Prospective analyses of sex/gender-related publication decisions in general medical journals: editorial rejection of population-based women's reproductive physiology.

OBJECTIVE: To assess whether editorial desk rejection at general medical journals (without peer review) of two clinical research manuscripts may relate to author gender or women's physiology topics. Given evidence for bias related to women in science and medicine, and editorial board attitudes, our hypothesis was that submissions by women authors, on women's reproductive, non-disease topics received differential editorial assessment. DESIGN: A prospective investigation of publications, author gender and topics in general medical journals in two issues following the editorial rejections of two clinical research manuscripts by five major English-language general medical journals. The rejected manuscripts (subsequently published in lower impact journals) described research funded by national granting bodies, in population-based samples, authored by well-published women scientists at accredited institutions and describing innovative women's reproductive physiology results. SETTING: Tertiary academic medical centre. MAIN OUTCOME MEASURES: All clinical research published in the two issues following rejection date by each of the five major general medical journals were examined for first/senior author gender. The publication topic was assessed for its gendered population relevance, whether disease or physiology focused, and its funding. Rejection letters assessed editor gender and status. RESULTS: Women were underrepresented as original research authors; men were 84% of senior and 69% of first authors. There were no, non-disease focused publications relating to women's health, although most topics were relevant to both genders. The majority (80%) of rejection letters appeared to be written by junior-ranked women editors. CONCLUSION: Sex/gender accountability is necessary for clinical research-based editorial decisions by major general medical journals. Suggestions to improve gender equity in general medical journal publication: (1) an editorial board sex/gender champion with power to advocate for manuscripts that are well-performed research of relevance to women's health/physiology; (2) an editorial rejection adjudication committee to review author challenges; and (3) gender parity in double-blind peer review.

Paula J. Caplan (1947-2021).

Memorializes Paula J. Caplan (1947-2021). Caplan was a leading scholar in feminist psychology, and an early contributor to the feminist critique and re-visioning of psychology. In her now-classic books The Myth of Women's Masochism; Don't Blame Mother: Mending the Mother-Daughter Relationship; and Between Women: Lowering the Barriers she took particular aim at psychoanalytic theories that women are inherently masochistic and unable to form loving bonds with their mothers and female friends. She was concerned throughout her career with the ways that medicalized views of people's suffering framed them as mentally ill without considering how society's structures and social behaviors (including sex and race discrimination) forced people into difficult situations. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Bernice Resnick Sandler (1928-2019).

Presents an obituary for Bernice Resnick Sandler (1928-2019). Bunny, as her family and friends called her, deployed the research skills she learned in her graduate education in psychology in service to her work as a public policy expert and advocate for gender equity in higher education. She is known as the Godmother of Title IX. She graduated from Erasmus Hall High School, and then earned a Bachelor of Arts in psychology from Brooklyn College in 1948 and a Master of Arts in clinical and school psychology from the City College of New York in 1950. After having lost several job opportunities in academia due to antinepotism rules or quotas for Jews, Bunny decided to apply to doctoral programs to enhance her credentials. She said that she "talked her way into" the psychology program at the University of Maryland, despite having been told that she was "too old" (in her early 30s) and that they had enough women students. She later switched to the school of education, where she earned her Doctor of Education degree in counseling and personnel psychology. Her experiences led her to feminism and to her life's work combatting sex discrimination in higher education. Although she never had the career in psychology that she wanted, her work made possible the careers of many women psychologists. She was a model of feminist activism and effective in organizing and energizing women faculty, staff, and students to play their parts in a larger social movement for gender equity and justice. Those who were fortunate enough to know Bunny will remember her for her generosity of spirit, her strength of character, her tenacity, her optimism, her practical advice and friendly guidance, and the excellence of her scholarly, as well as her political and policy, work. Her reports on sexual harassment and the chilly climate continue to be influential today. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

What Constitutes Rape? The Effect of Marital Status and Type of Sexual Act on Perceptions of Rape Scenarios.

Many people believe that rape is always perpetrated by a stranger and involves vaginal intercourse. To clarify perceptions of rape that do not follow traditional beliefs, participants were presented with a vignette that described a rape in which the marital status and sexual act were manipulated. Participants were then asked to assess the incident's severity and the victim's responsibility. Results indicated that there was no difference in perceptions between vignettes based on marital status. However, rapes involving vaginal intercourse were associated with lesser degrees of victim blame and minimization than were rapes involving forced oral sex or digital sex.

The meaning of menarche: A cross-cultural semantic network analysis.

The psychological meaning of menarche was explored in 102 college students from Mexico and the United States. The Natural Semantic Networks Technique was used and participants were asked to respond to the prompt "My first period was …" The strongest components of the Mexican women's semantic network were scary, confusing, and unexpected; the strongest components of the American women's semantic network were unexpected, annoying, and painful. Only the Americans listed positive words (i.e., nice). The Mexicans' network contained the most negative words (i.e., dirty). The results suggest a need for better education and greater social support, especially in Mexico.

A lot of hard work, but doable: Pregnancy experiences of women with type-1 diabetes.

Despite many medical advances, pregnant women with type-1 diabetes are still considered to be at high risk. Previous research suggests that physicians' focus on strict glycemic control and negative outcomes can result in fear and uncertainty about undertaking pregnancy. The present study was designed to gain insight into the lived pregnancy experiences of women with type-1 diabetes and to solicit their thoughts on what health care providers could do to assist them to have a healthy pregnancy. Ten U.S. women with type-1 diabetes who were currently pregnant and/or had previously given birth participated in structured interviews. They described the hard work required to attain the strict glycemic control necessary during pregnancy to maintain their health and that of their fetus. However, they found diabetes and pregnancy to be a more positive and successful experience than they had anticipated. The results suggest that early diabetes education, pregnancy planning, and social support are important, yet often overlooked, factors that increase the likelihood of physically and emotionally successful pregnancy experiences for women with type-1 diabetes.

Adolescents and Young Adults With Cancer: Oncology Nurses Report Attitudes and Barriers to Discussing Fertility Preservation.

BACKGROUND: Fertility issues have been found to be an important topic for adolescents and young adults (AYAs) with cancer. Medical technology has made fertility preservation (FP) increasingly effective for postpubertal patients whose treatment course may inhibit their future ability to achieve biologic parenthood. Oncology providers' recommendations have been shown to vary, potentially affecting patients' decision-making processes regarding FP. OBJECTIVES: This study was designed to assess oncology nurses' recommendations for patients to consider FP options and to explore what patient-related factors may influence discussion of FP with AYAs with cancer. METHODS: 116 oncology nurses participated in this study and were randomized to read one of four vignettes about a patient whose proposed treatment course could affect his or her fertility. Participants' recommendations to partake in FP were analyzed to test for differences by patient age and gender. Open-ended responses to questions about their experiences as oncology nurses were analyzed descriptively. FINDINGS: Nurses strongly recommended that all patients explore FP options before the start of treatment. Oncology nurses endorsed stronger opinions that young adult female patients should be given independent decision-making power to delay treatment for FP, compared to male and female adolescent patients and young adult male patients. Participants mentioned barriers to discussions that included concerns about exacerbating negative emotions and the decision-making capacity of young patients.

Queer periods: attitudes toward and experiences with menstruation in the masculine of centre and transgender community.

Menstruation has long been viewed as an important aspect of women's health. However, scholars and healthcare providers have only recently begun to recognise that transgender men and people with masculine gender identities also menstruate, thus little is known about their attitudes toward and experiences with menstruation. A sample of masculine of centre and transgender individuals with a mean age of 30 years was recruited online to complete measures of attitudes toward menstruation and menstrual suppression and to answer exploratory questions about their experiences managing menstruation. Participants reported mixed attitudes toward menstruation, but generally positive attitudes toward menstrual suppression. Many participants said that they try to avoid public restrooms during menstruation because of practical and psychological concerns. Implications of our findings for the transgender health are discussed.

Body appreciation and attitudes toward menstruation.

Menstruation is an important function of the female body, yet it has rarely been included in research on body image. As women's attitudes toward menstruation are so often negative, this study was designed to examine whether women with positive body image would have more positive attitudes toward menstruation. Seventy-two American women, ages 18-45 years, were recruited online to complete the Body Appreciation Scale (Avalos et al., 2005) and the Beliefs about and Attitudes toward Menstruation Scale (Marván et al., 2006) and to answer some questions about their interest in menstrual suppression. Linear regressions showed that higher scores on body appreciation predicted more positive attitudes toward and beliefs about menstruation, but were not related to interest in menstrual suppression. Our findings may be useful in designing interventions to increase women's comfort with their bodies and bodily functions.

Ambivalent sexism, attitudes towards menstruation and menstrual cycle-related symptoms.

The objective of the present study was to investigate the relationship between ambivalent sexism and beliefs and attitudes towards menstruation, and, in turn, to study the influence of these variables on menstrual cycle-related symptoms. One hundred and six Mexican women completed the Ambivalent Sexism Inventory, the Beliefs about and Attitudes toward Menstruation Questionnaire and the Menstrual Distress Questionnaire. The higher scores on benevolent sexism were associated with the most positive attitudes towards menstruation and also with the belief that a menstruating woman should or should not do some activities and that menstruation keeps women from their daily activities. The higher scores on hostile sexism were associated with rejection of menstruation as well as with feelings of embarrassment about it. Beliefs about and attitudes towards menstruation predicted menstrual cycle-related symptoms related to negative affect, impaired concentration and behavioural changes, but did not predict somatic symptoms. These results will be useful to health professionals and advocates who want to change the negative expectations and stereotypes of premenstrual and menstrual women and reduce the sexism and negative attitudes towards women that are evident in Mexican culture.

Ambivalent sexism and attitudes toward women in different stages of reproductive life: a semantic, cross-cultural approach.

College students in southeastern Mexico (n = 185) and the northeastern United States (n = 96) utilized a semantic differential scale to rate subtypes of women: a menstruating woman, a menopausal woman, a pregnant woman, a premenstrual woman, a woman with a hysterectomy, a teenage girl, a woman in love, and a woman with a young baby. Americans reported significantly more negative attitudes than Mexicans did toward a menstruating woman, a premenstrual woman, a teenage girl, and a pregnant woman. Participants chose more positive words to describe a teenage girl, a woman in love, a pregnant woman, and a woman with a young baby, which is suggestive of a pronatal bias. Participants also completed the Ambivalent Sexism Inventory (ASI). Men scored significantly higher than women on hostile sexism. Mexicans scored significantly higher than Americans on both hostile and benevolent sexism. Sexism scores are related to attitudes toward premenstrual, menstruating, and menopausal women; women with a hysterectomy; and women with a young baby.

Suffering by comparison: Twitter users' reactions to the Victoria's Secret Fashion Show.

Social comparison theory suggests that evaluating the self in comparison with others (e.g., peers, celebrities, models) can influence body image. Experimental studies that have tested effects of viewing idealized images in the media often show that women feel worse about themselves after seeing images that illustrate the beauty ideal. Twitter presents a naturally occurring opportunity to study viewers' reactions. An analysis was conducted of 977 tweets sent immediately before and during the 2011 Victoria's Secret Fashion Show that reference the show. Although the majority were idiosyncratic remarks, many tweets contain evidence of upward social comparisons to the fashion models. There were tweets about body image, eating disorders, weight, desires for food or alcohol, and thoughts about self-harm. The results support social comparison theory, and suggest that vulnerable viewers could experience negative affect, or even engage in harmful behaviors, during or after viewing the show or others like it.

Stereotypes of women in different stages of their reproductive life: data from Mexico and the United States.

College students from Mexico and the United States (n = 349) were surveyed to explore stereotypes regarding women in different menstrual cycle phases and other stages of reproductive life. Participants from both countries defined a premenstrual or menstrual woman as irritable and moody and a menopausal woman as old and irritable. A woman with a hysterectomy was defined as sad, and only Americans used other words that did not have any negative connotation. Participants used some positive adjectives to describe other stages. For example, a pregnant woman was defined as happy, but only by Mexicans. Finally, a woman with a young baby was defined in both countries as happy; however, Americans implied that having a baby is complicated. The findings are discussed in light of sociocultural differences and similarities.

Young women's attitudes toward continuous use of oral contraceptives: the effect of priming positive attitudes toward menstruation on women's willingness to suppress menstruation.

The present study investigated American women's attitudes toward menstrual suppression and the effect of priming attitudes toward menstruation on women's willingness to suppress menstruation. One hundred college women randomly were assigned to either a positive priming group or a negative priming group. The positive priming group first completed the menstrual joy questionnaire (MJQ) followed by a willingness to suppress menstruation (WSM) questionnaire, the beliefs and attitudes toward menstruation (BATM) questionnaire, the menstrual distress questionnaire (MDQ), and a demographic questionnaire. The negative priming group completed, in the following order: the MDQ, WSM, BATM, MJQ, and demographics. Priming affected women's reports of positive cycle-related changes on the MDQ, but not women's willingness to suppress menstruation. Higher scores on the MJQ, positive attitudes toward menstrual suppression, and previous oral contraceptive (OC) use were predictors of women's willingness to suppress menstruation. Women's primary source of information about menstrual suppression was "media," and their primary concern was "safety." Thus, researchers should continue to investigate the long-term effects of continuous OC use and to analyze information about menstrual suppression in the popular press.

The experience of chronic illness in women: a comparison between women with endometriosis and women with chronic migraine headaches.

The diagnosis of a chronic illness is a life changing event that affects the biological, psychological, and sociological aspects of a person's life. The purpose of the present study was to compare the experiences of pain, physical and psychological well-being, stress, patient satisfaction, social support, and attitudes toward menstruation of women who suffer from endometriosis and women who suffer from chronic migraine headaches. It was hypothesized that women with endometriosis would have more negative scores than women who have migraines on all measures because endometriosis is not understood by society to be a valid source of pain. Participants were 41 women with endometriosis and 32 women with migraines who were recruited from support groups and online listservs. Women with endometriosis reported significantly more pain, stress, and negative attitudes toward menstruation than did women with migraines. Implications for the differential treatment of women with chronic illnesses related to the menstrual cycle are discussed.

Violence against women as a public health issue.

Violence can be considered "infectious" in rape-prone cultures that celebrate violence and domination. The number of annual injuries and deaths due to violence against women and girls is high enough to demand the type of active interventions and public policies that have been targeted at infectious diseases by public health agencies. In this article, we review data on the physical and mental health effects that violence has on victims of domestic violence, rape, stalking, and sexual harassment. We also focus on the economic costs to the health care system, business and industry, families, and the broader society that accrue as a result of the widespread violence against women and girls. Victims' suffering can never be accounted for by economic data, but those data may be helpful in pushing governments to allocate funds and agencies to take preventive actions.

Development of a new scale to measure Beliefs about and Attitudes Toward Menstruation (BATM): data from Mexico and the United States.

This article introduces the Beliefs about and Attitudes toward Menstruation Questionnaire (BATM). It is a 5-point Likert scale that was normed on 1,090 Mexican people of different ages and educational levels. In a second study data from 274 undergraduate students from Mexico and the United States were compared. Four factors emerged in both samples: secrecy, annoyance, proscriptions and prescriptions, and pleasant. Mexican students scored significantly higher than U.S. students on the Proscriptions and Prescriptions subscale. Men scored significantly higher on this subscale than women. Implications of these findings are discussed, as is the possible utility of the questionnaire for future research.

Attitudes toward and experience with menstruation in the US and India.

Sixty-seven women students who were attending a university in southern India and 61 women students who were attending a liberal arts college in New England volunteered to participate in this study. The women supplied demographic information, information about their knowledge and levels of preparedness prior to menarche, and sources of their information about the menstrual cycle. They also completed the Menstrual Attitude Questionnaire (Indian version), the Menstrual Distress Questionnaire, and a test of knowledge about the menstrual cycle. American women scored significantly higher than Indian women on the knowledge test, and they also reported that they had better preparation for menarche than Indian women did. Indian women scored significantly higher than American women on the attitude subscales: Menstruation as a Natural Event and Denial of the Effects of Menstruation. Implications of these findings are discussed in light of cultural messages women receive.

The strange case of Dr. Jekyll and Ms. Hyde: how PMS became a cultural phenomenon and a psychiatric disorder.

In this article we trace the historical, cultural, political, and economic forces that led to the social construction of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). The popularity of these diagnostic labels among medical professionals, the general public, and women themselves is considered and explored, as is the damage that the labels can do to women in general, as well as those who receive a diagnosis. Suggestions are provided for psychotherapists who might work with women who present with premenstrual symptoms.