health

Photo by Quinn Dombrowski, Flickr CC

LGBT families are increasingly visible in public life. From famous celebrity same-sex parents like Neil Patrick Harris and David Burtka to same-sex family representations in popular television shows like Grey’s Anatomy and Modern Family, it may be easy to forget the hurdles LGBT families continue to face. For decades, anti-same-sex parenting activists have challenged LGBT parental rights, arguing that same-sex parenting somehow harms the wellbeing of children. Social science research on LGBT parenting has generally refuted  these claims, providing evidence that good parenting occurs under a diversity of family arrangements.

Families have never truly resembled the so-called “traditional” nuclear family, yet LGBT families have indeed expanded definitions of kinship and parenting. Beyond disrupting norms about gender and sexual orientation of family members, many LGBT families use adoption and various methods of assisted reproduction to have children. Some families include two parents, some include one, and others involve co-parenting between more than two people.
Despite a range of options for family structures, LGBT families still face legal challenges to parenting. Legal rights pertaining to adoption and parental rights vary significantly across the United States, as do parents’ understandings of and interactions with the law. In fact, parents’ expectations of what family formation means are often shaped by the legal context in which they live. For instance, if adoption is not an option for the second parent, it may become less important to the parents’ perception of how a family should look.
Over the past decade, research on the well-being and success of children with lesbian and gay (LG) parents has intensified. Evidence overwhelmingly indicates that these children do just as well as children raised by different-sex parents in social and cognitive development, academic performance, and avoiding substance abuse and delinquent behavior. Beyond wellbeing, LG parents may be less likely to enforce rigid gender norms on their children, instead offering a variety of gendered options. Studies have also found that children’s activity preferences are less gendered when parental division of labor is more equally shared between both parents, and this egalitarian form of co-parenting appears to be more common among middle class, white lesbians. However, parents from all backgrounds may be less likely to endorse gender nonconformity with their sons than with their daughters.
While the research base on LG parents and family structures has developed rapidly, we know much less about transgender parents and transgender youth. Similarly, the experience of bisexual individuals has often been ignored or collapsed under LG experiences. This lack of research complicates the notion of LGBT as a comprehensive umbrella term in family studies, as social scientists know far less about the BT than the LG, and even less about queer and asexual identities (QA).
Photo by Cristian V, Flickr CC

Prominent figures in American film, news, and politics are facing a dramatic wave of sexual harassment accusations. In response, the heads of organizations — like the Academy of Motion Pictures Arts and Sciences and various colleges and universities — are not only encouraging victims to voice their allegations, but also re-examining their own institutional cultures. Social science research has explored the social dynamics of sexual harassment in the workplace and the conditions that prevent reporting. 

Individuals who experience sexual harassment often do not report right away — some may not interpret their experiences as abuse at first, but even when they do, many choose not to come forward. And others who are aware of the harassment frequently turn a blind eye. In order for victims of sexual harassment, discrimination, or abuse to come forward, they must first believe that doing so will be effective and not result in their own harm. Lost jobs opportunities and the fear of retaliation are among the most frequent reasons for not reporting, and educational, psychological factors, and financial resources all influence the likelihood of reporting. 
Organizations can also develop cultures of corruption and silence as sexual harassment becomes embedded within the institution. Members normalize and justify these practices, and then socialize newcomers to view such behavior as permissible and even desirable. In doing so, members of the organization legitimize and reinforce the status quo. For instance, women’s success may be interpreted as a threat to men’s masculinity, and in some cases, these men respond through controlling practices like sexual harassment. In order to keep their jobs and avoid conflict with coworkers, many women remain silent and feel they must tolerate unwelcome sexual advances. When coworkers witness harassment and do not respond, victims may internalize negative judgments, which lowers their sense of well-being and reduces opportunities for collective action.
Photo by Mike Schmid, Flickr CC

Benefits for the wealthiest Americans in Republicans’ proposed tax plan are causing alarm among some Americans, especially because they risk widening an already large wealth gap. According to a recent analysis, the three richest Americans control more wealth than half of the United States’ population. Wealth is different from income, because it takes into account assets like property and debts in addition to earnings, which means wealth inequality in the United States is much greater than income inequality. Social scientists demonstrate that the amount of wealth a person accumulates is associated with a variety of social advantages. And once someone has accumulated wealth, the benefits continue to build up over time and across generations.

Income matters for wealth accumulation, but that is not the only factor. Homeownership is particularly important, though age, wealth of parents, level of education, religion, race, and gender also influence the wealth a person acquires. For instance, unmarried women’s wealth on average is lower than men’s, and a significant gap exists between whites and Blacks in America — a gap that only gets wider in the top tax bracket.
Having wealth is an important indicator of future wealth and well-being. Parents’ wealth is often associated with greater well-being for their children, including higher educational and occupational attainment. Personal wealth also partially explains the gap in marriage rates between people with high and low education levels.
Photo by Frank de Kleine, Flickr CC

Several abortion providers have come under intense criticism for offering free abortions to women affected by Hurricane Harvey. While this criticism echoes decades of social and political debates regarding women’s reproductive rights, the control over women’s bodies extends far beyond the second-wave feminist movement during the mid-20th century. For example, recent calls for the removal of a statue honoring J. Marion Sims, a doctor known for medical contributions to the field of gynecology and who performed experimental surgeries on non-consenting enslaved black women without anesthesia, illustrate the historical links between reproductive control, gender, and race. Sociologists allow us to trace the long history of controlling black women’s reproduction.

While historical accounts of reproductive rights rhetoric in the 19th century point to the gendered issue of men’s control over women’s bodies and the valorization of traditional motherhood, they neglect how political rhetoric also drew on ideas of white superiority. As more immigrants migrated to the U.S., Anglo-Saxon political elites worried that greater migrant representation would quickly dismantle their political power, and so American physicians encouraged Anglo-Saxon women to bear children for the sake of continued political power among whites.
Even though white women were subjected to political rhetoric that sought to control their reproduction, their capacity to reproduce the white race meant they were privileged relative to black women. This privilege was shaken when white women gave birth to mixed-race children, however, and these women were sometimes forced into indentured servitude. On the other hand, racially mixed children born to black women during slavery were not threatening to a white racial order. Instead, they were viewed as symbols of white men’s social and economic control over black women.
During and after slavery, black women were commonly depicted as sexually deviant, hypersexual and promiscuous. State-sanctioned practices to control black women’s reproduction–like coercive birth control and mass sterilization campaigns where doctors performed hysterectomies on black women that were not medically necessary–reflected these cultural images. When black women did have children, restrictive welfare policies limited the state support they could receive, further drawing on racialized constructions of black women as lazy, ignorant, “welfare queens.” Both sets of state practices reflect the attempt to control black women’s sexuality, reproduction, and families.

For more on the ways mothers are controlled and policed, check out this TROT on morality and maybe-moms.

Photo by Ted Eytan, Flickr CC

Despite increased awareness surrounding transgender identities and experiences, the National Coalition of Anti-Violence Programs (NCAVP) has tracked 36 anti-LGBTQ homicides in 2017 alone, 16 of whom were transgender women of color. Along with President Trump’s recently proposed military ban of transgender persons, there is evidence that personal prejudices and institutional discrimination continue to affect the lives of those in the trans community.

One way institutions like the military discriminate against transgender individuals is by advancing the assumption that trans bodies are a problem and should conform to “normal” standards. For example, medical professionals that work with transgender patients often discourage them from undergoing transitional surgery too soon. This discouragement reinforces traditional ideas that treat gender and sex as the same thing, and recognize both as binary. This discrimination shapes psychological and physical well-being, as transgender people who appear as gender nonconforming have a greater risk of engaging in self-harm acts, including suicide.
Transgender people are also at a greater risk of being the victims of violence. Surveys indicate that roughly 50% of transgender people report experiences of sexual violence or assault. The continuous threat of violence influences everyday decision making and quality of life across communities. For example, transgender women are more likely to perceive an association between acts of physical violence with sexual assault. Moreover, individuals transitioning from male-to-female are more likely to experience violent victimization than those transitioning from female-to-male, with a heightened risk during periods of transition and gender ambiguity.
Photo by The People Speak!, Flickr CC

Sex education is a contentious subject in U.S. politics. Before Obama’s presidency, the federal government only funded abstinence education, but in 2009 Obama created the Office of Adolescent Health and diverted some of these funds to create an approved list of practices shown to prevent teen pregnancy (several sources show abstinence-only education does not) through research. With Trump as president, the future of sex ed is an open question, but sociologists can offer some insight regarding what we already know.

Public sex education or “social hygiene” appeared in the U.S. at the turn of the 20th century in response to concerns about increasing urbanization and growing sexual temptations. During the 1960s and 70s, sexual cultures in the U.S. underwent further shifts, influenced by feminism, youth culture, and the gay rights movement. However, anxieties about sex, especially for youth in the U.S., remained. Debates about what kind of sex education to provide for youth seemed to occur between two poles — sexual liberals who supported a comprehensive sex education in schools and sexual conservatives who supported abstinence-only education. 
No matter which type of sex education is implemented, sex ed is ultimately about regulating youth sexuality. Political actors and popular conversations alike frame youth sex as a social problem that requires intervention. Much of this discourse focuses on sex as a danger for children and young adults. Thus, sex education in the U.S. draws on an assumption of risk, relying on prevention-based education.
However, sex educators and the curriculum they use do not assume all children are equally innocent or at risk. Scholars show that sex education often draws on racial stereotypes of youth of color as sexually deviant. Youth of color are “adultified” and thus perceived as more sexual than their white peers. For instance, teachers often characterize African American girls as sexually opportunistic and assume Latina teens are inherently at risk of teen pregnancy. Further, boys are assumed to be sexually aggressive, and girls are held responsible for dealing with boys’ desires.
Photo by Fibonacci Blue, Flickr CC

In response to the Trump administration’s crackdown on undocumented immigrants, cities and universities all across the United States have declared themselves “sanctuaries” from the threat of deportation. One aspect of this has been a revival of the sanctuary church movement. Over 800 churches nationwide have declared themselves sanctuaries for undocumented immigrants who fear deportation since Trump took office. While it is technically illegal to harbor undocumented immigrants, immigration enforcement officials have typically avoided raiding “sensitive locations” like churches and hospitals to avoid disrupting institutions that provide social services. Social science shows that protecting sensitive locations like churches is key to providing essential social services to marginalized populations. 

This is not the first instance of religious institutions attempting to shield undocumented immigrants from deportation on moral grounds in the United States. In the 1980s, thousands of refugees fled political violence in Central America, many to the border states of Arizona and Texas. In response, hundreds of religious congregations declared themselves to be sanctuaries for Central American refugees. With the exception of a notable trial in Arizona in 1986 in which several activists were convicted for violating immigration law, most congregations suffered minimal, if any, legal reprisal for their efforts during this period.
Churches are unique from other types of sensitive locations like schools and hospitals because of their long history of offering sanctuary to people in need, a history that goes back to the 1600s. It was not until the late 20th century that states began intervening and requiring churches to hand over people they were protecting. In the U.S. today, churches are a critical resource for low-income, minority, and immigrant communities, especially in small towns and rural areas. They often serve as primary distribution sites for a number of rural social services including food aid, shelter, clothing, basic healthcare, and English language and employment tutoring.
Research studying the long-term effects of ICE raids on hospitals and clinics shows that immigrants stop seeking medical services when they no longer feel safe from law enforcement. If sanctuary churches are no longer recognized as safe from ICE raids, there is some concern that the same problem will make it difficult for churches to reach immigrants in rural places.

It remains to be seen whether the Trump administration will stay out of churches, but social science shows that raiding these spaces could affect all immigrants, especially those in rural areas. And it may very well ignite an intense reaction from the churches and communities trying to keep people safe. 

Photo by John Nakamura Remy, Flickr CC

A recent study in the medical community has shown a decrease in teen suicide, particularly among high schoolers who are sexual minorities, since same-sex marriage was legalized. This is evidence that change in social policy impacts health outcomes among those who experience discrimination. This is important because social science has documented the negative impacts of gender and racial discrimination on mental and physical health.

A person’s status as a racial or sexual minority impacts their exposure to stress through perceived discrimination — a key way that racial, gender, and class inequalities in physical and mental health occur. The centrality and/or visibility of racial or sexual differences in a person’s life affects if and how often discrimination is perceived — the higher the salience or visibility of one’s racial or sexual identity, the higher level of perceived discrimination and the higher level of stress that person experiences.
Those who are disadvantaged in multiple ways, like being both a racial minority and a sexual minority, find themselves at higher levels of exposure to discrimination and have higher rates of depression and worse self-rated health.
Photo by William Brawley, Flickr CC
Photo by William Brawley, Flickr CC

Employees under strict attendance policies face a difficult choice when they are “technically” physically able to be present at work, but may not feel healthy enough to perform their job well. Debating whether or not to call in for the day, employees ask themselves not only if they feel sick, but if they seem sick enough to convince their superiors and coworkers. Talcott Parsons’ classic work on “the sick role” helps us understand why. Sickness inhibits a person’s ability to perform as others expect them to. However, people in the sick role are excused if their symptoms seem to be beyond their control and if they try to get better. Whether or not a person is really sick, taking on the sick role requires those around them to be convinced, granting the sickness legitimacy. Social science research shows how the ease of attaining the legitimated sick role differs depending on gender and class.

More recent and critical research shows why taking the plunge and calling into work can be so difficult. First, a person has to ascertain whether they are truly sick by analyzing how their body feels, and whether or not certain symptoms constitute true illness in the eyes of others. The dripping nose and general malaise of a cold, for example, is never pleasant. Perhaps as children we might think it truly disrupts our daily routines. As we grow older, however, we learn what sociologists of health call illness behavior, which is how an individual interprets specific bodily symptoms (like those of a cold) and reacts to them. Adults learn that the proper reaction to a cold is taking some over-the-counter medicine and heading into work with a box of tissues. This means that learning to interpret the way your body feels is in large part a social process.
Many working-class jobs perpetuate “toughing it out” illness behavior; employees often attribute moral value to being “hard working” and going into work no matter what. This comes with a set of beliefs about what constitutes real illness and what is mere laziness. Research finds that this kind of labor market shapes working mothers’ illness behavior. After developing a worker identity, working mothers often recognize physical symptoms as relatively unimportant compared to building a good reputation with their superiors and defending themselves from job insecurity. The economy, then, is at play when they assess how they physically feel. They then encourage their children to “tough out” common health problems. This learned behavior does not end when a child leaves home either – they are socialized into this practice and are likely to continue “toughing it out” when they are adults.
Photo by Monik Markus, Flickr CC
Photo by Monik Markus, Flickr CC

More and more popular media outlets are talking about why purposely stopping your period might be a good thing. Many medical professionals now advocate for menstrual suppression, usually through hormonal treatments that many people are already using. Birth control options like the pill are being used as a way to improve the quality of life for those of us who get periods, but this medical development affects the social meaning of menstruation.

Menstruation is not simply a biological phenomenon. Rather, people experience menstruation within a social context. In a society that often assumes heterosexuality, girls’ first periods mark them as sexual objects, indicating their ability to reproduce, and differentiating them from boys. After their first period, girls report feeling sexualized by others, as well as more ambivalent about their bodies. Menstruation often evokes disgust by both men and women, often becoming a social stigma that must be hidden.
While menstruation is typically discussed as something natural, what counts as menstruation is socially constructed. In the light of new drugs specifically designed to suppress periods, the FDA and companies marketing the products make distinctions between bleeding that occurs while taking hormonal birth control and bleeding that occurs without it. They argue that “pill periods” are not in fact “real” periods because they are artificially modified and therefore unnecessary. This redefinition demonstrates how bodily processes, like menstruation, can be redefined and reimagined, and how the way they are experienced is influenced by social context.