Demography, Population, and Ecology Commons^™

Sexual And Reproductive Health Care Access And Utilization By Mexican Immigrant Women In New York City – A Descriptive Study, Gabriela Betancourt

Center for Latin American, Caribbean, and Latino Studies

Introduction: This study examines reproductive health care access and utilization by Mexicans in New York City.

Methods: This report uses data collected by Planned Parenthood of New York City (PPNYC) as part of a larger sexual and reproductive health (SRH) needs assessment. We analyzed various demographic factors and barriers to describe SRH access and utilization of services among Mexican immigrant women residing in New York City (NYC). We purposely sampled 151 adult women seeking assistance from the Mexican Consulate of New York City and other community-based organizations (CBOs). Women choosing to participate were administered an anonymous survey. Data collected included …

The Cross-Border Migrant Experience In Lang Son Province, Northern Viet Nam, Donald Hickerson

Electronic Thesis and Dissertation Repository

The crossing of national borders between nations of the developing world provides opportunities for the poor who seek sources of livelihood, while putting migrants, especially women migrants, at risk of exploitation and abuse. It is against the backdrop of these contradictory effects of migration for poor women that this thesis examines the experiences of a group of daily cross-border migrant women in northern Viet Nam. The study focuses on the role of networks in their lives. Based on 22 in-depth interviews with Vietnamese women migrants who work at the Viet Nam-China border region, I develop an analytical framework that seeks …

The Hiv/Aids Pandemic In African American Msm: Targets For Intervention, Kelly Neff

Journal of Health Disparities Research and Practice

The Centers for Disease Control and Prevention estimated in 2005 that 46% of African American men who have sex with men (MSM) are HIV positive. This review explores the unique factors that contribute to risky sexual behavior and the spread of HIV within this population, suggesting that the disparate prevalence of HIV among African American MSM is rooted in experiences of stigmatization from multiple sources and lack of social support from society at large as well as from within the African American community. Beliefs in HIV conspiracy myths are also thought to hinder HIV education, awareness and prevention for African …

Quality And Severity Of Lower Urinary Tract Symptoms Among African American Elders, Daniel L. Howard, Bennett G. Edwards, Kimberly Whitehead, M. A. Amamoo, Paul A. Godley

Journal of Health Disparities Research and Practice

Lack of population-based data on lower urinary tract symptoms (LUTS) among African American men represents a significant gap in understanding. This study examined LUTS among a racially over-sampled, mixed urban/rural, elderly cohort of African Americans and whites in the South to discern whether racial differences exist in the prevalence, severity, and associated risk factors of LUTS. Longitudinal analyses using generalized estimating equations (GEE) were conducted on the 1994–1998 EPESE dataset for 5 North Carolina counties. In 1994, the analytic cohort included 482 African Americans and 407 whites; by 1998, 249 and 222, respectively. In 1994, 49.4% of African Americans reported …

Process Evaluation In Action: Lessons Learned From Alabama Reach 2010, M. C. Nagy, Rhoda E. Johnson, Robin C. Vanderpool, Mona N. Fouad, Mark Dignan, Theresa A. Wynn, Edward E. Patridge, Isabel Scarinci, Cheryl Holt, Sharina D. Person

Journal of Health Disparities Research and Practice

The CDC-funded Alabama Racial and Ethnic Approaches to Community Health (REACH 2010) project is designed to reduce and eliminate disparities in breast and cervical cancer between African American and white women in six rural and three urban counties in Alabama. In this manuscript, we report on the development, implementation, results, and lessons learned from a process evaluation plan initiated during the Phase I planning period of the Alabama REACH 2010 program. The process evaluation plan for Alabama REACH 2010 focused on four main areas of activity that coincided with program objectives: assessing coalition development, building community capacity, conducting a needs …

A Survey Of Non-Classical Polyandry, Kathrine E. Starkweather, Raymond Hames

Department of Anthropology: Faculty Publications

We have identified a sample of 53 societies outside of the classical Himalayan and Marquesean area that permit polyandrous unions. Our goal is to broadly describe the demographic, social, marital, and economic characteristics of these societies and to evaluate some hypotheses of the causes of polyandry. We demonstrate that although polyandry is rare it is not as rare as commonly believed, is found worldwide, and is most common in egalitarian societies. We also argue that polyandry likely existed during early human history and should be examined from an evolutionary perspective. Our analysis reveals that it may be a predictable response …

Racial And Ethnic Differences In Cardiovascular Disease Risk Factors In U.S. Older Women: Findings From Behavioral Risk Factor Surveillance Survey, 2003 & 2004, Anita K. Kurian, Kristine Lykens, Sejong Bae, Karan P. Singh

Journal of Health Disparities Research and Practice

The purpose of this study was to examine racial and ethnic variations in the modifiable CVD risk factors in older women (65 years and older). The study data was drawn from the merged 2003 and 2004 national Behavioral Risk Factor Surveillance Survey (BRFSS). Multinomial regression analyses for indicator outcome and multiple logistic regression analyses for binary outcomes were performed to determine the relationship between each of the six dependent variable and the independent variables. Compared to older white women, older black women had significantly higher odds of hypertension, diabetes and obesity. No significant association was found between Hispanics and hypertension. …

Predictors Of Depression For Low-Income African American Single Mothers, Jennifer Hatcher, Mary K. Rayens, Ann R. Peden, Lynne A. Hall

Journal of Health Disparities Research and Practice

Purpose: To test a model of predictors of depression in low-income single African American mothers. Design: Secondary analysis of existing data collected as part of a study of women at risk for clinical depression.

Methods: Cross sectional secondary data analysis of a study of low-income African American single mothers with children ages 2-6. Path analysis was used to test a model of the potential mediating role of negative thinking. It was hypothesized that negative thinking mediates the effects of chronic stressors, general health status, and self-esteem on depressive symptoms

Finding: Negative thinking mediated the relationships of chronic stressors and self-esteem …

Examination Of Racial Disparities In Childhood Asthma Management Practices, Crystal N. Piper, Saundra Glover, Kieth Elder, Jong-Deuk Baek

Journal of Health Disparities Research and Practice

Objective: To analyze asthma management plan practices for children with asthma in the United States considering race and other demographic and person-level characteristics.

Methods: Univariate/Bivariate/Multivariate analysis was performed to examine asthma management plan physician recommendations among children in the United States utilizing secondary data analysis of the 2002 and 2003 National Health Interview Survey.

Results: The majority of the study participants reported not having an asthma management plan at (59.00%). In multivariate analysis using SAS callable SUDAAN, Whites were significantly more likely to have an asthma management plan (OR=1.66, p=.0031).

Conclusion: Findings from this study indicate that Black and Hispanic …

Health Disparities In Kidney Transplantation: An Equity Analysis, Shirley A. Wells

Journal of Health Disparities Research and Practice

The growing incidence of end stage renal disease along with advances of the past 40 years that have improved the success rate of kidney transplantation have created an unprecedented demand for kidney transplant. Yet, certain racial and ethnic groups and women consistently have longer waiting times and lower rates of transplantation which makes a review of the kidney procurement and transplantation system in view of its equity imperative. Reasons given for these disparities have varied from cultural attitudes and beliefs on the part of patients and health care providers, socioeconomic status, rates of organ donation, and geographic location. The equity …

Inflammatory Biomarkers And Subclinical Atherosclerosis In African-American Women With Systemic Lupus Erythematosus (Sle), Edith Williams, Carlos Crespo, Joan Dorn

Journal of Health Disparities Research and Practice

Women with lupus are at increased risk for developing cardiovascular disease (CVD). Previous studies of atherosclerosis in SLE have not been representative of the minority groups most affected by lupus and its complications. Therefore, a study of 41 lupus cases and 83 controls was conducted to investigate the relationship between carotid atherosclerosis and inflammation in African-American women. Participation consisted of a questionnaire, physical examination, fasting blood draw, and ultrasound of the carotid arteries. There were observed differences between cases and controls with regard to carotid intima media thickness (IMT) and traditional cardiovascular risk factors, although few reached statistical significance. Tumor …

Sex Selective Abortion In India, Christine Myers

Global Tides

The report explores the prevalence of sex-selective abortion in India and its main causes. These include the patriarchal nature of Indian society and a general preference to have sons, as well as the availability and misuse of sex-determination technologies. It explores the consequences of sex-selective abortion, especially in regards to gender disparity and increased discrimination against women. Evidence of its prevalence, different contributing factors and debates and arguments regarding sex-selective abortion are discussed. The report addresses current legislation and enforcement as well as government and non-governmental initiatives and their successes and shortcomings. Analysis is given regarding what will be the …

The Transformation Of Conjugal Partnerships: Union Transitions And Trajectories In Canada, Ching Jiangqin Du

Electronic Thesis and Dissertation Repository

Conjugal partnerships have undergone unprecedented changes in Canadathroughout the past several decades, especially with regard to the flexibility in entry and exit from intimate relationships. The development of longitudinal datasets and advanced methods further facilitates analyses of partnership transformations from a life-course theoretical perspective and in a wide analytical scope. This dissertation investigates partnership transformations in Canadaby examining conjugal partnership trajectories and by exploring the risk factors associated with these partnership transformations.

Employing dynamic analytical approaches (e.g., LIFEHIST analysis and survival analysis), this dissertation examines data from the retrospective General Social Survey (GSS) on Family Transitions, conducted by Statistics Canada …

An Assessment Of Individual And Institutional Research Utilization By Policy-Makers And Programme Managers At State And National Levels In Nigeria, National Agency For The Control Of Aids

HIV and AIDS

This report undertakes a systematic assessment of the need for evidence by decision-makers working on HIV and AIDS funding and policymaking, and implementing organizations at the national and subnational levels in Nigeria. The assessment identifies barriers and constraints to data use, identifies best practices, and offers recommendations for the design and prioritization of strategic approaches to address barriers and constraints in data use and production. Tools to monitor the adoption of evidence in policy and practice are also offered. The need for evidence-based practice in the national response to HIV and AIDS has been widely acknowledged and incorporated into policy …

Study Guide For United In Anger: A History Of Act Up, Matt Brim

Open Educational Resources

The United in Anger Study Guide facilitates classroom and activist engagement with Jim Hubbard’s 2012 documentary, United in Anger: A History of ACT UP. The Study Guide contains discussion sections, projects and exercises, and resources for further research about the activism of the New York chapter of ACT UP (AIDS Coalition to Unleash Power). The Study Guide is a free, interactive, multimedia resource for understanding the legacy of ACT UP, the film’s role in preserving that legacy, and its meaning for viewers' lives.

School, Family, And Faith: Social Influences On Educational Outcomes Of Nonmetropolitan Sexual Minority Students, Christopher J. Stapel

Theses and Dissertations--Sociology

Social institutions in rural communities tend to be highly interrelated and social ties tend to be dense and multiplex. Human ecological theoretical models posit that all institutions in which an individual is embedded interact in complex ways. As such, this dissertation examines the influences of school, faith, family, and risk contexts on the grade point averages of students who attended school in nonmetropolitan counties in Appalachian Kentucky. Using data disaggregated by gender from nearly 5,000 adolescents, I identified risk and protective factors on grade point averages by attraction type (exclusively opposite-sex attracted, same-sex attracted, and unsure of attraction), identified differences …

Using Capture-Recapture Methodology For Enumerating Most-At-Risk Populations (Marps), Population Council

HIV and AIDS

Populations at higher risk for HIV infection are often the most difficult to reach and this is particularly true of men who have sex with men (MSM), injecting drug users, and female sex workers in sub-Saharan Africa. These subpopulations are frequently marginalized by society because of the illicit and/or illegal activities they engage in. Estimating the size of hard-to-reach populations is important to effectively plan, implement, monitor, and evaluate HIV and AIDS prevention and care programs. “Capture-recapture” is a method of estimating the prevalence of a trait in a population or more simply it’s a method that provides a good …

Évaluation De Processus : Programme Filles Eveillées Pour Adolescentes Migrantes Employées De Maison Au Burkina Faso Urbain 2012, Leah Jarvis, Gisele Kaboré

Poverty, Gender, and Youth

Le programme «Filles Éveillées» a été conçu pour apporter aux adolescentes migrantes employées de maison les compétences, les connaissances et le capital social qui leur permettent de réduire leurs vulnérabilités et de s’ouvrir de nouveaux débouchés. Les observations tirées de la collecte de données quantitatives et qualitatives ont révélé le succès considérable du programme: il est largement apprécié et a été bien reçu par les participantes, les mentors, les membres de la communauté et tous les autres intéressés. En sa qualité de programme pilote, les obstacles à une mise en œuvre sans incidents auraient été inévitables, mais par leur détermination …

Réseaux Sociaux Et Les Capacités Financières Des Filles Employées De Maison À Bobo-Dioulasso, Gisele Kaboré

Poverty, Gender, and Youth

Depuis plus d’une année, le Population Council assure la mise en œuvre du projet «Filles Éveillées» ciblant les travailleuses domestiques dans les zones urbaines au Burkina Faso. L’objectif de cette étude est d’avoir une meilleure connaissance des réseaux sociaux des filles—soit avec les personnes dans sa nouvelle communauté soit avec des personnes dans son village à travers la technologie—depuis leurs zones d’origine, sachant que la phase de transit n’est pas bien comprise mais que ça peut influencer le séjour de la fille en ville. Cette étude a pour objectif de cerner les capacités et les modes de gestion financières des …

De La Recherche À La Conception Programmatique Et À La Mise En Oeuvre : Programmation À L'Intention Des Filles Des Milieux Ruraux D'Éthiopie—Boîte À Outils Du Praticien, Annabel Erulkar

Poverty, Gender, and Youth

Cette boîte à outils décrit comment créer ou améliorer des programmes pour les filles de l’Éthiopie rurale, en vue d'accroître le nombre de programmes organisés à leur intention et de les rendre pertinents et mieux adaptés à leur contexte. La boîte à outils décrit un processus d’élaboration programmatique fermement ancré dans les faits. Les chapitres procèdent dès lors d’un point de départ axé sur la recherche pour identifier et décrire les filles, pour se concentrer ensuite sur le développement programmatique émanant des données, et aboutir enfin sur la mise en œuvre guidée par le suivi et l’évaluation permanents.

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Addis Birhan Wendoch ('New Light Boys'): Working With Boys And Young Men To Create Healthier Futures, Woldemariam Girma, Diane Rubino, Annabel Erulkar, Worku Ambelu, Ayenechew Kerie

Poverty, Gender, and Youth

The Population Council and the Ethiopian Ministry of Women, Children, and Youth Affairs designed Addis Birhan Wendoch to impart life skills and promote gender-equitable, nonviolent, and healthy behaviors among boys and young men aged 10 to 24. The program helps out-of school boys and young men in Ethiopia navigate toward a healthier future by providing them with trained, compassionate mentors and safe environments in which they can find the support needed to share ideas and take positive actions. Through frank and open discussions, boys have the opportunity to get the facts on a range of essential topics from financial literacy …

Berhane Hewan ('Light For Eve'): Increasing Opportunities To Delay Marriage And Promote Schooling, Annabel Erulkar, Eunice N. Muthengi

Poverty, Gender, and Youth

This policy brief describes the findings of a pilot study on girls’ experience of early marriage, education, and sexual behavior in rural Amhara Region, Ethiopia. The brief also discusses efforts in the region to delay marriage and promote girls’ schooling. The Amhara Bureau of Women, Children and Youth Affairs and the Population Council pilot-tested a program to delay marriage and support schooling in rural Amhara Region. The program, entitled Berhane Hewan (Amharic for “Light for Eve”), included community conversations, support for remaining in school, and conditional cash transfers if girls remained unmarried and in school for the duration of the …

The Cost Of Reaching The Most Disadvantaged Girls: Programmatic Evidence From Egypt, Ethiopia, Guatemala, Kenya, South Africa, And Uganda, Jessica Sewall-Menon, Judith Bruce, Karen Austrian, Raven Brown, Jennifer Catino, Alejandra Colom, Angel Del Valle, Habtamu Demele, Annabel Erulkar, Kelly Hallman, Eva Roca, Nadia Zibani

Poverty, Gender, and Youth

The most disadvantaged adolescent girls are the poorest girls from the poorest communities. They suffer from human rights abuses, lack education and economic opportunity, are affected by HIV/AIDS, and have poor reproductive and maternal health outcomes. To effectively reach these girls so that they can receive critical services such as gathering spaces, life skills, financial literacy, savings accounts, and reproductive health knowledge, they must be targeted as a distinct segment. It is important to invest in building the capacities of local partners and governments to deliver and scale-up low-cost, well-targeted programs. This technical report is intended to assist programmatic officers, …

Filles Eveillées ('Girls Awakened'): A Pilot Program For Migrant Adolescent Girls In Domestic Service In Urban Burkina Faso, Sarah Engebretsen, Gisele Kaboré, Leah Jarvis

Poverty, Gender, and Youth

Young people in Burkina Faso, especially adolescent girls, have few economic opportunities, particularly in rural areas. This drives migration to urban areas in search of employment. In 2010, the Population council conducted formative research on migrant adolescent girls in domestic service in urban Burkina Faso. Findings revealed that girls typically live with their employers and spend long days performing arduous work, leaving little time for schooling, building social networks, and developing skills necessary for adulthood. Most programs designed for this population intervene after something has gone wrong rather than building girls’ protective assets. In response to these findings, the Population …

Observations Initiales Et Finales De Filles Eveillées : Programme Pilote De Renforcement Des Compétences Des Adolescentes Migrantes Employées De Maison. Cohorte 1 (2011–2012), Bobo-Dioulasso, Sarah Engebretsen

Poverty, Gender, and Youth

Le Burkina Faso abrite la dixième population la plus jeune du monde, avec 45% de la population de moins de 15 ans. Les jeunes au Burkina Faso, en particulier les adolescentes, ont peu d'opportunités économiques, en particulier dans les zones rurales. Cela alimente la migration vers les milieux urbaines à la recherche de travail. Seules, les filles sont physiquement et économiquement vulnérables et beaucoup courent un risque élevé de violence sexiste. Le Population Council a mené une recherche formative en 2010 dans le but de mieux comprendre la situation des adolescentes migrantes employées de maison au Burkina Faso urbain, et …

Marps Sensitization: A Diversity Training Guide For Health Care Providers In Nigeria, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme

HIV and AIDS

Men who have sex with men (MSM) present specific diagnostic and management challenges to counselors and health-care providers. High prevalence of HIV infection has been reported among MSM in Nigeria, driven partly by stigma, discrimination, lack of appropriate prevention strategies, limited research evidence, little recognition by policymakers, and inadequate knowledge and skills in dealing with MSM clients. In Nigeria, where homosexuality is illegal, the risk embodied in same-sex activities is high and makes hiding MSM activities almost a norm. Currently, health-care provider training materials that address most at-risk populations’ (MARPs) specific health needs are nonexistent in Nigeria. Knowledge of these …

Filles Eveillées : Programme Pilote Pour Adolescentes Migrantes Employées De Maison Au Burkina Faso Urbain, Sarah Engebretsen, Gisele Kaboré, Leah Jarvis

Poverty, Gender, and Youth

Les jeunes Burkinabè n’ont guère de débouchés économiques, en particulier dans les milieux ruraux. En 2010, le Population Council a mené une recherche formative dans le but de mieux comprendre la situation des adolescentes migrantes employées de maison au Burkina Faso urbain. L’étude révèle qu’arrivées à la ville, ces filles vivent généralement chez leurs employeurs et travaillent de longues journées laborieuses. Il leur reste très peu de temps pour aller à l’école, développer des réseaux sociaux et acquérir les compétences nécessaires à la vie adulte. Il s’avère du reste que les programmes destinés à cette population interviennent en majorité après …

Baseline And Endline Findings Of Filles Eveillées ('Girls Awakened'): A Pilot Program For Migrant Adolescent Girls In Domestic Service. Cohort 1 (2011–2012), Bobo-Dioulasso, Sarah Engebretsen

Poverty, Gender, and Youth

Burkina Faso has the tenth youngest population in the world, with 45 percent of the population below the age of 15. Young people in Burkina Faso, especially adolescent girls, have few economic opportunities, particularly in rural areas. This drives migration to urban areas in search of employment. On their own, girls are physically and economically vulnerable and many are at heightened risk for gender-based violence. The Population Council conducted formative research in 2010 to better understand the situation of migrant adolescent girls in domestic service in urban Burkina Faso, and subsequently designed a safe spaces intervention. The Filles Éveillées (“Girls …

Injectable Contraceptives: Perspectives And Experiences Of Women And Health Care Providers In India, Shireen J. Jejeebhoy, A.J. Francis Zavier

Poverty, Gender, and Youth

This report is the result of a study that aimed to shed light on the feasibility and acceptability of making injectable contraceptives more widely available to women in India. The study focused on injectable contraceptive users, new method adopters, and healthcare providers drawn from the facilities of a range of reproductive health. Healthcare providers were, for the most part, in favor of offering injectable contraceptives, however, they argued strongly for certain prerequisites, such as comprehensive and sensitive counseling and effective follow-up. Findings further suggest that there is a demand for injectable contraceptives among women, and that both women and healthcare …

Increasing Opportunities To Delay Marriage And Promote Schooling: Results From A Baseline Survey In Rural Tanzania, Eunice N. Muthengi, Annabel Erulkar

Poverty, Gender, and Youth

This research brief describes girls' experience of early marriage, education, and sexual behavior in the Tabora region of Tanzania. Research shows that a considerable proportion of girls married early, have only limited discussions on health issues with their spouses, experience intimate partner violence, and have high unmet need for family planning. Tabora Development Foundation Trust, in partnership with the Population Council, is implementing strategies—including community awareness, support to get girls back into school and keep them there, and conditional transfers—to increase marriage age in the rural Tabora region. The goal is to identify effective, sustainable, and cost-effective approaches to increase …