Associations between intimate partner violence and emotional distress among pregnant women in Durban, South Africa

Intimate partner violence (IPV) during pregnancy has been associated with multiple negative health outcomes including emotional distress during pregnancy. However, little is known about IPV during pregnancy and its association with emotional distress among South African women. The objectives of this study were to determine the prevalence of both emotional distress and IPV during pregnancy, to identify whether different exposures of violence were associated with emotional distress and to assess whether social support attenuated the relationship between IPV and emotional distress. Pregnant women enrolled in the South Africa HIV Antenatal and Posttest Support Study (SAHAPS) who completed the baseline survey were included in this cross sectional analysis. We used logistic regression models to explore bivariate and multivariate relationships between the proposed covariates and emotional distress. Nearly a quarter of women experienced some type of IPV during the current pregnancy, with psychological violence being the most prevalent. The odds of emotional distress was 1.41 times (95% CI: [1.26, 1.57]) higher for each additional episode of psychological violence and 2.01 times (95% CI: [1.16, 3.77]) higher for each additional episode of sexual violence during pregnancy, adjusting for other covariates. Physical violence was only marginally associated with increased odds of emotional distress. Finally, social support was marginally significant as a main effect but did not attenuate the relationship between IPV and emotional distress. The high prevalence of IPV among South African women and its association with emotional distress during pregnancy suggest that interventions that reduce violence during or prior to pregnancy are needed.     

A model for disaggregating political change

We present a model for identifying the components of aggregate change in an electorate between two points in time. When the electorate is constant in size, change in the mean opinion disaggregates into two components: conversion among those who continue to participate in the electorate (Stayers), and replacement of those who drop out of the electorate at Time₁ (Dropouts) by Newcomers to the electorate at Time₂. We add to this simple formulation the possibility of variation in the size of the electorate. When an electorate expands, the model includes a mobilization term to accommodate the fact that there are more Newcomers at Time₂ than Dropouts at Time₁. When an electorate shrinks in size, the demobilization term reflects the fact that Newcomers as a group are smaller than Dropouts. The model includes appropriate weights for each component so that the change in opinion (or any other aggregate characteristic in the electorate) can be allocated across the three components. We apply the model to Iowa caucus attenders in both parties between 1984 and 1988, and we suggest that the model can be also productively applied to a variety of contexts besides nomination politics, where fluctuations in the size of electorates are significant.Ronald B. Rapoport. College of William and Mary.     

The ecology of adolescent activity and experience

Twenty-five adolescents reported their daily activities and the quality of their experiences for a total of 753 times during a normal week, in response to random beeps transmitted by an electronic paging device. In this sample adolescents were found to spend most of their time either in conversation with peers or in watching television. Negative affects were prevalent in most activities involving socialization into adult roles. Television viewing appears to be an affectless state associated with deviant behavior and antisocial personality traits. The research suggests the importance of a systemic approach which studies persons' activities and experiences in an ecological context. The experiential sampling method described in this paper provides a tool for collecting such systemic data.The research reported herein was partially funded through PHS Grant 5-R01MH-22883-03.Received his Ph.D. from the University of Chicago. Latest books includeBeyond Boredom and Anxiety (1975), dealing with the experience of enjoyment, andThe Creative Vision (1976), about problem finding in art.Current interests are problems of juvenile delinquency and aging.Received her Ph.D. from the University of Chicago. Research interests include the sociology of science and the role of women.     

Impact of parental holocaust traumatization on offsprings' reports of parental child-rearing practices

The impact of severe parental traumatization on child rearing was investigated in a nonselective nonclinical group of Israeli adolescents, offspring of Holocaust survivors (N=76). Adolescents' reports of parental behavior were correlated with a measure of severity of parental Holocaust traumatization. For boys, the severity of paternal traumatization (PT) correlated negatively with reported child-rearing practices denoting both paternal nurturance and paternal control. Mothers were perceived by boys as withholding nurturance and exerting hostile control as a function of their spouses' degree of traumatization (PT). Females perceived fathers as being inconsistent socializers, with anxiety-provoking and enforcement overtones as a function of PT. PT is, however, uncorrelated with any maternal practices as reported by girls. The severity of maternal traumatization (MT) was correlated with fathers' refrainment with girls from harsh modes, such as control, hostile control, and instilling anxiety. MT correlated for boys with maternal refrainment from harsh child-rearing practices, such as hostile control and enforcement. The results clearly point to the existence of significant associations between degree of parental traumatization and reported child-rearing experiences. The pattern of correlations indicate specific intragender and intergender transgenerational interactions.Received his Ph.D. at Hebrew University of Jerusalem in 1976. Fulbright scholar in Child Development at UCLA (1977). Major interests are personality assessment, personality development, and transgenerational aftermath of holocaust traumatization.Received his M.D. at Ludwig Maximilian University, Munich, Germany, in 1952. Major interests are problems of trauma, mourning and bereavement, transgenerational transmission of identity in families, and psychoanalytic aspects of historical processes.     

A vindication of the rights of girls: surviving girlhood in the 21st century

ABSTRACT

Between 2014 to 2016 we conducted mixed-methods research exploring girls’ experiences of growing up in the UK in the 21st century. We spoke to girls and young women between the ages of 10 and 24 in England, Wales, Scotland and Northern Ireland to gain a qualitative snapshot of what matters to girls. We also conducted the first quantitative study of a range of quality of life indicators disaggregated by age and gender in the UK to garner a statistical view of geographically-based experiences of growing up girl. The study was commissioned by Plan International UK and The State of Girls’ Rights report was launched in September 2016. What struck us at the time of writing the report was the resonance between challenges girls raised in 2016 and those proclaimed by Wollstonecraft in her 1792 treatise, A Vindication of the Rights of Woman published over 200 years earlier. Here we bring together these voices from the 18th and 21st centuries to consider the continuing legacy and resonance of Wollstonecraft’s ideas in thinking about growing up girl in Britain.     

U.S. policy on health inequities: the interplay of politics and research

What is the relationship between scientific research and government action in addressing health inequalities in the United States? What factors increase the impact of scientific research on public policy? To answer these questions, we focus on racial and ethnic disparities in health status and health care in the United States. We first review the history of the disparities issue to elucidate how the continual and persistent interplay between political action and scientific research drives government policy. We then analyze two recent government-sponsored reports about racial and ethnic disparities to understand the strategic consequences of issue framing. We draw lessons about how disparities research can have a greater impact on public policy.     

Reframing the racial disparities issue for state governments

Although racial and ethnic disparities in health have been on the federal government's agenda since 1985, no policy reforms have significantly reduced disparities. The question arises whether states can effectively address this issue without waiting for solutions from the national government. The purpose of this article is to propose ways of reframing the disparities issue that might give state policy makers more leverage and might strengthen political will to address the issue. I suggest a moral frame based on a concept of distributive justice in which medical care must be distributed according to need. I explain the rationales for such a frame and consider its strategic advantages and disadvantages. In the last section, I suggest some policies based on this framing that are within the power of state legislatures.