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HIV infections disproportionately impact Latinx populations in the United States, yet oral pre-exposure prophylaxis (PrEP) uptake is low. This study was a secondary gendered analysis of interviews with Latina cisgender women (n = 20) recruited from an urban safety net hospital inNew York City between August 2019 and October 2022. All women were indicated for PrEP by the provider. In-depth interviews were conducted with participants in English and Spanish and asked about social determinants of health, sexual partnerships and behaviors, and PrEP-specific enablers and barriers. Secondary thematic content analysis was conducted to identify gender-related factors influencing PrEP uptake. The following themes emerged from the data:structural factors (e.g., employment), partner-related factors, low sexual health knowledge, and resilience and empowerment. Partner-related factors were the most salient; partner infidelity served as reasons for initiating PrEP. Despite being constrained by low power in relationships, women made empowered choices to initiate PrEP and protect themselves. Findings indicated that the impact of gender inequity was an important factor in Latina women's PrEP decision making, pointing to a need to address partner-driven HIV risk, imbalance of power in relationships, and gender norms. [ABSTRACT FROM AUTHOR]

Drawing on qualitative research, the authors analysed the care support experiences of older Ethiopian refugees resettled in Australia. In-depth interviews conducted with 12 Ethiopians revealed that older Ethiopians experienced language and cultural barriers in accessing formal care services, and that they often did not view these services as entitlements they were due as citizens. Findings demonstrated a significant familial orientation to expectations around, and provision of, care support to older Ethiopians, which may be under-recognised in the Australian social work context. The authors argue that given this familial orientation and the difficulty in accessing formal care services, the reconfiguration of care relationships post-resettlement has resulted in increased reliance on adult daughters' attenuated capacity to meet the care needs of older parents, which raises serious concerns about the long-term viability and gender equity of such arrangements. Older Ethiopian refugees resettled in Australia may experience "care poverty" due to unmet needs for aged care services. Social work practice to redress this should recognise gendered cultural and linguistic barriers to services, and provide effective, culturally competent translation services. The familial orientation of elder care among Ethiopians may potentially over-burden adult daughters who are care-givers; care support policies should, therefore, aim to provide services to prevent gendered care inequalities. [ABSTRACT FROM AUTHOR]

South Korea's National Long-term Care Insurance (NLTCI) has received international acclaim for its universal continuum-of-care model. Based on 25 qualitative interviews with family caregivers, this research explores the relationship between NLTCI policies and experiences of family caregiving for older people. Caregivers who share care responsibilities or are supported by other family are coping well with minor to moderate policy recommendations. Lone caregivers without support from other family are struggling and express desire for expanded services. These findings highlight a need for more consideration of the influence of family dynamics on informal caregiver burdens. Despite many strengths, NLTCI policy functions as a pressure release valve, supplementing family care for seniors – not replacing it – with minimal gender equity contributions. [ABSTRACT FROM AUTHOR]

Gender equity is an important element of health promotion and is vital to ensuring that the benefits and burdens of participation in health promotion activities are fairly distributed. Yet, the gendered consequences of participatory interventions are often overlooked. This is particularly relevant for water and sanitation initiatives, given that women are generally responsible for maintaining domestic hygiene and procuring water. This study uses a qualitative approach to assess the gender dynamics of participation in community-led total sanitation (CLTS) activities in Mpwapwa District, Tanzania. We used semi-structured interviews and focus-group discussions to investigate men's and women's involvement in health promotion initiatives and their key motivators for and challenges to participation. We interviewed 77 community members from four villages and analysed the responses using qualitative content analysis. The study supports the notion that participation reinforces gender inequity and reproduces gendered norms due to activity-specific participation, women's passive participation within activities, and their limited opportunities for decision-making. However, there were also indications that participation provided a platform to increase the status of women, prioritise women's needs and demand a stronger position in decision making within the household and the community. CLTS organisers should, therefore, harness the opportunity to address gender inequalities within the community. [ABSTRACT FROM AUTHOR]

Divorce proceedings often involve splitting the marital home and contested claims over property and other assets. This case study examines the divorce–foreclosure nexus through key informant interviews, analysis of divorce files and foreclosure notices, and a review of court records on debt, remarriage, and criminal offending. We found that property disposition is a gendered process, with men receiving the marital home 1.7 times more often than women, even though they had more court debt, job instability, and criminal offending than their wives. Male defendants who hired an attorney received the house 85% of the time (52% for women defendants with an attorney). In postdivorce, men were more likely than women to remarry, have second mortgages, and to reoffend. We conclude that "equal" rather than "equitable" property division would reduce women's structural disadvantage in divorce settlements and postdivorce home ownership. [ABSTRACT FROM AUTHOR]

Interpersonal violence (IPV) is a serious and often unrecognized problem for men with disabilities (MWD). However, abuse awareness programs and outcome measures have not been systematically evaluated in MWD. This article reports findings from an exploratory study (n = 31) of the Safer and Stronger Program for Men with Disabilities (Men's SSP), an audio computer-assisted self-interview (ACASI) abuse awareness program. Preliminary findings suggest it is sensitive toward detecting abuse and it allows MWD to privately and independently self-identify IPV experiences. Preliminary psychometric data on a battery of abuse and safety awareness outcome measures suggest that they are reliable in this population. [ABSTRACT FROM PUBLISHER]

Estimating the characteristics of the “disabled” population is necessary for some governments and of interest to health researchers concerned with producing disability prevalence rates. Because generating easy-to-understand estimates of disability in the population is important, this article provides U.S. population estimates for two disability-related measures by using the 2009 to 2011 American Community Survey Public Use Microdata Sample file. The number of people who have “independent living” and “ambulatory” difficulties is calculated from a sample of 9,204,437 (representing >309 million people). The percentage for “disabled” is found to vary by racial and ethnic category, sex, age, citizenship status, educational attainment, and state-level regions divided by weather. [ABSTRACT FROM AUTHOR]