Positive postpartum depression screening practices and subsequent mental health treatment for low-income women in Western countries: a systematic literature review

Problem statement and significance Left undiagnosed and/or untreated, the short-and long-term sequelae of postpartum depression may negatively impact both mother and child. In Western countries, access to mental health care is influenced by socioeconomic factors. The objective of this systematic literature review is to compile factors that hinder and improve access to postpartum depression treatment in low-income women after a positive screen for postpartum depression. The key question of focus is: what are the characteristics associated with access to mental health treatment for low-income women with a positive postpartum depression screen in Western countries? Methods A PRISMA-based systematic literature review was conducted of studies published in English before February 2016 that looked at treatment for postpartum depression in low-income women who had been identified with the condition. PubMed and EBSCO databases were searched using MESH and key terms and found 100 articles that met the selection criteria. After review by two independent researchers, 18 studies with 17 unique populations were included in the literature review. Results Two independent abstractors searched the included articles for themes surrounding impediments and advantages for low-income women identified with postpartum depression in obtaining mental health treatment. Characteristics of successful mental health treatment included studies that employed the use of a home visitor and those that separated outcomes for women with previous mental health treatment. Themes that emerged as treatment obstacles included cultural barriers, physical barriers, systemic health care barriers, and social barriers. Implications for practice This review will help to better inform screening and treatment priorities for those in the medical field who may encounter women experiencing postpartum depression and are not aware of the various barriers to care specific to low-income women. This review will also help policymakers identify specific obstacles that are not addressed in postpartum screening mandate policies which can affect the implementation of these policies

Cross-linguistic variation in word-initial cluster production in adult and child language: evidence from English and Norwegian.

Young children simplify word initial consonant clusters by omitting or substituting one (or both) of the elements. Vocalic insertion, coalescence and metathesis are said to be used more seldom (McLeod, van Doorn & Reed, 2001). Data from Norwegian children, however, have shown vocalic insertion to be more frequently used (Simonsen, 1990; Simonsen, Garmann & Kristoffersen, 2019). To investigate the extent to which children use this strategy to differing degrees depending on the ambient language, we analysed word initial cluster production acoustically in nine Norwegian and nine English speaking children aged 2;6-6 years, and eight adults, four from each language. The results showed that Norwegian-speaking children produce significantly more instances of vocalic insertions than English-speaking children do. The same pattern is found in Norwegian- versus English-speaking adults. We argue that this cross-linguistic difference is an example of the influence of prosodic-phonetic biases in language-specific developmental paths in the acquisition of speech.British Academy Small Research Grant SG122210 ‘The acquisition of consonant timing: a study in cross-linguistic micro-variation’, MultiLing, A Centre of Excellence funded by the Research Council of Norway (project number 223265), and from the Faculty of Education and International Studies at Oslo Metropolitan University

Vocalic Intrusions in Consonant Clusters in Child-Directed vs. Adult-Directed Speech.

In this paper, we investigate a prosodic-phonetic feature in child-directed speech within a dynamic, complex, interactive theoretical framework. We focus on vocalic intrusions, commonly occurring in Norwegian word initial consonant clusters. We analysed child-directed speech from nine Norwegian-speaking mothers to their children, aged 2;6, 4, and 6 years, and compared the incidence and duration of vocalic intrusions in initial consonant clusters in these data with those in adult-directed speech and child speech. When viewed overall, vocalic intrusion was found to be similar in incidence in child- and adult-directed speech. However, closer examination revealed differential behaviour in child-directed speech for certain conditions. Firstly, a difference emerged for one particular phonetic context: While vocalic intrusions in /Cr/ clusters are frequent in adult-directed speech, their presence is near-categorical in child-directed speech. Secondly, we found that the duration of vocalic intrusions was longer in child- than in adult-directed speech, but only when directed to 2;6-year-olds. We argue that vocalic intrusions in child-directed speech may have both a bonding as well as a didactic function, and that these may vary according to the age of the child being addressed

Phonetic variation in Italian consonant gemination

This paper presents findings on the articulatory and prosodic conditioning of Italian (lexical and post-lexical) geminate and non-geminate consonants. Phonetic and phonological prominence interact, resulting in a durational contrast which is not uniformly robust. So-called 'inherent' geminates are also found to be long post-consonantally, contrary to received wisdom, and do not form 'supergeminates' in conditions of postlexical gemination. Formant analysis of laterals reveals possible non-durational properties of gemination, with evidence for a more palatalised tongue configuration in geminates. Implications for the structural status of gemination are discussed

Non-durational indices in Italian geminate consonants

This paper presents the results of an electropalatographic investigation into non-durational properties of Italian consonant gemination. The evidence suggests a more palatalised tongue configuration during the production of geminate coronal sonorants and stops than in their non-geminate counterparts. Evidence is also found of differences in the active articulator, with a laminal articulation more characteristic of geminates, and an apical articulation of non-geminates. It is proposed that Italian gemination be thought of more broadly as fortition, and the implications of this are discussed

Consonant gemination in Italian : phonetic evidence for a fortition continuum.

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From Fibre to Fashion: Understanding the Value of Sustainability in Global Cotton Textile and Apparel Value Chains

Current sustainability frameworks and tools to assess and track social and environmental impacts of textile and apparel (such as life cycle analysis) along the chain, although important, provide a narrow focus on metrics (such as a reduction in inputs) or on economic value. This paper proposes a tailored method which combines value chain thinking with qualitative value mapping techniques to identify what sustainable value means and to whom, who benefits both in and beyond the chain (such as wider society, the environment, local communities), as well as opportunities to create sustainable value in the future. Results from interviews with stakeholders of a single connected cotton value chain demonstrate that this approach can identify sustainable value propositions specific to different actors in the chain, temperature-test whether stakeholders are willing to pay a premium price for sustainability efforts, and identify novel sustainable value opportunities that disrupt the chain. In addition to extending knowledge around sustainability in the textile and apparel industry, our contribution also lies in the development of a tailored tool which can be adapted and used for other value chains