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Mistreatment in Childbirth: A mixed-methods approach to understand the mental health sequelae of mistreatment in maternity care among a diverse cohort of birthing persons in New York CityAlix, Anika F. January 2024 (has links)
The present study aimed to explore the objective and subjective experiences of “mistreatment” in maternity care in a diverse cohort of women who gave birth in New York City hospitals to identify the prevalence and risk factors of mistreatment and measure the relationship between mistreatment and mental health (Bohren et al., 2015). The study utilized a mixed-methods cross-sectional approach. To collect the quantitative data, 109 participants <1 year postpartum completed an anonymous online survey comprising a self-report measure of demographic, health and mental health information, several mental health questionnaires and two measures of mistreatment in maternity care. 8 of these participants were interviewed about their childbirth experience. The quantitative data was analyzed utilizing linear regression, moderation analysis and path analysis, and the qualitative data was thematically coded then analyzed using Reflexive Thematic (RT) analysis. These data were then triangulated using a mixed-methods model of mistreatment.
In total, 10-15% of the sample experienced mistreatment in the form of Low to Very Low respect and/or autonomy in decision making in their maternity care. Forms of mistreatment included unwanted procedures, provider pressure to undergo procedures, dismissal of women’s concerns, racial discrimination, abandonment, and medical neglect. Approximately 25% of respondents received an unwanted intervention; this was the most significant predictor of mistreatment. This relationship was moderated by race, parity and birth plan. Black, Latinx and Hispanic women experienced the lowest levels of respect in maternity care. Mistreatment in maternity care was correlated with increased risk for postpartum mental illness: decreased respect and autonomy in childbirth was associated with increased postpartum depression and PTSD symptoms.
Eight themes were identified in the qualitative analysis: Discrimination and Unfair Treatment, Confusion and Abandonment, Disregard for Patient Autonomy, Hospital-Level Drivers of Mistreatment, Women Treated as Passive, Normalization of Mistreatment, Self-Advocacy and Vulnerability and, Reclaiming Power through Knowledge. Together, the triangulated mixed- methods data were fit to render a comprehensive “model of mistreatment” to illustrate direct and indirect relationships between mistreatment, mental health, race, trauma history, and childbirth preparation. These findings demonstrate that mistreatment is a multi-determined phenomenon that is interdependent with mental health and requires systematic measurement in healthcare treatment, the integration of anti-racist and patient-centered care and improved childbirth education for patients.
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Occupational Inequality Between Men and Women in Metropolitan Labor Markets, 1950-1970Darville, Ray Lynn, 1955- 08 1900 (has links)
This study examined changes between 1950 and 1970 in women's aggregate occupational position in 168 Standard Metropolitan Statistical Areas. Specifically, the research was designed to study three aspects of women's occupational position. First, women's distribution across occupational categories (absolute position) was examined. Absolute position was defined as the percent of working women in professional and managerial occupations. Second, women's occupational position compared to men (relative position) was examined. This involved women's share of the total jobs in each occupational category. Third, the statistical relationship between women's occupational position and their labor force participation rate was investigated using zero-order correlations.
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Clothing buying practices and life style differentials between employed black and white womenEdmonds, Linda Loretta 02 March 2010 (has links)
The purpose of this chapter was to present the study findings, data analysis, and hypothesis testing results. Three hypotheses were established for the study. The first hypothesis was concerned with the differences in clothing buying practices between employed black and white women. The findings related to this hypothesis revealed that there were significant black-white differences for 20 of the 45 clothing buying practice variables which provided sufficient support for accepting Hypothesis 1.
Three constructs (clothing buying dimensions, clothing buying style groups and life style dimensions) were developed to facilitate the testing of Hypotheses 2 and 3. Eleven clothing buying dimensions were identified from factor analysis of 39 clothing buying practices. These eleven clothing buying dimensions were used in NORMIX Cluster Analysis as a basis for clustering the respondents into four unique clothing buying style groups. These four clothing buying style groups were "Fashion Enthusiasts," "Clothing Mainstreamers," "Quality Conservatives,” and "Economic Utilitarians." "Fashion Enthusiasts'' appeared to be more interested in the style and fashion aspects of clothing. "Clothing Mainstreamers" displayed few extremes (very high or very low) in their response patterns. They were described as the average clothing concerned group of employed women. "Quality Conservatives" were more conservative in fashion interest and were not interested in lower price clothing. “Economic Utilitarians," on the other hand, were very interested in low prices, maintenance and utilitarian aspects of clothing.
Factor analysis of 145 AIO statements identified 25 life style dimensions. These 25 dimensions, along with race and 5 other demographic variables were used as predictor variables in discriminant analysis among the four clothing buying styles. Hypotheses 2 and 3 were accepted since there was a significant relationship between: 1) race and clothing buying styles and 2) life style dimensions and clothing buying styles.
With regard to race, the findings indicated that the "Fashion Enthusiasts" group contained significantly more black than white women. The "Quality Conservatives" group contained significantly more white than black women. However, the "Clothing Mainstreamers" and "Economic Utilitarians" groups had essentially equal black-white representation. As for life style dimensions, some major relationships were: "Fashion Enthusiasts" were not interested in household concerns such as shopping for household items; the "Quality Conservatives" considered themselves "Swingers"; "Clothing Mainstreamers" were very active in the community; and "Economic Utilitarians” tended to save more money than the other group members. / Ph. D.
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Female criminality: toward a clarification of sex-role influenceZaitzow, Barbara H. January 1985 (has links)
The notion of changing sex-role attitudes has been utilized as an criminality (Adler, explanation for increasing 1975; Hoffman-Bustamante, female 1973; Steffensmeier, 1980; Simon, 1975). Despite the paucity of evidence, the women's movement has been held suspect by the suggestion that changing sex-roles result in increased violence of crime committed by women.
The purpose of the present study was to provide further information about the sex-role orientations of female offenders in a penal setting and to explain the relationship between criminal sex-role orientation and other social variables descriptive of criminality.
A two-part questionnaire was administered to 109 women inmates at a correctional facility and to a control group of 107 female freshman at a southwest Virginia university. A personal history inventory provided basic demographic information such as age, race, educational level, family background, and marital status. A short 15-item version of The Attitudes Toward Women Scale (Spence and Helmreich, 1973) was used to measure the respondents' sex-role attitudes.
The results of the study indicated that women inmates were more traditional in their sex-role attitudes when compared with a sample of college women. There was no relationship between female offenders' sex-role attitudes and the type of crime committed. Finally, the educational level of the inmate respondents and amount of time incarcerated, were statistically significant predictors of both AWS score and the type of crime committed.
Explanations of female crime are only now beginning to be tested. Those who have tried to examine the link between the women's movement and female crime have found little or no evidence of a relationship. Such was the case in the present study. Before more complete interpretations of the data on female crime can be formed, more studies need to be conducted. / M.S.
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Pushing Against Invisibility: Asian American Women's Leadership in Higher Music EducationKim, Rachel Jung-Hoo January 2024 (has links)
This critical hermeneutic phenomenological study investigates the lived experiences of Asian American women leaders in higher music education, in order to address their historic and ongoing underrepresentation in leadership roles. Asian Americans comprise a large percentage of students in schools of music and are represented at higher numbers among music faculty than their other minority counterparts, although they are still not at parity with the number of Asian American students. Despite their success as performers and teachers, Asian American faculty and students are subject to typecasting, racialized experiences, and xenophobic attitudes that are often ignored or unchallenged in higher music education institutions. These experiences, along with prevalent gender biases surrounding women leaders, have contributed to the "shockingly small" representation of Asian American women in leadership and administrative positions in music.
The purpose of this research is to discover essential factors that impact Asian American women's leadership opportunities by learning about their racialized and gendered experiences in higher music education. A hermeneutic phenomenological study is especially suited for incorporating the researcher’s reflexivity while exploring nuances of the phenomenon and discovering commonalities between lived experiences. The study utilized Asian Critical Theory as the main conceptual framework. Lifeworld existentials, such as the lived space, lived body, lived time, and lived human relations of Asian American women, served as additional frameworks for data analysis and hermeneutic reflection. Data was collected from six Asian American women leaders in higher music education in the form of conversational hermeneutic interviews and focus groups, then analyzed to detect larger phenomenological themes.
Findings indicate that Asian American women leaders experience dual conflicts in the workplace due to internal cultural influences and external influences of dominant male White ideals of leadership. They experience discrimination as members of the privileged oppressed, and their rich lived experiences are central to their development of community-based leadership values—among them, empathy, resilience, representing marginalized voices, and pragmatism. Asian American women leaders are driven by their missions to create space for belonging and inclusion in schools of music, and are committed to social justice around all forms of oppression.
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The experiences of low-income female survivors of domestic violenceSlabbert, Ilse 12 1900 (has links)
Thesis (PhD (Social Work))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT:
Domestic violence crosses all boundaries and is regarded as a universal challenge affecting
women of all spheres of life. Domestic violence is seen as a serious social problem in South
Africa. It is regarded by many researchers as a leading cause of female injury. Domestic
violence can be described as an act by a member of a family against another member with
intent to do physical injury, psychological or emotional harm, or an assault or a threat that
reasonably places that member in fear of imminent physical injury or emotional harm. It has
major consequences, not only for the abused woman, but also for her children and society at
large. Many low-income women cannot escape their abusive circumstances due to a lack of
resources. Despite the fact that they cannot leave their situation, many women display certain
strengths, helping them to deal with their difficult situation. These women can be viewed as
heroic, assertive and persistent. They are not victims, but active survivors. The social work
profession could benefit from greater insight into the strengths and coping mechanisms of
low-income female survivors of domestic violence.
The goal of the study is to gain an understanding of low-income female survivors’ experience
of domestic violence, focusing on their environmental resources (including family, friends and
community) and on their coping mechanisms (inner resources/strengths). To achieve this goal,
the objectives are: to present a theoretical overview of the nature and extent of domestic
violence; to describe the environmental resources (such as family, friends and community) of
low-income abused women from the ecological perspective; to explore the coping
mechanisms (inner resources) of these women in terms of the principles of the strengths
perspective; and to analyse and interpret the data obtained from the study. The research
utilises an exploratory and descriptive design. The research question is, “What are the
experience (environmental resources) and coping mechanisms (inner resources) of lowincome
female survivors of domestic violence?”
This question was addressed by means of qualitative research. Twenty participants took part in
the study. Purposive and snowball sampling were used to select the participants. They were
interviewed by the researcher, and the data obtained from the interviews were organised into
themes. Five themes namely, the experience of domestic violence, low-income, resources, coping mechanisms and statutory intervention were identified. These themes were further
divided into sub-themes and categories.
Conclusions derived from the data included: domestic violence is a phenomenon that cuts
across all racial, marital status or age boundaries; some low-income female survivors of
domestic violence experience their situation as stressful; low-income is one of the determining
factors preventing some abused women to leave their situation; resources play a significant
part in the lives of some low-income abused women; certain strengths from some low-income
battered women help them cope; and some abused low-income women do not find an Interim
Protection Order (IPO) or the police to be helpful.
The recommendations are that social workers should assess primary, secondary and tertiary
intervention in dealing with domestic violence; the ecological and strengths perspectives
combined would be helpful in assessing resources and coping mechanisms in low-income
abused women and collaboration between social workers, the court and the police could help
low-income abused women to use statutory services effectively. / AFRIKAANSE OPSOMMING:
Gesinsgeweld ken geen grense nie en word beskou as ’n universele bedreiging vir vroue uit
alle sektore van die samelewing. Gesinsgeweld word beskou as ’n ernstige maatskaplike
probleem in Suid-Afrika. Dit word deur baie navorsers beskou as ’n hoofoorsaak van
vrouebeserings. Gesinsgeweld kan beskou word as ’n daad deur een lid van die gesin teen ’n
ander wat gemik is op fisieke skade, sielkundige of emosionele teistering, of ’n aanval of ’n
dreigement wat die lid van die gesin laat vrees vir fisieke beserings of emosionele skade. Dit
het grootskaalse gevolge, nie net vir die mishandelde vrou nie, maar ook vir haar kinders en
vir die breër gemeenskap. Baie lae-inkomste vroue kan nie uit hulle gewelddadige situasie
ontsnap nie, vanweë beperkte bronne. Nieteenstaande die feit dat baie vroue nie hul huidige
omstandighede kan ontkom nie, toon hulle sekere sterktes wat hulle help in hulle moeilike
omstandighede. Hierdie vroue kan beskou word as heldinne wat nie tou opgooi nie. Hulle is
nie slagoffers nie, maar oorleef aktief [Engels: “active survivors”]. Die maatskaplikewerkprofessie
kan baat by groter insig in die sterktes en hanteringsvaardighede van lae-inkomste
vroue wat gesinsgeweld oorleef.
Die doel van die studie is om groter insig te verkry in lae-inkomste vroue se ervaring van
gesinsgeweld, veral hulle omgewingsfaktore (insluitende familie, vriende en gemeenskap) en
van hulle hanteringsmeganismes (innerlike bronne/sterktes). Om hierdie doel te bereik, is die
doelwitte: om ’n teoretiese aanbieding van die aard en omvang van gesinsgeweld te gee; om
die omgewingsbronne (soos familie, vriende en gemeenskap) van lae-inkomste mishandelde
vroue te verduidelik; om die hanteringsmeganismes (innerlike bronne) van hierdie vroue te
eksploreer in terme van die beginsels van die sterkte perspektief; en om die data van die studie
te analiseer en te interpreteer. Die navorsingsontwerp is eksploratief-beskrywend van aard.
Die navorsingsvraag lui soos volg: “Wat is die ervaring (omgewingsfaktore) en
hanteringsmeganismes (innerlike bronne) van lae-inkomste vroue wat gesinsgeweld te bowe
kom?”
Die vraag is aangespreek deur middel van kwalitatiewe navorsing. Twintig deelnemers het
deelgeneem aan die studie. Doelgerigte- en sneeubal steekproeftegnieke is gebruik om die
deelnemers te verkry. Die navorser het met hulle onderhoude gevoer en die data wat verkry is, is georganiseer in temas. Vyf temas, naamlik die ervaring van gesinsgeweld; lae inkomste;
bronne; hanteringsmeganismes; en statutêre intervensie is geïdentifiseer. Die temas is in
subtemas en kategorieë onderverdeel.
Gevolgtrekkings wat gemaak is uit die data is: gesinsgeweld is ’n verskynsel wat alle ras-,
huwelikstatus- of ouderdomsgrense oorskry; sekere lae-inkomste vroulike oorwinnaars van
gesinsgeweld ervaar hulle situasie as stresvol; hulpbronne speel ’n betekenisvolle rol in die
lewens van sommige lae-inkomste mishandelde vroue; sekere sterktes van lae-inkomste
mishandelde vroue help hulle om die situasie te hanteer; en sekere lae-inkomste, mishandelde
vroue vind nie ’n Interim Beskermingsbevel (IB) of die polisie as hulpvaardig nie.
Die aanbevelings is dat maatskaplike werkers primêre, sekondêre en tersiêre intervensie
behoort te assesseer by gesinsgeweld; die ekologiese en sterktes perspektiewe behoort saam
aangewend te word om die omgewingsbronne en hanteringsmeganismes van lae-inkomste
mishandelde vroue te ondersoek; en samewerking tussen maatskaplike werkers, die hof en
polisie kan lae-inkomste mishandelde vroue help om statutêre dienste beter te benut.
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Exploring the factors influencing non-participation of women living with HIV/AIDS in empowerment projects attached to primary health care clinics, Tembisa, South AfricaPapole, Magdeline Kgomotso 03 1900 (has links)
Thesis (MPhil (Public Management and Planning))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT:
The research was conducted to explore the experiences of people living with
Acquired Immunodeficiency Syndrome (AIDS) (PLWAs), especially women,
as well as the factors influencing their non-participation in development
projects aimed at improving their socio-economic status. The study was
conducted amongst PLWAs who are members of the Tembisa Main Clinic
and Winnie Mandela Clinic support groups in Tembisa, South Africa.
The researcher was motivated to conduct the research because in her work
as a social worker she is confronted daily with PWLAs who are from
disadvantaged backgrounds and are struggling to make ends meet. Initiatives
have been undertaken to try and encourage self–reliance and improve the
health status of these women by developing food gardens to provide them
with fresh vegetables and possible income sources from these gardens. The
reluctance of members of two support groups of PLWAs to stay involved in
these projects encouraged the researcher to explore these issues.
The researcher consulted various sources to obtain literature on the factors
influencing non-participation in development projects. In addition she
undertook a qualitative study, wherein twenty participants participated. The
data from this study was then interpreted and compared to the literature.
The findings of this study highlighted several factors such as discrimination,
local beliefs, stigma and lack of support, which influence the non- participation
of PWLAs in sustainable development projects. The findings of this research
also indicate that developments projects often fail to thrive because of topdown
decisions about the projects, the fact that there is no start-up funding
available for the projects and participants who become demotivated to
participate. The research therefore concludes with recommendations in order
to address these problems. / AFRIKAANSE OPSOMMING:
Die navorsing is onderneem om die ondervinding van mense, veral vroue, wat
met Verworwe Immuniteitsgebrek Sindroom (VIGS) lewe, te ondersoek,
asook die faktore wat hulle daarvan weerhou om deel te neem aan
ontwikkelingsprojekte wat daarop gemik is om hul sosio-ekonomiese status te
verbeter. Die studie is onderneem onder pasiënte wat lede was van
ondersteuningsgroepe by Tembisa Hoofkliniek en Winnie Mandela Kliniek in
Tembisa, Suid-Afrika.
Die navorser is gemotiveerd om die studie te onderneem omdat sy daagliks in
haar werk as sosiale werker gekonfronteer is deur mense wat met VIGS
lewe, wat uit minder bevoorregte agtergronde kom en wat sukkel om te
oorleef. Inisiatiewe is onderneem om hierdie vroue se selfstandigheid te
bevorder en om hul gesondheidstatus te verbeter deur groente tuine te
ontwikkel om hulle van vars groente te verskaf, asook moontlike
inkomstebronne uit hierdie tuine. Die onwilligheid van die lede van twee
ondersteuningsgroepe om in hierdie projekte betrokke te bly, het die navorser
aangemoedig om hierdie aangeleentheid verder te ondersoek.
Die navorser het verskeie bronne geraadpleeg om literatuur te verkry oor die
faktore wat die nie-deelname in ontwikkelingsprojekte beïnvloed. Sy het ook
kwalitatiewe studie onderneem waaraan twintig respondente deelgeneem het.
Die data van hierdie navorsing is daarna geïnterpreteer en met die literatuur
vergelyk.
Die bevindinge van hierdie navorsing het verskeie faktore uitgelig wat die niedeelname
beïnvloed van mense wat met VIGS lewe, soos diskriminasie,
plaaslike gelowe, stigma en gebrek aan ondersteuning. Die navorsing het ook
bevind dat ontwikkelingsprojekte dikwels nie floreer nie as gevolg van die ‘topdown’
besluitneming oor die projekte en omdat daar nie genoegsame vooraf
befondsing beskikbaar is vir die projekte nie en die deelnemers dus
demotiveer om verder deel te neem. Die navorsing sluit dus af met voorstelle
om hierdie probleme aan te spreek.
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A comparative study of the status of women in the family: Japan and Hong KongTang, Sau-man, Jenny., 鄧秀汶. January 1999 (has links)
published_or_final_version / Asian Studies / Master / Master of Arts
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Gender and nation in independent Ukraine.January 2002 (has links)
Lo Yi. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 109-115). / Abstracts in English and Chinese. / Abstract --- p.i / 論文摘要「性別與國家建構:獨立後的烏克蘭」 --- p.iii / Acknowledgments --- p.iv / Transiiteration and Translation --- p.vi / Table of Contents --- p.vii / List of Figures --- p.ix / Chapter Chapter 1: --- Introduction --- p.1 / Chapter I. --- Background --- p.1 / Chapter II --- . Theoretical Framework --- p.6 / Chapter III --- . Significance --- p.15 / Chapter IV. --- Outline of Chapters --- p.16 / Chapter Chapter 2: --- Nation Building in the Post-Soviet Ukraine --- p.18 / Chapter I. --- Introduction --- p.18 / Chapter II. --- Ukraine: Historical Statelessness --- p.20 / Chapter III. --- The Cossack State --- p.30 / Chapter IV. --- Nation Building in Post-Soviet Ukraine --- p.35 / Chapter V. --- Conclusion --- p.46 / Chapter Chapter 3: --- "Gender, Nation and the cult of Berehvnia" --- p.47 / Chapter I. --- Introduction --- p.47 / Chapter II. --- Feminism and Nationalism: Historical Acquaintance --- p.49 / Chapter III. --- Revitalized Present Goal --- p.53 / Chapter IV. --- Berehynia: The Perfect Ukrainian Woman --- p.55 / Chapter V. --- Gendered National Duties --- p.61 / Chapter VI. --- Conclusion --- p.68 / Chapter Chapter 4: --- Women's Responses and Organizations --- p.69 / Chapter I. --- Introduction --- p.69 / Chapter II. --- "The Revival of the ""Ukrainian Matriarchal Culture""" --- p.70 / Chapter III. --- Women's Organizations and Their Responses --- p.73 / Chapter IV. --- Mass Media --- p.77 / Chapter V. --- Practical Reasons for Promoting Berehynia --- p.81 / Chapter VI. --- """Double Burden"" Still" --- p.88 / Chapter VII. --- "Gender, Nation and Post-colonialism" --- p.93 / Chapter VIII. --- Conclusion --- p.97 / Chapter Chapter 5: --- Conclusion --- p.100 / Chapter I. --- Women's National Duties --- p.100 / Chapter II. --- Suffering: Hope for a Better Future? --- p.102 / Appendix --- p.104 / Bibliography --- p.109
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The Gender Dynamics in Intrahousehold Allocation of ResourcesMuchomba, Felix Muchiri January 2015 (has links)
I examine whether policies that specifically target gender inequality improve the well-being of women and girls. In the first paper I study the impact of Ethiopia’s gendered land certification programs on household consumption patterns and infant and under-five mortality. After years of communism during which all land was nationalized, in 1998, Ethiopia embarked on a land tenure reform program. The reform began in Tigray region where land certificates were issued to household heads, who were largely male. In a second phase carried out during 2003-2005, three other regions, Amhara, Oromia, and SNNP, issued land certificates jointly to household heads and spouses, presenting variation in land tenure security by gender. I leverage this variation in land certification across regions and over time, to study whether inclusion of women yielded different effects. Using data from the Ethiopia Demographic and Household Surveys and longitudinal data from the Ethiopia Rural Household Survey I construct a treatment group of male-headed households in joint land certification regions and a comparison group of male-headed households in Tigray and study changes between the two groups after implementation of their respective land certification programs. I find that, compared to household-head land certification, joint certification was accompanied by increased household consumption of food, health care, women’s clothing, and girls’ clothing, and a decrease in girls’ infant and under-five mortality. These effects are largely restricted to households with illiterate mothers indicating that inclusion of women in land tenure reform empowered previously disempowered women who then used their improved position to allocate more household resources to their daughters.
In the second paper, I examine the relationship between women's land ownership and participation in transactional sex, multiple sexual partnerships and unprotected sex, and HIV infection status. Using a sample of 5,511 women working in the agricultural sector from the 1998, 2003 and 2008–09 Kenya Demographic and Health Surveys, I find that women's land ownership is associated with fewer sexual partners in the past year and lower likelihood of engaging in transactional sex, indicators of reduced survival sex, but is not associated with unprotected sex with casual partners, indicating no difference in safer sex negotiation. Land ownership is also associated with reduced HIV infection among women most likely to engage in survival sex, i.e., women not under the household headship of a husband, but not among women living in husband-headed households, for whom increased negotiation for safer sex would be more relevant.
The third paper examines the prevalence of son preference in families of East and South Asian origin living in the United States by investigating parental time investments in children using American Time Use Surveys. The results show that East and South Asian mothers spend more total time and more quality time with their young (aged 0-5 years) sons than with young daughters while fathers’ time with young children is gender neutral. I find gender specialization in time with children aged 6-17 with fathers spending more time with sons and mothers spending more time with daughters.
These findings document health and social consequences of gender inequities within households. The findings also highlight that gender-sensitive policies have the potential to transform intrahousehold dynamics and help realize gender equality policy objectives.
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