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31.

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   
32.
It is commonly believed that men think about sex much more often than do women, but the empirical evidence in this area is fairly weak. By means of a golf tally counter, 283 college students kept track of their thoughts pertaining to food, sleep, or sex for one week. Males reported significantly more need-based cognitions overall, but there was no significant interaction between sex of participant and type of cognition recorded. Therefore, although these young men did think more about sex than did young women, they also thought more about food and sleep. In contrast, a retrospective estimated frequency of need-based cognitions obtained at the start of the study revealed a sex difference in sexual cognitions, but not thoughts about eating or sleeping. Erotophilia and sexual desirability responding were significant predictors of frequency of sexual cognitions for women, but not for men. Overall, erotophilia was a better predictor of sexual cognition than was sex of participant. Taken as a whole, the results suggest that, although there may be a sex difference in sexual cognitions, it is smaller than is generally thought, and the reporting is likely influenced by sex role expectations.  相似文献   
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Abstract Objective: This study aimed to understand the gaps in college students' knowledge regarding sexual health information. Participants: A sample of 242 participants enrolled in an introductory college course participated in this study in the Fall 2009 semester. Methods: Students participated in 1 of 2 brief interventions and wrote a response paper about their experience. The papers were analyzed using conventional content analysis for information that was new to participants by looking for key words that suggested learning took place. Results: The findings indicated that the majority of participants learned new information. Most learning occurred regarding sexually transmitted infections (ie, types, symptoms, prevalence, treatment, testing) and correct condom use. There were also demographic differences regarding reported new information. Conclusions: Findings can be used to develop future sex education programs for college students by providing college educators with an understanding of where students lack knowledge of sexual health.  相似文献   
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Research has been done on the maximum reach and ingress/egress of upright seats. However, research on recumbent seats and comparisons between recumbent and upright seats is limited. By using an eight-camera Vicon motion capture system and C-motion Visual 3D modeling software, this research compared the ingress/egress joint kinematics and maximal planar reach of an upright seat with a recumbent seat. Mean range of motion and mean peak angle for each ingress/egress task were determined and the values for the upright seat were compared to the values for the recumbent seat. For each reach task, three extreme points were extracted and compared between the upright and recumbent seat. Seat orientation was found to have a statistically significant effect on the range of motion of several joints during the ingress/egress tasks, as well as one of the extreme points during the reaching tasks.  相似文献   
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Infants follow the gaze of an individual with whom they are directly interacting by the end of the first year. By 18 months infants are capable of learning novel words in observational (or third‐party) contexts (Floor & Akhtar, 2006). To examine third‐party gaze following in 12‐ and 18‐month‐olds, the parent and experimenter engaged in a conversation while the infant was present. For 8 trials approximately every 30 sec the experimenter would turn her head to the right or left to fixate on a toy placed on either side of the room with the parent following suit. In the first experiment, the parent was seated next to the infant and the experimenter opposite, whereas in the second experiment the positions of the adults were switched. In Experiment 1, 18‐month‐olds but not 12‐month‐olds followed gaze. In Experiment 2, 12‐month‐olds acquired a tendency to follow gaze during the experimental session. These results suggest that an incipient ability to follow third‐party gaze is present by 12 months and that infants acquire a more reliable and general ability to follow the gaze of noninteractive others between 12 and 18 months.  相似文献   
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This article describes the development, implementation, and replication of a group-based parenting program for families affected by substance abuse. The Nurturing Program for Families in Substance Abuse Treatment and Recovery improves parenting, as measured on objective scales; enhances parents' satisfaction and competence, as measured by participant reports; and is based on principles demonstrated to be effective in reducing risk of both child abuse and neglect and substance abuse for both parents and children.  相似文献   
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