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43,230 result(s) for "SPOUSES"
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Screening and counselling in the primary care setting for women who have experienced intimate partner violence (WEAVE): a cluster randomised controlled trial
Evidence for a benefit of interventions to help women who screen positive for intimate partner violence (IPV) in health-care settings is limited. We assessed whether brief counselling from family doctors trained to respond to women identified through IPV screening would increase women's quality of life, safety planning and behaviour, and mental health. In this cluster randomised controlled trial, we enrolled family doctors from clinics in Victoria, Australia, and their female patients (aged 16–50 years) who screened positive for fear of a partner in past 12 months in a health and lifestyle survey. The study intervention consisted of the following: training of doctors, notification to doctors of women screening positive for fear of a partner, and invitation to women for one-to-six sessions of counselling for relationship and emotional issues. We used a computer-generated randomisation sequence to allocate doctors to control (standard care) or intervention, stratified by location of each doctor's practice (urban vs rural), with random permuted block sizes of two and four within each stratum. Data were collected by postal survey at baseline and at 6 months and 12 months post-invitation (2008–11). Researchers were masked to treatment allocation, but women and doctors enrolled into the trial were not. Primary outcomes were quality of life (WHO Quality of Life-BREF), safety planning and behaviour, mental health (SF-12) at 12 months. Secondary outcomes included depression and anxiety (Hospital Anxiety and Depression Scale; cut-off ≥8); women's report of an inquiry from their doctor about the safety of them and their children; and comfort to discuss fear with their doctor (five-point Likert scale). Analyses were by intention to treat, accounting for missing data, and estimates reported were adjusted for doctor location and outcome scores at baseline. This trial is registered with the Australian New Zealand Clinical Trial Registry, number ACTRN12608000032358. We randomly allocated 52 doctors (and 272 women who were eligible for inclusion and returned their baseline survey) to either intervention (25 doctors, 137 women) or control (27 doctors, 135 women). 96 (70%) of 137 women in the intervention group (seeing 23 doctors) and 100 (74%) of 135 women in the control group (seeing 26 doctors) completed 12 month follow-up. We detected no difference in quality of life, safety planning and behaviour, or mental health SF-12 at 12 months. For secondary outcomes, we detected no between-group difference in anxiety at 12 months or comfort to discuss fear at 6 months, but depressiveness caseness at 12 months was improved in the intervention group compared with the control group (odds ratio 0·3, 0·1–0·7; p=0·005), as was doctor enquiry at 6 months about women's safety (5·1, 1·9–14·0; p=0·002) and children's safety (5·5, 1·6–19·0; p=0·008). We recorded no adverse events. Our findings can inform further research on brief counselling for women disclosing intimate partner violence in primary care settings, but do not lend support to the use of postal screening in the identification of those patients. However, we suggest that family doctors should be trained to ask about the safety of women and children, and to provide supportive counselling for women experiencing abuse, because our findings suggest that, although we detected no improvement in quality of life, counselling can reduce depressive symptoms. Australian National Health and Medical Research Council.
First women : the grace and power of America's modern First Ladies
Brower draws on a wide array of untapped, candid sources to tell the stories of the ten remarkable women who have defined the role of First Lady of the United States since 1960. From Jackie Kennedy to Michelle Obama, she offers new insights into this privileged group, and shares stories exploring everything from the first ladies political crusades to their rivalries with Washington figures; from their friendships with other first ladies to their public and private relationships with their husbands.
The autobiography of Eleanor Roosevelt
A candid and insightful look at an era and a life through the eyes of one of the most remarkable Americans of the twentieth century The long and eventful life of Eleanor Roosevelt (1884-1962) was full of rich experiences and courageous actions. The niece of Theodore Roosevelt, she married a Columbia University law student named Franklin Delano Roosevelt, who gradually ascended in the world of New York politics to reach the presidency in 1932. Throughout his three terms, Eleanor Roosevelt was not only intimately involved in FDR's personal and political life but also led women's organizations and youth movements, and fought for consumer welfare, civil rights, and better housing standards. During World War II she traveled with her husband to meet leaders of many powerful nations; after his death in 1945 she worked as a UN delegate, chairman of the Commission on Human Rights, newspaper columnist, Democratic Party activist, and diplomat, and was a world traveler. By the end of her life, Eleanor Roosevelt was recognized around the world for her fortitude and commitment to the ideals of liberty and human rights. Her autobiography constitutes a self-portrait no biography can match for its candor and liveliness, wisdom, tolerance, and breadth of view--a self-portrait of one of the greatest American humanitarians of our time. With 8 pages of black-and-white photographs and an afterword by Eleanor Roosevelt's granddaughter
American woman : the transformation of the modern First Lady, from Hillary Clinton to Jill Biden
\"The first definitive exploration of the role of the twenty-first century First Lady, painting a comprehensive portrait of Jill Biden and the evolution of the First Lady's role from ceremonial figurehead to political operative-from a White House correspondent for The New York Times. Since the Clinton era, tectonic shifts in media, politics, and pop culture have all redefined expectations of First Ladies, even as the boundaries set upon them have at times remained frustratingly anachronistic. With sharp insights and dozens of firsthand interviews with major players in the Biden, Obama, Trump, Bush, and Clinton orbits, including Jill Biden and Hillary Clinton, New York Times White House correspondent Katie Rogers traces, from the dawn of the twenty-first century, the evolution of the role of First Lady into a modern power broker with the potential to deliver on behalf of the president, while also painting a full portrait of Jill Biden. Dr. Jill Biden began her journey toward public life in 1975 as a separated twenty-three-year-old who caught the eye of a widowed Senator Joe Biden. Recovering from her own heartbreak after a failed marriage, she found a man who was still grieving. He drew her into his close-knit family, and, in return, she knitted his life together after unspeakable tragedy, raised his children as her own, and stood by his side through three presidential campaigns. Along the way, they weathered shared tragedies of their own. Over the past four decades, Jill Biden has nurtured her husband's ambitions and emerged as a prime guardian of one of the most insular operations in modern politics. But she has also struggled with low approval ratings, critical headlines, and a changing Washington much different from the one that she and her husband first encountered together in the late 1970s. She is a disciplined First Lady by design, mirroring her family's guarded approach to the public and the media. She is also the only First Lady in history to work outside of the White House in a paid role as a teacher, a choice that was received with a mix of acclaim and misogyny. It was a decision that will inevitably clear a path for future first spouses to keep their chosen careers. Through deep reporting and new correspondence, American Woman is the first book to paint a comprehensive portrait of Jill Biden and grapple with the idea of what the role of a modern First Lady should be\"-- Provided by publisher.
The way to a man’s heart is through his stomach?: a mixed methods study on causal mechanisms through which cash and in-kind food transfers decreased intimate partner violence
Background Intimate partner violence (IPV) is highly prevalent and has detrimental effects on the physical and mental health of women across the world. Despite emerging evidence on the impacts of cash transfers on intimate partner violence, the pathways through which reductions in violence occur remain under-explored. A randomised controlled trial of a cash and in-kind food transfer programme on the northern border of Ecuador showed that transfers reduced physical or sexual violence by 30 %. This mixed methods study aimed to understand the pathways that led to this reduction. Methods We conducted a mixed methods study that combined secondary analysis from a randomised controlled trial relating to the impact of a transfer programme on IPV with in-depth interviews and focus group discussions with male and female beneficiaries. A sequential analysis strategy was followed, whereby qualitative results guided the choice of variables for the quantitative analysis and qualitative insights were used to help interpret the quantitative findings. Results We found qualitative and quantitative evidence that the intervention led to reductions in IPV through three pathways operating at the couple, household and individual level: i) reduced day-to-day conflict and stress in the couple; ii) improved household well-being and happiness; and iii) increased women’s decision making, self-confidence and freedom of movement. We found little evidence that any type of IPV increased as a result of the transfers. Discussion While cash and in-kind transfers can be important programmatic tools for decreasing IPV, the positive effects observed in this study seem to depend on circumstances that may not exist in all settings or programmes, such as the inclusion of a training component. Moreover, the programme built upon rather than challenged traditional gender roles by targeting women as transfer beneficiaries and framing the intervention under the umbrella of food security and nutrition – domains traditionally ascribed to women. Conclusions Transfers destined for food consumption combined with nutrition training reduced IPV among marginalised households in northern Ecuador. Evidence suggests that these reductions were realised by decreasing stress and conflict, improving household well-being, and enhancing women’s decision making, self-confidence and freedom of movement. Trial registration ClinicalTrials.gov NCT02526147 . Registered 24 August 2015.
The Politics of International Marriage in Japan
This book provides an in-depth exploration and analysis of marriages between Japanese nationals and migrants from three broad ethnic/cultural groups - spouses from the former Soviet Union countries, the Philippines, and Western countries. It reveals how the marriage migrants navigate the intricacies and trajectories of their marriages with Japanese people while living in Japan. Seen from the lens of ‘gendered geographies of power’, the book explores how state-level politics and policies towards marriage, migration, and gender affect the personal power politics in operation within the relationships of these international couples. Overall, the book discusses how ethnic identity intersects with gender in the negotiation of spaces and power relations between and amongst couples; and the role states and structural inequalities play in these processes, resulting in a reconfiguration of our notions of what international marriages are and how powerful gender and the state are in understanding the power relations in these unions.