‘Unlike Vancouver … here there’s nothing’: imagined geographies of idealized health care for LGBTQ women

This article explores imagined geographies of health care among Lesbian, gay, bisexual, transgender and queer (LGBTQ) women in Halifax and Vancouver. In expressing the possibilities and limitations of accessing care, participants frame their own experiences through spatialized narratives of how LGBTQ people are thought to be treated elsewhere. Participants’ explicit connections and distinctions between Halifax and Vancouver gave insight into how their perceived difficulties in one health care context are sometimes framed by imagining more ease in accessing care in the other. We explore here the implications of these imagined, idealized spaces, which may set up false expectations that things are always better elsewhere. We reveal imagined geographies and senses of place as highly relevant features in LGBTQ women’s accounts of experiences with and access to health care and expand conventional arguments about physical access to care.     

Can Christian Democracy Be America's Next European Import?

The confluence of the Supreme Court's Obergefell decision on gay marriage and the unusual nature of the 2016 U.S. presidential election presents American Christians with significant political questions. Obergefell's elevation of gay marriage to the status of a constitutional civil right put U.S. law and Christian orthdoxy at loggerheads, thereby raising serious issues with regard to the continued ability of religious organizations to participate in the not-for-profit sector and in higher education. At the same time, the nationalistic turn of the the Republican party under Donald Trump generated dissonance with Christian views of human solidarity. The new situation seems to shift the landscape of American politics and raises the possibility of new alternatives. Contributors to this symposium were asked to evaluate the prospects for an Americanized version of European Christian Democracy. While they generated a diversity of opinion about Christian Democracy, the group pragmatically recognized the many obstacles in place. Some argued against the idea because of reservations about associating the Christian faith with the coerciveness of law. Others noted the proven virtues of such parties in Europe. This article interacts with the different responses and makes a case for why Christian Democracy might have a brighter future in the U.S. than many believe. The primary reason is that Christian Democracy emerged in response to aggressive secularism in Europe's past that may only be reaching similar levels in the U.S. today. Therefore, a new political movement with similarities to Christian Democracy might make sense in the American context.     

Statistical methods for bioarchaeology: applications of age-adjustment and logistic regression to comparisons of skeletal populations with differing age-structures

Previous studies of patterns of osteoarthritis involvement in prehistoric skeletal populations have been used to suggest differences in lifestyle or subsistence patterns. In spite of the intriguing nature of such studies, inadequate controls for the potential confounding effects of age have made results less secure than they appear. While researchers remain unable to control for the inherent limitations imposed by preservation bias, meaningful advancement could be made in the analysis of these data. Here we propose two methods from epidemiology that would allow more robust comparisons between populations with differing age-structures: age-adjustment and logistic regression. We apply these two methods to previously published data from prehistoric populations of the American Great Basin. In doing so, we are able to discern sex differences in risk for osteoarthritis at the shoulder (beta = −1.82, SE = 0.74, OR = 0.16, 95% CI = 0.04–0.69, p = 0.013), elbow (beta = −2.07, SE = 0.82, OR = 0.13, 95% CI = 0.03–0.63, p = 0.011), and in the foot (beta = −3.11, SE = 1.57, OR = 0.04, 95% CI = 0.00–0.97, p = 0.048), that were not noted in previous analyses of these data. These findings suggest that greater clarity of results and more precise comparisons of risk may be achieved by using these methods. We conclude that further application of these methods to bioarchaeological studies would potentially improve what can be said about prehistoric health patterns and lifeways.     

Review

Bininj Gun‐wok: a pan‐dialectal grammar of Mayali, Kunwinjku and Kune. By Nicholas Evans. Canberra: Pacific Linguistics. 2003. 2 volumes. Pp: xxix + 357, xxii + 389. Price: A$159.50 (for both volumes)     

Landcare: Policy,Practice and Partnerships

Landcare is a response to the land degradation crisis facing Australia and is both a community process and a government policy. ‘Landcare’ is a contested term with different meanings being placed on it by individuals and groups from different places with different levels of power and local knowledge. A key concept of Landcare is forming partnerships, which are also seen in very different terms by various Landcare stakeholders. Landcare places great value on local environmental knowledge and senses of place. The achievements of Landcare in facilitating cultural change are assessed and the factors identified that will determine whether Landcare can be ‘scaled up’ to address wider issues of ecological sustainability.