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Cesarean Section Delivery and Exclusive Breastfeeding in Pakistan: Emerging Challenges
This research examined two interrelated issues relevant to maternal and neonatal health in Pakistan, namely, the rising rates of C-section delivery and low rates of exclusive breastfeeding. By using the Andersen's health behavioral model to frame two empirical studies, the data from the Pakistan Demographic and Health Survey (PDHS) 2012-13 was used. The first empirical study examined the correlation between place of delivery and the odds of cesarean section in Pakistan. Not all Pakistani women have an equal chance of delivering at a health facility where C-section delivery takes place; therefore, the study modeled mode of delivery as a two-step process. In the first step, place of delivery was a function of medical indications and various sociodemographic and community factors. Women who delivered at a health facility were included in the second step, where C-section was a function of medical indications and type of facility (private, public). It is found that women who delivered at a private health facility were more likely to have a C-section, even after controlling for the effects of medical/clinical factors, which is concerning. Findings suggest that the private maternal health sector in Pakistan may be over-medicalizing childbirth. The second study examined this paradox of low exclusive breastfeeding in Pakistan, taking into account not only individual-level characteristics of the child and parents, but also place and mode of delivery, sociocultural factors, and community composition. The sample consisted of 1,044 children 0-5 months old, currently living with their mothers. Binary logistic regressions of exclusive and predominant breastfeeding found women who delivered vaginally, whether at home or health care facility were more likely than mothers who delivered via C-section to predominantly breastfeed their infant, and that mothers who delivered vaginally at a health care facility were more likely than their peers who delivered via C-section to exclusively breastfeed …
The Role of Male Fashion in Protests against the Majority Culture: An Exploratory Study
Throughout history, the Black Diaspora has used fashion as a form of protest. The element of fashion is often overlooked when considering the history and struggle for Black equality, because it is less tangible or definable in terms of its influence and effect, but it is still important because Black males resist the dominant culture via dress by dressing in military uniforms, creating their own style, and using different colors in their dress. Studying the Black struggle in American history during specific periods is one way to better understand opposition to the majority culture through fashion. We should also consider the mood of a social system when examining the dress of a particular group during conflicts. Hence, the purpose of this study is to investigate the role of fashion as a protest tool against the majority culture, and the social mood that affects the fashion choices of Black males. The study focuses on Black fashion from 1910 to 2015. Text data were collected and analyzed from articles published in The Crisis magazine, and men's fashion was specially examined. Additionally, images were studied via visual ethnography and images were coded based on color choice, fit, and accessories. For conducting sentiment analysis, lexicons were used, and the text was examined for negative sentiment. The overall negative sentiment of the document was obtained. Graphical analyses are included to present the findings. The findings, conclusions, limitations, and future research are discussed.
Turkish Gazis' (Injured Veterans) Transition into Civilian Life
The aim of this study was to describe the dimensions of Turkish Gazis' transition to civilian life, to explore the main factors that make this process easier or more difficult, and their psychological integration, that is, specifically, satisfaction with their life. To that end, this study examined the impact of combat-related traumatic stressor (e.g., functional limitations), personal resources (social support, sense of mastery), perceived mental health on Turkish veterans' adjustment into civilian life and their psychological integration. The data was collected in Turkey in 2015 by the researcher with the help of Türkiye Harp Malulü Gaziler Şehit Dul ve Yetimler Derneği, a non-profit veteran organization. The final sample included 240 Turkish Gazis. The level of perceived transition into civilian life and veterans' life satisfaction were the dependent variables in this study. A series of ordinary least squares (OLS) regression was conducted. Hayes' PROCESS macro 3.0 was utilized to measure the direct, indirect and moderation effects of variables on transition and life satisfaction among Gazis. The results demonstrated that perceived available social support, perceived sense of mastery and mental health partially mediated the association between Gazis' functional limitations and transition into civilian life and they fully mediated the association between functional limitations and life satisfaction. Among control variables, only household income predicted transition into civilian life, and place of residence was the only significant predictor of life satisfaction. However, neither social support nor mastery had moderation effect on the relationship between functional limitations and dependent variables. Policy implications and suggestions for further studies are also provided at the end of the dissertation.
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