scholarly journals Constrained Choices? Menstrual Health and Hygiene Needs Among Adolescents in Mumbai Slums

2019 ◽  
Vol 26 (1-2) ◽  
pp. 12-39 ◽  
Author(s):  
Arundati Muralidharan

Menstruation, an essential and healthy biological function, is cloaked in a culture of silence. Sociocultural norms at the family and community level play a pivotal role in shaping how young unmarried women understand and manage their monthly period. Less is known about how unmarried young women living in low-income urban areas in India seek help for their menstrual needs. This qualitative study seeks to understand how young unmarried women (aged 15–24) living in a slum settlement understand menstruation and perceive menstrual problems, and identifies factors that influence their help-seeking behaviour for menstrual needs and problems. It also proposes recommendations for national health programmes addressing menstrual health and hygiene. The findings echo previous research findings emphasising young unmarried women’s low levels of awareness and misconceptions about menstruation. These girls perceived menstrual problems as a key concern, as it significantly interfered with their daily routine and caused emotional distress. Young women’s ability and willingness to seek help to address menstrual needs is influenced by a culture of silence that surrounds menstruation, excessive scrutiny and blaming by the community, and restrictions on their mobility and interactions with peers. The findings underscore the role of mothers as gatekeepers who greatly influence young women’s perceptions of menstruation and menstrual problems and their ability to seek help. Existing interventions need to be expanded to address young women’s need for emotional and social support, and to involve significant gatekeepers such as mothers in promoting the health and well-being of young unmarried women in slum communities. Intervention strategies should be expanded to enhance the capacity of mothers to recognise, understand and address their teenage daughters’ needs for information, emotional support and access to essential clinical and social services.

1983 ◽  
Vol 17 (3) ◽  
pp. 169-176 ◽  
Author(s):  
David Haber

A ten-week yoga program was implemented with sixty-one white and forty-five low-income black elders at two community sites, along with a pretest-posttest control group research design with random assignment at each site. White elders attended class regularly, practiced yoga on their own on a daily basis, improved psychological well-being, and lowered their systolic blood pressure level, in comparison to a control group. Black elders, on the other hand, attended the once-a-week class regularly but did not practice on their own on a daily basis. Thus, they did not improve psychological well-being nor reduce blood pressure level in comparison to a control group. Social analysts suggest that low-income minority elders need more frequent contact with structured leadership in order to adhere to a daily routine that may lead to psychological and physical change. Other directions for controlled follow-up studies are suggested.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S583-S583
Author(s):  
Philip A Rozario ◽  
Emily Greenfield ◽  
Nancy Kusmaul

Abstract Social networks provide opportunities for engagement with others and structure the receipt and provision of emotional, instrumental, informational and appraisal support. Indeed scholars in this field have documented the importance of having strong social networks in influencing older adults’ well-being and quality of life. The three papers in this symposium draw on the convoy model of social relations and ecological model to examine and better understand the micro, mezzo, macro contexts that shape and influence how older people engage with and benefit from their networks in three areas: low-income senior housing communities, urban areas specifically targeting older Latinos with dementia, and disaster preparedness in micropolitan counties in eastern Iowa. The first paper, a cross-sectional study focusing on social connections in senior housing communities, examines levels of social networks, engagement, support and loneliness and their relationship with well-being outcomes. The second paper, a community-based participatory research project, reports an intervention that seeks to train natural helpers in a predominantly Latino urban neighborhood to identify and refer older Latinos with dementia to bilingual assessment services. The third paper, synthesizing findings from interventions targeting network building at the individual and state levels as well as a community-based network analysis, presents ways to strengthen networks at the mezzo and macro levels as well as environmental contexts that enable better disaster preparedness for community-based older adults. These papers will consider practice, policy and research implications in strengthening social networks and engagement to optimize older adults’ well-being in various settings.


2021 ◽  
Vol 24 (2) ◽  
pp. 143-160
Author(s):  
Lotte De Schrijver ◽  
Stefanie De Buyser ◽  
Kasia Uzieblo ◽  
Christophe Vandeviver ◽  
Ines Keygnaert

Abstract Background: To contain the COVID-19 pandemic, governments worldwide restricted social and physical contact by issuing lockdown and social-distancing measures. Yet, lockdown measures may induce mental health problems and increase the occurrence of domestic violence (DV). We examine mental health and DV in lesbian, gay, bisexual, pansexual, and asexual (LGB+) persons under lockdown. Methods: An online self-report questionnaire on relationships, stress, and aggression was administered to a non-probabilistic sample of participants living in Belgium. Participants were sampled through national media, social media, and snowballing procedures. Occurrence of DV including psychological, physical, and sexual violence, stress, alcohol and drug use, suicidal ideation, suicide attempt, self-harming behaviour, and help-seeking behaviour in LGB+ persons during the first four to six weeks of the hygiene and lockdown measures in Belgium were assessed. Results: 383 LGB+ participants were included in the analysis. In addition to high levels of stress, alcohol and drug abuse, suicidal ideation, and self-harming behaviour, a third of LGB+ participants reported at least one incident of DV under lockdown. Conclusion: LGB+ persons have been exposed to DV and experienced lower mental health and well-being during the lockdown related to the COVID-19 pandemic. These findings highlight the possible need for public health measures and sociocultural changes preventing DV and improving mental health during lockdown in LGB+ persons.


Author(s):  
Kirsten Visser

Many social scientists over the last decades have focused on the question of the impacts of poverty on people. Studies in this field primarily examine the effects of social, cultural, and economic resources and structural factors on the development, social outcomes, and well-being of an individual. In the last decades, scholarly interest has increasingly focused on poverty among children and adolescents (hereafter “young people”). Young people are seen as a nation’s future, which forms a reason for societal concern with their well-being and developmental outcomes. In addition, scholars increasingly acknowledge that poverty is multidimensional and heterogenous: the effects of poverty differ according to personal characteristics such as age, gender, race/ethnicity, or disability, but they are also exemplified by the disadvantaged environments in which young people find themselves, such as dysfunctional families, deprived neighborhoods, and low-quality schools. This article gives an overview of the most important works in the field of the effects of poverty and disadvantaged environments on young people (0–18 years of age). As the nature of poverty differs significantly between affluent countries and low-income developing countries, this review is focused on studies in the United States, Europe, Australia, and New Zealand. Given the fact that disadvantage, and the different effects thereof on young people, can be approached from the perspectives offered by different social sciences, publications from geography, sociology, social work, anthropology, economics, and (environmental) psychology are included in this review. This article departs from the idea of ecological models, assuming that poverty impacts children within their various contexts such as the home, school, and neighborhood. After presenting general works on poverty among young people, attention is given to the impacts of disadvantages in home, neighborhood, and school environments. Most studies that are discussed in this review deal with disadvantage in urban areas, reflecting the focus of the overall literature in affluent countries. However, poverty and disadvantage also differ between urban and rural environments. Therefore, the article ends with an overview of literature on poverty among young people in rural areas.


2019 ◽  
Vol 11 (7) ◽  
pp. 2113
Author(s):  
Rosa T. Affleck ◽  
Kevin Gardner ◽  
Semra Aytur ◽  
Cynthia Carlson ◽  
Curt Grimm ◽  
...  

The notion of sustainable infrastructure for the delivery of social services is to fulfill basic human needs; in war-torn societies, human safety is a critical basic need. The relationship between sustainable infrastructure development and human safety remains underresearched in Afghan neighborhoods. Therefore, this study examined the effectiveness of the police facilities constructed for stability enhancement in Afghan communities. To do so, this study used Afghans’ polling datasets on the police presence and the public safety perceptions, including newly collected survey data related to the influence of the police facilities on human safety and other factors contributing to the neighborhoods’ well-being. The datasets are organized with a multilevel structure in which different individuals are sampled within neighborhoods and analyzed using a multilevel model approach to capture the randomness of the responses. The results showed that police facilities are more important to perceptions of safety in less safe areas and that Afghans in villages perceived themselves as safer than in urban areas, relative to their own immediate region. Those perceiving themselves as being safer were older, more highly educated, and widowed respondents. Overall, Afghans perceived the police facilities as institutional symbol for promoting improvements and opportunities for fulfilling basic human safety needs.


2017 ◽  
Vol 2 (6) ◽  
pp. 247
Author(s):  
Mohd Azren Hassan ◽  
Hazlina Hamdan ◽  
Jamalunlaili Abdullah ◽  
Yusfida Ayu Abddullah

To have a quality of life is the ability to own a house. Housing affordability affects the quality of life concerning household well-being and economic security. The research sets to evaluate the location housing affordability for the low-income group base on housing and transportation expenditures in urban areas. 148 respondents have interviewed and by using an integrated Location Housing Affordability, it had indicated that location does influence housing affordability. The findings showed the urban area for the low-income group is seriously unaffordable. “Location" should be part of affordable housing because it affects housing affordability thus concerning the quality of life.


2021 ◽  
Vol 17 (1) ◽  
pp. 181-205
Author(s):  
Megan V. Smith ◽  
Carolyn M. Mazure

Depression is a common and debilitating condition that adversely affects functioning and the capacity to work and establish economic stability. Women are disproportionately burdened by depression, and low-income pregnant and parenting women have particularly high rates of depression and often lack access to treatment. As depression can be treated, it is a modifiable risk factor for poor economic outcomes for women, and thus for children and families. Recent national and state health care policy changes offer the opportunity for community-based psychological and economic interventions that can reduce the number of pregnant and parenting women with clinically significant depressive symptoms. Moreover, there is strong evidence that in addition to benefiting women's well-being, such reforms bolster children's emotional and social development and learning and help families rise out of poverty. This review summarizes the mental health and economic literature regarding how maternal depression perpetuates intergenerational poverty and discusses recommendations regarding policies to treat maternal depression in large-scale social services systems.


2002 ◽  
Vol 29 (4) ◽  
pp. 711-748 ◽  
Author(s):  
Nina Mulia

Interest in improving low-income, drug-using women's access to and utilization of care services tends to focus on remedies to personal, structural and gendered barriers to care. In contrast, this exploratory, qualitative study of women's perspectives illustrates how institutional rules, both within and across agencies, and informal provider practices can constrain women's use of health and social services. This paper draws attention to the ways in which low-income, drug-using women respond to obstacles and interpersonal tensions they experience in service settings. As a means of pursuing their material and social well-being, the women employ forms of resistance that are both protective and potentially harmful. This paper underscores the need to recognize how service institutions are implicated in drug users' everyday struggles for well-being.


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