Are college students health literate?

Abstract

Objective: To examine the health literacy of college students. Participants: A convenience sample of 245 graduate and undergraduate college students. Methods: During February–April of 2018 participants completed the Short Test of Functional Health Literacy which assessed literacy on two passages describing a thyroid scan, and basic healthcare insurance information. Results: Most college students displayed adequate health literacy (99.2%). The ANOVA analyses revealed college classification was the most significant predictor, followed by ethnicity, sex, and primary language. Age was significantly related to health literacy, when holding college classification constant. Interestingly, college major, healthcare work experience, or having health care credentials were not predictors of health literacy. Conclusion: This group of college students had adequate health literacy skills. However, the results of this study revealed demographic disparities that suggest further study.     

Examining the Nursing Home Physical Environment Through Policy-Driven Culture Change

A critical need exists to challenge approaches to nursing home care due to rigid organizational factors and hospital-like culture. It has been argued that resident care needs to move toward a person-centered approach by addressing the organizational, social, and physical environments in nursing home facilities, a process often known as culture change. In response to this need, the Centers for Medicare & Medicaid Services (CMS) has created funding for pay for performance (P4P) nursing home incentive programs to allow nursing home providers to receive CMS reimbursements for culture change in the facilities. Through care staff interviews, site observations, and a document review, this qualitative study assesses the impact of a Midwestern state P4P incentive program in three participating nursing homes. Using an environment and behavior (E-B) policy orientation framework, this study examines culture change through a focus on policy, the physical environment, place attachment, and social and psychological processes in the study settings.     

The echo chamber is overstated: the moderating effect of political interest and diverse media

ABSTRACT

In a high-choice media environment, there are fears that individuals will select media and content that reinforce their existing beliefs and lead to segregation based on interest and/or partisanship. This could lead to partisan echo chambers among those who are politically interested and could contribute to a growing gap in knowledge between those who are politically interested and those who are not. However, the high-choice environment also allows individuals, including those who are politically interested, to consume a wide variety of media, which could lead them to more diverse content and perspectives. This study examines the relationship between political interest as well as media diversity and being caught in an echo chamber (measured by five different variables). Using a nationally representative survey of adult internet users in the United Kingdom (N?=?2000), we find that those who are interested in politics and those with diverse media diets tend to avoid echo chambers. This work challenges the impact of echo chambers and tempers fears of partisan segregation since only a small segment of the population are likely to find themselves in an echo chamber. We argue that single media studies and studies which use narrow definitions and measurements of being in an echo chamber are flawed because they do not test the theory in the realistic context of a multiple media environment.     

社会性别视角下少数民族妇女在边疆生态治理中的作用分析——基于对怒江傈僳族的调查

本文在对国内外以社会性别视角进行的生态研究进行梳理的基础上，深入分析了历史上中缅边境北段怒江峡谷中以傈僳族为主体的少数民族妇女在地方民族社会发展进程中为当地生态平衡所做的重要贡献。同时，对在社会转型和边疆农业女性化的现实背景下傈僳族妇女在与生态环境互动的诸多细节进行了深入的调研分析，进而认为妇女与环境的关系必须要放在具体的经济和社会发展的语境中阐释，环境治理中应为少数民族妇女提供发挥能动性的平台，并强调社会性别分析对边疆生态环境治理的积极意义，以及少数民族妇女在边疆地区生态安全的建设过程中所发挥的独特而重要的作用。     

Students’ health engagement and affective relations in Danish upper secondary school

To increase our understanding of the dynamics of young people’s embodied engagement in health, this article analyses Danish upper secondary school students’ understandings and practices of health and the role of the school environment in these dynamics. Participatory, visual and narrative data were collected during fieldwork with 37 students aged 16–17. Deleuze and Guattari’s philosophy of the body is applied to analyse the affective relations and emerging body-health assemblages within the students’ school life, which generated force and vitality (here conceptualised as health). Through becoming within sensuous, social and political body-health assemblages, the students attempted to curb school stress, sustain social belonging in an individualistic school environment and both reproduce affirming power discourses and subvert their territorialisation. The study proposes an analytical shift in perspective on young people’s health away from an individualistic ‘components approach’ towards a relational understanding, and suggests that students’ health at school relates to collectivity, quality, rhythm and co-produced engagement, rather than individuality, quantity, rules and performance, which increasingly characterise Danish health discourse and school policy.     

提升中小学生阅读兴趣的实证研究——基于MIMIC模型的教学效能分析

提升学生的阅读素养是当前我国阅读课程教学改革的重要目标之一。本研究首次尝试将群文阅读这种新兴的阅读教学方式与传统的单本阅读教学方式进行对比研究，主要从提升学生阅读兴趣的效能方面进行分析与探讨。实验涉及我国中西部5个省市、6个区县共计1 231名中小学生，并使用MIMIC模型，在有效控制测量误差的基础上，对实证数据进行了量化建模与分析，通过分析发现，群文阅读教学对激发学生阅读的“情境兴趣”有更加显著的作用，具体表现为对学生阅读注意力、情感体验、探索意愿、价值感知的影响更大，同时也验证了Knogler提出的“情境兴趣模型”在阅读教学领域的适用性，从而为进一步推进我国中小学阅读课程教学改革提供了科学的数据支撑。因此，为提升中小学生阅读素养，在阅读教学中引入群文阅读这一新兴的教学方式，具有重要的实践价值和现实意义。     

Supporting foster and kinship carers to promote the mental health of children

The majority of children and young people removed from the care of their parents by the state of Victoria, Australia, reside in foster or kinship care. These children have experienced a broad range of adverse conditions and are up to 4 times more likely to experience problems with mental health than their mainstream peers. This paper draws on the perspectives of foster and kinship carers, describing the disconnection between their role as mental health advocates and their interest in early intervention in a field which is dominated by crisis and the historic marginalisation of foster and kinship carers. Thirty‐one foster and kinship carers across greater metropolitan Melbourne, Australia, contributed to this study through interviews and focus groups. Participants demonstrated a practical understanding of mental health and an ability to identify a range of conditions that have an adverse impact on the mental health of children and young people in their care. The paper concludes that there is a lack of systemic support and even a range of barriers that affect the capacity of foster and kinship carers to promote the mental health and well‐being of the children and young people in their care.     

Health insurance literacy: A mixed methods study of college students

Objective: This study examines the health insurance literacy, or the ability to use health insurance effectively, of college students. Participants: A total of 455 students from a large, public university completed an online questionnaire in November 2016. Methods: A questionnaire examined students’ knowledge of commonly encountered health insurance terms and ability to apply that knowledge to determine cost-sharing in a clinical setting. Results: The majority of students were able to correctly identify the most commonly encountered terms, but could not identify terms related to plan types and options. Eighty-eight percent of students could not determine their cost-sharing for two presented scenarios. Approximately half of the students indicated they had been confused about their health insurance plan, with one-quarter of students stopping or delaying medical care due to confusion. Conclusions: Outreach and education for students should target specific deficits in knowledge such as those identified in this study.     

提升英语口语思辨能力的教学改革策略

针对21世纪对英语口语思辨表达能力的要求，分析了英语口语和思辨性表达的关系，回顾了提升英语口语思辨能力的理论文献，总结了在英语听说课程中实践话题性内容听力导入、小组活动、演讲范例分析和呈现、文学经典作品导入和呈现有效提升英语口语思辨表达能力的作用。