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1.
British Columbia’s treatment as prevention policy has provided free access to highly active antiretroviral therapy (HAART) to all HIV-positive provincial residents since 1996. One outcome is an increase in HIV-positive gay and bisexual men (GBM) with suppressed viral loads. Previous cross-sectional analyses indicated that some Vancouver GBM now recognize condomless anal sex with men on HAART who report a suppressed viral load as a seroadaptive strategy. To test the hypothesis that this new strategy, termed viral load sorting (VLS), is recognized and used among by GBM in the Momentum Health Study, we analyzed longitudinal data for HIV-negative/unknown (n = 556) and HIV-positive (= 218) serostatus participants. Analyses indicated that both groups reported VLS, and that serostatus and Treatment Optimism Scale scores were significant determinants in frequency and use. Results exemplify the medicalization of sex and Rogers’ Diffusion Of Preventative Innovations Model, and they have important implications for HIV research and GBM sexual decision-making.  相似文献   
2.
ABSTRACT

An increasing number of youth are exhibiting social, emotional, and behavioral problems that hinder their ability to function at grade level. Subsequently, school mental health services have not been able to address the need for services particularly among students who are minority and poor. A mixed methodology study was conducted to determine the treatment outcomes from a brief strength-based leadership training group for primarily students who are African American and poor. Pre–post scores on three scales and focus group data revealed significant positive changes in regard to internal areas of functioning and social skills, anger management skills, and school attitude. Gender and age significantly impacted outcomes.  相似文献   
3.
以人民为中心的思想理念拓展了传统意义上的人民概念和创造历史伟业的依靠对象。依靠人民创造历史伟业,发展生产力,提供丰富的物质财富、精神财富和生态财富。构建劳动力资本化为劳动者股份的制度安排,合理界定劳动收入和资本收入的边界,保障劳动贡献归劳动者所得,资本贡献归资本所有者所得,为人民实现美好生活需要提供制度和收入上的保障。以人民为中心的思想理念,是对《共产党宣言》的每个人自由发展思想的继承和发展,是马克思主义中国化时代化大众化的理论成果。  相似文献   
4.
基于规模化生猪养殖户的问卷调查数据,归纳和界定规模化生猪养殖污染防治行为的内涵,并进一步通过单因素方差分析和交叉分析研究规模化生猪养殖污染防治行为的群体差异。研究发现:规模化生猪养殖的污染防治行为具有多维性且总体实施情况一般;其无害化处理行为的群体差异显著,资源化利用行为的群体差异部分显著。据此,应进一步强化源头治理以提高污染防治的执行能力、加强过程监控以提高污染防治的规范水平、重视末端利用以推进污染防治的综合利用,从而有效改善规模化生猪养殖污染防治政策的实施效果。  相似文献   
5.
ABSTRACT

The efficiency of interventions in addiction is associated with the processes of practitioners’ professional development. Identity formation is studied extensively for clinical professions but little research focuses on social workers working in addiction settings. This study examined the experience of social workers working in a community treatment network in Greece. Fifteen interviews were conducted with 11 women and 4 men, ranging between 29 and 47 years οf age, who worked in different centers within the network. Data were analyzed following the guidelines of Interpretative Phenomenological Analysis, offering in-depth examinations of people’s lived experience. The results delineate a series of transformations in professional identity comprising a process of biographization. The participants highlighted intrapersonal and relational factors that influence this process which leads to self-understanding and engagement with the therapeutic community. The results contribute to deciphering the factors that influence social workers’ experience in their professional identity formation in substance abuse treatment contexts.  相似文献   
6.
Abstract

Although associations between developmental trauma, juvenile justice involvement and youth substance use have been previously reported in the published literature, the interconnection among these three factors has not been adequately studied. This article describes the interconnection among these three factors and calls for greater attention to the role of adverse childhood experiences (ACEs) in the diagnosis and treatment of youth who present with histories of substance use and/or offending behavior. Pilot data are presented that show high rates of self-reported trauma exposure, substance use history, justice involvement, and mental health problems in a sample of adolescents in residential treatment. The data point to the need for residential treatment centers to consider trauma histories in developing treatment plans for youth with current and prior substance use and offending behavior.  相似文献   
7.
Abstract

Objective: To examine changes in diagnoses/treatment for 12 mental health (MH) conditions, previous use of campus MH services, and willingness to seek MH services in the future. Participants: ACHA–NCHA II participants from 2009 to 2015 (n?=?454,029). Methods: Hierarchical binary logistic regression with step 1 controlling for demographics and step 2 considering time. Results: Time was significant except for bipolar disorder, bulimia, and schizophrenia with increases for all conditions except substance abuse. Anxiety (OR?=?1.68), panic attacks (OR?=?1.61), and ADHD (OR?=?1.40) had the highest odd ratios. Use of MH services at current institution (OR?=?1.30) and willingness to utilize services in the future (OR?=?1.37) also increased over time. Conclusions: Based on a national sample, self-reported diagnoses/treatment of several MH conditions are increasing among college students. This examination of a variety of MH issues can aid college health professionals to engage institutional stakeholders regarding the resources needed to support college students’ MH.  相似文献   
8.
辛宇  黄欣怡  纪蓓蓓 《管理世界》2020,(1):69-87,235
以2016~2017年间中证中小投资者服务中心(以下简称"中证投服")提起的4例证券支持诉讼为研究对象,本文深入分析了该组织在证券支持诉讼中的作用实现机理及其在中小投资者利益保护方面所产生的直接经济后果和溢出效应。本文发现:中证投服提起的证券支持诉讼在很大程度上改善了虚假陈述案件的赔偿机制,主要体现为赔付主体更加合理化,赔偿金额的计算更加科学,赔付比例有明显提升,赔偿款项的执行力度得以加强;在作用实现机理方面,中证投服作为投资者保护公益组织向中小股东提供了公益服务,同时又具备政府弹性监管的色彩,与我国现行的司法制度形成互补;更为重要的是,中证投服参与证券支持诉讼产生了显著的溢出效应,在唤醒中小股东维权意识的同时,明显提升了民间律师团体的活跃程度,进而从整体上极大地带动了民间股东诉讼的兴起。  相似文献   
9.
The increasing elderly population puts significant health, economic, and social burdens on society. Physical activity is one of the most cost-effective ways to maintain the health of the elderly. This study adopts a treatment effects model to investigate the causal relationship between environment attributes and physical activity among the elderly, while taking endogeneity into account. The data were collected from 274 participants by face-to-face interviews in Taichung, Taiwan. Performing physical activity regularly in parks is the most important measure of the amount of physical activity by the elderly. Providing sufficient and accessible parks in metropolitan residential neighborhoods could be one of the most cost-effective ways to promote physical activity for the elderly living in midsize Asian cities.  相似文献   
10.
The 1962–67 High/Scope Perry Preschool Program, a well-known experimental early childhood intervention study that provided quality preschool education to disadvantaged children, has been shown to have had positive impacts on early child development and on a variety of adulthood outcomes. However, most previous analyses have only examined average treatment effects across all program participants without exploring possible effect heterogeneity by children's background characteristics. We investigated this question by first using the 1964–65 Current Population Survey data in combination with the Perry data to construct a scale of child socioeconomic status based on the estimated propensity for inclusion in the Perry program, then analyzing effect heterogeneity within the Perry sample by strata of our socioeconomic scale. We found that the treatment effects of enrollment in the Perry preschool on cognitive and non-cognitive skills were much larger and more persistent among the most disadvantaged children than among others in the Perry program. Furthermore, among the most disadvantaged children, the treatment (i.e., preschool enrollment) affects later outcomes through a reinforcement mechanism of skill development (i.e., early cognitive gain leads to a non-cognitive gain, which in turn leads to later cognitive gain) and a sequential improvement of cognitive skills over time. These findings have important implications for the evaluation of policy interventions in early child development using experimental data.  相似文献   
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