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Background Breast/Chestfeeding remains a public health issue for African Americans, and increased rates would mitigate many health disparities, thus promoting health equity. Research Aims To explore the interplay of generational familial roles and meaning (or value) ascribed to communicating infant feeding information across three generations. Method This prospective, cross-sectional qualitative study used an asset-driven approach and was guided by Black Feminist Thought and Symbolic Interactionism. African American women ( N = 35; 15 family triads/dyads), residing in the southeastern United States were interviewed. Data were analyzed using thematic analysis. Results The older two generations described their role using assertive yet nurturing terms, while the younger generation carefully discussed the flexibility between their familial roles. Emergent themes described the meaning each generation attributed to communicating infant feeding information: “My Responsibility,” “Comforting,” “Bonding Experience,” “She Cared,” and “Gained Wisdom.” Conclusions Our findings have potential to contribute to achieving health equity in African American families. Future breast/chestfeeding promotion efforts may benefit from reframing the current approach to including protection language and not solely support language. Lactation professionals should further recognize and support strengths and resource-richness of intergenerational infant feeding communication within African American families using strength-based, empowerment-oriented, and ethnically sensitive approaches.

The article presents an analysis of legal documents regulating the processes of socio-cultural adaptation of foreign citizens, including the issue of learning Russian as a foreign language; it describes the problems and difficulties arising in the process of adaptation, as well as the interaction of foreign citizens with representatives of state institutions of the Russian Federation. The communicative difficulties of interaction between foreigners who do not speak Russian are considered. The necessity of making changes at the legislative level in the process of socio-cultural adaptation of this category of people, taking into the account the study of Russian as a foreign language, is described. В статье представлен анализ нормативно-правовых документов, регулирующих процессы социокультурной адаптации иностранных граждан, в том числе и вопрос изучения русского языка как иностранного; описаны проблемы и сложности, возникающее в процессе адаптации, а также взаимодействия иностранных граждан с представителями государственных учреждений Российской Федерации. Рассмотрены коммуникативные трудности взаимодействия иностранцев, не владеющих русским языком. Описана необходимость внесения изменений на законодательном уровне в процесс социокультурной адаптации данной категории лиц.

Do cultural norms that allow individuals to choose their social relationships put them at risk for, or protect them from, loneliness? After all, more freedom to choose whom to relate to may promote that individuals can choose higher-quality relationships (which protects from loneliness), but it may also imply a higher risk of social isolation (which puts at risk for loneliness). We propose that the solution to this cultural loneliness paradox of choice is to distinguish whether more individual choice flows from cultural norms that provide more opportunities for new relationships (as implied by higher relational mobility; higher RMn), or from cultural norms that allow to leave established relationships (as implied by lower relational stability; lower RSn). Specifically, we suggest that more individual choice protects from loneliness when emerging from higher RMn (which allows to establish new higher-quality relationships), but puts at risk for loneliness when emerging from lower RSn (which increases the risk of social isolation by undermining the stability of established relationships). Findings from two cross-sectional survey studies in four European countries (Study 1: Finland, N = 237; Portugal, N = 261; Study 2: Poland, N = 242; Austria, N = 2 41) supported this line of thought: Higher RMn was consistently related to lower loneliness across all samples, and lower RSn was related to higher loneliness in two out of four samples (and either non-significantly related to higher loneliness or unrelated to it in the other two samples). We discuss the importance and implications of differentiating RMn and RSn to resolve the cultural loneliness paradox of choice.

This Discussion Paper presents the approach, findings, and recommendations from a desk review of the qualitative research conducted within Results-Based Financing programmes (RBF) under the Health Results Innovations Trust Fund (HRITF). The review included 17 studies conducted in Benin, Burundi, Cameroon, DRC, Ethiopia, Haiti, Kenya, Kyrgyzstan, Nigeria, Rwanda, Tajikistan, Tanzania, Zambia, and Zimbabwe. The studies reveal a body of high quality work that is consistent with the conceptual framework of RBF schemes, supported by political will, resources, and research capacity. Strengthening the added value of qualitative inquiry in on-going and future qualitative studies may be enabled by small shifts in thinking and practice, in line with a qualitative research paradigm. First, in order to better ground research in an existing country and system specific context, some interrogation of constructs and posited relationships in the existing conceptual framework for intervention/evaluation may be required. Second, to enable more in-depth and richer data that documents working practices and relations under RBF schemes, training of local researchers should place stronger emphasis on entry to the field, gaining trust, building rapport, and sustaining a dialogue with key informants. Third, smaller, more intensive and focused studies targeting fewer sites and smaller samples - but addressing a wider range of methods and informants within the health system - are likely to yield richer data that can support the understanding of how health workers and managers are responding to schemes, and what impact schemes have on service volumes and outputs.

With the increasing number of overweight and obese people, there is a growing public health concern and focus on body size and lifestyle issues, especially in the media. Young adult women comprise a vulnerable group regarding issues of weight balance and appearance. The aim of the study was to examine the experiences of young women on how this focus influences their attitudes concerning weight changes, appearance, and health. We conducted 12 interviews with young women from two different weight groups about the attention on overweight issues. The results from the in-depth interviews were scrutinized through content analyses. The main findings indicate that young women experience a considerable focus on overweight issues with a trend towards appearance rather than health. Overweight and obesity are sensitive topics, and participants expressed strong views on the cultural definitions of normal body size and appearance. The squeeze between cultural norms and young women’s perceptions of their own body and health was described as a possible negative factor influencing well-being as well as motivation for lifestyle changes. A more relaxed focus on overweight issues and especially on appearance is necessary when addressing weight-balance issues and lifestyle changes in young adult women.(Published: 22 September 2015)Citation: Int J Qualitative Stud Health Well-being 2015, 10: 29026 - http://dx.doi.org/10.3402/qhw.v10.29026Key words: Body size, weight balance, lifestyle, well-being, cultural norms, sensitivity, qualitative study

Background. The Sami in Norway have a legal right to receive health services adapted to Sami language and culture. This calls for a study of the significance of language choice and cultural norms in Sami patients’ encounters with mental health services.Objectives. To explore the significance of language and cultural norms in communication about mental health topics experienced by Sami patients receiving mental health treatment to enhance our understanding of linguistic and cultural adaptation of health services.Method. Data were collected through individual interviews with 4 Sami patients receiving mental health treatment in Northern Norway. A systematic text reduction and a thematic analysis were employed.Findings. Two themes were identified:(I) Language choice is influenced by language competence, with whom one talks and what one talks about.Bilingualism was a resource and natural part of the participants’ lives, but there were limited possibilities to speak Sami in encounters with health services. A professional working relationship was placed on an equal footing with the possibility to speak Sami.(II) Cultural norms influence what one talks about, in what way and to whom.However, norms could be bypassed, by talking about norm-regulated topics in Norwegian with health providers.Conclusion. Sami patients’ language choice in different communication situations is influenced by a complexity of social and cultural factors. Sami patients have varying opinions about and preferences for what they can talk about, in which language, in what way and with whom. Bilingualism and knowledge about both Sami and Norwegian culture provide latitude and enhanced possibilities for both patients and the health services. The challenge for the health services is to allow for and safeguard such individual variations within the cultural framework of the patients.Keywords: Norway; Sami; mental health; qualitative; experiences; language; culture; cultural norms(Published: 13 May 2015)Citation: Int J Circumpolar Health 2015, 74: 26952 - http://dx.doi.org/10.3402/ijch.v74.26952

The findings from the study suggest that international pressure for more effective Right to Information (RTI) implementation only goes so far. The development of RTI laws with the encouragement, assistance, or insistence of the international community was a prominent theme throughout the case studies, particularly for EU countries during their accession process. But implementation is a less straightforward task, with many interlocking, moving parts, and international support comes in ad hoc fashion as the process unfolds. A strong implication from these findings is that a national coordinating strategy may be valuable for implementation. This kind of strategy document should take the interdependence of the drivers of effectiveness into account when drafting policies and rules for practice, and can serve as a guiding document when deciding on foreign funding priorities.