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Health and immigration researchers often implicate dietary acculturation in explanations of Mexican children of immigrants’ weight gain after moving to the U.S., but rarely explore how diet is shaped by immigrants’ structural incorporation. We used data from the 1999/00-2009/10 National Health and Nutrition Examination Survey to assess how indicators of Mexican-origin children’s acculturation and structural incorporation influence two outcomes: how healthy and how “Americanized” children’s diets are. Indicators of acculturation were strongly associated with more Americanized and less healthy diets. However, structural incorporation indicators were mostly unrelated to diet outcomes net of acculturation. An exception was that parental education was positively associated with consuming a healthy diet. Finally, children of natives consumed more Americanized, unhealthy diets than children of immigrants and these differences were largely explained by differences in the acculturation. Children of natives would have consumed an even less healthy diet were it not for their higher levels of parental education. Overall, the results suggest that the process of adapting to the U.S. life style is associated with the loss of cultural culinary preferences and less healthy eating behaviors despite improvements in socioeconomic status.  相似文献   
614.

Background

Dietary intake of pregnant women do not appear to meet the dietary recommendations. Nutrition knowledge and practices of pregnant women and their antenatal care clinicians are factors that may be influential on dietary intakes of pregnant women.

Aim

To assess and compare pregnancy nutrition recommendation knowledge and to explore how nutrition knowledge impacts on food choices in pregnant women and nutrition education practices of antenatal care providers.

Methods

An explanatory sequential research mixed methods study design was applied. All participants were recruited from a metropolitan maternity hospital in Melbourne, Australia. The first phase assessed pregnancy nutrition knowledge and sources of nutrition information using a questionnaire (n = 202) then followed semi-structured interviews with women and clinicians (n = 31).

Findings

The clinicians obtained significantly higher nutrition scores than compared to women, however, nutrition knowledge gaps were highlighted for both women and clinicians. Women reported receiving limited nutrition advice, a reflection of the clinicians reporting they provided limited nutrition advice.

Conclusion

A key challenge for women adhering to dietary recommendations was having inadequate knowledge of the dietary recommendations and receiving limited information from their care providers. Similarly, as well as time constraints, limited nutrition knowledge and a lack of nutrition training impacted on the capacity of clinicians to provide adequate nutrition education.  相似文献   
615.

Background

Midwives being ‘with woman’ is embedded in professional philosophy, standards of practice and partnerships with women. In light of the centrality of being ‘with woman’ to the profession of midwifery, it is timely to review the literature to gain a contemporary understanding of this phenomenon.

Aim

This review synthesises research and theoretical literature to report on what is known and published about being ‘with woman’.

Methods

A five step framework for conducting an integrative literature reviews was employed. A comprehensive search strategy was utilised that incorporated exploration in electronic databases CINAHL, Scopus, Proquest, Science Direct and Pubmed. The initial search resulted in the retrieval of 2057 publications which were reduced to 32 through a systematic process.

Findings

The outcome of the review revealed three global themes and corresponding subthemes that encompassed ‘with woman’: (1) philosophy, incorporated two subthemes relating to midwifery philosophy and philosophy and models of care; (2) relationship, that included the relationship with women and the relationship with partners; and (3) practice, that captured midwifery presence, care across the childbirth continuum and practice that empowers women.

Conclusion

Research and theoretical sources support the concept that being ‘with woman’ is a fundamental construct of midwifery practice as evident within the profession’s philosophy. Findings suggest that the concept of midwives being ‘with woman’ is a dynamic and developing construct. The philosophy of being ‘with woman’ acts as an anchoring force to guide, inform and identify midwifery practice in the context of the rapidly changing modern maternity care landscapes. Gaps in knowledge and recommendations for further research are made.  相似文献   
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Abstract

Decolonisation aims to deconstruct the hegemonic traditional Western academic practices and values that oppress Indigenous peoples. Decolonising research methodologies is a relatively new practice in disability research in colonised nations. This paper details the Indigenous community-controlled research methodology that underpinned a disability research project with the Anangu and Yarnangu of Central Australia, ‘Walykumunu Nyinaratjaku: To Live a Good Life’. The project aimed to identify and explore how to support Indigenous people with a disability in the Ngaanyatjarra Pitjantjatjara Yankunytjatjara (NPY) Lands to live a good life. The research was structured on a decolonising methodology to situate the control and governance of the research with the Indigenous peoples. Our experience could assist other disability researchers working with Indigenous peoples in remote communities.  相似文献   
617.
This study used a qualitative approach as a means of exploring barriers to marital infidelity. There has been a substantial amount of research on marital infidelity in recent years, but there is no significant empirical research that looks at protective factors that act as a barrier to keep the marital relationship safe from marital infidelity. This study focused on establishing themes that represent opportunities to have a marital affair, as well as identifying protective factors that act as a barrier to marital infidelity. Semi-structured interviews were audiotaped, transcribed, and analyzed using thematic analysis, a process for encoding qualitative information (Boyatzis) served to identify themes and categories from the recorded participant experiences. Three themes emerged that represent an opportunity to have a marital affair and three themes emerged as barriers to marital infidelity. Opportunities to have a marital affair were represented by direct attempts, flirtatious behavior, and establishing emotional intimacy. Finally, the barriers to marital infidelity were love, religious values and commitment, and communication. Clinical implications are discussed, as well as the limitations of the current study.  相似文献   
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In this naturalistic study, our aim was to examine the extent to which alcohol consumption affected perceptions of one’s own and one’s friend’s ability to consent to sexual activity. We surveyed 160 adult bargoers in pairs about their own and their friends’ alcohol consumption, intoxication symptoms, and ability to consent to sexual activity. On average, participants reported consuming 4.97 drinks, rated themselves at the legal limit for driving, reported one intoxication symptom, and had a blood alcohol concentration (BAC) just over .08. However, few thought they or their friend had diminished cognitive function. Accordingly, most indicated that they could consent to sex (93%) and their friend could consent to sex (87%). Number of drinks people reported consuming, self-reported intoxication levels and symptoms, and BACs were significantly correlated; however, none of these measures was significantly related to individuals’ perceptions of their own or their friends’ ability to consent to sexual activity. Finally, those in man–man pairs were significantly more likely than those in woman–woman pairs to indicate they would allow their friend to have sex if approached by an interested party. These findings have potential implications for prevention programming and for legal cases involving individuals who engage in sexual activity while intoxicated.  相似文献   
620.
This study examined how non-profit organizations (NPOs) adapted to the new media environment and created an innovative culture of advocacy to directly facilitate engagement with interested supporters. Findings from this content analysis and virtual ethnography revealed NPOs dramatically transformed the structure of online content. Shifting the emphasis of the web and social media from a one-way transmission of information to an interactive conversation substantially changes the dynamics for activism, and fosters new models of engagement between NPOs and supporters. In this participatory, co-operative media culture, people were actively engaged and shared digital content that inspired others to care about important issues. These overall results indicated that the web and social media, when used to its fullest extent, played a key role encouraging communication and inspiring interaction among individuals on- and off-line.  相似文献   
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