Search Results (394)

International medical graduates (IMGs) account for 25% of the physician workforce in the United States, yet little is known about their professional identity formation (PIF). This qualitative study explores the process of PIF in IMG residents with special attention to how they integrate their intersectional marginalized personal identities. Method: Using a social constructivist approach, the researchers conducted semi-structured individual interviews with 15 IMG resident physicians in the United States. The authors analyzed the data using a constant comparison approach and identified themes by consensus. Results: Participants described their PIF journey beginning before starting residencies in the US. Their PIF was challenging due to structural barriers associated with their immigrant status. Furthermore, participants reported more difficulties with PIF if they did not look white. When their pre-existing professional and personal identities clashed with the American professional norm, the residents suppressed or compartmentalized these pre-existing identities. However, participants also reported that their diverse personal identities could be assets to the provision of care for diverse patient populations. Conclusions: This study reveals the identity tension experienced by IMGs in their PIF journey and the different strategies they employed to navigate the conflicts with American professional norms. This study suggests reimagining PIF frameworks to cultivate a more diverse physician workforce. Full article

Background: Studies have shown that gay men experience higher levels of depression and are more likely to report suicidal ideation, plans, and attempts over their lifetime compared to heterosexual men. However, most studies have been conducted with adolescents and young adults, while there is a lack of research focusing on older adults. The aims of this study are to assess the level of depressive symptoms among older gay men and examine the associations between five key factors—loneliness, internalized homophobia, self-esteem, ageism, health behavior—and depressive symptoms. Methods: The convenience sample included seventy-nine gay men living in the community. Prospective participants were recruited by facilitators of social and support groups, who either distributed the questionnaire directly to members on-site or forwarded a link to their emails. All study measures used were valid and reliable. Results: Participants’ mean level of depression exceeded the scale’s cutoff point for detecting depression, indicating mild depression. Four variables made a significant contribution to the explanation of depression, with loneliness having the largest contribution, followed by ageism, internalized homophobia, and health behavior. The regression model explained a very high percentage of the depression variance (83%). Conclusions: These four factors are central to understanding depression among older gays. Medical and social professionals should recognize their significance and incorporate them into the treatment provided to those in need. Further studies are needed to gain a deeper understanding of the factors associated with depression in this vulnerable population. Full article

In this paper, we report on creative- and arts-based sexual violence and bystander intervention workshops we developed and researched in England, Ireland, and Canada, through evaluation surveys, observations, and focus group interviews with nearly 1200 young people (aged 13–18). Whist the young people generally reported benefitting from the intervention, in the context of increasing use of digital technologies amongst youth, we explore the context-specific challenges they faced in learning about and being supported through bystander strategies across a wide range of diverse school spaces. We use the term postdigital bystanding to explicitly explore how teen’s digital networks are often connected to the school-based ‘real life’ peer group, in ways that complicate clear distinctions between online and offline, arguing that these postdigital dynamics have not yet been adequately considered in bystanding interventions. We analyse how the intersectional community, cultural, and identity-specific factors in particular schooling environments shape responses to bystanding in postdigital environments, including how factors of sexism, defensive masculinity, elitism, racism, and a reluctance to report digital issues played out in the responses to the workshops. Finally, following young people’s suggestions, we recommend that schools need to cultivate better safety and support strategies for youth in order to make postdigital bystander interventions more responsive and therefore effective in challenging and preventing sexual violence in society. Full article

Looking retrospectively at pre-colonial African marriages and sexualities is critical in the urge to transform the contemporary narratives about marriage and sexuality within African Christian spaces. In Africa, marriage and sexuality had cultural, spiritual, and religious intersectionality. However, the advent of the missionary-colonial enterprise reconstructed the concepts of marriage and sexuality by imposing the supremacy of Christianity and Civilization agendas. Thus, Africans were compelled to discard their views of marriage and sexuality to comply with the prescripts of Christianity, baptism, and church membership. This paper used the Sankofa and Decolonial theories to investigate the perpetual influence of the 19th-century missionary-colonial enterprise within the contemporary African Pentecostal views of marriage and sexuality. It debunked the heterotopias of the born-again experience which propels the supremacy of Christianity and civilization agendas. The findings indicated that these agendas manifest in the form of hetero-monogamous aspirations of missionaries that undermined the African views of marriage and sexuality, thus, rendering them as demonic, backward, barbaric, and something to be forgotten. Lamentably, the same narrative has shaped the views of Pentecostal Christians within the contemporary African context. However, this has created a myriad of problems for both Africans and Christianity in Africa. In conclusion, the study emphasized the need to delink from Western conceptualizations by rethinking African marriages and sexualities. This could be done by revisiting pre-colonial African marriage systems and sexualities to challenge the current distorted narrative while embracing the positive elements of Christianity. Full article

Achieving a sustainable global society is dependent on effective modern food systems and sustainable food literacy competency. This study aimed to make visible the nature of the intersection between food literacy and sustainability (sustainable food literacy) by employing a systematic quantitative literature review reported through PRISMA principles. It explored the representation and intersectionality of these research concepts to reveal the knowledge, skill, and attitude/behaviour dimensions of sustainable food literacy and Education for Sustainable Development to support SDG 4: Quality Education. The inclusion criteria of English language, peer-reviewed, full-text articles where food literacy and sustainability intersect through minor, major, or focus article links yielded N = 114 articles. Although experiencing rapid growth between 2013 and 2022, sustainable food literacy research was identified as fragmented and incomplete. This review reveals and conceptualises 19 sustainable food literacy research topics, including knowledge, skills, and attitudes/behaviours (86%), education (51%), food systems (45%), consumers/consumption (44%), and sustainable diets (34%). This study confirms that education with foundational and critical knowledge, skills, and attitudes/behaviours is pivotal to developing sustainable food literacy competency. Eight propositions are provided to guide further research to support SDG 4: Quality Education, focusing on exploring teacher capacity, successful educational approaches, and supportive policy. Full article

This article presents a research protocol focusing on the maternal health of Indigenous wayuu and Afro-descendant women in the region of La Guajira, Colombia. Following a decolonial approach and expecting the project to contribute to the field of sociology of birth, in this paper I propose to discuss the mobilized literature, methodologies, and ethical concerns critically and reflectively. This research aims to understand how the various paradigms of birth interact in contemporary times and how these interactions affect women’s experiences and expectations; to contribute to knowledge about birth and maternity among the Indigenous and Afro-descendant people of Colombia; and to evaluate existing maternal health indicators while proposing new ones that respond to the criteria and needs of the population under study. An ethnography and narrative interviews will be conducted with Indigenous wayuu and Afro-descendant women and health professionals in La Guajira, a department of Northern Colombia. Additionally, statistical birth analysis using data available from the National Statistical System of Colombia will be implemented. The results will be combined, co-created with study participants, and disseminated to a variety of audiences. Full article

(1) Background: Suicide represents a critical global public health concern. In the majority of countries, men have higher rates of suicide completion, while women show higher rates of suicide attempts. Masculinity is a complex construct shaped by socialization processes that begin early in life. The aim of this study is to explore the influence of masculinity on suicidal behaviors among men. (2) Methods: This systematic review was conducted in accordance with the Cochrane and PRISMA guidelines. The review protocol was pre-registered in the International Prospective Register of Systematic Reviews (PROSPERO). (3) Results: This systematic review—which includes 18 studies—highlights the detrimental influence of hegemonic masculinity on both the occurrence and frequency of suicide among men, with a particularly significant negative impact on vulnerable men (e.g., homeless men; adolescents and young men; and men with addiction, depression, and/or other mental health issues), where the consideration of intersectionality is essential. (4) Conclusions: Men who strongly conformed to the norms and values linked to traditional masculinity were more prone to die by suicide and to report experiencing suicidal thoughts and attempts. Analyzing suicidal behavior from a gender perspective is critical for effective prevention and treatment, as gender disparities are clearly observed in both suicide fatalities and nonfatal attempts. Full article

Social inclusion is a common goal for equitable access to resources for living, is important to health and wellbeing, and is supported by most Western or developed nations. Despite this, immigrant and refugee women continue to be excluded from social, cultural, economic, civic, and political participation during and after settlement. Most research exploring the context of social exclusion has reinforced that some groups experience greater exclusion than others in any given population, for example, immigrant women. The purpose of this study was to gain insights by exploring the experiences of social inclusion and exclusion and recommendations from the perspectives of immigrant and refugee women, as well as community service workers in the Niagara Region, Canada. Utilizing qualitative descriptive inquiry underpinned by intersectionality theory along with thematic analysis, we interviewed 10 immigrant and refugee women and 14 community service workers. Five themes were generated: (1) gendered nature of exclusion; (2) levels of exclusion; (3) paving a path for self; (4) formal inclusionary processes; and (5) informal inclusionary processes. The findings will be used to guide community action and may be transferable to community organizations that serve immigrant and refugee women in similar community contexts, with the aim of enhancing collaborations to advance health equity and inclusion. Full article

Contemporary science and religion discourse (SRD) is a large field encompassing various topics, from creationism against evolution to theological anthropology and artificial intelligence, though historically, what is meant by “science” is Western science, and what is meant by “religion” is usually Christianity. Moreover, SRD has been driven mainly from the North American context. The scope of this paper will thus be more focused on Western science and North American Protestant Evangelical Christianity, which hereafter will be referred to as simply Christianity or religion. In this article, I argue that SRD often arises from conflict or intersections where such interdisciplinary dialogue is needed to better understand the topic. However, this also means that topics that seem to agree between religion and science are not discussed in SRD. It is as if the goal of SRD, consciously or unconsciously, is to attain some consensus. Topics that have achieved consensus are not worth interrogating using the interdisciplinary approach of SRD. In this article, I will raise the topic of the holy war on obesity as a case example. From the medical and scientific perspective, obesity is a significant epidemic and problem. Similarly, Christians also see obesity as a problem that their churches can help by reinforcing the need for self-control as a virtue. The alignment of the two fields leaves this subject primarily out of the radar of the academic SRD. Yet I argue here that this unholy alliance needs to be questioned because locating the solution to obesity simply on willpower to lose weight and battle gluttony is short-sighted at best, misleading perhaps, and harmful at worst. This paper calls for a transdisciplinary approach to the SRD on obesity, emphasizing the need to address the multifaceted nature of the problem, which spans physiology, psychology, sociology, economics, culture, and theology. In overlooking the complexity of the problem with its various intersectionalities, both science and religion in SRD have colonized bodies and health. Inherent within this transdisciplinary approach is the exercise of undisciplining SRD and decolonizing bodies. The concept of “undisciplining” involves re-evaluating the problem beyond mere weight loss, addressing interconnected issues such as food supply, government regulations, capitalism, discrimination, and mental health care. The narrative of gluttony as sin, the war metaphor, and the methodologies employed by both religious and scientific communities need to be deconstructed. In conclusion, recognizing the entangled system in which all are complicit, the paper advocates for a more nuanced and comprehensive approach, free from the constraints of traditional disciplinary boundaries and influenced narratives. Full article

This article outlines the experiences of young widows in southern Africa and the impact of widowhood on their livelihoods. Despite numerous human rights frameworks addressing women’s issues, widowhood has not received adequate attention in the Global South. Widows often endure terrible and abusive treatment during widowhood. This study focuses on women’s perspectives by examining the impact of widowhood issues through case studies. The data were obtained from interviews conducted in a larger study on widowhood issues in South Africa. It explores the experiences and challenges five young widows face, analyses societal perceptions of widowhood, and examines the familial imperatives surrounding widowhood. Intersectionality theory was adopted in this article. The results show that young widows face serious inheritance challenges and abuse at the hands of their in-laws. Because the young widows viewed widowhood rites as part of their culture, they were not opposed to them. Full article

This study examines the crucial role architecture plays in fostering inclusive and equitable experiences on college campuses, focusing on how physical spaces communicate implicit messages of access and belonging. Drawing on interdisciplinary feminist spatial justice frameworks and intersectional analysis, the research critiques traditional top-down design practices that may overlook the identity-based needs of diverse users. Through a case study approach, the paper highlights the disconnect between architectural intentions and lived experiences, illustrating how design choices can unintentionally reinforce social hierarchies. The study advocates for participatory architectural approaches that prioritize the voices and experiences of campus community members, promoting radical inclusivity in the design process. This research contributes to the ongoing discourse on integrating feminist and intersectional approaches into architectural education and practice, emphasizing the importance of creating more just and inclusive spaces. Full article

Neonatal mortality rates in developing countries are influenced by a complex array of factors. Despite advancements in healthcare, Angola has one of the highest neonatal mortality rates in sub-Saharan Africa, with significant contributors including premature birth, intrapartum events, tetanus, and sepsis. This study, utilizing key theoretical frameworks such as intersectionality, social determinants of health (SDOH), and ecosocial theory, aimed to identify the primary causes and contributing factors of neonatal mortality among infants admitted to the Neonatology Service at DBPH in Luanda from May 2022 to June 2023. A retrospective matched case–control design was employed, pairing each neonatal death with two surviving neonates based on age and sex. The analysis included 318 newborns, of whom 106 experienced hospital deaths. A stepwise binary logistic regression model was used to examine associations between variables and neonatal mortality. Variables with p < 0.25 in bivariate analysis were included in the multivariate model. Significant factors associated with neonatal mortality included the following: a low Apgar score at 1 min (<7) (OR 2.172; 95% CI: 1.436–4.731); maternal age under 20 years (OR 3.746; 95% CI: 2.172–6.459); home delivery (OR 1.769; 95% CI: 1.034–3.027); and duration of illness before admission ≥ 3 days (OR 2.600; 95% CI: 1.317–5.200). Addressing these issues requires urgent interventions, including improving Apgar score management through enhanced training for healthcare professionals, supporting young mothers with intensified maternal education, ensuring deliveries occur in appropriate healthcare settings, and improving universal health coverage and referral systems. These measures could be crucial for enhancing neonatal care and reducing mortality. Full article

Context: The impact of forced migration on the mental health of refugee men is far-reaching and compounded by gendered masculinity, which shapes men’s access to employment and other resources. A gap in knowledge exists on the broader determinants of refugee men’s mental health. Methodology: Using community-based participatory action research and the arts-based method of photovoice, this study advances knowledge about the gendered impacts of forced migration from the perspective of (n = 11) Syrian refugee men in the Canadian context. Theoretical approaches of intersectionality and masculinity were applied to understand how power relations shape Syrian men’s identities, their access to employment, and impacts on their mental health. Analysis and Results: Syrian men’s identities were marginalized by working in low-wage jobs because of inequitable policies that favored Canadian experience and credentialing assessment processes that devalued their knowledge. Multiple and overlapping factors shaped Syrian men’s mental health including language and literacy barriers, time and stage of life, isolation and loneliness, belonging and identity, and gender-based stress. Caring masculinities performed through fathering, cultural connection, and service-based work promoted agency, hope, and resilience. Conclusions: Public health and community-based pathways must adopt gender-responsive and intersectional approaches to policy and practice. Peer-based programs may mitigate harmful forms of masculinity and promote transformative change to support refugee men’s mental health. Full article

Introduction: Public health disinformation is a significant problem as demonstrated by the recent scientific literature on the COVID-19 pandemic. However, further studies that analyse the presence of the disinformation mitigation strategies in public health initiatives within specific contexts and which contains a multidimensional approach (gender, social and environmental) are required. Evidence shows that disinformation, information overload, misinformation or fake news on health issues are also influenced by these issues. Objective: The inclusion of the health disinformation dimension within national public implemented by the governments of Argentina and Spain before, during and after the COVID-19 pandemic. Additionally, this paper incorporated a gender-based approach and social and environmental determinants in order to identify the limitations of these initiatives and offer certain recommendations. We conducted a descriptive, qualitative and quantitative study, as well as content analysis. We focused on documents from the websites of the national health ministries of Argentina and Spain, and digital repositories of regulations at the national level. Various strategies for systematic searches on government websites were designed and implemented. This included manual searches on Google. The first step involved a general analysis of all documents found by the searches, followed by a qualitative analysis of the documents that were related to health issues. Based on this work, a comprehensive and flexible framework of (pre-established and emerging) dimensions and categories of health disinformation and infodemics was generated. Results. The work was based on a total of 202 documents (both downloadable information and information included in websites); 117 for Argentina and 85 for Spain. Of the total, 60.9% were published during the COVID-19 pandemic. In the second stage of the analysis, 55 texts were selected for Argentina and 47 for Spain. In both countries, the central communications approach used was disinformation and/or infodemics (although definitions such as fake news were also used). They were mainly linked to the COVID-19 pandemic, but other emerging health problems were also detected to a lesser degree. However, disinformation (or a related concept) was prominently present in only 17 documents in Argentina and 3 documents in Spain. In terms of document type, working materials were foremost in Argentina (44.4%) and Spain (37.6%), with little presence of policy, regulatory and evaluation documents (only 5). Gender binary language was predominantly used in these texts. Vulnerable groups and social determinants were poorly included. Environmental determinants were mentioned in conjunction with health disinformation in only one paper on the use of plastics and its impact on human health in Argentina, and in another paper from the Global Summit on Climate and Health in Spain. Conclusions: Based on the document analysis, the inclusion of health disinformation within public actions in both countries before, during and after the COVID-19 pandemic, was detected. However, different limitations were observed: it was clear that the problem was strongly linked to the health emergency and did not extend much beyond that. Health disinformation was secondary and did not play a key role in public policy nor did it have greater institutional importance. Limitations were also detected in terms of gender perspectives, vulnerable groups and social and environmental determinants linked to health disinformation, displaying a reductionist approach. Based on these results, this paper makes certain policy recommendations. Full article

Introduction: The COVID-19 pandemic brought myriad challenges and disruptions to societies worldwide. The impact of the pandemic on immigrant women living in Canada and who experience intimate partner violence (IPV) was very concerning during lockdowns specifically. As Canada implemented social distancing measures and stay-at-home orders to curb the spread of the virus, immigrant women—already at a heightened risk of IPV due to factors such as language barriers and immigration status—faced an increased likelihood of being trapped in abusive situations, with limited access to essential support services such as shelters, counseling centers, and legal aid. This narrative review aims to illuminate the experiences of IPV including the challenges and strategies used to cope during the pandemic among immigrant women. While this narrative review aims to obtain an extensive understanding of the IPV experiences among immigrant women during the pandemic, it also highlights the need for developing culturally sensitive interventions to address IPV challenges for immigrant women in similar contexts. A search was undertaken of multiple databases: Medline, CINHAL, Google Scholar, and PsycINFO. To identify studies related to IPV and COVID-19, various search terms were used including “abused women”, “COVID-19”, and “IPV” and their synonyms. This review employs the social–ecological model and intersectionality to illuminate the IPV experiences of immigrant women during the COVID-19 pandemic. Four themes emerged from this study including the realities of COVID-19 restrictions; IPV vulnerabilities during the COVID-19 pandemic; the impacts of IPV and the COVID-19 pandemic; and the strategies for addressing IPV (women and system perspectives). We draw on past research and the knowledge of our multidisciplinary team of researchers to recommend culturally sensitive resources and health services for abused women living in Canada as well as highlight effective intervention strategies to address the varied and complex needs of these women. Full article