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Background

Aboriginal women and families are under-represented in Australian research on pregnancy and childbirth. The Aboriginal Families Study aimed to investigate the views and experiences of a representative sample of women giving birth to an Aboriginal baby in South Australia between July 2011 and June 2013, using methods designed to respect Aboriginal culture and communities.

Methods

A team of 12 Aboriginal researchers facilitated community engagement and recruitment of Aboriginal and non-Aboriginal mothers of Aboriginal infants in urban, regional and remote areas of South Australia over a two-year period.

Results

A total of 344 women took part, around a quarter of all Aboriginal women giving birth in South Australia in the study period (39% urban, 35% regional and 25% from remote areas). Participants were representative in relation to maternal age (mean age of 25 years, range = 15–43 years). Over half of women (56%) first heard about the study via a member of the fieldwork team making contact with them through community connections. Other major sources of recruitment were: Aboriginal health services/programs (20%) and public maternity hospitals (16%). Almost all of the women (95%) recruited via community networks of the fieldwork team completed the questionnaire. In contrast, 51% of women recruited via public hospitals completed the questionnaire (odds ratio = 0.1, 95% confidence interval 0.0–0.1, p < 0.001).

Conclusions

Aboriginal researchers’ community knowledge and leadership is critical to the conduct of successful Aboriginal health research. High levels of participation in research by ‘harder to reach’ populations are achievable when researchers take time to build relationships and work in partnership with communities.  相似文献   
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Cordeiro and Andrade [Transformed generalized linear models. J Stat Plan Inference. 2009;139:2970–2987] incorporated the idea of transforming the response variable to the generalized autoregressive moving average (GARMA) model, introduced by Benjamin et al. [Generalized autoregressive moving average models. J Am Stat Assoc. 2003;98:214–223], thus developing the transformed generalized autoregressive moving average (TGARMA) model. The goal of this article is to develop the TGARMA model for symmetric continuous conditional distributions with a possible nonlinear structure for the mean that enables the fitting of a wide range of models to several time series data types. We derive an iterative process for estimating the parameters of the new model by maximum likelihood and obtain a simple formula to estimate the parameter that defines the transformation of the response variable. Furthermore, we determine the moments of the original dependent variable which generalize previous published results. We illustrate the theory by means of real data sets and evaluate the results developed through simulation studies.  相似文献   
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This study examines how the Medicare Part D coverage gap impacts non-dually eligible older adults with a mental illness. Qualitative, semistructured interviews were conducted with 11 case managers from community-based agencies serving persons, age 55 and over, with a mental disorder. Five themes illustrating the central difficulties associated with the Part D gap emerged: medication affordability, beneficiary understanding, administrative barriers, Low-Income Subsidy income and asset guidelines, and medication compliance. Although the Patient Protection and Affordable Care Act gradually reduces cost sharing within the gap, findings suggest that medication access and adherence may continue to be impacted by the benefit's structure.  相似文献   
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Clergy, including Rabbis, though not specifically trained to provide domestic violence (DV) counseling, are often now considered formal helpers because of the active role they have taken in addressing DV issues among congregants. Participants were presented with two vignettes about couples engaged in conflict and asked to describe how they would respond to each. The Rabbis in this sample, while willing and desiring to help, also talked much about their discomfort with providing advice, as they did not feel qualified to help or to provide advice. Implications for social work practitioners and educators will be discussed.  相似文献   
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In this article, we study the methods for two-sample hypothesis testing of high-dimensional data coming from a multivariate binary distribution. We test the random projection method and apply an Edgeworth expansion for improvement. Additionally, we propose new statistics which are especially useful for sparse data. We compare the performance of these tests in various scenarios through simulations run in a parallel computing environment. Additionally, we apply these tests to the 20 Newsgroup data showing that our proposed tests have considerably higher power than the others for differentiating groups of news articles with different topics.  相似文献   
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