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161.
The present study reports on the construction of a dimensional measure of gender identity (gender dysphoria) for adolescents and adults. The 27-item gender identity/gender dysphoria questionnaire for adolescents and adults (GIDYQ-AA) was administered to 389 university students (heterosexual and nonheterosexual) and 73 clinic-referred patients with gender identity disorder. Principal axis factor analysis indicated that a one-factor solution, accounting for 61.3% of the total variance, best fits the data. Factor loadings were all >or= .30 (median, .82; range, .34-.96). A mean total score (Cronbach's alpha, .97) was computed, which showed strong evidence for discriminant validity in that the gender identity patients had significantly more gender dysphoria than both the heterosexual and nonheterosexual university students. Using a cut-point of 3.00, we found the sensitivity was 90.4% for the gender identity patients and specificity was 99.7% for the controls. The utility of the GIDYQ-AA is discussed.  相似文献   
162.
Decision-making problems in credit risk assessment and authorization are often too complex to be processed by conventional methods. They involve judgmental procedures which are by nature non-deterministic. Artificial intelligence methods can be used to approach the problem from a different angle. This paper shows the feasibility of a multi-expert approach driven by a meta-model in assessing business risk. More precisely it describes the meta-expert as part of a knowledge-based system being developed to assist bank loan officers in assessing the activities of firms applying for a loan. The use of a meta-model to represent the expert's strategic reasoning has the advantage of offering adaptable systems capable of building dynamically the resolution strategy most suited to the problem to be solved.  相似文献   
163.
The objective of this study was to ascertain beliefs and knowledge of pediatricians and parents regarding the hymen and to evaluate parental and pediatrician attitudes regarding sex education by pediatricians. Surveys were distributed anonymously to parents and pediatricians. Survey questions included knowledge of the female hymen and questions regarding attitudes toward sexual health education. There was a statistically significant difference in mean knowledge scores between pediatricians and parents regarding the hymen (3.7 versus 1.3; p < 0.0001). Almost two-thirds of pediatricians (63%) felt comfortable providing sexual health education directly to their patients, but only 41% felt comfortable educating parents. Pediatricians and parents demonstrate knowledge gaps about the hymen.  相似文献   
164.
This article provides experiential evidence on the transportability of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) screening tool and brief intervention in a mental health clinic. There is very little published information on implementing screening and brief intervention (SBI) in a mental health setting. Moreover, few SBI projects have reported on clinicians' experiences using the ASSIST. The article documents a successful attempt at implementing the ASSIST and discusses the benefits and challenges of doing SBI in a mental health setting.  相似文献   
165.
This article contributes to a long‐overdue discussion about research with adolescents. While young people are now recognised as competent and reliable participants, there are particular difficulties associated with using adolescents as respondents. Furthermore, it is rare for young people’s reactions to the research process to be heard. This article reports on some of the methodological challenges faced in designing and administering a Web‐based survey to 15‐year‐old school students in Perth, Western Australia, in an attempt to gain insight into meals practices and beliefs among adolescents and their families. Using empirical data, we discuss issues concerning the competence of adolescents to participate in social research. We conclude that using a Web‐based survey actively facilitates high levels of adolescent engagement in the research process, allowing them to be both subject and object of the research.  相似文献   
166.
Same-sex couples are often not seen as a family unit and are excluded from research, including family research on topics such as household division of labor. The author examined division of household labor, using social exchange theory, among 165 survey respondents in a same-sex relationship. Division of labor was measured by the percentage of tasks performed according to the respondent. Status differences between partners (e.g., higher, equal, lower) in terms of income, education, hours spent on paid labor outside the home, employment status, age, and race (here, only same or different races) were the independent variables. In general, as predicted by social exchange theory, partners with greater resources or power performed fewer household tasks. Satisfaction with division of labor and sense of being appreciated for one's contributions to household tasks were positively correlated with global relationship satisfaction. However, some inconsistencies indicate gaps in social exchange theory and that other factors may be important in understanding division of labor among same-sex couples.  相似文献   
167.
Abstract

This article reports on a study conducted in rural Victoria. It examines the problem of recruitment and retention of frontline staff in the Victorian Child Protection program. The article delineates those factors identified by managers and supervisors as influencing workers to enter, stay and leave the program. Managers and supervisors have collective responsibility for recruiting and retaining staff. It is for this reason that their viewpoints are considered crucial in responding to the problem. What this study found was that, while managers and supervisors recognise that the problem is complex, they differ in the emphasis placed on facets of the problem, thus their approaches to solving it. As solutions are contested the problem is exacerbated. The argument advanced is that any response should recognise the complexity of the problem and solutions be considered in a coordinated way.  相似文献   
168.
Abstract

Objective: To examine the use of transportation networking companies (TNCs) (eg, Uber) among substance-using students in rural and urban college settings. Participants: Students at two large state universities were randomly selected and screened for substance use. Participants reported use of TNCs generally and after substance use and whether TNC use was on or near campus or in other environments. Methods: Data were evaluated using chi-square test, t-tests, and Fisher’s exact tests. Results: Most (85%) participants (n?=?99, 61% response rate) had used a TNC. Among students who used TNCs on/near campus, 98% of rural students used them after substance use compared to 85% of urban students (p?=?.037). We did not detect differences in TNC use by gender or age. Conclusions: Results indicate that TNC use is common after college student substance use and may play a particularly important role in preventing impaired driving for rural campuses where existing transportation options are limited.  相似文献   
169.
This article analyzes the implicit white racial normativity underpinning the socio-legal struggle for same-sex marriage in Canada. I argue that discursive representations of ‘ordinary lives’ require alignment with terms of neoliberal citizenship – the privacy of property and intimacy – that hold whiteness as the unspoken yet aspirational ideal. As a contestation of heteronormative citizenship, same-sex marriage is not simply a politics of sexuality but also a politics of race.  相似文献   
170.
There is an identified need for more effective assessment processes in rural Australia, with prior research revealing little knowledge sharing and even duplication across existing services. This article aims to explore the challenges to more closely integrated assessment processes, drawing on interview data with practitioners from three agencies located in the same rural region. Findings highlight the challenges of rural assessment, both demand-driven (more older people with complex needs, geographic isolation) and supply issues (time and distance, funding formulae, workforce shortages). The need for closer collaboration is recognized but significant systemic issues require addressing if it is to be achieved.  相似文献   
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