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141.
Ross CE  Mirowsky J 《Demography》1999,36(4):445-460
We refine the established association between education and health by distinguishing three aspects of a person's education (quantity, credential, and selectivity) and by examining the mechanisms through which they may correlate with health. Data are from the 1995 Aging, Status, and the Sense of Control Survey, a representative U.S. national telephone survey of 2,593 respondents aged 18 to 95, with an oversample of elderly. Results show that physical functioning and perceived health increase significantly with years of formal education and with college selectivity for those with a bachelor's or higher degree, adjusting for age, sex, race, marital status, and parental education. The credential of a college degree has no net association with physical functioning and perceived health beyond the amount attributable to the additional years of schooling. Of the three aspects of education, years of schooling has the largest effect. Most of that association appears attributable to its correlation with work and economic conditions, social psychological resources, and health lifestyle. A large portion of the net association of college selectivity with physical functioning and perceived health appears attributable to health lifestyle.  相似文献   
142.

Background

Gestational diabetes mellitus is one of the most common complications of pregnancy. Women with Gestational diabetes are at increased risk of serious health outcomes, such as pre-eclampsia, obstructed labor, and the development of Type 2 diabetes later in life. Chinese migrants, the third largest cultural group in Australia, are more likely to develop Gestational diabetes than Australian-born women. However, to date, Gestational diabetes self-management has not been investigated in this population.

Aim

To explore the understanding and self-management experiences of Gestational diabetes among Chinese migrants.

Methods

Data were collected through individual semi-structured face-to-face interviews. Participants were recruited from the antenatal clinic at the Royal Prince Alfred Hospital. Interviews were audio-recorded, transcribed verbatim and thematically analyzed.

Findings

Although the majority of participants demonstrated a good understanding of Gestational diabetes, some did not understand the principles behind healthcare advice and faced challenges in self-management. Confusion about self-monitoring of blood glucose and fear of insulin were also evident. Participants relied on both formal and informal sources of information. Some had difficulty obtaining adequate support. Cultural influences on self-management included meeting family needs, Chinese diet and use of Chinese medicines.

Conclusion

To assist Chinese women with Gestational diabetes to better self-manage their condition, there is a need for clinicians to: (1) provide more effective diabetes education to ensure clear understanding of self-management principles; (2) actively elicit and respond to women’s confusion and concerns; (3) provide women with adequate practical support; and (4) develop greater cultural awareness.  相似文献   
143.
Healing from childhood sexual abuse: a theoretical model   总被引:1,自引:1,他引:0  
Childhood sexual abuse is a prevalent social and health care problem. The processes by which individuals heal from childhood sexual abuse are not clearly understood. The purpose of this study was to develop a theoretical model to describe how adults heal from childhood sexual abuse. Community recruitment for an ongoing broader project on sexual violence throughout the lifespan, referred to as the Sexual Violence Study, yielded a subsample of 48 women and 47 men who had experienced childhood sexual abuse. During semistructured, open-ended interviews, they were asked to describe their experiences with healing from childhood sexual abuse and other victimization throughout their lives. Constructivist grounded theory methods were used with these data to develop constructs and hypotheses about healing. For the Sexual Violence Study, frameworks were developed to describe the participants' life patterns, parenting experiences, disclosures about sexual violence, spirituality, and altruism. Several analytic techniques were used to synthesize the findings of these frameworks to develop an overarching theoretical model that describes healing from childhood sexual abuse. The model includes four stages of healing, five domains of functioning, and six enabling factors that facilitate movement from one stage to the next. The findings indicate that healing is a complex and dynamic trajectory. The model can be used to alert clinicians to a variety of processes and enabling factors that facilitate healing in several domains and to guide discussions on important issues related to healing from childhood sexual abuse.  相似文献   
144.
145.
This study investigated similarities and differences in relations between stress and parenting behaviors for 509 Mexican American and European American fathers and mothers in Southern California. Our model posited that family cohesion mediates the relation between stressors and parenting behavior, and we found that family cohesion strongly mediated most of the relations between stress and parenting behaviors. Important ethnic and gender differences were evident. In contrast with other groups, Mexican American fathers reported higher levels of family cohesion when faced with economic pressures. Implications for future research on stress and parenting are discussed.  相似文献   
146.
147.
This paper reports the findings of a qualitative study of ten persons with traumatic brain injury (TBI) based upon a series of in-depth interviews conducted over a period of 12 months. Data was analysed with procedures similar to those utilised by grounded theory and ethnographic researchers, and resulted in a typology that reflected different experiences of living with TBI as well as different meanings it had for persons with TBI. A thematic analysis of the data yielded information about self, disability and handicap, and involvement in social networks; and, reflected the participants' sense of personal well-being. This analysis provided an alternative to the data yielded by traditional quantitative research designs.  相似文献   
148.
Previous research has found that high emotional expressivity contributes to interpersonal attraction independently of and on par with the contributions of physical attractiveness. Using an evolutionary perspective, we argue that emotional expressivity can act as a marker for cooperative behavior or trustworthiness. Theoretical and empirical work from social dilemma research pointing to the advantages of having a signal for cooperation is considered, as well as research from the limited number of studies that have looked at expressive behavior within a social exchange context. We also argue that we need to inject nonverbal emotional behavior into the social dilemma paradigm, which has downplayed or ignored its role in the communication processes associated with cooperation. Finally, we offer an outline for testing our theory and expanding the role of nonverbal emotional processes within research on cooperation and social exchange.  相似文献   
149.
This paper proposes modified splitting criteria for classification and regression trees by modifying the definition of the deviance. The modified deviance is based on local averaging instead of global averaging and is more successful at modelling data with interactions. The paper shows that the modified criteria result in much simpler trees for pure interaction data (no main effects) and can produce trees with fewer errors and lower residual mean deviances than those produced by Clark & Pregibon's (1992) method when applied to real datasets with strong interaction effects.  相似文献   
150.
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