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31.
This study introduces a new sample that links people and families across 1860, 1880, and 1900 census data to explore the intergenerational impact of slavery on black families in the United States. Slaveholding—the number of slaves owned by a single farmer or planter—is used as a proxy for experiences during slavery. Slave family structures varied systematically with slaveholding sizes. Enslaved children on smaller holdings were more likely to be members of single-parent or divided families. On larger holdings, however, children tended to reside in nuclear families. In 1880, a child whose mother had been on a farm with five slaves was 49 % more likely to live in a single-parent household than a child whose mother had been on a farm with 15 slaves. By 1900, slaveholding no longer had an impact. However, children whose parents lived in single-parent households were themselves more likely to live in single-parent households and to have been born outside marriage.  相似文献   
32.

Problem

Pacific Islanders are disproportionately burdened by poorer maternal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care.

Purpose

The purpose of this study was twofold: (1) to explore maternal health care providers’ perceptions and experiences of barriers in providing care to Marshallese women, and (2) providers perceived barriers of access to care among Marshallese women. This is the first paper to explore perceived barriers to maternal health care among a Marshallese community from maternal health care providers’ perspectives in the United States.

Methods

A phenomenological, qualitative design, using a focus group and in-depth interviews with 20 maternal health care providers residing in northwest Arkansas was chosen.

Findings

Several perceived barriers were noted, including transportation, lack of health insurance, communication and language, and socio-cultural barriers that described an incongruence between traditional and Western medical models of care. There was an overall discord between the collectivist cultural identity of Marshallese families and the individualistic maternal health care system that merits further research.

Discussion

Solutions to these barriers, such as increased cultural competency training for maternal health care providers and the incorporation of community health workers are discussed.  相似文献   
33.
It is commonly believed that men think about sex much more often than do women, but the empirical evidence in this area is fairly weak. By means of a golf tally counter, 283 college students kept track of their thoughts pertaining to food, sleep, or sex for one week. Males reported significantly more need-based cognitions overall, but there was no significant interaction between sex of participant and type of cognition recorded. Therefore, although these young men did think more about sex than did young women, they also thought more about food and sleep. In contrast, a retrospective estimated frequency of need-based cognitions obtained at the start of the study revealed a sex difference in sexual cognitions, but not thoughts about eating or sleeping. Erotophilia and sexual desirability responding were significant predictors of frequency of sexual cognitions for women, but not for men. Overall, erotophilia was a better predictor of sexual cognition than was sex of participant. Taken as a whole, the results suggest that, although there may be a sex difference in sexual cognitions, it is smaller than is generally thought, and the reporting is likely influenced by sex role expectations.  相似文献   
34.
Older adults with multiple pre-existing conditions are admitted to hospitals with acute illnesses and injuries every day. Delirium is not recognized by clinicians across health care settings. With awareness of risk factors and knowledge of delirium, nurses can play a pivotal role in the early identification, treatment, and, most important, prevention of delirium in older adults. Nurses often display a lack of knowledge related to delirium and the complex symptoms that appear differently in the presence of other complicating co-morbid conditions in aging adults. Nurses play a crucial role in keeping patients safe and ensuring optimal outcomes, regardless of the setting. With the growing population of older adults and the expected increases in chronic illness and dementia, delirium is a problem nurses are likely to experience in all practice settings. Knowing what to look for facilitates recognizing the risk and acting early to minimize (or even prevent) delirium.  相似文献   
35.
Research has been done on the maximum reach and ingress/egress of upright seats. However, research on recumbent seats and comparisons between recumbent and upright seats is limited. By using an eight-camera Vicon motion capture system and C-motion Visual 3D modeling software, this research compared the ingress/egress joint kinematics and maximal planar reach of an upright seat with a recumbent seat. Mean range of motion and mean peak angle for each ingress/egress task were determined and the values for the upright seat were compared to the values for the recumbent seat. For each reach task, three extreme points were extracted and compared between the upright and recumbent seat. Seat orientation was found to have a statistically significant effect on the range of motion of several joints during the ingress/egress tasks, as well as one of the extreme points during the reaching tasks.  相似文献   
36.
Although one can assume the work values within nonprofit organizations promote gender equality in promotion decisions, there is preliminary evidence that in the nonprofit sector women are underrepresented in higher management positions. Whereas the mechanisms resulting in underrepresentation of women in management have been studied extensively in for‐profit organizations, little is known about these mechanisms in nonprofit organizations. Is gender in nonprofit organizations—even given the underlying values of these organizations—an impediment to attaining a management position? This article presents a case study of employment patterns within the Dutch section of the humanitarian INGO Médecins Sans Frontières and focuses particularly on the effects of gender and occupation on transitions to management. The case study organization represents a “critical case” because the nature of this organization's work environment can be expected to result in a relatively high percentage of women in management. Employee records (N = 2,247) were analyzed using event history models. We found that women made the transition to management less rapidly than men, even when controlling for factors like age, previous work experience, and nationality. However, gender differences were completely explained by occupation. Those employees in female‐dominated occupations (in this case, medical personnel such as nurses) had a lower promotion‐to‐management rate than those in male‐dominated occupations (in this case, nonmedical personnel such as financial officers), irrespective of their gender. This case study highlights the importance to nonprofit management research of studying the effects of occupational sex segregation on promotion.  相似文献   
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This paper provides a review of fertility research in advanced societies, societies in which birth control is the default option. The central aim is to provide a comprehensive review that summarizes how contemporary research has explained ongoing and expected fertility changes across time and space (i.e., cross- and within-country heterogeneity). A secondary aim is to provide an analytical synthesis of the core determinants of fertility, grouping them within the analytical level in which they operate. Determinants are positioned at the individual and/or couple level (micro-level), social relationships and social networks (meso-level); and, by cultural and institutional settings (macro-level). The focus is both on the quantum and on the tempo of fertility, with a particular focus on the postponement of childbearing. The review incorporates both theoretical and empirical contributions, with attention placed on empirically tested research and whether results support or falsify existing theoretical expectations. Attention is also devoted to causality and endogeneity issues. The paper concludes with an outline of the current challenges and opportunities for future research.  相似文献   
40.
Infants follow the gaze of an individual with whom they are directly interacting by the end of the first year. By 18 months infants are capable of learning novel words in observational (or third‐party) contexts (Floor & Akhtar, 2006). To examine third‐party gaze following in 12‐ and 18‐month‐olds, the parent and experimenter engaged in a conversation while the infant was present. For 8 trials approximately every 30 sec the experimenter would turn her head to the right or left to fixate on a toy placed on either side of the room with the parent following suit. In the first experiment, the parent was seated next to the infant and the experimenter opposite, whereas in the second experiment the positions of the adults were switched. In Experiment 1, 18‐month‐olds but not 12‐month‐olds followed gaze. In Experiment 2, 12‐month‐olds acquired a tendency to follow gaze during the experimental session. These results suggest that an incipient ability to follow third‐party gaze is present by 12 months and that infants acquire a more reliable and general ability to follow the gaze of noninteractive others between 12 and 18 months.  相似文献   
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