Mapping the scientific knowledge and approaches to defining and measuring hate crime, hate speech, and hate incidents: A systematic review.

Background: The difficulties in defining hate crime, hate incidents and hate speech, and in finding a common conceptual basis constitute a key barrier toward operationalisation in research, policy and programming. Definitions disagree about issues such as the identities that should be protected, the types of behaviours that should be referred to as hateful, and how the 'hate element' should be assessed. The lack of solid conceptual foundations is reflected in the absence of sound data. These issues have been raised since the early 1990s (Berk, 1990; Byers & Venturelli, 1994) but they proved to be an intractable problem that continues to affect this research and policy domain. Objectives: Our systematic review has two objectives that are fundamentally connected: mapping (1) original definitions and (2) original measurement tools of hate crime, hate speech, hate incidents and surrogate terms, that is, alternative terms used for these concepts (e.g., prejudice-motivated crime, bias crime, among many others). Search Methods: We systematically searched over 19 databases to retrieve academic and grey literature, as well as legislation. In addition, we contacted 26 country experts and searched 211 websites, as well as bibliographies of published reviews of related literature, and scrutiny of annotated bibliographies of related literature. Inclusion Criteria: This review included documents published after 1990 found in academic literature, grey literature and legislation. We included academic empirical articles with any study design, as well as theoretical articles that focused specifically on defining hate crime, hate speech, hate incidents or surrogate terms. We also reviewed current criminal or civil legislation that is intended to regulate forms of hate speech, hate incidents and hate crimes. Eligible countries included Canada, USA, UK, Ireland, Germany, France, Italy, Spain, Australia and New Zealand. For documents to be included in relation to research objective (1), they had to contain at least one original definition of hate speech, hate incidents or hate crimes, or any surrogate term. For documents to be included in relation to research objective (2), they had to contain at least one original measurement tool of hate speech, hate incidents or hate crimes, or any surrogate term. Documents could be included in relation to both research objectives. Data Collection and Analysis: The systematic search covered 1 January 1990 to 31 December 2021, with searches of academic databases conducted between 8th March and 12th April 2022 yielding 35,191 references. We carried out country-specific searches for grey literature published in the same time period between 27th August and 2nd December 2021. These searches yielded a total of 2748 results. We coded characteristics of the definitions and measurement tools, including the protected characteristics, the approaches to categorise the 'hate element' and other variables. We used univariate and bivariate statistical methods for data analysis. We also carried out a social network analysis. Main Results: We provide as annex complete lists of the original definitions and measurement tools that met our inclusion criteria, for the use of researchers and policy makers worldwide. We included 423 definitions and 168 measurement tools in academic and grey literature, and 83 definitions found in legislation. To support future research and policy work in this area, we included a synthetic assessment of the (1) the operationalisability of each definition and (2) the theoretical robustness and transparency of each measurement tool. Our mapping of the definitions and measurement tools revealed numerous significant trends, clusters and differences between and within definitions and measurement tools focusing on hate crime, hate speech and hate incidents. For example, definitions and measurement tools tend to focus more on ethnic and religious identities (e.g., racism, antisemitism, Islamophobia) compared to sexual, gender and disability-related identities. This gap is greater in the definitions and measurement tools of hate speech than hate crime. Our analysis showed geographical patterns: hate crime definitions and measurement tools are more likely to originate from Anglophonic countries, especially the USA, but hate speech definitions and measurement tools are more likely to originate from continental Europe. In terms of disciplinary fragmentation, our social network analysis revealed that the collaboration and exchange of conceptual frameworks and methodological tools between social sciences and computer science is limited, with most definitions and measurement tools clustering along disciplinary lines. More detailed findings are presented in the results section of the report. Authors' Conclusions: There is an urgent need to close the research and policy gap between the protections of 'ethnic and religious identities' and other (less) protected characteristics such as gender and sexual identities, age and disability. There is also an urgent need to improve the quality of methodological and reporting standards in research examining hate behaviours, including transparency in methodology and data reporting, and discussion of limitations (e.g., bias in data). Many of the measurement tools found in the academic literature were excluded because they did not report transparently how they collected and analysed the data. Further, 41% of documents presenting research on hate behaviours did not provide a definition of what they were looking at. Given the importance of this policy domain, it is vital to raise the quality and trustworthiness of research in this area. This review found that researchers in different disciplinary areas (e.g., social sciences and computer science) rarely collaborate. Future research should attempt to build on existing definitions and measurement tools (instead of duplicating efforts), and engage in more interdisciplinary collaborations. It is our hope that that this review can provide a solid foundation for researchers, government, and other bodies to build cumulative knowledge and collaboration in this important field.

'My doctor just called me a good girl and I died a bit inside': From everyday misogyny to obstetric violence in UK fertility and maternity services.

This paper begins with the common phrase 'good girl' as a lens through which to explore the insidious nature of patronising and paternalistic language on women's agency in obstetric care. Here we see how misogynistic language is both violence against women in its own right, and serves to create a context in which more extreme obstetric violence can be precipitated. Based on thematic analysis of discussion on Mumsnet, and on contributions to a research-focused Facebook group, this paper illustrates the complexity of recognising and refuting misogyny as a female patient as well as the damage that can occur from a cultural context in which this language is normalised. Here, words both boast a materiality through the environments they reify, and become transient and slippery, with semiotic uncertainty.

The Missing Ingredient: How Misogyny and the Patriarchy Sabotage our Clinical Practice and Research.

Discussing massive, unrelenting trauma, especially during a global pandemic, when the threat is not only personally affecting you, but also everyone else, is not an easy thing to do. We can see the consequences of two years of being locked inside. People's trauma responses literally came flooding out. It seems that the pandemic tipped us over an abyss that is hard to comprehend. In so many countries there are protests, laws rolling back basic human rights, the threat of fascism, and actual war. There seems to be widespread governmental corruption that cannot stop the favouritism of those who have wealth, and perpetually admonish those who do not. Our world seems very unstable. Change is deeply desired. Yet, this instability is predictable. It is predictable because the systems that created the structures that "run and rule" us are fundamentally destructive and violent. In never-ending ways, the only way that change happens is by utilizing violence as the only way to achieve change. This is the legacy of patriarchy. A system that not only is ruled by one group of people but also tends to be controlled by a very specific type of person. It is a system that cultivates human cruelty, selfishness, and violence. It is a system that is managed by those who do the "best" in violence. Most of us do not work this way but are forced to live this way because of the belief that humans are innately violent, selfish, and self-serving; a myth based on the traumatic reaction of fight. It is a dissociated, relational injury that is a direct result of not having our mothers and fathers able to be mothers and fathers. It is formed in misogyny. There are ways to heal, if one can comprehend what misogyny does to human beings, and what we would be like in its absence.

Ectogestation and the Good Samaritan Argument.

Philosophical discussions concerning ectogestation are trending. And given that the Supreme Court of the United States overturned Roe v. Wade (1973) and Casey v. Planned Parenthood (1992), questions regarding the moral and legal status of abortion in light of the advent of ectogestation will likely continue to be of central importance in the coming years. If ectogestation can intersect with or even determine abortion policy in the future, then a new philosophical analysis of the legal status of abortion is both warranted and urgently needed. I argue that, even if there is no 'moral' right to fetal destruction once ectogestation becomes a reality, societies ought not to implement legal prohibitions on a pregnant person's ability to safely obtain an abortion that results in fetal death because such laws are systemically misogynistic.

Loose Attitudes: Politics of Self-Knowledge in Our Bodies, Ourselves and The House of God.

Readers of Samuel Shem's medical satire The House of God (1978) have long worried about the bad attitude of his main characters: young male internal medicine trainees. This article examines the interns' atrocious affections, using the feminist classic Our Bodies, Ourselves (1973) as a counterweight to the masculinist perspective of House of God. These radically different critiques of United States medicine derive from a shared sociopolitical context and represent a historically specific response to the personal politics of sexual liberation and self-actualization in the 1970s. I show that Shem and the Boston Women's Health Book Collective share a rhetorical strategy of "loose expertise" grounded in embodied knowledge, which connects both texts to the radical social movements of the late 1960s. Loose expertise enables institutional critique by shifting the domain of knowledge away from traditional structures of authority, but inhibits intersectional critique by essentializing the individual subject position of the author. The article concludes by examining the relationship of both texts to the medical humanities.

Is there a relationship between internalized misogyny and premenstrual syndrome and dysmenorrhea in young women? A descriptive-relational study.

AIM: This study utilized a descriptive and relational design to determine the relationship between young women's experiences of premenstrual syndrome (PMS) and dysmenorrhea with internalized misogyny. METHODS: A total of 487 individuals were accessed. Data were collected through the "Personal Information Form" prepared by the researchers, the "Functional and Emotional Measure of Dysmenorrhea" the "Premenstrual Syndrome Scale," and the "Internalized Misogyny Scale." RESULTS: The internalized misogyny scale mean score had significant effects on the functional and emotional measure of dysmenorrhea mean score (p < 0.05). The internalized misogyny scale mean score was found to have a statistically significant effect on the premenstrual syndrome scale (p < 0.05). CONCLUSIONS: This study found that young women's internalized misogyny was highly correlated with PMS and dysmenorrhea, and increased internalized misogyny also increased the severity of PMS and dysmenorrhea in young women.

One is the loneliest number: Involuntary celibacy (incel), mental health, and loneliness.

Incels-a ragtag collection of young males who have rallied around their shared experience of romantic rejection-have slowly emerged as an online group of interest to researchers, no doubt as a result of several high-profile attacks. Much of this work has centered around incels' dating experiences, sexual attitudes, and online forums. However, it is possible that their moniker, short for involuntary celibate, has resulted in an overemphasis on their sexual exclusion and frustration. Recent work has identified social isolation as a key aspect of inceldom, which may help explain why incels have responded negatively to romantic rejection. The present study thus sought to examine the role of social support and loneliness in experiences of rejection in a sample of incel (n = 67) and non-incel (n = 103) men. Results indicated that incels experience more feelings of loneliness and less social supports than non-incel men. Both of these variables were associated with multiple mental and relational health issues that incels also scored more highly on. Further, incels reported using more solitary and problematic coping mechanisms. These results suggest that incels may be missing a key buffer in sheltering them from the adverse effects of romantic rejection. It also extends previous findings highlighting the importance of attachment styles in differentiating incels from non-incels, which may perpetuate feelings of isolation. Implications for how this may relate to incel discourse and clinical interventions are discussed. Supplementary Information: The online version contains supplementary material available at 10.1007/s12144-023-04275-z.

A patologia da arte e da exclusão / The pathology of art and exclusion / La patología del arte y de la exclusión

Este trabalho propõe uma reflexão sobre os tênues limites que separam a patologia da criatividade, utilizando-se, para isso, da genialidade da escritora Clarice Lispector. Coloca a ideia da patologia como fenômeno associado à história da misoginia, buscando suas raízes arquetípicas no mito da criação e na figura feminina de Eva. Desenvolve também a relação entre essa misoginia no plano arquetípico e o sentimento de exclusão que vivenciamos nos mais diferentes níveis de relacionamentos.

This study aims to reflect upon the intricate boundaries that separate pathology from creativity, drawing upon the brilliance of writer Clarice Lispector. It explores the concept of pathology as a phenomenon intertwined with the history of misogyny, seeking its archetypal roots in the myth of creation and the feminine figure of Eve. Additionally, it delves into the connection between this archetypal misogyny and the experience of exclusion that we encounter in various levels of relationships.

Este trabajo propone una reflexión sobre los tenues límites que separan la patología de la creatividad, utilizándose, para ello, del genio de la escritora Clarice Lispector. Coloca la idea de la patología como fenómeno asociado a la historia de la misoginia, buscando sus raíces arquetípicas en el mito de la creación y en la figura femenina de Eva. Desarrolla también la relación entre esa misoginia en el plano arquetípico y el sentimiento de exclusión que experimentamos en los más diferentes niveles de relaciones.

Societies should not ignore their incel problem.

Involuntarily celibate men ('incels') commonly advocate for societal disruption, including violence toward women. Their anger can make them susceptible to radicalization, revolution, or reactionary hostility. Research efforts aimed at identifying the causes and consequences of incels' beliefs are needed to address this growing problem.

The Elephant in the Room: Toward an Integrated, Feminist Analysis of Mass Murder.

This article argues for a new approach to making sense of mass murder, emphasizing the urgency of recognizing the proliferation and significance of misogyny and domestic violence among perpetrators of this type of homicide. It is vital that scholarship recognizes the political economy of neoliberal patriarchy and seeks to better understand how harmful subjectivity develops in this context. We propose a new multilevel framework for the analysis of mass murder and issue a call to action for a global program of independent qualitative research and activism to tackle its drivers, prevent further harm, and save lives.

The hidden pandemic: a qualitative study on how middle-aged women make sense of managing their long COVID symptoms.

BACKGROUND: A relapsing and remitting illness, long COVID can be challenging and debilitating. A person living with long COVID can feel like they are getting better and recovering only to relapse again. The aim of the research was to explore how non-hospitalized middle-aged women who contracted COVID in the first wave of the pandemic, from March 2020, are managing their long COVID symptoms. PARTICIPANTS AND PROCEDURE: A qualitative research study with an interpretative phenomenological analysis approach was used to explore how the women made sense of managing their condition and health seeking behaviours. Participants were recruited from long COVID Facebook groups and semi-structured interviews were conducted remotely by Teams audio; these were digitally recorded and transcribed by hand with prior informed consent. Nine women were interviewed and four themes and eight sub-themes emerged from the data. RESULTS: The four emerging themes were: inequality and inconsistent medical treatment; uncertainty and ambiguity of managing long COVID symptoms; managing other people's expectations and perceptions of long COVID; and the changing identity. Overall, these results indicated a general mistrust in health care services to provide adequate support and individualized treatment plans leading women to self-advocacy and to seek alternative support and treatment. CONCLUSIONS: This study raised questions about the possible unfair treatment of women seeking medical attention for their long COVID symptoms; how ambiguous symptoms are misattributed to anxiety and discrimination from health care professionals contributes towards stigma. The study concludes with recommendations for service improvement such as the compassionate validation of patients' pain and the use of evidence-based therapeutic practices such as mindfulness.

Involuntary Celibacy: A Review of Incel Ideology and Experiences with Dating, Rejection, and Associated Mental Health and Emotional Sequelae.

PURPOSE OF REVIEW: Incels (involuntary celibates) have recently garnered media attention for seemingly random attacks of violence. Much attention has centered around the misogynistic and violent discourse that has taken place in online incel forums as well as manifestos written by incels who have perpetrated deadly attacks. Such work overlooks the experiences and issues faced by incels themselves, the majority of which have not engaged in any violent behavior. RECENT FINDINGS: A small number of studies have recruited incels. Results from these studies highlight the nuanced nature of the incel identity. It is also apparent that incels suffer from high levels of romantic rejection and a greater degree of depressive and anxious symptoms, insecure attachment, fear of being single, and loneliness. Incels report significant issues pertaining to their mental, social, and relational well-being and may seek support from forums that often feature misogynistic and violent content.

Benchmark dataset of memes with text transcriptions for automatic detection of multi-modal misogynistic content.

In this paper we present a benchmark dataset generated as part of a project for automatic identification of misogyny within online content, which focuses in particular on memes. The benchmark here described is composed of 800 memes collected from the most popular social media platforms, such as Facebook, Twitter, Instagram and Reddit, and consulting websites dedicated to collection and creation of memes. To gather misogynistic memes, specific keywords that refer to misogynistic content have been considered as search criterion, considering different manifestations of hatred against women, such as body shaming, stereotyping, objectification and violence. In parallel, memes with no misogynist content have been manually downloaded from the same web sources. Among all the collected memes, three domain experts have selected a dataset of 800 memes equally balanced between misogynistic and non-misogynistic ones. This dataset has been validated through a crowdsourcing platform, involving 60 subjects for the labelling process, in order to collect three evaluations for each instance. Two further binary labels have been collected from both the experts and the crowdsourcing platform, for memes evaluated as misogynistic, concerning aggressiveness and irony. Finally for each meme, the text has been manually transcribed. The dataset provided is thus composed of the 800 memes, the labels given by the experts and those obtained by the crowdsourcing validation, and the transcribed texts. This data can be used to approach the problem of automatic detection of misogynistic content on the Web relying on both textual and visual cues, facing phenomenons that are growing every day such as cybersexism and technology-facilitated violence.

Incels e Misoginia On-line em Tempos de Cultura Digital / Incels and On-Line Misogyny in Times of Digital Culture / Incels y Misoginia Online em Tiempos de Cultura Digital

Este estudo teórico tem como objetivo problematizar como os discursos misóginos e antifeministas são produzidos e disseminados contemporaneamente no mundo digital. O conceito de masculinidade hegemônica é trazido à baila para problematizar as formações discursivas que se materializam através de ideias importadas de sites estrangeiros em plataformas digitais brasileiras. Destacamos o discurso misógino corrente em fóruns alinhados à nova Direita (alt-right), que tem se abrigado sob o termo guarda-chuva manosphere ("esfera masculina"), um conjunto de páginas on-line e redes sociais conectadas entre si por seu teor "ultramasculino". Identificamos um artifício alegórico - a RedPill (pílula vermelha), adotado na manosphere para nomear o processo pelo qual os homens/usuários finalmente tomam consciência da "realidade" da "ditadura feminista" que subjuga a masculinidade heterossexual. Com apoio do marco teórico dos estudos de gênero e estudos culturais propomos compreender esse fenômeno a partir da análise de mensagens de texto e posts extraídos do universo digital que buscam delimitar o "homem-de-verdade" em detrimento das masculinidades submissas (beta, como são chamadas as não dominantes). Conclui-se que no cenário digital os fluxos discursivos misóginos encontram um terreno fértil para proliferarem, engendrando práticas discursivas que convergem para o reforço da dominação masculina.

The aim of this theoretical study is to problematize how misogynistic and anti-feminist discourses are produced and disseminated in the contemporary digital world. The concept of hegemonic masculinity is brought up to problematize the discursive formations that materialize through ideas imported from foreign sites in Brazilian digital platforms. We highlight the current misogynistic discourse in forums aligned to the new right (alt-right), which has taken shelter under the umbrella term manosphere ("male sphere"), a set of online pages and social networks connected by their "ultramasculine" content. We identify an allegorical device - the Red Pill, adopted in the manosphere to name the process by which men/users finally become aware of the "reality" of the "feminist dictatorship" that subjugates heterosexual masculinity. Supported by the theoretical framework of gender studies and cultural studies we propose to understand this phenomenon out of the analysis of text messages and posts extracted from the digital universe that seek to delimit the "truly man" to the detriment of submissive masculinities (beta, as the non-dominant ones are called). We conclude that misogynistic discursive flows find a fertile ground to proliferate in the digital world, engendering discursive practices that converge to reinforce male domination.

Este estudio teórico tiene como objetivo problematizar cómo se producen y difunden los discursos misóginos y antifeministas en el mundo digital contemporáneo. El concepto de masculinidad hegemónica es planteado para problematizar las formaciones discursivas que se materializan a través de ideas importadas de sitios extranjeros en las plataformas digitales brasileñas. Destacamos el actual discurso misógino en foros alineados con la nueva derecha (alt-right), que se ha cobijado bajo el término paraguas de la manosfera ("esfera masculina"), un conjunto de páginas y redes sociales online conectadas por su contenido "ultramasculino". Identificamos un dispositivo alegórico - la Pastilla Roja, adoptada en la manosfera para nombrar el proceso por el cual los hombres/usuarios finalmente toman conciencia de la "realidad" de la "dictadura feminista" que subyuga a la masculinidad heterosexual. Con apoyo de los estudios de género y los estudios culturales nos proponemos entender este fenómeno a partir del análisis de mensajes de texto y posts extraídos del universo digital que buscan delimitar al "hombre de verdad" en detrimento de las masculinidades sumisas (beta, como se denomina a las no dominantes). Se concluye que los flujos discursivos misóginos encuentran un terreno fértil para proliferar, engendrando prácticas discursivas que convergen en el fortalecimiento de la dominación masculina.

"It's Like a Drive by Misogyny": Sexual Violence at UK Music Festivals.

Despite increasing scholarly and media attention on sexual violence in public spaces, including those associated with the night-time economy and licensed venues, music festivals have been largely absent from research and policy. This paper presents the findings from the first UK study of sexual violence at music festivals, drawing on data from interviews with 13 women who have experienced some form of sexual harassment or assault at a festival. Analysis reveals that sexual violence at festivals occurs on a continuum and represents an extension of rape culture through which sexual violence is culturally condoned and normalized, enabled through a number of environmental and culture features that are unique to festivals.

"You Want Them Pretty, but Not Too Intelligent!": Everyday Talk and the Continuum of Men's Violence Against Women in Forensic Institutional Care.

The forensic setting houses persons with offence convictions who are also in receipt of ongoing mental healthcare-a criminal justice system and healthcare meeting-point. Extant literature highlights how this context is laden with interpersonal and institutional difficulties unique to a secure context that must provide care and custody concurrently. Our central argument is that the intertwining and interdependent cultural and custodial elements of forensic healthcare environments are integral and influential to care, culture, and conduct within such institutions-including concerning misogynistic everyday talk and the continuum of men's violence against women therein. We argue that the institution is a continuation of contemporary social issues experienced within community life (e.g., misogyny), as the boundaries of such institutions are porous-polis values traverse physical brickwork. This paper analyses ethnographic data from two male wards that are situated within a UK inpatient forensic mental health hospital. Ethnographic fieldwork occurred over 300 hours-overtly participating in, exploring, and recording the daily life of the community. Five excerpts of ethnographic data are presented, which evidence the gendered ward environment and highlight a series of encounters pertaining to problematic social life, which are the upholding of heteronormative gender roles, hegemonic masculinity, and misogyny. These views are problematised within the sexual offending rehabilitative context by considering the clinical risk associated. Further, we argue that to only focus on the end of the continuum often viewed as most serious (e.g., rape) ignores a pervasive cultural landscape of the polis in wider community, beyond the institution, that facilitates the more commonly experienced end of the continuum related to misogynistic values, encounters, and talk. We evidence how social norms and habitualised gendered actions permeate the institution, which bring into question the rehabilitative efficacy of the hospital. This paper embraces a feminist lens to explore everyday social interactions and the embodied experience of the female ethnographer within a male-dominated forensic setting. We contribute to the literature by newly theorising the influences of hierarchical heterosexual gender roles, violent language in forensic settings, and misogynistic attitudes and practice, on the care for, and rehabilitation of, patients.

More than a sex crime: a feminist political economy of the 2014 iCloud hack.

This article examines the media framing of and relations to the 2014 iCloud hack, wherein hundreds of female celebrities' private photos were stolen and distributed online. In particular, I problematize the reading of this event as merely signalling the misogyny of 'toxic' online cultures and contextualize it as part of a larger political economy of female celebrity. I argue that, while the growth in feminist discourses emanating from both the mainstream media and celebrity women is encouraging, it perhaps occludes the broader power relations that extend across both new and traditional media, ensuring maintenance of the status quo. This event exemplifies problems with a popular form of feminism that seeks inclusion into these systems, rather than wider systemic change. Therefore, in addition to examining the celebrity and/or her audience as the site of political (feminist) work, I call for an excavation of the systems in which she is embedded and her relations to the means of media production and profit.

Incel Activity on Social Media Linked to Local Mating Ecology.

Young men with few prospects of attracting a mate have historically threatened the internal peace and stability of societies. In some contemporary societies, such involuntary celibate-or incel-men promote much online misogyny and perpetrate real-world violence. We tested the prediction that online incel activity arises via local real-world mating-market forces that affect relationship formation. From a database of 4 billion Twitter posts (2012-2018), we geolocated 321 million tweets to 582 commuting zones in the continental United States, of which 3,649 tweets used words peculiar to incels and 3,745 were about incels. We show that such tweets arise disproportionately within places where mating competition among men is likely to be high because of male-biased sex ratios, few single women, high income inequality, and small gender gaps in income. Our results suggest a role for social media in monitoring and mitigating factors that lead young men toward antisocial behavior in real-world societies.

The Black Pill: New Technology and the Male Supremacy of Involuntarily Celibate Men.

Involuntary celibates, or "incels," are people who identify themselves by their inability to establish sexual partnerships. In this article, we use analytic abduction to qualitatively analyze 9,062 comments on a popular incel forum for heterosexual men that is characterized by extensive misogyny. Incels argue that emerging technologies reveal and compound the gender practices that produce involuntarily celibate men. First, incels argue that women's use of dating apps accelerates hypergamy. Second, incels suggest that highly desirable men use dating apps to partner with multiple women. Third, incels assert that subordinate men inflate women's egos and their "sexual marketplace value" through social media platforms. We argue that incels' focus on technology reinforces essentialist views on gender, buttresses male domination, dehumanizes women, and minimizes incels' own misogyny. We discuss findings in relation to theories of masculinity and social scientific research on the impacts of emerging technology.

Breasts and the city: an urban ethnography of infant feeding in public spaces within Cardiff, United Kingdom.

BACKGROUND: Internationally, women report challenges breastfeeding in public spaces. This study aimed to investigate the social-spatial aspects of public spaces in one UK city, Cardiff, in order to suggest possible barriers and facilitators to breastfeeding in public spaces. METHODS: The study observation location guide prioritised places that had been reported as hostile to breastfeeding or breastfeeding friendly in the existing literature. Data were collected between April and September 2018 at various times of day, in several areas of the city, and included transport (n = 4), transport hubs (n = 3), high streets (n = 4), cafes (n = 2), a large city centre shopping complex, comprising of three joined shopping malls and a large city centre department store containing a third café. Low inference field notes were written on an encrypted smart phone and expanded soon after. Data were analysed thematically using deductive codes based on the observation schedule. Additional inductive codes relating to places were added. RESULTS: Overall, public transport and the city centre were inhospitable environments for those who might need to breastfeed, and even more so for those who need to express breastmilk. The core barriers and facilitators across locations were the availability of appropriate seating coupled with either high privacy or politely unimposing strangers (civil inattention). The one variation to this model arose from the department store café, where civil inattention was not performed and there was low privacy, but breastfeeding occurred anyway. CONCLUSIONS: This research highlights the physical and social barriers to breastfeeding within one urban city centre in the UK and its associated transport links. It is clear that there is an urgent need for change in urban city centres and public transport if countries are to meet their aims in relation to increasing breastfeeding rates. Interventions will need to be multifaceted, accounting for social norms relating to infant feeding as well as changes to the physical environment, policy and potentially legal change. Further research should be undertaken in other countries to examine the extent to which hostile environments exist, and if correcting these could facilitate breastfeeding and reduce gender-based violence.