Gender differences in marital quality and well-being in Chinese married adults

The present study addressed the issue of gender differences in marital quality and well-being in Chinese married men (N= 738) and women (N= 761). The results showed that males had significantly higher scores on the Chinese Dyadic Adjustment Scale and Chinese Kansas Marital Satisfaction Scale. While a longer duration of marriage was associated with higher levels of dyadic consensus and affectional expression in men, the duration of marriage was negatively related to marital adjustment and marital satisfaction in women. The data also showed that women displayed more psychiatric symptoms and midlife crisis problems and they had lower levels of positive mental health and perceived health status than men. While marital quality was positively related to well-being in both men and women, the impact of marital quality on well-being was generally found to be greater in women than in men.     

Central issue importance as a function of gender and ethnicity

A recent theoretical model of centrality (Bernstein, 1987; Bernstein, Hofmann, Santiago, & Diebolt, 1989) suggests that the importance attached to certain “central issues” may increase the vulnerability of individuals to distress and depression, and may explain the differential rates of depression among gender, racial, and ethnic groups. The present study was designed to examine the importance of central issues as reported by Anglo, Black, and Hispanic men and women (N=169). Multivariate analyses revealed significant gender, ethnicity, and gender X ethnicity effects. Specifically, women considered Intimacy significantly more important than did men, whereas men attached more importance than women to Affiliation. Anglos rated Achievement significantly higher than did Hispanics and Blacks; Hispanics considered Affiliation more important than the other two groups; and Blacks considered Intimacy the least important among the groups. Moreover, Hispanic men attributed significantly greater importance to Change, Adventure, and Control, whereas Hispanic women attached the least significance among all the groups to Control. The results are discussed in terms of cultural influences on sex role orientation and central issues, and the process by which culture and ethnicity may be related to vulnerability to depression and distress.     

Central issue importance as a function of gender and ethnicity

A recent theoretical model of centrality (Bernstein, 1987; Bernstein, Hofmann, Santiago, & Diebolt, 1989) suggests that the importance attached to certain “central issues” may increase the vulnerability of individuals to distress and depression, and may explain the differential rates of depression among gender, racial, and ethnic groups. The present study was designed to examine the importance of central issues as reported by Anglo, Black, and Hispanic men and women (N=169). Multivariate analyses revealed significant gender, ethnicity, and gender X ethnicity effects. Specifically, women considered Intimacy significantly more important than did men, whereas men attached more importance than women to Affiliation. Anglos rated Achievement significantly higher than did Hispanics and Blacks; Hispanics considered Affiliation more important than the other two groups; and Blacks considered Intimacy the least important among the groups. Moreover, Hispanic men attributed significantly greater importance to Change, Adventure, and Control, whereas Hispanic women attached the least significance among all the groups to Control. The results are discussed in terms of cultural influences on sex role orientation and central issues, and the process by which culture and ethnicity may be related to vulnerability to depression and distress.     

Divorce and the Multidimensionality of Men and Women’s Mental Health: The Role of Social-Relational and Socio-Economic Conditions

Research consistently reveals that the divorced generally face more mental health problems than the married. Less attention however has been paid to positive mental health indicators. Insight in these however may help policy makers and care providers to see both the broader picture and stimulate active coping. Using data from the European Social Survey (2006–2007), differences in both feelings of depression, and in feelings of self-esteem, autonomy, and competence between the married (N?=?14,072) and divorced (N?=?4,304) are estimated for women and men separately. Drawing on stress and coping theories, we map how specific social-relational and socio-economic conditions relate. Analyses reveal that divorce is related not only to more feelings of depression, but also to lower levels of self-esteem and competence. Difference scores in mental health based on marital status are also found to differ significantly between men and women for competence, with the difference being more pronounced in men. Additionally, social-relational and socio-economic conditions explain much of the gap in depression scores—and to a lesser extent, in self-esteem and competence scores—between the married and divorced. Finally, some interesting gender differences were found in how social-relational and socio-economic conditions relate to mental health when divorced, with women especially seeming to benefit from advantageous socio-economic conditions.     

His and her marriage: A multivariate study of gender and marital satisfaction

This study examined gender differences in marital satisfaction using the multidimensional marital inventory ENRICH. Contrary to previous research, the results indicated that men are somewhat more satisfied with their marriages than women. The findings also suggest that religion is a more important part of the marriage for men, whereas women esposed egalitarian roles to a greater extent. A significant interaction was found between marital distress and gender on the Sexual Relationship, Communication, Parenting and Children, and Equalitarian Roles scales, indicating that these areas may be particularly important in distressed couples. The differences in husbands' and wives' marital satisfaction found in this study are consistent with research suggesting that men obtain greater mental health benefits from marriage than do women. The explanation of the obtained gender differences are discussed with regard to measurement issues, sampling procedures, and power and task inequities. Sampling and differences in marital tasks and power are cited as the best explanations of the findings.     

Hispanic adolescent fertility

Knowledge regarding the fertility of Hispanic adolescents in the US is quite limited. This paper discusses the fertility of these adolescents and summarizes what is known about sexuality, contraception, pregnancy, and childbearing among male and female Hispanics of various countries of origin. As a group, Hispanic adolescents have birth rates that fall between those of non-Hispanic whites and blacks, but there is considerable within-group variation in Hispanic fertility. More research is needed concerning the correlates of these rates with factors such as age, marital status, socioeconomic level, or generational status in the US.     

GENDER AND THE RELATIONSHIP BETWEEN MARITAL-ROLE QUALITY AND PSYCHOLOGICAL DISTRESS

In this paper, we estimate the association between marital-role quality and psychological distress in a sample of 300 full-time employed women and men in dual-earner couples. We control for such individual-level variables as age, education, occupational prestige, and job-role quality, and for such couple-level variables as length of marriage, parental status, and household income. We then compare the magnitude of this effect for men and for women and for parents and nonparents. Results indicate that in dual-earner couples marital-role quality is signifycantly negatively associated with psychological distress for women as well as men and that the magnitude of the effect depends little, if at all, on gender or on parental status. These findings challenge the view that marital experiences more significantly influence women's mental health states than men's. The results are discussed in the context of identity theory.     

An invariant dimensional liability model of gender differences in mental disorder prevalence: evidence from a national sample

Epidemiological studies of categorical mental disorders consistently report that gender differences exist in many disorder prevalence rates and that disorders are often comorbid. Can a dimensional multivariate liability model be developed to clarify how gender impacts diverse, comorbid mental disorders? We pursued this possibility in the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC; N = 43,093). Gender differences in prevalence were systematic such that women showed higher rates of mood and anxiety disorders, and men showed higher rates of antisocial personality and substance use disorders. We next investigated patterns of disorder comorbidity and found that a dimensional internalizing-externalizing liability model fit the data well, where internalizing is characterized by mood and anxiety disorders, and externalizing is characterized by antisocial personality and substance use disorders. This model was gender invariant, indicating that observed gender differences in prevalence rates originate from women and men's different average standings on latent internalizing and externalizing liability dimensions. As hypothesized, women showed a higher mean level of internalizing, while men showed a higher mean level of externalizing. We discuss implications of these findings for understanding gender differences in psychopathology and for classification and intervention.     

Sex and marital status in relation to the treatment and outcome of alcoholic patients

This article focuses on gender and marital status differences in the treatment process, posttreatment experiences, and outcome of 332 alcoholic patients and explores the utility of several sex-role models in explaining the observed findings. Among men patients, being married is related to better treatment outcome, but the marital status difference is negligible among women patients. Participation in group therapy is related to better outcome for men relative to women; exposure to educational materials on alcoholism is associated with better outcome of women relative to men. Men and women patients also differ in the way in which their perceptions of the treatment environment are related to outcome. After discharge, unmarried women and married men are most likely to receive aftercare outpatient treatment, which is also related to better outcome among men patients. The findings underscore the importance of gender and marital status factors and of patient-program congruence effects in the treatment outcome of alcoholic patients.This research was supported in part by NIAAA Grant AAO2863 and by Vetrans Administration Medical Research Funds. The authors wish to thank Ruth Lederman for her valuable assistance with data analyses, and John Finney and Deborah Shields for helpful comments on earlier drafts.     

the questionable impact of gender on job loss reactions: implications for employment counseling

A heterogeneous sample of 301 men and 118 women who experienced job loss was surveyed on 4 affective and 14 attributional variables. Analysis revealed that approximately 90% of the reported gender differences involving job loss reactions disappeared when age, ethnic background, marital status, education, tenure, salary job classification, and financial strain were controlled. Resulting gender differences do not support traditional stereotypes of unemployed women nor do they support previous findings of gender‐related job loss reactions.     

Gender,Social Roles,and Mental Health: An Epidemiological Perspective

The social roles men and women occupy may account for gender differences in rates of psychiatric disorder. Women are thought to have poorer experiences within any given role (role strain theory), have more conflicts among their different roles (role-configuration theory), or have fewer role opportunities available to them (role accumulation hypothesis) compared to men. These theories are examined in a community sample (n = 4,745, 52% females and 48% males; Caucasian [84.2%], Hispanics [10.0%], African Americans [3.8%], Native American [1.4%], Asian [0.6%], and Pacific Islander [0.1%]). No gender differences in the overall rate of DSM, psychiatric disorders were found; however, differences were found for specific disorders. Although multiple roles were generally found to be associated with lower rates of disorders for both men and women, some role combinations were associated with a higher rate of disorders. The possibility that roles may be associated with both stressors and protective factors is discussed.     

SEX DIFFERENCES AND DEPRESSION IN PUERTO RICO

Sex differences in rates of depressive disorders and depressive symptomatology, as measured by the Diagnostic Interview Schedule, are examined for an island-wide probability sample of Puerto Rico. Consistent with previous research, depression is significantly more prevalent in Puerto Rican women than men. Risk factors associated with depressive symptomatology are examined from a sex-role perspective. The results of multiple regression analyses show that even after demographic, health and marital and employment status variables are controlled, women continue to be at higher risk of depressive symptomatology than men. These results are interpreted within a cultural and sex-role perspective.     

The myth of macho dominance in decision making within Mexican and Chicano families

The myth concerning Hispanic family life which prevails in the social science literature can best be summarized by abbreviated quotations attributed to Alvirez and Bean. The Mexican or Chicano husband is a macho autocrat who rules as "absolute head of the family with full authority over the wife and children" where "all major decisions are his responsibility." Domination by husbands in marriage is logically consistent with their wives' submissivesness accompanied by passive acceptance of the future, strong religious beliefs, and a tendency to reside in the temporal present. The myth is also deeply imbedded in the social pathology model: differences between Hispanics and Anglos are assumed to reflect negatively on Hispanics. The myth, it should be noted, is seldom subjected to the scrutiny of empirical inquiry. The review of 4 studies on both Mexican and Chicano samples fails to support the notion of male dominance in marital desision making. Refutation of the hypothesis of masculine dominance in marital decision making calls other components of the myth into question. Research among Hispanics on alledged female submissiveness, fatalism, eligiosity, and temporal perspective are called for. More sophisicated designs involving experimental manipulations are needed. Experimental studies on the process of decision making, actual behaviors involved in economic or budgetary negotiations, and parental interaction around childrearing would also be of interest. While the data reviewed may suggest that Hispanic males may behave differently from nonHispanic males in their family and marital lives, the behavior is not in the inappropriate fashion suggested by the myth with its strong connotations of social deviance. Additional research is recommended among Hispanics on sex role behavior among both men and women, with special emphasis on how it influences family life and marriage.     

The Hispanic Americans Baseline Alcohol Survey (HABLAS): Acculturation, Birthplace and Alcohol-Related Social Problems Across Hispanic National Groups

OBJECTIVE: To examine the association between acculturation, birthplace, and alcohol-related social problems across Hispanic national groups. METHOD: 5,224 Hispanic adults (18+ years) were interviewed using a multistage cluster sample design in Miami, New York, Philadelphia, Houston, and Los Angeles. RESULTS: Multivariate analysis shows no association between acculturation and problems among men or women. Birthplace is a risk factor for social problems among both genders. Among men, Mexican Americans, Puerto Ricans, and South/Central Americans are more likely to report social problems than Cuban Americans. Other risk factors for men are unemployment, a higher volume of drinking, and a higher frequency of binge drinking. Among women, Mexican American origin and binge drinking are also risk factors for reporting problems. CONCLUSIONS: U.S.-born Hispanics may experience stress and other detrimental effects to health because of their minority status, which may increase the likelihood of more drinking and the development of alcohol-related problems.     

Ethnic characteristics of mental disorders in five U.S. communities

The study examined the ethnic ratio of 16 DSM-III mental disorders among White, Black, Hispanic, and Asian Americans. A total of 18,126 residents from 5 sites and 2,939 residents from the Epidemiological Catchment Area's Los Angeles site were studied separately. Logistic regression analysis was performed. Results showed that Blacks were significantly less likely than Whites to have major depressive episode, major depression, dysthymia, obsessive-compulsive disorder, drug and alcohol abuse or dependence, antisocial personality, and anorexia nervosa, but they were significantly more likely than Whites to have phobia and somatization. Lifetime prevalence rates of schizophrenia, obsessive-compulsive disorder, panic, and drug abuse or dependence were significantly lower among Hispanics than among Whites. Asians also had significantly lower rates than Whites of schizophreniform, manic episode, bipolar disorder, panic, somatization, drug and alcohol abuse or dependence, and antisocial personality. Compared with the overall findings, ethnic differences at the Los Angeles site were lessened between Blacks and Whites, enhanced between Hispanics and Whites, and basically unchanged between Asians and Whites.     

Comparison of suicides among Anglos and Hispanics in five southwestern states

Little is known about deaths resulting from self-inflicted violent behavior for Hispanic Americans. To learn more about suicide for Hispanics of Mexican origin (Mexican Americans) we focused on the five southwestern states (Arizona, California, Colorado, New Mexico, and Texas) in which more than 60% of all Hispanics in the United States reside (86% of whom are Mexican American). We obtained data on the number of suicide deaths in the white population, with Hispanics and Anglos (white, non-Hispanic) identified separately. Suicides of Anglos were used as a comparison group. Results show that the suicide rate for whites in the five southwestern states (15.6) was almost one-fourth higher than the rate for whites nationally (12.7). Suicide rates for the two ethnic groups, however, showed the rate for Hispanics (9.0) to be less than the national rates for whites (12.7) and one-half that of Anglos residing in the same area (17.3). The lower suicide rate for Hispanics relative to Anglos is seen for both males and females. The ratio of male and female suicides for Hispanics was almost twice that for Anglos (4.0 to 1 for Hispanics and 2.3 to 1 for Anglos). More than 1 in 3 Hispanic men who committed suicide and more than 1 in 4 Hispanic women who committed suicide are under the age of 25.     

Completed suicides in Colorado: differences between Hispanics and non-Hispanic Whites

All suicides by Hispanics (n = 434) and non-Hispanic Whites (n = 3,370) in Colorado from 2004 to 2008 using the Violent Death Reporting System were examined. Hispanic victims were significantly younger. Adjusting for age and gender, Hispanic victims were less likely to have reported depressed mood [odds ratio (OR) 0.78; 95% confidence interval (CI) 0.63-0.97], mental health diagnosis (OR 0.53; 95% CI 0.41-0.7), or current psychiatric treatment (OR 0.47; 95% CI 0.43-0.77). There were no differences in reports of financial, relationship, job, or legal stresses. Hispanic suicides were equally likely to be by overdose, firearm, or hanging, but more likely to be in jail (OR 2.68; 95% CI 1.55-4.65). To prevent suicides, stronger partnerships are needed among public health, medical, mental health, and criminal justice professionals.     

Gender and health on the kibbutz

Gender differences in health status and illness behavior have been explained in terms of sex roles and gender-related personality traits. It may be hypothesized that in a community that is committed to gender-negating ideology, where men and women alike participate in public life, and housework and child care largely collectivized, gender health differences will disappear. The kibbutz movement is committed to the ideology of the emancipation of women: women fully participate in the labor force and decision making. Nonetheless, women on the kibbutz are responsible for the housework and are concentrated in feminine occupations. The kibbutz, then, allows us to test the relationship between gender ideology and participation in public life vs. gender roles and tasks, and health. The health behavior, health status, and illness behavior of 230 members of two kibbutzim, one religious and one secular, were studied. Men and women report similar health status and illness behavior; parental status is not related to health; and marital status is related to psychological distress only. Similar patterns were observed for the secular kibbutz and the religious one despite the more traditional division of labor in the latter.Medical student, supported by the National Fund for Medical Education, 35 Kneeland Street, Boston, MA 02111.     

Psychological testing for Hispanic Americans

The need for culturally responsive mental health services for Hispanic Americans has never been greater. This population will soon become the largest of all U.S. ethnic minority groups, and recent epidemiologic studies suggest that Hispanics have rates of mental health need that are similar to those found in the general population. Developing culturally relevant mental health services, including diagnostic and assessment procedures, for this population is essential. A synthesis of extant literature pertaining to psychological testing for Hispanics is presented. It is limited to the adult literature and discusses issues related to personality, neuropsychological, and intellectual assessment. The importance of language as it influences the assessment process has also been discussed. Based on clinical and research experiences and the results of the literature review, a set of general guidelines is proposed for those working with this population.