Christine Stephens

Men, masculine identities, and health care utilisation

Seeking medical help early is critical for recovery, yet evidence indicates that men do not utilise general practitioner services as often as women. This paper draws on Connells (1995) theory of hegemonic masculinity to critically examine how mens under-utilisation of medical services may be influenced by the social construction of masculine identities. Interviews with seven older rural men about their help-seeking behaviour, used a movie extract and hypothetical scenarios to stimulate discussion. Transcribed data were analysed using discourse analysis, which showed that in this particular social context, the men faced a dilemma when identifying with two conflicting subject positions: the virtuous regular health care user, and the masculine infrequent user of health care services. They solved this dilemma by positioning women as frequent and trivial users of health care and themselves as legitimate users of health care. By using biomedical and morality discourses in this way the men could maintain a masculine identity whilst also identifying as virtuous users of health care services. These results support the utility of hegemonic masculinity as a theoretical basis for examining the construction and maintenance of gendered identities by highlighting the complexity of multiple masculine identities.

Communication with police supervisors and peers as a buffer of work‐related traumatic stress

Traumatic events are a particular type of stressor that may affect police officers engaged in front line duties. In this study, specific types of social support predicted to buffer the psychological and physical health effects of trauma are drawn from theory and empirical evidence in the area of post-traumatic stress. Social support, measured as the content of communication, and the ease of talking about trauma was tested with 527 working police officers who responded to a questionnaire survey. Hierarchical regression analysis showed that the communication variables contributed to the variance in post-traumatic stress disorder and physical symptoms with differential effects for different aspects of communication. Analysis of the effects of traumatic stress on symptoms for sub-groups at different levels of communication showed that some types of communication, such as the ease of talking about trauma or positive communications about work, moderate the effects of stress for police officers, in that higher levels are associated with a weaker trauma–strain relationship. However, some types of communication buffered stress only at moderate levels and other types may not be protective. These results are discussed in terms of the types and sources of social support that are likely to buffer post-traumatic stress at work. Copyright

The impact of trauma and social support on Posttraumatic Stress Disorder: A study of New Zealand police officers

Police work often involves traumatic situations and efforts toward the prevention of Posttraumatic Stress Disorder (PTSD) focus on posttrauma variables. Empirical evidence and theories of PTSD suggest the importance of social support as a moderator of the effects of trauma, in particular, emotional support and attitudes to expressing emotions. Five hundred twenty-seven officers of the New Zealand Police responded to a questionnaire to test the hypothesis that social support moderates the effect of traumatic experiences on PTSD symptoms. The prediction that lower social support would be related to higher PTSD scores was supported for social support from peers, supervisors, and outside work, but not for negatively expressed support. The prediction that these aspects of support would interact with traumatic experiences was supported for attitudes to expressing emotion at work. These findings suggest that there are important types of ongoing social support, from peers in particular, that can be fostered or provided for by organizations.

The effects of types of social networks, perceived social support, and loneliness on the health of older people: accounting for the social context.

Objectives: To use an ecological model of ageing (Berkman, Glass, Brissette, & Seeman, 2000) which includes upstream social context factors and downstream social support factors to examine the effects of social networks on health. Method: Postal survey responses from a representative population sample of New Zealanders aged 55 to 70 years (N = 6,662). Results: Correlations and multiple regression analyses provided support for a model in which social context contributes to social network type, which affects perceived social support and loneliness, and consequent mental and physical health. Ethnicity was related to social networks and health but this was largely accounted for by other contextual variables measuring socioeconomic status. Gender and age were also significant variables in the model. Discussion: Social network type is a useful way to assess social integration within this model of cascading effects. More detailed information could be gained through the development of our network assessment instruments for older people.

Preretirement Planning and Well-Being in Later Life: A Prospective Study

Cross-sectional and retrospective research has identified a reliable relationship between preretirement planning and later-life well-being. Although it seems intuitive that retirement planning leads to more positive retirement outcomes, limited longitudinal analysis has confirmed the directionality of this relationship or clarified its complexities. The Health and Retirement Study, a prospective survey of American workers and retirees from 1992 to the present, can help illuminate this relationship. Data signifying the preretirement activities of employed individuals from the 1992 wave were compared with their postretirement ratings of retirement satisfaction and subjective physical and emotional health in 2004. An ordinal regression analysis indicated that those who had discussed retirement with their spouses and had retirement superannuation or savings plans in 1992 reported greater well-being in 2004 (controlling for health status, the reason for retirement, and income in 1992). These results confirm the importance of preretirement preparation and provide a rationale for developing more comprehensive, theory-driven measures of retirement planning.

Encompassing experience: Meanings and methods in health psychology

Abstract Health psychology is limited by its almost exclusive use of a positivist quantitative research paradigm, and the adoption and use of qualitative methods by health psychologists will provide increased understandings of health and illness. Qualitative methods provide a means to incorporate the social world into our research, and furnish ways to investigate the meanings of health and illness experience. We present a brief consideration of the qualitative paradigm and some important underlying issues related to its use. We describe three qualitative approaches - grounded theory, narrative analysis, and discourse analysis - chosen for their relevance and diversity. We provide illustrations of the use of each in health research, and suggest how these approaches could be utilised by health psychologists to enrich understanding in the health field. We conclude that health psychologists have a great deal to gain from joining other social science health researchers in adopting qualitative approaches in the...

Do Men and Women Differ in Their Retirement Planning? Testing a Theoretical Model of Gendered Pathways to Retirement Preparation

Previous literature has situated retirement and retirement planning within the male’s domain by positioning women as unconcerned and therefore ill prepared for retirement. However, women’s increasing representation in the workforce requires a reexamination of their retirement plans and the factors that enable them. In this study, a subsample of 2,277 working men and women from the New Zealand Health, Work, and Retirement Survey provides the basis for a structural equation model examining the effects of socioeconomic status, work involvement, and retirement perceptions on retirement planning. This model also tests for gender differences to assess the extent to which women are disadvantaged in terms of their retirement planning and the factors that may affect retirement plans. Results indicated that perceptions of retirement and economic living standards were associated with financial preparedness. However, women were still economically disadvantaged compared to men and this impacted negatively on their financial preparations. Retirement and retirement planning is now of greater concern for women. Future promotional initiatives should be aimed at these groups to assist their financial preparations for the future.

Individual responsibility and social constraint: The construction of adolescent motherhood in social scientific research

Research has an important role in the production of knowledge and in shaping dominant social attitudes towards adolescent motherhood. Although adolescent motherhood has been framed as a social problem in social scientific research, recent researchers have attempted to go beyond the focus on disadvantage to suggest that outcomes for adolescent mothers depend upon individual differences and contextual factors related to successful mothering. Social structures have also been considered, and adolescent motherhood has been investigated from the perspective of the mothers themselves. Each of these approaches to researching adolescent motherhood provides a subject position for adolescent mothers with associated potential for both positive and negative impact on their social lives. These implications and the alternatives to individualizing success and discounting social constraint require consideration. Useful strategies could include valuing motherhood regardless of the social and economic position of the mother, and addressing structures which contribute to the exclusion of adolescent mothers from education and economic participation.

‘I sort of pay back in my own little way’: managing independence and social connectedness through reciprocity

ABSTRACT There is increasing emphasis in the media, public and policy discourses about the implications of the ageing population on promoting independence and self-reliance in old age, which is linked to the importance of social connection and the dangers of social exclusion. This paper examines how the potentially contradictory moral imperatives of independence and connectedness are managed by older people through reciprocity. Thirty-six interviews were conducted with people aged 55–70 years in New Zealand, and the data have been analysed discursively. Older people drew upon social conventions of independence as well as describing firm ties to family and community. One way in which the contradictions between the discourses of independence and connectedness were managed was through the notion of reciprocity. This allowed the participants to describe their lives as linked to others through acts that benefited both parties, constructing both a sense of connection and a rejection of the position of dependency on others. Using this linguistic resource has both possibilities and limitations for older peoples attempts to manage a moral identity as they age. Although many approaches can be used to construct an equal relationship between people, a commitment to reciprocity in social exchanges may restrict older people from accepting help if they do not see the interactions as contributions to others.

Mediation and the Construction of Contemporary Understandings of Health and Lifestyle

The practice of using media to promote the benefits of diet and exercise has been associated with the rise in prominence of a sense of personal obligation for one’s own health. This article contributes to recent critiques of the emphasis being placed on individual responsibility for health. We argue that if health psychologists are to develop an adequately social understanding of our role in promoting health, then we must begin to examine the influence of our practices and agendas on public understandings. Extracts from research accounts are used to illustrate the pervasiveness of media health messages in everyday life and the prominence of a sense of individual responsibility.