Background: Successful human milk supply in neonatal intensive care units (NICUs) requires the development of family-centered services. Objective: This study aimed to assess parent perceptions of factors that help or hinder providing human milk to very preterm infants (VPI) in the NICU according to sociodemographic, reproductive, and obstetric characteristics. Methods: This cross-sectional quantitative study included 120 mothers and 91 fathers of VPI hospitalized in a level 3 NICU located in the Northern Health Region of Portugal (July 2013-June 2014). Interviewers administered structured questionnaires regarding parent characteristics and the provision and perception of factors that help or hinder human milk supply in the NICU, 15 to 22 days after birth. Results: The main facilitators of human milk supply were its contribution to infant growth and well-being (51.4%) and parents’ knowledge of breastfeeding benefits (27.6%). The main barriers were worries related to inadequate milk supply (35.7%), difficulties with expressing breast milk (24.8%), and physical separation from infants (24.3%). Fathers referred less frequently to the contribution of human milk to infant growth and well-being (odds ratio [OR] = 0.57; 95% confidence interval [CI], 0.32-1.00) but more frequently to knowledge of breastfeeding benefits as facilitators (OR = 2.31; 95% CI, 1.23-4.32). Participants with > 12 years of education (OR = 1.91; 95% CI, 1.05-3.47) and those with an extremely low birth weight infant (OR = 1.90; 95% CI, 1.02-3.54) highlighted worries related to inadequate milk supply. Fathers (OR = 2.16; 95% CI, 1.11-4.19) and participants with ≤ 12 years of education (OR = 0.25; 95% CI, 0.11-0.57) more frequently reported difficulties with expressing as the main barrier. Conclusion: The parent’s gender and education and the infant’s birth weight are crucial considerations for establishing optimal practices for supporting breastfeeding.

This article analyzes how heteronormative discourse may be (re)produced by the very same people it serves to oppress, binding heteronormativity to a specific form of homonormativity. Furthermore, this article also links Portuguese history and society by discussing the context and the recent legal changes that led to legislation providing for same-sex marriage. Using thematic analysis of 14 interviews, this article demonstrates how heteronorms are upheld in the discourses of the lesbian, gay, bisexual, and queer (LGBQ) participants. Themes linked to public displays of affection and discrimination emerged from the interviews. Participant discourses are analyzed in terms of their incorporation of heteronorms. Homonormativity is present in both the themes subject to analysis. Analysis of the interviews shows how transgressing the heteronorm implies costs and is ultimately perceived as a personal risk. This article concludes that the lack of discursive resistance denies the possibility of re-signification and subversion even in LGBQ discourses. This clearly indicates the pervasiveness of discourses reiterating heteronorms, even those issued by those most oppressed by such norms.

According to Mohr and Fassinger (2006), identity is seen as both self-identification and collective identification with values, beliefs, traits or behaviours and attachments. Their Lesbian, Gay, and Bisexual (LGB) multidimensional identity model accounts for important variables regarding the constitution of identities. This model not only accesses numerous dimensions of the lives of LGB individuals, but is also based on a body of research that recognizes how LGB difficulties are caused by societal intolerance and marginalization (Mohr & Fassinger, 2000). The Lesbian, Gay, and Bisexual Identity Scale (LGBIS; Kendra & Mohr, 2008) constitutes an operationalization of this multidimensional model, and the aim of this article is to present its construct validity by analysing its factor structure using a sample of Portuguese lesbian, gay and bisexual participants. Results from exploratory and confirmatory factor analyses, as well as from factor invariance analysis across sub-samples are presented. In a general way, the factor structure obtained in this study follows the original proposal of Kendra and Mohr's (2008) LGBIS. Moreover, scale sensitivity analyses are presented in order to check for eventual differences in the factor structure and/or factor intercorrelations regarding participant gender and sexual orientation. These results are then discussed in the light of LGB identity models.

Resumo O artigo objetiva mapear a produção de conhecimento nas áreas das ciências da saúde, humanas e sociais sobre gênero e ruralidade, a partir de uma análise crítica. Para isso, foram realizadas buscas no sítio Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior com as palavras-chave: gênero e rural, gênero e ruralidade, mulher e rural, mulher e ruralidade, no período de 2000-2014. A seleção gerou um total de 108 artigos, dos quais 25, que apresentavam discussões acerca dos modos de vida das mulheres em contextos rurais, foram incluídos neste estudo. A análise abordou discussões sobre as relações de gênero em espaços rurais e gênero e novas ruralidades. As produções analisadas reconhecem os avanços na temática de gênero em espaços rurais, no entanto, demarcam a necessidade de uma maior presença das teorias feministas na constituição de abordagens teóricas e metodológicas junto a esses contextos.