scholarly journals Which measures matter? A behavioral ecology view of “market integration” among the matrilineal Mosuo of Southwest China

2021 ◽  
Author(s):  
Siobhan Mattison ◽  
Darragh Hare ◽  
Adam Z. Reynolds ◽  
Chun-Yi Sum ◽  
Mary K Shenk ◽  
...  

Market integration (MI) is a complex process through which individuals transition from relatively subsistence-based to market-oriented activities. Changes associated with MI alter the landscapes of individual health and reproductive decision-making. While the consequences of MI are often easily detected, the specific pathways through which MI affects decision-making are context-dependent and under-investigated. We employed an information-theoretic model selection approach to characterize relationships between multiple indicators of MI and three outcomes commonly associated with MI, waist circumference (n = 431), systolic blood pressure (n = 472), and age at first reproduction (n = 974), among adult matrilineal Mosuo participants from 505 households in six villages in southwest China. Different MI indicators, distributed across individual, household, and community levels of social organization, predicted these three outcomes, demonstrating that individuals’ personal circumstances, household structure, and community affect how they experience and respond to MI. We emphasize the importance of identifying and measuring multiple context-appropriate indicators of MI across levels of social organization. Theoretical frameworks that situate hypotheses of MI within specific social, cultural, and historical contexts will be most capable of identifying specific pathways through which multiple elements of MI affect different domains of decision making.

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Ariadna Huertas-Zurriaga ◽  
Patrick A. Palmieri ◽  
Joan E. Edwards ◽  
Sandra K. Cesario ◽  
Sergio Alonso-Fernandez ◽  
...  

Abstract Background Women living with HIV (WLH) lack evidence-based information about reproductive options while managing pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force them to hide their disease to avoid rejection by their family, partner, and social networks. Compliance with social norms, fear of stigma, and discrimination influence their experience. Current research is individual qualitative studies lacking the synthesis perspective necessary to guide intervention development. The purpose of this study was to synthesize the evidence to explain the reproductive decision-making process for WLH in developed countries. Methods A systematic review with qualitative research synthesis was conducted through searches in 10 electronic databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, Google Scholar, Cuidatge, Cuiden Enfispo, and SciELO). Studies published in journals from 1995 to 2019 with qualitative data about reproductive decision-making among WLH in developed countries were eligible for inclusion. Developed country was operationalized by membership in the OECD for comparative conditions of social wellbeing and economic stability. The CASP and JBI checklists for qualitative research were used to assess study quality and methodological integrity. Thematic analysis and qualitative meta-summary techniques were used for the synthesis. Results Twenty studies from 12 developed countries were included in the synthesis. Findings were organized into 3 meta-themes from 15 themes and 45 subthemes, including: (1) Shattered identity, (2) Barriers, inequities, and misinformation, (3) Coping, resiliency, and support. Reproductive decision-making was perceived as a complex process influenced by facilitators and barriers. The facilitators helped WLH cope with their new situation to become more resilient, while the barriers made their situation more difficult to manage. Conclusion WLH encounter reproductive decision-making with knowledge deficits and limited social support. An integrated approach to holistic care with comprehensive multidisciplinary counseling is needed to support WLH. Clinicians could benefit from professional development to learn how to be authentically present for WLH, including engaging in conversations, demonstrating compassion, and understanding situations. Evidence-based clinical practice guidelines need to be tailored for the family planning and sexual health needs of WLH.


Epilepsia ◽  
2021 ◽  
Author(s):  
Jacquelyn Nakamura ◽  
Shawn T. Sorge ◽  
Melodie R. Winawer ◽  
Jo C. Phelan ◽  
Wendy K. Chung ◽  
...  

2018 ◽  
Vol 34 (6) ◽  
pp. 1603-1622 ◽  
Author(s):  
Grady Williams ◽  
Paul Drews ◽  
Brian Goldfain ◽  
James M. Rehg ◽  
Evangelos A. Theodorou

2017 ◽  
Author(s):  
Rebecca L. Koscik ◽  
Derek L. Norton ◽  
Samantha L. Allison ◽  
Erin M. Jonaitis ◽  
Lindsay R. Clark ◽  
...  

ObjectiveIn this paper we apply Information-Theoretic (IT) model averaging to characterize a set of complex interactions in a longitudinal study on cognitive decline. Prior research has identified numerous genetic (including sex), education, health and lifestyle factors that predict cognitive decline. Traditional model selection approaches (e.g., backward or stepwise selection) attempt to find models that best fit the observed data; these techniques risk interpretations that only the selected predictors are important. In reality, several models may fit similarly well but result in different conclusions (e.g., about size and significance of parameter estimates); inference from traditional model selection approaches can lead to overly confident conclusions.MethodHere we use longitudinal cognitive data from ~1550 late-middle aged adults the Wisconsin Registry for Alzheimer’s Prevention study to examine the effects of sex, Apolipoprotein E (APOE) ɛ4 allele (non-modifiable factors), and literacy achievement (modifiable) on cognitive decline. For each outcome, we applied IT model averaging to a model set with combinations of interactions among sex, APOE, literacy, and age.ResultsFor a list-learning test, model-averaged results showed better performance for women vs men, with faster decline among men; increased literacy was associated with better performance, particularly among men. APOE had less of an effect on cognitive performance in this age range (~40-70).ConclusionsThese results illustrate the utility of the IT approach and point to literacy as a potential modifier of decline. Whether the protective effect of literacy is due to educational attainment or intrinsic verbal intellectual ability is the topic of ongoing work.


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