Transcending gender: recognizing the impact of gender identity on blood collection

Transfusion ◽  
2019 ◽  
Vol 59 (7) ◽  
pp. 2481-2482 ◽  
Author(s):  
Jennifer S. Woo ◽  
Daniel Pach ◽  
Ingrid Perez‐Alvarez ◽  
Minh‐Ha Tran
Keyword(s):  
Gender Identity ◽  
Blood Collection ◽  
The Impact

Inequalities in women’s medium or low secure mental health settings: a scoping review

2021 ◽  
Vol 23 (3) ◽  
pp. 254-271
Author(s):  
Aile Trumm ◽  
Kristina Brenisin ◽  
Kieran Breen
Keyword(s):  
Mental Health ◽  
Sexual Orientation ◽  
Gender Identity ◽  
High Quality Research ◽  
Dysfunctional Family ◽  
Health Service Provision ◽  
Content Type ◽  
Mental Health Settings ◽  
Health Need ◽  
The Impact

Purpose The more disadvantaged members of society generally experience poorer outcomes following the development of mental ill-health. The purpose of this paper is to scope the literature and synthesise findings on the inequalities and mental health within secure mental health settings. Design/methodology/approach Six electronic databases were searched to identify relevant studies. These were included if they examined the association between inequalities and mental health in women’s secure mental health settings. Findings Of the 608 studies reviewed, 14 met the inclusion criteria. In these papers, violence and/or abuse were described as the most prevalent inequalities. The second most frequent group of inequalities identified were socio-economic. Only three published studies researched the impact of ethnicities. Physical health, alcohol abuse and a dysfunctional family upbringing were only mentioned in one of the studies. Gender identity, transitioning and sexual orientation was not considered in any papers. These are areas, which require further investigation to determine their specific impact in this setting. Research limitations/implications This review highlights the dearth of high-quality research-based evidence underpinning an understanding of the impact of inequalities on women in secure mental health settings. The existing studies suggest that inequalities have a very particular impact and that intersectionality plays a key role. Further research is required to further understand how inequalities impact the lives of women in secure mental health settings. Practical implications The inequalities that women experience in relation to mental health need to be further researched in the context of intersectionality. There are also research gaps in terms of gender identity, sexual orientation and socio-economic background. Further primary research using a more complex methodological paradigm is required to explore these factors and their impact on mental health service provision. Social implications The role of inequalities should be considered as part of an overall care package, including the experiences of adverse childhood experiences and this should contribute towards the development of a trauma-based care approach. Originality/value To the best of the authors’ knowledge, this is the first study to scope literature about inequalities experienced in women’s secure psychiatric settings considering intersectionality.

scholarly journals THE IMPACT OF COLLECTIVISM ORIENTATION AND GENDER IDENTITY ON WORK-LIFE BALANCE AND LIFE SATISFACTION RELATIONSHIP: A UK – SPAIN COMPARISON

2021 ◽  
Author(s):  
Irene Valero Pizarro ◽  
Gamze Arman
Keyword(s):  
Life Satisfaction ◽  
Gender Identity ◽  
Work Life ◽  
Work Life Balance ◽  
Full Time ◽  
Moderating Effects ◽  
Life Balance ◽  
And Gender ◽  
The Impact ◽  
Satisfaction Relationship

Difficulties in balancing work and non-work roles have a negative impact on an individual’s life satisfaction. This study investigates the relationship between work-life balance and life satisfaction across the United Kingdom and Spain. It also explores the moderating effects of individual orientations of collectivism and gender identity. The used scales measured Work-life Balance (WLB), Life Satisfaction (LS), Collectivism vs. Individualism orientations, and Gender identity. Collectivism/Individualism was measured and analysed at individual-level rather than at cultural-level. Data was collected from 52 British and 69 Spanish full-time employed women through an online survey. Correlational analyses and hierarchical multiple regression were conducted. Findings indicated that work-life balance had positive effects on life satisfaction across two different cultures. Those effects were stronger for British than Spanish women. Moderating effects were not found. Although, work-life balance, collectivism individual-orientation, and feminine identity predicted life satisfaction in the UK and only work-life balance predicted life satisfaction in Spain. This study extends the literature on work-life balance and life satisfaction relationship and the influence of culture, whilst also contributing to the under-researched area of the influence of gender identity on that relationship. The results might contribute to developing better strategies for promoting work-life balance

scholarly journals Effect of delays in concordant antibiotic treatment on mortality in patients with hospital-acquired Acinetobacter spp. bacteremia in Thailand: a 13-year retrospective cohort

2020 ◽  
Vol 41 (S1) ◽  
pp. s184-s185
Author(s):  
Cherry Lim ◽  
Mo Yin ◽  
Prapit Teparrukkul ◽  
Maliwan Hongsuwan ◽  
Nicholas P.J. Day ◽  
...  
Keyword(s):  
Medical Research ◽  
Antibiotic Treatment ◽  
Research Council ◽  
Medical Research Council ◽  
Blood Collection ◽  
Absolute Increase ◽  
Immortal Time Bias ◽  
Training Fellowship ◽  
Hospital Acquired ◽  
The Impact

Background: A quantitative understanding of the impact of delays to concordant antibiotic treatment on patient mortality is important for designing hospital antibiotic policies. Acinetobacter spp are among the most prevalent pathogens causing multidrug-resistant hospital-acquired infections in developing countries. We aimed to determine the causal effect of delays in concordant antibiotic treatment on 30-day survival of patients with hospital-acquired Acinetobacter spp bacteremia in a resource-limited setting. Methods: We included patients with Acinetobacter spp–related hospital-acquired bacteremia (HAB) in a hospital in Thailand over a 13-year period. We classified patients into 4 groups: those with no delays to concordant antibiotic treatment; those with a 1-day delay; those with 2-day delays; and those with >2 days of delay. We adopted an analytical approach that aimed to emulate a randomized controlled trial and compared the expected potential outcomes of patients between the exposure groups using a marginal structural model with inverse-probability weightings to adjust for confounders and immortal time bias. Results: Between January 2003 and December 2015, 1,203 patients had HAB with Acinetobacter spp., of which 682 patients (56.7%) had ≥1 days of delay in concordant antibiotic treatment. These delays were associated with an absolute increase in 30-day mortality of 6.6% (95% CI 0.2%-13.0%), from 33.8% to 40.4%. Among the 1,203 patients, 521 had no delays to concordant antibiotic treatment (i.e. concordant therapy on the day of blood collection), 224 patients had a 1-day delay, 119 had a 2-day delay, and 339 had a delay of ≥3 days. The crude 30-day mortality was substantially lower in patients with ≥3 days of delay in concordant treatment compared to those with 1 to 2-days of delays. After adjusting for measured confounders and immortal time bias, the expected probability of dying in the hospital within 30-days of blood collection if patient had no delays in concordant therapy was 39.7% (95% CI: 32.3-47.2%), for a 1-day delay it was 42.7% (95% CI: 29.8-55.7%), for a 2-day delay it was 51.0% (95% CI: 38.9-63.2%), and for a ≥3 days was 40.9% (36.0-45.7%).Conclusions: Delays to concordant antibiotic therapy are linked to increased mortality among patients with HAB due to Acinetobacter spp. Accounting for confounders and immortal time bias is necessary when attempting to estimate causal effects of delayed concordant treatment and, in this case, it helped resolve paradoxical results in crude data.Funding: The Mahidol Oxford Tropical Medicine Research Unit (MORU) is funded by the Wellcome Trust [grant number 106698/Z14/Z]. CL is funded by a Wellcome Trust Research Training Fellowship [grant number 206736/Z/17/Z]. MY is supported by a Singapore National Medical Research Council Research Fellowship [grant number NMRC/Fellowship/0051/2017]. BSC is funded by the UK Medical Research Council and Department for International Development [grant number MR/K006924/1]. DL is funded by a Wellcome Trust Intermediate Training Fellowship [grant number 101103]. The funder has no role in the design and conduct of the study, data collection, or in the analysis and interpretation of the data.Disclosures: None

scholarly journals Identity as Resistance: Identity Formation at the Intersection of Race, Gender Identity, and Sexual Orientation

2019 ◽  
Vol 44 (1) ◽  
pp. 67-83 ◽  
Author(s):  
Alison Cerezo ◽  
Mariah Cummings ◽  
Meredith Holmes ◽  
Chelsey Williams
Keyword(s):  
African American ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Identity Formation ◽  
Psychological Research ◽  
Research Literature ◽  
Constructivist Grounded Theory ◽  
Future Research ◽  
And Gender ◽  
The Impact

Although the concept of intersectionality has gained widespread attention in psychological research, there remains a significant gap related to the impact of intersectionality on identity formation for persons negotiating multiple minority statuses. This gap is especially pronounced among sexual and gender expansive women of Latinx and African American descent—two groups that face disparate personal and public health risks but are largely ignored in the research literature. In response to this gap, we carried out a qualitative study using constructivist grounded theory with 20 Latinx and African American sexual minority, gender expansive women to understand participants’ experiences of forming an intersectional social identity. Following an exploration of identity formation related to the specific domains of race, gender identity, and sexual orientation, we prompted participants to consider how each of the specified identity domains impacted the formation and experience of an overall intersectional identity (e.g., how racial position impacted gender identity and/or sexual identity formation). Findings revealed four major themes that were critical in identity formation: (a) family and cultural expectations, (b) freedom to explore identity, (c) the constant negotiation of insider/outsider status, and (d) identity integration as an act of resistance. Implications for future research and psychological services are discussed.

scholarly journals How Gender Identity and Treatment Progress Impact Decision-Making, Psychotherapy and Aftercare Desires of Trans Persons

2019 ◽  
Vol 8 (5) ◽  
pp. 749
Author(s):  
Toby K. Mayer ◽  
Andreas Koehler ◽  
Jana Eyssel ◽  
Timo O. Nieder
Keyword(s):  
Decision Making ◽  
Gender Identity ◽  
Online Community ◽  
Online Survey ◽  
Clinical Sample ◽  
Treatment Preferences ◽  
Individual Treatment ◽  
Treatment Progress ◽  
Treatment Experience ◽  
The Impact

The gender identity of trans individuals influences their treatment preferences, and this in turn seems to affect their individual treatment progress. However, there has been no research which—next to the impact of gender identity on treatment desires—has also investigated the influence of treatment progress using a measure which assumes various possible transition pathways of trans persons.Therefore, an online community survey of trans people was conducted in Germany in 2015. Data were collected via an online survey from a non-clinical sample of n = 415 trans individuals (over half assigned female at birth), aged 16–76 (Mean (M) = 38.12). Almost one fifth of participants embraced non-binary or genderqueer (NBGQ) identities. Participants progressed 60.77% (standard deviation (SD) = 35.21) through treatment at point of data collection, as measured by the individual treatment progress score (ITPS). All participants, especially participants assigned male at birth, differed significantly in desire to participate in decision-making processes based on transition progress; individuals without treatment experience had less desire to decide treatment plans. NBGQ participants assigned male at birth in early stages of transition had significantly more desire for psychotherapy during transition than participants of the same identity in later transition stages. All participants, especially binary participants, significantly differed in desire for aftercare based on transition progress; individuals without treatment experience indicated more desire for aftercare. Results indicate health professionals should expect changing treatment desires in trans individuals at various stages of transition, particularly at treatment start, and based on gender identity.

scholarly journals Gendered experiences of providing informal care for older people: a systematic review and thematic synthesis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ioanna Zygouri ◽  
Fiona Cowdell ◽  
Avraam Ploumis ◽  
Mary Gouva ◽  
Stefanos Mantzoukas
Keyword(s):  
Gender Identity ◽  
Older People ◽  
Physical Health ◽  
Informal Care ◽  
Caregiving Burden ◽  
Thematic Synthesis ◽  
Informal Carers ◽  
The Impact ◽  
Mental And Physical Health

Abstract Background and purpose The caregiving’s impact on informal carers’ quality of life and gender-based stereotypes make older individuals’ informal care a complex process for which our knowledge is still limited. The purpose of this review is to identify how gender relates to informal carers’ experiences of providing care for people aged 60 years and over with mental and physical health needs by synthesising the available empirical data published between 2000 to 2020. Design and methods The systematic method for reviewing and synthesising qualitative data was performed using the PRISMA checklist and ENTREQ statement. The CASP tool was used to examine the quality of the included papers. Thematic synthesis was used as the methodological framework. Results This review produced two analytical themes, the impact of gender on the caregivers’ labour and negotiating gender identity with self, society, and cultural norms. While informal caregivers share motivators, a linkage between traditional gender stereotypes impacts caregiving burden and coping strategies. Informal carers’ experiences entail a constant pursuit of self-agency after acquiring the caregiver role. Cultural values and their intersection with gender appear to influence caregivers’ healthy adjustment into their new caregiving identities. The flexibility to move beyond gender boundaries could mediate caregivers’ negotiations between self and society on developing their new caregiving identity. Providing intensive informal primary care to older people affects both men’s and women’s mental and physical health. Gender ideals of the feminine nurturing role further disadvantage women as they determine the caregiving arrangements, the strategies and resources to sustain the caring burden, and the adaptability to experience their new caregiving role positively. Men appear more flexible to debate their hegemonic masculinity and defend their existence in the caregiving role. Conclusion and implications Transgressing gender lines and expanding gender possibilities can ease the caregiving burden and strengthen caregivers coping potentials. Health professionals can empower informal careers to challenge gender binaries and expand gender possibilities by intentionally injecting the language of diversity in caring information and caring processes. The review findings outline a path for research on gender identity development in older people’s care.

Sign in / Sign up

Export Citation Format

Share Document