The provision of sanitation in India has attracted much attention, but research and policies focusing on gender in relation to sanitation often fail to focus on sanitation-related violence against women (VAW). This article focuses on research in Pune (in Maharashtra) and Jaipur (in Rajasthan). It offers evidence of slum-dwelling women's experiences of harassment and violence related to poor or absent sanitation facilities. In addition, it explores the strategies that women adopt to minimise risk and stress. Sanitation-related violence shows the connections between slum geographies and unequal intra-slum relationships of gender, caste, and economic and marital status, and the types of sanitation facilities available. These different identities shape women's experiences of VAW and they commonly blame men from 'outside' or 'other' groups, affecting their ability to act as a united group against violence. While sanitation is inadequate and inappropriate for women's needs across castes, community cohesion and the chances of collective action and advocacy to address sanitation needs are also compromised by tensions between groups in the slum.
It is known that survival is unaffected by the choice of surgical management for breast cancer (BC) patients. Despite this fact, recent literature reveals that the number of bilateral mastectomies (BMs) in the United States is increasing. In an effort to elucidate potential factors influencing this trend, we investigated socioeconomic and clinicopathologic characteristics of our patient cohort that could have affected a patient's decision between unilateral mastectomy (UM) versus BM. Five-hundred-eight patients with unilateral BC who underwent mastectomy between 2000 and 2009 were analyzed: 397-UM; 111-BM. Influence of patient's age, insurance status, residence (rural versus urban), subsequent reconstruction, marital status, smoking history, family cancer history, cancer stage and grade on the BM versus UM patient's decision were analyzed using independent sample t tests, χ2 and logistic regression analysis. BM was more likely to be chosen by younger (<50 years) patients (P < 0.001); patients with private insurance [odds ratio (OR) = 2.22, 95% confidence interval (CI) = 1.4–3.5]; residence in urban settings (OR = 5.09, 95% CI = 2.5–10.4); and plans for subsequent reconstruction (OR = 2.31, 95% CI = 1.4–3.8). Marital status, smoking history, family cancer history, BC stage and grade did not significantly impact patient's choice of BM versus UM. We found that patients with unilateral BC who are younger (<50 year) have private insurance, reside in urban settings, or plan for subsequent reconstruction are more likely to undergo BM for unilateral BC. Genetic specific data were not evaluated for this patient cohort, and will be the subject of future analysis.
In this paper we present a situated analysis of the implications of the COVID-19 pandemic on the life of small-scale farmers and agricultural laborers in India, Algeria, and Morocco. We draw on data collected through phone interviews since April 2020. Inspired by feminist scholars, we analyze our findings thinking with—and entangling—the concepts of intersectionality, resilience and care. We firstly document the material impacts of the lockdown measures, focusing particularly on the experiences of single women farmers and laborers, whose livelihood and well-being have been notably compromised. Secondly, we unfold how different agricultural actors have come up with inventive ways to respond to the unexpected situation which they are facing. In doing so, we highlight the importance of considering the multiple and entangled socionatural challenges, uncertainties, and marginalizations that different agricultural actors experience, as well as the transformative potential of their inventive practices, which are often motivated and informed by notions of care.
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