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This study examined if differences exist in the number and timing of antenatal care (ANC) visits for users of public and private health care facilities in Ghana. Also, the study explored if such variations could be attributed to health-provider factors or the selective socioeconomic characteristics of the users. Data were drawn from the recently collected Ghana Demographic and Health Survey and from a representative sample of t 2135 women who attended antenatal care in a health facility 6 months preceding the survey. Random-effects Poisson and logit models were employed for analysis. Results showed statistically significant differences between users of private and public health facilities for number of ANC visits, but not for the timing of such visits. Although some health-provider factors were significantly associated with ANC visits, these factors did not explain why users of private health facilities had significantly higher number of ANC visits than users of public health facilities. Differences in ANC visits for both private and public health facilities were rather explained by the selective socioeconomic characteristics of the users, especially as wealthy and educated women patronized private health care than poorer and uneducated women. The study concludes that Ghanaian women attending private health facilities may not have improved access to antenatal care compared to those attending public health facilities, and adds to the emerging body of literature that questions private health care in sub-Saharan Africa as more effective than public health care.  相似文献   
154.
The U.S. residential landscape is increasingly multi-racial and multi-ethnic, giving rise to the question of how to compare dichotomous segregation among multiple groups living in the same area. To address the problem in the existing dichotomous approach, which offers no common basis for comparing dichotomous segregation among multiple groups, this paper develops a weighted segregation ratio approach based on Theil’s segregation index and its additive decomposability. This approach can be used to bridge information obtained from dichotomous segregation between specific groups (such as black-white and black-Hispanic), and dichotomous segregation between group and non-group (such as white-non-white and black-non-black) in previous studies. We apply both dichotomous and weighted segregation ratio approaches to 1990 and 2000 U.S. census data. Results are interpreted for five selected metropolitan areas as well as for the weighted national average. This new approach yields distinctive findings that portray the complicated process of residential segregation, including the increasing significance of Hispanic segregation and Asian segregation in the decade from 1990 to 2000.  相似文献   
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Throughout the past 70 years, a great deal of research conducted on defining and testing problem-solving skills has led toward solution-focused practices and philosophies. As a result, some literature exists illustrating the efficacy of solution-focused practices. However, no published research exists on the factors that contribute to solution building. This study tested for components of solution building while creating a solution building inventory. Results from a factor analysis failed to find specific factors within solution building; thus solution building appears to be a unidimensional concept. Implications for using the solution building inventory are discussed.  相似文献   
158.
There has been considerable discussion in recent decades about the integration patterns of new immigrants. Recognizing advancements in technology and the increased economic integration of countries, some researchers have suggested that the emerging integration trend for immigrants is the transnational pattern, whereby immigrants maintain contact with the home countries. To advance the discussion, this study focuses on general transnational contact, a basic form of transnational activity. The study draws from recently collected large‐scale survey data to explore the patterns of transnational contact within two recent immigrant groups, Asian Indians and Chinese, in Toronto. Our findings show that only a small percentage of immigrants maintain intensive and extensive transnational contact. As well, our findings are less consistent with the transnational perspective than with the assimilation perspective on the effects of socioeconomic background on transnational contacts.  相似文献   
159.
The Mandarin registers known as lǐyǔ (俚语) have commonly been translated as ‘slang,’ though traditionally lǐyǔ has differed from slang in English by virtue of its strong link to regionalism. A newly emergent version of lǐyǔ that is prominent among young Chinese is marked not by regionalism but by its Internet‐enabled global purview. This youth‐culture lǐyǔ, like the student slang described by Eble (1996) , functions as a device to promote group solidarity while also serving as an identity marker for China's millennial generation. Lǐyǔ, like the numerous versions of slang described in English, Portuguese and other languages, is marked by ebullient or non‐deferential affect, an attribute that helps explains the close association between slang and swearwords. Slang and lǐyǔ lexemes, in light of the affect they entail, are the pragmatic opposites of honorifics – terms which index deference within formal, hierarchical structures.
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160.
This study investigates the effects of covariates on the probability of placement breakdown in non‐kinship family foster care. Breakdowns are distinguished according to the initiator: children, carers, foster parents and the local child welfare authorities. The children concerned had entered foster care at ages ranging from 0 to a maximum of 17 years (n = 14 171). A significantly higher risk of breakdown on the initiative of the foster parents is found in male children, children whose parents receive financial support, children whose parents were removed from the register of carers, children who were between 6 and 15 years old when they joined the foster family, children who had earlier lived in a different foster family or residential care, children from patchwork families and children whose joining of a foster family was the result of disruptive social behaviour. Two‐thirds of the children from non‐kinship family foster care who stay in the foster family was ended on the initiative of the foster parents are subsequently looked after in residential care. That is three times the rate for all terminated foster relationships. Breakdowns on the initiative of the foster parents thus indicate a high risk of unstable care history developing and accordingly necessitate prevention strategies.  相似文献   
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