scholarly journals Polycystic ovarian syndrome: need for life course approach

Author(s):  
Neha Dahiya ◽  
Aakanksha Bharti ◽  
Kritika Vats ◽  
Damodar Bachani

Polycystic ovarian syndrome (PCOS) is one of the leading but treatable causes of infertility among women. PCOS is a heterogeneous condition therefore it involves multiple disciplines and there is a wide research and clinical agenda. The prevalence of PCOS in India among 15-24 year old adolescents and young girls was found by Rotterdam criteria to be 22.5% and by Androgen Excess Society criteria to be 10.7%. Earlier it was considered only as a reproductive disorder but now it includes metabolic and psychological features as well. Under diagnosis of PCOS remains to be problematic. This is a complex syndrome and has an influence throughout the lifespan and requires multidisciplinary treatment approach as well as self-management. The life course approach or life course theory or the life course perspective was explored in 1960’s. In this approach individual's lives are analyzed within structural, social, and cultural contexts.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S212-S213
Author(s):  
Nicky J Newton

Abstract According to the life course perspective (Settersten, 2003), major life transitions are embedded in contexts shaped by personal history and social circumstances “as natural as the changing seasons” (Miller, 2010, p.663). Aging itself is perhaps the epitome of all transitions: a relatively measured movement through a series of situations, conditions, and social roles (Hettich, 2010); a transition that particularly lends itself to a life course approach. In this qualitative interview study, 37 women (Mage = 72.27) responded to questions regarding their experiences of the physical, psychological and social aspects of aging. While themes of inevitability and physical health were evident, the highly-personalized nature of aging was also underscored through individual themes of invisibility, freedom from expectations, fear of cognitive decline, and the quality and maintenance of friendships. Similarities and differences in women’s experience of aging are compared; the need to contextualize aging within the life course is discussed.


2004 ◽  
Vol 10 (2) ◽  
pp. 282-299 ◽  
Author(s):  
Ute Klammer

This article extends the analysis of flexicurity to take account of the life-course perspective; in the international flexicurity debate such an approach has so far not been systematically taken. The article focuses on the question of what options will be needed for time allocation in different phases of life and over the whole life of an individual, and what financial resources could be combined to finance those phases. The first section discusses methodological and conceptual issues related to flexicurity and the life course. In the second section, longitudinal data from Germany is presented to illustrate some of the relevant patterns of, and changes within, life courses. The third and main section deals with policy implications. Four crucial objectives of a flexicurity policy based on a life-course approach are identified, and a range of options to improve flexibility and security over the lifetime are discussed. These options include measures to increase time sovereignty, subsidised part-time schemes for care and lifelong learning, the use of accumulated pension savings to finance other activities during the course of working life, and the role of minimum provision in social security schemes.


2019 ◽  
Vol 2 ◽  
pp. 6 ◽  
Author(s):  
Mary-Ann O'Donovan ◽  
Phillip McCallion ◽  
Mary McCarron ◽  
Louise Lynch ◽  
Hasheem Mannan ◽  
...  

Background: Current thinking in health recognises the influence of early life experiences (health and otherwise) on later life outcomes. The life course approach has been embedded in the work of the World Health Organisation since the Ageing and Health programme was established in 1995. Yet there has been limited debate on the relevancy of a life course lens to understanding health service utilisation. Aim: The aim of the review was twofold. Firstly, identify existing healthcare utilisation frameworks other than the dominant Andersen’s behavioural model currently in use. Secondly, to identify if current frameworks incorporate the advocated life course perspective in understanding health service utilisation.     Methods: A scoping review of PubMed, Cinahl Plus, Emerald, PsycINFO, Web of Knowledge and Scopus was conducted. Data extraction used a framework approach with meta-synthesis guided by the four domains of the life course proposed by Elder (1979): human agency, location, temporality and relationships, and interdependencies. Results: A total of 551 papers were identified, with 70 unique frameworks (other than Andersen’s Behavioural Model) meeting the inclusion criteria and included in the review. Conclusion: To date there has been limited explicit discussion of health service utilisation from a life course perspective. The current review highlights a range of frameworks that draw on aspects of the life course, but have been used with this perspective in mind. The life course approach highlights important gaps in understanding and assessing health service utilisation (HSU), such as utilisation over time. HSU is a complex phenomenon and applying a structured framework from a life course perspective would be of benefit to researchers, practitioners and policy makers.


Sociologias ◽  
2018 ◽  
Vol 20 (49) ◽  
pp. 110-141 ◽  
Author(s):  
Anja Weiß

Abstract This article offers a sociological approach to the ongoing debate about the distinction between refugees and migrants. It adopts a life-course perspective on seeking refuge. Seeking refuge is embedded not only in the legal regimes of refugee protection, but also in other institutional frameworks governing the life-course. Exploring continuities between migrants and refugees allows for a better understanding of whether and under what preconditions the refugee category is applied by administrations and accessed by refugees themselves. With the help of case studies selected strategically from a larger sample of narrative interviews with university educated migrants to Germany, Turkey, and Canada, the article shows how the implementation and administration of the Geneva Refugee Convention in Germany is organized in a manner that often diverges from the empirical reality of fleeing from persecution and lack of protection. On this basis, a broader comparison with migrants in Turkey and Canada who could fall under the Geneva Refugee Convention, but who mostly refrain from claiming asylum, shows that those with better resources and socio-spatial autonomy can, if well informed, find alternative options for gaining protection rather than claiming refugee status. Whether migrants under duress see themselves as refugees and whether they claim asylum does not only result from the persecution they face but also from specificities of legal and administrative frameworks, as well as their position in global structural inequalities and it is related to divergent degrees of socio-spatial autonomy.


Author(s):  
Punith Kempegowda ◽  
Michael W O'Reilly ◽  
Zaki Hassan-Smith ◽  
Karl-Heinz Storbeck ◽  
Angela E Taylor ◽  
...  

Author(s):  
C. L. Comolli ◽  
L. Bernardi ◽  
M. Voorpostel

AbstractInformed by the life course perspective, this paper investigates whether and how employment and family trajectories are jointly associated with subjective, relational and financial wellbeing later in life. We draw on data from the Swiss Household Panel which combines biographical retrospective information on work, partnership and childbearing trajectories with 19 annual waves containing a number of wellbeing indicators as well as detailed socio-demographic and social origin information. We use sequence analysis to identify the main family and work trajectories for men and women aged 20–50 years old. We use OLS regression models to assess the association between those trajectories and their interdependency with wellbeing. Results reveal a joint association between work and family trajectories and wellbeing at older age, even net of social origin and pre-trajectory resources. For women, but not for men, the association is also not fully explained by proximate (current family and work status) determinants of wellbeing. Women’s stable full-time employment combined with traditional family trajectories yields a subjective wellbeing premium, whereas childlessness and absence of a stable partnership over the life course is associated with lower levels of financial and subjective wellbeing after 50 especially in combination with a trajectory of weak labour market involvement. Relational wellbeing is not associated with employment trajectories, and only weakly linked to family trajectories among men.


Incarceration ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 263266632198901
Author(s):  
Marguerite Schinkel ◽  

This article takes a life-course perspective to the meaning of persistent short-term imprisonment and introduces the significance of ‘penal careers’. Examining a total of 62 interviews with men and women in Scotland with long careers of (progression through) criminal punishment, it uses to the concept of belonging as a lens to interpret their experiences. While some participants already felt early on in their career that they belonged in prison because of their shared characteristics with other prisoners, the repetition of imprisonment meant that they increasingly felt displaced from life outside and saw life in prison as ‘easier’ and ‘safer’. Nevertheless, looking back on their many sentences, they felt their cumulative meaning was ‘a waste of life’. The article concludes by considering steps towards tackling the conditions that create this sense of belonging in a place of punishment.


2020 ◽  
Vol 692 (1) ◽  
pp. 227-252
Author(s):  
Fred Wulczyn

To understand what placement outside of one’s home means to the young people involved, we must understand foster care from a life course perspective. I analyze young people’s experiences in foster care from this perspective, accounting for when foster care happens, how long it lasts, and what happens when foster care placements end. I show that the population of children coming into foster care is younger and less urban than it was 20 years ago. I also show reliable measures of exposure to foster care over the life course. Children who enter care early in life are the children who spend the largest proportion of their childhood in foster care—a fact that rarely weighs on the policymaking process. We know very little about state and local variation in foster care placement rates, not to mention the influence of social services, the courts, foster parents, and caseworkers over foster children, so I close by arguing investment in research should be a clear policy priority.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S537-S537
Author(s):  
Brianne M Stanback

Abstract Rhetorical inquires have shown connections between representation and power, workplace fashion and development of ethos, and the rhetoric of glamour through women’s fashion and dress. One element absent from that conversation is how the life course, which typically differs for women because of existing power structures advantaging men, may impact the experience of women as they age, their choice of dress, and the rhetorical implications of those decisions. To explore dress and rhetoric from a life course perspective, this project traces the evolution of Serena Williams’ work apparel across her professional tennis career to the catsuit worn at the 2018 French Open, which is the focus of the project. Press reports on the 2018 catsuit by Nike, New York Times, Sports Illustrated, Business Insider, BBC Sport, Washington Post, and Los Angeles Times, interviews given by Williams, and the television documentary, Becoming Serena, will be analyzed for their treatment of Williams’ work attire and the life course. Responses to the catsuit emphasize attitudes about gender, race, and class, either discounting or ignoring the life course implications such as motherhood and changes in health status. Despite professional success, responses about the catsuit may reflect that Williams faces the same jeopardies, and invisibility, common to many women as they age, and the rhetorical perspective provides new methodological and pedagogical possibilities for instruction in aging.


2014 ◽  
pp. 0 ◽  
Author(s):  
M Linder ◽  
S Piaserico ◽  
M Augustin ◽  
A Fortina ◽  
A Cohen ◽  
...  

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