BACKGROUND

In response to the need to provide for mental health services to address gender-related concerns in a higher education institute, the University of the Philippines (UP) Manila Center for Gender and Women Studies (CGWS) commissioned a project to formulate a framework for the increasing volume of referrals.

METHODOLOGY

A mixed methods study was done in order to gather data to create a responsive and practical mental health care service provision framework with and for service providers and service users in the university. An online survey (N=135), focus group discussion, key informant interviews, and a round table discussion were conducted, with constituents of the university recruited through purposive sampling.

RESULTS

A stepped-care model was proposed, consisting of: 1. Preventive Well-Being Resources, 2. Supportive Well-Being Interventions and Initial Screening Resources, 3. Structured Interventions, and 4. Interventions for Severe Mental Health Problems.

CONCLUSION

The framework formulated in collaboration with service providers and service users in the university addresses the goals of optimizing existing resources and enhancing service provision. Implementation and evaluation of this framework, as well as further information regarding the target population and their use of this model, are proposed avenues for further research.

Human ; Gender ; Gender Identity ; Sexual Harassment ; Mental Health ; Mental Health Services ; Lgbtq ; Sexual And Gender Minorities ; Psychiatry ; Psychology

Objective: One key factor found to be related to creativity is creative self-efficacy. Creative self efficacy (CSE) refers to one’s own conviction in their own ability to produce creative work effectively. The study aims to explore on the predictive values of time management and reading habit on CSE, as well as on the significant difference between gender and CSE. Method: This study (n = 313) is a cross-sectional survey design. The inclusion criteria for the participants are full-time university students studying in Malaysia and aged between 18-25 years old. Data collected was analysed by linear regression, multiple linear regression and independent sample t-Test. Results: Reading habit is a significant positive predictor of CSE. Both daily planning and confidence in long-range planning in time management are significant positive predictors of CSE. However, there is no significant difference between gender in terms of male and female and CSE. Conclusion This study provided evidence on the role of reading habits and time management on creative self-efficacy amongst undergraduate student in Malaysia.
Gender Identity ; Time Management

BACKGROUND

There is growing interest in gender differences in acute stroke worldwide. However, no known studies have been published on the differences in prognosis of hyperacute intracerebral hemorrhage between genders among Asians, particularly Filipinos.

OBJECTIVES

Compare gender differences in the prognosis of hyperacute intracerebral hemorrhage in terms of baseline demographic and radiologic profile, as well as, clinical outcomes.

METHODS

This is a retrospective cohort study involving a chart review of all patients diagnosed with hyperacute Intracerebral Hemorrhage admitted at a tertiary hospital from January 2021 to May 2023. Patients were grouped according to their gender and baseline demographic, radiologic and clinical outcomes were assessed and compared between two groups.

RESULTS

No statistical difference was found between stroke risk factors between the two groups. However, males tend to have higher percentages of intraventricular extension (29.2 %. (n=28) vs 30.6% (n=11) and increased hematoma volume compared to their female counterparts (n=39, 83% vs n=11, 68%). In addition, males had a higher number of ICU admissions (42.7% (n= 41) vs. 33.3% (n= 12) and mortality (46.9%( n=45) vs. 30.6% (n=11), though the results were not statistically significant.

CONCLUSION

In patients with hyperacute intracerebral hemorrhage, gender does not influence on its radiologic and clinical outcome.

Human ; Stroke ; Gender Identity ; Gender Differences ; Sex Characteristics

Background: Visual images are used to communicate health effectively, yet visual gender representation in the context of health is not well established as most studies focused on effectiveness, awareness, adoption, or behavior change. Objectives: This study explored emerging gender myths in visual images used to communicate reproductive health, maternal health, family and nutrition, breastfeeding, and childcare with the premise that visuals may shape notions of gender roles and identities. Methodology: Selected images from flipcharts produced by development communication practitioners were analyzed using Kress and Van Leeuwen's social semiotics (2006). Interpretive visual analysis was used to analyze visual impacts (denotation) and cultural meanings (connotation) by Barthes' Order of Signification, and gender roles and identity naturalized by the images. Results: Images for health communication used more women as subjects relative to the topics that are primarily women's concern. The subject's gaze were indirect offered as items of information, showing a relation of symbolic equality, and implying that health topics are part of the social discourse. Visual impacts and cultural meanings of images uncovered myths that embody the roles, and identities, and social expectations of men and women in health. Emerging gender myths have to do with anatomy, mainly as basis for the role, identity, and expectations, especially of women as main actors in health. Conclusion This study reveals that gender roles and identities portrayed in health are still universal and are not historically and culturally contingent.
Gender Role ; Gender Identity

Five key policy recommendations were generated from the presentations and discussions in the Global Assembly on Everyday Life, Gender, and Sexuality. The rich source of information supporting the recommendations was the exploration of effective methods of promoting social change through education and research from networks and partnerships. The movement created by collective and participatory approaches in policy development counters the limitations of some societies where gender and sexuality are taboo. Enabling laws is essential, but the implementing guidelines should consider the real-world experience and realize that adequate infrastructure, processes, and resources are necessary. Education of the people on gender and sexuality must start early in life to plant a seed to develop values that uphold respect for human rights and civic responsibility.
Gender Identity ; Sexuality

Background: Gender identification by using skeletal identification is an important tool in forensic, medico-legal, bioarkeology, and anthropology. Traditional morphological methods depended on the anthropologist subjectivity that caused a significant difference among the observer. This study aims to develop the discriminant function for gender prediction in a Surabaya-Indonesia population age ranges 15-25-year-olds by using a panoramic radiograph. This research used 273 panoramic radiographs consisted of 129 male panoramic radiographs and 144 female panoramic radiographs. The researchers measured 11 parameters of the jaw such as two gonial angles, two mandibular ramus heights, two mandibular ramus widths, two mandibular corpus lengths, two nasal line maxilla, and anterior mandibular corpus heights. The researchers analyzed the data by using the discriminant analysis of the IBM SPSS statistic 24. Results: The result of our study shows there were significant differences in the jaw morphometry between males and females, except the mandibular ramus widths. The jaw size in males was larger than that of the female. The biggest dimorphism variables based on the Wilks lambda value were gonial angles, mandibular ramus heights, mandibular corpus lengths, and nasal lines. While the smallest dimorphism variables were mandibular ramus widths. The accuracy of discriminant analysis for each variable ranges from 47.3% to 93.8%. Conclusion This preliminary study in Surabaya-Indonesia population age ranges 15-25-year-olds by using panoramic radiograph shows the highest accuracy of gender prediction by using discriminant function was obtained from the combination of the nine jaw parameters.
Gender Identity ; Maxilla

Background: Tuberculosis (TB) Patient Support Groups (PSGs) are important in strengthening gender dimensions of TB response because gender-blind strategies aggravate the impact of gender inequalities in TB disease elimination. The study aimed to describe the patterns in issues and challenges faced by TB patients as women, men, or Lesbian/Gay/Bisexual/Transgender/Queer/Intersex (LGBTQI); as well as the potentials and program support needs of TB PSGs using the sociological and demographical gender lenses. Objectives: The objective of the study is twofold: to describe the issues, situations and challenges that are faced by the TB patients as women, men, or LGBTQI and; determine the challenges, potentials and program support needs of the TB PSGs using the gender lens. Methodology: Through purposive and maximum variation sampling, a total of 35 respondents — 46% women, 31% men, 23% LGBTQI from Luzon, Visayas, Mindanao and National Capital Region – participated in the study. They completed questionnaires with closed and open-ended questions, and were interviewed for validation. Quantitative data described proportions of variables stratified according to gender. Qualitative data were analyzed through Grounded Theory approach of open coding, axial coding, and selective coding towards themes, theories and logic diagrams. Central to the research design was Transformative Mixed Methods to incorporate social justice and community participation. Results and Conclusion Unique gender themes in mental health and human capital, as well as gender-targeted case finding framework, were revealed. Moreover, social constructs on gender roles and catastrophic costs associated with Tuberculosis were perceived as major impediments to TB treatment completion. Results of this study may be used for development of policies and models for TB services with focus on gender, human rights and patient-centeredness.
Tuberculosis ; Patient-Centered Care ; Gender Identity

Introduction: A demographic shift towards population aging is evident worldwide. This presents challenges particularly to low-income and middle-income countries like the Philippines. Understanding perceptions of aging, resilience, vulnerability, and gender identity will help prepare the health care system and social services in addressing the needs of the Filipino older population. Objective: To describe gender identity, perceptions of active aging, successful aging, resilience, and vulnerability among faculty and staff (working, retired) in an academic community in the Philippines. Methods: Survey and focus group discussions were conducted among working and retired faculty and staff aged 55 years old and above. Results, Analysis, and Discussion Almost all respondents had the same gender identity as their biological sex. There were differences in the respondents’ perceptions of active aging and successful aging and in their sources of strength and worries. Compared with retired respondents more working respondents believed that active aging meant being strong and physically active or being involved in sports. Female respondents thought that being socially active in their community and church was indicative of active aging. In contrast, male respondents equated being physically healthy with active aging. More working respondents and females (than retired and male respondents) thought that successful aging meant participating in community-based activities. In terms of vulnerability, differences were noted in the respondents’ sources of strength and worries. In general, retired respondents and female respondents said they got their strength from their grandchildren and from their religion. In contrast, working respondents and male respondents relied on their families for strength. It was also noteworthy that more retired respondents did not have any old agerelated worries compared with working respondents. Female respondents worried about their families while male respondents worried about death. Subjective nuances of being an older working or a retired employee in an academic community surfaced in the FGDs. The importance of context was evident in shaping the informants’ perceptions of active aging and frailty, and in their sources of worries and happiness. Overall, this paper adds to the body of knowledge about aging in the Philippines by studying a group of older Filipinos in an academic community. It showed that particular aspects of Filipino culture such as gender roles, religion, and close family ties permeate one’s life until he or she reaches old age. The results can help academic communities in policy formulation and program development to ensure that their older employees — throughout their life course — can adequately address vulnerability and resiliency needs to achieve active and successful aging.
Humans ; Female ; Male ; Frailty ; Gender Identity ; Philippines ; Aging

Transsexual individuals with gender dysphoria or gender identity disorder are rare, with a prevalence reported to range from 0.002% to 0.014%. Studies have shown that mastectomy yields significant improvements in body image and self-esteem in female-to-male transsexual patients. In patients with grade III breast ptosis, mastectomy with a nipple-areolar complex (NAC) graft is the most commonly used technique, although it has several disadvantages. In the case described herein, a bilateral mastectomy preserving the NAC in an inferior pedicle was performed. Additionally, a thin superior thoracic dermal-fat flap was preserved and eventually sutured at the previous inframammary fold, preventing an inverted T scar. This case shows the advantage of this technique for preserving the blood supply and innervation of the NAC, with a low hypopigmentation risk. Furthermore, in this technique, the patch effect does not impair the results of the NAC graft, and there is no need to use an inverted T scar that may result in thoracic feminization.
Body Image ; Breast ; Cicatrix ; Feminization ; Gender Dysphoria ; Gender Identity ; Gynecomastia ; Humans ; Hypopigmentation ; Male ; Mastectomy ; Prevalence ; Thorax ; Transplants ; Transsexualism

BACKGROUND/AIMS: The effect of dietary micronutrients on non-erosive reflux disease (NERD) and reflux esophagitis is unclear. We aim to evaluate the gender-specific effect of micronutrient on erosive esophagitis and NERD. METHODS: A total of 11 690 participants underwent endoscopy and completed 3-day recordings for dietary intake and questionnaires for reflux symptoms from 2004 to 2008. To evaluate the effect of dietary micronutrients on NERD or erosive esophagitis, adjusted regression analysis with odds ratio (OR) and 95% confidence interval (CI) was used. In addition, we performed gender-specific analysis. RESULTS: Prevalence of NERD and erosive esophagitis was 6.8% and 11.2% in men and 9.1% and 2.4% in women. In adjusted analysis, high intake of vitamin A (OR, 0.78; 95% CI, 0.64–0.96), retinol (OR, 0.73; 95% CI, 0.59–0.90), vitamin B2 (OR, 0.68; 95% CI, 0.54–0.87), vitamin B6 (OR, 0.75; 95% CI, 0.58–0.96), folic acid (OR, 0.77; 95% CI, 0.62–0.96), calcium (OR, 0.66; 95% CI, 0.53–0.82), and iron (OR, 0.68; 95% CI, 0.53–0.87) had an inverse association with NERD. However, erosive esophagitis has no relationship with micronutrients except vitamin C (OR, 0.78; 95% CI, 0.62–0.98). High dietary intake of calcium reduced the risk of NERD in men and high dietary intake of many micronutrients reduced NERD in women. CONCLUSIONS: While many dietary micronutrients reduced NERD, they had no effect on erosive esophagitis. The effect of micronutrient on NERD was more prominent in women than men.
Ascorbic Acid ; Calcium ; Endoscopy ; Esophagitis ; Esophagitis, Peptic ; Female ; Folic Acid ; Gender Identity ; Humans ; Iron ; Male ; Micronutrients ; Odds Ratio ; Prevalence ; Riboflavin ; Vitamin A ; Vitamin B 6