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1.
This paper follows up an unexpected finding from a community survey that identified drinking and smoking as the most important tuberculosis (TB) risk factor, far ahead of ones commonly associated with TB such as poverty, overcrowded living conditions, and HIV-positive status. It reports perceptions of drinking and smoking from a three-phased study of the stigma associated with TB, consisting of a qualitative pilot study using focus-group discussions (2006), a larger-scale community survey (2007), and follow-up group discussions (2009). The community attitude survey was conducted with a sample of 1,020 adults living in a low-income township in the Eastern Cape Province, South Africa. The study found that the moral and the biomedical understanding of TB risk are intertwined. In the community survey, perceptions of drinking and smoking as TB risk were predicted by fear of contracting TB and being a self-reported born-again Christian. In the follow-up study, heavy drinking and smoking in shebeens (unlicensed township liquor outlets) was associated with a risky lifestyle that can spread both TB and HIV. The paper discusses the similarities and differences in the roles of church and shebeen in providing social support to township dwellers to cope with problems of daily life. It is tentatively concluded that the stereotypical shebeen ‘drinkers and smokers’, alternatively pitied and maligned by moral society, might serve as the scapegoat that deflects pollution from the ‘new’ TB linked to the AIDS epidemic.  相似文献   

2.
The literature has shown that people who do not drink alcohol are at greater risk for death than light to moderate drinkers, yet the reasons for this remain largely unexplained. We examine whether variation in people’s reasons for nondrinking explains the increased mortality. Our data come from the 1988–2006 National Health Interview Survey Linked Mortality File (N = 41,076 individuals age 21 and above, of whom 10,421 died over the follow-up period). The results indicate that nondrinkers include several different groups that have unique mortality risks. Among abstainers and light drinkers the risk of mortality is the same as light drinkers for a subgroup who report that they do not drink because of their family upbringing, and moral/religious reasons. In contrast, the risk of mortality is higher than light drinkers for former drinkers who cite health problems or who report problematic drinking behaviors. Our findings address a notable gap in the literature and may inform social policies to reduce or prevent alcohol abuse, increase health, and lengthen life.  相似文献   

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4.
This paper expands on Kingsley Davis’s demographic thesis of change and response. Specifically, we consider the social context that accounts for the primacy of particular birth control methods that bring about fertility change during specific time periods. We examine the relevance of state policy (including national family planning programs), the international population establishment, the medical profession, organized religion, and women’s groups using case studies from Japan, Russia, Puerto Rico, China, India, and Cameroon. Some of these countries are undergoing the second demographic transition, others the first. Despite variations in context, heavy reliance on sterilization and/or, abortion as a means of birth control is a major response in most of these countries. The key roles of the medical profession and state policy are discussed, along with the general lack of influence of religion and of women’s groups in these countries.  相似文献   

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6.
The parameters of the distribution of alcohol consumption are estimated from the population mean and the mode of the log-normal distribution, separately for each sex. The lack of representativeness of the sample due to the failure to reach heavy drinkers is overcome. The distributions of alcohol consumption show a tight relationship between mean and standard deviation.  相似文献   

7.
Emerging research on methamphetamine use among gay men suggests that growth in the use of this drug could present serious problems for HIV/AIDS prevention within the gay community. This article summarizes current studies on the extent, role, and context of methamphetamine use among gay men and its relationship to high risk sexual behaviors related to HIV transmission. Methamphetamine is often used by gay men to initiate, enhance, and prolong sexual encounters. Use of the drug is, therefore, associated with particular environments where sexual contact among gay men is promoted, such as sex clubs and large "circuit" parties. Research with gay and bisexual men indicates that methamphetamine use is strongly associated with risky sexual behaviors that may transmit HIV. This relationship, coupled with emerging evidence that methamphetamine use is on the rise among gay men, suggests that the drug could exacerbate the HIV/AIDS epidemic among this community. The article offers recommendations for further research and suggestions for prevention programs regarding methamphetamine use by gay men.  相似文献   

8.
This paper explores gene–environment interactions—interactions between family environments and children’s genetic predispositions—in determining educational attainment. The central question is whether poor childhood family environments reduce children’s ability to leverage their genetic gifts to achieve high levels of educational attainment—are there important ‘bottlenecks’ for poor children? The multigenerational information and genetic data contained in the United States’ Health and Retirement Study are used to separate two mechanisms for intergenerational transmission of socio-economic status: genetic endowments and family environments. Using parental in utero exposure to the 1918–19 influenza pandemic as a source of quasi-experimental variation in family environments (that did not affect children’s genetic endowments), I estimate interactions between parental investments and children’s genetic potential. The main finding suggests that girls with high genetic potential whose fathers were exposed to influenza face reduced educational attainments—a gene–environment interaction—but there is no similar effect for boys.  相似文献   

9.
Q L Li 《人口研究》1981,(3):46-49
The population growth rate in Africa has been the highest in the world since 1970--about 2.7% annually. A lower mortality rate because of better health conditions, their tradition of early marriage and polygamy, and the predominantly agricultural economy are the main reasons. The lack of coordination of such rapid population growth with the slow economic development and backward industrial and agricultural conditions have caused a very serious unemployment problem and inhibit increases in the living standard. The vast areas of desert and equatorial forest are sparsely inhabited. The coastline, Nile delta, and the plateaus are the most densely populated areas of the world. The abnormally developed cities cause expansion of the urban population and serious problems in employment, housing, traffic, health, and education. Many leaders of African countries have begun to realize the seriousness of the rapid population growth, and a few have begun family planning programs. Most countries have no official policies concerning population control and a few even encourage population growth.  相似文献   

10.
This study examined the relationship between master of social work programs’ (MSW) support of lesbian, gay, bisexual, and transgender people (LGBT-competence) and the sexual minority competence (LGB-competence) of social work students. Data were gathered from a sample of MSW program directors, faculty members, and students (N = 1385) within 34 MSW programs in the United States. A series of hierarchical linear models tested if a MSW program’s LGBT-competence was associated with the LGB-competence of its students. Results showed a significant relationship between organizational LGBT-competence and individual LGB-competence within schools of social work, and that programs with greater LGBT-competence also had students who felt more competent to work with sexual minorities. These findings suggest schools of social work can take substantive action at an organizational level to improve the professional LGB-competence of future social workers. Implications for social work education are discussed.  相似文献   

11.
Custodial grandparenting can be especially challenging for older grandmothers facing age specific issues. Kinship navigator programs are social service delivery programs intended to inform grandparents and other relatives raising children about available resources and services, provide information specific to their individual needs, and help families navigate service systems. Our study utilizes self-report data from one kinship navigator federal demonstration project, which used a randomized control trial, to examine demographic characteristics for grandmothers under and over 55 years of age, whether grandmother caregivers (≥55 years) improve family resilience, social support, and caregiver self-efficacy, and which interventions improved outcomes for grandmothers (≥55 years). Each participant was randomly assigned to one of four groups: Usual Care (traditional child welfare services), Standard Care (family support and case management), Peer-to-Peer Care Only, and Full Kin Tech Care (peer navigators with computer access and interdisciplinary team). Thirty-nine percent of grandmothers (55-75 years) were mostly living in poverty, predominantly Caucasian, with 36% identifying as African American/Black, with at least one to two children at home. Repeated-measures ANOVAs for each subscale showed statistically significant within- and between-group differences for Family Functioning, Social Supports, Concrete Supports, Child Development, and Nurturing and Attachment, with the exception of Usual Care, which showed a decline in protective factors consistently across subscales. Future research with kinship families could qualitatively examine the experiences for older women in navigator programs and replication of kinship navigator programs could build capacity in data collection and maintenance systems to gain better perspective about how systems of care impact families.  相似文献   

12.
Over the past 15-20 years a substantial literature has accumulated in the area of determining the effect of family planning programs upon fertility, and a selected bibliography is provided. The development of modern contraceptive techniques coincided with the development of large national programs designed to reduce the fertility of the general population, and literature is presented on each of the several evaluation methods that have been used to examine program-induced changes in 1 or more fertility measures. 2 methods deal with data on individuals - births averted among acceptors and individual matching; the latter compares the fertility experience of acceptors and matched non-acceptors. A different class of methods is aggregated methods. Either areas and areal variables are the focus of the analysis proceeds with measures on general subgroups identified by such factors as residence, age, or marital status. The aggregate methods are multiple regression, program experiemnts, matching of areas, correspondence between program activity and fertility change, decomposition, and simulation. The disparity in methods has conspired with large differences in programs, data sets, and investigator interests to produce serious problems of non-comparability in results.  相似文献   

13.
Recent efforts to mobilize support for malaria control have highlighted the economic burden of malaria and the value of malaria control for generating economic development. These claims have a long history. Beginning in the early twentieth century, they became the primary justification for malaria‐control programs in the American South and in other parts of the globe, including British India. Economists conducted none of these studies. Following World War II and the development of new anti‐malarial drugs and pesticides, including DDT, malaria control and eradication were increasingly presented as instruments for eliminating economic underdevelopment. By the 1960s, however, economists and demographers began to raise serious substantive and methodological questions about the basis of these claims. Of particular concern was the role of rapid population growth, resulting in part from the decline of malaria mortality, in undermining the short‐term economic gains achieved through malaria control. Despite these concerns, malaria continues to be presented as an economic problem in the work of Jeffrey Sachs and others, justifying massive investments in malaria control. The methodological basis of these claims is examined. The paper concludes that while malaria takes a dreadful toll in human lives and causes significant economic losses for individuals, families, and some industries, the evidence linking malaria control to national economic growth remains unconvincing. In addition, the evidence suggests that there are potential costs to justifying malaria‐eradication campaigns on macroeconomic grounds.  相似文献   

14.
Z Xiao  S Chen 《人口研究》1983,(4):20-23
Results from the 1982 census show great progress has been made in the field of family planning because of close cooperation between the people and the government. Under the influence of the high birth rate in the 1950s and 1960s, a large number of youths are reaching the age for marriage each year, and they are bringing heavy pressure on the population growth. As a result of this situation, family planning work is still urgently needed. A great difference exists between cities and rural areas in family planning work. Economic conditions, cultural and educational levels, occupational characteristics, living environments, and concepts of population growth have contributed to this difference. Henceforth, special emphasis should be placed on family planning work in rural areas, so that the large scale population groth in the countryside may be brought under control. In areas of scientific management, propaganda and education, and technical measures for family planning, modern and and progressive methods should be used in order to reach the national goal of controlling population growth.  相似文献   

15.
影响国有企业效率的因素有很多,其中制度因素最为重要。而在传统的国有企业制度下,冗员失业和社会负担又是制约企业效率提高的关键。时至今日,这个问题仍是国有企业进行减员增效改革、实施战略性重组的最大障碍。从理论上研究冗员失业对企业效率的影响,并结合我国实际情况分析社会负担给国有企业造成的压力,以强化社会保障为突破口,提出解决冗员失业和社会负担问题、提高国有企业效率的具体对策。  相似文献   

16.
Rumors are among the serious problems of the National Population Program today. The principles related to the origin of rumors, who starts rumors pertaining to family planning, and how they spread are outlined. The basic approach in countering rumors for the pill and IUD is diagrammed so that each potential rumor is countered by a medical or nonmedical/technical explanation. Strategies used by information-education-communication programs to prevent rumors such as the small group discussion, selection and training of motivators, and use of mass media are discussed. Rumors about family planning are counteracted not with the use of elaborate techniques but with clear and fairly simple reassurances supported by medical evidence and case histories.  相似文献   

17.
The Origins of the Chinese Fertility Decline   总被引:6,自引:0,他引:6  
Education and urbanization are shown to have been negatively correlated to marital fertility in both urban and rural China prior to the initiation of the substantial family planning programs. We maintain that early use of contraception by better educated and urban strata is a plausible cause of the observed fertility differentials because other proximate variables are unlikely. Coale's m, a presumed indicator of controlled fertility, suggests early fertility control in urban and better educated strata. The apparent preprogram beginnings of fertility control among educational and urban elites does not, however, minimize the awesome effects on fertility of the powerful Chinese family planning programs, once begun.  相似文献   

18.
沈茂英 《西北人口》2008,29(6):83-88
“5.12”汶川大地震造成10万余平方公里的破坏性区域,造成69227人遇难、17923人失踪和374643人受伤,受灾人口(重灾区)2792万人。8.0级地震所释放的能量,在一定程度上改变了受灾人口所依存的自然环境和人文生态环境。本文以四川地震重灾区为研究单元,在系统分析受灾人口所依存的自然生态环境、居住(建筑空间)环境、人文生态环境、基础设施以及产业发展环境及其发展变化的基础上,析出重灾区内人口生存空间进一步缩小和调整人口分布的结论。在此基础上。提出重灾区在恢复重建中的人口分布调整建议。  相似文献   

19.
非正规就业群体社会保障问题研究   总被引:14,自引:4,他引:10  
按照两种不同的理念,我国非正规就业社会保障的发展衍生出两种主要操作方案:“直接吸纳”和建立独立体系,即:一种方案是扩大原有社会保障覆盖面,直接将非正规就业群体纳入其中;另一种方案是针对非正规就业群体的特点,为其建立独立于原有体系的新体系。这两种方案均从不同程度上照顾了非正规从业者的特殊需求,但由于历史遗留问题与现实矛盾的交错使得非正规就业社会保障的发展仍困难重重。  相似文献   

20.
Lesbian, gay, bisexual, queer, and other sexual and gender minority (LGBTQ+) young adults face unique identity-related experiences based on their immersion in distinctive social contexts. The predominant framework of performing separate analyses on samples of LGBTQ+ young people by their primary social status obfuscates more holistic understandings of the role of social context. Using 46 in-depth interviews with LGBTQ+ college students and LGBTQ+ homeless young adults, we ask: How are LGBTQ+ young adults’ capacities for “doing” their gender and sexual identities shaped by their distinctive social contexts? In developing their identities, both groups of LGBTQ+ young adults navigated their social environments to seek out resources and support. Most college students described their educational contexts as conducive to helping them develop their identities, or “undo” rigid norms of gender and sexuality. Homeless young adults’ social environments, meanwhile, imposed complex barriers to self-expression that reinforced more normative expectations of “doing” gender and sexual identities.  相似文献   

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