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151.
‘Participatory’ research is often presented as a means to ‘empower’ stigmatised groups by addressing shame and by promoting attitude changes. Drawing on experiences producing a ‘participatory’ docudrama with traditional Qur’anic students (almajirai) in Kano, northern Nigeria, I reflect on the limits of ‘participatory’ research as a tool for ‘empowerment’. I describe the risks stigmatised groups may incur by participating, and consider to what extent, if at all, it can foster social change. The almajirai have attracted negative attention as presumed victims of child neglect and as ‘cannon fodder’ for Islamic radicalisation. Their participation in the filmmaking gave them an opportunity to voice their concerns and to rebuke those treating them heedlessly. At the same time, they became vulnerable to accusations and suspicions within their communities. To escape the negative connotations of poverty, they deemphasised its role for almajiri enrolment, thus concealing structural inequalities.  相似文献   
152.
Writing the New West: A Critical Review*   总被引:1,自引:0,他引:1  
Abstract A vast and growing interdisciplinary research effort has focused on the rise of the so‐called New West, purportedly the product of regional socioeconomic, political, and ecological upheavals in states like Montana and Colorado. Reviewing the growing research on this problem in sociology, economics, geography, and conservation science, this article identifies four central questions at the core of this diverse scholarship. Our review demonstrates that none of these central questions has generated consensus conclusions and that there is untapped potential for more structurally robust analyses of the drivers and outcomes of rapid change in the region. Indeed, supporting other analyses that have called the consistency of the region into question, our survey suggests the ways in which this region is not unique, but largely reflective of larger scale socioecological forces playing out in similar ways around the postindustrial world. We conclude, therefore, with a series of crucial questions, which may be unanswerable by assuming the “New West” as a coherent geography.  相似文献   
153.
A review of key historical texts that mentioned perineal care was undertaken from the time of Soranus (98–138 A.D.) to modern times as part of a PhD into perineal care. Historically, perineal protection and comfort were key priorities for midwives, most of whom traditionally practised under a social model of care. With the advent of the Man-Midwife in the seventeenth and eighteenth century, the perineum became pathologised and eventually a site for routine surgical intervention – most notably seen in the widespread use of episiotomy. There were several key factors that led to the development of a surgical rather than a social model in perineal care. These factors included a move from upright to supine birth positions, the preparation of the perineum as a surgical site through perineal shaving and elaborate aseptic procedures; and the distancing of the woman from her support people, and most notably from her own perineum. In the last 30 years, in much of the developed world, there has been a re-emergence of care aimed at preserving and protecting the perineum. A dichotomy now exists with a dominant surgical model competing with the re-emerging social model of perineal care. Historical perspectives on perineal care can help us gain useful insights into past practices that could be beneficial for childbearing women today. These perspectives also inform future practice and research into perineal care, whilst making us cautious about political influences that could lead to harmful trends in clinical practice.  相似文献   
154.
Although people with disabilities are frequently targeted as key beneficiaries of social protection, little is known on their access to existing programmes. This study uses mixed methods to explore participation in disability‐targeted and non‐targeted social protection programmes in Viet Nam, particularly in the district of Cam Le. In this district, social assistance and health insurance coverage among people with disabilities was 53 per cent and 96 per cent respectively. However, few accessed employment‐linked social insurance and other disability‐targeted benefits (e.g. vocational training, transportation discounts). Factors affecting access included the accessibility of the application process, disability assessment procedures, awareness and the perceived utility of programmes, and attitudes on disability and social protection.  相似文献   
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157.

Problem

Post-traumatic stress disorder and post-traumatic stress symptoms following birth occur amongst a small proportion of women but can lead to poor maternal mental health, impairment in mother-infant bonding and relationship stress. This integrative review aims to examine the associated risk factors and women's own experiences of postnatal post-traumatic stress in order to better understand this phenomenon.

Method

Fifty three articles were included and critically reviewed using the relevant Critical Appraisal Skills Program checklists or Strengthening the Reporting of Observational studies in Epidemiology assessment tool.

Findings

Risk factors for postnatal post-traumatic stress symptoms and disorder include factors arising before pregnancy, during the antenatal period, in labour and birth and in the postnatal period. Potential protective factors against postnatal post-traumatic stress have been identified in a few studies. The development of postnatal post-traumatic stress can lead to negative outcomes for women, infants and families.

Discussion

Risk factors for post-traumatic stress symptoms and disorder are potentially identifiable pre-pregnancy and during the antenatal, intrapartum and postnatal periods. Potential protective factors have been identified however they are presently under researched. Predictive models for postnatal post-traumatic stress disorder development have been proposed, however further investigation is required to test such models in a variety of settings.

Conclusions

Postnatal post-traumatic stress symptoms and disorder have been shown to negatively impact the lives of childbearing women. Further investigation into methods and models for identifying women at risk of developing postnatal post-traumatic stress following childbirth is required in order to improve outcomes for this population of women.  相似文献   
158.
ABSTRACT

Caring for dependents with disabilities and how this type of care differs from the care of typically developing dependents has largely remained unaddressed in the work–family literature, partly because of a lack of theoretical development on the concept of dependent family care. Studies examining dependent family care often apply a life course perspective, missing key disability factors influencing dependent family care demands and need for resources. This article develops a theoretical framework of dependent family care that accounts for both typical care, which follows the life course trajectory, and exceptional care, which follows a disability trajectory. We position dependent family care as based on a continuum, achieved by adapting life course theory, family adjustment to chronic illness, ecological systems theory, stigma theory and the social model of disability into a model. We explain how dependent family care occurs and what contributes to whether one is engaging in typical or exceptional care. We draw broad constructs representing predictors of different types of dependent family care. We provide specific examples to illustrate how one might test theoretical propositions, an agenda for further research and discuss implications for family–work–community research and practice.  相似文献   
159.
Objective: The purpose of this study was to test Theory of Planned Behavior (TPB) constructs in predicting human papillomavirus (HPV) vaccination behavioral intentions of vaccine-eligible college men. Participants: Participants were unvaccinated college men aged 18–26 years attending a large public university in the southeastern United States during Spring 2015. Methods: A nonexperimental, cross-sectional study design was employed. Instrumentation comprised a qualitative elicitation study, expert panel review, pilot test, test-retest, and internal consistency, construct validity, and predictive validity assessments using data collected from an online self-report questionnaire. Results: The sample consisted of 256 college men, and the final structural model exhibited acceptable fit of the data. Attitude toward the behavior (β = .169) and subjective norm (β = 0.667) were significant predictors of behavioral intention, accounting for 58% of its variance. Conclusions: Practitioners may utilize this instrument for the development and evaluation of TPB-based interventions to increase HPV vaccination intentions of undergraduate college men.  相似文献   
160.
We investigate social innovation adoption and extend instrumental factors of adoption intention by including non-instrumental factors. We argue that, from a market-based perspective, conventional innovation adoption models based on instrumental factors do not fully consider specific characteristics of social innovations. Our objective is to improve the explanatory power of conventional adoption models by including symbolic, emotional, and motivational factors as non-instrumental factors. We conducted two empirical studies in which we investigated younger adults’ adoption intentions regarding time-bank-based senior cooperatives. The results extend the findings of conventional adoption research and show that explanatory power can be substantially improved by including non-instrumental factors. The results contribute to the understanding of social innovation adoption and indicate limited generalizability of conventional innovation adoption research to social innovations. Implications and directions for future research are discussed.  相似文献   
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