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291.
Objectives: To determine the socio-demographics, sexual practices, and HIV prevalence of male sex workers (MSWs), transwomen sex workers (TSWs), and their male clients in Lima, Peru. Methods: Following ethnographic mapping of sex work venues, the authors revisited randomly selected venues to survey MSWs, TSWs and their clients. Results: MSWs and TSW clients are more educated than MSW clients and TSWs. Only 50% of TSW clients have received HIV testing. Self-reported HIV positivity is highest among MSW clients and TSWs. Conclusion: Notable differences exist between MSWs and TSWs and their clients that can affect the health of these groups and warrant intervention.  相似文献   
292.

Problem

Clinical practice guidelines indicate that over 80% of women with a previous caesarean should be offered a planned vaginal birth after caesarean (VBAC), however only one third of eligible women choose to plan a VBAC. To support informed choices for birth after caesarean, it is necessary to understand the factors that influence women’s decision-making.

Aim

The goal of this study was to explore attitudes towards and experiences with decision-making for mode of delivery after caesarean from the perspectives of Canadian women.

Methods

In-depth, semi-structured interviews were conducted with 23 women eligible for VBAC in three rural and two urban communities in British Columbia, Canada, during summer 2015. Constructivist grounded theory informed iterative data collection and analysis.

Findings

Women’s decision-making experiences were a process of “seeking control in the midst of uncertainty.” Women formed early preferences for mode of delivery after their primary caesareans and engaged in careful deliberation during their inter-pregnancy interval, consisting of: reflecting on their birth, clarifying their values, becoming informed, considering the feasibility of options, deliberating with the care team, and making an actual choice. Women struggled to make trade-offs between having a healthy baby and social attributes of delivery, such as uninterrupted bonding with their newborn.

Conclusions

Women begin decision-making for birth after caesarean earlier than previously reported and their choices are influenced by personal experience and psychosocial concerns. Future interventions to support choice of mode of delivery should begin early after the primary caesarean, to reflect when women begin to form preferences.  相似文献   
293.
ABSTRACT

Based on person–organization fit theory, this article moves beyond theories of motivation and social exchange relationships that have often been used in commitment literature. This article contributes to understanding perceptions of organizational culture (OC) and affective commitment (AC) through perceptions of a learning organization (LO). Such understanding helps to tackle current commitment issues in Malaysia through strategic human resources development (HRD) planning and deploying organization development activities. We examined: (a) the extent to which organizations with an embraced LO mediated OC and AC, (b) the most influential component of OC in promoting employee AC, and (c) the most important component of LO for influencing OC and AC. We obtained 516 respondents (64.5% response rate) in selected Malaysian private organizations. It was concluded that LO mediated the relationship between OC and AC. Respect for people was an influential factor of OC for AC, while empowerment played a significant role in LO culture mediating the relationship between OC and AC. HRD practitioners should strategically plan organizational activities, norms, and policies that promote organizational learning processes and a learning culture to enhance AC.  相似文献   
294.
The purpose of this study was to examine the influence of having a child diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) on the social and emotional well-being of fathers. While mothers have been carefully scrutinized in ADHD-related literature, fathers have been largely excluded from research designs developed to explore the effects of raising a child with ADHD. Prior research has been primarily based on small, clinically referred and homogenous samples, often without comparisons or controls. This research utilizes a nationally representative sample from the 2001 U.S. National Health Interview Survey to determine differences between fathers of children with ADHD and control fathers and to analyze how the ADHD status of the child, problematic behavior, use of medication, and paternal social support influences fathers’ sense of well-being. This research is also designed to determine whether there are child and family contexts in which the effect of ADHD status on paternal well-being is moderated. Contrary to previous findings about the emotional and social burden associated with raising an ADHD child, few differences between fathers were found.  相似文献   
295.
Sophisticated agents who are aware of their self-control problems value commitment devices that constrain future choices. Using Australian household data I test whether these households value commitment devices in the form of illiquid pension contributions. Estimating probabilistic choice models, the results confirm the conjecture that households with problems of self-control are more likely to invest in illiquid pensions while less likely to hold very liquid forms of assets.  相似文献   
296.
Contrasting Dorothy Smith's critique of sociological discourse with one proposed by post-structural feminists, I argue that Smith's standpoint epistemology based on women's experiences, although an important contribution, is limited as a critique of sociological discourse. This is because it fails to reflect on sociology as itself a dominant discourse of experience.  相似文献   
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