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961.
Disaster research has drawn attention to how natural hazards transform local organizational dynamics and social inequalities. It has yet to examine how these processes unfold together over time. We begin to fill this gap with a county-level, longitudinal analysis that examines how property damages from natural hazards correlate not only with local shifts in poverty a year later but also counts of for-profit as well as bonding and bridging social capital organizations. Results show that poverty and all organizational types tend to increase with local hazard damages. They also show that poverty tends to increase most where the number of bonding social capital organizations is also increasing. This pattern suggests a Janus-faced dynamic in which bonding, or more inwardly focused, organizations that arise after disaster may end up inadvertently marginalizing those in more dire need. 相似文献
962.
Takemore Chagomoka Axel Drescher Rüdiger Glaser Bernd Marschner Johannes Schlesinger Abdul-Razak Abizari Hanna Karg George Nyandoro 《Population and environment》2018,40(1):27-46
Food and nutrition insecurity remains a challenge in sub-Saharan Africa. Several studies have examined food and nutrition insecurity in urban or rural areas but have not captured the whole continuum. Between November and December 2013, 240 households were surveyed along the urban–rural continuum in Northern Ghana. The study objective was to understand the socio-spatial dynamics of household food and nutrition insecurity and to investigate the role played by urban, peri-urban and rural agriculture. The study found that there was more involvement in agriculture in rural areas compared to peri-urban areas and urban areas. Households from urban areas were more food insecure (HFIAS >?11) compared to their counterparts in peri-urban and the rural areas. Stunting increased by 3.4 times (p?=?0.048) among households located in the peri-urban area. Wasting was reduced by 0.16 times among household that produced staple food or vegetables (p?=?0.011). Overweight was reduced by 0.04 times among households that produced livestock (p?=?0.031). The results reveal a socio-spatial dimension of food and nutrition insecurity that is related to agricultural activities. 相似文献
963.
Robin S. Cronin Minglan Li Kate Culliney Robyn Maude Katherine Nelson 《Women and birth : journal of the Australian College of Midwives》2018,31(5):422-429
Background
Second-degree tears are the most common form of perineal trauma occurring after vaginal birth managed by New Zealand midwives, although little is known about midwives’ perineal practice.Aim
The aim of this study was to identify how midwives managed the last second-degree perineal tear they treated and the level to which their practice reflects National Institute for Health and Care Excellence guidelines.Methods
An (anonymous) online survey was conducted over a six-week period in 2013. New Zealand midwives who self-identified as currently practising perineal management and could recall management of the last second-degree tear they treated were included in the analysis.Findings
Of those invited, 645 (57.1% self-employed, 42.9% employed) were eligible and completed surveys. Self-employed midwives reported greater confidence (88.0% vs 74.4%, p < 0.001) and more recent experience (85.1% vs 57.4%, p < 0.001) with perineal repair than employed midwives. Midwives who left the last second-degree tear unsutured (7.3%) were more likely to report low confidence (48.9% vs 15.4%, p < 0.001) and less recent experience with repair (53.2% vs 24.7%, p < 0.001), and were less likely to report a digital-rectal examination (10.6% vs 49.0%, p < 0.001), compared to midwives who sutured. Care consistent with evidence-based guidelines (performing a digital-rectal examination, 59.4% vs 49.3% p = 0.005; optimal suturing techniques, 62.2% vs 48.7%, p = 0.001) was associated with recent perineal education.Conclusions
Midwives’ management of the last second-degree perineal tear is variable and influenced by factors including: employment status, experience, confidence, and perineal education. There is potential for improvement in midwives’ management through increased uptake of evidence-based guidelines and through ongoing education. 相似文献964.
Britni L. Ayers Nicola L. Hawley Rachel S. Purvis Sarah J. Moore Pearl A. McElfish 《Women and birth : journal of the Australian College of Midwives》2018,31(5):e294-e301
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965.
966.
We examine how men and women in mixed-gender unions change the time they allocate to housework in response to labor market promotions and terminations. Operating much like raises, such events have the potential to alter intra-household power dynamics. Using Australian panel data, we estimate couple-specific fixed effects models and find that female promotion has the strongest association with housework time allocation adjustments. These adjustments are in part attributable to concurrent changes in paid work time, but gender power relations also appear to play a role. Further results indicate that households holding more liberal gender role attitudes are more likely to adjust their housework time allocations after female promotion events. Power dynamics cannot, however, explain all the results. Supporting the sociological theory that partners may “do gender,” we find that in households with more traditional gender role attitudes, his housework time falls while hers rises when he is terminated. 相似文献
967.
Recent migration studies have adopted the lens of mobility to examine the stratifying effects of border policies, but few investigate the differential mobility of migrant families and children. This paper aims to contribute to the migration literature by considering the interplay between border policies, family configurations, and differential mobility. We apply the lens of differential mobility to the experiences of Chinese cross-border pupils – young child migrants with Hong Kong permanent residency who reside in Shenzhen, China, and cross the border to attend school. We begin by describing shifts in Hong Kong’s border and immigration policies since 1997, which have created a typology of families differentiated by mixed status, citizenship rights, and mobility. We then turn to four case studies of students with unequal border-crossing experiences to elucidate how border control constrains or promotes family mobility and perpetuates inequalities. 相似文献
968.
Kathleen M. Baird Amornrat S. Saito Jennifer Eustace Debra K. Creedy 《Women and birth : journal of the Australian College of Midwives》2018,31(4):285-291
Background
Asking women about experiences of domestic violence in the perinatal period is accepted best practice. However, midwives and nurses may be reluctant to engage with, or effectively respond to disclosures of domestic violence due a lack of knowledge and skills.Aim
To evaluate the impact of training on knowledge and preparedness of midwives and nurses to conduct routine enquiry about domestic violence with women during the perinatal period.Method
A pre-post intervention design was used. Midwives and nurses (n = 154) attended a full day workshop. Of these, 149 completed pre-post workshop measures of knowledge and preparedness. Additional questions at post-training explored participants’ perceptions of organisational barriers to routine enquiry, as well as anticipated impact of training on their practice. Training occurred between July 2015 and October 2016.Findings
Using the Wilcoxon signed-rank test, all post intervention scores were significantly higher than pre intervention scores. Knowledge scores increased from a pre-training mean of 21.5–25.6 (Z = ?9.56, p < 0.001) and level of preparedness increased from 40.8 to 53.2 (Z = ?10.12, p < 0.001). Most participants (93%) reported improved preparedness to undertake routine enquiry after training. Only a quarter (24.9%) felt their workplace allowed adequate time to respond to disclosures of DV.Conclusions
Brief training can improve knowledge, preparedness, and confidence of midwives and nurses to conduct routine enquiry and support women during the perinatal period. Training can assist midwives and nurses to recognise signs of DV, ask women about what would be helpful to them, and address perceived organisational barriers to routine enquiry. Practice guidelines and clear referral pathways following DV disclosure need to be implemented to support gains made through training. 相似文献969.
Max Weber (1864–1920) is considered one of the canonical founders of sociology, while W. E. B. Du Bois (1868–1963), author of The Philadelphia Negro (1899), The Souls of Black Folk (1903), and Black Reconstruction (1935), has only recently been included in the sociological canon. We provide a historical review of what we know of their relationship in order to first ask, what did Du Bois say about Weber, and second, what did Weber say about Du Bois? We then analyze the extant scholarly discourse of published English-language academic journal articles that substantively mention both Weber and Du Bois in order to address a third question: what did other scholars say about their relationship? We provide an analysis of the variation of scholars’ perceptions on the relationship between Du Bois and Weber to illumine the dominant assumptions about founding figures and the origin story of American sociology writ large. We argue that three mechanisms of white group interests configured the marginalization of Du Bois from both mainstream and sub-disciplinary sociological theory: (1) reduction or “knowing that we do no know and not caring to know” (when knowledge is perceived as irrelevant to white group interests), (2) deportation or “not wanting to know” (when knowledge is systematically exiled), and (3) appropriation or “not knowing that we do not know”) (when dominant knowledge usurps or assimilates challenges to that knowledge). 相似文献
970.