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ABSTRACT

There is widespread recognition that neoliberal rhetoric about ‘free markets’ stands in considerable tension with ‘really existing’ neoliberalizing processes. However, the oft-utilized analytical distinction between ‘pure’ economic and political theory and ‘messy’ empirical developments takes for granted that neoliberalism, at its core, valorizes free markets. In contrast, the paper explores whether neoliberal intellectuals ever made such an argument. Using Friedrich Hayek and Milton Friedman as exemplars, our reading of canonical neoliberal texts focuses on author framing gestures, particular understandings of the term ‘science’, techniques of characterization, and constructions of epistemological legitimacy. This enables us to avoid the trap of assuming that these texts are about free markets and instead enquires into their constitution as literary artefacts. As such, we argue that the remaking of states and households rather than the promotion of free markets is at the core of neoliberalism. Our analysis has significant implications. For example, it means that authoritarian neoliberalism is not a departure from but actually more in line with the ‘pure’ neoliberal canon than in the past. Therefore, neoliberalism ought to be critiqued not for its rhetorical promotion of free markets but instead for seeking to reorganize societies in coercive, non-democratic and unequal ways. This also enables us to acknowledge that households are central to resistance to neoliberalism as well as to the neoliberal worldview itself.  相似文献   
424.
Despite widespread interest in the notion of sustainability, little progress has been made towards an understanding of its social dimensions. Nonetheless, the concept of ‘sustainable rural communities’ is embedded in popular, policy and academic discourses, where the needs of ‘rural communities’ are usually equated with those of farm families. Our ethnographic research in Northland, New Zealand illustrates the diverse interests to be found within ‘rural communities'. Interviews and participant observation were undertaken between August 1995 and July 1996 in the Mangakahia Valley. The increasing divergence in the ethnic, class and occupational makeup of the population has brought with it complexities in terms of what can be said to contribute to ‘sustainable rural communities'. We suggest that ‘sustainable rural communities’ be treated as a folk category, and instead, social science discourse should resort to the broader concept of social sustainability, which will have a locally defined content, not a universal definition, but will include elements of livelihood, social participation, justice and equity.  相似文献   
425.
We consider the statistical evaluation and estimation of vaccine efficacy when the protective effect wanes with time. We reanalyse data from a 5-year trial of two oral cholera vaccines in Matlab, Bangladesh. In this field trial, one vaccine appears to confer better initial protection than the other, but neither appears to offer protection for a period longer than about 3 years. Time-dependent vaccine effects are estimated by obtaining smooth estimates of a time-varying relative risk RR( t ) using survival analysis. We compare two approaches based on the Cox model in terms of their strategies for detecting time-varying vaccine effects, and their estimation techniques for obtaining a time-dependent RR( t ) estimate. These methods allow an exploration of time-varying vaccine effects while making minimal parametric assumptions about the functional form of RR( t ) for vaccinated compared wit unvaccinated subjects.  相似文献   
426.
In this article, I evaluate the life-course determinants of cognitive functioning among 1,003 women and men aged 50 and older in Ismailia, Egypt. Three questions motivate this analysis: (1) Do older women have poorer cognitive functioning than do older men?; (2) Do cognitive resources accrued in childhood and adulthood have net positive associations with later-life cognitive functioning for women and men?; and (3) To what extent do differences in the amounts and effects of women’s and men’s cognitive resources account for gaps in their cognitive functioning? Compared with men, women have lower Modified-Mini Mental Status Exam (M-MMSE) scores for overall cognitive functioning. Cognitive resources in childhood and adulthood are jointly associated with the M-MMSE score. About 83% of the gender gap in mean M-MMSE scores is attributable to gaps in men’s and women’s attributes across the life course. Gender gaps in childhood cognitive resources—and especially schooling attainment—account for the largest share (18%) of the residual gender gap in cognitive functioning.Preferential investments in the human resources of boys have been common to many resource-poor settings (King and Mason 2001; Lloyd 2005), and the effects of such investments on gender gaps in child health are known (e.g., Hill and Upchurch 1995). Less well known is the extent to which gender gaps in resources that are accrued across the life course account for gender gaps in later-life health, despite known gender differences in the risks of illness, disability, and death. Demographic research on later-life health also has focused on physical conditions, even though dementia and neuropsychiatric disorders account for a large (~3%) and growing share of the disease burden worldwide (World Health Organization [WHO] 2007).This article assesses the determinants of cognitive functioning among older women and men (e.g., those aged 50 and older) in Ismailia, Egypt. It explores whether and to what extent (1) women have poorer cognitive functioning than men, (2) cognitive resources in childhood and adulthood have net positive associations with cognitive functioning for women and men, and (3) differences in the amounts and effects of women’s and men’s cognitive resources account for differences in their cognitive functioning. Egypt is a superb setting in which to conduct this work because of long-standing gender gaps in opportunities across the life course (e.g., Yount 2001; Yount and Sibai forthcoming) and poor knowledge about their potential effects on later-life cognitive functioning.  相似文献   
427.
The objectives of this study are to compare the sexual concerns, interest and experiences in discussing these concerns with their doctor for women of "Only Men" and "Some to Only Women" sexual orientation. A survey was mailed to women patients from two military outpatient settings, with 1,196 women responding. Of eligible respondents (N = 1,170), 90% reported "Only Men" and 10% reported "Some to Only Women" sexual orientation. Sexual concerns varied by sexual orientation, while interest and experience in discussing sexual concerns and desire for physicians to initiate the topic differed minimally. Women with "Some to Only Women" sexual orientation have both similar and differing sexual concerns compared to "male-only" oriented women. Larger primary care patient-based studies of sexual health care needs of sexual minorities are needed.  相似文献   
428.
We conducted a systematic review to assess evidence for disparities for lesbian and bisexual women (i.e., sexual minority women [SMW]) in comparison with heterosexual women across a range of nine physical health conditions. Among the k = 11 studies meeting eligibility criteria, almost every comparison (i.e., heterosexual vs. (a) lesbian, (b) bisexual, or (c) both lesbian and bisexual women) was in a direction indicating SMW disparities. Despite limited power due to small samples of SMW, we found evidence of disparities as indicated by a statistically significant adjusted odds ratios for asthma (5 of 7 comparisons), obesity (8 of 12), arthritis (2 of 3), global ratings of physical health (4 of 7), and cardiovascular disease (1 of 1). Evidence was lacking for cancer (1 of 4), diabetes and hypertension (both 1 of 5), and high cholesterol (0 of 3). Future work should confirm findings in more diverse, larger samples and should examine potential explanatory factors.  相似文献   
429.
A growing body of literature demonstrates important negative health effects from racial microaggressions for racial/ethnic minorities. However, at present, the bulk of the literature is focused on the case of black Americans with relatively little attention as to how this may play out for other racial/ethnic groups. Here, we examine the association of health and racial microaggressions in the case of Latinos. Furthermore, we disaggregate Latinos by language preference in order to see how acculturation to the USA may moderate the effect of racial microaggressions on health outcomes for the group. In a statistical analysis of the 2004 Behavioral Risk Factor Surveillance System, we examine the association between stress from racial microaggressions and self-rated health for Latinos of different levels of linguistic acculturation. We find that more acculturated Latinos (measured in terms of language preference) are more likely to experience physical stress from perceived racial microaggressions after accounting for social and demographic factors. Further, this stress is linked to overall poorer self-rated health for the group. However, we find no such association for less acculturated, Spanish-preference Latinos.  相似文献   
430.
In response to economic and educational trends, an increasing number of American universities are offering joint graduate degree programs in social work and the law. However, little is known about what drives a student to pursue study in these programs. This research study involved qualitative interviews with nine students in the United States either currently enrolled in a joint degree program in social work and law or who considered the joint degree program, but chose a single degree program instead. Interviews focused on what factors drew students to, or deterred students from, dual matriculation. Grounded theory analysis was used to identify themes across interviews. The findings can inform development of new joint degree programs in social work and law, as well as guide improvement of recruitment and retention practices for existing programs.  相似文献   
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