While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. Using the Malawi Schooling and Adolescent Study, a longitudinal survey that followed 2,649 young people aged 14–17 at baseline from 2007 to 2013, we estimate the effect of three education variables: school enrolment, grade attainment, and academic skills—numeracy and Chichewa literacy—on herpes simplex virus type 2 (HSV-2) and HIV incidence using interval-censored survival analysis. We find that grade attainment is significantly associated with lower rates of both HSV-2 and HIV among girls, and is negatively associated with HSV-2 but not HIV among boys. School enrolment and academic skills are not significantly associated with sexually transmitted infections (STIs) for boys or girls in our final models. Efforts to encourage school progression in high-prevalence settings in sub-Saharan Africa could well reduce, or at least postpone, acquisition of STIs. 相似文献
Quality assessment is a crucial issue in the strategic management of the public health sector. The objective of this study is to investigate the patients’ perception of the health system quality and explore the relationships between doctors and long-term cancer patients. The data under study have been collected during a survey conducted with long-term cancer patients who follow an oncological therapy in a Public Hospital. In the study, exploratory factorial analysis is developed and two structural equation models are proposed. The first model describes the service quality as perceived by the patients, which is influenced by four important factors, namely tangible aspects, reliability, empathy (doctor–patient human relations) and hospital organization. The second model describes the relationship between doctors and long-term cancer patients, which is influenced by three factors, that is reliability, empathy and hospital organization. The discussion highlights the contribution that the results of the study may make to the investigation of the possible strategies for improving health care service quality.
Qualitative Sociology - Based on 17 months of ethnography at three different online dating agencies in southern China, this article examines the life histories and decision-making... 相似文献
Most theoretical treatments of intimate partner violence (IPV) focus on individual‐level processes. More recently, scholars have begun to examine the role of macrolevel factors. Results of that research indicate that social ties facilitate the diffusion of cultural norms—including tolerance of deviance/violence—across neighborhoods. Yet the influence of the neighborhood normative climate extends beyond norms regarding the use of violence, shaping cultural understanding about dating and the opposite sex. Using data from the Toledo Adolescent Relationships Study (TARS), the current investigation examines the multilevel association between dating norms and IPV perpetration among a large, diverse sample of adolescents and young adults. Results indicate that individuals’ liberal dating attitudes are associated with IPV perpetration. Furthermore, this effect varies across levels of neighborhood disadvantage. 相似文献
This paper offers a synthetic outline of the contribution of a foucauldian approach to the analysis of health, with specific attention to the dynamics of the relation between health promotion and the ‘health society’. Through the concept of ‘biopower’, this approach was among the first in sociology to highlight the general relevance of health to the constitutive dynamics of modern (and eventually late-modern) societies. Through the concept of ‘governmentality’, scholars in a range of disciplines offered early critical analyses of health promotion discourse in the specific context of neo-liberalism, highlighting some of its paradoxical features. To the extent that such paradoxes are now more widely articulated as an explicit subject for public debate through the notion of a ‘health society’, it might be argued that the critical function initially offered through the notion of governmentality has become somewhat redundant. Against this background, the paper concludes by discussing, through examples relating to new biotechnologies and to drug policy, how a foucauldian approach continues to be relevant in the contemporary context. 相似文献
This ethnographic study explores how rural lower secondary school students reflect on study and career choices, focusing on the choice between vocational and academic upper secondary programs. Applying a spatial perspective, we analyze individual students’ reflections about study and career choices within a variety of rural regions, and compare patterns in the regions. The results indicate complex interactions between structural factors and individual dispositions. In places where education levels were low and the local labor market predominantly offered unskilled manual and service work, there was a stronger tendency to choose vocational programs than in places with higher education levels and access to a more varied labor market. Likewise, there was an association between strongly gendered labor markets and gender-typical choices. However, individual students positioned themselves actively in relation to the local place, its local labor market and social relations; their choices were place-bound to varying degrees, and chose upper secondary programs and presented ideas about prospective careers that were harmonious with the local labor market in some cases, but discordant in other cases. The results are discussed in the framework of individuals’ horizon for actions. 相似文献
A growing literature has examined the prevalence of transnational engagement among children of immigrants. However, few studies have been equipped to analyse underlying dynamics that serve to impede or perpetuate transnational practices among them in the United States. In this article, we compare transnationalism narratives between 1.5- and second-generation children of immigrants to more fully adjudicate enduring transnational ties over time. Our analysis of 134 interviews from the Children of Immigrants Longitudinal Study suggests that children of immigrants from Southern California conceptualise transnational experiences in diverse but remarkably similar ways. The meanings attached to transnational behaviours and identities employ certain patterns, and are often related to strength of kin-based ties, ethnic language fluency, and levels of structural access to the homeland. Moreover, findings indicate that the second-generation is nearly as transnationally engaged as the 1.5-generation. This provides novel but limited evidence in support of claims that transnational ties are sustained across generations. 相似文献
Community-dwelling veterans at risk for suicide may be in contact with a variety of providers in agency-based settings that offer health and human services. The study aim is to describe the perspective of agency-based clinical and community providers who may come into contact with veterans in need of suicide prevention services and to examine the nature of their personal and professional relationships to individuals at risk for suicide among this sample.This study reports on qualitative data from a sample of Veterans’ Affairs (VA) and community providers serving veterans and military families in one Midwestern state (N = 70). Providers completed a survey assessing exposure to suicide, including contact with and relationship to someone suicidal, and organizational characteristics of the providers’ employing agencies. Semi-structured interview questions probed for the nature of how they would react with suicidal individuals. Most providers (94%) had some prior contact with someone who was suicidal, and nearly three quarters (77%) knew someone who had died by suicide. Providers reported powerful emotional responses of sadness and remorse to suicidal experiences. While these providers interact with veterans and military families as part of their jobs, they may have their own history of being exposed to suicide, both professionally and personally. 相似文献
ABSTRACT I use the concept of agnotology to examine the way in which the UK government diverted the public gaze from lack of equipment and hidden privatization by claiming to ‘follow the science’ and so adopt the ‘strategy’ of herd immunity. This has resulted in excess deaths, hospitalization and life-changing injury. The global experience of Covid-19 has emphasized existing inequalities, anger, and the challenge of ‘leadership’ in such threatening times. I briefly look at the role of HR as we work through the long-lasting effects of the pandemic on individuals and ‘civilization’. 相似文献