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31.
Recent research suggests that rising obesity will restrain future gains in US life expectancy and that obesity is an important contributor to the current shortfall in us longevity compared to other high-income countries. Estimates of the contribution of obesity to current and future national-level mortality patterns are sensitive to estimates of the magnitude of the association between obesity and mortality at the individual level. We assessed secular trends in the obesity/mortality association among cohorts of middle-aged adults between 1948 and 2006 using three long-running US data sources: the Framingham Heart Study, the National Health and Nutrition Examination Survey, and the National Health Interview Survey. We find substantial declines over time in the magnitude of the association between obesity and overall mortality and, in certain instances, cardiovascular-specific mortality. We conclude that estimates of the contribution of obesity to current national-level mortality patterns should take into account recent reductions in the magnitude of the obesity and mortality association. 相似文献
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Little is known about the frequency of ethnic or racial discrimination and its implications for Latin American and Asian youths' development. In this study, we examined if there were ethnic and generation differences among 601 12th graders from Latin American (36%), Asian (43%), and European (19%) backgrounds in the frequency of peer, adult, and daily discrimination, and whether discrimination predicted their well‐being. Adolescents from Latin American and Asian backgrounds reported more adult and peer discrimination than their peers from European backgrounds. Latin American youth reported more adult discrimination than their Asian peers. Discrimination predicted lower grade point averages and self‐esteem, and more depressive symptoms, distress, and physical complaints. Ethnic identity, ethnic socialization, and race rejection sensitivity did not moderate the associations between discrimination and well‐being. 相似文献
35.
Many child protection practitioners struggle with the complexity of problems and the limited casework time for adolescent cases. However, there is little research on child protection practice or case management that can guide a practitioner working with adolescents in the child protection system. The aim of this study was to explore and describe the nature of effective child protection practice with adolescents from the perspective of statutory child protection practitioners in one state in Australia. Data were collected through focus group discussions and interviews with child protection practitioners and managers currently working with adolescents (n= 44). A grounded theory approach was used to identify the dominant themes or categories and form linkages and relationships through constant comparison techniques. Seven key categories emerged from this analysis: characteristics of the young person and their family; ‘walking it together’– the centrality of relationships; ‘looking back/looking forward’– practice strategies; practitioner attributes and skills; ‘walking a fine line’– working with the families of adolescents; ‘walking with services’– effective inter‐agency work; and organizational context in effective child protection practice with adolescents. Key implications for practice and areas for further research were discussed. 相似文献
36.
K. Keller Van Slyke M.D. F.A.C.S. Virginia Pender Michel R.N. A.N.P. Michael F. Rein M.D. 《Journal of American college health : J of ACH》2013,61(3):107-109
Abstract This double blind comparison of fourteen daily intravaginal gelatin capsules containing 600 mg of boric acid powder versus identical capsules containing 100,000 units of nystatin diluted to volume with cornstarch found vulvovaginal candidiasis albicans cure rates for boric acid to be 92% seven to ten days after treatment and 72% at thirty days, whereas the nystatin cure rates were 64% at seven to ten days and 53% at thirty days. Speed of alleviation of signs and sumptoms was similar with both drugs. There were no untoward side effects, and cervical cytology was not affected. In vitro studies found boric acid to be fungistatic and its effectiveness to be unrelated to pH. Blood boron analyses indicated little absorption from the vagina and a half life of less than 12 hours. A 30% follow-up of 2,030 nonstudy patients revealed wet mount and symptom cure rates of 93% within two weeks and 88% within four weeks. Patient acceptance was better than with “messy” vaginal creams, and self-made boric acid powder capsules are inexpensive, 31¢ for fourteen, compared with costly, commonly prescribed medication. 相似文献
37.
Virginia Vargas 《Cultural Studies》2013,27(6):905-920
The paper begins with a theoretical-political positioning regarding globalization, as a multidimensional phenomenon, loaded with power relations with unequal and ambivalent impacts producing dramatic exclusions but, at the same time, opening possibilities for profound changes in the gender order and in social subjectivities. The effects of globalization on social movements have also been multiple and ambivalent, producing fragmentation and particularization but at the same impelling new ways of articulation, more flexible and inclusive, as well as mobilizations at a global level oriented to ‘dispute’ its hegemonic contents and struggle for an alternative globalization. In the second part, the paper analyses the new dynamics of intervention of feminist movements that follow from this new reality. The Social World Forum is a privileged space for this analysis, due to the convergence of new tendencies and new ways of existence of feminisms, expressing the new conflicts and challenges faced by feminisms in the collective construction of alternative proposals towards globalization. 相似文献
38.
Virginia Goldner Ph.D. 《Studies in Gender and Sexuality》2013,14(2):113-139
Feminism and the postmodern turn have vaporized the commonsense materiality of gender and sexuality, both in theory and, for many, as lived experience. But where gender has moved to the ironic, sexuality still holds the space for the “authentic.” Gender now seems squarely positioned in a postmodern sensibility, but sexuality still veers between the modern and the postmodern. We can conceive and experience gender as being “made,” but sexuality retains the mark of something “found” and often, as Foucault demonstrated, of something “found out.” In an attempt to account for these divergent trajectories, the author attempts to historicize and deconstruct the categories of gender and sexuality in order to reflect on their modes of psychic action and to consider how they work with, and against, each other in mind and culture. 相似文献
39.
Janette McDougall Virginia Wright Megan Nichols Linda Miller 《Social indicators research》2013,114(3):1243-1257
The purpose of this paper was to assess the psychometric properties of the Students’ Life Satisfaction Scale (SLSS) and the Brief Multidimensional Students’ Life Satisfaction Scale (BMSLSS) when used with youth who have chronic conditions. Baseline data from a longitudinal study examining predictors of changes in perceived quality of life (PQOL) for youth with chronic conditions were used. SLSS and BMSLSS data were collected on over 400 youth aged 11–17 using youth self-report and parent proxy-report versions. Internal consistency, convergent validity, and factor structure were examined for both versions. Extent of agreement and magnitude of differences between youth and parent report were evaluated. Finally, gender, age, and condition group differences in youth report scores were examined for the SLSS and BMSLSS. Strong internal consistency was demonstrated for the youth and parent reports of both measures. As with normative samples, a single factor structure was found for youth and parent reports of the BMSLSS. However, both youth and parent reports of the SLSS had a two-factor structure: one consisting of five positively worded items, and the other, two negatively worded items. Youth reported their PQOL to be significantly higher than did their parents. Significant differences in PQOL scores for the youth report were not found by age, gender, or conditions. Findings show that, from a psychometric standpoint, the BMSLSS (both youth and parent report) is a promising measure of PQOL for use in population-based research with youth who have chronic conditions. The SLSS may need to be revised to exclude negative items when used with this population of youth. 相似文献
40.
Virginia Schmied Maree Johnson Norell Naidoo Marie-Paule Austin Stephen Matthey Lynn Kemp Annie Mills Tanya Meade Anthony Yeo 《Women and birth : journal of the Australian College of Midwives》2013,26(3):167-178
AimThe aim of this paper is to describe the factors that impact on the mental health of Australian and New Zealand (NZ) women in the perinatal period (pregnancy and the year following birth), and to determine the impact of perinatal mental health on women's subsequent health by summarising findings from prospective longitudinal studies conducted in Australia and NZ.MethodsA systematic search was conducted using the databases, Scopus, Medline, PsychInfo and Health Source to identify prospective longitudinal studies focused on women's social and emotional health in the perinatal period. Forty-eight papers from eight longitudinal studies were included.ResultsThe proportion of women reporting depressive symptoms in the first year after birth was between 10 and 20% and this has remained stable over 25 years. The two strongest predictors for depression and anxiety were previous history of depression and poor partner relationship. Importantly, women's mood appears to be better in the first year after birth, when compared to pregnancy and five years later. Becoming a mother at a young age is by itself not a risk factor unless coupled with social disadvantage. Women report a high number of stressors in pregnancy and following birth and the rate of intimate partner violence reported is worryingly high.ConclusionMidwives have an important role in the identification, support and referral of women experiencing mental health problems. As many women do not seek help from mental health services, the potential for a known midwife to impact on women's mental health warrants further examination. 相似文献