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61.
Our study has shown that the stress threshold model, as formulated by Speare, only works partially. Consistent with Speare's model, we have found that subjective satisfaction is a strong predictor of thoughts about moving. Thoughts about moving is a good predictor of actual mobility. There are, however, three major problems with the model: stress as measured by satisfaction is not a particularly good predictor of actual mobility, although it does have some indirect influence through thoughts about moving; the "structural" variables have a strong independent impact on the mobility process beyond satisfaction; the satisfaction variables have little influence in mediating the effects of structural variables on mobility thoughts and behavior. The question of why our results differ from Speare's cannot be definitively answered here. We believe that our research has certain virtues in its direct measurement of satisfaction with home and community and also its much larger sample of movers. Speare's sample may have the virtue of being more representative of a large urban population since it was drawn from all segments of Rhode Island. Yet, while our sample is selective of areas within Seattle, we believe it provides a good representation of a wide variety of residential environments. Overall, our results are more consistent with the other studies which have addressed these issues (Bach and Smith, 1977; Lee, 1978; Michelson, 1977; Newman and Duncan, 1979), although the methods and approaches are not identical. Some of these studies were reviewed in the first part of the paper. We believe that understanding of the attitudinal predictors of changing residence is roughly at the same stage as research in the early post-World War II period on the attitudinal correlates of fertility behavior among American women. Research such as the Princeton study (Westoff et al., 1961; 1963) demonstrated that a variety of social attitudes about home, family, work and childbearing correlated poorly with levels of fertility. In contrast, such variables as objective religious affiliation, educational attainment, and race were clear correlates of fertility behavior. We still do not fully understand why these structural variables are important but we know that they are key predictors of behavior.(ABSTRACT TRUNCATED AT 400 WORDS)  相似文献   
62.
Using the National Aboriginal and Torres Strait Islander Social Survey, this paper examines exposure to interpersonal racism and avoidance reported by Aboriginal and Torres Strait Islander people with disabilities. We find that in 2014–2015, 32 per cent of people aged 15–64 without a disability experienced racism compared with 42 per cent of those with a disability. Half of those living with an intellectual or psychological disability reported racism, and about 20 per cent of those with any disability avoided settings such as healthcare, education or the general public due to past instances of racism, relative to 11 per cent of those without a disability. After adjusting for confounding factors and complex survey design, presence of a disability was associated with a 1.6–1.8 odds increase in exposure to racism, more frequent racist exposure and avoidance. Disability was further associated with an approximate doubling of the odds of reporting multi-context avoidance and the likelihood of reporting both racism and avoidance in tandem. Severity of disability, higher numbers of disabling conditions and specific disability types were associated with increased odds of racism and avoidance. Independent of these effects, removal from one's natural family and identifying with homelands was strongly associated with racism and avoidance.  相似文献   
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Urban Ecosystems - Urbanisation radically changes habitats and alters available resources. Populations of large, highly mobile species are often extirpated at the urban-wildland interface, while...  相似文献   
64.
As funding for public health promotion is increasingly limited in the U.S., public relations research informing management of crises that threaten public health is especially critical. Crisis planning models such as Reynolds and Seeger’s (2005, 2014) crisis and emergency risk communication model offer comprehensive directives for crisis managers and present opportunities to extend the utility of best practice recommendations. A survey of public information officers (PIOs) (n=208) at local public health departments across the U.S. examines the quality of their relationships with partners in public health crisis management, including first responders, media, law enforcement, and hospitals, and reveals that relationships with key publics in crisis management are lacking. Further, PIOs at state governed health departments may face critical delays in releasing crisis messages, as their messages are required to clear more levels of approval than locally (city/county) governed departments. Implications and future research for these key variables extending public relations crisis communication research with a focus on inter-organizational relationships are discussed.  相似文献   
65.

Background

Midwifery education is the foundation for preparing competent midwives to provide a high standard of safe, evidence-based care for women and their newborns. Global competencies and standards for midwifery education have been defined as benchmarks for establishing quality midwifery education and practice worldwide. However, wide variations in type and nature of midwifery education programs exist.

Aim

To explore and discuss the opportunities and challenges of a global quality assurance process as a strategy to promote quality midwifery education.

Discussion

Accreditation and recognition as two examples of quality assurance processes in education are discussed. A global recognition process, with its opportunities and challenges, is explored from the perspective of four illustrative case studies from Ireland, Kosovo, Latin America and Bangladesh. The discussion highlights that the establishment of a global recognition process may assist in promoting quality of midwifery education programs world-wide, but cannot take the place of formal national accreditation. In addition, a recognition process will not be feasible for many institutions without additional resources, such as financial support or competent evaluators. In order to achieve quality midwifery education through a global recognition process the authors present 5 Essential Challenges for Quality Midwifery Education.

Conclusion

Quality midwifery education is vital for establishing a competent workforce, and improving maternal and newborn health. Defining a global recognition process could be instrumental in moving toward this goal, but dealing with the identified challenges will be essential.  相似文献   
66.
Relative costs are as important as relative effectiveness when choosing between program alternatives or among a set of programs competing for scarce funds. Nevertheless, the number of cost-inclusive evaluations remains comparatively small. This article presents the results of three first-time cost-inclusive evaluations each performed by an experienced evaluator. Each evaluator performed a different type of cost-inclusive evaluation using different tobacco control programs as examples: "standard" cost-effectiveness analysis, threshold or break-even analysis, and a simulation model. Results are presented in terms of the challenges faced, and informational and insight benefits gained, as well as in terms of program cost-effectiveness. All three evaluators agreed that the benefits from performing cost-inclusive evaluations are well worth time and effort involved. They also found that this type of evaluation provides abundant information that can be used to improve program effectiveness and cost-effectiveness.  相似文献   
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Research links explicit sexuality (e.g., physical attraction and pleasure) to high testosterone (T) and nurturance (loving contact) to low T. Engaging in sexual fantasy, which can include explicit sexual and nurturant elements, increases T in women but not in men. We examined whether individual differences in the explicit sexual and nurturant content of fantasy were linked with T or with estradiol (E2). In addition, we explored whether fantasy content differed or overlapped by gender/sex. Participants (26 women, 23 men) provided saliva samples for hormones before and after imagining a self-defined positive sexual encounter and responding to open-ended questions about the situation they imagined. We systematically content-coded responses for explicit sexual and nurturant content. In men, lower inclusion of nurturant content predicted larger T responses to fantasy. Fantasy content was not linked with T in women or with E2 in women or men. Women and men did not differ significantly in explicit sexual and nurturant content. Our findings suggest that individual experiences of fantasy as more or less nurturant affect T in men, provide support for the Steroid/Peptide Theory of Social Bonds, and highlight the value of integrating hormones and content analysis to investigate research questions relevant to sexuality and gender/sex.  相似文献   
70.
Self-efficacy has consistently been a useful predictor of behavioral intentions as a construct in many theories; yet, its role in audience adherence to instructing information during crisis is relatively unexplored. A national survey (= 454) examines self-efficacy in public response to crisis directives and develops the concept of crisis efficacy as an important area for future research. In three crisis contexts (food-borne illness, weather emergency, and public health disease threat), crisis efficacy, along with several demographics, significantly predicted public response to instructing information. Crisis efficacy emerges as a construct with great potential to inform message design in crisis communication.  相似文献   
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