Motherhood as Identity: African Refugee Single Mothers Working the Intersections

2018 ◽  
Vol 32 (4) ◽  
pp. 583-604
Author(s):  
Julian Grant ◽  
Pauline B Guerin
Keyword(s):  
Focus Groups ◽  
Single Mothers ◽  
Social Relations ◽  
Secondary Analysis ◽  
Western Country ◽  
Primary Analysis ◽  
Raising Children ◽  
Mothers And Children ◽  
And Gender ◽  
African Refugee

Abstract We explored the strategies that refugee single mothers used to manage socio-emotional, physical and economic challenges of raising children during resettlement in a Western country. Ethnographic case studies of 10 families and 12 focus groups were conducted. Bourdieu’s theory of social relations informed the primary analysis. Intersectionality was adopted as a secondary analysis, attending to the agency and empowerment experienced by the participants. Motherhood was identified as a key gendered capability important for the development of capital. Within motherhood, five core themes were identified, including ‘loneliness and sadness’, ‘not enough money’, ‘racism’, ‘struggle for education’ and ‘striving to connect’. Findings suggest the importance of a feminism that legitimizes motherhood as identity with attendant intersections of race, class and gender. Further, the theoretical link between motherhood as a capability and development of capital suggests that investment in structural resources could improve capability and outcomes for refugee mothers and children.

scholarly journals Study protocol for the COPE study: COVID-19 in Older PEople: the influence of frailty and multimorbidity on survival. A multicentre, European observational study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e040569 ◽  
Author(s):  
Angeline Price ◽  
Fenella Barlow-Pay ◽  
Siobhan Duffy ◽  
Lyndsay Pearce ◽  
Arturo Vilches-Moraga ◽  
...  
Keyword(s):  
Observational Study ◽  
Smoking Status ◽  
Angiotensin Receptor Blockers ◽  
Secondary Analysis ◽  
Length Of Hospital Stay ◽  
Ratio Test ◽  
Short Term ◽  
Primary Analysis ◽  
And Gender

IntroductionThis protocol describes an observational study which set out to assess whether frailty and/or multimorbidity correlates with short-term and medium-term outcomes in patients diagnosed with COVID-19 in a European, multicentre setting.Methods and analysisOver a 3-month period we aim to recruit a minimum of 500 patients across 10 hospital sites, collecting baseline data including: patient demographics; presence of comorbidities; relevant blood tests on admission; prescription of ACE inhibitors/angiotensin receptor blockers/non-steroidal anti-inflammatory drugs/immunosuppressants; smoking status; Clinical Frailty Score (CFS); length of hospital stay; mortality and readmission. All patients receiving inpatient hospital care >18 years who receive a diagnosis of COVID-19 are eligible for inclusion. Long-term follow-up at 6 and 12 months is planned. This will assess frailty, quality of life and medical complications.Our primary analysis will be short-term and long-term mortality by CFS, adjusted for age (18–64, 65–80 and >80) and gender. We will carry out a secondary analysis of the primary outcome by including additional clinical mediators which are determined statistically important using a likelihood ratio test. All analyses will be presented as crude and adjusted HR and OR with associated 95% CIs and p values.Ethics and disseminationThis study has been registered, reviewed and approved by the following: Health Research Authority (20/HRA1898); Ethics Committee of Hospital Policlinico Modena, Italy (369/2020/OSS/AOUMO); Health and Care Research Permissions Service, Wales; and NHS Research Scotland Permissions Co-ordinating Centre, Scotland. All participating units obtained approval from their local Research and Development department consistent with the guidance from their relevant national organisation.Data will be reported as a whole cohort. This project will be submitted for presentation at a national or international surgical and geriatric conference. Manuscript(s) will be prepared following the close of the project.

Hierarchical Modelling of Facial Perceptions: A Secondary Analysis of Aggressiveness Ratings

2020 ◽  
Author(s):  
Mark Christopher Adkins ◽  
Nataly Beribisky ◽  
Stephan Bonfield ◽  
Linda Farmus
Keyword(s):  
Factor Analysis ◽  
Mixed Model ◽  
Structural Information ◽  
Secondary Analysis ◽  
Specific Factor ◽  
Primary Analysis ◽  
Model Framework ◽  
Psychological Science ◽  
Individual Traits ◽  
Confirmatory Factor

The Psychological Science Accelerator’s (PSA) primary project tested for latent structure using exploratory factor analysis and confirmatory factor analysis but we decided to diverge from this approach and model individual traits separately. Our interest mainly was in examining the interplay between “stimulus ethnicity” and “stimulus sex” to discover how differing levels of these criterion differ across region, country, lab etc. While the necessary and prerequisite hierarchical structural information about each trait could certainly be found within the primary project’s dataset, we did not assume that any specific factor structure from the PSA’s primary analysis would necessarily hold, therefore we based our decision to model the data from each trait separately using a mixed model framework.

Has the SARS-CoV-2 outbreak had an impact on uptake of digital cessation support in UK smokers? An interrupted time series analysis (Preprint)

2020 ◽  
Author(s):  
Olga Perski ◽  
Aleksandra Herbec ◽  
Lion Shahab ◽  
Jamie Brown
Keyword(s):  
Time Series ◽  
Smoking Cessation ◽  
Secondary Analysis ◽  
Interrupted Time Series ◽  
Step Change ◽  
Outcome Variable ◽  
Primary Analysis ◽  
Increasing Trend ◽  
The Uk ◽  
Temporary Closure

BACKGROUND The SARS-CoV-2 outbreak may motivate smokers to attempt to stop in greater numbers. However, given the temporary closure of UK stop smoking services and vape shops, smokers attempting to quit may instead seek out digital support, such as websites and smartphone apps. OBJECTIVE We examined, using an interrupted time series approach, whether the SARS-CoV-2 outbreak has been associated with a step change or increasing trend in UK downloads of an otherwise popular smoking cessation app, Smoke Free. METHODS Data were from daily and non-daily adult smokers in the UK who had downloaded the Smoke Free app between 1 January 2020 and 31 March 2020 (primary analysis) and 1 January 2019 and 31 March 2020 (secondary analysis). The outcome variable was the number of downloads aggregated at the 12-hourly (primary analysis) or daily level (secondary analysis). The explanatory variable was the start of the SARS-CoV-2 outbreak, operationalised as 1 March 2020 (primary analysis) and 15 January 2020 (secondary analysis). Generalised Additive Mixed Models adjusted for relevant covariates were fitted. RESULTS Data were collected on 45,105 (primary analysis) and 119,881 (secondary analysis) users. In both analyses, there was no evidence for a step change or increasing trend in downloads attributable to the start of the SARS-CoV-2 outbreak. CONCLUSIONS In the UK, between 1 January 2020 and 31 March 2020, and between 1 January 2019 and 31 March 2020, there was no evidence that the SARS-CoV-2 outbreak has been associated with a surge in downloads of a popular smoking cessation app. CLINICALTRIAL osf.io/zan2s

Cultural variation in children's observation during a demonstration

2005 ◽  
Vol 29 (4) ◽  
pp. 282-291 ◽  
Author(s):  
Rebeca Mejía-Arauz ◽  
Barbara Rogoff ◽  
Ruth Paradise
Keyword(s):  
Secondary Analysis ◽  
Cultural Variation ◽  
Formal Schooling ◽  
Primary Analysis ◽  
Extensive Experience ◽  
Children’S Learning ◽  
Mexican Heritage ◽  
European Heritage ◽  
Us Children ◽  
Children's Learning

Ethnographic research indicates that in a number of cultural communities, children's learning is organised around observation of ongoing activities, contrasting with heavy use of explanation in formal schooling. The present research examined the extent to which first- to third-grade children observed an adult's demonstration of how to fold origami figures or observed the folding of two slightly older children who also were trying to make the figures, without requesting further information. In the primary analysis, 10 Mexican heritage US children observed without requesting additional information to a greater extent than 10 European heritage US children. Consistent with the ethnographic literature, these two groups differed in the extent of their family's involvement in schooling; hence, we explored the relationship with maternal schooling in a secondary analysis. An additional 11 children of Mexican heritage whose mothers had extensive experience in formal school (at least a high school education) showed a pattern more like that of the European heritage children, whose mothers likewise had extensive experience in school, compared with the Mexican heritage children whose mothers had only basic schooling (an average of 7.7 grades). The results suggest that a constellation of cultural traditions that organise children's learning experiences—including Western schooling—may play an important role in children's learning through observation and explanation.

Association between Number of Prior Cesareans and Early Preterm Delivery in Women with Abnormal Placentation

2020 ◽  
Author(s):  
Ayamo Oben ◽  
Elizabeth B. Ausbeck ◽  
Melissa N. Gazi ◽  
Akila Subramaniam ◽  
Lorie M. Harper ◽  
...  
Keyword(s):  
Preterm Delivery ◽  
Preterm Labor ◽  
Placenta Previa ◽  
Secondary Analysis ◽  
Blood Products ◽  
Primary Analysis ◽  
Logistic Regression Models ◽  
Placenta Accreta Spectrum ◽  
Nicu Admission ◽  
Early Preterm Birth

Objective Delivery timing at 34 to 36 weeks is nationally recommended for pregnancies complicated by placenta accreta spectrum (PAS). However, it has recently been suggested that those with ≥2 prior cesarean deliveries (CD) and PAS should be delivered earlier than 34 weeks because of a higher risk of unscheduled delivery and complications. We sought to evaluate whether the number of prior CD in women with PAS is associated with early preterm delivery (PTD) (<34 weeks). We also evaluated the same relationship in women with placenta previa alone (without PAS). Study Design This is a secondary analysis of a multicenter and observational study that included women with prior CD (maternal–fetal medicine unit cesarean registry). Women with a diagnosis of PAS (regardless of placenta previa) were included for our primary analysis, and women with known placenta previa (without a component of PAS) were independently analyzed in a second analysis. Two groups of patients from the registry were studied: patients with PAS (regardless of placenta previa) and patients with placenta previa without PAS. The exposure of interest was the number of prior CD: ≥2 CD compared with <2 CD. The primary outcome was PTD <34 weeks. Secondary outcomes included preterm labor requiring hospitalization or tocolysis, transfusion of blood products, composites of maternal and neonatal morbidities, and NICU admission. Outcomes by prior CD number groups were compared in both cohorts. Backward selection was used to identify parsimonious logistic regression models. Results There were 194 women with PAS, 97 (50%) of whom had <2 prior CD and 97 (50%) of whom had ≥2 prior CD. The rate of PTD <34 weeks in women with ≥2 prior CD compared with <2 in the setting of PAS was 23.7 versus 29.9%, p = 0.27; preterm labor requiring hospitalization was 24.7 versus 13.5%; p = 0.05. The rates of plasma transfusion were increased with ≥2 prior CD (29.9 vs. 17.5%, p = 0.04), but there were no differences in transfusion of other products or in composite maternal or neonatal morbidities. After multivariable adjustments, having ≥2 CDs was not associated with PTD <34 weeks in women with PAS (adjusted odds ratio (aOR): 0.73, 95% confidence interval [CI]: 0.39–13.8) despite an association with preterm labor requiring hospitalization (aOR: 2.69; 95% CI: 1.15–6.32). In our second analysis, there were 687 women with placenta previa, 633 (92%) with <2 prior CD, and 54 (8%) with ≥2 prior CD. The rate of PTD <34 weeks with ≥2 CD in the setting of placenta previa was not significantly increased (27.8 vs. 22.1%, aOR: 1.49; 95% CI: 0.77–2.90, p = 0.08); the maternal composite outcome (aOR: 4.85; 95% CI: 2.43–9.67) and transfusion of blood products (aOR: 6.41; 95% CI: 2.30–17.82) were noted to be higher in the group with ≥2 prior CD. Conclusion Women with PAS who have had ≥2 prior CD as compared with women with <2 prior CD did not appear to have a higher risk of complications leading to delivery prior to 34 weeks. As such, considering the associated morbidity with early preterm birth, we would not recommend scheduled delivery prior to 34 weeks in this population. Key Points

scholarly journals Endovascular thrombectomy time metrics in the era of COVID-19: observations from the Society of Vascular and Interventional Neurology Multicenter Collaboration

2021 ◽  
pp. neurintsurg-2020-017205
Author(s):  
Alexandra L Czap ◽  
Alicia M Zha ◽  
Jacob Sebaugh ◽  
Ameer E Hassan ◽  
Julie G Shulman ◽  
...  
Keyword(s):  
Care Delivery ◽  
Control Period ◽  
Secondary Analysis ◽  
Primary Analysis ◽  
Vessel Occlusion ◽  
Endovascular Thrombectomy ◽  
Final Multivariable Model ◽  
Multivariable Regression ◽  
Multi Center Study ◽  
Multivariable Adjustment

BackgroundUnprecedented workflow shifts during the coronavirus disease 2019 (COVID-19) pandemic have contributed to delays in acute care delivery, but whether it adversely affected endovascular thrombectomy metrics in acute large vessel occlusion (LVO) is unknown.MethodsWe performed a retrospective review of observational data from 14 comprehensive stroke centers in nine US states with acute LVO. EVT metrics were compared between March to July 2019 against March to July 2020 (primary analysis), and between state-specific pre-peak and peak COVID-19 months (secondary analysis), with multivariable adjustment.ResultsOf the 1364 patients included in the primary analysis (51% female, median NIHSS 14 [IQR 7–21], and 74% of whom underwent EVT), there was no difference in the primary outcome of door-to-puncture (DTP) time between the 2019 control period and the COVID-19 period (median 71 vs 67 min, P=0.10). After adjustment for variables associated with faster DTP, and clustering by site, there remained a trend toward shorter DTP during the pandemic (βadj=-73.2, 95% CI −153.8–7.4, Pp=0.07). There was no difference in DTP times according to local COVID-19 peaks vs pre-peak months in unadjusted or adjusted multivariable regression (βadj=-3.85, 95% CI −36.9–29.2, P=0.80). In this final multivariable model (secondary analysis), faster DTP times were significantly associated with transfer from an outside institution (βadj=-46.44, 95% CI −62.8 to – -30.0, P<0.01) and higher NIHSS (βadj=-2.15, 95% CI −4.2to – -0.1, P=0.05).ConclusionsIn this multi-center study, there was no delay in EVT among patients treated for intracranial occlusion during the COVID-19 era compared with the pre-COVID era.

071 Natalizumab extended interval dosing (EID) is associated with a significant reduction in progressive multifocal leukoencephalopathy (PML) risk compared with standard interval dosing (SID) in the touch® prescribing program

2018 ◽  
Vol 89 (6) ◽  
pp. A29.2-A29 ◽  
Author(s):  
Lana Zhovtis Ryerson ◽  
John Foley ◽  
Ih Chang ◽  
Ilya Kister ◽  
Gary Cutter ◽  
...  
Keyword(s):  
Cox Regression ◽  
Jc Virus ◽  
Secondary Analysis ◽  
Statistical Analysis Plan ◽  
Rank Test ◽  
Primary Analysis ◽  
Standard Interval ◽  
Kaplan Meier ◽  
Hazard Ratios ◽  
Dosing Intervals

IntroductionNatalizumab, approved for 300 mg intravenous every-4-weeks dosing, is associated with PML risk. Prior studies have been inconclusive regarding EID’s impact on PML risk. The US REMS program (TOUCH) offers the largest data source that can inform on PML risk in patients on EID. This analysis aimed to determine whether natalizumab EID is associated with reduced PML risk compared with SID.MethodsInvestigators developed SID and EID definitions and finalised the statistical analysis plan while blinded to PML events. Average dosing intervals (ADIs) were ≥3 to<5 weeks for SID and >5 to≤12 weeks for EID. The primary analysis assessed ADI in the last 18 months of infusion history. The secondary analysis identified any prolonged period of EID at any time in the infusion history. The tertiary analysis assessed ADI over the full infusion history. Only anti-JC virus antibody positive (JCV Ab+) patients with dosing intervals≥3 to≤12 weeks were included. PML hazard ratios (HRs) were compared using adjusted Cox regression models and Kaplan-Meier estimates.ResultsAnalyses included 13,132 SID and 1988 EID patients (primary), 15,424 SID and 3331 EID patients (secondary), and 23,168 SID and 815 EID patients (tertiary). In primary analyses, ADI (days) was 30 for SID and 37 for EID; median exposure (months) was 44 for SID and 59 for EID. Most EID patients received >2 years SID prior to EID. The PML HR (95% CI) was 0.06 (0.01–0.22; p<0.001) for primary analysis and 0.12 (0.05–0.29; p<0.001) for secondary analysis (both in favour of EID); no EID PML cases were observed in tertiary analyses (Kaplan-Meier log-rank test p=0.02).ConclusionIn JCV Ab +patients, natalizumab EID is associated with a clinically and statistically significant reduction in PML risk as compared with SID. As TOUCH does not collect effectiveness data, further studies are needed.Study supportBiogen

The Persistence of Presentism

2009 ◽  
Vol 111 (11) ◽  
pp. 2505-2534 ◽  
Author(s):  
Andy Hargreaves ◽  
Dennis Shirley
Keyword(s):  
Focus Groups ◽  
Intervention Program ◽  
Research Question ◽  
Qualitative Interviews ◽  
Secondary Analysis ◽  
Performance Data ◽  
Low Performing Schools ◽  
Capacity Enhancement ◽  
Quantitative Performance ◽  
Strategies For Change

Background/Context This study draws on the voluminous research on teachers’ workplace orientations and especially on Dan Lortie's documentation of conservatism, individualism, and presentism among teachers. Purpose/Objective/Research Question/Focus of Study This study investigated a school reform network of over 300 secondary schools entitled Raising Achievement Transforming Learning (RATL) to explore the role of the network's interventions in increasing or diminishing presentism. Setting England. Population/Participants/Subjects Quantitative performance data were analyzed for all 300 schools. Site visits were made to 10 RATL schools in which educational administrators and teachers were interviewed individually and in focus groups. Additional phone interviews were conducted with administrators in 14 RATL schools. Intervention/Program/Practice RATL provided a combination of interventions and supports for schools in the network, including data analysis and capacity enhancement; partnering mentor schools with low-performing schools; regional conferences; a Web portal for schools in the project; and a menu of short-, medium-, and long-term strategies for change. Research Design Qualitative interviews and focus groups of educators in RATL schools, along with secondary analysis of pupil performance data. Conclusions/Recommendations In Dan Lortie's seminal research on teachers’ workplace orientations, he identified “presentism,” or short-term thinking, with conservatism and individualism. This research indicates that in the RATL project, individualism among teachers diminished, but this did not diminish either conservatism or presentism. The research identifies three kinds of presentism—endemic, adaptive, and addictive—that have amplified educational conservatism while altering its nature to fit the current culture and political economy of fast capitalism.

scholarly journals Homelessness: Emotion Discourse and the Reproduction of Social Inequality

2014 ◽  
Vol 39 (2) ◽  
Author(s):  
Barbara Schneider
Keyword(s):  
Social Interaction ◽  
Focus Group ◽  
Focus Groups ◽  
Social Relations ◽  
Moral Identity ◽  
Homeless People ◽  
Group Context ◽  
The Media ◽  
Groupes De Discussion ◽  
Negative Feelings

This article draws on data gathered in focus groups to analyze how people talk about homelessness and compares the findings to how homelessness is represented in the media, specifically newspapers. It examines how ideas about homelessness that circulate in society are taken up, used, and reproduced by people in social interaction. People “care” about homelessness and use emotion discourse in the focus group context to construct a moral identity and to manage interactional dilemmas. They express sympathy for homeless people, deflect responsibility for any negative feelings they may have, and shift responsibility for doing something about homelessness. In using emotion discourse, they reproduce conceptions of homelessness that circulate widely in the media and in society generally; this, in turn, reproduces existing social relations of inequality and exclusion.Cet article a recours à des données provenant de groupes de discussion afin d’analyser comment les gens parlent d’itinérance entre eux, puis il compare les résultats de cette analyse à la représentation de l’itinérance dans les médias contemporains, particulièrement les journaux. Il examine comment les gens dans leurs interactions adoptent, utilisent et reproduisent des idées sur l’itinérance qui circulent déjà dans la société. Les gens se « soucient » de l’itinérance et ont recours à un discours émotif dans leurs groupes de discussion pour se construire une identité morale et gérer les dilemmes interactionnels. Ils expriment de la sympathie pour les sans-abris, tout en déclinant toute responsabilité pour les sentiments négatifs que ces derniers peuvent éprouver et rejetant sur autrui le devoir d’agir sur l’itinérance. En utilisant un discours émotif, ils reproduisent des conceptions sur l’itinérance qui circulent abondamment dans les médias et dans la société en général. Leurs pratiques reproduisent ainsi des rapports d’inégalité et d’exclusion.

Vietnamese Weddings

2011 ◽  
Vol 32 (1) ◽  
pp. 109-120 ◽  
Author(s):  
Thuc-Doan T. Nguyen ◽  
Russell Belk
Keyword(s):  
Public Policy ◽  
Gender Roles ◽  
Social Relations ◽  
Social Values ◽  
Well Being ◽  
Social Changes ◽  
Policy Changes ◽  
Historical Role ◽  
And Gender

This article examines the historical role of marriage and wedding rituals in Vietnam, and how they have changed during Vietnam’s transition to the market. The authors focus on how changes reflect the society’s increasing dependence on the market, how this dependence impacts consumer well-being, and the resulting implications for public policy. Changes in the meanings, function, and structure of wedding ritual consumption are examined. These changes echo shifts in the national economy, social values, social relations, and gender roles in Vietnamese society during the transition. The major findings show that Vietnamese weddings are reflections of (1) the roles of wedding rituals as both antecedents and outcomes of social changes, (2) the nation’s perception and imagination of its condition relative to “modernity,” and (3) the role of China as a threatening “other” seen as impeding Vietnam’s progress toward “modernization.”

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