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311.

Background

Substance use during pregnancy is a major public health concern, stemming from potential physical and psychosocial harms to both the mother and child.

Purpose

To understand women’s experiences using substances during pregnancy and the reasons that women continue and/or discontinue using substances.

Methods

Focus groups were conducted with women who attended an early intervention program for pregnant or parenting women with substance use issues.

Results

Women identified that external and internal stressors, feelings of guilt and low-self efficacy, and a lack of understanding of the scientific and medical consequences of substance use contributed to their continued substance use. Conversely, women highlighted the importance of high self-efficacy and the quality of relationships when trying to make positive changes to their substance use during pregnancy.

Conclusions

Recommendations are proposed for easier access to and more comprehensive services. Healthcare professionals and service providers should offer non-judgmental care by building high-quality relationships with pregnant women with substance use issues, to increase these women’s self-efficacy and empower them to discontinue substance use.  相似文献   
312.
This study uses data from two national faculty surveys to estimate the extent of salary discrimination by sex in the academic labor market. Following the Oaxaca method, discrimination is measured as a residual, subtracting salary differences due to individual characteristics from total male/female salary differences. Several estimates are derived while controlling for various personal and professional characteristics including: publications, academic discipline, rank, and characteristics of the employing institution. From 1968 to 1977 there is a substantial reduction in measured discrimination, although a small salary difference remains after controlling for all available qualifications in 1977.  相似文献   
313.
We draw on the burgeoning masculinities literature to develop a framework for understanding how emotional reactions to stress may be associated with domestic violence. We conducted a daily diary study of 22 men with a history of domestic violence and a matched comparison group of 23 men with no known history of domestic violence. Each day, respondents completed a daily diary questionnaire on relationship dynamics, stress, and emotion state. This research design allowed us to examine relationship dynamics and emotion state as they unfolded over a 14‐day period. We find a difference between the two groups in the links between stress, relationship dynamics, and emotion state: Nonviolent men are more emotionally reactive to stress and relationship dynamics than are violent men. Among men with a history of domestic violence, it is as if the link between personal circumstances and emotion state has been disconnected. These findings support the idea that the demonstration of masculinity through repression of emotion and violent behavior may be linked.  相似文献   
314.
We work from a life course perspective to assess the impact of marital status and marital transitions on subsequent changes in the self-assessed physical health of men and women. Our results suggest three central conclusions regarding the association of marital status and marital transitions with self-assessed health. First, marital status differences in health appear to reflect the strains of marital dissolution more than they reflect any benefits of marriage. Second, the strains of marital dissolution undermine the self-assessed health of men but not women. Finally, life course stage is as important as gender in moderating the effects of marital status and marital transitions on health.  相似文献   
315.
Universities, as with other workplaces, experience problems related to alcohol and other drug use by staff and students. There is little published information about the prevalence of these problems among students in the university setting in Australia as compared with the availability of information from the USA. Curtin University of Technology's experience with alcohol-related problems seems to be documented better than most other Australian institutions, and the available evidence indicates that the level of student alcohol consumption and reported alcohol-related problems is cause for concern. However, this is not to say that Curtin's problems may be any greater than those of any other Australian university with alcohol available on the premises. Many years of involvement in health promotion teaching and research, combined with identification of alcohol and drug related problems on campus, were thought to be the primary factors preceding the university's decision to begin the process of formulating comprehensive alcohol and other drug policy for staff and students. The absence of clear and consistent alcohol and other drug policy can lead to 1) undermining of the educational environment, 2) confusion about appropriate behaviour, 3) dealing with drug-related problems by inaction or arbitrary and inappropriate action. Alcohol and other drug policy has two main goals: problem reduction and better management of problems.  相似文献   
316.
Student retention in science, technology, engineering, and mathematics (STEM) majors is a national concern. Research typically emphasizes attrition in STEM fields by examining factors driving students to switch career paths. This study used embeddedness theory to instead focus on factors that better anchor students within their majors. Focus groups were conducted with 21 junior and senior students majoring in STEM to contextualize the 3 tenets of embeddedness: fit, links, and sacrifice. Results supported embeddedness theory as a viable framework for understanding and promoting STEM student retention because fit, links, and sacrifice were all cited as factors that enriched the student experience. Gender differences suggested a heightened sense of pride for women as compared with men who pursue STEM degrees. Results inform ways to contextualize quantitative measures of STEM embeddedness. To facilitate retention, career counselors, instructors, and others may assist students to frame challenge as normal among persisting STEM upperclassmen.  相似文献   
317.
Twelve universities and one American Indian (AI) tribal college were selected for the National Child Welfare Workforce Institute’s 5-year stipend traineeship program. These tribal traineeships were designed to provide social work child welfare education for tribal and nontribal students. Twenty-two AI students and 58 nontribal students completed a bachelor or master’s of social work degree. The students’ field placements were in tribal agencies or public agencies that served a segment of the AI population. These programs were enhanced through the use of valuable relationships (i.e., partnerships, mentorships, allies), and cultural competence was a key aspect of the students’ education. The students’ education was enriched with a specific child welfare curriculum, cultural teachings, tribal traineeship collaborations, and tribal community events.  相似文献   
318.
Using data from a unique series of surveys collected between 1963 and 2013, this study examines racial attitudes among young white adults in the Deep South over a 50-year period. Repeated surveys of University of Alabama students in 1963, 1966, 1969, 1972, 1983, 1988, and 2013 measured racial stereotypes, support for racial segregation, and in the 2013 study, racial resentment and support for ameliorative racial policies. Analyses show that in the 1960s endorsement of racial stereotypes was a powerful predictor of support for racial segregation. By the early 1970s, racial integration became a reality in the Deep South and, paralleling broad trends in U.S. society, endorsement of racial stereotypes and support for racial segregation declined. Simultaneously, threats to whites' position in the form of ameliorative racial policies (including affirmative action) emerged along with racial resentment. By 2013, racial resentment, rather than racial stereotyping, was the primary determinant of white students' opposition to racial change. Our findings support Herbert Blumer's (1958) argument that racial prejudice exists in a sense of group position, and that it functions to preserve the advantaged position of the dominant group regardless of changes in the form that prejudice takes.  相似文献   
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