- The psychological burden of baby weight: Pregnancy, weight stigma, and maternal health. [Journal Article]
- SSSoc Sci Med 2019 Jul 09; 235:112401
- Weight stigma is increasingly prevalent, highly distressing, and associated with an array of negative health and psychological outcomes. Many of the known correlates - depression, stress, and weight …
Weight stigma is increasingly prevalent, highly distressing, and associated with an array of negative health and psychological outcomes. Many of the known correlates - depression, stress, and weight gain - have the potential to be particularly harmful in the context of pregnancy and the postpartum, a life phase in which women's social roles, body weights, and body meanings are in particular flux. Yet, there is little literature connecting the experiences of weight stigma to the wellbeing of pregnant and postpartum women. 501 pregnant (n = 143) and postpartum (n = 358) women in the United States were surveyed between August and November of 2017. They answered questions about their experiences with weight stigma and standardized scale measures of depressive symptoms, perceived stress, maladaptive dieting behavior, emotional eating behavior, gestational weight gain, and postpartum weight retention. Regression analyses revealed that women experiencing weight stigma from more sources reported more depressive symptoms, maladaptive dieting behavior and perceived stress when controlling for pre-pregnancy BMI, parity, weeks of pregnancy or months since birth, and demographic covariates. Weight-stigmatizing experiences were also associated with more emotional eating behavior in pregnant participants and greater postpartum weight retention in postpartum participants. This preliminary study suggests that experiencing weight stigma may contribute to unfavorable physical and mental health outcomes for pregnant and postpartum women. These findings reflect the powerful negative social meanings of weight gain faced in pregnancy and often unachievable social standards of "dropping the baby weight" as new mothers.
- Assisted partner notification services for patients receiving HIV care and treatment in an HIV clinic in Nairobi, Kenya: a qualitative assessment of barriers and opportunities for scale-up. [Journal Article]
- JIJ Int AIDS Soc 2019; 22 Suppl 3:e25315
- CONCLUSIONS: aPNS among established HIV patients is associated with different barriers and opportunities than aPNS among newly diagnosed patients, and HCWs should build their capacity to support aPNS in this population. There is a strong need for increased training and sensitization on the use of aPNS in different circumstances and for different clients, taking into consideration factors such as timing of partner notification, characteristics of the relationship and duration of knowledge discordance. The overall success of this intervention among populations living with HIV may rely on customization of services and key messages to meet the patients' specific needs.
- Perspectives on HIV partner notification, partner HIV self-testing and partner home-based HIV testing by pregnant and postpartum women in antenatal settings: a qualitative analysis in Malawi and Zambia. [Journal Article]
- JIJ Int AIDS Soc 2019; 22 Suppl 3:e25293
- CONCLUSIONS: Most stakeholders considered different approaches to partner HIV testing to be acceptable, but concerns were raised about each. A choice-based approach may allow women to select their preferred method of partner testing; however, implementation challenges need to be addressed.
- What constitutes 'good care' and 'good carers'? The normative implications of introducing reablement in Danish home care. [Journal Article]
- HSHealth Soc Care Community 2019 Jul 19
- As populations worldwide are ageing, Western welfare states are currently implementing welfare reforms aimed at curbing the rising need for social and healthcare services for ageing populations. A ce…
As populations worldwide are ageing, Western welfare states are currently implementing welfare reforms aimed at curbing the rising need for social and healthcare services for ageing populations. A central element in home-care reforms in several welfare countries is reablement: short-term home-based training programmes aimed at re-enabling older people to live in their own homes independently of care. In this paper, we explore how transitioning from compensatory care to reablement care is not merely a practical process, but also a deeply normative one. Drawing on Annemarie Mol's concept of 'ontonorms' we analyse the normative dynamics involved in transitioning from one form of care to another as reflected in reablement professionals' practices and discourses. The paper draws on 10 months of multisited ethnographic fieldwork carried out from April 2015 to February 2016 in a Danish municipality, including participant observations of reablement practices as well as qualitative interviews with 13 professionals working with reablement. We demonstrate that professionals generally consider reablement to represent a desirable shift in home care from 'bad care' practices of making people passive through compensatory care, towards 'good care' practices of 'keeping people going' despite their limitations. Moreover, we demonstrate that while therapists are valued as 'good carers' due to their ability to focus on development and training, nurses and in particular home helpers are devalued as 'bad carers' due to their 'caring genes' and lack of technical and theoretical skills necessary for documentation work. Finally, we discuss the implications of these normative dynamics, which may risk stigmatising compensating care practices, although this form of care to a large extent continues to coexist with reablement practices. In conclusion, we argue for a more nuanced approach to care, recognising compensatory care and reablement as complementary forms of care, each doing good under different circumstances.
- Love with No Exceptions: A Statewide Faith-Based, University-Community Partnership for Faith-Based HIV Training and Assessment of Needs in the Deep South. [Journal Article]
- ABAIDS Behav 2019 Jul 18
- This project established a faith-based, university-community partnership with the African Methodist Episcopal (AME) church in Alabama to develop a statewide training model to address HIV knowledge an…
This project established a faith-based, university-community partnership with the African Methodist Episcopal (AME) church in Alabama to develop a statewide training model to address HIV knowledge and stigma, promote discussion and generate action plans to address HIV in the Deep South. A community-engaged research team consisting of church leadership and university researchers developed and implemented the model, "Love with No Exceptions." Mixed methods were used to evaluate the model delivered in 3-h sessions in five state regions (N = 146 clergy and laity). The majority of participants reported feeling better prepared to serve those living with or affected by HIV and would implement education and awareness activities in their churches. Participants' HIV knowledge increased from pre- to post-training. Stigma-related attitudes showed minor changes from baseline. These results reflect that partnerships between academic institutions and churches can deliver promising steps towards impactful HIV education in the Deep South.
- Assessing Reproductive Decision-making Among HIV-Positive Women in Kumasi, Ghana. [Journal Article]
- IJInt J MCH AIDS 2019; 8(1):54-62
- CONCLUSIONS: Significant barriers to family planning use among HIV-positive women remain, especially those with a serodiscordant partner. Most partners were aware of their partner's HIV status. This highlights an important opportunity to include partners in HIV and contraceptive counseling.
- Progress and Challenges of Implementing Decentralized HIV Testing For Prevention of Mother-to-Child Transmission of HIV - Myanmar. [Journal Article]
- IJInt J MCH AIDS 2019; 8(1):44-53
- CONCLUSIONS: The program should consider recruiting local volunteers to help reduce the workloads of service providers. Professional education based on need and continued mentoring and quality control schemes for HIV testing need to be in place. This decentralized strategy would be applicable to other resource-limited countries.
- The relationship between HIV stigma and adherence to antiretroviral (ARV) drug therapy among women with HIV in Lampung, Indonesia. [Journal Article]
- ECEnferm Clin 2019 Jul 15
- CONCLUSIONS: One way to increase adherence to ARV therapy in women with HIV is by minimizing its stigma. This can be done by increasing their self-confidence and not differentiating between people living with HIV and others in the provision of health services.
- HIV testing of housewives with HIV in Lampung, Indonesia: A qualitative study. [Journal Article]
- ECEnferm Clin 2019 Jul 15
- CONCLUSIONS: This will ultimately contribute to their awareness regarding undergoing HIV testing on their own. In addition, enhanced counseling services must be offered by healthcare facilities in order to motivate housewives to undergo HIV testing, reduce HIV stigma, and empower their roles as mothers.
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- Hiring, training, and supporting Peer Research Associates: Operationalizing community-based research principles within epidemiological studies by, with, and for women living with HIV. [Journal Article]
- HRHarm Reduct J 2019 Jul 18; 16(1):47
- CONCLUSIONS: Community-collaborative studies are key to increasing the relevance and impact potential of research. For women living with HIV to participate in and benefit from HIV research, studies must foster inclusive, flexible, safe, and reciprocal approaches to PRA engagement, employment, and training tailored to regional contexts and women's lives. Recommendations for best practice are offered.