Suchergebnisse

Since the late 1970s, mainland China has embarked on an unprecedented economic reform. This reform not only helped China move away more successfully from a centrally planned economy than the former Soviet Union and its East European satellites, it also improved the quality of life for China's massive population, especially its urban population. While the impact of this reform on family life such as household composition, marriage patterns, childbearing decisions, and inter-generational relationships has been well documented, research on family life satisfaction during this political and economic transformation is nearly nonexistent. To fill this research void, we use the 1993 China Housing Survey conducted in Shanghai and Tianjin to explore the determinants of family life satisfaction among married urban Chinese. Our Confirmatory Factor Analysis conceptualizes family life satisfaction as a multi-dimensional concept, encompassing satisfaction with marriage, family economy, family relations, and family life in general. The OLS regression analysis indicates that varying individual characteristics, marital and parental roles, kinship, social and political ties, and community context are predicative of family life satisfaction in urban China. Gender differences in these determinants are noticeable.

Using survey data from urban China, the rigidity of the status hierarchy and the importance of status-group boundaries in the process of mate selection are explored. Specifically, the patterns of assortative mating by sociopolitical characteristics are examined. Statistical analyses show three important findings. First, the log-linear models uniformly indicate that, despite a strong tendency toward status homogamy, urban Chinese couples are also mismatched symmetrically. Second, when mismatches occur, marriage prospects tend to marry partners from adjacent status groups. Third, although the systems of union formation and status hierarchies have undergone enormous transformations since 1949, the "crossing models" do not reveal parallel and significant changes in assortative mating. It is concluded that neither the socialist transformation in the 1950s and the Cultural Revolution in the 1960s nor the recent economic reforms have changed the patterns of assortative mating in urban China. Status homogamy remains a dominant social norm and practice.

Using survey data from a nationally representative sample, this article explores how marriage timing varies across major religious denominations. Survival analysis indicates that net of statistical controls, Catholics, moderate Protestants, conservative Protestants, and Mormons marry significantly earlier than their unaffiliated counterparts. This holds true for women and men. However, no statistical differences emerge between Jews, liberal Protestants, and the unaffiliated. As surmised, auxiliary statistical tests reveal additional religious subcultural variations: (a) Jews tend to marry later than Catholics, conservative Protestants, and Mormons; (b) Catholics also marry later than conservative Protestants and Mormons; (c) no statistical difference surfaces between Mormons and conservative Protestants; and (d) differences between Catholics and liberal Protestants as well as between Jews and liberal Protestants are statistically negligible. These findings systematically support the denominational subcultural paradigm in the case of marriage timing.

Math proficiency is considered a critical subject for entry into most science, technology, engineering, and math (STEM) occupations. This study examines the relationship between parental occupation and gender differences in students' math performance, that is, the gender math gap. Using insights from theories of social and gender reproduction, we hypothesize that daughters of STEM-employed parents, and especially STEM-employed mothers, will score higher on standardized math tests than their peers with non-STEM parents. Multiple waves of panel data from the Early Childhood Longitudinal Study, Kindergarten Cohort (ECLS–K) featuring students in third, fifth, and eighth grades are used to examine these hypotheses. Results from random effects regression models confirm these hypotheses while also revealing support for STEM-employed father-to-son and father-to-daughter transmission of a math performance advantage. Also, regardless of parental occupation, a gender math gap remains evident. We conclude by discussing implications, study limitations, and directions for future research.

BACKGROUND: Depression is common among HIV-infected individuals and may contribute to suboptimal adherence to antiretroviral therapy (ART) and reduced rates of viral load (VL) suppression. We evaluated longitudinal HIV treatment outcomes in US Military HIV Natural History Study (NHS) participants with or without a diagnosis depression. METHODS: Male NHS participants with available ICD-9 data for mental health diagnoses and self-reported adherence (SRA) were included (n = 549). Groups were defined as having a history of depression (n = 188, 34.2%), classified as major depressive disorder and/or anxiety disorder, or no history of depression (n = 361, 65.8%). Delay in ART initiation was defined as the time from HIV diagnosis to ART start greater than the group mean (4.91 ± 4.69 years). SRA was defined as taking ≥95% of ART doses and continuous ART was defined as longitudinal ART use with gaps < 30 days. Continuous VL suppression was defined as maintaining VLs < 200 c/mL on ART. Logistic regression analysis was performed comparing variables for those with and without a coded diagnosis of depression. RESULTS: Participants had a mean age of 33 (±8.36) years at HIV diagnosis, and similar proportions were Caucasian (44.3%) or African American (40.8%). At ART initiation, the mean CD4 count was 370 (±154 cells/μL) and 362 (±163 cells/μL) for those with and without a history of depression, respectively. Overall, older participants at HIV diagnosis had greater odds of having high SRA (OR 1.07, 95% CI 1.03–1.11), and compared with Caucasians, African Americans had lower odds of having high SRA (OR 0.43, 95% CI 0.25–0.75; table). Participants with a history of depression had greater odds of experiencing delayed ART initiation (OR 2.12, 95% CI 1.11–4.05). However, they also had greater odds of remaining on continuous ART (OR 1.38, 95% CI 0.95–2.02) during follow-up compared with those without a history of depression. CONCLUSION: Although HIV-infected individuals with depression were more likely to experience delays in ...

BACKGROUND: Weight gain and obesity in people living with HIV have been associated with increased risk for non-AIDS-related comorbidities, and integrase strand transfer inhibitor (INSTI)-based regimens may lead to comparatively more weight gain than other regimens. We evaluated body mass index (BMI) following antiretroviral therapy (ART) initiation among participants in the US Military HIV Natural History Study (NHS). METHODS: Of 961 NHS participants started on initial ART between 2006–2017, 496 men who had available baseline BMI data and were virally suppressed (100,000 c/mL) started on PI regimens (−1.61, P = 0.013). For those with BMI ≥ 25, only INSTI- and PI-based regimens were significantly associated with increased BMI (INSTI 0.54, P = 0.000; NNRTI 0.11, P = 0.174; PI 0.39, P = 0.006). Observed BMI increases for INSTI and PI regimens were also associated with increased time from HIV diagnosis to ART initiation (INSTI 0.35, P = 0.003; PI 0.44, P = 0.037). African Americans with BMI ≥ 25 on INSTIs had the greatest predicted gains in BMI (1.84, P = 0.007). CONCLUSION: In our cohort of young military members with HIV infection, those with baseline BMI < ...

BACKGROUND: Depression is common among HIV-infected individuals and may contribute to suboptimal adherence to antiretroviral therapy (ART) and subsequent inability to attain viral load (VL) suppression. We evaluated associations between depression, self-reported adherence, and longitudinal HIV treatment outcomes in US Military HIV Natural History Study (NHS) participants with and without depression. METHODS: Male NHS participants with available ICD-9 data for mental health diagnoses, Center for Epidemiological Studies Depression (CES-D) measures, and self-reported adherence (SRA) were included. ART use was defined as ART initiation between 2006 and 2010, with follow-up through 2015. SRA was defined as taking 95% of ART doses and continuous ART was defined as longitudinal ART use with gaps < 30 days. Continuous VL suppression was defined as maintaining VLs < 200 c/mL on ART. To analyse the association between depression and HIV treatment outcomes, latent class analysis was used to create classes of depression trajectories: low depression (LD), recent onset depression (ROD) and high Depression (HD). RESULTS: Participants had a mean age of 32 (± 8.3) years at HIV diagnosis, and similar proportions were Caucasian (44.3%) or African American (40.8%). Overall, older participants at HIV diagnosis had greater odds of having 95% self-reported adherence (OR 1.06, 95% CI 1.02–1.12), and African Americans had lower odds (OR 0.41, 95% CI 0.22–0.76) compared to Caucasians (OR 1.49, 95% CI 0.52–4.28). However, there was no difference in SRA by depression trajectory. Participants with HD had an increased odds of taking ART continuously (OR 1.75, 95% CI 0.99–3.09), and those with ROD had significantly higher odds of virologic failure (OR 0.58, 95% CI 0.38–0.91). CONCLUSIONS: Although there was no observed association between depression and SRA, participants with ROD had lower odds of attaining the HIV treatment goal of VL suppression. Continued efforts to identify and aggressively manage mental health disorders is ...

Frontmatter -- CONTENTS -- ACKNOWLEDGMENTS -- 1. Introduction -- 2. Religion and the Timing of First Births in the United States -- 3. Religion and Child Rearing -- 4. Religion and Adolescent Sexual Behavior -- 5. The Influence of Religion on Ties between the Generations -- 6. Religion and Family Values Reconsidered: Gender Traditionalism among Conservative Protestants -- 7. From Generation to Generation: Religious Involvement and Attitudes toward Family and Pro-Family Outcomes among U.S. Catholics -- 8. Religious Intermarriage and Conversion in the United States: Patterns and Changes over Time -- 9. Childhood Religious Denomination and Early Adult Asset Accumulation -- 10. Religious Affiliation and Participation as Determinants of Women's Educational Attainment and Wages -- 11. Religion, Family, and Women's Employment among Muslim and Christian Arab Americans -- 12. Religion and Depressive Symptoms in Late Life -- 13. Religion and Physical Health among U.S. Adults -- 14. Religious Involvement and Mortality Risk among Pre-Retirement Aged U.S. Adults -- 15. Religious Attendance and Cause-Specifi c Mortality in the United States -- 16. Race, Religious Involvement, and Health: The Case of African Americans -- 17. Jewish Identity and Self-Reported Health -- 18. Religion, Sexually Risky Behavior, and Reproductive Health: The Mormon Case -- 19. Religion and the New Immigrants: Impact on Health Behaviors and Access to Health Care -- 20. The Religious Demography of the United States: Dynamics of Affi liation, Participation, and Belief -- 21. Future Directions in Population-Based Research on Religion, Family Life, and Health in the United States -- NOTES ON CONTRIBUTORS -- INDEX