive to provide equitable care but encountered numerous barriers in doing so. Paradoxically, this might contribute to inequalities in service delivery. In midwives' view, unrestricted access to interpretation and translation services is essential for provision of effective, holistic maternity care. Participants also advocated education for both women and midwives. For the former, this would improve BME women's understanding of health and care systems, potentially leading to more realistic

  10. Women's and men's negative experience of child birth-A cross-sectional survey.

    Science.gov (United States)

    Nystedt, Astrid; Hildingsson, Ingegerd

    2018-04-01

    A negative birth experience may influence both women and men and can limit their process of becoming a parent. This study aimed to analyze and describe women's and men's perceptions and experiences of childbirth. A cross-sectional study of women and their partners living in one Swedish county were recruited in mid pregnancy and followed up two months after birth. Women (n=928) and men (n=818) completed the same questionnaire that investigated new parents' birth experiences in relation to socio-demographic background and birth related variables. Women (6%) and men (3%) with a negative birth experiences, experienced longer labours and more often emergency caesarean section compared to women (94%) and men (97%) with a positive birth experience. The obstetric factors that contributed most strongly to a negative birth experience were emergency caesarean and was found in women (OR 4.7, 95% CI 2.0-10.8) and men (OR 4.5, Cl 95% 1.4-17.3). In addition, pain intensity and elective caesarean section were also associated with a negative birth experiences in women. Feelings during birth such as agreeing with the statement; 'It was a pain to give birth' were a strong contributing factor for both women and men. A negative birth experience is associated with obstetric factors such as emergency caesarean section and negative feelings. The content of negative feelings differed between women and men. It is important to take into account that their feelings differ in order to facilitate the processing of the negative birth experience for both partners. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  11. Deaf women: experiences and perceptions of healthcare system access.

    Science.gov (United States)

    Steinberg, Annie G; Wiggins, Erin A; Barmada, Carlin Henry; Sullivan, Vicki Joy

    2002-10-01

    The authors investigated the knowledge, attitudes, and healthcare experiences of Deaf women. Interviews with 45 deaf women who participated in focus groups in American Sign Language were translated, transcribed, and analyzed. Deaf women's understanding of women's health issues, knowledge of health vocabulary in both English and American Sign Language, common health concerns among Deaf women, and issues of access to information, including pathways and barriers, were examined. As a qualitative study, the results of this investigation are limited and should be viewed as exploratory. A lack of health knowledge was evident, including little understanding of the meaning or value of cancer screening, mammography, or Pap smears; purposes of prescribed medications, such as hormone replacement therapy (HRT); or necessity for other medical or surgical interventions. Negative experiences and avoidance or nonuse of health services were reported, largely due to the lack of a common language with healthcare providers. Insensitive behaviors were also described. Positive experiences and increased access to health information were reported with practitioners who used qualified interpreters. Providers who demonstrated minimal signing skills, a willingness to use paper and pen, and sensitivity to improving communication were appreciated. Deaf women have unique cultural and linguistic issues that affect healthcare experiences. Improved access to health information may be achieved with specialized resource materials, improved prevention and targeted intervention strategies, and self-advocacy skills development. Healthcare providers must be trained to become more effective communicators with Deaf patients and to use qualified interpreters to assure access to healthcare for Deaf women.

  12. Women's coping experiences in the spectrum of domestic violence abuse.

    Science.gov (United States)

    Haeseler, Lisa Ann

    2013-01-01

    Through this phenomenological case study the author investigates the experience of coping by women in the spectrum of domestic violence abuse. An ecological view of women's coping is critically reviewed. Women of abuse cope with many factors simultaneously in their lives as there are numerous, multifaceted, and diverse issues that comprise and contribute to an abusive situation. Eight providers from four different agencies, two providers per agency, describe the coping experiences of women both in and out of the abusive situation. Study results corroborate with research and demonstrate that women's coping, both in and out of the abusive relationship is unique and complex.

  13. Examining the sexual harassment experiences of Mexican immigrant farmworking women.

    Science.gov (United States)

    Waugh, Irma Morales

    2010-03-01

    This study examined sexual harassment experiences of Mexican immigrant farmworking women (n = 150) employed on California farms. Of the estimated one million California farmworkers, 78% are Latino, mostly from Mexico, and 28% are women. Unlike gender-segregated worksites of Mexico, women farmworkers in the United States labor alongside men, facilitating harassment from coworkers and supervisors. Simultaneous sexist, racist, and economic discrimination are comparable to converging lanes of automobile traffic (Crenshaw, 2000) that women, standing at the intersections, manage to avoid harm. Findings highlight how discrimination shapes women's experiences and demonstrate the need for institutional policies to protect them.

  14. Pregnancy experiences of women in rural Romania: understanding ethnic and socioeconomic disparities.

    Science.gov (United States)

    LeMasters, Katherine; Baber Wallis, Anne; Chereches, Razvan; Gichane, Margaret; Tehei, Ciprian; Varga, Andreea; Tumlinson, Katherine

    2018-05-15

    Women in rural Romania face significant health disadvantages. This qualitative pilot study describes the structural disadvantage experienced during pregnancy by women in rural Romania, focusing on the lived experiences of Roma women. We explore how women in rural communities experience pregnancy, their interactions with the healthcare system, and the role that ethnic and social factors play in pregnancy and childbearing. We conducted 42 semi-structured interviews with health and other professionals, seven narrative interviews with Roma and non-Roma women and a focus group with Roma women. Data were analysed using thematic analysis. We identified intersectional factors associated with women's pregnancy experiences: women perceiving pregnancy as both unplanned and wanted, joyful, and normal; women's and professionals' differing prenatal care perceptions; transport and cost related barriers to care; socioeconomic and ethnic discrimination; and facilitators to care such as social support, having a health mediator and having a doctor. Talking directly with professionals and Roma and non-Roma women helped us understand these many factors, how they are interconnected, and how we can work towards improving the pregnancy experiences of Roma women in rural Romania.

  15. The trials, tribulations, and triumphs of black faculty in the math and science pipeline: A life history approach

    Science.gov (United States)

    Williams, Lisa D.

    2000-12-01

    This study explores the career progression and life history of black mathematicians and scientists who teach on university faculties in the United States. It investigates the following questions: Why are there so few black mathematicians and scientists in colleges and universities in the United States? What is the experience of black students who express an interest in science and math? What barriers do black scientists and mathematicians face as they move through school towards their career in higher education? What factors facilitate their success? The current literature shows that there are few women and minorities teaching or working in math and science compared to white men, although reasons for this underrepresentation are still not well understood. I explored this phenomenon by conducting two sets of in-depth interviews with twelve black faculty, six women, six men, from both historically black and predominantly white higher educational institutions in the United States. My interviews were based upon a life history approach that identified the participants' perceptions of the barriers and obstacles, as well as the supports and facilitators encountered in their schooling and career progression. The findings from the study show the importance of a strong family, community, and teacher support for the participants throughout their schooling. Support systems continued to be important in their faculty positions. These support systems include extended family members, teachers, community members, supervisors, and classmates, who serve as role models and mentors. The life study interviews provide striking evidence of the discrimination, isolation, and harassment due to race and gender experienced by black male and female mathematicians and scientists. The racial discrimination and the compounding effect of racism and sexism play out differently for the male and female participants in this study. This study suggests directions for future research on the experiences

  16. Women's decision making and experience of subsequent pregnancy following stillbirth.

    Science.gov (United States)

    Lee, Louise; McKenzie-McHarg, Kirstie; Horsch, Antje

    2013-01-01

    This study sought to increase understanding of women's thoughts and feelings about decision making and the experience of subsequent pregnancy following stillbirth (intrauterine death after 24 weeks' gestation). Eleven women were interviewed, 8 of whom were pregnant at the time of the interview. Modified grounded theory was used to guide the research methodology and to analyze the data. A model was developed to illustrate women's experiences of decision making in relation to subsequent pregnancy and of subsequent pregnancy itself. The results of the current study have significant implications for women who have experienced stillbirth and the health professionals who work with them. Based on the model, women may find it helpful to discuss their beliefs in relation to healing and health professionals to provide support with this in mind. Women and their partners may also benefit from explanations and support about the potentially conflicting emotions they may experience during this time. © 2013 by the American College of Nurse-Midwives.

  17. Danish women's experiences of the rebozo technique during labour

    DEFF Research Database (Denmark)

    Iversen, Mette Langeland; Midtgaard, Julie; Ekelin, Maria

    2017-01-01

    from two different-sized Danish hospitals and identified by applying a purposeful sample strategy. Results: The main theme expressed the women's overall experience with the rebozo: “Joined movements in a harmless effort towards a natural birth”. The women experienced that the technique created bodily......Objective: The study aimed to explore women's experiences of the rebozo technique during labour. Methods: This was a qualitative study based on individual telephone interviews, analysed by means of qualitative content analysis and inspired by interpretive description. 17 participants were recruited...

  18. What Makes Women Experience Desire?

    NARCIS (Netherlands)

    Laan, Ellen; Both, Stephanie

    2008-01-01

    What makes women experience sexual desire? According to Kaplan, normal sexual response starts with desire, progresses through excitement or arousal, and ends with orgasm (Kaplan, 1974). This model implies that sexual desire is something you either have or don't have, and, if you don't have it, there

  19. Successful African American Women School Leaders in Florida

    Science.gov (United States)

    Waldron-Asuncion, Alma

    2016-01-01

    The focus of this basic qualitative study was to explore the lived experiences of Floridian African American women in secondary educational leadership positions. Using critical race theory and Black feminist standpoint theory as a theoretical framework, this narrative analysis serves to increase the understanding of leadership styles among a…

  20. Dietary patterns and the risk of colorectal adenomas: the Black Women's Health Study.

    Science.gov (United States)

    Makambi, Kepher H; Agurs-Collins, Tanya; Bright-Gbebry, Mireille; Rosenberg, Lynn; Palmer, Julie R; Adams-Campbell, Lucile L

    2011-05-01

    Colorectal adenomas are benign lesions that may be precursors to colorectal cancer. No studies of African American women have investigated dietary patterns and the risk of developing colorectal adenomas. We examined data from the Black Women's Health Study to determine whether dietary patterns are associated with the risk of developing colorectal adenomas. This is a prospective cohort study of 59,000 participants followed biennially since 1995. During 155,414 person-years of follow-up from 1997 to 2007 among women who had had at least one screening colonoscopy, 620 incident cases of colorectal adenomas were identified. By using Cox regression models, we obtained incidence rate ratios (IRR) for colorectal adenoma in relation to quintiles of each of two dietary patterns, adjusting for other colorectal adenoma risk factors. Two dietary patterns, Western and prudent, were utilized to assess the association between dietary intake and adenoma risk. The highest quintile of prudent diet, relative to the lowest quintile, was significantly associated with 34% lower colorectal adenoma risk overall (IRR = 0.66; 95% CI, 0.50-0.88; P(trend) pattern were associated with a higher risk of developing colorectal adenoma (IRR = 1.42; 95% CI, 1.09-1.85 for the highest quintile relative to the lowest; P(trend) = 0.01). Our findings suggest that African American women may be able to reduce their risk of developing colorectal adenomas by following a prudent dietary pattern and avoiding a more Western pattern. A dietary modification could have a strong impact in colorectal adenoma prevention in African American women. ©2011 AACR.

  1. Black Women in the New Services Economy: Help or Hinderance in Economic Self-Sufficiency? Working Paper No. 196.

    Science.gov (United States)

    Woody, Bette

    This report of a study based on research and analysis of U.S. Census data examines how the services economy and its component industrial sectors have spurred employment growth and with its gains and losses for black women. The report is divided into three parts. The first part looks at current theories related to work and workforce participation…

  2. Poverty, sexual behaviour, gender and HIV infection among young black men and women in Cape Town, South Africa.

    Science.gov (United States)

    Nattrass, Nicoli; Maughan-Brown, Brendan; Seekings, Jeremy; Whiteside, Alan

    2012-12-01

    This article contributes methodologically and substantively to the debate over the importance of poverty, sexual behaviour and circumcision in relation to HIV infection, using panel data on young black men and women in Cape Town, South Africa. Methodological challenges included problems of endogeneity and blunt indicator variables, especially for the measurement of sexual behaviour. Noting these difficulties, we found that the importance of socioeconomic and sexual-behavioural factors differed between men and women. While we found a clear association between the number of years of sexual activity and HIV status among both men and women, we found that past participation in a concurrent sexual partnership increased the odds of HIV infection for men but not women. Women, but not men, who made the transition from school to tertiary education (our key indicator of socioeconomic status) were less likely to be HIV-positive than those who made the transition from school to unemployment. Both poverty and sexual behaviour matter to individuals' HIV risk, but in gendered ways.

  3. Understanding women's experiences with medical abortion: In-depth interviews with women in two Indian clinics.

    Science.gov (United States)

    Ganatra, B; Kalyanwala, S; Elul, B; Coyaji, K; Tewari, S

    2010-01-01

    We explored women's perspectives on using medical abortion, including their reasons for selecting the method, their experiences with it and their thoughts regarding demedicalisation of part or all of the process. Sixty-three women from two urban clinics in India were interviewed within four weeks of abortion completion using a semi-structured in-depth interview guide. While women appreciated the non-invasiveness of medical abortion, other factors influencing method selection were family support and distance from the facility. The degree of medicalisation that women wanted or felt was necessary also depended on the way expectations were set by their providers. Confirmation of abortion completion was a source of anxiety for many women and led to unnecessary interventions in a few cases. Ultimately, experiences depended more on women's expectations about the method, and on the level of emotional and logistic support they received rather than on inherent characteristics of the method. These findings emphasise the circumstances under which women make reproductive choices and underscore the need to tailor service delivery to meet women's needs. Women-centred counselling and care that takes into consideration individual circumstances are needed.

  4. Acceptability and Feasibility of a Sexual Health Intervention for Young Adult Black Women.

    Science.gov (United States)

    Montgomery, Tiffany M; Mays, Vickie M; Heilemann, MarySue V; Nyamathi, Adey; Bauermeister, Jose A; Koniak-Griffin, Deborah

    2018-05-16

    To assess the acceptability and feasibility of S2S, a newly adapted behavior intervention to address high-risk sexual behavior. Pilot randomized controlled trial. The Internet and text messages with no in-person interactions. Eighty-eight Black women, ages 18 to 24 years, were randomly assigned to the intervention or control groups and self-enrolled in the respective text message program. Participants in the intervention group were sent text messages about sexual health, whereas those in the control group were sent text messages about diet and/or exercise. Participants in each group received 24 text messages, including text-only messages, memes, and infopics. Participants in the intervention group also received videos links. All text messages were sent three times per week for 8 weeks. Quantitative methods were used to analyze data from the message and video platform reports. Quantitative and qualitative methods were used to analyze participants' responses to an acceptability and feasibility survey. Overall, the delivery of health promotion text messages was viewed as acceptable and feasible by participants in both groups. Most of the short answer responses from participants were favorable, and responses to the acceptability and feasibility survey yielded a total mean score of 4.01 on a 5-point scale. Results from this study support the idea that evidence-based interventions can be adapted for delivery by text message. This delivery modality is acceptable to young adult Black women and may help decrease barriers that would otherwise prevent them from receiving health promotion messages. Copyright © 2018 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  5. Older women in Appalachia: experiences with gynecological cancer.

    Science.gov (United States)

    Allen, Katherine R; Roberto, Karen A

    2014-12-01

    The purpose of this study was to explore how older women in rural Appalachia with gynecological cancer construct and interpret their experience with cancer. Grounded in social constructionist theory, semistructured in-depth interviews were conducted with 20 women, aged 51-82, who had been treated for gynecological cancer. Transcripts were analyzed using the constant comparative method. Although women narrated their experience along a common trajectory from symptoms to diagnosis to treatment, four distinct patterns of posttreatment perceptions were described: (a) positive: women believed they were cancer survivors, (b) cautious: women saw themselves as survivors but not risk free, (c) distanced: women viewed themselves as cured and equated survivor with victim, and (d) resigned: women refused more treatment. All of the women acknowledged an inner strength in how they experienced cancer, requiring a more nuanced framework for understanding how negative and positive feelings coexist with faith in a higher power and the capacity to endure a devastating threat to life and health. The findings expand the concept of survivor identity, suggesting that the women's perception that they had met life's challenges with fortitude and inner strength may have more resonance in later life than the concept of survivorship. Family members and medical and public health professionals need to support older women's individual response to cancer recovery and acknowledge their complicated reactions to a cancer diagnosis and prognosis. © The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. The Workplace Experiences of Women with Fibromyalgia.

    Science.gov (United States)

    Juuso, Päivi; Skär, Lisa; Sundin, Karin; Söderberg, Siv

    2016-06-01

    Fibromyalgia (FM) is a common pain syndrome that mostly affects women. Chronic pain and other symptoms often chalenge work for women with FM. This study aimed to explore how women with FM experience their work situations. A purposive sample of 15 women with FM was interviewed with in-depth qualitative interviews. Data were analysed using a hermeneutic approach. The results revealed that women with FM experienced incapacity to work as they had previously and eventually accepted that their work life had changed or reached its end. Since their work had great significance in their lives, feelings of loss and sorrow were common. Women who were working, unemployed, or on sick leave described feelings of fear for their future work situations. Women with FM greatly value their work. Their wish to perform work as before is however, not consistent with their abilities. As such, women with FM need support in continuing to work for as long as possible, after which they need support in finding new values in life. Copyright © 2016 John Wiley & Sons, Ltd.

  7. Improved Birth Weight for Black Infants: Outcomes of a Healthy Start Program

    Science.gov (United States)

    Zielinski, Ruth; James, Arthur; Charoth, Remitha M.; del Carmen Sweezy, Luz

    2014-01-01

    Objectives. We determined whether participation in Healthy Babies Healthy Start (HBHS), a maternal health program emphasizing racial equity and delivering services through case management home visitation, was associated with improved birth outcomes for Black women relative to White women. Methods. We used a matched-comparison posttest-only design in which we selected the comparison group using propensity score matching. Study data were generated through secondary analysis of Michigan state- and Kalamazoo County–level birth certificate records for 2008 to 2010. We completed statistical analyses, stratified by race, using a repeated-measures generalized linear model. Results. Despite their smoking rate being double that of their matched counterparts, Black HBHS participants delivered higher birth-weight infants than did Black nonparticipants (P = .05). White HBHS participants had significantly more prenatal care than did White nonparticipants, but they had similar birth outcomes (P = .7 for birth weight; P = .55 for gestation). Conclusions. HBHS participation is associated with increased birth weights among Black women but not among White women, suggesting differential program gains for Black women. PMID:24354844

  8. Abortion experiences among Zanzibari women: a chain-referral sampling study.

    Science.gov (United States)

    Norris, Alison; Harrington, Bryna J; Grossman, Daniel; Hemed, Maryam; Hindin, Michelle J

    2016-03-11

    In Zanzibar, a semi-autonomous region of Tanzania, induced abortion is illegal but common, and fewer than 12% of married reproductive-aged women use modern contraception. As part of a multi-method study about contraception and consequences of unwanted pregnancies, the objective of this study was to understand the experiences of Zanzibari women who terminated pregnancies. The cross-sectional study was set in Zanzibar, Tanzania. Participants were a community-based sample of women who had terminated pregnancies. We carried out semi-structured interviews with 45 women recruited via chain-referral sampling. We report the characteristics of women who have had abortions, the reasons they had abortions, and the methods used to terminate their pregnancies. Women in Zanzibar terminate pregnancies that are unwanted for a range of reasons, at various points in their reproductive lives, and using multiple methods. While clinical methods were most effective, nearly half of our participants successfully terminated a pregnancy using non-clinical methods and very few had complications requiring post abortion care (PAC). Even in settings where abortion is illegal, some women experience illegal abortions without adverse health consequences, what we might call 'safer' unsafe abortions; these kinds of abortion experiences can be missed in studies about abortion conducted among women seeking PAC in hospitals.

  9. Honouring Stories: Mi'kmaq Women's Experiences with Pap Screening in Eastern Canada.

    Science.gov (United States)

    MacDonald, Catherine; Martin-Misener, Ruth; Steenbeek, Audrey; Browne, Annette

    2015-03-01

    Mi'kmaq women are reported to have lower rates of Papanicolaou (Pap) screening and higher rates of cervical cancer than non-Aboriginal women. This qualitative participatory study used postcolonial feminist perspectives and Indigenous principles to explore Mi'kmaq women's experiences with Pap screening within the contexts that shaped their experiences. Community facilitators assisted with the research process. Talking circles and individual in-depth interviews were conducted with 16 Mi'kmaq women. Also, health-care providers were interviewed in 2 Mi'kmaq communities. The findings indicate that historical and social contexts are shaping Mi'kmaq women's screening experiences and that these experiences are diverse, as are their understandings about screening. Some women were accessing regular screening despite challenging personal circumstances. The results highlight the need for nurses and other health-care providers to understand the uniqueness of each woman's experiences with Pap screening. Improvements in screening rates depend on multifaceted nursing approaches developed in partnership with Mi'kmaq women. Copyright© by Ingram School of Nursing, McGill University.

  10. Taiwanese women's experiences of hospital midwifery care: a phenomenological study.

    Science.gov (United States)

    Kuo, Su-Chen; Wu, Cheng Jing; Mu, Pei-Fan

    2010-08-01

    to explore women's experiences in interaction with their midwives during their antenatal checks and during labour. a qualitative study using a phenomenological approach. Data were collected via tape-recorded interviews. All interviews were transcribed verbatim. Data were analysed using Colaizzi's method for data analysis. the homes of the study participants in the district of a Taipei (Taiwan) teaching hospital. a purposive sample of 11 Taiwanese women, one primipara, and 10 multiparae, who were one to three months post-childbirth at the time of interview. five major themes revealed the essence of women's experiences of their interaction with a midwife during pregnancy and childbirth: (1) being respected, (2) being accompanied, (3) trust, (4) being satisfied, and (5) professional competence. the women recognised the service model of the midwife; they treasured their mutual relationships and the benefits that women derived from midwifery care during childbirth. In Taiwan, the government is mandated to offer midwifery models of care in hospitals, and to allow women to choose different types of care provider. an awareness of women's experiences will help identify the caring behaviours as recognised by the women and may help health-care professionals provide better support and care for women during the pregnancy and childbirth periods. These findings can serve as references for future midwifery practice models and improvements in quality of care. Crown Copyright 2008. Published by Elsevier Ltd. All rights reserved.

  11. A study of the lived experiences of African American women STEM doctoral degree completers

    Science.gov (United States)

    Squires, Stephanie Michelle

    This study examined the lived experiences of African American women (AAW) who completed doctoral degrees in a STEM (science, technology, engineering, and mathematics) discipline in the United States. This study sought to fill the gap in the literature by examining how AAW described and made meaning of lived STEM educational experiences during doctoral degree completion in the context of the intersection of being African American and a woman. This study utilized a theoretical perspective based upon three theories: (a) critical race theory as a framework to gather AAW's narratives about STEM doctorate education, (b) Black feminist thought as a framework to view the intersection of being African American and a woman in the United States, and (c) the science identity model as a framework to view how women of color successfully complete scientific graduate degrees. Participants revealed that being an African American and a woman in a STEM doctoral program often complicated an already difficult process of completing the doctoral degree. The participants described the educational experience as challenging, particularly the writing of the dissertation. The challenges that the participants faced were due to various factors such as difficult advisor/advisee relationships, tedious writing and revision processes, politics, and lack of information regarding the doctoral degree process. The findings suggested that AAW participants confronted intrinsic bias while completing STEM doctoral degrees, which led to isolation and feelings of being an impostor---or feelings of not belonging in scientific studies. The findings also indicated that the women in this study ascribed success in dissertation writing and degree completion to one or more of the following attributes: (a) having a clear plan, (b) taking ownership of the writing process, (c) having an engaged advisor, (d) learning the writing style of the advisor, (e) understanding the temperament of the advisor, (f) personal will

  12. Understanding Women's Differing Experiences of Distress after Colposcopy: A Qualitative Interview Study.

    LENUS (Irish Health Repository)

    O'Connor, Mairead

    2015-01-01

    Women who have an abnormal cervical cytology test may be referred for a colposcopy. Accumulating evidence suggests some women may experience distress after colposcopy. This exploratory study examined women\\'s differing experiences of post-colposcopy distress with the aim of identifying factors that are predictive of, or protective against, distress.

  13. Pelvic examination experiences in women with and without chronic pain during intercourse.

    Science.gov (United States)

    Boyer, Stéphanie C; Pukall, Caroline F

    2014-12-01

    Although pelvic examinations (PEs) are an important component of women's health, some women experience difficulty during PEs due to anxiety and pain. These difficulties may be heightened in women with chronic pain during sexual intercourse. Some evidence suggests that this population experiences pain and distress during PEs, but their experiences in this context have not been empirically investigated from a multidimensional perspective. The aims of this study were to compare the PE experiences of women with and without pain during intercourse and to examine predictors of negative experiences in each group. Women with vulvovaginal pain (n = 90), pelvic pain (n = 89), and women without current intercourse pain (n = 207) completed an online survey including sections assessing demographics, gynecological and medical history, and PE experiences. Respondents completed questionnaires assessing vaginal penetration cognitions and body image. Participants rated their most recent PE on numerical scales for pain, embarrassment, anxiety, and the overall quality of the experience. Women with pelvic and vulvovaginal pain during intercourse reported significantly more pain and anxiety during their most recent PE compared with the no pain group, and women with a higher number of lifetime gynecological diagnoses reported significantly more pain. Multiple regression analyses indicated that various predisposing, examination-related, and psychological factors predicted specific PE ratings in each group. The results provide empirical support that PEs are more physically and emotionally difficult for women who experience chronic pain during intercourse. These findings have important clinical implications, as PEs are a critical part of complete reproductive care and play an essential role in the assessment/management of sexual pain, including Genito-Pelvic Pain/Penetration Disorder. © 2014 International Society for Sexual Medicine.

  14. Professional women's well-being: the role of discrimination and occupational characteristics.

    Science.gov (United States)

    Maddox, Torsheika

    2013-01-01

    This study examined the association between perceived discrimination, workplace racial composition, and three outcomes-psychological distress, life dissatisfaction, and job dissatisfaction-among a sample of Black (n = 72) and White (n = 74) professional women. As a comparison, these relationships were analyzed to determine if they varied from those observed in more traditionally studied populations: Whites and non-professional Blacks, using data from a population of working women in the 1995 Detroit Area Study (N = 533). Perceived discrimination was associated with differences in psychological distress and job dissatisfaction but not with life dissatisfaction. The correlation between perceived discrimination and psychological distress was larger for White professional women than for Black professional women (White women odds ratio [OR]: 1.99; Black women OR: 0.80). A larger correlation between race and job dissatisfaction was observed for Black professional women than for Black non-professional women. The racial composition of the workplace was unrelated to any of the outcomes. Study results emphasized the importance of decreasing the frequency of discrimination for positive mental health and underscored the need for more systematic research on discrimination and health among Black women of higher socioeconomic status, a growing sub-population in the United States.

  15. Women's postpartum maternity benefits and work experience.

    Science.gov (United States)

    Gjerdingen, D K; McGovern, P M; Chaloner, K M; Street, H B

    1995-10-01

    This study was conducted to describe women's perceptions of their maternity leave policy and its implementation, maternity leave benefits, postpartum work experience, and factors that relate to returning to work. Surveys were mailed to 436 married, recently employed, first-time mothers at 1, 3, 6, 9 and 12 months postpartum. Most respondents said they had written maternity leave policies they could understand, but they were not completely satisfied with their policies. The average 11.1-week maternity leave was considerably shorter than their 8-month ideal, and only 25.5% had the option of working part-time. A minority (35.8%) were allowed to use personal days to care for a sick infant. Most women were distressed about making child care arrangements. Compared with women who remained at home, those who returned to work complained of more respiratory, gynecologic, and breast symptoms. Relatively little is known about women's postpartum work experience. In this study, return to work after delivery was related to several demographic, occupational, and social factors and was associated with health problems and concerns about child care. With a majority of new mothers now returning to work, attention has recently been directed to factors that facilitate the merger of work and parenting roles. One such important factor is women's parental or maternity leave benefits, the focus of this study.

  16. Female Sterilization and Poor Mental Health: Rates and Relatedness among American Indian and Alaska Native Women.

    Science.gov (United States)

    Cackler, Christina J J; Shapiro, Valerie B; Lahiff, Maureen

    2016-01-01

    To describe the reproductive and mental health of American Indian and Alaska Native (AI/AN) women, an understudied population. Data from the 2004 Behavioral Risk Factor Surveillance System survey were analyzed to determine the 1) prevalence of female sterilization among a nationally representative sample of reproductive age AI/AN women and 2) the association of female sterilization and poor mental health among AI/AN women compared with non-Hispanic White, non-Hispanic Black, and Hispanic women. Nearly 25% of AI/AN women reported female sterilization, a prevalence higher than the comparison racial/ethnic groups (p women reporting female sterilization had nearly 2.5 times the odds of poor mental health compared with AI/AN women not reporting female sterilization (p = .001). The same magnitude of relationship between female sterilization and poor mental health was not found for non-Hispanic White, non-Hispanic Black, and Hispanic women. The prevalence of female sterilization is greater among AI/AN women compared with non-Hispanic White, non-Hispanic Black, and Hispanic women, and AI/AN women reporting female sterilization have higher odds of reporting poor mental health. Common cultural experiences, such as a shared ancestral history of forced sterilizations, may be relevant, and could be considered when providing reproductive and mental health services to AI/AN women. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  17. Vixen resistin': redefining black womanhood in hip-hop music videos.

    Science.gov (United States)

    Balaji, Murali

    2010-01-01

    In recent years, scholarship on Black womanhood has become more closely connected to postmodern discourses on identity and resistance, following in the footsteps of Audre Lorde's claim that identity and sexuality have emancipatory potential. However, in the post-hip-hop era, feminists and media critics have once again brought up the idea of who controls the image. The purpose of this study is to describe possible sites of self-definition by Black women in music videos while accounting for the cultural industries that reproduce and exploit Black women's sexuality. Using textual analysis and the perspective of a noted music video performer, Melyssa Ford, this study articulates the expanse of ambiguity that lies between the images of Black womanhood that bombard consumers of BET and MTV and the selfconceptualization of the women who play those roles.

  18. Employment Gains and Wage Declines: The Erosion of Black Women’s Relative Wages Since 1980

    Science.gov (United States)

    PETTIT, BECKY; EWERT, STEPHANIE

    2009-01-01

    Public policy initiatives in the 1950s and 1960s, including Affirmative Action and Equal Employment Opportunity law, helped mitigate explicit discrimination in pay, and the expansion of higher education and training programs have advanced the employment fortunes of many American women. By the early 1980s, some scholars proclaimed near equity in pay between black and white women, particularly among young and highly skilled workers. More recent policy initiatives and labor market conditions have been arguably less progressive for black women’s employment and earnings: through the 1980s, 1990s, and the first half of the 2000s, the wage gap between black and white women widened considerably. Using data from the Current Population Survey Merged Outgoing Rotation Group (CPS-MORG), this article documents the racial wage gap among women in the United States from 1979 to 2005. We investigate how demographic and labor market conditions influence employment and wage inequality among black and white women over the period. Although shifts in labor supply influence the magnitude of the black-white wage gap among women, structural disadvantages faced by black women help explain the growth in the racial wage gap. PMID:19771940

  19. Mammography discomfort: a holistic perspective derived from women's experiences

    International Nuclear Information System (INIS)

    Poulos, Ann; Llewellyn, Gwynnyth

    2005-01-01

    Purpose: Mammography discomfort has the potential to deter women from attending for regular breast screening. Previous studies have focussed on the pain/discomfort of the mammography procedure itself. The purpose of this study was to consider discomfort from a holistic perspective of the mammography experience derived from the women themselves. Methods: Qualitative research methods were employed. Using theoretical sampling, 12 women who had recently experienced mammography were interviewed. The interview questions aimed to explore the experience of women attending for a mammogram from arrival to departure and beyond in order to identify aspects which potentially increase discomfort. Data analysis involved coding and categorisation and identification of key concepts and their relationships. Results: A conceptual framework was developed that demonstrates the contributors to mammography discomfort and the relationships between these as identified by the women. Conclusions: The conceptual framework has important implications for clinical practice and future research

  20. Understanding the breast cancer experience: a qualitative study of Malaysian women.

    Science.gov (United States)

    Yusuf, Azlina; Ab Hadi, Imi Sairi; Mahamood, Zainal; Ahmad, Zulkifli; Keng, Soon Lean

    2013-01-01

    Breast cancer is the most common and leading cause of cancer mortality among Malaysian women. Despite good survival rates, the diagnosis of cancer still invokes the feeling of stress, fear and uncertainty. Because very little is known about the experiences of Malaysian women with breast cancer, a qualitative study using semi- structured interviews to explore the lived experience of newly diagnosed breast cancer. Using a purposive sampling method, 20 Malaysian women newly diagnosed with breast cancer, including Malays (n=10) and Chinese (n=10) were recruited in two main public hospitals in Kelantan. Similarities and divergence in women's experience were identified through thematic analysis of interview transcripts. Three themes emerged from the data: uncertainty experience of the illness, transition process and fatalistic view of breast cancer. In many ways, these findings were parallel with previous studies, suggesting that the experience of breast cancer is to a certain extent similar among women newly diagnosed with breast cancer. This study adds to the sparse literature concerning the experience of illness following breast cancer diagnosis among the Malays and Chinese. More importantly, this study addressed areas that were previously lacking, specifically in depth information on breast cancer experience from a developing country with a multi-ethnic population. The results of this investigation provide preliminary information to healthcare professionals on the impact of illness and cultural influence on survivorship to plan for appropriate education and supportive programme in order to meet the needs of breast cancer women more effectively.

  1. Measuring Black men's police-based discrimination experiences: Development and validation of the Police and Law Enforcement (PLE) Scale.

    Science.gov (United States)

    English, Devin; Bowleg, Lisa; Del Río-González, Ana Maria; Tschann, Jeanne M; Agans, Robert P; Malebranche, David J

    2017-04-01

    Although social science research has examined police and law enforcement-perpetrated discrimination against Black men using policing statistics and implicit bias studies, there is little quantitative evidence detailing this phenomenon from the perspective of Black men. Consequently, there is a dearth of research detailing how Black men's perspectives on police and law enforcement-related stress predict negative physiological and psychological health outcomes. This study addresses these gaps with the qualitative development and quantitative test of the Police and Law Enforcement (PLE) Scale. In Study 1, we used thematic analysis on transcripts of individual qualitative interviews with 90 Black men to assess key themes and concepts and develop quantitative items. In Study 2, we used 2 focus groups comprised of 5 Black men each (n = 10), intensive cognitive interviewing with a separate sample of Black men (n = 15), and piloting with another sample of Black men (n = 13) to assess the ecological validity of the quantitative items. For Study 3, we analyzed data from a sample of 633 Black men between the ages of 18 and 65 to test the factor structure of the PLE, as we all as its concurrent validity and convergent/discriminant validity. Qualitative analyses and confirmatory factor analyses suggested that a 5-item, 1-factor measure appropriately represented respondents' experiences of police/law enforcement discrimination. As hypothesized, the PLE was positively associated with measures of racial discrimination and depressive symptoms. Preliminary evidence suggests that the PLE is a reliable and valid measure of Black men's experiences of discrimination with police/law enforcement. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  2. Falling out: authoritative knowledge and women's experiences with pelvic organ prolapse.

    Science.gov (United States)

    Low, Lisa Kane; Tumbarello, Julie A

    2012-01-01

    Despite the high prevalence of pelvic organ prolapse, many women suffer in silence, lacking the language and opportunity to describe their condition. There are limited descriptions of women's experiences with pelvic organ prolapse in the literature. This qualitative study addressed the knowledge and experience of women with pelvic organ prolapse. Semistructured interviews were conducted with 13 women who had been previously diagnosed with pelvic organ prolapse. Transcripts of the interviews were reviewed and coded using a process of content analysis compared against the framework of authoritative knowledge, developed by Brigitte Jordan. By applying the concept of authoritative knowledge, we identified 3 themes of how women construct understanding about pelvic organ prolapse and how they demonstrate deference to the authoritative knowledge of medical providers. First, we found through women's narratives that authoritative knowledge was held by the health care provider and is considered consequential and legitimate by all participants. Second, women reported that the health care provider's authoritative knowledge was valued over personal, experiential knowledge. Finally, women described how they work with their health care providers to create a system of authoritative knowledge as they seek treatment for or discuss their condition. Throughout the narratives, women's experiences are not legitimized by the women or the medical community, perpetuating the "hidden" nature of these conditions. This analysis provides qualitative evidence of Jordan's authoritative knowledge: women and health care providers contribute to dimensions of authoritative knowledge surrounding pelvic organ prolapse. Despite what women experience, the health care provider's definition and understanding of pelvic organ prolapse is seen as legitimate and consequential. Because of their construction of their condition, and the power dynamic at play, women are silenced, and their expertise about their

  3. Going Upstream: The Experiences of Women in Leadership in Myanmar

    Science.gov (United States)

    Mon, Nyein Su; Saito, Eisuke

    2018-01-01

    This study conducted an appreciative investigation of the experiences of Myanmar women in leadership. Specifically, the focus was on what sustains them, how they negotiate the complexity of their context, and what propels them. Drawn from the experiences of three Myanmar women leaders, the findings indicated that 'their formal and informal…

  4. Multiple strategies to identify HIV-positive black men who have sex with men and transgender women in New York City: a cross-sectional analysis of recruitment results.

    Science.gov (United States)

    Franks, Julie; Mannheimer, Sharon B; Hirsch-Moverman, Yael; Hayes-Larson, Eleanor; Colson, Paul W; Ortega, Hugo; El-Sadr, Wafaa M

    2018-03-01

    Black men who have sex with men and transgender women are at high risk for HIV infection, but are more likely to be unaware of their infection or not in care for diagnosed HIV compared to other races. Respondent driven sampling has been advanced as a method to reach stigmatized and hidden populations for HIV testing. We compared strategies to recruit black, substance-using men who have sex with men and transgender women to identify newly diagnosed HIV infection, or those previously diagnosed but not in care. The STAR (Seek, Test, and Retain) study (ClinicalTrials.gov NCT01790360) used several recruitment strategies to identify black, substance-using men who have sex with men and transgender women with undiagnosed HIV infection or with previously diagnosed HIV infection but who were not in HIV care. Respondent-driven sampling, community-based recruitment and online advertising were used to recruit participants. Incentivized peer referral was integrated into all recruitment strategies. Participants completed interviewer-administered questionnaires and HIV testing. Demographic and HIV risk-related characteristics and recruitment strategy were summarized and stratified by HIV status. Associations were tested using Pearson's chi-squared, Fisher's exact, and Wilcoxon rank sum tests. Factors associated with HIV-positive diagnosis at p recruitment strategies, respondent driven sampling was least effective in identifying HIV-positive participants. Integrating multiple recruitment strategies yielded a large sample of black men who have sex with men and transgender women at substantial risk for HIV. Respondent-driven sampling was less effective than other strategies at identifying men who have sex with men and transgender women with HIV. © 2018 The Authors. Journal of the International AIDS Society published by John Wiley & sons Ltd on behalf of the International AIDS Society.

  5. Grief Interrupted: The Experience of Loss Among Incarcerated Women

    Science.gov (United States)

    Harner, Holly M.; Hentz, Patricia M.; Evangelista, Maria Carmela

    2011-01-01

    Incarcerated women face a number of stressors apart from the actual incarceration. Nearly half of all women in prison experience the death of a loved one during their incarceration. Our purpose for this study was to explore the experience of grief and loss among incarcerated women using a phenomenological method. Our study approach followed van Manen's method of phenomenology and Munhall's description of existential lifeworlds. Our analysis revealed four existential lifeworlds: temporality: frozen in time; spatiality: no place, no space to grieve; corporeality: buried emotions; and relationality: never alone, yet feeling so lonely. The findings generated from this study can help mental health providers as well as correctional professionals develop policies and programs that facilitate the grief process of incarcerated women within the confines of imprisonment. PMID:20581074

  6. Women's experiences of becoming a mother after prolonged labour.

    Science.gov (United States)

    Nystedt, Astrid; Högberg, Ulf; Lundman, Berit

    2008-08-01

    This paper is a report of a study to explore women's experiences of becoming a mother after prolonged labour. The negativity associated with a complicated labour such as prolonged labour can lead to a struggle to become a healthy mother and could restrict the process of becoming a mother. Interviews were conducted in 2004 with 10 mothers who had been through a prolonged labour with assisted vaginal or caesarean delivery 1-3 months previously. Thematic content analysis was used. Three themes were formulated, describing women's experiences as fumbling in the dark, struggling for motherhood and achieving confidence in being a mother. The difficulties and suffering involved in becoming a mother after a prolonged labour were interpreted to be like 'fumbling in the dark'. Women experienced bodily fatigue, accompanied by feelings of illness and detachment from the child. Having the child when in this condition entailed a struggle to become a mother. In spite of these experiences and the desire to achieve confidence in being a mother, the reassurance of these women regarding their capacity for motherhood was crucial: it was central to their happiness as mothers, encouraged interaction and relationship with the child, and contributed to their adaptation to motherhood. Women experiencing prolonged labour may be comparable with the experience of and recovery from illness, which could contribute to difficulties transitioning to motherhood and limit a woman's ability to be emotionally available for the child.

  7. Women Engineering Transfer Students: The Community College Experience

    Science.gov (United States)

    Patterson, Susan J.

    2011-01-01

    An interpretative philosophical framework was applied to a case study to document the particular experiences and perspectives of ten women engineering transfer students who once attended a community college and are currently enrolled in one of two university professional engineering programs. This study is important because women still do not earn…

  8. Panamanian women׳s experience of vaginal examination in labour: A questionnaire validation.

    Science.gov (United States)

    Bonilla-Escobar, Francisco J; Ortega-Lenis, Delia; Rojas-Mirquez, Johanna C; Ortega-Loubon, Christian

    2016-05-01

    to validate a tool that allows healthcare providers to obtain accurate information regarding Panamanian women׳s thoughts and feelings about vaginal examination during labour that can be used in other Latin-American countries. validation study based on a database from a cross-sectional study carried out in two tertiary care hospitals in Panama City, Panama. Women in the immediate postpartum period who had spontaneous labour onset and uncomplicated deliveries were included in the study from April to August 2008. Researchers used a survey designed by Lewin et al. that included 20 questions related to a patient׳s experience during a vaginal examination. five constructs (factors) related to a patient׳s experience of vaginal examination during labour were identified: Approval (Alpha Cronbach׳s 0.72), Perception (0.67), Rejection (0.40), Consent (0.51), and Stress (0.20). it was demonstrated the validity of the scale and its constructs used to obtain information related to vaginal examination during labour, including patients' experiences with examination and healthcare staff performance. utilisation of the scale will allow institutions to identify items that need improvement and address these areas in order to promote the best care for patients in labour. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. At Hesitant Doors: The lived experience of women in STEM

    OpenAIRE

    Romina B. da Costa

    2016-01-01

    This phenomenological investigation aims to explore the lived experience of women in Science, Technology, Engineering and Mathematics (STEM) disciplines. As a minority group within a traditionally male-dominated space, women are still underrepresented in the upper echelons of science, even if the number of women in STEM is increasing. The author draws from her experiences as an “undesirable statistic,” a woman who entered college as a STEM student but ended up getting a degree in the social s...

  10. Urbanization of black South African women may increase risk of low bone mass due to low vitamin D status, low calcium intake, and high bone turnover.

    Science.gov (United States)

    Kruger, Marlena C; Kruger, Iolanthé M; Wentzel-Viljoen, Edelweiss; Kruger, Annamarie

    2011-10-01

    Globally, rural to urban migration is accompanied by changes in dietary patterns and lifestyle that have serious health implications, including development of low bone mass. We hypothesized that serum 25 (OH) vitamin D3 (25[OH]D3) levels will be lower, bone turnover higher, and nutrition inadequate in urban postmenopausal black women, increasing risk for low bone mass. We aimed to assess the prevalence of risk factors for low bone mass in 1261 black women from rural and urban areas in the North West Province of South Africa (Prospective Urban and Rural Epidemiology-South Africa project). Fasting blood samples were taken; and participants were interviewed to complete questionnaires on self-reported diseases, fractures, and dietary intakes. Bone health markers were assessed in a subgroup of 658 women older than 45 years. Specific lifestyle risk factors identified were inactivity, smoking, injectable progestin contraception use, and high alcohol consumption. Dietary risk factors identified were low calcium and high animal protein, phosphorous, and sodium intakes. The 25(OH)D3 and C-terminal telopeptide (CTX) levels were significantly higher in the rural vs the urban women older than 50 years. Parathyroid hormone (PTH) levels increased with age in both groups. The 25(OH)D levels were inversely correlated with CTX and PTH in rural women. In urban women, PTH and CTX were correlated while dietary calcium was inversely correlated with CTX and PTH with 25(OH)D3. The combination of low dietary calcium (<230 mg/d), marginally insufficient 25(OH)D3 status, and raised PTH may result in increased bone resorption. Further research is required to assess bone health and fracture risk in black African women. Copyright © 2011 Elsevier Inc. All rights reserved.

  11. Women's experiences of mammography: A thematic evaluation of the literature

    International Nuclear Information System (INIS)

    Clark, Sarah; Reeves, Pauline J.

    2015-01-01

    Aim: The aim of this study was to analyse relevant literature to understand women's experiences of mammography-both screening and symptomatic. Method: A structured literature search was performed to locate relevant research. Research articles published between 2002 and 2013 were identified in CINAHL, MEDLINE and Science Direct. The quality of the research was assessed using an appropriate critical appraisal tool to enable a systematic and consistent assessment. Results: Qualitative thematic analysis of the literature identified five themes: fear, pain and discomfort, waiting, the physical environment and staff interactions. Whilst it is accepted that women's experiences are unique and diverse, literature suggested that these themes do influence women's experiences. Conclusion: Women's experiences of mammography were not limited to the examinations alone but encompassed the entire encounter. The themes identified influenced women's experiences and their perception of care

  12. Malign neglect: assessing older women's health care experiences in prison.

    Science.gov (United States)

    Aday, Ronald; Farney, Lori

    2014-09-01

    The problem of providing mandated medical care has become commonplace as correctional systems in the United States struggle to manage unprecedented increases in its aging prison population. This study explores older incarcerated women's perceptions of prison health care policies and their day-to-day survival experiences. Aggregate data obtained from a sample of 327 older women (mean age = 56) residing in prison facilities in five Southern states were used to identify a baseline of health conditions and needs for this vulnerable group. With an average of 4.2 chronic health conditions, frequently histories of victimization, and high rates of mental health issues, the women's experiences of negotiating health care was particularly challenging. By incorporating the voices of older women, we expose the contradictions, dilemmas, and obstacles they experience in their attempts to obtain health care. It is clear from the personal accounts shared that, despite court mandates, penal harm practices such as delaying or denying medical treatment as well as occasional staff indifferences are common in women's prisons. With older women having the greatest need for health care, an age- and gender-sensitive approach is recommended.

  13. Intergenerational Consequences: Women's Experiences of Discrimination in Pregnancy Predict Infant Social-Emotional Development at 6 Months and 1 Year.

    Science.gov (United States)

    Rosenthal, Lisa; Earnshaw, Valerie A; Moore, Joan M; Ferguson, Darrah N; Lewis, Tené T; Reid, Allecia E; Lewis, Jessica B; Stasko, Emily C; Tobin, Jonathan N; Ickovics, Jeannette R

    2018-04-01

    Racial/ethnic and socioeconomic disparities in infant development in the United States have lifelong consequences. Discrimination predicts poorer health and academic outcomes. This study explored for the first time intergenerational consequences of women's experiences of discrimination reported during pregnancy for their infants' social-emotional development in the first year of life. Data come from a longitudinal study with predominantly Black and Latina, socioeconomically disadvantaged, urban young women (N = 704, Mage = 18.53) across pregnancy through 1 year postpartum. Women were recruited from community hospitals and health centers in a Northeastern US city. Linear regression analyses examined whether women's experiences of everyday discrimination reported during pregnancy predicted social-emotional development outcomes among their infants at 6 months and 1 year of age, controlling for potentially confounding medical and sociodemographic factors. Path analyses tested if pregnancy distress, anxiety, or depressive symptoms mediated significant associations. Everyday discrimination reported during pregnancy prospectively predicted greater inhibition/separation problems and greater negative emotionality, but did not predict attention skills or positive emotionality, at 6 months and 1 year. Depressive symptoms mediated the association of discrimination with negative emotionality at 6 months, and pregnancy distress, anxiety, and depressive symptoms mediated the association of discrimination with negative emotionality at 1 year. Findings support that there are intergenerational consequences of discrimination, extending past findings to infant social-emotional development outcomes in the first year of life. It may be important to address discrimination before and during pregnancy and enhance support to mothers and infants exposed to discrimination to promote health equity across the life span.

  14. To Be Alone or in a Group: An Exploration into How the School-Based Experiences Differ for Black Male Teachers across One Urban School District

    Science.gov (United States)

    Bristol, Travis J.

    2018-01-01

    One urban district administered the Black Male Teacher Environment Survey (BMTES) to each of its Black male teachers to measure their school-based experiences. This article highlights descriptive statistics from the 86 Black male teacher respondents. Findings suggest that participants' background characteristics and school-based experiences varied…

  15. Measuring Black Men’s Police-Based Discrimination Experiences: Development and Validation of the Police and Law Enforcement (PLE) Scale

    Science.gov (United States)

    English, Devin; Bowleg, Lisa; del Río-González, Ana Maria; Tschann, Jeanne M.; Agans, Robert; Malebranche, David J

    2017-01-01

    Objectives Although social science research has examined police and law enforcement-perpetrated discrimination against Black men using policing statistics and implicit bias studies, there is little quantitative evidence detailing this phenomenon from the perspective of Black men. Consequently, there is a dearth of research detailing how Black men’s perspectives on police and law enforcement-related stress predict negative physiological and psychological health outcomes. This study addresses these gaps with the qualitative development and quantitative test of the Police and Law Enforcement (PLE) scale. Methods In Study 1, we employed thematic analysis on transcripts of individual qualitative interviews with 90 Black men to assess key themes and concepts and develop quantitative items. In Study 2, we used 2 focus groups comprised of 5 Black men each (n=10), intensive cognitive interviewing with a separate sample of Black men (n=15), and piloting with another sample of Black men (n=13) to assess the ecological validity of the quantitative items. For study 3, we analyzed data from a sample of 633 Black men between the ages of 18 and 65 to test the factor structure of the PLE, as we all as its concurrent validity and convergent/discriminant validity. Results Qualitative analyses and confirmatory factor analyses suggested that a 5-item, 1-factor measure appropriately represented respondents’ experiences of police/law enforcement discrimination. As hypothesized, the PLE was positively associated with measures of racial discrimination and depressive symptoms. Conclusions Preliminary evidence suggests that the PLE is a reliable and valid measure of Black men’s experiences of discrimination with police/law enforcement. PMID:28080104

  16. [Illness Experience of Married Korean Women with Epilepsy].

    Science.gov (United States)

    Shon, Young Min; Joung, Woo Joung

    2017-06-01

    The purpose of this study was to understand and describe the illness experience of married Korean women with epilepsy. Data were collected during 2015~2016 through individual in-depth interviews with 12 married women with epilepsy. Verbatim transcripts were analyzed using Giorgi's phenomenological analysis to uncover the meaning of the illness experience of the participants. The study results showed that the illness experience of married Korean women with epilepsy was clustered into a specific description of situated structure and a general description of situated structure. Six themes from 20 meaning units were identified: 1) Undermined self-esteem with stigma of being epileptic; 2) Limited social interaction; 3) Suffering sorrow as a 'disqualified being'; 4) Shuttling back and forth across the boundary between healthy and epileptic; 5) Desperate struggle to meet the expectation of given role; 6) Self-empowering through self-restriction and realization. The findings from this study show that both the enacted and felt stigma of epilepsy impact on the life of married Korean women with epilepsy. Although the participants face social and interpersonal restriction and prejudices, they try their best to fulfill their role rather than to be cared for as patients. As the stigma and hardships of the participants are related to lack of knowledge, health professionals should focus not just on clinical intervention but also on providing targeted educational programs and counseling for these women to dispel the stigma of the disease and to increase their quality of life. © 2017 Korean Society of Nursing Science

  17. An Intersectional Analysis of Women's Experiences of Smoking-Related Stigma.

    Science.gov (United States)

    Triandafilidis, Zoi; Ussher, Jane M; Perz, Janette; Huppatz, Kate

    2017-08-01

    In this article, we explore how young women encounter and counter discourses of smoking-related stigma. Twenty-seven young Australian women, smokers and ex-smokers, took part in interviews. A sub-sample of 18 participants took photographs to document their smoking experience, and took part in a second interview. Data were analyzed through Foucauldian discourse analysis. Four discourses were identified: "smoking as stigmatized," "the smoking double standard," "smoking as lower class," and "smokers as bad mothers." The women negotiated stigma in a variety of ways, shifting between agreeing, disagreeing, challenging, and displacing stigma onto "other" smokers. These experiences and negotiations of smoking-related stigma were shaped by intersecting identities, including gender, cultural background, social class, and mothering, which at times, compounded levels of stigmatization. It is concluded that tobacco control measures should consider the negative implications of smoking-related stigma, and the potential for women to experience compounding levels of stigma.

  18. Japanese women's experiences of pharmacological pain relief in New Zealand.

    Science.gov (United States)

    Doering, Keiko; Patterson, Jean; Griffiths, Christine R

    2014-06-01

    In Japan, most women manage labour pain without pharmacological interventions. However, New Zealand statistics show a high percentage of epidural use amongst Asian women. Entonox (a gas mixture of nitrous oxide and oxygen) and pethidine are also available to women in New Zealand. This article investigates how Japanese women in New Zealand respond to the use of pharmacological pain relief in labour. The study was guided by two research questions: (1) How do Japanese women experience and manage labour pain in New Zealand? (2) How do they feel about the use of pharmacological pain relief? Thirteen Japanese women who had given birth in New Zealand were interviewed individually or in a focus group. The conversations were analysed using thematic analysis. Although in Japan very few women use pain relief, nine women received epidural and/or Entonox out of 11 women who experienced labour pain. The contrast between their Japanese cultural expectations and their birth experiences caused some of the women subsequent personal conflict. Japanese women's cultural perspectives and passive attitudes were demonstrated to influence the decision-making process concerning pain relief. It was concluded that understanding Japanese cultural worldviews and approaches to the role of pain in labour would help maternity providers in their provision of appropriate care for Japanese women. Copyright © 2013 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  19. Women's experiences with medication for menstrual regulation in Bangladesh.

    Science.gov (United States)

    Marlow, Heather M; Biswas, Kamal; Griffin, Risa; Menzel, Jamie

    2016-01-01

    Menstrual regulation has been legal in Bangladesh since 1974, but the use of medication for menstrual regulation is new. In this study, we sought to understand women's experiences using medication for menstrual regulation in Bangladesh. We conducted 20 in-depth interviews with rural and urban women between December 2013 and February 2014. All interviews were audiotaped, transcribed, translated, computer recorded and coded for analysis. The majority of women in our study had had positive experiences with medication for menstrual regulation and successful outcomes, regardless of whether they obtained their medication from medicine sellers/pharmacies, doctors or clinics. Women were strongly influenced by health providers when deciding which method to use. There is a need to educate not only women of reproductive age, but also communities as a whole, about medication for menstrual regulation, with a particular emphasis on cost and branding the medication. Continued efforts to improve counselling by providers about the dose, medication and side-effects of medication for menstrual regulation, along with education of the community about medication as an option for menstrual regulation, will help to de-stigmatise the procedure and the women who seek it.

  20. The Church: Black Catholic Women Religious in Antebellum Period.

    Science.gov (United States)

    McNally, Michael J.

    1981-01-01

    Describes the formation of the Oblate Sisters of Providence and the Congregation of the Holy Family, two orders of Black nuns founded in the American South prior to the Civil War for the purposes of educating Black children and caring for orphans and elderly, abandoned slaves. (GC)

  1. A population study of the contribution of medical comorbidity to the risk of prematurity in blacks.

    Science.gov (United States)

    Ehrenthal, Deborah B; Jurkovitz, Claudine; Hoffman, Matthew; Kroelinger, Charlan; Weintraub, William

    2007-10-01

    The purpose of this study was to test the hypothesis that the higher prevalence of medical comorbidities among black women accounts for their increased risk of prematurity. A population-based regional cohort of women receiving obstetric care for singleton pregnancies at a large community hospital between 2003 and 2006 were analyzed using univariate and multivariable logistic regression. Data for 18,624 consecutive births found increased odds of adverse outcomes for black compared to white women: prematurity OR = 1.6 (1.4-1.8), extreme prematurity OR = 2.5 (2.0-3.2). Logistic regression modeling identified black race, age prematurity among blacks. Though there is a greater burden of health risk among black women, this did not account for the higher rates of low birthweight and prematurity.

  2. A Structural Equation Model of HIV-Related Stigma, Racial Discrimination, Housing Insecurity and Wellbeing among African and Caribbean Black Women Living with HIV in Ontario, Canada.

    Directory of Open Access Journals (Sweden)

    Carmen H Logie

    Full Text Available African and Caribbean Black women in Canada have new HIV infection rates 7 times higher than their white counterparts. This overrepresentation is situated in structural contexts of inequities that result in social, economic and health disparities among African and Caribbean Black populations. Economic insecurity is a distal driver of HIV vulnerability, reducing access to HIV testing, prevention and care. Less is known about how economic insecurity indicators, such as housing security, continue to influence the lives of women living with HIV following HIV-positive diagnoses. The aim of this study was to test a conceptual model of the pathways linking HIV-related stigma, racial discrimination, housing insecurity, and wellbeing (depression, social support, self-rated health. We implemented a cross-sectional survey with African and Caribbean Black women living with HIV in 5 Ontario cities, and included 157 participants with complete data in the analyses. We conducted structural equation modeling using maximum likelihood estimation to evaluate the hypothesized conceptual model. One-fifth (22.5%; n = 39 of participants reported housing insecurity. As hypothesized, racial discrimination had significant direct effects on: HIV-related stigma, depression and social support, and an indirect effect on self-rated health via HIV-related stigma. HIV-related stigma and housing insecurity had direct effects on depression and social support, and HIV-related stigma had a direct effect on self-rated health. The model fit the data well: χ2 (45, n = 154 = 54.28, p = 0.387; CFI = 0.997; TLI = 0.996; RMSEA = 0.016. Findings highlight the need to address housing insecurity and intersecting forms of stigma and discrimination among African and Caribbean Black women living with HIV. Understanding the complex relationships between housing insecurity, HIV-related stigma, racial discrimination, and wellbeing can inform multi-level interventions to reduce stigma and enhance

  3. Women's experiences accessing a women-centered cardiac rehabilitation program: a qualitative study.

    Science.gov (United States)

    Rolfe, Danielle E; Sutton, Erica J; Landry, Mireille; Sternberg, Len; Price, Jennifer A D

    2010-01-01

    The health benefits of cardiac rehabilitation (CR) for women living with heart disease are well documented, yet women remain underrepresented in traditionally structured CR programs. This health service delivery gap has been attributed to a number of sex-related factors experienced by women, including lower rates of physician referral, travel-related barriers, competing work and caregiving responsibilities, greater cardiovascular disease severity, and number of comorbid health conditions. Whether a program specifically designed for women is able to address these barriers and facilitate women's participation is a question that has seldom been explored in the CR literature. As part of a larger study exploring whether 6 predefined principles of women's health (empowerment of women, accessible programs, broad definition of health care, high-quality of care, collaborative planning, and innovative and creative approaches) are reflected in the practices of the Women's Cardiovascular Health Initiative (WCHI) (a comprehensive CR and primary prevention program designed for women), the objective of this analysis was to explore how the principle of "accessible programs" is experienced by women participating in the WCHI. Fourteen women previously enrolled in the WCHI program participated in a single, in-person qualitative interview. Transcripts were analyzed using a constant-comparative approach to identify relevant themes related to program accessibility. Key themes identified included participants' experiences with acquiring physician referral, negotiating transportation issues, and navigating program schedules. Women discussed how peer support and staff members' willingness to address their health-related concerns facilitated their participation. While a women-centered CR/primary prevention program may facilitate and encourage women's participation by providing flexible program schedules as well as peer and professional support, efforts are still required to address

  4. Exploring the career choices of White and Black, Asian and Minority Ethnic women pharmacists: a qualitative study.

    Science.gov (United States)

    Howells, Kelly; Bower, Peter; Hassell, Karen

    2017-12-26

    In the UK, a growing number of females entering pharmacy are women from Black, Asian and minority ethnic groups (BAME). Research shows that BAME women are more likely to work in the community sector and be self-employed locums than white women, and Asian women overrepresented in part-time, lower status roles. This study aims to explore the employment choices of white and BAME women pharmacists to see whether their diverse work patterns are the product of individual choices or other organisational factors. This study analyses 28 qualitative interviews conducted with 18 BAME and 10 white women pharmacists. The interview schedule was designed to explore early career choices, future career aspirations and key stages in making their career decisions. The findings show that white and BAME women are influenced by different factors in their early career choices. Cultural preferences for self-employment and business opportunities discourage BAME women from hospital sector jobs early in their careers. Resonating with other studies, the findings show that white and BAME women face similar barriers to career progression if they work part-time. Women working part-time are more likely to face workforce barriers, irrespective of ethnic origin. Cultural preferences may be preventing BAME women from entering the hospital sector. This research is important in the light of current debates about the future shape of pharmacy practice, as well as wider government policy objectives that seek to improve the working lives of health care professionals and promote racial diversity and equality in the workplace. © 2017 The Authors. International Journal of Pharmacy Practice published by John Wiley & Sons Ltd on behalf of Royal Pharmaceutical Society.

  5. Higher Education Learning Experiences among Vietnamese Immigrant Women in Taiwan

    Science.gov (United States)

    Wu, Ya-Ling; Wu, Hsing-Chen

    2015-01-01

    Based on a sociocultural approach to adult learning and poststructural feminist theories, this study draws on interviews with 11 married Vietnamese women to explore the higher education learning experiences of Vietnamese immigrant women in Taiwan. On the basis of their husbands' permission and support, Vietnamese immigrant women embraced the…

  6. Place matters: variation in the black/white very preterm birth rate across U.S. metropolitan areas, 2002-2004.

    Science.gov (United States)

    Kramer, Michael R; Hogue, Carol R

    2008-01-01

    We reported on the distribution of very preterm (VPT) birth rates by race across metropolitan statistical areas (MSAs). Rates of singleton VPT birth for non-Hispanic white, non-Hispanic black, and Hispanic women were calculated with National Center for Health Statistics 2002-2004 natality files for infants in 168 MSAs. Subanalysis included stratification by parity, age, smoking, maternal education, metropolitan size, region, proportion of MSA that was black, proportion of black population living below the poverty line, and indices of residential segregation. The mean metropolitan-level VPT birth rate was 12.3, 34.8, and 15.7 per 1,000 live births for white, black, and Hispanic women, respectively. There was virtually no overlap in the white and black distributions. The variation in mean risk across cities was three times greater for black women compared with white women. The threefold disparity in mean rate, and two- to threefold increased variation as indicated by standard deviation, was maintained in all subanalyses. Compared with white women, black women have three times the mean VPT birth risk, as well as three times the variance in city-level rates. The racial disparity in VPT birth rates was composed of characteristics that were constant across MSAs, as well as factors that varied by MSA. The increased sensitivity to place for black women was unexplained by measured maternal and metropolitan factors. Understanding determinants of differences in both the mean risk and the variation of risk among black and white women may contribute to reducing the disparity in risk between races.

  7. [Selective laser trabeculoplasty (SLT): our experience in African blacks].

    Science.gov (United States)

    Seck, S M; Agboton, G; Dieng, M; Ndiaye Sow, M N; Diakhate, M; Gueye, N N; Seck, C M; Lam, A

    2015-03-01

    The purpose of our study was to evaluate in the short and medium term, intraocular pressure results after selective laser trabeculoplasty in black patients with chronic open angle glaucoma or isolated ocular hypertension. We conducted a retrospective study with a mean 12.5-month follow-up in black patients who underwent SLT. Inclusion criteria were: an open iridocorneal angle greater than or equal to Schaeffer grade 3, data recorded and available on trabecular pigmentation, data on SLT parameters available, and intraocular pressure by Goldmann applanation tonometry recorded.A positive result was defined as a post-laser IntraOcular Pressure (IOP) less than 21 mmHg after 1-month follow-up. The main motivation was the reduction of number of eye drops used. Performed first was a treatment of the inferior 180° (3:00-9:00), possibly supplemented by a second session at 15 days or 1 month if a pressure decrease was noted after the first session. IOP results were evaluated prior to SLT, immediately following SLT and then depending on the drop in pressure. Statistical analysis was performed using the EPI.info 7 software. A total of 69 eyes of 40 patients treated with SLT were identified. The mean IOP prior to SLT was 18.3 mmHg ± 4. Our results showed 90% of patients who positively responded to the treatment (10% failure) with a mean IOP decrease of 2.3 ± 1 mmHg, that is 13%, by the second week. The mean pressure decrease continued to 4.78 ± 1 mmHg for patients (30%) in the group treated for 360°, that is 27% in the same period of time. SLT permitted discontinuation of a prostaglandin in 60% (42 cases). Eyes on triple-drug therapy went from 23 before SLT to 5 following SLT (a 26% decline), eyes on two medications went from 32 to 16 (24% decline). In result association tests, only pigmentation of the angle and visual field stage had a statistically significant probability. In our experience, SLT is indicated in black patients to potentiate less effective treatments, to

  8. Male nurses' experiences of providing intimate care for women clients.

    Science.gov (United States)

    Inoue, Madoka; Chapman, Rose; Wynaden, Dianne

    2006-09-01

    This paper reports a study of male nurses' experiences of providing intimate care for women clients. The number of men entering the nursing profession has increased worldwide. As a consequence of the move to a more gender-balanced profession, debate has ensued over how intimate care should be performed when this requires male nurses to be physically close to women clients. As there was little previous work on this topic, we wished to provide nurses, clients and other healthcare professionals with a better understanding of male nurses' experiences of working with women clients and within a healthcare system where they often feel excluded. Semi-structured, open-ended interviews were conducted with male nurses working in various clinical settings in Western Australia. Latent content analysis was used to analyse the interviews, which were carried out between June and July 2004. Three themes were identified: the definition of intimate care, the emotional experience associated with providing intimate care and strategies used to assist in the delivery of intimate care for women clients. Providing intimate care for women clients was a challenging experience for male nurses. Participants described how it required them to invade these clients' personal space. Consequently, they often experienced various negative feelings and used several strategies to assist them during care delivery. Nurse educators should assist male nurses to be better prepared to interact with women clients in various settings. Furthermore, workplace environments need to provide additional support and guidance for male nurses to enable them to develop effective coping strategies to manage challenging situations.

  9. At Hesitant Doors: The lived experience of women in STEM

    Directory of Open Access Journals (Sweden)

    Romina B. da Costa

    2016-12-01

    Full Text Available This phenomenological investigation aims to explore the lived experience of women in Science, Technology, Engineering and Mathematics (STEM disciplines. As a minority group within a traditionally male-dominated space, women are still underrepresented in the upper echelons of science, even if the number of women in STEM is increasing. The author draws from her experiences as an “undesirable statistic,” a woman who entered college as a STEM student but ended up getting a degree in the social sciences. The author attempts to gain some new insights and understanding of the issue of women in STEM, engaging in two in-depth phenomenological conversations with a female engineering student in a large public university of US Mid-Atlantic region.

  10. Black-White Disparities in Breast Cancer Subtype: The Intersection of Socially Patterned Stress and Genetic Expression

    Directory of Open Access Journals (Sweden)

    Erin Linnenbringer

    2017-11-01

    Full Text Available Hormone receptor negative (HR- breast cancer subtypes are etiologically distinct from the more common, less aggressive, and more treatable form of estrogen receptor positive (ER+ breast cancer. Numerous population-based studies have found that, in the United States, Black women are 2 to 3 times more likely to develop HR- breast cancer than White women. Much of the existing research on racial disparities in breast cancer subtype has focused on identifying predisposing genetic factors associated with African ancestry. This approach fails to acknowledge that racial stratification shapes a wide range of environmental and social exposures over the life course. Human stress genomics considers the role of individual stress perceptions on gene expression. Yet, the role of structurally rooted biopsychosocial processes that may be activated by the social patterning of stressors in an historically unequal society, whether perceived by individual black women or not, could also impact cellular physiology and gene expression patterns relevant to HR- breast cancer etiology. Using the weathering hypothesis as our conceptual framework, we develop a structural perspective for examining racial disparities in breast cancer subtypes, integrating important findings from the stress biology, breast cancer epidemiology, and health disparities literatures. After integrating key findings from these largely independent literatures, we develop a theoretically and empirically guided framework for assessing potential multilevel factors relevant to the development of HR- breast cancer disproportionately among Black women in the US. We hypothesize that a dynamic interplay among socially patterned psychosocial stressors, physiological & behavioral responses, and genomic pathways contribute to the increased risk of HR- breast cancer among Black women. This work provides a basis for exploring potential alternative pathways linking the lived experience of race to the risk of HR

  11. Black-White Disparities in Breast Cancer Subtype: The Intersection of Socially Patterned Stress and Genetic Expression.

    Science.gov (United States)

    Linnenbringer, Erin; Gehlert, Sarah; Geronimus, Arline T

    2017-01-01

    Hormone receptor negative (HR-) breast cancer subtypes are etiologically distinct from the more common, less aggressive, and more treatable form of estrogen receptor positive (ER+) breast cancer. Numerous population-based studies have found that, in the United States, Black women are 2 to 3 times more likely to develop HR- breast cancer than White women. Much of the existing research on racial disparities in breast cancer subtype has focused on identifying predisposing genetic factors associated with African ancestry. This approach fails to acknowledge that racial stratification shapes a wide range of environmental and social exposures over the life course. Human stress genomics considers the role of individual stress perceptions on gene expression. Yet, the role of structurally rooted biopsychosocial processes that may be activated by the social patterning of stressors in an historically unequal society, whether perceived by individual black women or not, could also impact cellular physiology and gene expression patterns relevant to HR- breast cancer etiology. Using the weathering hypothesis as our conceptual framework, we develop a structural perspective for examining racial disparities in breast cancer subtypes, integrating important findings from the stress biology, breast cancer epidemiology, and health disparities literatures. After integrating key findings from these largely independent literatures, we develop a theoretically and empirically guided framework for assessing potential multilevel factors relevant to the development of HR- breast cancer disproportionately among Black women in the US. We hypothesize that a dynamic interplay among socially patterned psychosocial stressors, physiological & behavioral responses, and genomic pathways contribute to the increased risk of HR- breast cancer among Black women. This work provides a basis for exploring potential alternative pathways linking the lived experience of race to the risk of HR- breast cancer, and

  12. Young Women's Experiences of Resisting Invitations to Use Illicit Drugs

    Science.gov (United States)

    Koehn, Corinne V.; O'Neill, Linda K.

    2011-01-01

    Ten young women were interviewed regarding their experiences of resisting invitations to use illicit drugs. Hermeneutic phenomenology was used to gather and analyze information. One key theme was the motivations that inspired women to refuse drug offers. Young women resisted drug invitations because of their desires to be authentic, protect their…

  13. Women's experience of menopause: a systematic review of qualitative evidence.

    Science.gov (United States)

    Hoga, Luiza; Rodolpho, Juliana; Gonçalves, Bruna; Quirino, Bruna

    2015-09-16

    Evidence shows than an estimated one billion women have experienced menopause worldwide. The experience of menopause is influenced by beliefs and values prevalent in the sociocultural setting, the background of the women, and the ways in which the women approach changes in this phase of life. Independently of the circumstances involved, women experiencing menopause need to have their care needs and corresponding support identified based on their personal and contextual perspectives. Although it is essential to provide appropriate support to women experiencing menopause, no systematic reviews have so far been conducted that focus on menopause experienced by women worldwide. The objective of this review is to identify the best available evidence related to how women experience menopause worldwide. This review considered studies that included menopausal women aged between 40 and 65 years, who have lived the transition from reproductive years through menopause and beyond. This review included only studies whose participants have lived the experience of natural menopause. Women who have had induced menopause, or with premature menopause were excluded from this review. TYPES OF INTERVENTION(S)/PHENOMENA OF INTEREST: This review considered studies that investigate women's experiences of natural menopause under the scope of different social and cultural settings. TYPES OF STUDIES: This review considered studies that have a descriptive and interpretive approach, conducted using qualitative methodology. Qualitative studies that focus on program evaluation were excluded from this review. Qualitative data including, but not limited to, study designs such as phenomenology, grounded theory, ethnography, action research and feminist research were considered for inclusion in this review. TYPES OF OUTCOMES: This review considered studies that include the following outcome measures: all aspects related both directly and indirectly to the experience of menopause, as concretely lived

  14. Menstruation during a lifespan: A qualitative study of women's experiences.

    Science.gov (United States)

    Brantelid, Ida Emilie; Nilvér, Helena; Alehagen, Siw

    2014-01-01

    Menstruation is a natural phenomenon for women during their reproductive years. Our aim was to describe women's experiences of menstruation across the lifespan. Qualitative interviews with a narrative approach were conducted with 12 women between 18 and 48 years of age in Sweden. Using thematic analysis, we found menstruation to be a complex phenomenon that binds women together. It is perceived as an intimate and private matter, which makes women want to conceal the occurrence of menstrual bleeding. Over time, menstruation becomes a natural part of women's lives and gender identity. Health professionals play a central role supporting women to deal with menstruation.

  15. Women's Earnings: An Overview.

    Science.gov (United States)

    Bowler, Mary

    1999-01-01

    Over the past 20 years, women's real earnings rose whereas those of men declined. Even as the gender pay gap narrowed, earnings differences between white women and black and Hispanic women continued to grow. (Author)

  16. Perceptions and experiences of epilepsy among patients from black ethnic groups in South London.

    Science.gov (United States)

    Sonecha, Shaneil; Noble, Adam J; Morgan, Myfanwy; Ridsdale, Leone

    2015-09-01

    The National Institute of Clinical Excellence suggested black ethnic minorities with epilepsy have different cultural, communicative and health-care needs. However, little is known about these despite increasing migration of black African and Caribbean people to Europe. This study aims to explore perceptions and experiences of epilepsy among black African and Caribbean people in South London. Semi-structured interviews were undertaken with 11 participants, to examine their beliefs and perceptions of living with epilepsy. Interviews were recorded, transcribed, codes generated and thematic analysis undertaken. African participants described supernatural causes for epilepsy and experienced considerable stigma whereas Caribbean participants described epilepsy as a 'normal illness'. However, both African and Caribbean participants experienced social restrictions arising from their epilepsy. The findings of higher levels of perceived stigma and social restriction seen in African participants may be a continuation of beliefs reported in participants' country of origin. There is also evidence that views regarding epilepsy transition through generations vary depending on place of birth. Practical Implications Health-care professionals need to be aware of and engage with the particular beliefs and concerns of black African and Caribbean people to achieve equity in health outcomes.

  17. This baby is not for turning: Women's experiences of attempted external cephalic version.

    Science.gov (United States)

    Watts, N P; Petrovska, K; Bisits, A; Catling, C; Homer, C S E

    2016-08-26

    Existing studies regarding women's experiences surrounding an External Cephalic Version (ECV) report on women who have a persistent breech post ECV and give birth by caesarean section, or on women who had successful ECVs and plan for a vaginal birth. There is a paucity of understanding about the experience of women who attempt an ECV then plan a vaginal breech birth when their baby remains breech. The aim of this study was to examine women's experience of an ECV which resulted in a persistent breech presentation. A qualitative descriptive exploratory design was undertaken. In-depth semi-structured interviews were conducted and analysed thematically. Twenty two (n = 22) women who attempted an ECV and subsequently planned a vaginal breech birth participated. Twelve women had a vaginal breech birth (55 %) and 10 (45 %) gave birth by caesarean section. In relation to the ECV, there were five main themes identified: 'seeking an alternative', 'needing information', 'recounting the ECV experience', 'reacting to the unsuccessful ECV' and, 'reflecting on the value of an ECV'. ECV should form part of a range of options provided to women, rather than a default procedure for management of the term breech. For motivated women who fit the safe criteria for vaginal breech birth, not being subjected to a painful experience (ECV) may be optimal. Women should be supported to access services that support vaginal breech birth if this is their choice, and continuity of care should be standard practice.

  18. The menopause transition experiences of Chinese Singaporean women: an exploratory qualitative study.

    Science.gov (United States)

    Lim, Hui-Koon; Mackey, Sandra

    2012-06-01

    Menopause, a developmental occurrence that takes place in midlife, marks the end of a woman's fertile phase. Cultural norms, social influences, and personal perceptions related to menopause may influence its meaning and how each woman experiences this transition. Little is known about the menopausal experiences of Asian women. This study explores the menopause transition experiences of ethnic Chinese women in Singapore. Using a qualitative design, the researchers conducted audio-taped interviews in 2010 with 14 menopausal and postmenopausal Chinese Singaporean women aged 40-60 years. Thematic analysis was used to analyze interviews. Two main themes were identified: (a) experiencing symptoms and (b) managing symptoms during menopause transition. The most commonly reported symptoms were abnormal bleeding, hot flushes, and emotional changes. Most participants described their transition to be uneventful and ordinary and reported two significant symptoms at most. The strategies women used to manage their transition included using Western and traditional Chinese medical interventions and seeking support from family and friends. This study provides new insights into how ethnic Chinese women in Singapore experience menopause transition. Findings can assist nurses and healthcare workers in the local context to better understand menopausal women's needs and guide nurses to implement suitable health promotional strategies for women under their care in both hospital and community settings. Although ethnicity is not necessarily a determinant of symptom experience during menopause transition, health education for menopausal women should be based on knowledge of culture-specific practices. Nurses caring for menopausal women in hospital and community settings in Singapore should evaluate the use of medications prescribed by Western and Chinese herbal medical professionals as well as those that are self-prescribed.

  19. Association between women veterans' experiences with VA outpatient health care and designation as a women's health provider in primary care clinics.

    Science.gov (United States)

    Bastian, Lori A; Trentalange, Mark; Murphy, Terrence E; Brandt, Cynthia; Bean-Mayberry, Bevanne; Maisel, Natalya C; Wright, Steven M; Gaetano, Vera S; Allore, Heather; Skanderson, Melissa; Reyes-Harvey, Evelyn; Yano, Elizabeth M; Rose, Danielle; Haskell, Sally

    2014-01-01

    Women veterans comprise a small percentage of Department of Veterans Affairs (VA) health care users. Prior research on women veterans' experiences with primary care has focused on VA site differences and not individual provider characteristics. In 2010, the VA established policy requiring the provision of comprehensive women's health care by designated women's health providers (DWHPs). Little is known about the quality of health care delivered by DWHPs and women veterans' experience with care from these providers. Secondary data were obtained from the VA Survey of Healthcare Experience of Patients (SHEP) using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient-centered medical home (PCMH) survey from March 2012 through February 2013, a survey designed to measure patient experience with care and the DWHPs Assessment of Workforce Capacity that discerns between DWHPs versus non-DWHPs. Of the 28,994 surveys mailed to women veterans, 24,789 were seen by primary care providers and 8,151 women responded to the survey (response rate, 32%). A total of 3,147 providers were evaluated by the SHEP-CAHPS-PCMH survey (40%; n = 1,267 were DWHPs). In a multivariable model, patients seen by DWHPs (relative risk, 1.02; 95% CI, 1.01-1.04) reported higher overall experiences with care compared with patients seen by non-DWHPs. The main finding is that women veterans' overall experiences with outpatient health care are slightly better for those receiving care from DWHPs compared with those receiving care from non-DWHPs. Our findings have important policy implications for how to continue to improve women veterans' experiences. Our work provides support to increase access to DWHPs at VA primary care clinics. Published by Elsevier Inc.

  20. The Soul of Leadership: African American Students' Experiences in Historically Black and Predominantly White Organizations

    Science.gov (United States)

    Hotchkins, Bryan K.

    2013-01-01

    This study addresses African American students' leadership experiences at predominantly White institutions. Findings indicated participants utilized servant leadership in historically Black organizations and transformational leadership in predominantly White organizations. The differences displayed showed that participants' leadership perceptions…

  1. Promotion beyond Tenure: Unpacking Racism and Sexism in the Experiences of Black Womyn Professors

    Science.gov (United States)

    Croom, Natasha N.

    2017-01-01

    This study examined seven Black womyn full professors' experiences of promotion beyond tenure. Using a critical race feminist theoretical framework, findings suggest that a meritocratic ideology undergirds a dominant narrative about the Professor rank. However, racism and sexism mediated the participants' opportunities to access the status and…

  2. THE EXPERIENCES OF WOMEN WITH CANCER FACING MASTECTOMY

    Directory of Open Access Journals (Sweden)

    Marilene Vicente de Jesus

    2013-01-01

    Full Text Available The research aimed to understand the experiences of women with mastectomies in the treatment Assistance Unit for High Complexity - (UNACON a Hospital Midsize High Complexity in the South of Santa Catarina. This is a qualitative study, descriptive and field. We carried out semi-structured interviews with ten women. Data were analyzed using the technique proposed by Minayo categorization.The survey results denote that interferes with mastectomies in activities of daily living, interpersonal relationships, self-esteem and self-image of women. The feelings of despair, fear and anxiety, but also the strength to fight for life were reported by women, beyondthe need to help and support arising from the family. The difficulties faced after mastectomy surgery are related to pain, loss of strength in the arm, need for rest, interfering with daily activities of women. We stress the need for support of the healthcare team to mastectomy for women coping and adaptation to the disease process.

  3. The experiences of women with cancer facing mastectomy

    Directory of Open Access Journals (Sweden)

    Marilene Vicente de Jesus

    2013-01-01

    Full Text Available The research aimed to understand the experiences of women with mastectomies in the treatment Assistance Unit for High Complexity - (UNACON a Hospital Midsize High Complexity in the South of Santa Catarina. This is a qualitative study, descriptive and field. We carried out semi-structured interviews with ten women. Data were analyzed using the technique proposed by Minayo categorization. The survey results denote that interferes with mastectomies in activities of daily living, interpersonal relationships, self-esteem and self-image of women. The feelings of despair, fear and anxiety, but also the strength to fight for life were reported by women, beyond the need to help and support arising from the family. The difficulties faced after mastectomy surgery are related to pain, loss of strength in the arm, need for rest, interfering with daily activities of women. We stress the need for support of the healthcare team to mastectomy for women coping and adaptation to the disease process.

  4. African American women's experiences with the initial discovery, diagnosis, and treatment of breast cancer.

    Science.gov (United States)

    Lackey, N R; Gates, M F; Brown, G

    2001-04-01

    To describe the experiences of African American women living with breast cancer following the primary diagnosis and while undergoing initial treatment. Phenomenologic. 13 African American women (ages 30-66) purposefully selected from two oncology clinics in the mid-South. Phenomenologic interviews (transcribed verbatim) and field notes were analyzed using Colaizzi's method of phenomenologic description and analysis. Experience Trajectory, Femininity, and Spirituality were the three major themes. The Experience Trajectory subthemes were finding the lump, getting the diagnosis, undergoing surgery and adjuvant treatment. The Femininity subthemes were loss of all or part of the breast, loss of hair, and sexual attractiveness to a man. Spirituality was reflected as a reliance on God. Telling the story of their experience trajectory during their breast cancer experience is valuable in assessing African American women's feelings, emotions, and fears of body changes that occur during surgery and treatment. Their spirituality helps them through this experience. Research involving both African American women and their partners would provide greater insight into specific relationship patterns and communication related to sexuality during this experience. Nurses need to listen to the stories of African American women about the initial experience of discovery, diagnosis, and treatment of breast cancer so they can be more informed advocates for these women. African American women need more information from healthcare providers regarding the whole experience trajectory.

  5. Telemetry experiments with a hibernating black bear

    Science.gov (United States)

    Craighead, J. J.; Varney, J. R.; Sumner, J. S.; Craighead, F. C., Jr.

    1972-01-01

    The objectives of this research were to develop and test telemetry equipment suitable for monitoring physiological parameters and activity of a hibernating bear in its den, to monitor this data and other environmental information with the Nimbus 3 IRLS data collection system, and to refine immobilizing, handling, and other techniques required in future work with wild bears under natural conditions. A temperature-telemetering transmitter was implanted in the abdominal cavity of a captive black bear and body temperature data was recorded continuously during a 3 month hibernation period. Body temperatures ranging between 37.5 and 31.8 C were observed. Body temperature and overall activity were influenced by disturbances and ambient den temperature. Nychthemeral temperature changes were not noticable. A load cell weight recording device was tested for determining weight loss during hibernation. Monitoring of data by satellite was not attempted. The implanted transmitter was removed and the bear was released with a radiolocation collar at the conclusion of the experiment.

  6. Racial residential segregation, socioeconomic disparities, and the White-Black survival gap

    Science.gov (United States)

    Duffy, Erin; Mendelsohn, Joshua; Escarce, José J.

    2018-01-01

    Objective To evaluate the association between racial residential segregation, a prominent manifestation of systemic racism, and the White-Black survival gap in a contemporary cohort of adults, and to assess the extent to which socioeconomic inequality explains this association. Design This was a cross sectional study of White and Black men and women aged 35–75 living in 102 large US Core Based Statistical Areas. The main outcome was the White-Black survival gap. We used 2009–2013 CDC mortality data for Black and White men and women to calculate age-, sex- and race adjusted White and Black mortality rates. We measured segregation using the Dissimilarity index, obtained from the Manhattan Institute. We used the 2009–2013 American Community Survey to define indicators of socioeconomic inequality. We estimated the CBSA-level White–Black gap in probability of survival using sequential linear regression models accounting for the CBSA dissimilarity index and race-specific socioeconomic indicators. Results Black men and women had a 14% and 9% lower probability of survival from age 35 to 75 than their white counterparts. Residential segregation was strongly associated with the survival gap, and this relationship was partly, but not fully, explained by socioeconomic inequality. At the lowest observed level of segregation, and with the Black socioeconomic status (SES) assumed to be at the White SES level scenario, the survival gap is essentially eliminated. Conclusion White-Black differences in survival remain wide notwithstanding public health efforts to improve life expectancy and initiatives to reduce health disparities. Eliminating racial residential segregation and bringing Black socioeconomic status (SES) to White SES levels would eliminate the White-Black survival gap. PMID:29474451

  7. Racial residential segregation, socioeconomic disparities, and the White-Black survival gap.

    Directory of Open Access Journals (Sweden)

    Ioana Popescu

    Full Text Available To evaluate the association between racial residential segregation, a prominent manifestation of systemic racism, and the White-Black survival gap in a contemporary cohort of adults, and to assess the extent to which socioeconomic inequality explains this association.This was a cross sectional study of White and Black men and women aged 35-75 living in 102 large US Core Based Statistical Areas. The main outcome was the White-Black survival gap. We used 2009-2013 CDC mortality data for Black and White men and women to calculate age-, sex- and race adjusted White and Black mortality rates. We measured segregation using the Dissimilarity index, obtained from the Manhattan Institute. We used the 2009-2013 American Community Survey to define indicators of socioeconomic inequality. We estimated the CBSA-level White-Black gap in probability of survival using sequential linear regression models accounting for the CBSA dissimilarity index and race-specific socioeconomic indicators.Black men and women had a 14% and 9% lower probability of survival from age 35 to 75 than their white counterparts. Residential segregation was strongly associated with the survival gap, and this relationship was partly, but not fully, explained by socioeconomic inequality. At the lowest observed level of segregation, and with the Black socioeconomic status (SES assumed to be at the White SES level scenario, the survival gap is essentially eliminated.White-Black differences in survival remain wide notwithstanding public health efforts to improve life expectancy and initiatives to reduce health disparities. Eliminating racial residential segregation and bringing Black socioeconomic status (SES to White SES levels would eliminate the White-Black survival gap.

  8. An examination of women's alcohol use and partner victimization experiences among women with protective orders.

    Science.gov (United States)

    Shannon, Lisa; Logan, Tk; Cole, Jennifer; Walker, Robert

    2008-07-01

    This study examined associations of women's alcohol use with self-reported experiences of male-perpetrated intimate partner violence among a sample of women with protective orders. Participants were 676 women with a protective order against a male intimate partner from three rural areas and one urban area. Multivariate analyses indicated that women's substance use was associated with psychological abuse tactics and severity of physical and sexual victimization in the last year of the relationship. Women's alcohol use was associated with the severity of physical violence within the last year of the relationship, whereas illegal drug use had associations with the number of verbal abuse, degradation and jealousy/control tactics. There was a significant interaction of women's alcohol and drug use with the severity of sexual assault.

  9. Preventing traumatic childbirth experiences: 2192 women's perceptions and views.

    Science.gov (United States)

    Hollander, M H; van Hastenberg, E; van Dillen, J; van Pampus, M G; de Miranda, E; Stramrood, C A I

    2017-08-01

    The purpose of this study is to explore and quantify perceptions and experiences of women with a traumatic childbirth experience in order to identify areas for prevention and to help midwives and obstetricians improve woman-centered care. A retrospective survey was conducted online among 2192 women with a self-reported traumatic childbirth experience. Women were recruited in March 2016 through social media, including specific parent support groups. They filled out a 35-item questionnaire of which the most important items were (1) self-reported attributions of the trauma and how they believe the traumatic experience could have been prevented (2) by the caregivers or (3) by themselves. The responses most frequently given were (1) Lack and/or loss of control (54.6%), Fear for baby's health/life (49.9%), and High intensity of pain/physical discomfort (47.4%); (2) Communicate/explain (39.1%), Listen to me (more) (36.9%), and Support me (more/better) emotionally/practically (29.8%); and (3) Nothing (37.0%), Ask for (26.9%), or Refuse (16.5%) certain interventions. Primiparous participants chose High intensity of pain/physical discomfort, Long duration of delivery, and Discrepancy between expectations and reality more often and Fear for own health/life, A bad outcome, and Delivery went too fast less often than multiparous participants. Women attribute their traumatic childbirth experience primarily to lack and/or loss of control, issues of communication, and practical/emotional support. They believe that in many cases, their trauma could have been reduced or prevented by better communication and support by their caregiver or if they themselves had asked for or refused interventions.

  10. Young Asian Women Experiences of the Summer Activities Initiative.

    Science.gov (United States)

    Kirby, Laura

    2002-01-01

    Interviews and observations focused on experiences of 15 young Asian women at a 5-day summer adventure program in southern England. Participants seemed bored with presentations about future career options, activities lost their challenge through repetition, and debriefing was weak. However, the women connected with the transferable skills of trust…

  11. Beyond risk factors to lived experiences: young women's experiences of health in Papua New Guinea.

    Science.gov (United States)

    Hinton, Rachael L; Earnest, Jaya

    2009-01-01

    The health of young women in rural Papua New Guinea (PNG) is often examined using individual-based risk factors which are decontextualized from the social and cultural relationships within which women's lives are embedded. Understanding the health meanings and perceptions of rural PNG women is important for bridging the gap between current health program delivery and the real needs of women. The objective of this study was to explore the health perceptions of rural PNG young women and to identify points in the lifespan where support may be required. Thirty-three young women aged between 15 and 29 years were involved in the research. Multiple data collection methods were used within interpretive qualitative methodology and these included in-depth interviews, focus group discussions, photo narrative and ranking exercises. The study was conducted in a rural community in the Wosera district of the East Sepik Province of PNG from mid-2005 to early 2006. Following a community meeting and targeted awareness about the project to female youth, purposive and snowball sampling was used to recruit young women aged 15-24 years. The mean age of participants was 21 years. Single and married participants, unmarried mothers, school leavers and current school attendees were represented. Informed consent was obtained prior to the sharing of women's narratives. Data were categorized and analysed for emerging themes and cross checked with participants for verification. Young women viewed their health in the context of their social and cultural world and in terms of their wider life experiences. The main theme uncovered young women's strong desires for independence. Young women depended on their parents for emotional support and material possessions, and positive parental support provided young women with the opportunity to move towards independence. Freedom from economic constraints was identified as important for autonomy, and having money was discussed as a requisite for good health

  12. Patient Activation and Mental Health Care Experiences Among Women Veterans.

    Science.gov (United States)

    Kimerling, Rachel; Pavao, Joanne; Wong, Ava

    2016-07-01

    We utilized a nationally representative survey of women veteran primary care users to examine associations between patient activation and mental health care experiences. A dose-response relationship was observed, with odds of high quality ratings significantly greater at each successive level of patient activation. Higher activation levels were also significantly associated with preference concordant care for gender-related preferences (use of female providers, women-only settings, and women-only groups as often as desired). Results add to the growing literature documenting better health care experiences among more activated patients, and suggest that patient activation may play an important role in promoting engagement with mental health care.

  13. Antecedents of Young Women's Sexual Risk Taking in Tourist Experiences.

    Science.gov (United States)

    Berdychevsky, Liza

    2015-11-17

    The purpose of this phenomenological exploration was to shed light on the constellation of factors anteceding young women's sexual risk taking during their tourist experiences. A total of 15 in-depth interviews (1.5 to 2.5 hours each) with 13 women were conducted and analyzed through the lens of transcendental phenomenology. An analysis of antecedent factors revealed a confluence of sociopersonal characteristics (e.g., sexual definitions, attitudes, double standards, and age) and touristic attributes (e.g., the sense of temporariness/ephemerality, anonymity, and fun-oriented mentality depending on length, destination, and type of tourist experience) that underlie women's proclivity for and perceptions of sexual risk taking in certain travel scenarios. These result in myriad effects on physical, sexual health, sociocultural, mental, and emotional aspects of women's health and well-being. While the sociopersonal antecedents highlight the cross-pollination between sex-related perceptions in everyday life and touristic environments, the touristic antecedents emphasize the uniqueness of tourist experiences as the contexts for sexual risk taking. The findings address an underresearched topic in sex and tourism scholarship and offer implications for health education and intervention programs, pointing to the value of constructing the context-specific and gender-sensitive sexual health messages underpinned by the ideas of women's empowerment and sexual agency.

  14. Barriers to cervical cancer screening among ethnic minority women: a qualitative study.

    Science.gov (United States)

    Marlow, Laura A V; Waller, Jo; Wardle, Jane

    2015-10-01

    Ethnic minority women are less likely to attend cervical screening. To explore self-perceived barriers to cervical screening attendance among ethnic minority women compared to white British women. Qualitative interview study. Community groups in ethnically diverse London boroughs. Interviews were carried out with 43 women from a range of ethnic minority backgrounds (Indian, Pakistani, Bangladeshi, Caribbean, African, Black British, Black other, White other) and 11 White British women. Interviews were recorded, transcribed verbatim and analysed using Framework analysis. Fifteen women had delayed screening/had never been screened. Ethnic minority women felt that there was a lack of awareness about cervical cancer in their community, and several did not recognise the terms 'cervical screening' or 'smear test'. Barriers to cervical screening raised by all women were emotional (fear, embarrassment, shame), practical (lack of time) and cognitive (low perceived risk, absence of symptoms). Emotional barriers seemed to be more prominent among Asian women. Low perceived risk of cervical cancer was influenced by beliefs about having sex outside of marriage and some women felt a diagnosis of cervical cancer might be considered shameful. Negative experiences were well remembered by all women and could be a barrier to repeat attendance. Emotional barriers (fear, embarrassment and anticipated shame) and low perceived risk might contribute to explaining lower cervical screening coverage for some ethnic groups. Interventions to improve knowledge and understanding of cervical cancer are needed in ethnic minority communities, and investment in training for health professionals may improve experiences and encourage repeat attendance for all women. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  15. Knowledge, attitudes, and beliefs regarding HPV vaccination: ethnic and cultural differences between African-American and Haitian immigrant women.

    Science.gov (United States)

    Joseph, Natalie Pierre; Clark, Jack A; Bauchner, Howard; Walsh, Jared P; Mercilus, Glory; Figaro, Jean; Bibbo, Caroline; Perkins, Rebecca B

    2012-01-01

    Black women have higher rates of cervical cancer and lower rates of HPV vaccination than White women in the United States, and Haitians may be an especially vulnerable subgroup of Black women. To reduce these disparities, understanding differences among subgroups of Black women is crucial. The objective of our study was to assess similarities and differences in the knowledge, attitudes, beliefs, and practices toward HPV vaccination and actual vaccination rates among African-American and Haitian immigrant women and their daughters. We used validated surveys of HPV knowledge, trust in physicians, acculturation, and constructs of the health belief model: Perceived susceptibility, severity, and barriers. We probed women's thought processes about vaccination using open-ended questions. We then reviewed medical records to determine vaccination rates. Nineteen African Americans and 51 Haitians participated. Although 75% of Haitians and 63% of African Americans intended to vaccinate their daughters, only 47% of African-American and 31% of Haitian daughters were vaccinated. African Americans were more knowledgeable than Haitians and had more prior experience with HPV disease. Most African Americans felt that vaccination fell within the parental role, whereas many Haitians felt uncomfortable vaccinating against sexually transmitted infections because they felt children should not be having sex. Both ethnic groups wanted more information about HPV vaccines. Cultural differences between African-American and Haitian immigrant mothers revealed distinct barriers for vaccine acceptance. Improving HPV vaccine rates in Black women may require culturally competent and sensitive approaches that address ethnic-specific barriers. Copyright © 2012 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  16. The mediating role of internalized racism in the relationship between racist experiences and anxiety symptoms in a Black American sample.

    Science.gov (United States)

    Graham, Jessica R; West, Lindsey M; Martinez, Jennifer; Roemer, Lizabeth

    2016-07-01

    The current study explores the potential mediating role of internalized racism in the relationship between racist experiences and anxiety symptomology in a Black American sample. One hundred and 73 Black American participants, between 18 and 62 years of age, completed a questionnaire packet containing measures of anxious arousal and stress symptoms, internalized racism, and experiences of racist events. Results indicated that internalized racism mediated the relationship between past-year frequency of racist events and anxious arousal as well as past-year frequency of racist events and stress symptoms. Internalized racism may be 1 mechanism that underlies the relationship between racism and anxious symptomology for Black Americans. These preliminary findings suggest that internalized racism may be an avenue through which clinicians can target the anxiety elicited by racist experiences. The clinical implications of these findings and future research directions are discussed. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  17. Passing on the History of "Comfort Women": The Experiences of a Women's Museum in Japan

    Science.gov (United States)

    Watanabe, Mina

    2015-01-01

    This article explores the activities and experiences of a women's peace museum in Japan which especially tries to pass on the history of Japan's military sexual slavery, or the "comfort women" issue. The system of Japan's military sexual slavery had not been written as a part of history until courageous survivors testified and…

  18. Career Transitions: The Experiences of Unemployed Women Managers

    Science.gov (United States)

    Sheridan, Terry A.

    2008-01-01

    A sample of 45 women managers was surveyed in a qualitative study to explore their experiences of being unemployed. The sample was purposeful, and the data were collected on a website-based survey. The experience of unemployment for female managers was far different from what was previously presumed from research largely drawn from male …

  19. Young women's experiences of psychotic illness: a systematic review of qualitative research.

    Science.gov (United States)

    Chernomas, Wanda M; Rieger, Kendra L; Karpa, Jane V; Clarke, Diana E; Marchinko, Shelley; Demczuk, Lisa

    2017-03-01

    The relationship between young adulthood, women and psychosis was the focus for this systematic review. Age and gender are factors that can influence responses to illness. Research indicates that there are differences in how young men and women are affected biologically and psychosocially, including the presentation of a constellation of symptoms, response to anti-psychotic medications and how they assess their life circumstances. Yet in literature that examines experiences of young people with psychosis, the specific needs of young women are usually not presented separately. To better understand and address young adult women's healthcare and social service needs, a synthesis of evidence addressing the relationship between young adulthood, women and psychosis is needed. The aim of this systematic review was to synthesize the best available evidence on the experiences of young adult women (aged 18-35 years) living with a psychotic illness in the community. Specifically, the review question was:What are the experiences of young adult women living with a psychotic illness? Participants were young women between 18 and 35 years of age who were living with a psychotic illness in the community. The phenomenon of interest was the experiences of living with a psychotic illness of women aged 18-35 years in the community. Experiences were defined broadly as and inclusive of perceptions and experiences with health and social systems. The context for this review was the community setting. The current review included studies that focused on qualitative data including, but not limited to, designs such as phenomenology, grounded theory, ethnography, action research, feminist research and the qualitative component of mixed methods studies. A three-step search strategy was used to locate both published and unpublished studies. The search was limited to studies published from 1995 to the search date of May 13, 2015. Two reviewers independently appraised the nine included studies

  20. Long Term Exposure to NO2 and Diabetes Incidence in the Black Women's Health Study

    Science.gov (United States)

    Coogan, Patricia F.; White, Laura F.; Yu, Jeffrey; Burnett, Richard T.; Marshall, Julian D.; Seto, Edmund; Brook, Robert D.; Palmer, Julie R.; Rosenberg, Lynn; Jerrett, Michael

    2016-01-01

    While laboratory studies show that air pollutants can potentiate insulin resistance, the epidemiologic evidence regarding the association of air pollution with diabetes incidence is conflicting. The purpose of the present study was to assess the association of the traffic-related nitrogen dioxide (NO2) with the incidence of diabetes in a longitudinal cohort study of African American women. We used Cox proportional hazards models to calculate hazard ratios and 95% confidence intervals (CI) for diabetes associated with exposure to NO2 among 43,003 participants in the Black Women's Health Study (BWHS). Pollutant levels at participant residential locations were estimated with 1) a land use regression model for participants living in 56 metropolitan areas, and 2) a dispersion model for participants living in 27 of the cities. From 1995-2011, 4387 cases of diabetes occurred. The hazard ratios per interquartile range of NO2 (9.7 ppb), adjusted for age, metropolitan area, education, vigorous exercise, body mass index, smoking, and diet, were 0.96 (95% CI 0.88-1.06) using the land use regression model estimates and 0.94 (95% CI 0.80, 1.10) using the dispersion model estimates. The present results do not support the hypothesis that exposure to NO2 contributes to diabetes incidence in African American women. PMID:27124624

  1. Ethnocultural women's experiences of breast cancer: a qualitative meta-study.

    Science.gov (United States)

    Howard, A Fuchsia; Balneaves, Lynda G; Bottorff, Joan L

    2007-01-01

    A growing number of studies have been conducted that explore the breast cancer experiences of women from diverse ethnocultural groups. To advance knowledge and provide a foundation for future research, a synthesis was conducted of 15 qualitative research studies focusing on women from ethnocultural groups diagnosed with breast cancer. A qualitative meta-study approach was used that included analysis of the theoretical orientations and methodological approaches underlying the research, and an interpretive synthesis of research findings. Ethnocultural groups represented in the studies included Asian American, Aboriginal, Hispanic, and African American women. The synthesis revealed diverse experiences within and among these ethnocultural groups represented in 5 major themes: (a) the "othered" experience of a breast cancer diagnosis, (b) the treatment experience as "other," (c) losses associated with breast cancer, (d) the family context of breast cancer experiences, and (e) coping with cancer through spirituality and community involvement. The integration of findings from the 15 studies also revealed how methodological and theoretical approaches to conducting this research influenced understandings of the experiences of breast cancer. Further experiential breast cancer research with ethnocultural groups is needed, as well as the use of research methods that illuminate the ways that ethnicity, class, age, and gender relations are played out in healthcare settings.

  2. Experiences and Constructions of Menarche and Menstruation Among Migrant and Refugee Women.

    Science.gov (United States)

    Hawkey, Alexandra J; Ussher, Jane M; Perz, Janette; Metusela, Christine

    2017-08-01

    Experiences and constructions of menarche and menstruation are shaped by the sociocultural environment in which women are embedded. We explored experiences and constructions of menarche and menstruation among migrant and refugee women resettled in Sydney, Australia, and Vancouver, Canada. Seventy-eight semistructured individual interviews and 15 focus groups comprised of 82 participants were undertaken with women from Afghanistan, Iraq, Somalia, South Sudan, Sudan, Sri Lanka, and varying South American countries. We analyzed the data using thematic decomposition, identifying the overall theme "cycles of shame" and two core themes. In "becoming a woman," participants constructed menarche as a marker of womanhood, closely linked to marriage and childbearing. In "the unspeakable," women conveyed negative constructions of menstruation, positioning it as shameful, something to be concealed, and polluting. Identifying migrant and refugee women's experiences and constructions of menarche and menstruation is essential for culturally safe medical practice, health promotion, and health education.

  3. Health care experiences among women diagnosed with gestational breast cancer.

    Science.gov (United States)

    Hammarberg, K; Sullivan, E; Javid, N; Duncombe, G; Halliday, L; Boyle, F; Saunders, C; Ives, A; Dickinson, J E; Fisher, J

    2018-03-01

    Gestational breast cancer (GBC) presents many challenges for women and the clinicians who care for them. The aim of this study was to explore the health care experiences of women diagnosed with GBC to inform and improve clinical care of women in this predicament. Semi-structured interviews were conducted with 17 women who had been diagnosed with GBC in the previous 5 years. The overarching themes for perceived quality of care were "communication" and "comprehensive care." "Communication" had two sub themes: "interdisciplinary communication" (the way health professionals from different disciplines communicated with each other about the management of the woman's care) and "patient communication" (how they communicated this to the woman). The "comprehensive care" theme incorporated three sub themes: "the spirit" (psychological care); "the mind" (information provision); and "the body" (management of treatment side effects). Women's own accounts of positive and negative experiences of GBC care provide unique and specific insights which improve understanding of their concerns and needs. The findings can inform advances in quality and efficacy of clinical care; offer guidance for obstetricians, oncologists and allied health professionals about the needs of women diagnosed with GBC and how care can be optimised; and inform the development of resources to assist women and their families. © 2017 John Wiley & Sons Ltd.

  4. What makes or mars the facility-based childbirth experience: thematic analysis of women's childbirth experiences in western Kenya.

    Science.gov (United States)

    Afulani, Patience A; Kirumbi, Leah; Lyndon, Audrey

    2017-12-29

    Sub-Saharan Africa accounts for approximately 66% of global maternal deaths. Poor person-centered maternity care, which emphasizes the quality of patient experience, contributes both directly and indirectly to these poor outcomes. Yet, few studies in low resource settings have examined what is important to women during childbirth from their perspective. The aim of this study is to examine women's facility-based childbirth experiences in a rural county in Kenya, to identify aspects of care that contribute to a positive or negative birth experience. Data are from eight focus group discussions conducted in a rural county in western Kenya in October and November 2016, with 58 mothers aged 15 to 49 years who gave birth in the preceding nine weeks. We recorded and transcribed the discussions and used a thematic approach for data analysis. The findings suggest four factors influence women's perceptions of quality of care: responsiveness, supportive care, dignified care, and effective communication. Women had a positive experience when they were received well at the health facility, treated with kindness and respect, and given sufficient information about their care. The reverse led to a negative experience. These experiences were influenced by the behavior of both clinical and support staff and the facility environment. This study extends the literature on person-centered maternity care in low resource settings. To improve person-centered maternity care, interventions need to address the responsiveness of health facilities, ensure women receive supportive and dignified care, and promote effective patient-provider communication.

  5. Accustomed to enduring: experiences of African-American women seeking care for cardiac symptoms.

    Science.gov (United States)

    Banks, Angela D; Malone, Ruth E

    2005-01-01

    Understand the meaning of delayed treatment seeking in African-American women with unstable angina and myocardial infarction. Phenomenologic analysis of in-depth interview data and field notes on 12 African-American women hospitalized with unstable angina or myocardial infarction. Women's interpretation of and response to symptoms were informed by experiences of marginalization and their self-understanding as people who were strong and who had endured life's hardships. When hospitalized, some women experienced trivialization of their complaints by clinicians and a focus on technological procedures over respectfully attending to their concerns, which provided further disincentives to seeking care. Three major themes emerged: misrecognition and discounting of symptoms, enduring, and influence of faith. Experiences of marginalization shape responses to symptoms, care-seeking behavior, and interpretation of subsequent care experiences for African-American women with cardiac disease, who may experience different symptoms as well as interpret them differently than members of other groups.

  6. Women's experiences of developing musculoskeletal diseases: employment challenges and policy recommendations.

    Science.gov (United States)

    Crooks, Valorie A

    2007-07-30

    To answer three specific questions: (i) How do women experience the workplace after the onset of a musculoskeletal disease; (ii) What employment policy and programme suggestions can they offer for ways to better support chronically ill women in their abilities to maintain workforce participation; and (iii) How are these women's employment policy and programme recommendations informed by their own lived experiences and desires? In-depth interviews were conducted with 18 women who had developed musculoskeletal diseases while involved in the labour market. Data were coded and analysed thematically. Participants identified three common workplace barriers experienced and three types of workplace accommodations commonly requested. They offered four specific employment policy and programme recommendations for ways to better support women who develop musculoskeletal diseases in maintaining labour market participation. It is found that their employment policy and programme recommendations are informed by their own experiences in the workplace and desires for being supported in maintaining involvement in paid labour. Creating employment programmes and policies that support chronically ill women in their attempts to remain involved in the workforce based on how much paid labour they are able to perform and where they are best able to work is of the utmost importance.

  7. Black holes without firewalls

    Science.gov (United States)

    Larjo, Klaus; Lowe, David A.; Thorlacius, Larus

    2013-05-01

    The postulates of black hole complementarity do not imply a firewall for infalling observers at a black hole horizon. The dynamics of the stretched horizon, that scrambles and reemits information, determines whether infalling observers experience anything out of the ordinary when entering a large black hole. In particular, there is no firewall if the stretched horizon degrees of freedom retain information for a time of the order of the black hole scrambling time.

  8. Experiences of women with a diagnosis of breast cancer: a clinical pathway approach.

    Science.gov (United States)

    Lindop, E; Cannon, S

    2001-06-01

    The study presented in this paper formed the first part of a large survey of breast cancer patients in one health authority in England, UK looking at individual needs expressed by women with a diagnosis of breast cancer. The paper provides an account of the experiences of 12 women with a diagnosis of breast cancer. The women represent a wide age range and different stages of illness. The transcribed accounts of the women were analysed by means of Qualitative Solutions and Research, Non-Numerical Unstructured Data Indexing Searching and Theorising (QSR*NUDIST). The study examined the individual experiences of women with a diagnosis of breast cancer and its aftermath as they passed through different stages related to it. The women's experiences are presented within the conceptual framework of the clinical pathway and their accounts represent their journey along the pathway. Various significant points in this journey are portrayed representing the women's reactions to diagnosis, treatment, femininity and body image, support, family and friends, information and after care.

  9. Women's Subjective Experiences of Living with Vulvodynia: A Systematic Review and Meta-Ethnography.

    Science.gov (United States)

    Shallcross, Rebekah; Dickson, Joanne M; Nunns, David; Mackenzie, Catharine; Kiemle, Gundi

    2018-04-01

    Vulvodynia, the experience of an idiopathic pain in the form of burning, soreness, or throbbing in the vulval area, affects around 4-16% of the population. The current review used systematic search strategies and meta-ethnography as a means of identifying, analyzing, and synthesizing the existing literature pertaining to women's subjective experiences of living with vulvodynia. Four key concepts were identified: (1) Social Constructions: Sex, Women, and Femininity: Women experienced negative consequences of social narratives around womanhood, sexuality, and femininity, including the prioritization of penetrative sex, the belief that it is the role of women to provide sex for men, and media portrayals of sex as easy and natural. (2) Seeking Help: Women experienced the healthcare system as dismissive, sometimes being prescribed treatments that exacerbated the experience of pain. (3) Psychological and Relational Impact of Vulvodynia: Women experienced feeling shame and guilt, which in turn led to the experience of psychological distress, low mood, anxiety, and low self-esteem. Moreover, women reported feeling silenced which in turn affected their heterosexual relationships and their peer relationships by feeling social isolated. (4) A Way Forward: Women found changing narratives, as well as group and individual multidisciplinary approaches, helpful in managing vulvodynia. The findings of the review conclude that interventions at the individual level, as well as interventions aimed at equipping women to challenge social narratives, may be helpful for the psychological well-being of women with vulvodynia.

  10. Use of Social Welfare Programs and the Disintegration of the Black Nuclear Family.

    Science.gov (United States)

    Jewell, K. Sue

    1984-01-01

    Social welfare programs contribute to Black women's decisions to terminate their marriages by modifying existing beliefs and values, giving rise to a perception of welfare as a more viable alternative to marital relationships. But welfare is insufficient to enable the maintenance of Black women's preseparation standard of living. (RDN)

  11. Violence against women in the context of war: experiences of Shi'i women and Palestinian refugee women in Lebanon.

    Science.gov (United States)

    Holt, Maria

    2013-03-01

    In times of war, women are likely to experience, in addition to the "normal" violence of peacetime, random cruelties perpetrated by the enemy against all members of the community. During research conducted with Palestinian refugees and Shi'i Muslims in Lebanon, women described various forms of violence and, in this article, I examine violence suffered by women in the context of conflict from three perspectives: victimization, trauma, and resistance. I argue that traumatic events have the effect of obliterating identity, but they can also strengthen the resolve to resist.

  12. Emergency Contraception: Knowledge and Experiences of Women

    Directory of Open Access Journals (Sweden)

    Naile Bilgili

    2009-06-01

    Full Text Available AIM: Unplanned pregnancy is a major medical, social, and public health problem. For the prevention of unintended pregnancies use of emergency contraception (EC methods is a second chance. This cross-sectional study was conducted to identify the knowledge and experiences related to emergency contraception of married women older than fifteen years. METHODS: The universe of the study consisted of women older than 15 years. 760 married women were included in the study. Data were collected by questionnaire. Chi-square was used for statistical analysis. RESULTS: 28.8% of the women had experienced unintended pregnancy, 26.8% of them have heard about EC methods and 9.1% of them had used an EC method. 93.2% of the women had not information about the time of use and 79.1% of them had not information about the efficiency of the methods. EC methods were used more frequently by women who were high school or higher educated, working, living in an urban area, not having a child and women having experienced abortion or an unintended pregnancy (p<0.05. CONCLUSION: Rate of using of EC methods were low and level of education, experiencing abortion or unintended pregnancy affected use of the EC methods. It was concluded that level of information about methods of EC was not at the wished level. As a result, giving more intensive and efficient information to women regarding to the risk groups about this subject within family planning programs can be suggested. [TAF Prev Med Bull 2009; 8(3.000: 251-258

  13. Women's experiences with postpartum anxiety disorders: a narrative literature review.

    Science.gov (United States)

    Ali, Elena

    2018-01-01

    Postpartum anxiety disorders are common and may have significant consequences for mothers and their children. This review examines the literature on women's experiences with postpartum generalized anxiety disorder (GAD), postpartum panic disorder (PD), obsessive compulsive disorder (OCD), and posttraumatic stress disorder (PTSD). MEDLINE (Ovid), CINAHL, PsycINFO, and reference lists were searched. Qualitative and quantitative studies assessing women's experiences with GAD, postpartum PD, OCD, and PTSD were included. Narrative approach to literature synthesis was used. Fourteen studies (among 44 articles) met the criteria for review to identify descriptions of women's cognitive, affective, and somatic experiences related to postpartum anxiety disorders. Loss, frustration, and guilt, accompanied by physical symptoms of tension, were some of the experiences identified across studies. Most women suffered from more than one anxiety disorder, in addition to postpartum depression. To date, research has focused on prevalence rates of postpartum anxiety disorders, and evidence about clinical and subclinical symptoms of postpartum anxiety disorders and outcomes on mother and child is lacking. Postpartum anxiety disorders may have negative effects on parenting and child development; however, the nature of the underlying mechanisms is unclear. More robust longitudinal studies are needed to examine the impact of postpartum GAD, PD, OCD, and PTSD symptoms on the mother and the mother-child relationship to develop targets for therapeutic preventative interventions.

  14. Men's controlling behaviors and women's experiences of physical violence in Malawi.

    Science.gov (United States)

    Mandal, Mahua; Hindin, Michelle J

    2013-09-01

    In the feminist paradigm, intimate partner violence (IPV) among heterosexual couples is gender asymmetric and largely a tactic of male control. However, research on the relationship between men's controlling behavior and physical violence against women is limited. This study examines whether having a controlling partner is associated with women's reports of experiencing physical violence in Malawi. Bivariate and multivariate analyses were conducted using data from 8,385 women who completed the domestic violence module of the Malawi 2004 Demographic and Health Survey. About 18 % of women reported they had experienced moderately severe physical violence and 1 % experienced very severe violence in the past 12 months. A third of women reported their partners had ever been controlling. Results from multivariable ordinal logistic regression showed that women who had controlling partners were significantly more likely to report experiencing physical violence. Other factors significantly associated with women's experience of physical violence included women who reported initiating physical violence against their partners, women's work status, partners' lower education level, and partners' alcohol consumption. Women with controlling partners were at increased risk of experiencing physical violence in the past year. However, women who reported initiating physical violence in the past year were nearly four times more likely to experience partner violence in the same time period. Future research should attempt to elucidate these two important risk factors for IPV.

  15. Naked black holes

    International Nuclear Information System (INIS)

    Horowitz, G.T.; Ross, S.F.

    1997-01-01

    It is shown that there are large static black holes for which all curvature invariants are small near the event horizon, yet any object which falls in experiences enormous tidal forces outside the horizon. These black holes are charged and near extremality, and exist in a wide class of theories including string theory. The implications for cosmic censorship and the black hole information puzzle are discussed. copyright 1997 The American Physical Society

  16. Teaching and Learning about Women and Leadership: Students' Expectations and Experiences

    Science.gov (United States)

    Shollenn, S. Lynn

    2015-01-01

    Qualitative, case study methods were used to examine students' expectations of and experiences with studying women and leadership. Participants were 48 undergraduate students enrolled in an elective course titled Women and Leadership offered in the Leadership Studies minor curriculum at a liberal arts institution. Students perceived women and…

  17. Black Girl Cartography: Black Girlhood and Place-Making in Education Research

    Science.gov (United States)

    Butler, Tamara T.

    2018-01-01

    Drawing on research in education, Black Girlhood studies, and conversations connected to girlhood and cartography, this chapter calls for transdisciplinary analyses of Black girls' sociocultural and geopolitical locations in education research. In reviewing education research documenting the practices and interrogating the experiences of Black…

  18. A natural experiment on the condition-dependence of achromatic plumage reflectance in black-capped chickadees.

    Science.gov (United States)

    D'Alba, Liliana; Van Hemert, Caroline; Handel, Colleen M; Shawkey, Matthew D

    2011-01-01

    Honest advertisement models posit that only individuals in good health can produce and/or maintain ornamental traits. Even though disease has profound effects on condition, few studies have experimentally tested its effects on trait expression and even fewer have identified a mechanistic basis for these effects. Recent evidence suggests that black and white, but not grey, plumage colors of black-capped chickadees (Poecile atricapillus) are sexually selected. We therefore hypothesized that birds afflicted with avian keratin disorder, a condition that affects the beak and other keratinized tissues, would show reduced expression of black and white, but not grey, color. UV-vis spectrometry of black-capped chickadees affected and unaffected by avian keratin disorder revealed spectral differences between them consistent with this hypothesis. To elucidate the mechanistic bases of these differences, we used scanning electron microscopy (SEM), electron-dispersive x-ray spectroscopy (EDX) and a feather cleaning experiment. SEM showed extreme feather soiling in affected birds, and EDX revealed that this was most likely from external sources. Experimentally cleaning the feathers increased color expression of ornamental feathers of affected, but not unaffected, birds. These data provide strong evidence that black and white color is an honest indicator in chickadees, and that variation in feather dirtiness, likely due to differences in preening behavior is a mechanism for this association.

  19. A natural experiment on the condition-dependence of achromatic plumage reflectance in black-capped chickadees.

    Directory of Open Access Journals (Sweden)

    Liliana D'Alba

    Full Text Available Honest advertisement models posit that only individuals in good health can produce and/or maintain ornamental traits. Even though disease has profound effects on condition, few studies have experimentally tested its effects on trait expression and even fewer have identified a mechanistic basis for these effects. Recent evidence suggests that black and white, but not grey, plumage colors of black-capped chickadees (Poecile atricapillus are sexually selected. We therefore hypothesized that birds afflicted with avian keratin disorder, a condition that affects the beak and other keratinized tissues, would show reduced expression of black and white, but not grey, color. UV-vis spectrometry of black-capped chickadees affected and unaffected by avian keratin disorder revealed spectral differences between them consistent with this hypothesis. To elucidate the mechanistic bases of these differences, we used scanning electron microscopy (SEM, electron-dispersive x-ray spectroscopy (EDX and a feather cleaning experiment. SEM showed extreme feather soiling in affected birds, and EDX revealed that this was most likely from external sources. Experimentally cleaning the feathers increased color expression of ornamental feathers of affected, but not unaffected, birds. These data provide strong evidence that black and white color is an honest indicator in chickadees, and that variation in feather dirtiness, likely due to differences in preening behavior is a mechanism for this association.

  20. The interplay of race, socioeconomic status and neighborhood residence upon birth outcomes in a high black infant mortality community

    Directory of Open Access Journals (Sweden)

    Catherine L. Kothari

    2016-12-01

    Full Text Available This study examined the interrelationship of race and socioeconomic status (SES upon infant birthweight at the individual and neighborhood levels within a Midwestern US county marked by high Black infant mortality. The study conducted a multi-level analysis utilizing individual birth records and census tract datasets from 2010, linked through a spatial join with ArcGIS 10.0. The maternal population of 2861 Black and White women delivering infants in 2010, residing in 57 census tracts within the county, constituted the study samples. The main outcome was infant birthweight. The predictors, race and SES were dichotomized into Black and White, low-SES and higher-SES, at both the individual and census tract levels. A two-part Bayesian model demonstrated that individual-level race and SES were more influential birthweight predictors than community-level factors. Specifically, Black women had 1.6 higher odds of delivering a low birthweight (LBW infant than White women, and low-SES women had 1.7 higher odds of delivering a LBW infant than higher-SES women. Moderate support was found for a three-way interaction between individual-level race, SES and community-level race, such that Black women achieved equity with White women (4.0% Black LBW and 4.1% White LBW when they each had higher-SES and lived in a racially congruous neighborhood (e.g., Black women lived in disproportionately Black neighborhood and White women lived in disproportionately White neighborhood. In sharp contrast, Black women with higher-SES who lived in a racially incongruous neighborhood (e.g., disproportionately White had the worst outcomes (14.5% LBW. Demonstrating the layered influence of personal and community circumstances upon health, in a community with substantial racial disparities, personal race and SES independently contribute to birth outcomes, while environmental context, specifically neighborhood racial congruity, is associated with mitigated health risk. Keywords: Birth

  1. Four Generations of Women's Educational Experience in a Rural Chinese Community

    Science.gov (United States)

    Huang, Haigen; Placier, Peggy

    2015-01-01

    Our study sought to understand changes in gender inequality in education across four generations of rural Chinese women's educational experiences in a small community in southern China. The 24 interviews and numerous informal conversations with 12 women showed that gender-based favouritism for men and against women undergirded family expectations,…

  2. [The Continued Breastfeeding Experiences of Women Who Suffer From Breast Abscess].

    Science.gov (United States)

    Liu, Yu-Yan; Chen, Wei-Chih; Chen, Shu-Ling

    2016-04-01

    Up to 11% of women with mastitis develop a breast abscess, which obviously affects breastfeeding. Therefore, this is a potentially significant issue for women's health. Women with breast abscesses suffer from severe pain. Pain is the most significant factor causing the termination of breastfeeding. The experience of women with breast abscesses who continued to breastfeed may provide valuable insights/guidance to women who are currently in the same or similar situations. This study explores the continuous breastfeeding experience of women with breast abscesses. We collected qualitative data from 10 qualified female participants using 60-90 minute, in-depth interviews that were conducted between April 2012 and June 2012 in a central medical center. All interviews were recorded and transcribed verbatim. Content analysis was used to analyze and categorize the major themes. Results were generalized into the following seven themes: (1) experiencing uncomfortable breast pain; (2) feeling helpless to manage the abnormal breast symptoms; (3) relying on the concept of motherhood to support continued breastfeeding; (4) feeling shocked about the process of diagnosis and treatment; (5) facing the doubts and difficulties regarding continuing to breastfeed; (6) experiencing the assistance of the support system for breastfeeding; (7) returning to a normal pattern of life. The findings provide nurses with a deeper understanding of the biological and psychological behaviors and social support system experiences of women with breast abscesses who continue to breastfeed. Study results may serve as a reference for nurses in providing mother-centered breastfeeding care.

  3. The lived experiences of rural women diagnosed with the human ...

    African Journals Online (AJOL)

    Conclusion: Women diagnosed with HIV during pregnancy are ultimately concerned with the well-being of their unborn children, and this concern motivates their adherence to ART. Women's lived experiences are situated in their unique sociocultural context, and although some known challenges remain, counselling and ...

  4. Moving on Up: Urban to Suburban Translocation Experiences of High-Achieving Black American Students

    Science.gov (United States)

    Yu, Xiaoqi; Seeberg, Vilma; Malone, Larissa

    2017-01-01

    Minority suburbanization has been a fast growing demographic shift in the United States during the first decade of the 21st century. This article examines the tapestry of the suburbanization experience of a group of high-achieving Black American students and their families as told by them. Departing from the all too common, deficit orientation…

  5. Women's experience of being well during peri-menopause: a phenomenological study.

    Science.gov (United States)

    Mackey, Sandra

    2007-01-01

    A research study was conducted to investigate women's experience of being well during the peri-menopause because much of the research investigating the experience of menopause has concentrated on its problematic and pathological aspects. For the majority of western women the reproductive transition of menopause is not problematic, however, the nature of the unproblematic or healthy menopause has not been investigated. The aim in conducting this research was to enhance understanding of the experience of being healthy or well during menopause. In so doing, recognition of the diversity of menopausal experiences may be strengthened. The research was approached from the disciplinary perspective of nursing, and was grounded in the methodology of Heideggerian interpretive phenomenology. Data was collected via unstructured, in-depth interviews and analysis was conducted utilising the repetitive and circular process developed by van Manen. The phenomenon of being healthy or well during menopause was expressed in the form of three major themes. These were the continuity of menstrual experience, the embodiment of menopausal symptoms, and the containment of menopause and menopausal symptoms. The experience of health and well being during menopause can accommodate the experience of symptoms when the experience of symptoms does not disrupt embodied existence and the continuity of menstrual patterns. Menopause is widely studied, yet only partly understood. While much is now known about the nature and influence of ovarian hormones, the physiology of menopausal changes, and the treatment of menopausal symptoms, little is known and understood about the experience of menopause. Research that has investigated the experience of menopause has largely focused on the problematic experiences. It is now known that the majority of women, regardless of cultural background, do not experience menopause in a problematic way (Utian 1977; Porter et al. 1996). However, the nature of such experience

  6. Young women's recent experience of labour and birth care in Queensland.

    Science.gov (United States)

    Redshaw, Maggie; Hennegan, Julie; Miller, Yvette

    2014-07-01

    young parenthood continues to be an issue of concern in terms of clinical and psychosocial outcomes for mothers and their babies, with higher rates of medical complications such as preterm labour and hypertensive disease and a higher risk of depression. The aim of this study was to investigate how young age impacts on women's experience of intrapartum care. secondary analysis of data collected in a population based survey of women who had recently given birth in Queensland, comparing clinical and interpersonal aspects of the intrapartum maternity care experience for 237 eligible women aged 15-20 years and 6534 aged more than 20 years. Descriptive and multivariate analyses were undertaken. in the univariate analysis a number of variables were significantly associated with clinical aspects of labour and birth and perceptions of care: young women were more likely to birth in a public facility, to travel for birth and to live in less economically advantaged areas, to have a normal vaginal birth and to have one carer through labour. They were also less likely to report being treated with respect and kindness and talked to in a way they could understand. In logistic regression models, after adjustment for parity, other socio-demographic factors and mode of birth, younger mothers were still more likely to birth in a public facility, to travel for birth, to be more critical about interpersonal and aspects of care and the hospital or birth centre environment. this study shows how experience of care during labour and birth is different for young women. Young women reported poorer quality interpersonal care which may well reflect an inferior care experience and stereotyping by health professionals, indicating a need for more effective staff engagement with young women at this time. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Women's experiences of three early miscarriage management options: a qualitative study.

    Science.gov (United States)

    Smith, Lindsay F; Frost, Julia; Levitas, Ruth; Bradley, Harriet; Garcia, Jo

    2006-03-01

    Miscarriage affects around one in six pregnancies. Much research has taken place identifying the consequences of this for parents but is mainly quantitative. Of the limited qualitative studies, none have explored women's experiences of the methods of miscarriage management received. To assess the social and personal impact of different management methods (expectant, medical and surgical) on women's experience of first trimester miscarriage. Qualitative interviews using a topic guide with a purposive cohort of four categories of women (each management method plus non-participants) 6 months to 1 year after first trimester miscarriage. Focus groups with both research participants and health workers. Women from three hospitals in the South West of England that participated in the Miscarriage Treatment (MIST) trial. Seventy-two interviews were undertaken between September 1999 and June 2000. There were also five focus groups (47 participants) and two feedback sessions (8 participants) with written feedback from 12 women. Interviews lasted 0.5-2.5 hours generating over 2000 A4 pages of transcripts. The transcripts were analysed for common themes, using standard proformas, which were filled in by individual team members and then discussed by the whole research team. Iterative readings in the light of new emerging issues ensured that new themes could be identified throughout the analytical process. All transcripts were then encoded for the identified themes using NUDIST. Common themes emerged across all management options although some were specific to just one or two management options. The five major themes arising out of the data analysis were: intervention; experiences of care; finality; the 'baby'; and pain and bleeding. Women's experiences and beliefs vary widely and their preferences need to be considered in their early miscarriage management. The three methods have different benefits and problems from the women's point of view. Competence and caring from

  8. Exploring Black-White Differences in the Relationship Between Inflammation and Timing of Menopause.

    Science.gov (United States)

    Nowakowski, Alexandra C H; Graves, Katelyn Y

    2017-06-01

    Understanding the biosocial context of menopausal timing offers insight into social and health inequalities. Prior research on inflammatory chronic conditions suggests that inflammation may predict how early women experience menopause. We explore the ability of black race to moderate the overall relationship between chronic inflammation and timing of menopause. We use data from the National Social Life, Health, and Aging Project on inflammation, age of last menstruation, and race as well as relevant social and medical covariates. We conduct event history modeling to predict age at menopause by inflammatory biomarker levels. Using interaction analysis, we investigate whether being black may shape the overall relationship between inflammation status and menopause timing. Our analyses find no significant statistical interactions between black race and inflammation in predicting menopausal onset. However, we do identify independent correlational relationships between inflammation and black race (r = 0.136) and between menopausal timing and black race (r = -0.129) as well as inflammation (r = -0.138) that emerge as significant in corresponding regression models. We conclude that race probably does not moderate associations between inflammation and menopause. Yet, we also note that the original parameter estimate for black race's impact on menopausal onset (HR = 1.29, p menopause relationship and recommend future research using mediation modeling.

  9. Gender and Racial Analysis in Sport: Are All the Women White and All the Blacks Men?

    Science.gov (United States)

    Bruening, Jennifer E.

    2005-01-01

    Critical race scholarship focuses on people of color, women, and the intersection of race and gender. Conversely, sport scholarship has reflected the dominant White male culture. Sport culture ignores the experience of women and people of color, and most specifically ignores women who are people of color. This paper provides an overview of the…

  10. Carer Knowledge and Experiences with Menopause in Women with Intellectual Disabilities

    Science.gov (United States)

    Willis, Diane S.; Wishart, Jennifer G.; Muir, Walter J.

    2010-01-01

    Overall life expectancy for women with intellectual disabilities (ID) is now significantly extended, and many will live long enough to experience menopause. Little is known about how carers support women with ID through this important stage in their lives. This study investigated carer knowledge of how menopause affects women with ID under their…

  11. Experiences of employed women with attention deficit hyperactive disorder: A phenomenological study.

    Science.gov (United States)

    Schreuer, N; Dorot, R

    2017-01-01

    Employees with attention-deficit/hyperactivity disorder (ADHD) face various risks in the workplace. Little is known of the specific challenges women with ADHD experience. To explore the experiences of working women with ADHD and learn the strategies and accommodations that facilitate their maintaining employment. Qualitative phenomenological approach was used to echo women's subjective perceptions and experiences representing their daily interactions in their workplace. In-depth interviews were conducted with eleven tertiary-educated employed women (M = 33.5; SD = 6.61 years), diagnosed with ADHD and the transcripts were analyzed by three researchers, using the qualitative phenomenological approach. Most interviewed women with ADHD described interactions with their workplace as confusing, overwhelming, and chaotic. They perceived their ADHD as a significant obstacle to success in employment that also conferred some advantages. Three interview themes are explored here (1) challenges in coping with job demands and the workplace, including the disclosure dilemma; (2) personal coping strategies; (3) useful accommodations. For the women interviewed, employment was important for their self-identity, beyond simply making a living. Their experiences indicate impaired executive functioning and inhibition and sensory sensitivity, consistently with theoretical models for ADHD. They identified gender-specific issues, such as using medication during pregnancy, which led them to seek for non-pharmacological coping mechanisms. They contributed practical knowledge regarding employee-led adaptations and employer-provided workplace accommodations.

  12. Termination of pregnancy for fetal abnormality: a meta-ethnography of women's experiences.

    Science.gov (United States)

    Lafarge, Caroline; Mitchell, Kathryn; Fox, Pauline

    2014-11-01

    Due to technological advances in antenatal diagnosis of fetal abnormalities, more women face the prospect of terminating pregnancies on these grounds. Much existing research focuses on women's psychological adaptation to this event. However, there is a lack of holistic understanding of women's experiences. This article reports a systematic review of qualitative studies into women's experiences of pregnancy termination for fetal abnormality. Eight databases were searched up to April 2014 for peer-reviewed studies, written in English, that reported primary or secondary data, used identifiable and interpretative qualitative methods, and offered a valuable contribution to the synthesis. Altogether, 4,281 records were screened; 14 met the inclusion criteria. The data were synthesised using meta-ethnography. Four themes were identified: a shattered world, losing and regaining control, the role of health professionals and the power of cultures. Pregnancy termination for fetal abnormality can be considered as a traumatic event that women experience as individuals, in their contact with the health professional community, and in the context of their politico-socio-legal environment. The range of emotions and experiences that pregnancy termination for fetal abnormality generates goes beyond the abortion paradigm and encompasses a bereavement model. Coordinated care pathways are needed that enable women to make their own decisions and receive supportive care. Copyright © 2014 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  13. Educating Women in America.

    Science.gov (United States)

    Schwager, Sally

    1987-01-01

    Surveys literature on the history of coeducation, focusing on the marginalization of women. Discusses these themes: republican education; female literacy; the girls' academy; women and the history of teaching; life-cycle patterns; the migration of teachers from New England; black women teachers; urbanization and feminization; immigration; students…

  14. Racial and ethnic differences in the retirement prospects of divorced women in the Baby Boom and Generation X cohorts.

    Science.gov (United States)

    Butrica, Barbara A; Smith, Karen E

    2012-01-01

    Blacks, Hispanics, and divorced women have historically experienced double-digit poverty rates in retirement, and divorce and other demographic trends will increase their representation in future retiree populations. For these reasons, we might expect an increase in the proportion of economically vulnerable divorced women in the future. This article uses the Social Security Administration's Modeling Income in the Near Term (version 6) to describe the likely characteristics, work experience, Social Security benefit status, and economic well-being of future divorced women at age 70 by race and ethnicity. Factors associated with higher retirement incomes include having a college degree; having a strong history of labor force attachment; receiving Social Security benefits; and having pensions, retirement accounts, or assets, regardless of race and ethnicity. However, because divorced black and Hispanic women are less likely than divorced white women to have these attributes, income sources, or assets, their projected average retirement incomes are lower than those of divorced white women.

  15. How women construct meaning about their abortion experience

    OpenAIRE

    Emužienė, Vilma

    2006-01-01

    It is very important to understand the woman’s attitude to the experience of the abortion retrospectively: what this experience means to her after many years? The purpose of the article is to reveal the woman’s attitude to the abortion experienced as a fact. The following research methods were used: a systematic analysis of scientific literary sources related to the abortion and woman’s experience; a semi-structured interview (12 women who experienced artificial abortion were surveyed). The m...

  16. “Girl Power”: Gendered Academic and Workplace Experiences of College Women in Engineering

    Directory of Open Access Journals (Sweden)

    Kathleen N. Smith

    2018-01-01

    Full Text Available Women in engineering continue to experience bias in the field. This constructivist case study uses feminist theory to examine the gendered experiences of graduating senior women engineering students in academic and workplace environments. In each setting we identified three subthemes; in academia: “I don’t think my education is any different,” “Being underestimated constantly,” and “You don’t want to be seen as getting advantages”; in the workplace: “Oh, you’re a girl,” “There’s a lot of sexism,” and Benefits of “girl power.” Overall, findings indicate that women experience bias in both settings, often via implicit bias in academia and with instances of implicit bias, sexism, and sexual harassment occurring even more often in the workplace through internship experiences. The article concludes with suggestions for practice, future research, and strategies to create supportive academic and workplace experiences and environments for women engineers.

  17. Mulheres negras e não-negras e vulnerabilidade ao HIV/Aids no estado de São Paulo, Brasil Black and non-Black women and vulnerability to HIV/AIDS in São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Fernanda Lopes

    2007-12-01

    or above. Sociodemographic data and characteristics relating to infection and healthcare were obtained by means of individual interviews based on standardized questionnaire. The variable race/color was self-reported and women who referred to themselves as black or mixed-race were grouped together as black. The definition of variables by race/color was done using central tendency and proportions, and an association analysis using the chi2 Pearson test. RESULTS: The differences between black and non-black women were statistically significant with regards to: schooling; monthly, individual and family income per capita; number of direct dependents; opportunities to see a nutritionist, gynecologist or other medical professional; understanding what the infectologist said; speaking with the infectologist or gynecologist about her sex life; having correct knowledge about CD4 exams and viral load; the sexual means of exposure. CONCLUSIONS: The use of race/color as an analytical category provides opportunities to understand better how social interactions, in the context of gender and socioeconomic conditions, create and recreate disadvantages for black women and their exposure to health risks, and also impose limits on the way they use of resources for their healthcare.

  18. Health Care Use and HIV-Related Behaviors of Black and Latina Transgender Women in 3 US Metropolitan Areas: Results From the Transgender HIV Behavioral Survey.

    Science.gov (United States)

    Denson, Damian J; Padgett, Paige M; Pitts, Nicole; Paz-Bailey, Gabriela; Bingham, Trista; Carlos, Juli-Ann; McCann, Pamela; Prachand, Nikhil; Risser, Jan; Finlayson, Teresa

    2017-07-01

    HIV prevalence estimates among transgender women in the United States are high, particularly among racial/ethnic minorities. Despite increased HIV risk and evidence of racial disparities in HIV prevalence among transgender women, few data are available to inform HIV prevention efforts. A transgender HIV-related behavioral survey conducted in 2009 in 3 US metropolitan areas (Chicago, Houston, and Los Angeles County), used respondent-driven sampling to recruit 227 black (n = 139) and Latina (n = 88) transgender women. We present descriptive statistics on sociodemographic, health care, and HIV-risk behaviors. Of 227 transgender women enrolled, most were economically and socially disadvantaged: 73% had an annual income of less than $15,000; 62% lacked health insurance; 61% were unemployed; and 46% reported being homeless in the past 12 months. Most (80%) had visited a health care provider and over half (58%) had tested for HIV in the past 12 months. Twenty-nine percent of those who reported having an HIV test in the past 24 months self-reported being HIV positive. Most of the sample reported hormone use (67%) in the past 12 months and most hormone use was under clinical supervision (70%). Forty-nine percent reported condomless anal sex in the past 12 months and 16% reported ever injecting drugs. These findings reveal the socioeconomic challenges and behavioral risks often associated with high HIV risk reported by black and Latina transgender women. Despite low health insurance coverage, the results suggest opportunities to engage transgender women in HIV prevention and care given their high reported frequency of accessing health care providers.

  19. How does gender influence immigrant and refugee women's postpartum depression help-seeking experiences?

    Science.gov (United States)

    O'Mahony, J M; Donnelly, T T

    2013-10-01

    The number of migrants arriving in Canada from non-European countries has grown significantly over the past three decades. How best to assist these escalating numbers of immigrant and refugee women to adapt to their new environment and to cope with postpartum depression (PPD) is a pressing issue for healthcare providers. Evidence has shown that immigrant and refugee women experience difficulties in accessing care and treatment for PPD. This qualitative study was conducted with 30 immigrant and refugee women using in-depth interviews to obtain information about the women's PPD experiences. The primary aim was to explore how cultural, social, political, historical and economic factors intersect with race, gender and class to influence the ways in which immigrant and refugee women seek help to manage PPD. Results reveal that immigrant and refugee women experience many complex gender-related challenges and facilitators in seeking equitable help for PPD treatment and prevention. We will demonstrate that (a) structural barriers and gender roles hinder women's ability to access necessary mental healthcare services and (b) insecure immigration status coupled with emotional and economic dependence may leave women vulnerable and disadvantaged in protecting themselves against PPD. © 2012 John Wiley & Sons Ltd.

  20. Black South African freshmen's experience of first coitus and contraception.

    Science.gov (United States)

    Nicholas, L

    1994-01-01

    An anonymous questionnaire investigating Black South African first-year college students' experience of first intercourse and contraception was administered during the February 1993 orientation at a Black university. 754 females and 959 males of mean age 20.4 years in an age range of 16-50 years participated. 96.5% of the respondents were single. The study findings relate to the 894 single students who reported having experienced sexual intercourse. Male and female respondents' mean ages at first intercourse were, respectively, 15.5 and 17.8 years. 35.7% of males and 32.8% of females reported not using contraception during first intercourse, 12.3% of males and 7.1% of females were unsure, and 6.2% reported using withdrawal. 36.8% reported not using a condom because first sexual intercourse was unplanned, while 38.1% simply did not think about contraception at the time. Peers were reported as the primary first source of learning about sexual intercourse as well as the preferred source. These findings lend support to the need to target safer sex messages to college freshmen in this setting. In so doing, safer sex behavior can be encouraged and possibly adopted before high-risk sex behavior patterns develop.

  1. Minimizing the Pervasiveness of Women's Personal Experiences of Gender Discrimination

    Science.gov (United States)

    Foster, Mindi D.; Jackson, Lydia C.; Hartmann, Ryan; Woulfe, Shannon

    2004-01-01

    Given the Rejection-Identification Model (Branscombe, Schmitt, & Harvey, 1999), which shows that perceiving discrimination to be pervasive is a negative experience, it was suggested that there would be conditions under which women would instead minimize the pervasiveness of discrimination. Study 1 (N= 91) showed that when women envisioned…

  2. Social identities and racial integration in historically white universities: A literature review of the experiences of black students

    Directory of Open Access Journals (Sweden)

    Sandiso Bazana

    2017-11-01

    Full Text Available South African government has been promulgating pieces of legislation aimed at ensuring racial integration, especially in higher education, and indirectly enforcing acculturation in historically white universities. Studies have proven that institutional cultures in historically white universities alienate and exclude black students’ identities. These students’ sense of social identity, which includes culture, heritage, language and traditions, and consequently self-esteem and self-concept, is altered in these institutions. Research has been scant regarding the shape and form that black students’ identity assumes when they get to these spaces. Using Tajfel and Turner’s (1979 social identity theory and Berry’s (2005 theory of acculturation, this article explores the experiences of black students in negotiating their social identities in historically white universities. Evoking Steve Biko’s analysis of ‘artificial integration’ (1986, we hope to illustrate how the ‘integration’ narrative sought to discard the identity of black students and psychologically enforce a simulation of black students into white-established identities. The study has implications for policy development as we hope to sensitise theoretically the historically white universities to, apart from mere opening of spaces of learning, understand the social identity challenges of black students in these institutions.

  3. Black holes and beyond

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-02-01

    Belief in the existence of black holes is the ultimate act of faith for a physicist. First suggested by the English clergyman John Michell in the year 1784, the gravitational pull of a black hole is so strong that nothing - not even light - can escape. Gravity might be the weakest of the fundamental forces but black-hole physics is not for the faint-hearted. Black holes present obvious problems for would-be observers because they cannot, by definition, be seen with conventional telescopes - although before the end of the decade gravitational-wave detectors should be able to study collisions between black holes. Until then astronomers can only infer the existence of a black hole from its gravitational influence on other matter, or from the X-rays emitted by gas and dust as they are dragged into the black hole. However, once this material passes through the 'event horizon' that surrounds the black hole, we will never see it again - not even with X-ray specs. Despite these observational problems, most physicists and astronomers believe that black holes do exist. Small black holes a few kilometres across are thought to form when stars weighing more than about two solar masses collapse under the weight of their own gravity, while supermassive black holes weighing millions of solar masses appear to be present at the centre of most galaxies. Moreover, some brave physicists have proposed ways to make black holes - or at least event horizons - in the laboratory. The basic idea behind these 'artificial black holes' is not to compress a large amount of mass into a small volume, but to reduce the speed of light in a moving medium to less than the speed of the medium and so create an event horizon. The parallels with real black holes are not exact but the experiments could shed new light on a variety of phenomena. The first challenge, however, is to get money for the research. One year on from a high-profile meeting on artificial black holes in London, for

  4. Gender Trouble and the Tragic Black Woman Hybrids in Clotel, Quicksand and Passing

    Directory of Open Access Journals (Sweden)

    Hayder Naji Shanbooj Alolaiwi

    2017-05-01

    Full Text Available The African-American female character's description in Clotel, Quicksand and Passing are very impressive, among whom Clotel, Clare and Irene are depicted as one of the most important “passing” figures for the whole story. Though sharing some similarities with the traditional Black women in the past African-American novels, Clotel, Clare and Irene are very different. The strong connection with as well as variations than the usual gender pattern are mixed within these women. It is only by this new approach that the reader can re-think Black woman and build a new African-American female identity. Taking into the consideration an ecofeminist point of view, this paper is going to study the points of similarities with and differences from the traditional Black Women in the novel, unwrap on the developing subject identity of Black women in this novel, in order to prove that in this novel female subject identity is more than a true representation of essentialism and dualism, in a special and unique realistic perspective.

  5. Dominant Cultural Narratives, Racism, and Resistance in the Workplace: A Study of the Experiences of Young Black Canadians.

    Science.gov (United States)

    Hasford, Julian

    2016-03-01

    Although many studies have examined lived experiences of racism and resistance in various contexts, relatively little research has examined such experiences among Black youth within the workplace-particularly in the Canadian context. In this study I use qualitative analyses of narrative interviews with 24 Black Canadian youth and young adults (aged 16-35) to examine the impact of dominant cultural narratives on lived experiences of workplace racism and resistance. Findings are presented using theatrical games as a central conceptual metaphor, suggesting that: (a) dominant cultural narratives have a major impact on relational dynamics of oppression in the workplace; (b) identity performance is a critical strategy for negotiating dominant cultural narratives in the workplace; and (c) panopticism (the internalized gaze) is a significant aspect of internalized oppression. Implications for future research and action are discussed. © Society for Community Research and Action 2016.

  6. The Romantic Relationship Experiences of Young Adult Women Exposed to Domestic Violence.

    Science.gov (United States)

    Haselschwerdt, Megan L; Carlson, Camille E; Hlavaty, Kathleen

    2018-05-01

    Guided by a review of the literature on intergenerational transmission of violence, or "the cycle of violence", and Johnson's typology of domestic violence, the current study qualitatively examined the romantic relationship experiences of 23 young adult women who were exposed to father-mother-perpetrated domestic violence (DV) during childhood and adolescence. Findings are partially consistent with the hypothesis that DV exposure is associated with an increased risk of later experiencing dating violence, such that half of the sample reported having abusive partners or relationships during high school. However, none of the young women reported violence or abuse during the early years of college, suggesting the salience of developmental timing when examining transmission of violence. Beyond whether the women experienced dating violence, they described how their earlier DV exposure experiences influence how they entered into, managed, and exited romantic relationships. By comparing their potential, former, and current romantic relationships with their fathers' violence and abuse, their mothers' victimization, and high school relationship partners' behaviors, the young women actively and strategically managed their relationship involvement over time. Although women exposed to both situational couple and coercive controlling violence reported experiencing abuse during high school, only women with coercive controlling exposure experienced reported having nonabusive, healthy, and supportive relationships. Findings suggest that the romantic relationship experiences of DV-exposed young adult women are complex, warranting a holistic approach that takes into consideration the full range of potential relationship experiences, the role of former relationships, and developmental timing when seeking to prevent and intervene in intergenerational transmission processes.

  7. The psychosocial experiences of women with breast cancer across the lifespan: a systematic review protocol.

    Science.gov (United States)

    Campbell-Enns, Heather; Woodgate, Roberta

    2015-01-01

    What are the psychosocial experiences of women with breast cancer across the lifespan, including similarities and differences in the psychosocial experiences of younger, middle-aged and older women with breast cancer? The experience of a life threatening illness, such as cancer, requires a person to consider an array of emotional, medical, social and existential demands. Specific to breast cancer, research shows that the experience of diagnosis and treatment of breast cancer may result in considerable distress.It is also known that a diagnosis of invasive breast cancer propels women into a time of uncertainty, that brings fear and emotional work. This disease oftentimes challenges a woman's identity, self-esteem, body image and relationships. However, even with these commonly felt distresses, most women adjust well to a breast cancer diagnosis and the treatments experienced, particularly if they do not experience a recurrence of cancer. Protective factors for distress include supportive care networks, such as family and support groups and professional resources provided by clinical staff, such as timely referrals to specialized services.Although most women adjust well to breast cancer, understanding distressing experiences among this population is crucial because, when experienced, the negative psychosocial impacts can be significant. Women who do experience distress due to breast cancer are at a risk of distress accompanying them through the breast cancer journey and impacting their long-term quality of life.Although literature suggests that the psychosocial experience of a breast cancer diagnosis may be different across the lifespan, less is known about the similarities and differences in the psychosocial experience between younger and older women with breast cancer. However, this studyexamines the experience of one age group and no comparisons between different age groups in this or other studies have been found at this time. Among what is known, younger women

  8. The Lived Experience of Domestic Violence in Iranian HIV-Infected Women

    Science.gov (United States)

    Mohammadi, Nooredin; Kochak, Hamid Emadi; Gharacheh, Maryam

    2015-01-01

    Domestic violence is one of the most prevalent problems linked to HIV. Domestic violence in HIV-infected women has not been sufficiently explored, particularly in developing countries including Iran. This study aimed to explore the lived experience of domestic violence in Iranian HIV-infected women. A qualitative approach was used to conduct the study. Data were collected through semi-structured, in-depth interviews with ten HIV-infected women and were analyzed using content analysis. During the data analysis, four main themes emerged including, “regretful past”, “disappointing future”, “loneliness”, and “no other option”, which refer to the condition that the participants experienced in their lives due to challenges that mainly stem from the experience of HIV-related domestic violence. HIV infection can be a risk factor for domestic violence. Health care providers need to address domestic violence during the assessment of HIV-infected women and make appropriate referrals for abused women. PMID:26156897

  9. Being targeted: Young women's experience of being identified for a teenage pregnancy prevention programme.

    Science.gov (United States)

    Sorhaindo, Annik; Bonell, Chris; Fletcher, Adam; Jessiman, Patricia; Keogh, Peter; Mitchell, Kirstin

    2016-06-01

    Research on the unintended consequences of targeting 'high-risk' young people for health interventions is limited. Using qualitative data from an evaluation of the Teens & Toddlers Pregnancy Prevention programme, we explored how young women experienced being identified as at risk for teenage pregnancy to understand the processes via which unintended consequences may occur. Schools' lack of transparency regarding the targeting strategy and criteria led to feelings of confusion and mistrust among some young women. Black and minority ethnic young women perceived that the assessment of their risk was based on stereotyping. Others felt their outgoing character was misinterpreted as signifying risk. To manage these imposed labels, stigma and reputational risks, young women responded to being targeted by adopting strategies, such as distancing, silence and refusal. To limit harmful consequences, programmes could involve prospective participants in determining their need for intervention or introduce programmes for young people at all levels of risk. Copyright © 2016 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

  10. The Attitudes of Blacks Toward Stories in Selected Basal Readers Which Contain Negro Characters: Teaching Black Experience Through Literature.

    Science.gov (United States)

    Dantzler, Dolores J.

    The purposes of the study were to determine the extent to which basal readers contain stories pertaining to blacks; to find out if the racial implications stated in basal texts are those that blacks want; to locate the black heroes in basal readers and evaluate whether or not these are the preferred heroes of the population of blacks sampled in…

  11. The body experience and stigmatizing experiences of two obese women

    OpenAIRE

    Holen, Helene H.

    2015-01-01

    Masteroppgave - Norges idrettshøgskole, 2015 This thesis addresses the themes body experiences in obese women and stigmatization of obesity. Both the prevalence of obesity and the prevalence of stigmatization of obesity is increasing. Also the amount of conducted bariatric surgeries is increasing. It has been shown in previous studies that stigmatization may affect obese people in negative manners. The objective of this thesis, is therefore to obtain an increased understandi...

  12. Experiences and Outcomes of a Women's Leadership Development Program: A Phenomenological Investigation

    Science.gov (United States)

    Brue, Krystal L.; Brue, Shawn A.

    2016-01-01

    Women's leadership training programs provide organizations opportunities to value women leaders as organizational resources. This qualitative research utilized phenomenological methodology to examine lived experiences of seven alumni of a women's-only leadership program. We conducted semi-structured interviews to clarify what learning elements…

  13. A longitudinal study of women's memories of their childbirth experiences at five years postpartum.

    Science.gov (United States)

    Takehara, Kenji; Noguchi, Makiko; Shimane, Takuya; Misago, Chizuru

    2014-07-05

    Few studies have investigated whether women can accurately recall their birthing experiences after a long period. We investigated the consistency of women's memories of their childbirth experiences between those at a few days postpartum and 5 years later. This prospective cohort study comprised 1,168 women who delivered at a maternity hospital and four maternity homes in Japan between May 2002 and August 2003. Data were collected using structured interviews and transcriptions from medical records. The childbirth experience was assessed using the Childbirth Experience Scale (CBE-Scale) at a few days postpartum and 5 years later. We obtained 584 (50.0%) valid responses from women who completed the survey at a few days postpartum and 5 years later. Significant differences were observed in 16 out of 18 items on the CBE-Scale when responses were compared at both time points. Women who answered "yes" to any item on the CBE-Scale at the baseline survey tended to demonstrate a more precise recollection for that item 5 years after childbirth than those who answered "no" for the corresponding item. We conclude that women remember their childbirth experience clearly at 5 years after the childbirth.

  14. A chasm between injury and care: experiences of black male victims of violence.

    Science.gov (United States)

    Liebschutz, Jane; Schwartz, Sonia; Hoyte, Joel; Conoscenti, Lauren; Christian, Anthony B; Muhammad, Leroy; Harper, Derrick; James, Thea

    2010-12-01

    Despite higher rates of stabbing and shooting violence among black men, healthcare systems have not demonstrated an efficacious response to these patients. This study describes challenges and promotive factors for engaging black male violence victims of violence with medical and mental healthcare. Black male victims of stabbings and shootings were recruited through fliers and word of mouth, and were interviewed individually (n = 12) or in pairs (n = 4) using a semistructured guide. A racially diverse multidisciplinary team analyzed the data using Grounded Theory methods. Challenges to engagement with healthcare included the following: (1) Disconnect in the aftermath; e.g. participants reported not realizing they were seriously injured ("just a scratch" "poke"), were disoriented ("did not know where I was"), or were consumed with anger. (2) Institutional mistrust: blurred lines between healthcare and police, money-motivated care. (3) Foreshortened future: expectations they would die young. (4) Self-reliance: fix mental and substance abuse issues on their own. (5) Logistical issues: postinjury mental health symptoms, disability, and safety concerns created structural barriers to recovery and engagement with healthcare. Promotive factors included the following: (1) desire professionalism, open personality, and shared experience from clinicians; (2) turning points: injury or birth of a child serve as a "wake up call"; and (3) positive people, future-oriented friends and family. For black male violence victims, medical treatment did not address circumstances of and reactions to injury. Policies delineating boundaries between medical care and law enforcement and addressing postinjury mental health symptoms, disability, and safety concerns may improve the recovery process.

  15. A comparative study on the effect of "black cohosh" and "evening primrose oil" on menopausal hot flashes.

    Science.gov (United States)

    Mehrpooya, Maryam; Rabiee, Soghra; Larki-Harchegani, Amir; Fallahian, Amir-Mohammad; Moradi, Abbas; Ataei, Sara; Javad, Masoumeh Taravati

    2018-01-01

    Hot flashes are considered to be a common experience for menopausal women and they can compromise the quality of life. The objective of this study is to assess the efficacy of Cimicifuga racemosa in comparison with evening primrose oil (EPO) in postmenopausal women with menopause-related symptoms. This study was performed on 80 postmenopausal women with hot flashes. The participants were randomly divided into two groups by blocked randomization. The participants of one group received black cohosh and the other group received EPO for 8 weeks. The severity and number of hot flashes and quality of life were measured by four-point scale, and the Menopause-Specific Quality of Life (MENQOL) questionnaire at pre-intervention, 1 st , 4 th , and 8 th weeks after treatment. Data were analyzed in SPSS Version 16 using independent t -test, Chi-square, and Fisher's exact test. Average severity of hot flashes in both groups and number of hot flashes in black cohosh group in 8 th week were significantly lower than 1 st week ( P hot flashes in primrose oil group in 8 th week showed no significant differences ( P = 0.32). The number of hot flashes and quality of life score in black cohosh arm compared to EPO showed a significant decrease in the 8 th week ( P hot flashes and improvement of the quality of life, but it seems that black cohosh is more effective than primrose oil because it was able to reduce the number of hot flashes too.

  16. Black Edens, country Eves: Listening, performance, and black queer longing in country music.

    Science.gov (United States)

    Royster, Francesca T

    2017-07-03

    This article explores Black queer country music listening, performance, and fandom as a source of pleasure, nostalgia, and longing for Black listeners. Country music can be a space for alliance and community, as well as a way of accessing sometimes repressed cultural and personal histories of violence: lynching and other forms of racial terror, gender surveillance and disciplining, and continued racial and economic segregation. For many Black country music listeners and performers, the experience of being a closeted fan also fosters an experience of ideological hailing, as well as queer world-making. Royster suggests that through Black queer country music fandom and performance, fans construct risky and soulful identities. The article uses Tina Turner's solo album, Tina Turns the Country On! (1974) as an example of country music's power as a tool for resistance to racial, sexual, and class disciplining.

  17. Exploring women's personal experiences of giving birth in Gonabad city: a qualitative study.

    Science.gov (United States)

    Askari, Fariba; Atarodi, Alireza; Torabi, Shirin; Moshki, Mahdi

    2014-05-08

    Women's health is an important task in society. The aim of this qualitative study that used a phenomenological approach was to explain women's personal experiences of giving birth in Gonabad city that had positive experiences of giving birth in order to establish quality cares and the related factors of midwifery cares for this physiological phenomenon. The participants were 21 primiparae women who gave a normal and or uncomplicated giving birth in the hospital of Gonabad University of medical sciences. Based on a purposeful approach in-depth interviews were continued to reach data saturation. The data were collected through open and semi-structured interactional in-depth interviews with all the participants. All the interviews were taped, transcribed and then analyzed through a qualitative content analysis method to identify the concepts and themes. Some categories were emerged. A quiet and safe environment was the most urgent need of the most women giving birth. Unnecessary routine interventions that are performed on all women regardless of their needs and should be avoided were considered such as: "absolute rest, establishing vein, frequent vaginal examinations, fasting and early Amniotomy". All the women wanted to take part actively in their giving birth, because they believed it could affect their giving birth. We hope that the women's experiences of giving birth will be a pleasant and enjoyable experience for all the mothers giving birth.

  18. Learning to (Re)member the Things We've Learned to Forget: Endarkened Feminisms, Spirituality, and the Sacred Nature of Research and Teaching. Black Studies and Critical Thinking. Volume 18

    Science.gov (United States)

    Dillard, Cynthia B.

    2012-01-01

    Feminist research has both held and contested experience as a category of epistemological importance, often as a secular notion. However, spirituality and sacred knowing are also fundamental to a Black/endarkened feminist epistemology in teaching and research, given the historical and cultural experiences of African ascendant women worldwide. How…

  19. Facebook Advertising to Recruit Young, Urban Women into an HIV Prevention Clinical Trial.

    Science.gov (United States)

    Jones, Rachel; Lacroix, Lorraine J; Porcher, Eloni

    2017-11-01

    Advertising via Facebook to elicit involvement in clinical trials has demonstrated promise in expanding geographic reach while maintaining confidentiality. The purpose of this study is to evaluate Facebook advertising to reach at-risk, predominately African American or Black women in higher HIV prevalence communities for an HIV prevention clinical trial, and to compare baseline characteristics to those recruited on-the-ground. Maintaining confidentiality and the practical aspects of creating and posting ads on Facebook are described. The advertising strategy targeted multicultural affinities, gender, age, interest terms, and zip codes. We report on results during 205 days. A total of 516,498 Facebook users viewed the ads an average of four times, resulting in 37,133 clicks to the study website. Compared to 495 screened on-the-ground, 940 were screened via Facebook ads, of these, half (n = 477, 50.74%) were high risk, and of those at risk, 154 were randomized into the 6-month clinical trial. Black women comprised 71.60% (n = 673) of the total screened online. Roughly twice as many Black women screened via Facebook compared to on-the-ground, yet, the percentage at high risk was similar. Preliminary data suggest that the extent to which ad headlines and photos tap into authentic social experience, advertising on Facebook can extend geographic reach and provide a comparative sample to women recruited on-the-ground.

  20. 'We've fallen into the cracks': Aboriginal women's experiences with breast cancer through photovoice.

    Science.gov (United States)

    Poudrier, Jennifer; Mac-Lean, Roanne Thomas

    2009-12-01

    Despite some recognition that Aboriginal women who have experienced breast cancer may have unique health needs, little research has documented the experiences of Aboriginal women from their perspective. Our main objective was to explore and to begin to make visible Aboriginal women's experiences with breast cancer using the qualitative research technique, photovoice. The research was based in Saskatchewan, Canada and participants were Aboriginal women who had completed breast cancer treatment. Although Aboriginal women cannot be viewed as a homogeneous group, participants indicated two areas of priority for health-care: (i) Aboriginal identity and traditional beliefs, although expressed in diverse ways, are an important dimension of breast cancer experiences and have relevance for health-care; and (ii) there is a need for multidimensional support which addresses larger issues of racism, power and socioeconomic inequality. We draw upon a critical and feminist conception of visuality to interrogate and disrupt the dominant visual terrain (both real and metaphorical) where Aboriginal women are either invisible or visible in disempowering ways. Aboriginal women who have experienced breast cancer must be made visible within health-care in a way that recognizes their experiences situated within the structural context of marginalization through colonial oppression.