The Road to “Severe Obesity”: Weight Loss Surgery Candidates Talk About Their Histories of Weight Gain

Much research focuses on the causes of weight gain, but few studies examine the perspectives of those who have been categorized as “severely obese.” This paper discusses the findings of 54 interviews with weight loss surgery candidates in Newfoundland and Labrador, Canada. We explore participants’ perspectives on their histories of weight gain, focusing on their explanations for weight gain as well as the emotions surrounding their weight gain experiences. We find that the dominant individualized, medicalized construction of obesity both (1) adds to the burden of blame for weight loss surgery candidates, with potential emotional health implications, and (2) overlooks key social determinants of health

Communication, Relationships, and Priorities: Parental and Provider Experiences of Infant Feeding Support on the Northeast Avalon

Infant feeding is a subject of great interest and importance to those who advocate for the health and wellness of parents and babies. The infant feeding journey begins in pregnancy, as most pregnant individuals decide how they intend to feed their child before they give birth. Moreover, acquiring knowledge about the realities of infant feeding before birth is a key to success, however defined. Drawing on a longitudinal study in the Northeast Avalon region of Newfoundland, this report presents seven recommended actions to better support infant feeding, from a perspective within a province with the lowest breastfeeding rates in Canada. Informed by feminist participatory action research, the recommendations may be insightful for other regions struggling to better support infant feeding

Task-Diaries: A Valuable Qualitative Tool for Occupational Health Research on Teacher Workloads

This article discusses the usefulness of a qualitative tool called a “task-diary,” in combination with individual in-depth interviews, for occupational health research on teacher workloads. I describe my use of task-diaries to examine primary and elementary teachers' workloads in Newfoundland and Labrador, Canada, discuss the most useful aspects of task-diaries for this research, and suggest further applications of this tool in the workload research field

Fighting for Trans* Kids: Academic Parent Activism in the 21st Century

In this article we explore some of the affective and ethical dimensions that we have faced as parent academic-activists seeking to understand and undo some of the structural transphobia that currently exists in Canadian society.  Informed by critical feminist, critical race and black feminist thought, trans* scholarship, queer theory, and anti-oppression analysis, we discuss how our academic-activism assumes complex configurations of privilege and vulnerability

Poverty and Breastfeeding: Comparing Determinants of Early Breastfeeding Cessation Incidence in Socioeconomically Marginalized and Privileged Populations in the FiNaL Study

Purpose: Infant feeding differences are strongly tied to socioeconomic status. The goal of this study is to compare determinants of early breastfeeding cessation incidence in socioeconomically marginalized (SEM) and socioeconomically privileged (SEP) populations, focusing on birthing parents who intended to breastfeed. Methods: This cohort study includes data from 451 birthing parents in the Canadian province of Newfoundland and Labrador who reported intention to breastfeed in the baseline prenatal survey. Multivariate logistic regression techniques were used to assess the determinants of breastfeeding cessation at 1 month in both SEM and SEP populations. Results: The analysis data included 73 SEM and 378 SEP birthing parents who reported intention to breastfeed at baseline. At 1 month, 24.7% (18/73) in the SEM group had ceased breastfeeding compared to 6.9% (26/378) in the SEP group. In the SEP population, score on the Iowa Infant Feeding Attitude Scale (IIFAS) (odds ratio [OR] 3.33, p=0.01) was the sole significant determinant. In the SEM population, three significant determinants were identified: unpartnered marital status (OR 5.10, p=0.05), <1 h of skin-to-skin contact after birth (OR 11.92, p=0.02), and negative first impression of breastfeeding (OR 11.07, p=0.01). Conclusion: These results indicate that determinants of breastfeeding cessation differ between SEM and SEP populations intending to breastfeed. Interventions intended on improving the SEM population's postpartum breastfeeding experience using best practices, increasing support, and ensuring at least 1 h of skin–skin contact may increase breastfeeding rates

Applying Self-Directed Groupwork and Social Action Research Methodology with francophone parents of trans children and youth in Rural Quebec

Parental support is an important protective factor in preventing suicide among trans youth. However, parents often struggle to accept their child’s gender transition.  Having access to a group and to meeting other parents facilitates the acceptance process, but support groups are rare and even more so outside urban areas. The research project discussed in this article was developed to understand specifically the experience of parents of francophone trans youth living in rural and remote communities in Quebec. A Self-Directed Group approach (Mullender, Ward and Fleming 2013), combined with Social Action Research (Author et al. 2015) was initiated to offer a platform for parents to explore the specificities of parenting a trans child in rural francophone Quebec.  Parents were recruited through social and traditional media and a series of group meetings was planned to collect data and as well as to facilitate the parents' mobilization.  Despite applying the Self-Directed Groupwork principles and process, many challenges were encountered, stimulating a number of reflections on the use of self-directed group work and social action in remote geographical areas. This paper explores some of those challenges and discusses a possible way forward for research