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La littérature scientifique a exploré de nombreux aspects relatifs à la notion de « violence », mais elle n’a jamais cherché à l’appréhender, à notre connaissance, en termes de généalogie vis-à-vis des mouvements féministes. Il s’avère par ailleurs que la formulation du concept de « violence obstétricale » est récente alors que l’expérience est ancienne. C’est ce paradoxe que cet article interroge. Plus précisément, cette contribution vise à élucider comment les mouvements féministes ont pu jouer un rôle facilitateur dans l’émergence de ce concept dont la généalogie s’ancre dans la réflexivité hospitalière et les mouvements féministes. En se saisissant de l’observation d’une association féministe engagée dans la pratique des accouchements alternatifs, cette étude vise à appréhender comment les dynamiques militantes ont ouvert la voie à ce nouveau concept. La recherche de terrain a permis d’identifier deux postures à partir d’entretiens mené auprès des usagères du système hospitalier. L’analyse de l’histoire de cette association montre que c’est un compromis interne à la rencontre entre ces deux postures qui a favorisé un espace de parole pour les parturientes et des négociations avec l’hôpital local pour des réalisations concrètes. La discussion analyse ces deux postures au prisme des points de vue féministes universaliste et différencialiste, ainsi que de la sociologie du corps. La conclusion interroge cette dynamique des mouvements sociaux, se demandant si on peut y observer un processus analogue.

In light of global environmental crises and the need for sustainable development, the fields of public health and environmental sciences have become increasingly interrelated. Both fields require interdisciplinary thinking and global solutions, which is largely directed by scientific progress documented in peer-reviewed journals. Journal editors play a critical role in coordinating and shaping what is accepted as scientific knowledge. Previous research has demonstrated a lack of diversity in the gender and geographic representation of editors across scientific disciplines. This study aimed to explore the diversity of journal editorial boards publishing in environmental science and public health. The Clarivate Journal Citation Reports database was used to identify journals classified as Public, Environmental, and Occupational (PEO) Health, Environmental Studies, or Environmental Sciences. Current EB members were identified from each journal’s publicly available website between 1 March and 31 May 2021. Individuals’ names, editorial board roles, institutional affiliations, geographic locations (city, country), and inferred gender were collected. Binomial 95% confidence intervals were calculated for the proportions of interest. Pearson correlations with false discovery rate adjustment were used to assess the correlation between journal-based indicators and editorial board characteristics. Linear regression and logistic regression models were fitted to further assess the relationship between gender presence, low- and middle-income country (LMIC) presence and several journal and editor-based indicators. After identifying 628 unique journals and excluding discontinued or unavailable journals, 615 journal editorial boards were included. In-depth analysis was conducted on 591 journals with complete gender and geographic data for their 27,772 editors. Overall, the majority of editors were men (65.9%), followed by women (32.9%) and non-binary/other gender minorities (0.05%). 75.5% journal editorial boards (n = 446) were composed of a majority of men (>55% men), whilst only 13.2% (n = 78) demonstrated gender parity (between 45–55% women/gender minorities). Journals categorized as PEO Health had the most gender diversity. Furthermore, 84% of editors (n = 23,280) were based in high-income countries and only 2.5% of journals (n = 15) demonstrated economic parity in their editorial boards (between 45–55% editors from LMICs). Geographically, the majority of editors’ institutions were based in the United Nations (UN) Western Europe and Other region (76.9%), with 35.2% of editors (n = 9,761) coming solely from the United States and 8.6% (n = 2,373) solely from the United Kingdom. None of the editors-in-chief and only 27 editors in total were women based in low-income countries. Through the examination of journal editorial boards, this study exposes the glaring lack of diversity in editorial boards in environmental science and public health, explores the power dynamics affecting the creation and dissemination of knowledge, and proposes concrete actions to remedy these structural inequities in order to inform more equitable, just and impactful knowledge creation.

Discrimination has historically contributed to coercive contraceptive in the United States. We investigated associations between perceived discrimination, or the perception of unequal treatment in everyday life, and contraceptive method use among U.S. women. We analyzed population-based data from a 2013 study of U.S. women who were premenopausal, age 18–50, sexually active with a male partner in the last year and were not attempting pregnancy. Perceived discrimination was measured using the Everyday Discrimination Scale. Contraceptive method use was categorized into five method categories: permanent, highly effective reversible, moderately effective, barrier and no method. We analyzed relationships between perceived discrimination and contraceptive method use with several regression models, controlling for covariates. Among 539 women in our analytic sample, those with high perceived discrimination had lower incomes, less educational attainment and were less likely to be insured. Perceived discrimination was associated with a reduced odds of using any contraceptive method (aOR 0.43, CI 0.21–0.87, p < .001). Contraceptive method users with high perceived discrimination had an increased odds of using highly effective reversible methods versus moderately effective methods (aOR 5.28, CI 1.63–17.07 p = < .001). Women who perceived discrimination were at risk for contraceptive nonuse; however, among contraceptive users, perceived discrimination was associated with the use of more effective reversible methods.

Introduction The importance of menstrual health has been historically neglected, mostly due to taboos and misconceptions around menstruation and androcentrism within health knowledge and health systems around the world. There has also been a lack of attention on ‘period poverty’, which refers to the financial, social, cultural and political barriers to access menstrual products and education. The main aim of this research is to explore menstrual health and experiences of period poverty among young people who menstruate (YPM). Methods and analysis This is a convergent mixed-methods study, which will combine a quantitative transversal study to identify the prevalence of period poverty among YPM (11–16 years old), and a qualitative study that will focus on exploring menstruation-related experiences of YPM and other groups (young people who do not menstruate (YNM); primary healthcare professionals; educators and policy-makers). The study will be conducted in the Barcelona metropolitan area between 2020 and 2021. Eighteen schools and 871 YPM will be recruited for the quantitative study. Sixty-five YPM will participate in the qualitative study. Forty-five YNM and 12 professionals will also be recruited to take part in the qualitative study. Socioeconomic and cultural diversity will be main vectors for recruitment, to ensure the findings are representative to the social and cultural context. Descriptive statistics will be performed for each variable to identify asymmetric distributions and differences among groups will be evaluated. Thematic analysis will be used for qualitative data analyses Ethics and dissemination Several ethical issues have been considered, especially as this study includes the participation of underage participants. The study has received ethical approval by the IDIAPJGol Research Ethics Committee (19/178 P). Research findings will be disseminated to key audiences, such as YPM, YNM, parents/legal tutors, health professionals, educators, youth (and other relevant) organisations, general community members, stakeholders and policy-makers, and academia.

Although married women are increasingly participating in paid labor, housework remains their primary responsibility. This uneven distribution of housework could have a negative impact on their mental health. In this study, we examined the association between satisfaction with husbands' participation in housework and suicidal ideation in married working women. Data were obtained from 3544 participants of the fourth and fifth waves of the Korean Longitudinal Survey of Women and Families. Satisfaction with husbands' participation in housework was classified as satisfactory, less satisfactory, and dissatisfactory. A generalized estimating equations model was used to examine the association. Those who were dissatisfied with their husbands' participation in housework were 2.65 times more likely to think about suicide than those who were satisfied. Subgroup analysis showed that women with an egalitarian gender ideology or low job dissatisfaction were more likely to think about suicide when they were dissatisfied with their husbands' participation in housework. In conclusion, married working women who were dissatisfied with their husbands' participation in housework are more likely to think about suicide than those who are satisfied. Therefore, fostering an environment of fair distribution of housework is necessary for alleviating their stress from the dual burden of work and family. (Copyright © 2018 Elsevier B.V. All rights reserved.)

This article provides an overview on reproductive and sexual health of people with physical disabilities in developed and underdeveloped countries from 1995 to 2011. Based on the metasynthesis approach, the authors reviewed 15 qualitative studies. These studies were searched using Medline, CINAHL, CINAHL (health), ProQuest Central, Google Scholar, Cochrane, Embase, Informit Health, Sciences Direct, Pubmed, Pubmed Health, AAHD (abstracts), ProQuest Journal (sexuality and disability) and were also manually searched. All studies were judged on their qualities using the Critical Appraisal Skills Programme. Reproductive health, sexual attractiveness and experiences, reproductive and sexual health knowledge, and dealing with reproductive and sexual health issues were four main themes that emerged from these studies. This paper proposes a new model to explain the factors that impacted the reproductive and sexual life of people with physical disabilities: internal and external factors. Implications for health and social care are discussed in light of the findings.

Arrière-plan Les organismes de financement de la recherche en santé et les rédacteurs de revues scientifiques ont récemment intensifié leurs efforts pour accroître la prise en compte des questions de sexe et de genre dans la conception, la conduite et la communication des études afin de garantir que les résultats de la recherche s’appliquent à tous. Cependant, l’examen de la littérature sur la recherche sur la mise en œuvre révèle que l’attention portée au sexe et au genre n’a pas encore infiltré les méthodes de recherche dans ce domaine. Discussion Les raisons pour lesquelles le sexe et le genre sont systématiquement pris en compte dans la recherche sur la mise en œuvre sont multiples. Le sexe et le genre sont importants dans la prise de décision, la communication, l’engagement des parties prenantes et les préférences pour l’adoption des interventions. Les rôles de genre, l’identité de genre, les relations de genre et le genre institutionnalisé influencent la manière dont une stratégie de mise en œuvre fonctionne, pour qui, dans quelles circonstances et pourquoi. De nouvelles preuves montrent que les théories des programmes peuvent fonctionner différemment au sein et entre les sexes, les genres et d’autres caractéristiques intersectionnelles dans diverses circonstances. En outre, sans une étude appropriée, les stratégies de mise en œuvre peuvent exploiter ou ignorer par inadvertance, plutôt que de transformer la réflexion sur le sexe et les facteurs liés au genre. Des techniques sont décrites pour mesurer et analyser le sexe et le genre dans la recherche sur la mise en œuvre en utilisant des méthodes à la fois quantitatives et qualitatives. Résumé Le présent article décrit l’application de méthodes d’intégration du sexe et du genre dans la recherche sur la mise en œuvre. Poser systématiquement des questions critiques sur le sexe et le genre conduira probablement à la découverte de résultats positifs, ainsi que de conséquences imprévues. Le résultat a le potentiel de renforcer à la fois la pratique et la science de la mise en œuvre, d’améliorer les résultats en matière de santé et de réduire les inégalités entre les sexes.

Informed by intersectionality theory, a tradition that theorizes intersecting power relations of racism, patriarchy, classism and heterosexism, this paper investigates the degree to which race, gender, class and sexuality manifest distinct and interconnected associations with self-reported hypertension in nationally-representative survey data from Canada. Binary logistic regression is used to model the main effects of, and interactions between, race, gender, education, household income and sexual orientation on hypertension, controlling for age, using data from the 2003 Canadian Community Health Survey (n = 90,310). From a main effects (‘additive’) perspective, Black respondents, respondents with less than high school and poorer respondents were significantly more likely than White respondents, university-educated Canadians and wealthier Canadians, respectively, to report hypertension. However, the interactive models indicate that the additive models were poor predictors of hypertension for wealthy Black men, wealthy South Asian women, women with less than a high school diploma and wealthy bisexual respondents, who were more likely than expected to report hypertension, and for poor Black men, poor South Asian women, poor South Asian men and women with a university degree, who were less likely than expected to report hypertension. It appears that, with regard to blood pressure at least, Canadians experience the health effects of education differently by their genders and the health effects of income differently by their identities defined at the intersection of race and gender. This study provides empirical support for the intersectional approach to cardiovascular health inequalities by demonstrating that race, gender, class and sexuality cannot be disentangled from one another as predictors of hypertension.

Les nouvelles technologies de communication, et notamment Internet, ont transformé à la fois les stratégies relationnelles et la transmission et le partage des informations dans toutes les sphères de la vie, incluant le domaine de la santé. Pour les minorités sexuelles qui sont confrontées à de multiples formes de discrimination et de marginalisation, Internet est devenu un puissant moyen de s’organiser, d’informer et d’intervenir dans le champ de la santé. Les associations et organismes communautaires ciblant ces populations proposent aujourd’hui un ensemble de sites et de stratégies de soutien et d’intervention. Ces outils synchrones et asynchrones disponibles en ligne visent l’amélioration de la santé mentale et physique, des relations interpersonnelles et la prévention des ITSS et du VIH/sida. Par contre, les usages qui varient en fonction des populations LGBT peuvent aussi concourir à la prise de risques et à des formes de dépendance. Afin de mieux comprendre les enjeux entourant les usages d’Internet et la santé, cet ouvrage, réalisé grâce à l’appui de l’équipe pancanadienne Sexualités et genres ;: vulnérabilité et résilience (SVR), regroupe les contributions de chercheurs de l’équipe qui ont effectué des travaux sur Internet et la santé ainsi que d’intervenants impliqués dans des organismes communautaires, qui utilisent des sites Internet à des fins de réseautage, de transfert d’informations et d’interventions en ligne dans les contextes québécois et canadien.

Résumé Le Canada et le Québec, sociétés pluriethniques, possèdent des politiques et des programmes de promotion et de prévention pour contrer les violences faites aux femmes, mais reconnaissent que le défi est de taille dans le contexte migratoire. Les immigrantes, confrontées à la violence conjugale, ne disposent souvent pas d’accessibilité culturelle aux services sociaux et de santé ou n’obtiennent pas de réponse adéquate à leurs besoins. Toutefois, certains organismes ont des projets pour leur venir en aide mais ils ne sont pas systématiques. L’article présente les résultats d’une recherche exploratoire, avec approche ethnologique, qui documente la perception de 10 intervenants d’organismes communautaires et institutionnels concernant leurs activités dans le domaine et leur préoccupation pour la promotion et la prévention primaire, même si leurs pratiques concrètes sont surtout centrées sur la prévention secondaire. Maints empêchements les limitent, mais leurs perceptions des réponses promotionnelles et préventives mettent en lumière l’impact de la violence structurelle et de la violence conjugale et orientent les perspectives de renouvellement des pratiques d’intervention sociosanitaire en matière de violence conjugale.

L’excision et l’infibulation sont parties intégrantes des traditions de nombreuses sociétés africaines issues majoritairement de la région subsaharienne. En contexte canadien, aucune information statistique n’est présentement disponible sur la prédominance de cette pratique, malgré le fait que de nombreux intervenants soupçonnent que plusieurs immigrant(e)s en provenance de ces pays sont susceptibles de faire subir ces pratiques à leurs fillettes. Cette étude qualitative explore les valeurs et les croyances des immigrant(e)s par rapport à ces pratiques traditionnelles, tout en cernant les défis de leur processus d’intégration au Canada et leur recours aux services de santé.