scholarly journals Research/Advocacy/Community: Reflections on Asian American trauma, heteropatriarchal betrayal, and trans/gender-variant health disparities research

2013 ◽  
Vol 5 (1) ◽  
pp. 199-229 ◽  
Author(s):  
S. J. Hwahng
Keyword(s):  
Health Disparities ◽  
Asian American ◽  
Sexual Minority ◽  
Low Income ◽  
Social Transformation ◽  
Well Being ◽  
Social Contexts ◽  
People Of Color ◽  
Sexual Minority Women ◽  
Gender Variant

This article first examines the author’s positionality with reference to the historical and inter-generational transmission of Asian trauma, the contemporary plight of North Koreans, and the betrayal of anatomically-female individuals (including those who are sexual minority/gender-variant) within Asian heteropatriarchal systems. An analysis of the relevance of empirical research on low-income trans/gender-variant people of color is then discussed, along with an examination of HIV and health disparities in relation to the socio-economic positioning of low-income trans/gender-variant people of color and sexual minority women, and how social contexts often gives rise to gender identity, including transmasculine identities. What next follows is an appeal to feminist and queer/trans studies to truly integrate those located on the lowest socio-economic echelons. The final section interrogates concepts of health, well-being, and happiness and how an incorporation of the most highly disenfranchised/marginalized communities and populations challenges us to consider more expansive visions of social transformation.

Learning from socially driven service innovation in emerging economies

2015 ◽  
Vol 26 (1) ◽  
pp. 156-176 ◽  
Author(s):  
Javier Reynoso ◽  
Jay Kandampully ◽  
Xiucheng Fan ◽  
Hanna Paulose
Keyword(s):  
Emerging Economies ◽  
Low Income ◽  
Business Models ◽  
Service Innovation ◽  
Well Being ◽  
Social Contexts ◽  
Customer Engagement ◽  
Sustainable Business ◽  
Content Type ◽  
Service Relationships

Purpose – The purpose of this paper is to provide insights into indigenous, solution-based business models and their relevance for inclusive service innovation within specific social contexts in emerging economies, with particular emphasis on the role of culture and technology. Design/methodology/approach – A proposed framework illustrates four factors that nurture socially driven service innovation in emerging economies: solution, inclusion, culture, and technology. Extant literature from studies in India, Latin America, and China illustrates distinct indigenous innovations and service relationships that exist at the base of the pyramid (BoP), which provides a foundation for a better understanding of socially inclusive service innovations. Findings – A conceptual model of inclusive service innovation reflects an integrated, virtuous cycle, composed of service relationships that stem from the BoP at various levels of analysis across different income segments. These findings suggest notable research directions. Practical implications – This study reinforces the importance of a solution orientation as a competitive business model to gain customer engagement. Social implications – Researchers and practitioners in emerging and advanced economies can use the approach suggested by this paper in their efforts to build sustainable business cultures and improve the well-being of society. Originality/value – Previous research has not addressed the social or communal roles of service innovation; this study proposes an innovative switch from a traditional strategy of selling services toward a proactive approach that involves low-income customers as active resources to co-create social and business value.

scholarly journals Still striding toward social justice? Redirecting physical activity research in a post-COVID-19 world

2021 ◽  
Author(s):  
Rebecca E Lee ◽  
Rodney P Joseph ◽  
Loneke T Blackman Carr ◽  
Shaila Marie Strayhorn ◽  
Jamie M Faro ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Justice ◽  
Health Disparities ◽  
Chronic Disease ◽  
Behavioral Medicine ◽  
Well Being ◽  
People Of Color ◽  
Ecologic Model ◽  
Health And Well Being ◽  
Disproportionate Burden

Abstract The COVID-19 crisis and parallel Black Lives Matter movement have amplified longstanding systemic injustices among people of color (POC). POC have been differentially affected by COVID-19, reflecting the disproportionate burden of ongoing chronic health challenges associated with socioeconomic inequalities and unhealthy behaviors, including a lack of physical activity. Clear and well-established benefits link daily physical activity to health and well-being—physical, mental, and existential. Despite these benefits, POC face additional barriers to participation. Thus, increasing physical activity among POC requires additional considerations so that POC can receive the same opportunities to safely participate in physical activity as Americans who are White. Framed within the Ecologic Model of Physical Activity, this commentary briefly describes health disparities in COVID-19, physical activity, and chronic disease experienced by POC; outlines underlying putative mechanisms that connect these disparities; and offers potential solutions to reduce these disparities. As behavioral medicine leaders, we advocate that solutions must redirect the focus of behavioral research toward community-informed and systems solutions.

scholarly journals Injustice Squared? An Intersectional Lens to Research on Productive Engagement in Later Life

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 24-24
Author(s):  
Christina Matz ◽  
Cal Halvorsen ◽  
Jacquelyn James
Keyword(s):  
Asian American ◽  
Low Income ◽  
Race And Ethnicity ◽  
Older Workers ◽  
Social Inequalities ◽  
Later Life ◽  
Well Being ◽  
Unpaid Work ◽  
Longitudinal Association ◽  
Paid And Unpaid Work

Abstract Social inequalities over the life course shape later life opportunities and outcomes in important ways. However, research on paid and unpaid work in later life has not always captured (and has sometimes mischaracterized) the variety and complexity of lived experiences in later life—in particular for low-income workers, workers of color, women, and others marginalized due to their social position. Further, statistics often obscure the most important information: how the most marginalized older workers are faring. Intersectionality, a term coined by legal scholar, Dr. Kimberlé Crenshaw, describes the overlapping and intersecting social identities that often influence how we move around in society. Some identities garner privilege and power and others oppression and marginalization; we must look at their intersection to better understand complexity and inform solutions. This symposium will apply an intersectional lens to research on paid and unpaid work in later life. The first paper is a scoping review that assesses the extent to which race and ethnicity are investigated in studies of the longitudinal association between workplace demands and cognitive health. The second paper explores how older Black and Hispanic adults’ work engagement is impacted by COVID-19. The third paper considers gender differences in volunteer engagement among Asian-American older adults. The final paper examines the Senior Community Service Employment Program’s role in participant financial, physical, and mental well-being. A discussant will reflect on these studies and the need for continued research that considers intersectionality in opportunities and experiences for paid and unpaid work in later life.

Heterosexism, Racism, and the Mental Health of Sexual Minority People of Color

2019 ◽  
Vol 47 (1) ◽  
pp. 129-159 ◽  
Author(s):  
Brandon L. Velez ◽  
Charles J. Polihronakis ◽  
Laurel B. Watson ◽  
Robert Cox
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Sexual Minority ◽  
Well Being ◽  
People Of Color ◽  
Internalized Racism ◽  
Internalized Heterosexism ◽  
Research And Practice ◽  
Negatively Associated ◽  
Minority People

In the present study, we examined the additive and multiplicative associations of heterosexist discrimination, racist discrimination, internalized heterosexism, and internalized racism with psychological distress and well-being in 318 sexual minority People of Color. We tested multiplicative associations via two sets of interactions: cross-oppression (Heterosexist Discrimination × Internalized Racism, Racist Discrimination × Internalized Heterosexism) and same-oppression (Heterosexist Discrimination × Internalized Heterosexism, Racist Discrimination × Internalized Racism). Consistent with the additive perspective, heterosexist discrimination and internalized racism were uniquely positively associated with distress, whereas internalized heterosexism and internalized racism were uniquely negatively associated with well-being. The Heterosexist Discrimination × Internalized Racism and Racist Discrimination × Internalized Racism interactions were significant in relation to both distress and well-being. Internalized racism was associated with significantly poorer mental health until heterosexist and racist discrimination reached high levels. We discuss the implications of our findings for research and practice with sexual minority People of Color.

scholarly journals Working With Communities to Support Minority Caregivers: The PRISMA Health REACH Expansion Project

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 845-845
Author(s):  
Mindi Spencer ◽  
Maggi Miller ◽  
Diana Jahries ◽  
James Davis
Keyword(s):  
Health Disparities ◽  
Low Income ◽  
Research University ◽  
Well Being ◽  
Health Clinic ◽  
Service Research ◽  
Community Based ◽  
Older Adulthood ◽  
Intervention Adaptation ◽  
Community Based Programs

Abstract In 2019, the NIH presented the results of its two-year visioning process to advance the science of minority health and health disparities. The PRISMA Health REACH Expansion (PH-REACH E) is an innovative, community-academic partnership between a hospital memory clinic, meal delivery service, research university, and low-income health clinic. The purpose is to: 1) increase the dementia capability of community-based programs, 2) offer caregivers of persons with dementia the REACH intervention, and 3) identify and connect racial minority and/or rural residents with services to promote health and well-being in older adulthood. This presentation will detail the PH-REACH E framework and present program results, which include improved caregiver outcomes (e.g., reduced burden, increased self-efficacy, reduced depression) and enhanced dementia capability (e.g., increased dementia knowledge) of partner organizations. This program illustrates some key recommendations of the NIH – community engagement in intervention adaptation, multisectoral collaboration, and promoting systems-level change to reduce health disparities.

Spirituality, Well-Being, Race, and Ethnicity in Young Sexual Minority Women

2014 ◽  
Author(s):  
Alena Y. N. Balgobin ◽  
Christina Rincon ◽  
Molly Brennan ◽  
Kimberly F. Balsam
Keyword(s):  
Sexual Minority ◽  
Race And Ethnicity ◽  
Well Being ◽  
Minority Women ◽  
Sexual Minority Women

scholarly journals Early roots of sexual-orientation health disparities: associations between sexual attraction, health and well-being in a national sample of Australian adolescents

2019 ◽  
Vol 73 (10) ◽  
pp. 954-962 ◽  
Author(s):  
Francisco Perales ◽  
Alice Campbell
Keyword(s):  
Health Disparities ◽  
Sexual Orientation ◽  
Adolescent Health ◽  
Sexual Minority ◽  
Minority Stress ◽  
Sexual Attraction ◽  
Well Being ◽  
National Sample ◽  
Health Related ◽  
Self Harm

BackgroundResearch documents substantial adolescent health disparities by sexual orientation, but studies are confined to a small number of countries—chiefly the USA. We provide first-time evidence of associations between sexual orientation and adolescent health/well-being in a new country—Australia. We also add to knowledge by examining health/well-being outcomes not previously analysed in national samples, considering adolescents reporting no sexual attractions, and rank-ordering sexual-orientation health disparities by magnitude.MethodsData from an Australian national probability sample of 14/15 years old (Longitudinal Study of Australian Children, n=3318) and regression models adjusted for confounding and for multiple comparisons were used to examine the associations between sexual attraction and 30 outcomes spanning multiple domains of health/well-being—including socio-emotional functioning, health-related quality of life, depressive symptoms, health-related behaviours, social support, self-harm, suicidality, victimisation, self-concept, school belonging and global health/well-being assessments.ResultsLesbian, gay, bisexual and questioning adolescents displayed significantly worse health/well-being than their heterosexual peers in all outcomes (p<0.05). The magnitude of the disparities ranged between 0.13 and 0.75 SD, and was largest in the domains of self-harm, suicidality, peer problems and emotional problems. There were fewer differences between the heterosexual and no-attraction groups. Worse outcomes were observed among both-sex-attracted adolescents compared with same-sex-attracted adolescents, and sexual-minority girls compared with sexual-minority boys.ConclusionsConsistent with the minority stress model and recent international scholarship, sexual-minority status is an important risk factor for poor adolescent health/well-being across domains in Australia. Interventions aimed at addressing sexual-orientation health disparities within Australian adolescent populations are urgently required.

scholarly journals Depression by Association? Mental Well-Being of Women in Urban Slums of Pakistan

2021 ◽  
Vol 13 (5) ◽  
pp. 24
Author(s):  
Taha Ahmed Ehsan ◽  
Fatima Jehangir ◽  
Rabia Najmi
Keyword(s):  
Maternal Depression ◽  
Low Income ◽  
Well Being ◽  
Social Contexts ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Multiparous Women ◽  
Primary Health Care Centers

BACKGROUND: The association of mental health with parenthood is complex and varies across many social contexts. Previous studies place mothers with young children at a high-risk for depression. Therefore, the study aimed to understand the association of parity as a risk factor for maternal depression in a cross-sectional survey. METHOD: A total of 255 women were surveyed at two primary health care centers in Karachi, a Metropolitan city of Pakistan between May 2019 and July 2019 with an anonymously answered Public Health Questionnaire (PHQ) 9. The demographic characteristics and related variables were determined as potential correlates of vulnerability to maternal depression. Significant predictive factors associated with risk factors were analyzed by means of linear correlation and multiple regression analysis. RESULTS: The PHQ 9 score noted an 89.2% prevalence of depression in the study sample. Of those, 72.6% (0.001 p-value) were multiparous women (3-5 children). When analyzed within each individual parity category, grand-multiparous women (6 or more children) had the highest percentage of depression at 92.6% followed by multiparous women (2-5 children) at 90.6%. CONCLUSION: The result showed the greatest frequency of depression among multiparous women. However, grand multiparous unemployed women were at the highest risk of depression among low-income urban populations.

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