Problems and prescriptions: motherhood and mammismo in postwar Italian advice columns and fiction

This chapter explores the way that motherhood was represented and debated in Italian magazine advice columns of the 1950s, a time of burgeoning success for the illustrated magazine and also the period that saw the emergence of the stereotype of mammismo. A study of four contrasting magazines, Grazia, Famiglia cristiana, Noi donne and Epoca, it discusses not only the normative prescriptions of some publications, but also the ways in which advice columnists attempted to establish a genuine dialogue with their readers and, to varying degrees, to respond to their interests and anxieties. It also gives an insight into the prevalence of mammismo in popular discourse, and, in Epoca and the writing of its columnist Alba de Céspedes, a specifically female perspective on the causes and durability of the stereotype

Disclosure of sexual orientation to health professionals in China: results from an online cross-sectional study

Background: Many men who have sex with men (MSM) in China are “in the closet.” The low rate of disclosure may impact sexual behaviours, testing for HIV and other sexually transmitted infections (STIs), and diseases transmission. This study examines factors associated with overall sexual orientation disclosure and disclosure to healthcare professionals. Methods: A nationwide cross-sectional online survey was conducted from September 2014 to October 2014 in China. Participants completed questions covering socio-demographic information, sexual behaviours, HIV/STI testing history, and self-reported HIV status. We defined healthcare professional disclosure as disclosing to a doctor or other medical provider. Results: A total of 1819 men started the survey and 1424 (78.3%) completed it. Among the 1424 participants, 62.2% (886/1424) reported overall disclosure, and 16.3% (232/1424) disclosed to healthcare professionals. In multivariate analyses, the odds of sexual orientation disclosure were 56% higher among MSM who used smartphone-based, sex-seeking applications [adjusted odds ratio (aOR) = 1.56, 95% CI: 1.25–2.95], but were lower among MSM reporting sex while drunk or recreational drug use. The odds of disclosure to a healthcare professional were greater among MSM who had ever tested for HIV or STIs (aOR = 3.36, 95% CI: 2.50–4.51 for HIV, and aOR = 4.92, 95% CI: 3.47–6.96 for STIs, respectively) or self-reported as living with HIV (aOR = 1.59, 95% CI: 0.93–2.72). Conclusion: Over 80% of MSM had not disclosed their sexual orientation to health professionals. This low level of disclosure likely represents a major obstacle to serving the unique needs of MSM in clinical settings. Further research and interventions to facilitate MSM sexual orientation disclosure, especially to health professionals, are urgently needed