Promoting Gender Equality: A Systematic Review of Interventions

More than four decades have passed since the United Nation’s Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) was adopted. Now is an opportune time to consider whether the interventions seeking to realise CEDAW’s aspirations have brought us closer to achieving gender equality. This systematic review aimed to identify and synthesise evidence for the effectiveness of social justice, cognitive, or behaviour-change interventions that sought to reduce gender inequality, gender bias, or discrimination against women or girls. Interventions could be implemented in any context, with any mode of delivery and duration, if they measured gender equity or discrimination outcomes, and were published in English in peer-reviewed journals. Papers on violence against women and sexuality were not eligible. Seventy-eight papers reporting qualitative (n?=?36), quantitative (n?=?23), and multi-methods (n?=?19) research projects met the eligibility criteria after screening 7,832 citations identified from psycINFO, ProQuest, Scopus searches, reference lists and expert recommendations. Findings were synthesised narratively. Improved gender inclusion was the most frequently reported change (n?=?39), particularly for education and media interventions. Fifty percent of interventions measuring social change in gender equality did not achieve beneficial effects. Most gender mainstreaming interventions had only partial beneficial effects on outcomes, calling into question their efficacy in practice. Twenty-eight interventions used education and awareness-raising strategies, which also predominantly had only partial beneficial effects. Overall research quality was low to moderate, and the key findings created doubt that interventions to date have achieved meaningful change. Interventions may not have achieved macrolevel change because they did not explicitly address meso and micro change. We conclude with a summary of the evidence for key determinants of the promotion of gender equality, including a call to address men’s emotional responses (micro) in the process of achieving gender equality (micro/meso/macrolevels).

     

Managing victim status in group therapy for men: a discourse analysis

In contrast to the abundance of research on women victims, this article sheds light on the discourse of men who are self-identified as victims of their female partners' abuse. The purpose of this study was to investigate the most salient identity constructions and abuse conceptualizations among participants of group psychotherapy for men who have been abused in intimate, heterosexual partner relationships (i.e., Calgary Counselling Centre's 14-week group program titled "A Turn for the Better"). The men's identity work was examined using the methods and theoretical perspective of discourse analysis. Analysis of the talk demonstrated that the group agenda was to work through the ambiguity of abuse in the service of having the men identify themselves as victims. Thus, both the men and the group facilitators actively constructed "true victim" subject positions through their resistance to commonsense orientations of (a) "men as perpetrators" and (b) whether abuse consisted of more than physical violence. The therapeutic language of resistance was a common strategy used to manage victim status but also required further negotiation as it entailed a component of abuse (i.e., risked positioning the men as abusers rather than victims). The discussion focuses on how these findings may differ from the identity work present in women victim therapeutic groups. In addition, we note that it is difficult to uphold the victim-versus-perpetrator dichotomy in therapeutic discourse.     

Adolescent Stressors,Coping Strategies,and Psychological Health Studied in the Family Context

The present study examined adolescents' stressors, coping, and psychological health in the family context in 42 adolescents, ranging in age from 11 to 18. Perceptions of intergenerational stressors and coping strategies were examined for congruence by comparing adolescents' self-reports to parents' reports on their adolescents. Adolescents' reports on their parents were also compared to parents' reports on themselves. This study also specified family environment dynamics in relation to the study variables. Hypotheses that more congruent adolescent and parent perceptions about each other's stressors and coping were related to more cohesive family environments and more adaptive copings were generally supported. Family environment variables and congruent coping were related to psychological health symptoms as well. The findings contribute to current knowledge about the study variables examined in the context of the family.     

Fostering Peace After Civil War: Commitment Problems and Agreement Design

Lasting peace after civil war is difficult to establish. One promising way to ensure durable peace is by carefully designing civil war settlements. We use a single theoretical model to integrate existing work on civil war agreement design and to identify additional agreement provisions that should be particularly successful at bringing about enduring peace. We make use of the bargaining model of war which points to commitment problems as a central explanation for civil war. We argue that two types of provisions should mitigate commitment problems: fear-reducing and cost-increasing provisions. Fear-reducing provisions such as third-party guarantees and power-sharing alleviate the belligerents' concerns about opportunism by the other side. Provisions such as the separation of forces make the resumption of hostilities undesirable by increasing the costs of further fighting. Using newly expanded data on civil war agreements between 1945 and 2005, we demonstrate that cost-increasing provisions indeed reduce the chance of civil war recurrence. We also identify political power-sharing as the most promising fear-reducing provision.     

Hypothermia-related Deaths: A 10-year Retrospective Study of Two Major Metropolitan Cities in the United States*

Hypothermia-related deaths affect vulnerable populations and are preventable. They account for the vast majority of weather-related deaths in the United States. The postmortem diagnosis of hypothermia can be challenging, as there are no pathognomonic signs. The electronic databases of the New York City Office of Chief Medical Examiner and Harris County Institute of Forensic Sciences were searched for all fatalities where the primary cause of death included hypothermia, between January 2009 and July 2019. There were 139 hypothermia deaths in New York City (NYC) with an average annualized rate of 1.7 per million. During this same time, there were 50 hypothermia deaths in Houston with an average annualized rate of 2.4 per million. Males were more likely to die of hypothermia compared to females in both cities. The rate ratio (RR) in NYC was 3.55 (95% CI 2.40, 5.25), while the RR in Houston was 2.83 (95% CI 1.50, 5.32). Age- and sex-specific standardized hypothermia mortality rates were 18.2 (95% CI 15.1, 21.2) per million in NYC and 30.1 (95% CI 21.7, 38.6) per million in Houston. The comparative hypothermia death ratio was 1.66 (95% CI 1.19, 2.30), indicating hypothermia mortality in Houston was 66% higher than in NYC. There was no correlation between zip code poverty rates and hypothermia-related deaths. The most consistent autopsy finding was Wischnewski spots (56.6%), and ethanol was the most common toxicological finding (36.5%). Local agencies can use this data to target these higher-risk populations and offer appropriate interventions to try to prevent these deaths.