Artículos de revistas sobre el tema "Spousal decision making"
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Su, Chenting, Edward F. Fern y Keying Ye. "A Temporal Dynamic Model of Spousal Family Purchase-Decision Behavior". Journal of Marketing Research 40, n.º 3 (agosto de 2003): 268–81. http://dx.doi.org/10.1509/jmkr.40.3.268.19234.
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The authors examine family purchase-decision dynamics to shed light on enhancing marketing communication effectiveness. In particular, the authors are interested in understanding the temporal nature of spousal behavioral interaction in family decision making to help marketers target communication messages, shape brand choice, and guide personal selling activities. The authors calibrate a dynamic simultaneous equations model to investigate spousal family purchase-decision behavior: What are spousal behavioral interactions in a discrete purchase decision, and what are the temporal aspects of spousal decision behavior across decisions? The results indicate that spouses tend both not to reciprocate coercion in a discrete decision and to adjust influence strategies over time. The authors also investigate the effectiveness of influence strategies and spousal satisfaction with decisions and their impacts on spousal subsequent decision behaviors from a postdecision perspective as a mechanism to explain why spouses revise decision behaviors across purchase decisions. The authors discuss marketing implications of their findings and present ideas about how to use these findings creatively to target advertising and sales messages to influential spouses in specific decision contexts.
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Singh, Shivendra y Atul Dhyani. "Spousal Attitude Towards Exerting Conflict Resolution Strategies in Decision Making". Paradigm 21, n.º 1 (junio de 2017): 75–90. http://dx.doi.org/10.1177/0971890717700530.
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Family is one entity that has complex variables underplaying the consumption decisions, and marketers must understand how couples behave in concert to resolve conflict across major decisions. In this study, the family aspects are investigated to shed more light on spouse attitude towards family decision-making for selection of car and school/college for their ward and assess the impact of attitudinal factor on decision satisfaction. The drop-off/pick-up method was used to collect the data from Northern India. The result reveals that spousal attitude is formed by marital power, assertiveness, subtle manipulation, love, bargaining and being submissive. Results of multiple regression analysis show that subtle manipulation is most and marital power has a negative impact on spouses’ decision satisfaction. Thus, when targeting a family for a significant trades assay, the salesperson should focus on both husband and wife and stimulate a conversation between them to appeal to their conjoint kinship.
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Mutter, Joanne. "The global mobility decisions of professional sailors’ spouses". Journal of Global Mobility: The Home of Expatriate Management Research 5, n.º 2 (12 de junio de 2017): 203–19. http://dx.doi.org/10.1108/jgm-08-2016-0035.
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Purpose The purpose of this paper is to identify the factors informing spousal global mobility decisions within the context of sporting expatriation. Findings contribute to the non-corporate global mobility literature as well as providing an empirical enhancement to the family relatedness of work decisions framework. Design/methodology/approach In this qualitative study, in-depth interviews gave voice to 21 spouses of professional sailors who have experienced both trailing their spouse and staying behind. Findings Access to empathetic social support, the potential impact on children, and the spouse’s career were all found to influence the spouse’s dynamic global mobility decision making. Research limitations/implications The study is limited by the cross-sectional nature of the research. Future longitudinal research into the impact of spousal preferences would identify the on-going effect of their decision(s) to relocate or to stay behind. Practical implications Providing organisations with an understanding of the familial issues their global talent may factor into their work mobility decisions will allow them to implement appropriate family-focussed support, irrespective of the choice to engage, or not engage, in global mobility. Originality/value By grounding the study in the under-researched sporting arena, the author contributes to the emerging non-corporate expatriate conversation. Furthermore, the family relatedness of work-related decisions framework was found to provide a useful conceptual foundation for understanding decision making in an international context.
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Shaw, Eric K., John G. Scott y Jeanne M. Ferrante. "The Influence of Family Ties on Men’s Prostate Cancer Screening, Biopsy, and Treatment Decisions". American Journal of Men's Health 7, n.º 6 (3 de marzo de 2013): 461–71. http://dx.doi.org/10.1177/1557988313480226.
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Extensive research has focused on understanding family dynamics of men with prostate cancer. However, little qualitative work has examined the role of family ties on men’s prostate cancer decisions across the spectrum of screening, diagnosis, and treatment. Using data from a larger study, we qualitatively explored the influence of family ties on men’s prostate cancer decisions. Semistructured interviews were conducted with men ages ≥50 ( N = 64), and data were analyzed using a grounded theory approach and a series of immersion/crystallization cycles. Three major themes of spousal/family member influence were identified: (a) spousal/family member alliance marked by open communication and shared decision making, (b) men who actively opposed spouse/family member pressure and made final decisions themselves, and (c) men who yielded to spouse/family member pressure. Our findings provide insights into men’s relational dynamics that are important to consider for the shared decision-making process across the prostate cancer spectrum.
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Kalanzi, Fred, Prossy Isubikalu, Florence B. Kyazze, Lawrence J. B. Orikiriza, Isaac Kiyingi y Habtemariam Assefa. "Intra-household decision-making among smallholder agroforestry farmers in the eastern highlands of Uganda". International Journal of Agricultural Extension 8, n.º 2 (18 de noviembre de 2020): 97–111. http://dx.doi.org/10.33687/ijae.008.02.3251.
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This paper examines the intra-household decision-making patterns among spouses regarding agroforestry decisions in the eastern highlands of Uganda. The study uses both quantitative and qualitative data to examine spousal differences in the allocation of decision-making power over eight agroforestry decisions in dual-headed households. Quantitative data were collected through a cross-sectional survey in which both husbands and wives were interviewed separately and used to determine the decision-making power of spouses as well as the influence of individual and household characteristics on decision-making. Qualitative data from focus group discussions were collected to validate the quantitative findings. The study found that there were agreements and disagreements among spouses on how decision-making power is exercised over a range of agroforestry decisions. Wives allocated themselves more decision-making power than was assigned to them by their husbands. The higher allocation of decision-making power for wives tended to be in decisions linked to their roles and responsibilities in the household. The most critical factor influencing accord in decision-making was the number of years spent together by the couple while the number of children shared between the couple and farm-labour difference between husband and wife was the most significant for discord. Findings imply that most agroforestry interventions where wives participate without their spouses are bound to fail in dual-headed households because they wives limited decision-making power. It's desirable for programmes promoting agroforestry to integrate both husbands and wives in their interventions, for agroforestry to be more meaningful in meeting their divergent interests. This paper examines the intra-household decision-making patterns among spouses regarding agroforestry decisions in the eastern highlands of Uganda. The study uses both quantitative and qualitative data to examine spousal differences in the allocation of decision-making power over eight agroforestry decisions in dual-headed households. Quantitative data were collected through a cross-sectional survey in which both husbands and wives were interviewed separately and used to determine the decision-making power of spouses as well as the influence of individual and household characteristics on decision-making. Qualitative data from focus group discussions were collected to validate the quantitative findings. The study found that there were agreements and disagreements among spouses on how decision-making power is exercised over a range of agroforestry decisions. Wives allocated themselves more decision-making power than was assigned to them by their husbands. The higher allocation of decision-making power for wives tended to be in decisions linked to their roles and responsibilities in the household. The most critical factor influencing accord in decision-making was the number of years spent together by the couple while the number of children shared between the couple and farm-labour difference between husband and wife was the most significant for discord. Findings imply that most agroforestry interventions where wives participate without their spouses are bound to fail in dual-headed households because they wives limited decision-making power. It's desirable for programmes promoting agroforestry to integrate both husbands and wives in their interventions, for agroforestry to be more meaningful in meeting their divergent interests.
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Monroe, Pamela A., Janet L. Bokemeier, J. Morley Kotchen y Harlley McKean. "Spousal Response Consistency in Decision-Making Research". Journal of Marriage and the Family 47, n.º 3 (agosto de 1985): 733. http://dx.doi.org/10.2307/352276.
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Kim, Jinhee, Michael S. Gutter y Taylor Spangler. "Review of Family Financial Decision Making: Suggestions for Future Research and Implications for Financial Education". Journal of Financial Counseling and Planning 28, n.º 2 (2017): 253–67. http://dx.doi.org/10.1891/1052-3073.28.2.253.
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This article reviews the theories and literature in intrahousehold financial decisions, spousal partners and financial decision making, family system and financial decision process, children, and financial decisions. The article draws conclusions from the literature review and discusses directions for future research and educational programs. Most financial education and counseling takes place at the individual level, whereas financial decisions take place at household and intrahousehold levels. Family members, spouses/partners, children, and others play a key role in individuals’ financial decisions. The article proposes the key programmatic implications for financial professionals and educators that need to be integrated into financial education and counseling. Understanding the unique dynamics of family financial decision making would help create effective educational and counseling strategies for the whole families.
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Webster, Cynthia. "Is spousal decision making a culturally situated phenomenon?" Psychology and Marketing 17, n.º 12 (2000): 1035–58. http://dx.doi.org/10.1002/1520-6793(200012)17:12<1035::aid-mar2>3.0.co;2-b.
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Kagan, Maya. "Personal and spousal decision making on the funding of medical care not covered by healthcare insurance". Journal of Hospital Administration 2, n.º 3 (16 de febrero de 2013): 8. http://dx.doi.org/10.5430/jha.v2n3p8.
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The purpose of this study was to investigate personal and spousal decisions to seek funding for spousal medical care, when such treatments are not covered by the National Package of Healthcare Services or by other types of healthcare insurance. Research data were collected in Israel during 2008-2010 by means of structured questionnaires. The questionnaires were administered to a nonrandom sample of 160 patients with a health condition requiring private funding of treatment. The study clearly reveals that the decision to forego fundraising results not only from financial considerations. Patients' illness-related factors and available personal, spousal, and social resources are significant as well.
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Xia, Yang, Zafar U. Ahmed, Morry Ghingold, Ng Kuan Hwa, Tan Wan Li y Wendy Teo Chai Ying. "Spousal influence in Singaporean family purchase decision‐making process". Asia Pacific Journal of Marketing and Logistics 18, n.º 3 (julio de 2006): 201–22. http://dx.doi.org/10.1108/13555850610675661.
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Ashraf, Maria y Kaleem Mohammad Khan. "Spousal role and family vacation decision making in India". International Journal of Business and Systems Research 10, n.º 1 (2016): 45. http://dx.doi.org/10.1504/ijbsr.2016.073689.
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Mahapatro, Sandhya Rani. "Changing Gender Relations and Its Influence on Female Migration Decision in India". Pakistan Development Review 52, n.º 1 (1 de marzo de 2013): 69–88. http://dx.doi.org/10.30541/v52i1pp.69-88.
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This paper is an attempt to understand the position of Indian women in the family and its influence on their migration decision. The migration-empowerment relation can be explained through relative measures like intra-household decision making indicators, and age and educational differences. The data for the purpose of the study has been drawn from the various rounds of NSSO and NFHS and it has been analysed at the state level due to data limitations for explanatory variables at the household level. The bi-variate findings show economic decision making related to large household purchases, decisions on mobility and spousal educational differences which exhibit a linear relation with the women’s migration decision. The empirical findings suggest the women’s greater involvement on own health care, spousal age and educational differences significantly influence their migration decision. This suggests that women’s empowerment influences their migration decision. JEL Classification: J10, J16 Keywords: Empowerment, Migration, Women, India, Relative Measures
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Litvin, Stephen W., Gang Xu y Soo K. Kang. "Spousal Vacation-Buying Decision Making Revisited across Time and Place". Journal of Travel Research 43, n.º 2 (noviembre de 2004): 193–98. http://dx.doi.org/10.1177/0047287504268232.
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Sinclair, Craig, Kate Gersbach, Michelle Hogan, Romola S. Bucks, Kirsten A. Auret, Josephine M. Clayton, Meera Agar y Sue Kurrle. "How couples with dementia experience healthcare, lifestyle, and everyday decision-making". International Psychogeriatrics 30, n.º 11 (25 de mayo de 2018): 1639–47. http://dx.doi.org/10.1017/s1041610218000741.
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ABSTRACTObjectives:Recent research has demonstrated the challenges to self-identity associated with dementia, and the importance of maintaining involvement in decision-making while adjusting to changes in role and lifestyle. This study aimed to understand the lived experiences of couples living with dementia, with respect to healthcare, lifestyle, and “everyday” decision-making.Design:Semi-structured qualitative interviews using Interpretative Phenomenological Analysis as the methodological approach.Setting:Community and residential care settings in Australia.Participants:Twenty eight participants who self-identified as being in a close and continuing relationship (N = 13 people with dementia, N = 15 spouse partners). Nine couples were interviewed together.Results:Participants described a spectrum of decision-making approaches (independent, joint, supported, and substituted), with these approaches often intertwining in everyday life. Couples’ approaches to decision-making were influenced by “decisional,” “individual,” “relational,” and “external” factors. The overarching themes of “knowing and being known,” “maintaining and re-defining couplehood” and “relational decision-making,” are used to interpret these experiences. The spousal relationship provided an important context for decision-making, with couples expressing a history and ongoing preference for joint decision-making, as an integral part of their experience of couplehood. However, the progressive impairments associated with dementia presented challenges to maintaining joint decision-making and mutuality in the relationship.Conclusions:This study illustrates relational perspectives on decision-making in couples with dementia. Post-diagnostic support, education resources, proactive dyadic interventions, and assistance for spouse care partners may facilitate more productive attempts at joint decision-making by couples living with dementia.
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Sharma, Brajesh y Chander Shekhar. "Association of Women Empowerment with Inter-Spousal Communication on RCH Matters In Selected South Asian Countries". International Journal of Social Sciences and Management 2, n.º 3 (25 de julio de 2015): 197–213. http://dx.doi.org/10.3126/ijssm.v2i3.12477.
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Women have commonly less power, chance and empowerment to interfere in making decision about RCH matters between men in most parts of South Asia. It is related to her education, ethnicity, deprivation level, urban/rural classification. This study based on this issue that, does level of woman empowerment affect Inter-spousal communication on RCH matters in the context of India, Nepal and Bangladesh. So, study tries to understand the role of women empowerment on spousal communication about RCH matters with a specified hypothesis. For analysis purpose the Demographic and Health Survey-2006-07 data on currently married women of age 15-49 years has used. Principal Component Analysis (PCA) method used to generate an empowerment index (WEI) to see the effect of empowerment on inter-spousal communication with controlling the selected socio-economic and demographic factors. Bi-variate and tri-varite model findings shows that large proportion of women have low socio-economic and demographic status like age, residence, wealth, religion, education and media exposure and falls with low tertile group of empowerment. The proportion of women is increasing with increasing the level of empowerment for communication related to RCH matter between spouses. Multilevel logistic model found that approximately in range 5 to 8 percent in India, 5 to 7 percent in Nepal and 5 to 6 percent in Bangladesh of the residual variance in spousal communication with and without empowerment for decision making attributable to differences between regions. There is need improvement in socio-economic and demographic factors but India is in good position than Nepal, and Nepal is in good position than Bangladesh in empowerment. In Spousal communication on RCH matter women’s empowerment positively associated in all countries.Int. J. Soc. Sci. Manage. Vol-2, issue-3: 197-213 DOI: http://dx.doi.org/10.3126/ijssm.v2i3.12477
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Stafford, Marla Royne, Gopala Ganesh y Michael G. Luckett. "Perceived Spousal Influence In The Service Decision-Making Process: A Cross Cultural Investigation". Journal of Applied Business Research (JABR) 12, n.º 4 (8 de septiembre de 2011): 58. http://dx.doi.org/10.19030/jabr.v12i4.5784.
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<span>Although spousal influence in the decision-making process has been investigated in the academic literature, most of the existing research has focused on decision-making for consumer goods. This paper reports the results of a cross-cultural study of consumer decision making for two broad types of services, across three different household samples (US Americans, Indian Tamil US Immigrants, and Indian Tamils living in India). Findings of the study suggest that for both types of services, there is more joint decision making within American US households than in Indian-Tamil households. Joint decision making is least prevalent in Tamil households in India.</span>
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Akpan, Wisdom Matthew y Aboluwaji Daniel Ayinmoro. "Age Difference between Spouses and Women Empowerment in Nigeria". International Journal of Research and Innovation in Social Science VIII, n.º II (2024): 996–1011. http://dx.doi.org/10.47772/ijriss.2024.802070.
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Women empowerment is the increased ability of women to make life choices, and it is a major challenge among couples in decision making process in sub-Saharan Africa. Women empowerment among couples in Nigeria is influenced by the variations in the age of husband and wife especially among women with older husbands. This study examined the influence of spousal age difference on women empowerment in Nigeria using NDHS 2018 dataset. Women empowerment was measured by decision on health, household purchase and visit to family. Women were considered empowered if they take at least two of the decision singlehandedly and shared one with her spouse. Data were analysed using descriptive and logistic regression at P≤0.05. Spousal age difference was found to influence women empowerment in Nigeria. Women who were same age with husband and 1-4years and 5-9 years younger than husband were 2times more likely to be empowered, while women 10 or more year were 1 time more likely to be empowered. Specifically, women were more empowered if 1-4years younger than husband, as large spousal age difference limits women autonomy. The study has shown the implication of women marrying men who are far older than them and has given stakeholders a diverse approach toward empowerment of women and achieving SDG5.
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Garg, Shipra, Dinesh Kumar y Savita Prashar. "Role of women in reproductive decision making and inter-personal communication regarding reproductive health". International Journal Of Community Medicine And Public Health 9, n.º 12 (28 de noviembre de 2022): 4472. http://dx.doi.org/10.18203/2394-6040.ijcmph20223201.
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Background: Reproductive health of women plays a key role in overall development of a country. Lack of decision-making by women in reproductive health matters may lead to an unplanned pregnancy, unsafe abortion and other adverse reproductive health outcomes.Methods: A cross-sectional study conducted among married women with at least one child aged 18-49 years in Punjab, India. Study variables included socio-demographic characteristics, reproductive health characteristics, contraceptive choices, interpersonal communication and interpersonal relationship with spouses.Results: Among all surveyed married women, only 51 (58.6%) women reported to be physically and mentally ready for their marriage. 50 (57.5%) of women reported using condoms, while about one-third of the women were not using any kind of contraceptive method. 62 (75.5%) women reported decisions to be taken jointly for child health care. Place of delivery was reportedly discussed 78 (88.6%) by women with their spouses. Interpersonal communications were rated as either very good or good by 72 (81.8%) women. Also, women who were more educated than their spouses were less likely to be satisfied with inter-spousal communication. No significant association was observed between higher education of women than their spouses and active role in taking various decisions by women.Conclusions: Women should be encouraged to take her own reproductive and health related decisions and other family members should support her. Efforts to increase awareness for sexual and reproductive issues should be initiated from adolescence phase.
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Boyle, Geraldine. "Facilitating decision-making by people with dementia: is spousal support gendered?" Journal of Social Welfare and Family Law 35, n.º 2 (junio de 2013): 227–43. http://dx.doi.org/10.1080/09649069.2013.800290.
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Smith, Deborah B. y Phyllis Moen. "Retirement Satisfaction for Retirees and their Spouses". Journal of Family Issues 25, n.º 2 (marzo de 2004): 262–85. http://dx.doi.org/10.1177/0192513x03257366.
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This study investigates factors related to retirees’ and their spouses’ individual and joint retirement satisfaction using decision-making theory and a life course perspective. The sample includes 421 retired respondents (ages 50 to 72) and spouses from the Cornell Retirement and Well-Being Study. Although 77% of retirees report retirement satisfaction, only 67% of their spouses are satisfied; even fewer couples (59%) report joint satisfaction. Multivariate logistic regression analyses reveal that retirees’ and spouses’ individual and joint reports of retirement satisfaction are related to perceptions of spousal influence on the retirement decision, with effects varying by gender. Those couples most likely to report being satisfied with retirement, individually and jointly, are retired wives and their husbands where wives reported that their husbands were not influential in their retirement decision. The results underscore the importance of regarding retirement as gendered and as both an individual- and a couple-level experience.
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Underwood, Carol R., Lauren I. Dayton y Zoé Mistrale Hendrickson. "Concordance, communication, and shared decision-making about family planning among couples in Nepal: A qualitative and quantitative investigation". Journal of Social and Personal Relationships 37, n.º 2 (30 de julio de 2019): 357–76. http://dx.doi.org/10.1177/0265407519865619.
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Couple communication and joint decision-making are widely recommended in the family planning and reproductive health literature as vital aspects of fertility management. Yet, most studies continue to rely on women’s reports to measure couple concordance. Moreover, the association between communication and decision-making is often assumed and very rarely studied. Arguably, associations between dyadic communication and shared decision-making constitute a missing link in our understanding of how communication affects fertility-related practices. Informed by Carey’s notions of transmission and ritual communication, this study sought to address those gaps with two complementary studies in Nepal: a qualitative study of married men and women and a quantitative study of 737 couples. To assess spousal concordance on matters of family planning-related communication and decision-making in the quantitative study, responses from the couple were compared for each question of interest and matched responses were classified as concordant. Quantitative results found that more than one-third of couples reported spousal communication on all measured family planning-related topics. Nearly, 87% of couples reported joint decision-making on both family planning use and method type. Partner communication was significantly and positively associated with concordant family planning decision-making in both bivariate and multivariate models. Couples communicating about three family planning topics had more than twice the odds of concordant family planning decision-making than did those not reporting such communication. The qualitative findings provided insights into discordant as well as concordant interactions, revealing that decision-making, even when concordant, is not necessarily linear and is often complex.
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Yelland, Erin y M. Hunter Stanfield. "Public perspectives toward long-term care staff's interventions in the sexual relationships of residents with dementia". Dementia 19, n.º 2 (30 de abril de 2018): 285–300. http://dx.doi.org/10.1177/1471301218772915.
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Background and objectives Sexual expression is an essential component of older adults’ quality of life, including those with lower cognitive functioning. Issues have been raised with long-term care facility policies related to aspects of staff intervention, permissibility of degree of intimacy, and how involved partners of residents with cognitive decline may be in decision-making processes. Research design and methods: This study used a multiple segment factorial vignette to explore the attitudes of the public toward a dementia-caused non-spousal sexual relationship in a long-term care facility. Specific elements examined included the degree of intimacy, obligation of long-term care staff to intervene in the relationship, and the healthy spouse’s disposition. Respondents ( N = 318) were contacted using a list-assisted random-digit dialing method and read a version of the vignette with the independent variables randomly generated. Two logistic regression models and one ordinal regression model were used to analyze the main effects of the independent design variables and respondent characteristics. Results The majority of respondents report the need for long-term care staff to intervene in sexual relationships and an obligation to inform the healthy spouse of a resident’s sexual relationship. Results suggest differences of opinion exist based on respondent characteristics of education and religiosity. Discussion and implications: Public opinion is in favor of long-term care facilities incorporating spousal involvement into decisions regarding a cognitively impaired resident’s ability to engage in an intimate relationship. Implications for long-term care policy focusing on staff training about sexual expression and intervention in addition to incorporating the spouse into decision-making processes are discussed.
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Witwer, M. "Younger Jordanian Husbands More Often Favor Family Planning, Joint Spousal Decision-Making". International Family Planning Perspectives 16, n.º 4 (diciembre de 1990): 152. http://dx.doi.org/10.2307/2133590.
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Lysova, Evgenia I., Konstantin Korotov, Svetlana N. Khapova y Paul G. W. Jansen. "The role of the spouse in managers’ family-related career sensemaking". Career Development International 20, n.º 5 (14 de septiembre de 2015): 503–24. http://dx.doi.org/10.1108/cdi-10-2014-0142.
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Purpose – The purpose of this paper is to contribute to a growing body of literature on the role of family in managers’ career decision making. Specifically, the authors offer an empirical elaboration on a recently proposed concept of the “family-relatedness of work decisions” (FRWD) by illuminating the role of the spouse in managers’ career sensemaking. Design/methodology/approach – In total, 88 managers who were in the final stage of their EMBA program took part in the study. The data were gathered through a personal career inventory. Findings – The findings revealed that next to family-career salience and parent role identification, spouses also play an important role in shaping managers’ family-related career sensemaking. Research limitations/implications – Future research should examine the supportive role of spouses in contexts other than that of an international EMBA. Moreover, researchers should examine the role of managers’ boundary management styles in shaping the degree of their family-related career sensemaking. Practical implications – The paper suggests that when designing and implementing developmental initiatives, organizations should consider that managers’ decisions about their next career steps may be guided by family-related concerns, and the spouse may play a specific role. Originality/value – This paper offers the first empirical exploration and a refinement of the nascent theory of the “FRWD.” It also introduces a new construct into the theory – spousal career support – that opens new avenues for future research.
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MULLANY, BRITTA C. "SPOUSAL AGREEMENT ON MATERNAL HEALTH PRACTICES IN KATHMANDU, NEPAL". Journal of Biosocial Science 42, n.º 5 (3 de junio de 2010): 689–93. http://dx.doi.org/10.1017/s0021932010000222.
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SummaryGrowing recognition of the influential roles that men play in health behaviours and decision-making has prompted a number of couples' agreement studies, particularly in the areas of contraceptive use and household decision-making. While such findings have had important implications on the design, measurement and evaluation of family planning interventions, few studies on couples' agreement on maternal health behaviours have been conducted. Findings from a descriptive analysis of agreement levels regarding maternal health practices among 129 couples that delivered a baby in urban Nepal in 2003–2004 are presented. These data indicate that agreement levels between husbands and wives pertaining to maternal health behaviours are low, with 5–55% of couples disagreeing on whether the behaviour had occurred. These data and the surrounding discussion raise important issues that ought to be taken into consideration when conducting maternal health research and designing and evaluating maternal health programmes.
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Kiruthika A y Geetha R. "Empowering Her Path: The Impact of Spousal Support on Women’s Decisions, Success, and Wellbeing". International Research Journal of Multidisciplinary Scope 05, n.º 02 (2024): 441–60. http://dx.doi.org/10.47857/irjms.2024.v05i02.0533.
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Over the past few years, there has been a noticeable increase in the number of women taking up entrepreneurship in Tamil Nadu. Many married women have started their businesses, driven by their passion, skills, and desire for financial independence. No study has analyzed spousal support and its impact on women's decision-making, performance, success, and overall well-being, specifically in the Tamil Nadu cultural context. Addressing this gap is essential because businesswomen are intensely embedded in their families and are an imperative force for monetary and communal improvements. The sample of this study was 147 married businesswomen in Tamil Nadu. Researchers assessed various descriptive factors to examine the association between spousal support and business engagements (Hypotheses 1 and 2) and spouses' education and business knowledge (Hypotheses 3 and 4). These factors impact Tamil Nadu businesswomen's performance, success, and psychological well-being. The assessments ranged from a low of 1.03 to a high of 1.09. The chisquare divergence between the interrupt lone model and the model between all predictors entered is significant (p
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Hamid, Saima, Rob Stephenson y Birgitta Rubenson. "Marriage decision making, spousal communication, and reproductive health among married youth in Pakistan". Global Health Action 4, n.º 1 (11 de enero de 2011): 5079. http://dx.doi.org/10.3402/gha.v4i0.5079.
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Ashraf, Nava. "Spousal Control and Intra-Household Decision Making: An Experimental Study in the Philippines". American Economic Review 99, n.º 4 (1 de agosto de 2009): 1245–77. http://dx.doi.org/10.1257/aer.99.4.1245.
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I elicit causal effects of spousal observability and communication on financial choices of married individuals in the Philippines. When choices are private, men put money into their personal accounts. When choices are observable, men commit money to consumption for their own benefit. When required to communicate, men put money into their wives' account. These strong treatment effects on men, but not women, appear related more to control than to gender: men whose wives control household savings respond more strongly to the treatment and women whose husbands control savings exhibit the same response. Changes in information and communication interact with underlying control to produce mutable gender-specific outcomes. (JEL D13, D14, J12, J16, O15)
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Pillai, Vijayan K. y Diana Opollo. "Latent Class Analysis of Reproductive Decision Making in Zambia". African and Asian Studies 11, n.º 3 (2012): 371–83. http://dx.doi.org/10.1163/15692108-12341238.
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Abstract Coale (1973) pointed out that a first step in the transition to modern contraceptive use involves making calculated choices with respect to fertility and use of contraception. As women become aware of the fertility choices, they are likely to actively seek information and become engaged in reproductive decision making. Research studies on the role of social network on contraceptive decision making in Zambia are few and far. The objective of this study is to examine women’s strategies and approaches to fertility decision making in Zambia. The sample is gathered from two poor income neighborhoods in Kitwe, Zambia. The sample consists of women from 163 households. Latent class analysis provides a useful technique for identifying the presence of distinct strategies with respect to birth control. Though several heterogeneous categories with respect to various reproductive strategies were expected, only two categories were identified. The first category (latent class) is composed of women who engage in spousal communication with respect to fertility, acquire information though seeking and receiving advices from close social relations on reproductive issues, and are aware of the high cost of raising children. Implications of our finding for family planning programs are discussed.
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Su, Chenting, Kevin Zheng Zhou, Nan Zhou y Julie Juan Li. "Harmonizing conflict in husband–wife purchase decision making: perceived fairness and spousal influence dynamics". Journal of the Academy of Marketing Science 36, n.º 3 (26 de octubre de 2007): 378–94. http://dx.doi.org/10.1007/s11747-007-0079-4.
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Phuc, Vu Truc, Ho Ngoc Minh y Tran Quang Canh. "The Existence of Confucianism in spousal relationship nowadays". Science & Technology Development Journal - Social Sciences & Humanities 4, n.º 3 (20 de septiembre de 2020): First. http://dx.doi.org/10.32508/stdjssh.v4i3.569.
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Confucianism promotes "Fuchangfusui (Phu xướng phụ tùy)" which means "A wive must obey everything her husband says''. In Vietnam, the concept of husband and wife relationship is not exactly the same as "Fuchangfusui" initiated by Confucius. Culturally, Vietnam belongs to the group of countries influenced by Confucianism. However, since the feudal period, Vietnamese Confucianists have had many progressive views to affirm the position of wife towards her husband and towards her family. Husband and wife relationship in Vietnam has gained focus on obligations and responsibilities of both husband and wife with the notion that "Women handle household chores, men take care of work outside". This article examines the existence of the Confucianism in husband and wife relationship in Vietnam today. The authors made a comparison between the husband's and the wife's rights of making decisions related to economy and other decision-making rights as well, using descriptive statistical analysis, Exploratory Factor Analysis (EFA) and Generalized Method of Moments (GMM); for this, the authors set up a system of equations and at the same time, to evaluate the extent to which Confucianism elements exist in husband and wife relationship in Vietnam today. The analysis results show that Confucianism still influences and affects family relationship, but its impacts and influences in the era of integration are blurred, not as profound as in feudal times or in the first half of the twentieth century. In other words, the existence of Confucianism still exerts its impacts on a majority of Vietnamese families in terms of husband and wife relationship. However, the perception of family members' standards of behaviors has changed due to the influences of modern industrial society.
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Breitkopf, Carmen Radecki, Heidi C. Pearson, Tri A. Dinh, Bich-Chieu T. Tran, Thao Vu, G. A. Bao Phan, Quang V. Ngo, Vinh D. Tran y Susan L. Rosenthal. "Human papillomavirus vaccine decision-making in Da Nang, Vietnam: Perceived spousal and adolescent–parent concordance". Vaccine 27, n.º 17 (abril de 2009): 2367–71. http://dx.doi.org/10.1016/j.vaccine.2009.02.021.
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Heater, Jill, John Walsh y Gerry Sande. "Sex and Attributions on Reactions toward Alleged Spousal Abuse Victims". Psychological Reports 91, n.º 1 (agosto de 2002): 243–54. http://dx.doi.org/10.2466/pr0.2002.91.1.243.
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This study examined the emotional and behavioral reactions of 118 predominantly Euro-American, middle-class university students toward an alleged spousal abuse victim. In the context of a decision-making task, participants encountered another male or female student (a confederate) who was supposedly injured in an accident or a spousal abuse incident. Participants completed the Trait Questionnaire, Emotional Reaction Measure, and Social Distancing Measure. Generally, participants felt less sympathy and more anger and ascribed less positive traits to the abuse victim than to the accident victim. In addition, they distanced themselves socially from the abuse victim. Further analyses showed that female participants displayed more negative trait ascriptions and behavioral reactions to the abuse victims than did male participants.
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Satake, Anna. "PERSPECTIVES OF THE FEMALE SPOUSE IN DEMENTIA CAREGIVING IN FORMAL CAREGIVING RESOURCE USE". Innovation in Aging 6, Supplement_1 (1 de noviembre de 2022): 849. http://dx.doi.org/10.1093/geroni/igac059.3043.
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Abstract The purpose of this qualitative descriptive study was to explore female spousal caregivers’ decisions regarding the use of formal caregiving resources in caring for a partner with dementia. Participants included 11 female spouses who provided caregiving to their husbands with dementia in the home setting. Findings suggested that a caregiver’s willingness or reluctance to use any resources were influenced by factors that related to them (e.g., assessment of their skills/abilities), their husband (e.g., his belief he didn’t need help) and, to a lesser degree, the resource qualities (e.g., cost). Caregivers seemed to make the decision to use resources only after careful consideration of their husband’s needs, his understanding of what he needed, and how well the resource would fit for him and whether he would accept that help. Interestingly, factors like cost and access were less germane to the caregiver’s decision. This implies that the decision-making process for a wife caregiver in regards to the care for a partner with dementia is complex and involves their readiness and needs as the caregiver, the needs and readiness of the persons with dementia, and the qualities of the resources. These factors are all dynamic, and clinicians and formal caregiving services need to have ongoing conversations and assessments throughout the caregiving journey to assess both the caregiver’s willingness and reluctance to start a specific service.
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Seth, Kuhika, Sharmishtha Nanda, Aishwarya Sahay, Ravi Verma y Pranita Achyut. "Men, The Missing Link In Gender-equitable Family Planning: A Scoping Review". Gates Open Research 6 (22 de junio de 2022): 73. http://dx.doi.org/10.12688/gatesopenres.13536.1.
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Background: Across societies, gender norms often allow men to hold key decision-making power within relationships, households and communities. This extends to almost all domains, consisting of family planning (FP) as well. FP programs have largely engaged men as clients and rarely as equal partners or influencers although across lower- and middle-income countries (LMICs), and especially in South Asia, men hold key decision-making power on the domain of family planning. The objective of this article is to explore couple dynamics through the lens of spousal communication and decision-making and unpack male engagement and spousal dynamics in family planning. Methods: This review presents a synthesis of evidence from two peer-reviewed databases, PubMed and Jstor, and and insights from programmatic documents to shed light on gender equitable engagement of young married men in family planning. Inclusion and exclusion criteria for both these databases was set and search strategies were finalized. This was followed by title and abstract screening, data extraction, synthesis and analysis. Results: Study participants included unmarried men (16%, n=8), married men (19%, n=9), married women (19%, n=9), married couples (25%, n=12) or more than two respondent categories (21%, n=10). Almost three quarters (71%, n=34) of the studies selected had FP as the primary area of inquiry. Other prominent thematics on which the studies reported were around norms (n=9, 16%), couple dynamics and intimacy (n=12, 22%). Conclusions: The evidence presented provides sufficient impetus to expand on gender-equitable male engagement, viewing men as equal and supportive partners for informed, equitable and collaborative contraceptive uptake and FP choices by couples.
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Bhandari, N., GK Shrestha y PC Thakuri. "Study of factors affecting contraceptive use among married women of reproductive Age". Journal of College of Medical Sciences-Nepal 9, n.º 4 (16 de abril de 2014): 24–29. http://dx.doi.org/10.3126/jcmsn.v9i4.10233.
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Background The use of contraception can prevent pregnancies related complication and helps in improving the women’s health and quality of their lives. Objective To explore reproductive characteristics among married women of reproductive age. To find out method of contraceptive use and side effects among married women of reproductive age. To uncover factors related to contraceptive use among married women of reproductive age. Methods This cross-sectional was carried out among (369) married couples of reproductive age group in ward number 5, 6 and 7 of Dhulikhel Municipality using purposive sampling. Those who fell in between the age group of (14-49 years) and willing to participate were included and pregnant women were excluded from the study. Questionnaire was used to obtain informations. Results Among 369(81.3%) of the respondents of reproductive age were using a modern contraceptive method. Regarding education 331(89.5%) of women’s and 352(95.1%) of husbands were literate and 275(91.6%) of women were found to be involved in decision making and had good inter-spousal communication that is 280(93.3%). Among the temporary method of family planning, Depo-Provera was the choice 150(54.5%) of contraceptive method. Conclusion The present study put more emphasis on increase in women’s literacy, women’s involvement in decision making and inter-spousal communication which helps to promote the effective use of contraceptive methods. As women play an important role in the decision making, women should be included in all aspects of reproductive health and family planning programs. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-4, 24-29 DOI: http://dx.doi.org/10.3126/jcmsn.v9i4.10233
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Gayathry, Dasari, M. Ramsagar Reddy y B. V. Rammana. "Evaluation of husband–wife communication regarding family planning among the couple of reproductive age group in the field practice area of Prathima Institute of Medical Sciences, Karimnagar". International Journal Of Community Medicine And Public Health 5, n.º 6 (22 de mayo de 2018): 2361. http://dx.doi.org/10.18203/2394-6040.ijcmph20182159.
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Background: Fertility decisions occur within specific social contexts and social norms therefore restrict individual decisions on fertility and behaviors related to family planning such as spacing and limiting of births and using contraception which reflects the importance of effect of inter-spousal communication on the contraceptive method choice and future intention of method use. Hence the objective of present study is to evaluate the husband wife communication and contraceptive use, method choice and timing of initiation of discussion among couples in study area.Methods: A cross - sectional study was conducted during February 2013 - January 2014 among couples residing in the field practice study areas. A semi-structured questionnaire consisting of socio-demographic characteristics, questions related to awareness, sources and decision making towards family planning was administered to 406 couples of study area.Results: It has been observed that regarding decision making, about 39.4% of the men had taken a decision on the use of contraceptive methods, and only 21.7% wives had autonomy of using contraception of their choice. Around 67.5% of the men had discussion with their wives about the family planning and more than half (57%) of the time the discussion was initiated by men.Conclusions: Husband was the decision maker in nearly half of the couples and family planning was discussed among majority of respondents. Family planning education should be encouraged through effective IEC programs and strategies for promoting husband wife communication should be considered inorder to increase family planning adoption.
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Doolittle, ND y MJ Sauve. "Impact of aborted sudden cardiac death on survivors and their spouses: the phenomenon of different reference points". American Journal of Critical Care 4, n.º 5 (1 de septiembre de 1995): 389–96. http://dx.doi.org/10.4037/ajcc1995.4.5.389.
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BACKGROUND: Although anecdotal data suggest that spouses of aborted sudden cardiac death survivors become enmeshed in the physical and emotional recovery of their mates, few longitudinal studies address the personal struggle of aborted sudden cardiac death survivors and their spouses during recovery. OBJECTIVE: To identify and explore phenomena experienced by aborted sudden cardiac death survivors and their spouses, and to determine implications for care. METHODS: This was a phenomenological study; qualitative interviews were conducted within 3 weeks of aborted sudden cardiac death and continued through 24 weeks after arrest at 6- to 8-week intervals. A total of 180 interviews were conducted with 40 survivors and 30 spouses. Interviews were tape-recorded, transcribed, and analyzed for recurrent themes. RESULTS: For the spouses the point of focus, or reference point, for future decision making was the arrest; for the survivors the reference point was prearrest life. These different reference points led to different concerns between spouses and survivors, from which spousal protectiveness and entrapment emerged. CONCLUSIONS: Acknowledgment of different reference points is essential in planning interventions for aborted sudden cardiac death survivors and their spouses. This population must be encouraged to express their questions, concerns, and fears early. Differences in perspectives should be identified to avoid troubled communication and conflicts.
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Katsiferis, Alexandros, Samir Bhatt, Laust Hvas Mortensen, Swapnil Mishra, Majken Karoline Jensen y Rudi G. J. Westendorp. "Machine learning models of healthcare expenditures predicting mortality: A cohort study of spousal bereaved Danish individuals". PLOS ONE 18, n.º 8 (7 de agosto de 2023): e0289632. http://dx.doi.org/10.1371/journal.pone.0289632.
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Background The ability to accurately predict survival in older adults is crucial as it guides clinical decision making. The added value of using health care usage for predicting mortality remains unexplored. The aim of this study was to investigate if temporal patterns of healthcare expenditures, can improve the predictive performance for mortality, in spousal bereaved older adults, next to other widely used sociodemographic variables. Methods This is a population-based cohort study of 48,944 Danish citizens 65 years of age and older suffering bereavement within 2013–2016. Individuals were followed from date of spousal loss until death from all causes or 31st of December 2016, whichever came first. Healthcare expenditures were available on weekly basis for each person during the follow-up and used as predictors for mortality risk in Extreme Gradient Boosting models. The extent to which medical spending trajectories improved mortality predictions compared to models with sociodemographics, was assessed with respect to discrimination (AUC), overall prediction error (Brier score), calibration, and clinical benefit (decision curve analysis). Results The AUC of age and sex for mortality the year after spousal loss was 70.8% [95% CI 68.8, 72.8]. The addition of sociodemographic variables led to an increase of AUC ranging from 0.9% to 3.1% but did not significantly reduce the overall prediction error. The AUC of the model combining the variables above plus medical spending usage was 80.8% [79.3, 82.4] also exhibiting smaller Brier score and better calibration. Overall, patterns of healthcare expenditures improved mortality predictions the most, also exhibiting the highest clinical benefit among the rest of the models. Conclusion Temporal patterns of medical spending have the potential to significantly improve our assessment on who is at high risk of dying after suffering spousal loss. The proposed methodology can assist in a more efficient risk profiling and prognosis of bereaved individuals.
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Calasanti, Toni y Brian de Vries. "Doing Everything: Intersections of Gender and Sexual Orientation in Caregiving for a Spouse With Dementia". Innovation in Aging 5, Supplement_1 (1 de diciembre de 2021): 489–90. http://dx.doi.org/10.1093/geroni/igab046.1890.
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Abstract Gender inequalities are rooted in and drive the division of labor over the life course, which result in heterosexual men and women acquiring different resources, skills, and identities. Gendered differences in caregiving reflect these varying gender repertoires. Whether and how these repertoires vary by sexual orientation is lesser understood. Our qualitative study seeks to explore the ways that sexual orientation and gender, and the related division of both paid and unpaid labor, shapes caregiving for a spouse or partner with Alzheimer’s disease and related disorders (AD). Our data, obtained from in-depth interviews conducted among lesbian (n=9), gay (n=6), and heterosexual spousal and partner (23 women and 14 men) caregivers of those with AD, reveal that, although all the caregivers spoke about “having to do everything,” with a particular focus on decision-making, they interpret this experience differently based on the intersections of gender and sexuality. The heterosexual women reported they were used to managing daily household life, yet they described having to make decisions as quite stressful: “I don’t like to be the boss.” Heterosexual husbands also lamented that they “had to do everything,” but commenting that they hadn’t realized what it took to “manage a household.” The concerns reported by lesbian and gay spouses and partners were similarly situated but more varied, as each group tended to report their previous divisions of labor as “less well-defined.” Our findings reflect both the influence of gender inequalities on how respondents experience “doing everything,” and their potential modification in same-sex relationships.
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Johnson, Katherine M. "My Gametes, My Right? The Politics of Involving Donors' Partners in Egg and Sperm Donation". Journal of Law, Medicine & Ethics 45, n.º 4 (2017): 621–33. http://dx.doi.org/10.1177/1073110517750601.
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Gamete donation offers a unique opportunity to compare men and women's relationships to reproductive decision-making, unlike other reproductive processes, which typically involve women's bodies much more asymmetrically. I address medical and reproductive decision-making by examining how a gamete donor's partner may be involved in the donation process. Some countries explicitly involve a donor's partner by legally requiring spousal consent for donation, but this is not the case for the U.S. In the absence of any formal regulation, what are the expectations for involving a donor's partner? Through a content analysis of materials from donation programs across the U.S., I examine how donation programs configure the partner's role. Overall, I find that there are quite different expectations for partner involvement in egg versus sperm donation. Such differences, I argue, both stem from and reinforce existing issues navigating boundaries between intimate relationships and women's medical and reproductive autonomy.
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Khng, Joan N. W. y Rosaleen Ow. "Getting Out: Factors that Influenced Abused Wives’ Decisions to Leave Their Abusive Spousal Relationships in Singapore". Families in Society: The Journal of Contemporary Social Services 90, n.º 2 (abril de 2009): 153–61. http://dx.doi.org/10.1606/1044-3894.3868.
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Abused wives who left their abusive relationships help us to understand the factors that enabled them to decide on leaving. This article reports the decision-making phase (as part of a larger study) through the experiences of two ethnic Chinese, one Indian Muslim, and five Malay Muslim women in Singapore. Using an ecological perspective, the study found the urgency of their abusive situation and a change in awareness regarding the impact of the abuse on their children and themselves were the main factors influencing the decision to leave. Feedback from external support networks and religious beliefs contributed to the cognitive shift that a negative person–environment fit existed. Implications of these findings for social work practice and social policy are discussed.
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Watson, J. Allen, Michelle I. Eichhorn y John Scanzoni. "A Home/University Computer Network: Test of a System to Study Families". Journal of Educational Technology Systems 17, n.º 4 (junio de 1989): 319–35. http://dx.doi.org/10.2190/j7uk-5bax-ccb0-p9yf.
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The primary purpose of this study was to produce a new computer-based research paradigm designed to test family process variables. Twenty-nine males representing twenty-nine homes each with a microcomputer and modem served as subjects across a two-month period. A microcomputer/mainframe system was developed and integrated with a conceptual model used to test family decision-making variables. Nine subtests used in the conceptual model served as process variables in this study. Attitude questions concerning gender role preferences, religious commitment, empathy toward spouse, marital commitment, perception of spousal conflicts, degree of individualism, and self-esteem were presented and recorded via university mainframe from home computers. Data were analyzed across two test battery replication (two months). Data showed that the integration of an existing family process conceputal model and the microcomputer/mainframe system could be used as a new research paradigm, that the two months testing provided strong support for paradigm efficiency, and that the paradigm proved to be highly reliable and valid.
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Verschoor, Arjan, Bereket Kebede, Alistair Munro y Marcela Tarazona. "Spousal Control and Efficiency of Intra-household Decision-Making: Experiments among Married Couples in India, Ethiopia and Nigeria". European Journal of Development Research 31, n.º 4 (1 de abril de 2019): 1171–96. http://dx.doi.org/10.1057/s41287-019-00206-6.
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Shruthee, SG y V. Deepanchakravarthi. "Family Planning from a Male Perspective: Observations from a Community-Based Cross-sectional Study in Chennai, Tamil Nadu". Indian Journal of Community Medicine 48, n.º 6 (2023): 930–33. http://dx.doi.org/10.4103/ijcm.ijcm_844_22.
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Abstract Traditionally, family planning has been considered in the context of maternal and child health, although men play a dominant role in all matters related to reproductive decision-making. This study is carried out to assess the attitude and participation in family planning among currently married males and identify factors influencing the acceptance of male contraception. A cross-sectional study was conducted in Chennai in October 2018, which included 180 currently married men by systematic random sampling of eligible couples in the field practice area of Sanjeevarayanpet Primary Health Center (UPHC). Data was collected through a self-administered questionnaire in the local language and analyzed using SPSS version 16. Absolute and relative frequencies were estimated for descriptive data while correlates were tested for statistical significance using Pearson or Trend Chi-square tests. Study participants considered two children (82%) and spacing of at least 2 years (95%) as ideal, with spousal communication regarding family planning considered essential by a two-thirds majority. Among the 117 men who reported ever using contraception as a couple, 69% had used a condom vs. 42% and 30% for female spacing methods and tubectomy, respectively. Vasectomy, with nil acceptors, was considered acceptable by only 21% of men. Education, per-capita income, and spousal communication were seen to positively influence male contraceptive use. While married men show considerable commitment to family planning decision-making and practice, the stigma and misconceptions surrounding vasectomy have become ever more prominent. There is a need for the community and the health care system to work together to promote gender equity in family planning.
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Leggett, Amanda, Hyun Jung Koo, Elaina Baker y Hannah Lee. "Caregivers' Medical Care Provision at Patient End-of-Life: Associations with Emotional Difficulty and Gains". Innovation in Aging 5, Supplement_1 (1 de diciembre de 2021): 809. http://dx.doi.org/10.1093/geroni/igab046.2977.
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Abstract Family caregivers play crucial roles in patient care and medical decision making, especially at end-of-life (EOL). Yet, most research focuses on caregivers’ burden, with little attention to rewards that make for a fulfilling EOL care experience. We consider caregiver involvement at EOL and associations with caregiver stress and gains. Data are drawn from the 2017 National Study of Caregiving’s last month of life and core interviews which includes caregivers (n=283) for a nationally representative sample of Medicare eligible older adults, and questions caregivers about their care provision and EOL experience. We consider indicators of caregivers’ involvement in medical decision making and support received from providers as predictors of caregivers’ emotional difficulty and gains at EOL utilizing linear regressions controlling for demographic characteristics. Caregivers were 60.7 years of age on average, 72.5% female, 21.3% non-white, and 11% were spousal partners. Making medical decisions was associated with increased emotional difficulty at EOL (B=0.93, SE=0.24, p<.001). In contrast, more caregiving gains were associated with having care decisions align with the CG’s wishes (B=-0.64, SE=0.30, p<.05), being more informed by providers (B=0.41, SE=0.16, p<.05), helping the care recipient with anxiety or sadness (B=0.69, SE=0.28, p<. 05), and surprisingly, feeling that care decisions were made without their input (B=0.82, SE=0.29, p<.01). Being more involved and informed in care was associated with both positive and negative caregiver outcomes at EOL. Understanding caregiver emotional difficulty and gains at EOL are critical for identifying how clinicians can better support caregivers at EOL and improving the caregiving experience.
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Gast, Julie y Terry Peak. "“It Used to Be That if It Weren’t Broken and Bleeding Profusely, I Would Never Go to the Doctor”: Men, Masculinity, and Health". American Journal of Men's Health 5, n.º 4 (26 de agosto de 2010): 318–31. http://dx.doi.org/10.1177/1557988310377926.
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Masculine gender scripts have been influential in health decision making in men. In addition, although past research has identified some success in using churches as sites for health education with women, little is known if similar programs would be successful with men. It is also unclear if religious beliefs influence the health attitudes and behaviors of men. Four focus groups with men from four religious denominations were conducted to learn about their health beliefs, attitudes, and behaviors, with the following themes emerging: men’s health fears, health promotion behaviors, spousal influence, aging and men’s health, and church-based health influence. Finally, the interaction of masculine gender scripts within these themes was considered.
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CLARK, GORDON L. y KENDRA STRAUSS. "Individual pension-related risk propensities: the effects of socio-demographic characteristics and a spousal pension entitlement on risk attitudes". Ageing and Society 28, n.º 6 (junio de 2008): 847–74. http://dx.doi.org/10.1017/s0144686x08007083.
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ABSTRACTThe transition from defined-benefit to defined-contribution occupational-pension plans has placed a premium on the participants' or contributors' decision-making competence. Their attitudes to risk and their responses to available investment options can have far-reaching implications for their retirement income. Behavioural research on risk and uncertainty has raised understanding of the limits of individual decision-making, but the social status and demographic characteristics of plan participants may also affect risk perception and pension choices. By studying a random sample of the British adult population, this paper explores the significance of socio-demographic characteristics for pension-related risk attitudes. It is demonstrated that pension-plan participants do not appear to understand the risks associated with different types of retirement savings and pension plans. The paper also shows that the gender, age and income of plan participants can give rise to distinctive risk propensities, and that marital status and, in particular, whether a spouse also has a pension can also have significant consequences for household risk preferences. These results have implications for those segments of the population that are disadvantaged in the labour market. Employer-provided pensions' education and information programmes may have to be more basic and more closely tailored to the social status of pension plan participants than hitherto assumed or hoped.
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Asmare, Getachew, Dabere Nigatu y Yamrot Debela. "Factors affecting men’s involvement in maternity waiting home utilization in North Achefer district, Northwest Ethiopia: A cross-sectional study". PLOS ONE 17, n.º 2 (10 de febrero de 2022): e0263809. http://dx.doi.org/10.1371/journal.pone.0263809.
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Background Maternity waiting home (MWH) is a direct strategy to improve newborn and maternal survival. The utilization of MWH, however, remains very low in Ethiopia. Men involvement in maternal health programs is a key strategy to increase utilization of maternal health services, including MWH. This study defines men involvement in-terms of men’s participation in deciding to admit their spouse to an MWH, accompanying their spouse to an MWH, providing financial support, availing food at an MWH, and taking care of the home or children. Thus, the current study aims to identify factors affecting men’s involvement in MWH utilization. Methods A community-based cross-sectional study was conducted from October 1st to December 30th, 2018. Four hundred three men were involved in the study. Data were analyzed by the statistical package for social science (SPSS) version 23. Independent predictors were identified by a multivariable logistic regression model. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported. Results Men’s involvement in MWH was 55.6% (50.71, 60.45). Age (AOR = 0.86, 95% CI = 0.82–0.94), knowledge about MWH (AOR = 4.74, 95% CI = 2.65–8.49), decision-making power (AOR = 4.00, 95% CI = 1.38–11.57), and receiving counseling about MWH during spousal antenatal care visits (AOR = 9.15, 95% CI = 3.34–25.03) had statistically significant associations with men’s involvement in MWH utilization. Conclusions Nearly, half of the male partners were involved in MWH utilization. Men’s age, MWH knowledge, decision-making power, and receiving counseling were factors affecting their involvement in MWH utilization. Interventions targeting to improve male involvement in MWH utilization should focus on building men’s knowledge about MWH, increasing male involvement in ANC with an appropriate level of counseling about MWH, and changing patriarchal thinking in society with appropriate behavioral interventions such as community-based health education.
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Nwokocha, Ezebunwa E., Oka Obouo y Adehbola A. Adedimeji. "Socio-cultural Factors Affecting Pregnancy Outcomes among the Ibani of Rivers State, Nigeria". IBADAN JOURNAL OF THE SOCIAL SCIENCES 5, n.º 1 (10 de junio de 2007): 29–41. http://dx.doi.org/10.36108/ijss/7002.50.0130.
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The lbani of Rivers State, Nigeria, have a high incidence ef maternal and infant mortality/morbidity, which has been linked to the perception, attitude and practices of the people with regard to pregnancy and childbirth. This study examines the process leading to pregnancy outcomes among the Ibani. Through an interdisciplinary approach, it provides an in-depth and comprehensive understanding of the association between pregnancy outcome and child spacing; source of antenatal care; and access to and use of antenatal health care facilities. Data was collected through in-depth interviews, focus group discussions, case studies, observation and survey questionnaires. The findings indicate that pregnancy outcome among the Ibani is not necessarily derived from spousal communication and gender discourse, because women whose husbands were solely responsible for decision making on child spacing recorded higher type-I (mother and child survival) outcome (87.7 per cent) than those who shared decision making with their spouse. There is no consistent relationship between the amount of time spent on getting to the source of antenatal care and pregnancy outcomes because Thani women who spent between 31 and 59 minutes to get to the source of antenatal had more type-I] outcomes thin those who spent about 30 minutes. Other factors affecting pregnancy outcomes, among the Ibani of Rivers State, include communal and individual values, norms and practices, and their persistent influence signals a need to investigate their separate and combined influences on pregnancy outcomes. The study contributes to a demographic understanding of hove macro-level factors impinge upon individual-level events like pregnancy outcomes.