摘要:

No abstract available for this article.

ISSN:0363-0242    

DOI:10.1300/J013v11n02_01

出版商:Taylor&Francis Group    

年代:1986

数据来源: Taylor

摘要:

The limited empirical data available on maternal health problems among Mexican immigrant women in the United States suggest that they underutilize health services, especially general preventive care. Research conducted among legal and undocumented women in the Mexican immigrant population in San Diego, California, support these findings. Among undocumented mothers, 11.5% of their births in the U.S. occurred with no prenatal care or care sought in the third trimester, which is much higher than Mexican women legally in the country (3.6%) and the general San Diego maternal population (3.8%). When we examine births which occurred within the last five years by immigration status, we find that women legally in the country have a much higher rate of cesarean delivery of both undocumented women and women in the general San Dicgo maternal population. Undocumented women in our sample were much less likely than their legal counterparts (a) to return for postpartum examinations for themselves, (b) lo seek neonatal care for their infants, and (c) to have had Pap examinations or carry out breast self-examinations.

ISSN:0363-0242    

DOI:10.1300/J013v11n02_02

出版商:Taylor&Francis Group    

年代:1986

数据来源: Taylor

摘要:

The purpose of this investigation is to build on the findings of earlier studies and, focusing on specific disease categories, further explore the factors which may contribute to the sex differential in medical care utilization rates. In pursuing this objective, the study attempts to differentiate those types of disease categories for which illness orientation has a significant effect on utilization rates from those where the effects are minimal. The study population includes 1648 adults between the ages of 18 and 59. Medical record data covering 7 years of outpatient serviccs are linked with survey data on the respondents. The findings show that the largest sex differences in utilization rates occur in those categories which represent more mild morbidities and those where there is more discretion in defining illness andlor the need for care. It is in these categories showing the largest sex differences in doctor office visits in which illness orientation factors appear to be most influential. Thus, the findings provide further evidence for the hypothesis that sex differences in morbidity reports and utilization rates are due to differences in the way symptoms are perceived, evaluated and acted upon. Interpretations and implications are discussed.

ISSN:0363-0242    

DOI:10.1300/J013v11n02_03

出版商:Taylor&Francis Group    

年代:1986

数据来源: Taylor

摘要:

A critical review of the scientific literature linking advanced maternal age to eight adverse pregnancy outcomes commonly believed to increase with advancing age revealed little support for the pessimistic medical view that late childbearing is necessarily riskier. Most studies (61% of the 104 studies reviewed) were seriously flawed methodologically, primarily by confounding age with other factors; many reached conclusions without statistical verification (29% of the studies reviewed). Results concerning the advantages or disadvantages of late childbearing were inconsistent as well. Evidence from the sound research studies strongly suggests that many of the adverse outcomes found by some researchers to increase at an older maternal age may be reflecting the particular circumstances surrounding late childbearing (altered medical management. pre-existing diseases, subfertility , unplanned pregnancy, high parity birth) rather than a biological condition of aging. Further research must move away from looking at maternal age as an isolated variable because of the temptation to impute causality to the factor when other associated factors are not controlled. A better understanding of the reproductive aging process is urgently needed.

ISSN:0363-0242    

DOI:10.1300/J013v11n02_04

出版商:Taylor&Francis Group    

年代:1986

数据来源: Taylor

摘要:

Research on the effects of multiple roles on women's health has in the past been conducted within the context of two competing hypotheses: the scarcity hypothesis and the expansion hvpothesis. Empirical evidence is more supportive of the expansion t&the scarcity hypothesis, i.e., women who occupy several roles are healthier than those with few. However, this generalization obscures important health differentials related to types of roles occupied and attributes of those roles. Research on multiple roles is now shifting from examining numbers of roles to analyzing the effects of specific role combinations, patterns, and characteristics. Further research is needed to identify ways in which rewards and stresses within each role interact to produce health outcomes.

ISSN:0363-0242    

DOI:10.1300/J013v11n02_06

出版商:Taylor&Francis Group    

年代:1986

数据来源: Taylor

摘要:

No abstract available for this article.

ISSN:0363-0242    

DOI:10.1300/J013v11n02_07

出版商:Taylor&Francis Group    

年代:1986

数据来源: Taylor

摘要:

The first part of this article (Volume 11, No. 1) looked at the formation of ideology in the specialty of obstetrics and gynecology from 1920 to World War 11. This was a period of professional establishment and self-definition; it saw the emergence of interventionist ideology as the dominant belief system influencing ob-gyn practice. Part 11 in this issue begins with the period of optimism and expansion marked by a surging post-war birth rate, and ends in 1980 with the profession on the defensive, feeling "under seige" from both lay and medical forces.

ISSN:0363-0242    

DOI:10.1300/J013v11n02_08

出版商:Taylor&Francis Group    

年代:1986

数据来源: Taylor

摘要:

No abstract available for this article.

ISSN:0363-0242    

DOI:10.1300/J013v11n02_09

出版商:Taylor&Francis Group    

年代:1986

数据来源: Taylor