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91.
Caregiving remains women's work far more than men's. Although women and men often attribute this difference to nature, this paper argues for the importance of structure, especially in employment. At least to some extent, women's employment—especially in jobs similar to men's—reduces the care work they do for kin, if not for friends. Examining the different amount and meanings that women and men—like Euro-Americans and African Americans—ascribe to care work, I suggest we view such care work as a survival strategy as well as a demanding labor of love. In this context, recent social policies should be seen as not only privatizing care but also producing growing inequality as well as a vacuum of care.  相似文献   
92.
Objective: Health literacy is a determinant of health, but disparities in health literacy persist. This study examined the influence of ecological factors on college students’ health literacy. Participants: During January 2016 a nonrandom sample of black undergraduate students (n = 298) aged 18–24 were recruited from enrollment lists at two urban universities in the Southeastern United States. Methods: Information on health literacy as well as numerous intrapersonal, social, and cultural-environment factors was obtained using an electronic questionnaire and then statistically modeled. Results: Ecological factors accounted for 28.7% of the variance in health literacy. In particular, reappraisal (B = 0.323, p < .001), suppression (B = ?0.289, p < .001), campus health education (B = 0.192, p < .05), campus tobacco culture (B = ?0.174, p < .05), and perceived norms (B = ?0.153, p < .05) directly predicted health literacy. Conclusions: Although intrapersonal factors influence health literacy, the sociocultural environment of college can also foster or hinder college students’ health literacy.  相似文献   
93.
This article investigates intersecting institutional and policy relations that influence divergent developmental trajectories among young people. Beginning with young people’s experiential knowledge of key institutional contexts shaping their lives, the article illuminates socially organized disjunctures whereby young people come to see themselves as developmentally out of sync with institutional expectations for youth development, which organize everyday life in public schools. This institutional ethnography explicates the intersecting social relations that shape how young people grow up, the choices that are available to them, their participation in public sector institutions and ultimately, the race and class-based patterns of inequality perpetuated by public schools and other public sector institutions.  相似文献   
94.
95.
Early and timely sharing of information can provide a sustainable competitive advantage. However, even if lean information management aims to improve this information flow, it has mainly been investigated in ‘operations-based’ companies. This paper fills this gap, drawing upon the experience of the authors working within a large project-based company engaged in the ‘engineer and manufacture to order’ of a complex piece of equipment costing millions of dollars, for its strategic long-term client, both working in the same industrial field, i.e. nuclear decommissioning. This research investigates the information flow regarding scope changes between the project-based company and the long-term client adapting and applying a five-step framework to highlight operational inefficiencies, reduce the corresponding transaction costs and increase the overall company’s competitiveness. This is exemplified through a particular case, but can be applied to other project-based companies dealing with strategic clients involved in long-term relationships.  相似文献   
96.
In recent decades, educators and policymakers in the United States have increased their focus on Science, Technology, Engineering, and Mathematics (STEM) learning opportunities both in school and in informal learning environments outside of school. Informal STEM learning can take place in varied settings and involves a variety of STEM domains (e.g., engaging in engineering practices in a construction exhibit at a museum; talking about math during book reading at home). Here we provide a selective review of the literature on informal STEM learning to illustrate how these educational experiences are crucial for efforts to increase early STEM learning even before children reach school age. Leveraging cognitive and learning science research to inform policy, we make three recommendations to advance the impact of informal STEM learning: 1) integrate cognitive and learning science–based learning practices into informal learning contexts, 2) increase accessibility and diversity of informal STEM experiences, and 3) create explicit connections and coherence between formal and informal STEM learning opportunities in early childhood education.  相似文献   
97.
Self-disclosure of sexual orientation, or outness, is a fundamental feature of gay, lesbian, and bisexual (GLB) experience, yet little is known about how outness impacts same-gender relationship satisfaction. Through a qualitative analysis of interviews with 15 same-gender couples, the complexities of navigating a stigmatized identity in a homonegative society emerged, including (a) characteristics of outness, (b) the influence of coupling on an individual's outness, and (c) the impact of outness on same-gender relationship satisfaction. Findings suggest that for GLB persons, outness is a developmental skill, an expression of identity and values, as well as a resilience strategy for managing discrimination and gay-related stress that influences, though does not singularly determine, relationship satisfaction. Implications for clinical practice and future research suggestions are presented.  相似文献   
98.
Background: Lower urinary tract symptoms (LUTS) have been associated with falls in studies either exclusively or predominantly of women. It is, therefore, less clear if LUTS are risk factors for falls in men.

Methods: We conducted a systematic review of the literature on the association between LUTS and falls, injuries, and fractures in community-dwelling older men. Medline, Embase, and Cinahl were searched for any type of observational study that has been published in a peer-reviewed journal in English language. Studies were excluded if they did not report male-specific data or targeted specific patient populations. Results were summarized qualitatively.

Results: Three prospective cohort studies and six cross-sectional studies were identified. Incontinence, urgency, nocturia, and frequency were consistently shown to have weak to moderate association with falls (the point estimates of odds ratio and relative risk ranged from 1.31 to 1.67) in studies with low risk of bias for confounding. Only frequency was shown to be associated with fractures.

Conclusions: Urinary incontinence and lower urinary tract storage symptoms are associated with falls in community-dwelling older men. The circumstances of falls in men with LUTS need to be investigated to generate hypotheses about what types of interventions may be effective in reducing falls.  相似文献   

99.
There has been a steep rise in the proportion of children born to and living with unmarried parents. Unmarried parents are increasingly likely to cohabitate, especially low-income couples, placing their children at elevated psychosocial risk. This life history study of poor, White single mothers suggests that the current focus on differences between married and cohabiting poor women may overstate underlying similarities in factors associated with their partner formation and dissolution and that poor women's decisions about marriage and cohabitation must be understood in a developmental context that reflects the stacking, over time, of multiple forms of vulnerability to unstable partnerships, single motherhood, and continuing poverty into adulthood.  相似文献   
100.
Social Indicators Research - Although previous studies have examined the likelihood of students’ participation in shadow education (private supplemental education), these studies have not...  相似文献   
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