Browsing by Subject "Gender"
Now showing 1 - 10 of 75
Results Per Page
Sort Options
Item Assessing patients’ preferences for gender, age, and experience of their urogynecologic provider(Springer, 2019-12-11) Hoke, Tanya P.; Berger, Alexander A.; Pan, Christine C.; Jackson, Lindsey A.; Winkelman, William D.; High, Rachel; Volpe, Katherine A.; Lin, Chee Paul; Richter, Holly E.; Obstetrics and Gynecology, School of MedicineIntroduction and hypothesis Understanding patient preferences regarding provider characteristics is an under-explored area in urogynecology. This study aims to describe patient preferences for urogynecologic care, including provider gender, age, experience, and presence of medical trainees. Methods This was a multicenter, cross-sectional, survey-based study assessing patient preferences with a voluntary, self-administered, anonymous questionnaire prior to their first urogynecology consult. A 5-point Likert scale addressing provider gender, age, experience, and presence of trainees was used. Descriptive statistics summarized patient characteristics and provider preferences. Chi-squared (or Fisher’s exact) test was used to test for associations. Results Six hundred fifteen women participated from eight sites including all geographic regions across the US; 70.8% identified as white with mean age of 58.5 ± 14.2 years. Urinary incontinence was the most commonly reported symptom (45.9%); 51.4% saw a female provider. The majority of patients saw a provider 45–60 years old (42.8%) with > 15 years’ experience (60.9%). Sixty-five percent of patients preferred a female provider; 10% preferred a male provider. Sixteen percent preferred a provider < 45 years old, 36% preferred 45–60 years old, and 11% of patients preferred a provider > 60 years old. Most patients preferred a provider with 5–15 or > 15 years’ experience (49% and 46%, respectively). Eleven percent preferred the presence of trainees while 24% preferred trainee absence. Conclusion Patient preferences regarding urogynecologic providers included female gender and provider age 45–60 years old with > 5 years’ experience. Further study is needed to identify qualitative components associated with these preferences.Item Authorship Trends Over the Past 30-Years in the Annals of Biomedical Engineering(Springer, 2019-05) Aguilar, Izath Nizeet; Ganesh, Venkateswaran; Mannfeld, Rachel; Gorden, Riley; Hatch, Jennifer M.; Lunsford, Shatoria; Whipple, Elizabeth C.; Loder, Randall T.; Kacena, Melissa A.; Orthopaedic Surgery, School of MedicineIn academia, manuscripts serve as an important component of career development. The past several years have seen heightened evaluation of the role of the gender gap in career advancement, as well as other bibliometric changes in publications. We therefore analyzed authorship and publication trends in the Annals of Biomedical Engineering over the past three decades (one complete year of manuscripts for each decade; 1986, 1996, 2006, and 2016). The variables analyzed were number of authors per manuscript, numerical position of the corresponding author, number of collaborating institutions and countries, number of references, and number of citations per manuscript. The gender of both the first and corresponding authors was identified and analyzed over time and by region. Globally, the percentage of female first and corresponding authors significantly increased from 0% in 1986 to 28.6% (p = 0.003) and 20.4% (p = 0.0009), respectively, in 2016. Although there were significant differences regarding female first and corresponding author over time, they did not vary by region of origin (p = 0.5 and 0.2, respectively). Overall, these findings highlight the improvements made and the challenges that still exist related to publishing within the bioengineering field.Item Bewitching sex workers, blaming wives: HIV/AIDS, stigma, and the gender politics of panic in western Kenya(Taylor & Francis, 2018-02) Pfeiffer, Elizabeth J.; Maithya, Harrison M.K.; Microbiology and Immunology, School of MedicineSince access to HIV testing, counselling, and drug therapy has improved so dramatically, scholars have investigated ways this 'scale-up' has interacted with HIV/AIDS-related stigma in sub-Saharan Africa. Drawing on data collected during ethnographic research in a trading centre in western Kenya, this paper critically analyses two violent and localised case studies of panic over the ill health of particular community residents as a nuanced lens through which to explore the dynamic interplay of gender politics and processes of HIV/AIDS-related stigma in the aftershocks of the AIDS crisis. Gaining theoretical momentum from literatures focusing on stigma, gender, witchcraft, gossip, and accusation, we argue that the cases highlight collective anxieties, as well as local critiques of shifting gender roles and the strain of globalisation and legacies of uneven development on myriad forms of relationships. We further contend that these heightened moments of panic and accusation were deployments of power that ultimately sharpened local gender politics and conflicts on the ground in ways that complicated the social solidarity necessary to tackle social and health inequalities. The paper highlights one community's challenge to eradicate the stigma associated with HIV/AIDS during a period of increased access to HIV services.Item Bibliometric and authorship trends over a 30 year publication history in two representative US sports medicine journals(Elsevier, 2020-03-31) Dynako, Joseph; Owens, Garrett W.; Loder, Randall T.; Frimpong, Tony; Gerena, Rolando Gabriel; Hasnain, Fawaz; Snyder, Dayton; Freiman, Serena; Hart, Kyle; Kacena, Melissa A.; Whipple, Elizabeth C.; Orthopaedic Surgery, School of MedicineBibliometric studies are important to understand changes and improvement opportunities in academia. This study compared bibliometric trends for two major sports medicine/arthroscopy journals, the American Journal of Sports Medicine® (AJSM®) and Arthroscopy® over the past 30 years. Trends over time and comparisons between both journals were noted for common bibliometric variables (number of authors, references, pages, citations, and corresponding author position) as well as author gender and continental origin. Appropriate statistical analyses were performed. A p < 0.001 was considered statistically significant. One representative year per decade was used. There were 814 manuscripts from AJSM® and 650 from Arthroscopy®. For AJSM® the number of manuscripts steadily increased from 86 in 1986 to 350 in 2016; for Arthroscopy® the number of manuscripts increased from 73 in 1985/1986, to 267 in 2006, but then dropped to 229 in 2016. There were significant increases in all bibliometric variables, except for the number of citations which decreased in Arthroscopy®. There were significant differences in manuscript region of origin by journal (p = 0.000002). Arthroscopy® had a greater percentage of manuscripts from Asia than AJSM® (19.3% vs 11.5%) while AJSM® had a greater percentage from North America (70.3% vs 59.2%); both journals had similar percentages from Europe (18.2% for AJSM® and 21.6% for Arthroscopy®). For AJSM® the average percentage of female first authors was 13.3%, increasing from 4.7% in 1986 to 19.3% in 2016; the average percentage of female corresponding authors was 7.3%. For Arthroscopy®, the average percentage of female first authors was 8.1%, increasing from 2.8% in 1985/1986 to 15.7% in 2016 (p = 0.00007). In conclusion, AJSM® and Arthroscopy® showed an increase in most variables analyzed. Although Arthroscopy® is climbing at a higher rate than AJSM® for female authors, AJSM® has an overall greater percentage of female authors.Item The Black Religious Woman’s Corporate Survival: An Independent Study of Race, Gender, Religion, and the Superwoman Schema(2020-10) Dubrovensky, ToniBlack religious women have a unique position within corporate America in comparison to their counterparts. As minorities, they face many significant challenges, such as financial setbacks, underrepresentation, microaggressions, limited advocacy, and limited professional resources, which contribute to stunted or delayed professional growth. One of the primary areas of stunted or delayed growth is leadership. Yet, the drive to survive and succeed still exists and oftentimes manifests itself in the Superwoman Schema. While the Superwoman Schema can be applicable to all Black women, Black religious women are more likely to exhibit traits of the Superwoman Schema in a corporate setting due to their religious values. Thus, the focus of this research is the position and fight for survival of Black religious women in corporate America. This includes defining and identifying how the Superwoman Schema can impact how Black religious women navigate corporate spaces. Using Black feminist theory and secondary research, this literature-based research aims to centralize the modern-day Black religious woman’s corporate experience and what it looks like amidst the COVID-19 pandemic and increasing racial tensions. A 2012 study conducted by The Washington Post has revealed that Black women tend to be more religious than their racial and gender counterparts (Labbé-DeBose, 2012), which makes them more susceptible to isolation from company norms. Their susceptibility can hinder professional development and leadership opportunities. Although the Superwoman Schema is motivated by a sense of duty, it can provide Black religious women with a chance to channel defense mechanisms in a space where they are outnumbered and limited by fostering an attitude of independence.Item Body Mass Index, Adverse Pregnancy Outcomes, and Cardiovascular Disease Risk(American Heart Association, 2023) Khan, Sadiya S.; Petito, Lucia C.; Huang, Xiaoning; Harrington, Katharine; McNeil, Rebecca B.; Bello, Natalie A.; Bairey Merz, C. N.; Miller, Eliza C.; Ravi, Rupa; Scifres, Christina; Catov, Janet; Pemberton, Victoria; Varagic, Jasmina; Zee, Phyllis C.; Yee, Lynn M.; Ray, Mitali; Kim, Jin Kyung; Lane-Cordova, Abbi; Lewey, Jennifer; Theilen, Lauren H.; Saade, George R.; Greenland, Philip; Grobman, William A.; Obstetrics and Gynecology, School of MedicineBackground: Obesity is a well-established risk factor for both adverse pregnancy outcomes (APOs) and cardiovascular disease (CVD). However, it is not known whether APOs are mediators or markers of the obesity-CVD relationship. This study examined the association between body mass index, APOs, and postpartum CVD risk factors. Methods: The sample included adults from the nuMoM2b (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be) Heart Health Study who were enrolled in their first trimester (6 weeks-13 weeks 6 days gestation) from 8 United States sites. Participants had a follow-up visit at 3.7 years postpartum. APOs, which included hypertensive disorders of pregnancy, preterm birth, small-for-gestational-age birth, and gestational diabetes, were centrally adjudicated. Mediation analyses estimated the association between early pregnancy body mass index and postpartum CVD risk factors (hypertension, hyperlipidemia, and diabetes) and the proportion mediated by each APO adjusted for demographics and baseline health behaviors, psychosocial stressors, and CVD risk factor levels. Results: Among 4216 participants enrolled, mean±SD maternal age was 27±6 years. Early pregnancy prevalence of overweight was 25%, and obesity was 22%. Hypertensive disorders of pregnancy occurred in 15%, preterm birth in 8%, small-for-gestational-age birth in 11%, and gestational diabetes in 4%. Early pregnancy obesity, compared with normal body mass index, was associated with significantly higher incidence of postpartum hypertension (adjusted odds ratio, 1.14 [95% CI, 1.10-1.18]), hyperlipidemia (1.11 [95% CI, 1.08-1.14]), and diabetes (1.03 [95% CI, 1.01-1.04]) even after adjustment for baseline CVD risk factor levels. APOs were associated with higher incidence of postpartum hypertension (1.97 [95% CI, 1.61-2.40]) and hyperlipidemia (1.31 [95% CI, 1.03-1.67]). Hypertensive disorders of pregnancy mediated a small proportion of the association between obesity and incident hypertension (13% [11%-15%]) and did not mediate associations with incident hyperlipidemia or diabetes. There was no significant mediation by preterm birth or small-for-gestational-age birth. Conclusions: There was heterogeneity across APO subtypes in their association with postpartum CVD risk factors and mediation of the association between early pregnancy obesity and postpartum CVD risk factors. However, only a small or nonsignificant proportion of the association between obesity and CVD risk factors was mediated by any of the APOs, suggesting APOs are a marker of prepregnancy CVD risk and not a predominant cause of postpartum CVD risk.Item Can Women Faculty Say No? The Gendered Expectation of Mentorship(2021-11) Hall, Deidre Yvonne; Ashburn-Nardo, Leslie; Pietri, Evava; Williams, JaneWomen in academia tend to take on the caretaker role in their departments by fulfilling most of the less promotable service work like mentoring. The perceived fit between this service and the communal stereotype of women creates expectations that women should take on these roles, which can lead to backlash if women violate these expectations. This study investigates gendered expectations in academia by evaluating whether women faculty experience more backlash for declining a student’s mentorship request than their male counterparts. Participants read a profile of a faculty member (male or female) and an email exchange between that faculty member and a student requesting mentorship. The faculty member either declined or accepted the request and participants rated the faculty member on interpersonal measures. Results indicated that men and women faculty were both rated more negatively by students when they declined the request, suggesting that women can say no to mentoring without the burden of gendered backlash. Given that some predicted effects approached significance, it is important to understand other factors that may impact perceptions, including whether the reason for declining, field of study (i.e., STEM), and the gender of student may impact the extent of backlash. This work furthers our understanding of whether women faculty can say no to service and focus on more promotable tasks without hurting their reputations.Item Charitable Giving in Married Couples: Untangling the Effects of Education and Income on Spouses’ Giving(Sage, 2022) Mesch, Debra J.; Osili, Una Okonkwo; Dale, Elizabeth J.; Ackerman, Jacqueline; Bergdoll, Jon; O’Connor, Heather A.; Lilly Family School of PhilanthropyThis research note looks beyond the unitary household model and analyzes the influence of household resources by gender on charitable giving. We investigate the intrahousehold variables of income and education and their effects on giving behaviors in married couples. We use data from the longitudinal Philanthropy Panel Study (2005–2017) to examine how spouses’ income and educational differences affect charitable giving behaviors and introduce fixed effects to control for unobserved heterogeneity. Initially, we find a positive relationship between both the husband’s and wife’s earned and unearned incomes and the likelihood and amount of giving by married couples. However, when fixed effects are used, we find women’s earned income to be significantly associated with all forms of giving, showing that women’s labor market earnings disproportionately influence giving behavior. Education is less of a factor in whether couples give and influences giving only when the husband has more education than the wife.Item CHRNA5 and CHRNA3 variants and level of neuroticism in young adult Mexican American men and women(Cambridge University Press, 2014-04) Criado, José R.; Gizer, Ian R.; Edenberg, Howard J.; Ehlers, Cindy L.; Department of Biochemistry & Molecular Biology, IU School of MedicineA lifetime history of alcohol dependence has been associated with elevations in neuroticism in Mexican American young adults. The identification of genetic markers associated with neuroticism and their influence on the development of alcohol use disorders (AUD) may contribute to our understanding of the relationship between personality traits and the increased risk of AUD in Mexican Americans. The purpose of this study was to investigate associations between neuroticism and 13 single nucleotide polymorphisms (SNPs) in the nicotinic acetylcholine (nAChR) α5-subunit (CHRNA5) and α3-subunit (CHRNA3) genes in young adult Mexican American men and women. Participants were four hundred sixty-five young adult Mexican American men and women who are literate in English and are residing legally in San Diego County. Each participant gave a blood sample and completed a structured diagnostic interview. Neuroticism was assessed using the Maudsley Personality Inventory. The minor alleles of four CHRNA5 polymorphisms (rs588765, rs601079, rs680244 and rs555018) and three CHRNA3 polymorphisms (rs578776, rs6495307 and rs3743078) showed associations with neuroticism. Several of these SNPs also displayed nominal associations with DSM-IV alcohol and nicotine dependence, but tests of mediation suggested that these relations could be partially explained by the presence of co-occurring neuroticism. These findings suggest that genetic variations in nicotinic receptor genes may influence the development of neuroticism, which in turn is involved in the development of AUDs and nicotine dependence in Mexican American young adults.Item "Clean Clothes vs. Clean Water": Consumer Activism, Gender, and the Fight to Clean Up the Great Lakes, 1965-1974(2018-08) Scherber, Annette Mary; Scarpino, Philip V.; Shrum, Rebecca K.; Robertson, Nancy MarieDuring the late 1960s and early 1970s, the polluted Great Lakes became a central focus of the North American environmental movement. A majority of this pollution stemmed from phosphate-based laundry detergent use, which had become the primary product households used to wash fabrics after World War II. The large volume of phosphorus in these detergents discharged into the lakes caused excess growths of algae to form in waterways, which turned green and smelly. As the algae died off, it reduced the oxygen in the water, making it less habitable for fish and other aquatic life, a process known as eutrophication. As primary consumers of laundry detergents during the time period, women, particularly white, middle-class housewives in the United States and Canada, became involved in state/provincial, national, and international discussions involving ecology, water pollution, and sewage treatment alongside scientists, politicians, and government officials. Their work as volunteers, activists, and lobbyists influencing the debate and ensuing policies on how best to abate this type of pollution, known as eutrophication, has often been ignored. This thesis recognizes the work women completed encouraging the enactment of key water quality regulations and popularizing the basic tenets of environmentally-conscious consumption practices during the environmental movement in the early 1970s.