Needing more: chicana lesbian desire as intervention and offering.

Introducing the 1991 publication of Chicana Lesbians: The Girls Our Mothers Warned Us About, editor and visionary Carla Trujillo identifies the seed planted by Juanita Ramos' 1987 anthology Compañeras: Latina Lesbians. Detailing her experiential arc from exuberant to unsettled, Trujillo explains: "Compañeras had only teased me. Not only did I want more, I needed more" (ix). Trujillo's editorial recognition of a lack-of presence, voice, power, visibility-as well as the need to foster spaces for the nurturing of more Chicana lesbian voices and work engage two key components of what I identify as "needing more," a critical engagement of Chicana lesbian desire as intervention and offering. Using analysis of queer, decolonial, and performance studies, I suggest that Chicana Lesbian desire as articulated in Trujillo's anthology can be seen as a critical unsettling that posits both a critique of existing norms and structures as well as an active envisioning of new modes of self and queer familia. Shifting from theory to literature, I offer an application of "needing more" to two original contributions from Chicana Lesbians by Monica Palacios and Diane Alcalá. My analysis illuminates the three key elements of "needing more"-a recognition of lack, a conscious and ongoing envisioning of "more," and an active renegotiation of familia within the context of queer desire and community. I close the essay with my letter testimonio in the spirit of Trujillo's "needing more" and the collection's enduring engagement with and impact on queer familia.

Associations between postpartum depression and assistance with household tasks and childcare during the COVID-19 pandemic: evidence from American mothers.

BACKGROUND: The early postpartum period is recognized cross-culturally as being important for recovery, with new parents receiving increased levels of community support. However, COVID-19-related lockdown measures may have disrupted these support systems, with possible implications for mental health. Here, we use a cross-sectional analysis among individuals who gave birth at different stages of the pandemic to test (i) if instrumental support access in the form of help with household tasks, newborn care, and care for older children has varied temporally across the pandemic, and (ii) whether access to these forms of instrumental support is associated with lower postpartum depression scores. METHODS: This study used data from the COVID-19 And Reproductive Effects (CARE) study, an online survey of pregnant persons in the United States. Participants completed postnatal surveys between April 30 - November 18, 2020 (n = 971). Logistic regression analysis tested whether birth timing during the pandemic was associated with odds of reported sustained instrumental support. Linear regression analyses assessed whether instrumental support was associated with lower depression scores as measured via the Edinburgh Postnatal Depression survey. RESULTS: Participants who gave birth later in the pandemic were more likely to report that the pandemic had not affected the help they received with household work and newborn care (p < 0.001), while access to childcare for older children appeared to vary non-linearly throughout the pandemic. Additionally, respondents who reported that the pandemic had not impacted their childcare access or help received around the house displayed significantly lower depression scores compared to participants who reported pandemic-related disruptions to these support types (p < 0.05). CONCLUSIONS: The maintenance of postpartum instrumental support during the pandemic appears to be associated with better maternal mental health. Healthcare providers should therefore consider disrupted support systems as a risk factor for postpartum depression and ask patients how the pandemic has affected support access. Policymakers seeking to improve parental wellbeing should design strategies that reduce disease transmission, while facilitating safe interactions within immediate social networks (e.g., through investment in COVID-19 testing and contact tracing). Cumulatively, postpartum instrumental support represents a potential tool to protect against depression, both during and after the COVID-19 pandemic.

Assessment of community support for Wolbachia-mediated population suppression as a control method for Aedes aegypti mosquitoes in a community cohort in Puerto Rico.

Arboviral diseases transmitted by Aedes species mosquitoes pose an increasing public health challenge in tropical regions. Wolbachia-mediated population suppression (Wolbachia suppression) is a vector control method used to reduce Aedes mosquito populations by introducing male mosquitoes infected with Wolbachia, a naturally occurring endosymbiotic bacterium. When Wolbachia-infected male mosquitoes mate with female wild mosquitoes, the resulting eggs will not hatch. Public support is vital to the successful implementation and sustainability of vector control interventions. Communities Organized to Prevent Arboviruses (COPA) is a cohort study to determine the incidence of arboviral disease in Ponce, Puerto Rico and evaluate vector control methods. Focus groups were conducted with residents of COPA communities to gather their opinion on vector control methods; during 2018-2019, adult COPA participants were interviewed regarding their views on Wolbachia suppression; and a follow-up questionnaire was conducted among a subset of participants and non-participants residing in COPA communities. We analyzed factors associated with support for this method. Among 1,528 participants in the baseline survey, median age was 37 years and 63% were female. A total of 1,032 (68%) respondents supported Wolbachia suppression. Respondents with an income of $40,000 or more were 1.34 times as likely [95% CI: 1.03, 1.37] to support Wolbachia suppression than those who earned less than $40,000 annually. Respondents who reported repellant use were 1.19 times as likely to support Wolbachia suppression [95% CI: 1.03, 1.37]. A follow-up survey in 2020 showed that most COPA participants (86%) and non-participants living in COPA communities (84%) supported Wolbachia suppression during and after an educational campaign. The most frequent questions regarding this method were related to its impact on human and animal health, and the environment. Continuous community engagement and education efforts before and during the implementation of novel vector control interventions are necessary to increase and maintain community support.

A quantitative analysis of food insecurity and other barriers associated with ART nonadherence among women in rural communities of Eswatini.

BACKGROUND: Eswatini has the highest global prevalence of HIV despite decades of universal access to free antiretroviral therapy (ART). We conducted a mixed methods study to investigate barriers to ART adherence among women living with HIV (WLHIV) in rural communities of Eswatini. Qualitative findings were reported in our previous publication. This subsequent paper expands on our qualitative analysis to examine the magnitude to which identified barriers impacted ART adherence among WLHIV in the same communities. METHODS: We used an exploratory sequential design to collect data from WLHIV (n = 166) in rural Eswatini. Quantitative data were collected using interviewer-administered survey questionnaires between October and November 2017. ART adherence was measured using the CASE Adherence Index, with scores less than 10 indicating nonadherence. Log-binomial regression models were used to examine the extent to which critical barriers affected ART adherence among study participants. RESULTS: A majority of the women in our study (56%) were nonadherent to ART. Of the barriers identified in our prior qualitative analysis, only eight were found to be significantly associated with ART nonadherence in our quantitative analysis. These include, with adjusted risk ratios (ARR) and 95% confidence intervals (95% CI): household food insecurity (ARR: 3.16, 95% CI: 1.33-7.52), maltreatment by clinic staff (ARR: 2.67, 95% CI: 1.94-3.66), forgetfulness (ARR: 1.80, 95% CI: 1.41-2.31), stress (ARR: 1.47, 95% CI: 1.14-1.88), gossip (ARR: 1.57, 95% CI: 1.21-2.04), mode of transport (ARR: 0.59, 95% CI: 0.44-0.79), age (ARR: 0.98, 95% CI: 0.97-0.99), and lack of community support (ARR: 0.55, 95% CI: 0.35-0.85). CONCLUSIONS: Among numerous barriers identified in our study, food insecurity was found to be a significant contributor toward ART nonadherence among women living with HIV in rural Eswatini. Future strategies aimed at improving ART adherence in Eswatini should include programs which provide food and nutrition support for people living with HIV, particularly rural women living in poverty.

Estudo da influência positiva na qualidade de vida de portadores da Doença de Parkinson participantes do Grupo Lótus / Study of positive influence on quality of life patients with Parkinson's Disease participants Group Lotus

O portador de doença de Parkinson sofre alterações sensório-motoras e emocionais. O objetivo deste estudo é identificar os benefícios na qualidade de vida de idosos que participam de oficinas diversas e muito adequadas, oferecidas pelo Grupo Lótus - Associação Parkinson da Baixada Santista, tentando superar os problemas decorrentes da doença. A abordagem adotada aqui é a exploratório-descritiva, em um estudo transversal elaborado a partir da aplicação de um questionário, o PDQ-39, em que idosos foram entrevistados e suas respostas interpretadas, seguindo a linha qualitativa de pesquisa por sua afinidade com o referencial teórico de formação da autora. Como resultado, verificou-se que os indivíduos envolvidos na pesquisa apresentaram uma melhora a partir da percepção manifesta por estes acerca de sua qualidade atual de vida, consequente a seu engajamento nas atividades do Grupo Lótus, conseguindo-se, assim, sua autoparticipação nos cuidados com a saúde; finalmente, a partir das considerações aqui formuladas sobre as ações empreendidas pelo Grupo Lótus, contribuir para as ações dos profissionais que trabalham na área orientando a participação de doentes no seu processo de busca da saúde.

Parkinson's disease patients suffering sensorimotor deficits and emotional. The aim of this study is to identify the benefits in quality of life of seniors who participate in various workshops and very appropriate, offered by Group Lotus - Parkinson Association of Santos, trying to overcome the problems resulting from the disease. The approach adopted here is exploratory and descriptive, in a cross-sectional study drawn from the application of a questionnaire, the PDQ-39, in which the elderly were interviewed and their responses interpreted, following the line qualitative research by its affinity with the referential theoretical training of the authors. As a result, it was found that the individuals involved in the study showed an improvement from the perception expressed by them about their current quality of life as the result of their engagement in the activities of Group Lotus, obtaining thus autoparticipation in their care with health, finally, from the considerations made here about the actions undertaken by group Lotus, contribute to the actions of professionals working in the area, as well as guide the participation of patients in their health-seeking process.