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181.
Tower Hamlets (London, England) has a sizable Somali community whose members maintain close links with their families in Africa. The London Black Women's Health Action Project (LBWAP) was established in Tower Hamlets, in 1982, to address the health needs of Somali women, especially those related to female circumcision. The major focus in the UK has been on protecting girls from undergoing this practice, with little attention to the needs of women who have already been circumcised. Of 200 Somali women interviewed by LBWAP, 61% had been infibulated in their native country by people with no medical training. Among the long-term health consequences were dysmenorrhea, recurrent urinary problems, urethral damage, and painful intercourse. Although deinfibulation can be obtained, both health care professionals and circumcised women tend to be unaware of this service. LBWAP has proposed a study to assess the expressed health care needs of circumcised Somali women and match these desires with actual health care provision. To raise the consciousness of British health care professionals, parallels between female circumcision and the indiscriminate, unnecessary use of episiotomy are being made.  相似文献   
182.
This paper explores how working mothers and paid child care providers interpret the division of mothering labor in the context of in-home care. The nannies, au pairs, and working mothers interviewed for this study make sense of their shared mother-work in the context of a dominant belief system that values intensive mothering. Consequently, in addition to negotiating the allocation of mothering tasks, they must also negotiate the meanings assigned to these tasks: specifically, they manufacture an image of shared mothering that contradicts their day-to-day practice.  相似文献   
183.
In this article, the author demonstrates that contemporary culturaldisability discourses offer few positive resources for peoplewith impairments to draw upon in constructing positive personaland social identities. Examining the emergence of the DisabilityArts Movement in Britain, consideration is given to alternativediscourses developed by disabled people who have resisted thepassive roles expected of them and developed a disability identityrooted in notions of power, respect and control. It is suggestedthat these alternative discourses provide an empowering ratherthan a disabling basis for community development and communityarts practice and should be embraced by workers in these fields.  相似文献   
184.
185.
The potential use of strategic conflict management ( Wilcox and Cameron, 2006; Cameron, Wilcox, Reber and Shin ( in press) as a health advocacy tool in US African-American and mainstream newspapers, arguing that escalation of conflict can increase effectiveness of health-related news releases. For health communicators focusing on at-risk populations with poor health outcomes, such goals would include increased awareness of health problems and solutions, along with increased motivation arising from indignation over health disparities. Content analysis of 1,197 stories in 24 Black and 12 mainstream newspapers showed that more conflict factors were present in Black vs. mainstream newspapers, suggesting a way to strategically place health messages in news releases disseminated to newspapers that motivate at-risk publics to better health. The findings suggest that conflict factors such as racial disparity data regarding health issues may enhance media advocacy.  相似文献   
186.
Using the data from two ongoing studies of resilience and thriving, one of gay men growing up in heterosexist environments, the other of women living with AIDS, we review how qualitative approaches have enabled researchers to grapple with conceptual, methodological, and ethical dilemmas related to the study of resilience and thriving. We discuss the implications our values as researchers have on determining who is thriving; the powerful social, cultural, and political contexts that must be considered when investigating the effects of and resistance to adversity; and the implications of conceptualizing thriving as a process. Finally, we consider the opportunities opened up by qualitative analysis and suggest some avenues for future research.  相似文献   
187.
This paper aims to understand how people who are homeless respond to advanced liberal social services that endeavour to promote their autonomy and responsible actions. We prioritize the experiences and positions of people who are homeless, and what agentic action means to them. Sociological literature is selective about what accounts are deemed agentic. Agency is associated with accounts that resist or subvert dominant neoliberal framings of homelessness as failure of individuals. When people experiencing homelessness or poverty themselves foreground autonomy or responsibility, sociologists treat them as cultural dopes who have internalized neoliberal discourse. Our analysis is driven by an ethnographic study in an Australian homelessness shelter. We demonstrate how people who are homeless neither outright reject nor completely embrace advanced liberal practices to influence their actions and promote autonomy. People engaged in relational reasoning. Paternalist and advanced liberal social services were both lauded and rejected for their capacities and limitations to realize a good life. We contribute to the discussion for sociology to value people's accounts and experiences, rather than broader social process explaining their accounts. From the perspectives of people who are homeless, we show that just because something appears neoliberal does not mean it should be automatically rejected.  相似文献   
188.
Urban Ecosystems - Urban green infrastructure, such as gardens, can mitigate some of the consequences of climate change, e.g. reducing flash-flooding or urban heat islands. Green infrastructure,...  相似文献   
189.

Background

Midwives use telephone triage to provide advice and support to childbearing women, and to manage access to maternity services. Telephone triage practises are important in the provision of accurate, timely and appropriate health care. Despite this, there has been very little research investigating this area of midwifery practice.

Aim

To explore midwives and telephone triage practises; and to discuss the relevant findings for midwives managing telephone calls from women.

Methods

A five-stage process for conducting scoping reviews was employed. Searches of relevant databases as well as grey literature, and reference lists from included studies were carried out.

Findings

A total of 11 publications were included. Thematic analysis was used to identify key concepts. We grouped these key concepts into four emergent themes: purpose of telephone triage, expectations of the midwife, challenges of telephone triage, and achieving quality in telephone triage.

Discussion

Telephone triage from a midwifery perspective is a complex multi-faceted process influenced by many internal and external factors. Midwives face many challenges when balancing the needs of the woman, the health service, and their own workloads. Primary research in this area of practice is limited.

Conclusion

Further research to explore midwives’ perceptions of their role, investigate processes and tools midwives use, evaluate training programs, and examine outcomes of women triaged is needed.  相似文献   
190.
This paper troubles seductive discourses of Canadian multiculturalism and the centrality of whiteness to national belonging, highlighting how migrant children understand and navigate assimilation. Evolving out of childhood migration stories shared by 12 interviewees in the documentary Twelve, the article addresses the ways ‘childist’ logics are used to separate childhood from the realities of race and racism. In working towards anti‐racist praxis, we address how storytelling challenges adult–child power hierarchies, exposing how childhood continues to be framed as a time of innocence, disconnected from the violence, danger and pain involved in migrating to Anglophone Canada.  相似文献   
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