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Depression among older adults is a major public health concern leading to increased disability and mortality. Less than 3% of older adults utilize professional mental health services for the treatment of depression, less than any other adult age group. And despite similar rates of depression, African Americans are significantly less likely to seek, engage and be retained in professional mental health services than their white counterparts. Cultural differences in the way depression symptoms are manifested, defined, interpreted and labeled may in part explain some of these racial differences in help-seeking behaviors. Focus group methodology was utilized to identify and explore attitudes and beliefs about depression and mental health treatment utilization among 42 older African Americans who had recently suffered a major depressive episode. Thematic analysis of identified six overarching themes: (a) perceptions of depression, (b) the African American experience, (c) seeking treatment as a last resort, (d) myths about treatment, (e) stigma associated with seeking treatment and (f) culturally appropriate coping strategies. We discuss implications for practice, education and research.  相似文献   

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Social, academic, emotional functioning and social support of 99 ninth-grade Asian American students were investigated using standardized measures. When compared to 404 ninth-grade Caucasian adolescents who had attended the same school, Asian American students exhibited less delinquent behavior and performed better academically. However, they were significantly more isolated, more depressed and anxious, less apt to be involved in after school activities or seek help for their problems, and internalized their social problems. Also, they had fewer role models and less social support, underscoring the psychosocial and emotional plight of Asian American adolescents and the dire need to establish proactive outreach programs.This work was supported by NIMH grant #MH41569-07.  相似文献   

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Using the example of the sexual affiliation networks of swingers, this paper examines how the analysis of sexual affiliation networks can contribute to the development of sexually transmitted infection (STI) prevention strategies. Two-mode network methodology and ERGMs are applied to describe the structural composition of the affiliation network and analyse attribute effects. Swingers were found to recruit their sex partners through one large, moderately cohesive network component. Swingers who used drugs or had a longer history of swinging tended to frequent websites instead of clubs. This study confirms the relevance of studying sexual affiliation networks and its additional value for STI epidemiology.  相似文献   

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Cette étude vise L'analyse de données sur la délinquance recueillies à Edmonton, Alberta et à Richmond, Californie. La nature et L'ampleur de la délinquance révélée sont évaluées pour les sujets masculins et féminins des deux endroits. A partir d'une théorie qui integre les éléments des théories d'association différentielle et de régulation sociale, les épiphe-nomènes de la délinquance dans les deux villes sont comparés. Les résultats indiquent une similitude dans la nature, L'ampleur et les causes de la délinquance bien que ces aspects ne soient pas identiques dans les deux régions étudiées. The paper analyzes data from delinquency studies carried out in Edmonton, Alberta and in Richmond, California. The nature and extent of self-reported delinquency are examined for males and females in the two studies. Using a theory which represents an integration of differential association and control theories, correlates of delinquency in the two cities are compared. The study concludes that the nature, extent, and causes of delinquency are similar, though not identical, in the two communities studied.  相似文献   

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The expansion of legalized commercial gaming in Macau has motivated stakeholders to explore opportunities in other Asian countries. However, there is a lack of research focusing on casino customers in these markets. Thus, the purpose of this study is to explore gambling superstitious beliefs and motivations of those visiting a casino in South Korea, and how these factors are different across four ethnic groups. The researchers surveyed 323 casino customers in the lounge area on the casino floor, including Americans, Chinese, Japanese, and Koreans living abroad. This study found American gamblers could be characterized as more superstitious than Japanese gamblers, while the Chinese and American gamblers exhibited many similarities regarding the pattern of superstitious beliefs that they were most likely to endorse. The findings also suggest the culture and the area around the casino might be more important to Chinese, while novelty to Japanese and winning money to Korean gamblers are seen as most important. This study contributes to gambling literature by examining gamblers’ beliefs and motives in a different setting with more diverse populations than those in previous studies. The findings of this study will help casino operators properly develop and adjust strategies to thrive in the Asian marketplace.  相似文献   

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OBJECTIVE: Because little is known about college-age smokers, the authors conducted a qualitative study to better understand this population. PARTICIPANTS: Forty college student smokers from 12 Pacific Northwest colleges participated in the study. METHODS: The authors identified themes and built models to ascertain important factors related to smoking and smoking cessation. Four models emerged: smoking facilitators, smoking barriers, cessation facilitators, and cessation barriers. RESULTS: The authors observed physical, psychological, and social influences across models, and social influences were strongly associated with both smoking and cessation. Many smokers were unlikely to define themselves as regular smokers. Most smokers had made prior quit attempts. CONCLUSIONS: College students are a unique category of smoker and colleges can play a role in helping them achieve cessation.  相似文献   

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A comparative study of equity judgements in Lithuania and Norway   总被引:1,自引:0,他引:1  
A questionnaire-type experiment was conducted in Lithuania and Norway in order to generate two samples suitable for a comparative examination of equity judgements.The results reveal large differences between the two countries. Norwegian probants had a much higher propensity to decide in accordance with Rawls’ second principle than had Lithuanian probants. Equity judgements are also strongly dependent on the context of choice. The results are interpreted within a framework describing the formation of social preferences. More specifically, differences in observed equity judgements in the two countries are related to differences in history, past experience and future prospects.  相似文献   

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The following study, funded by the National Institute of Drug Abuse (NIDA), utilized the Addiction Belief Inventory (ABI; Luke, Ribisl, Walton, & Davidson, 2002) to examine addiction attitudes in a national sample of U.S. college/university faculty teaching addiction-specific courses (n=215). Results suggest that addiction educators view substance abuse as a coping mechanism rather than a moral failure, and are ambivalent about calling substance abuse or addiction a disease. Most do not support individual efficacy toward recovery, the ability to control use, or social use after treatment. Modifiers of addiction educator attitudes include level of college education; teaching experience; licensure/certification, and whether the educator is an addiction researcher. Study implications, limitations, and directions for future research are discussed.  相似文献   

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The medical systems which most of the developing countries have, are ad hoc adoptions inherited from their colonial masters and have met with little success in making health planning as part of their national planning. Very few countries have been able to overcome the resistance of the medical profession and the bureaucratic inertia which is a major obstacle in the transformation of this system to a broad based social service and integrating it with the process of socio-economic development planning. The adoption of this system by developing countries is a typical example of technological misfit. A cheap and labour intensive model for developing countries shall be a proper solution for the development of a health care delivery system for the masses. A solution to this problem is a mix or hybrid of the traditional and modern medicines which very recently have been exploited both in India and China. How far India and China have been successful and what is needed to be done is the subject matter of this paper.  相似文献   

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The study first examines the media identification logic that the prime evaluating indicator for news media is public trust. Perceptions of trust are not only important from a marketing perspective, but also form a vital component of audiences' aesthetic criticism of news and news sources. Comparing people's attitudes towards media in America and China, this study finds media credibility ratings in China are much higher than those in America. Does this suggest that Chinese media are more credible, or are survey reports of public trust influenced by other factors? This study considers three perspectives for considering differences in reports of public trust – operation dynamics, imaged power, and national identity. We consider to what degree, and under what conditions, could the survey reports of perceived public trust in media be related to media system differences, both among countries and over time. The study also examines the role played by structural dialectics such as profit orientation or propaganda orientation; professionalism orientation or authority orientation; and imagined community or heterogeneity construction. Finally, given the limits of survey methods and wording, the study brings forward an evaluation framework for the availability of transnational comparisons of media credibility, based on five evaluating dimensions of identity mechanism: professionalism identity, antagonism identity, heterogeneity identity, public sphere identity, and the “Other” identity.  相似文献   

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This paper reviews, classifies and compares recent models for social networks that have mainly been published within the physics-oriented complex networks literature. The models fall into two categories: those in which the addition of new links is dependent on the (typically local) network structure (network evolution models, NEMs), and those in which links are generated based only on nodal attributes (nodal attribute models, NAMs). An exponential random graph model (ERGM) with structural dependencies is included for comparison. We fit models from each of these categories to two empirical acquaintance networks with respect to basic network properties. We compare higher order structures in the resulting networks with those in the data, with the aim of determining which models produce the most realistic network structure with respect to degree distributions, assortativity, clustering spectra, geodesic path distributions, and community structure (subgroups with dense internal connections). We find that the nodal attribute models successfully produce assortative networks and very clear community structure. However, they generate unrealistic clustering spectra and peaked degree distributions that do not match empirical data on large social networks. On the other hand, many of the network evolution models produce degree distributions and clustering spectra that agree more closely with data. They also generate assortative networks and community structure, although often not to the same extent as in the data. The ERGM model, which turned out to be near-degenerate in the parameter region best fitting our data, produces the weakest community structure.  相似文献   

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