Working Conditions, Worker Rights, and Managerial Domination During the COVID-19 Pandemic: Assessing Their Toll on Precariously Employed Workers and Family Well-Being.

Precarious Employment (PE) is characterized by job, income, and benefit insecurities. Studies surrounding PE and well-being have been predominantly quantitative, leaving a gap in rich descriptions of employment experiences. We recruited a sample of 40 adults aged 25-55 who were involved in PE during the beginning of the COVID-19 pandemic or lost employment due to the pandemic. Semi-structured interviews were administered. Employment and income insecurities were common and had negative impacts on the well-being of participants and their families. Uncertainty about future employment prospects and job and income loss resulted in chronic distress. Other insecurities-access to benefits, violation of worker rights, worker safety-was also reported as impacting well-being. The COVID-19 pandemic deepened insecurities, hardships, and distress among workers with PE conditions. Given the myriad insecurities experienced by those engaged in PE, the focus of precarious work research should also include working conditions, violation of worker rights, and managerial domination.

Romantic Attachment and Intimate Partner Violence Perpetrated by Men: The Role of Affect Dysregulation and Gender Hostility.

Intimate partner violence (IPV) is a major public health problem, associated with considerable consequences for the victims. Among the risk factors associated with the perpetration of male IPV, attachment insecurities (avoidance, anxiety) and affect dysregulation (AD) have received strong empirical support. A few studies showed that hostility toward women (HTW) is a correlate of IPV perpetration, but none have explored hostility toward men (HTM). This study's aim was to test direct and indirect associations between romantic attachment insecurities and IPV perpetration (psychological, physical, and sexual coercion) through AD in men seeking help, and to examine the moderator role of HTW and HTM in theses links. A sample of 1,845 men aged between 18 and 88 years and from a diverse population (e.g., cultural background, education, and sexual orientation) were recruited through 18 community organizations providing IPV services in a Canadian province. As part of the systematic assessment protocol of each organization, participants answered a series of online questionnaires. Results from a path analysis model showed indirect associations between attachment insecurities (avoidance and anxiety) and IPV perpetration (psychological, physical, and sexual coercion) through AD. Beyond these links, attachment avoidance was also directly associated with psychological violence, attachment anxiety with sexual coercion, and HTM with sexual coercion. The results revealed two moderation effects: higher HTW amplified the link between AD and physical IPV, whereas higher HTM amplified the link between AD and sexual coercion. Results highlight the relevance of assessing attachment, AD, and gender hostility in IPV programs. They also highlight the relevance of targeting HTM as a risk marker for IPV perpetration in men.

Food insecurity, body mass index, socio-economic status, and food intake in lactating and non-lactating mothers with children under two years.

BACKGROUND: food insecurity (FI) is considered as an essential public health problem which may have detrimental effects on people's health. The aim of present study was to evaluate FI, body mass index, quantity and quality of food intake in lactating and non-lactating mothers with children under two years. METHODS: in this cross-sectional study 307 mothers (237 lactating and 70 non-lactating) were participated. Socio-economic and demographic information were gathered by questionnaires. FI of families was evaluated by the questionnaire of the United States Department of Agriculture (USDA) Household Food Security. For assessing quality and quantity of food intake of mothers, dietary diversity score (DDS), diet quality index-international (DQI-I) and nutrient adequacy ratio (NAR) were calculated. Weight and height of participants were measured and body mass index (BMI) was calculated. Finally, Chi-squared test, analysis of variance (ANOVA) and linear regression were used for statistical analysis. RESULTS: in this study the rate of underweight, normal weight, overweight, and obesity in mothers was 0.3%, 39.2%, 42.3%, and 18.2%, respectively. Among the determinants of BMI, household food security status had the greatest effect (Beta=-1.584, P < 0.001) and mother age had the least effect (Beta = 0.101, P = 0.013). Mother's occupational and educational status, having facilities, physiological status of mother, and house size had significant correlation with NAR. Mother's occupational and educational status, and having facilities had significant relationship with DDS, too. Also, the significant correlation of Mother's education, having facilities, and physiological status of mother with DQI-I were found. CONCLUSIONS: we found that Household food security status had the most effect on BMI of mothers. In this study, the best nutrient adequacy and dietary diversity were found in the obese group and the most diet quality was found in the normal weight group.

The forms and adverse effects of insecurities among internally displaced children in Ethiopia.

BACKGROUND: Ethiopia has seen an increase in the number of internally displaced persons (IDPs) due to conflict and violence related to border-based disputes and climate change. This study examines the insecurities experienced by IDPs in the Burayu camp and how they navigate and challenge them. Violence and insecurity have daunted Ethiopian regions for decades, violated children's rights, and impeded the achievement of the United Nation's sustainable development goals related to children, such as good healthcare and mental health, quality education, clean water, and sanitation. The deteriorating security concerns in Ethiopia could also expose IDP children to poor health outcomes associated with a lack of access to healthcare services. METHODS: This was an exploratory qualitative case study guided by intersectionality theoretical lens to explore the forms of insecurities perceived and experienced by IDPs in Ethiopia. Participants were selected using a purposeful sampling approach. We interviewed 20 children, 20 parents or guardians, and 13 service providers. Interviews were audio recorded and transcribed verbatim in Afan Oromo, then translated into English. We used NVivo 12 qualitative data analysis software to analyze data following Braun & Clarke's approach to thematic data analysis. RESULTS: The participants reported that IDP children in Burayu town faced many challenges related to poor socioeconomic conditions that exposed them to several insecurities and negatively affected their well-being. They reported inadequate access to clothing and shelter, clean water, sanitary facilities, food, and adequate healthcare due to financial barriers, lack of drugs, and quality of care. Our data analysis shows that socioeconomic and contextual factors intersect to determine the health and well-being of children in the Ethiopian IDP camp studied. The children experienced insecurities while navigating their daily lives. This is compounded by institutional practices that shape gender relations, income status, and access to healthcare, education, and food. These deficiencies expose children to traumatic events that could decrease future livelihood prospects and lead to compromised mental health, rendering them susceptible to prolonged post-traumatic stress disorder and depression. Results are presented under the following topics: (1) basic needs insecurity, (2) healthcare insecurity, (3) academic insecurity, (4) economic insecurity, (5) food insecurity, and (6) physical and mental health insecurity. CONCLUSION: Successful relocation and reintegration of IDPs would help to alleviate both parent and child post-conflict stressors. Managing and following up on economic reintegration efforts is needed in both the short and long term. Such measures will help to achieve goals for specific projects attached to donor support outcomes, consequently enabling social support and conflict resolution management efforts.

Sex Workers' Everyday Security in the Netherlands and the Impact of COVID-19.

Introduction: The COVID-19 pandemic has laid bare and exacerbates the existing insecurities of sex workers. This paper asks: What are sex workers' everyday experiences of (in)security? And: How has the COVID-19 pandemic influenced these? Methods: We engage with these questions through collaborative research based on semi-structured interviews carried out in 2019 and 2020 with sex workers in The Hague, the Netherlands. Results: Revealing a stark mismatch between the insecurities that sex workers' experience and the concerns enshrined in regulation, our analysis shows that sex workers' everyday insecurities involve diverse concerns regarding their occupational safety and health, highlighting that work insecurity is more multi-faceted than sexually transmitted infections (STIs). Widespread employment and income insecurities for sex workers are exacerbated for transwomen and male sex workers. Their legal liminality is enabled not only by the opaque legal status of sex work in the Netherlands, but also by the gendering of official regulation. The COVID-19 pandemic made visible how the sexual and gender norms that informally govern sex workers' working conditions intersect with hierarchies of citizenship, complicating access to COVID-19 support, particularly for migrant sex workers. Conclusions: Sex work regulation in the Netherlands leaves workers in a limbo-not without obligations and surveillance, yet, without the full guarantee of their labour rights. Policy Implications: To effectively address sex workers' insecurities, a shift in regulation from its current biopolitical focus to a labour approach is necessary. Besides, public policy and civil society actors alike need to address the sex industry's harmful social regulation through hierarchies of gender, sexuality and race.

Is it really that important to you? How the topics of conflict and emotional reactions to conflicts explain the associations between attachment insecurities and relationship satisfaction.

This study sought to examine the intermediary roles of different topics of conflict and negative emotions following conflicts in the associations between attachment insecurities and relationship satisfaction in a sample of 253 mixed-gender couples from the community. Results from path analyses based on the Actor-Partner Interdependence Model showed that attachment anxiety and attachment avoidance were associated with the perception, in both partners, of experiencing more conflicts in the relationship. In turn, the more participants perceived conflicts related to major issues and daily annoyances, the more they reported negative emotions following conflicts and lower relationship satisfaction. Participants' report of conflicts related to major issues was also related to their partner's lower relationship satisfaction. Findings highlight the significance of accounting for the topics on which couples argue and of using an attachment-based framework to help couples deal with the negative emotions that they experience following conflicts.

Attachment insecurities and under-commitment in distressed couples: The role of positive and negative partner behaviors.

Research has rarely considered intermediate variables in the association between attachment insecurities and relationship commitment. Based on attachment theory and Rusbult's Investment Model, we tested whether positive and negative partner behaviors explain this association in 91 distressed couples undergoing therapy. Path analyses based on the Actor-Partner Interdependence Model revealed that individuals with attachment avoidance reported perceiving fewer positive behaviors from their partner, which was associated with their own higher under-commitment. Partners of individuals with avoidance also reported perceiving fewer positive partner behaviors, which was in turn associated with their own higher under-commitment. Partners of individuals with attachment anxiety perceived more positive behaviors from their partner, which was associated to their own lower under-commitment. Perceived negative partner behaviors were only directly associated with higher under-commitment. These findings imply that perceived positive partner behaviors may be a key aspect to target in relationship therapy in couples who present with high attachment insecurities.

Food insecurities and dependencies: Indigenous food responses to COVID-19.

Food sovereignty is a relatively new concept in the literature that has evolved as a way to address widespread food-related issues for many Indigenous communities around the world. One of the many crucial lessons we have learned from the COVID-19 pandemic is the importance of this concept in ensuring food sufficiency in Indigenous communities in Canada. In this article, we provide a commentary on food insecurity in Indigenous communities in Canada and how the COVID-19 pandemic has exacerbated it. We also highlight the government's response to mitigating hunger and spotlight how Indigenous peoples are navigating the pandemic's impact through food sovereignty.

Non-Standard Employment and Unemployment during the COVID-19 Crisis: Economic and Health Findings from a Six-Country Survey Study.

The COVID-19 crisis is a global event that has created and amplified social inequalities, including an already existing and steadily increasing problem of employment and income insecurity and erosion of workplace rights, affecting workers globally. The aim of this exploratory study was to review employment-related determinants of health and health protection during the pandemic, or more specifically, to examine several links between non-standard employment, unemployment, economic, health, and safety outcomes during the COVID-19 pandemic in Sweden, Belgium, Spain, Canada, the United States, and Chile, based on an online survey conducted from November 2020 to June 2021. The study focused on both non-standard workers and unemployed workers and examined worker outcomes in the context of current type and duration of employment arrangements, as well as employment transitions triggered by the COVID-19 crisis. The results suggest that COVID-19-related changes in non-standard worker employment arrangements, or unemployment, are related to changes in work hours, income, and benefits, as well as the self-reported prevalence of suffering from severe to extreme anxiety or depression. The results also suggest a link between worker type, duration of employment arrangements, or unemployment, and the ability to cover regular expenses during the pandemic. Additionally, the findings indicate that the type and duration of employment arrangements are related to the provision of personal protective equipment or other COVID-19 protection measures. This study provides additional evidence that workers in non-standard employment and the unemployed have experienced numerous and complex adverse effects of the pandemic and require additional protection through tailored pandemic responses and recovery strategies.

Before the COVID-Vaccine-Vulnerable Elderly in Homecare.

BACKGROUND: At the beginning of 2020, the COVID-19 virus was spreading all over the world. Frail elderly were at risk for illness and death. Isolation seemed to be the best solution. The aim of this paper was to describe how the lockdown affected elderly homecare patients. METHODS: We used an international self-reported screening instrument built on well-documented risk factors adapted to COVID-19. We considered ethical, legal, and practical concerns. The research included telephone interviews with 30 homecare patients. RESULTS: Seventy percent lived alone. Seventy-three percent of the sample suffered from major comorbidity. Cardiovascular disorder was the most frequent diagnosis. Nineteen (63.3%) needed help for personal care. Several of the participants were lonely and depressed. The homecare teams struggled to give proper care. The health authorities encouraged the population to reduce their outside physical activities to a minimum. The restrictions due to COVID-19 affected daily life and several respondents expressed uncertainties about the future. CONCLUSIONS: It is important to describe the patients' experiences in a homecare setting at the initiation of lockdowns due to COVID-19. The isolation protected them from the virus, but they struggled with loneliness and the lack of physical contact with their loved ones. In the future, we need to understand and address the unmet needs of elderly homecare patients in lockdown.

Down to the Last Dollar: Utilizing a Virtual Budgeting Exercise to Recognize Implicit Bias.

INTRODUCTION: As social determinants of health and implicit bias are recognized as critical components of medical education, there is a need for novel approaches beyond didactics. We developed a small-group budgeting exercise to simulate the impact of poverty. Pediatrics exemplifies the effects of poverty on the family. This exercise allowed students to recognize the effects of food insecurities on health and reflect on biases regarding patients living in poverty. METHODS: The virtual interactive budgeting exercise (1.5-2 hours) introduced third-year pediatric clerkship students to the challenges faced by a single parent living in poverty, requiring them to make choices on which budget items were most important. Students attempted to balance budgets within small breakout groups, followed by a group reflection on biases encountered. A faculty facilitator then debriefed with the larger group. RESULTS: Within the first four rotations of the 2020-2021 academic year, 75 students completed the budgeting exercise and reflection, with 61 students completing the postexercise survey evaluation. Between 94% and 98% rated the objectives as met to a moderate, considerable, or very high degree. In addition, 98% of students noted the group discussion heightened their awareness regarding biases, and 95% agreed or strongly agreed the activity was conducted virtually without difficulty. DISCUSSION: This simulated budgeting exercise provides a well-rounded experience for medical students, that can be administered at either the preclerkship or clerkship level, at a minimal cost, with interactive engagement of students in a virtual environment and reflection on biases within a group context.

Attachment Insecurities and Sexual Coercion in Same- and Cross-Gender Couples: The Mediational Role of Couple Communication Patterns.

The use of subtle strategies to have sex with an unwilling partner is harmful to a couple's sexual well-being but these strategies remain understudied. This research examined the mediating role of communication patterns in the associations between attachment insecurities and sustained sexual coercion in 145 same- and cross-gender couples, and the moderating role of partners' gender. In addition to actor and partner effects, results revealed significant indirect effects from attachment insecurities to sexual coercion via communication patterns, with moderating effects of gender. Results may help practitioners and researchers understand the ways attachment insecurities and dysfunctional communication patterns can manifest in the experience of subtle forms of sexual coercion within couples.

Predicting Patterns of Intimate Partner Violence Perpetration From Late Adolescence to Young Adulthood.

Saint-Eloi Cadely et al. found longitudinal patterns for the perpetration of both psychological and physical intimate partner violence (IPV), including actively and minimally aggressive patterns. The current study builds on these findings by examining four theory-derived variables (interparental aggression, social-information processing [SIP] biases, relationship insecurities [preoccupied and fearful], and discontinuity in relationship partner over time) as predictors of membership within these patterns, using multinomial logistic regression. The analysis sample consisted of 484 participants who were romantically involved at least once during the eight waves of data collection from the ages of 18 to 25. In predicting psychological IPV, more SIP biases, higher levels of a preoccupied insecurity, and less discontinuity in relationship partners over time differentiated the actively aggressive patterns from the minimally aggressive pattern. In addition, two actively aggressive patterns of psychological IPV differed in terms of SIP biases and discontinuity in romantic partners. Specifically, more SIP biases and less discontinuity in romantic partnerships distinguished the extensively aggressive pattern from the pattern that mainly consisted of minor types of aggression. In predicting physical IPV, the aggressive pattern differed from the nonaggressive pattern in terms of more interparental aggression, more SIP biases, and more relationship insecurities. The findings that developmental patterns of IPV can be predicted by social and psychological factors may aid both developmental theory and practice.

Drought Influences on Food Insecurity in Africa: A Systematic Literature Review.

African countries continue to be prone to drought, caused mainly by unfavorable weather patterns and climatic variations which have an adverse impact on rural households and agricultural production. This literature review article accounted for the aforesaid drawbacks and attempted to assess the effect of drought on food insecurity in African countries. This article further sought to dissect the resilience and climate change adaptation strategies applied by African countries to mitigate the adverse effects of drought on food insecurity in rural livelihoods. The hermeneutic framework was adopted in this study, where the secondary data sources were searched from credible bibliographic and multidisciplinary databases and organizational websites. Thereafter, it was classified, mapped, and critically assessed using the qualitative data analysis software NVivo to generate patterns and themes. The NVivo program is a qualitative data analysis software package produced by QSR International and which helps qualitative researchers to organize, analyze, and find insights in qualitative data; for example, in journal articles where multilayered analysis on small or large volumes of data are required. This article has the potential to contribute in theory, concept, policy, and practice regarding best practices, resilience, and climate change adaptation strategies that can be harnessed by rural people. Furthermore, this article has the potential to shed light on the role played by traditional leadership and policy improvements in ensuring there is sufficient food during periods of drought.

The intergenerational sequelae of war captivity: the impact of a self-amplifying cycle of PTSD and attachment insecurities on offspring's attachment orientations.

Background: War captivity is one of the most severe human-made traumatic events which lead to self-amplifying cycle of post-traumatic stress disorder (PTSD) symptoms and attachment insecurities. Solid evidence in the literature pointed out on the intergenerational transmission of PTSD symptoms. However, no research has been conducted on the intergenerational transmission of attachment insecurities and the effect of the self-amplifying cycle among former prisoners of war (ex-POWs) and their offspring attachment insecurities. Objective: This research aims to explore the intergenerational impact of a self-amplifying cycle of PTSD and attachment insecurities among ex-POWs on their offspring's attachment orientations. Method: We sampled dyads of Israeli ex-POWs of the Yom Kippur war and their adult offspring (ex-POW group) (n = 80) as well as dyads of Israeli veterans who fought in the Yom Kippur war, but were never held captive, and their adult offspring (control group) (n = 40). Veterans reported on PTSD severity and attachment orientations (anxiety, avoidance). Offspring reported on attachment orientations. We conducted (a) hierarchical regressions to predict offspring attachment orientations as a function of veterans' attachment orientations, and (b) moderated mediation analyses examining the role of veterans' PTSD in the intergenerational transmission of attachment orientations. Results: Ex-POWs' attachment anxiety was associated with offspring's reports of higher attachment anxiety and avoidance, and this intergenerational transmission of attachment was mediated by ex-POWs' PTSD severity. These effects were not significant in the control group. Conclusions: Decades after the war end, the intergenerational sequelae of war captivity are evident by the impact of the self-amplifying cycle of PTSD and attachment insecurities among ex-POWs and their offspring's attachment insecurities. Therefore, it is imperative for clinicians to recognize the intergenerational transmission and to focus not only on the trauma but also on the traumatized person's attachment injuries and the shattering of core beliefs about the world, self, and others, in the context of attachment-based therapies.

Antecedentes: El cautiverio en la guerra es uno de los eventos traumáticos provocados por el hombre con mayor severidad, el cual puede llevar a un ciclo auto-amplificador de síntomas de estrés postraumático (TEPT) e inseguridades en el apego. Existe evidencia sólida en la literatura que señala la transmisión intergeneracional de síntomas de TEPT. Sin embargo, no se ha conducido ninguna investigación sobre la transmisión intergeneracional de inseguridades del apego y del efecto del ciclo auto-amplificador entre antiguos prisioneros de guerra (ex-POWs por sus siglas en inglés) y sobre las inseguridades en el apego de sus descendientes.Objetivo: esta investigación busca explorar el impacto intergeneracional del ciclo auto-amplificador del TEPT e inseguridades en el apego entre ex-POWs en la orientación del apego de su descendencia.Método: Se obtuvo la muestra de díadas de ex-POWs israelíes de la guerra de Yom Kippur y su descendencia adulta (grupo ex-POWs) (n=80) así como también díadas de veteranos israelíes que combatieron en la guerra de Yom Kippur, pero que nunca estuvieron en cautiverio, y su descendencia adulta (grupo control) (n=40). Los veteranos reportaron sobre la severidad del TEPT y orientación del apego (ansioso, evitativo). La descendencia reportó sobre la orientación del apego. Conducimos (a) una regresión jerárquica para predecir la orientación del apego de la descendencia como función de la orientación del apego de los veteranos y (b) análisis de moderada mediación examinando el rol del TEPT en los veteranos en la transimisión intergeneracional de la orientación del apego.Resultados: El apego ansioso de los ex-POWs fue asociado con reportes de la descendencia de mayor apego ansioso y evitativo, y esta transmisión intergeneracional fue mediada por la severidad del TEPT de los ex-POWs.Conclusiones: Décadas después del fin de la guerra, las secuelas intergeneracionales del cautiverio en guerra son evidentes por el impacto del ciclo auto-amplificador del TEPT y las inseguridades en el apego entre ex-POWs y la inseguridad en el apego de su descendencia. Por tanto, es imperativo para los clínicos el poder reconocer la transmisión intergeneracional y focalizarse no sólo en el trauma pero también en el daño en el patrón de apego de la persona, y en el quiebre de creencias nucleares sobre el mundo, el sí mismo y otros, en el contexto de terapias basadas en el apego.

"A medida da fome": as escalas psicométricas de insegurança alimentar e os povos indígenas no Brasil / "Measuring hunger": psychometric scales of food insecurity and indigenous peoples in Brazil / "La medida del hambre": escalas psicométricas de inseguridad alimentaria y pueblos indígenas en Brasil

Validada para o contexto nacional brasileiro em 2004, a Escala Brasileira de Insegurança Alimentar (EBIA) tem desde então avaliado e mensurado a experiência de insegurança alimentar de domicílios rurais e urbanos, inicialmente na Pesquisa Nacional por Amostra de Domicílios e posteriormente na Pesquisa Nacional de Demografia e Saúde. No entanto, os povos indígenas não foram especificamente examinados nesses levantamentos, a despeito do reconhecimento das suas vulnerabilidades alimentar e nutricional. Nesse cenário, analisamos e discutimos a aplicação da EBIA entre povos indígenas do país, com base em um conjunto de questões aqui consideradas fundamentais para a compreensão e a mensuração de sua experiência de insegurança alimentar e "fome". É realizada uma análise sociopolítica e etnográfica de um conjunto de documentos oficiais e artigos significativos sobre o uso de escalas psicométricas de insegurança alimentar entre povos indígenas brasileiros, em contraste com artigos internacionais sobre a validação e aplicação das escalas em outros contextos socioculturais. As iniciativas de adaptação e aplicação da EBIA aos contextos indígenas brasileiros indicam que compreender e mensurar a insegurança alimentar entre esses povos é um desafio de magnitude considerável. Particularmente complexa é a proposta de garantir a comparabilidade entre contextos distintos sem deixar de contemplar as plurais singularidades locais. Propomos que estudos etnográficos constituam componentes específicos de futuras iniciativas dedicadas ao tema, e que contemplem aspectos como a sazonalidade da produção de alimentos, seus processos diferenciais de monetarização e o dinamismo de seus sistemas alimentares.

The Brazilian Food Insecurity Scale (EBIA) was validated for the Brazilian context in 2004. Since then, the scale has evaluated and measured the experience of food insecurity in rural and urban households, initially in the Brazilian National Household Sample Survey and later in the Brazilian National Survey of Demographic and Health. However, indigenous peoples have not been examined specifically in these surveys, despite recognition of their food and nutritional vulnerability. In this scenario, we analyze and discuss the application of the EBIA among indigenous peoples in Brazil, based on a set of fundamental questions for understanding and measuring their experience with food insecurity and "hunger". We conduct a sociopolitical and ethnographic analysis of a set of official documents and significant articles on the use of psychometric scales of food insecurity among Brazilian indigenous peoples, compared to international studies on the validation and application of scales in other sociocultural contexts. The initiatives with adaptation and application of the EBIA to indigenous peoples in Brazil indicate that understanding and measuring food insecurity in these peoples poses a major challenge. Particularly complex is the proposal to guarantee comparability of different contexts while taking into account the multiple local singularities. We propose that ethnographic studies should serve as specific components of future initiatives on this topic and that they should cover aspects such as the seasonality of indigenous peoples' food production, different processes of food monetization, and the dynamics of their food systems.

Validada para el contexto nacional brasileño en 2004, la Escala Brasileña de Inseguridad Alimentaria (EBIA) ha evaluado y calculado desde entonces la existencia de inseguridad alimentaria en domicilios rurales y urbanos, inicialmente mediante la Encuesta Nacional por Muestra Domiciliaria y, posteriormente, a través de la Encuesta Nacional de Demografía y Salud. No obstante, los pueblos indígenas no fueron específicamente examinados en estas encuestas, a pesar del reconocimiento de su vulnerabilidad alimentaria y nutricional. En este escenario, analizamos y discutimos la aplicación de la EBIA entre pueblos indígenas del país, a partir de un conjunto de cuestiones consideradas aquí fundamentales para la comprensión y medición de su experiencia de inseguridad alimentaria y "hambre". Se realiza un análisis sociopolítico y etnográfico de un conjunto de documentos oficiales, así como de artículos significativos sobre el uso de escalas psicométricas de inseguridad alimentaria entre pueblos indígenas brasileños, en contraste con artículos internacionales sobre la validación y aplicación de las escalas en otros contextos socioculturales. Las iniciativas de adaptación y aplicación de la EBIA en contextos indígenas brasileños indican que comprender y medir la inseguridad alimentaria entre estos pueblos es un desafío de magnitud considerable. Particularmente compleja es la propuesta de garantizar la comparabilidad entre contextos distintos, sin dejar de considerar las plurales singularidades locales. Proponemos que los estudios etnográficos establezcan componentes específicos para las futuras iniciativas dedicadas a este tema, así como que contemplen aspectos como: estacionalidad de la producción de alimentos, sus procesos diferenciales de monetarización, y dinamismo de sus sistemas alimentarios.

Trajectories of attachment in older age: interpersonal trauma and its consequences.

Previous studies suggest that attachment insecurities may increase after trauma exposure, an effect documented only at a group level. This study explores the heterogeneity of changes over time and examines the associations of the nature of the traumatic event (interpersonal and nonpersonal), and its consequences (posttraumatic stress disorder [PTSD] and loneliness) with attachment trajectories. Two groups of Israeli veterans participated: 164 former prisoners-of-war and 185 combat veterans. Attachment was assessed at four points (1991-2015). Risk factors were evaluated in 1991. Using latent growth mixture modeling, trajectories of attachment insecurities were explored. Three avoidance trajectories (stability, decrease, inverse u-shaped) and two anxiety trajectories (stability, decrease) were identified. The inverse u-shaped avoidance trajectory was associated with captivity, humiliation, loneliness, and PTSD, and stable avoidance was associated with loneliness. Stable anxiety was associated with captivity and loneliness. Attachment insecurities can change during aging and persist decades after a trauma. Trauma-related risk factors are related to more deleterious trajectories.

Childhood maltreatment is associated with attachment insecurities, dissociation and alexithymia in bipolar disorder.

Child maltreatment is a public health issue that is a well-established risk factor for many psychological conditions, including bipolar disorder. The current study is one of the first to investigate associations among child maltreatment, dissociative symptomatology, alexithymia, anxiety, depression, and attachment insecurities. 40 patients with bipolar disorder-I and 40 healthy subjects matched for age, gender, and education participated in the study. The Dissociative Experiences Scale (DES), Somatoform Dissociation Questionnaire (SDQ), Childhood Trauma Questionnaire (CTQ-28), Toronto Alexithymia Scale (TAS-20), Depression Anxiety Stress Scale (DASS-21), and Experiences in Close Relationships-Revised (ECR-R) were completed by participants. In comparison to control participants, patients with bipolar disorder-I reported significantly more frequent abusive experiences in childhood, higher levels of attachment insecurities, more severe pathological and somatoform dissociation, as well as higher scores on measures of alexithymia, anxiety, depression and psychological stress. Reports of psychopathology among first-degree relatives (OR = 102.169, 95%IC = 4.596-2271.255; P < 0.01) and childhood emotional trauma (OR = 1.032; 95%CI = 0.782-1.363, P = 0.05) significantly contributed to bipolar disorder-I diagnosis. In contrast, absorption was negatively associated with bipolar illness (OR = 0.852; 95% CI = 0.747-0.973, P < 0.05). Our results showed significant associations between childhood trauma exposure and risk of bipolar disorder. Moreover, the results demonstrate that emotional abuse exposure predicts bipolar illness.

Childhood sexual abuse and attachment insecurities as predictors of women's own and perceived-partner extradyadic involvement.

We examined the association between self-reported childhood sexual abuse and a woman's own and perceived-partner extradyadic involvement (EDI). The association was examined both directly and as potentially mediated by attachment-related anxiety and avoidance in a sample of 807 French Canadian women. In line with our hypotheses, we found that a personal history of CSA is associated with a woman's own and perceived-partner EDI and with the woman's levels of attachment anxiety and avoidance. The association between CSA and own EDI was partially mediated by attachment-related avoidance. The results suggest that a sense of betrayal stemming from CSA predisposes a woman to avoidance, which in turn predisposes her to EDI. The association between CSA and perceived-partner EDI was partially mediated by both attachment anxiety and avoidance. These results suggest that victims of CSA become suspicious of others' relational behavior and intentions, which contribute to attachment-related anxiety and avoidance and both own and perceived-partner EDI.