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251.
ABSTRACT

Our study examines explanations for the “paradox” of older women’s better emotional well-being compared with younger women. We consider the role of subjective experiences of aging in a society that devalues older women. Using a sample of women (n = 872) from the National Survey of Midlife Development in the United States (1995–1996 and 2004–2006), we examine the role of five components of the subjective experience of aging in explaining older women’s better emotional well-being compared with younger women: age identity, conceptions of the timing of middle age, aging attitudes, aging anxieties, and self-assessed physiological changes. We find that, compared with women 50–54 years old, those 35–39 years old report lower positive affect, and those 25–49 report higher negative affect. These patterns are partially explained by younger women’s greater anxiety about declines in health and attractiveness and older women’s more youthful identities. Our study underscores the value of considering the implications of our ageist and sexist society for women’s emotional well-being across adulthood.  相似文献   
252.
253.
Research on body image and older women has grown in the past decade. However, there is a gap in the literature regarding body image, older women, and countertransference. This article provides 7 case examples of racially and ethnically diverse women over 60, drawn from MSW student and agency staff supervision, and participant feedback from a national conference on aging workshop. Themes related to loss and grief, adult daughter and aging mother issues, incest, anger, disability, personality disorders, phobic reactions, and shame are discussed. Recommendations and implications for social work practice, education and research are provided.  相似文献   
254.
To better understand how community-based long-term care providers define advance care planning and their role in the process, we conducted 8 focus groups with 62 care managers (social workers and registered nurses) providing care for Ohio's Medicaid waiver program. Care managers shared that most consumers had little understanding of advance care planning. The care managers defined it broadly, including legal documentation, social aspects, medical considerations, ongoing communication, and consumer education. Care managers saw their roles as information providers, healthcare team members, and educators/coaches. Better education, resources, and coordination are needed to ensure that consumer preferences are realized.  相似文献   
255.
Using data collected during a 4 year ethnography, this paper examines how the 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) has impacted homeless women in San Francisco who are also victims of domestic violence. Specifically this paper looks at how the behavior of abusive men prevents homeless women from successfully navigating the new welfare-to-work requirements and maintaining stable employment. Findings indicate that despite the discourse touting the success of welfare reform, the 1996 PRWORA has further disenfranchised an already devastated population systematically forcing them further onto the margins of society.
Anne R. RoschelleEmail:

Anne R. Roschelle    is an Associate Professor and Chair of the Sociology Department at the State University of New York at New Paltz. Her research and teaching interests include family poverty, racial ethnic minorities, gender inequality, ethnography, and welfare reform.  相似文献   
256.
Quality of Web-based Information on Pathological Gambling   总被引:1,自引:0,他引:1  
The present study aims to evaluate the quality of web-based information on gambling and to investigate potential content quality indicators. The following key words: gambling, pathological gambling, excessive gambling, gambling problem and gambling addiction were entered into two popular search engines: Google and Yahoo. Websites were assessed with a standardized proforma designed to rate sites on the basis of “accountability”, “presentation”, “interactivity”, “readability” and “content quality”. “Health on the Net” (HON) quality label, and DISCERN scale scores aiding people without content expertise to assess quality of written health publication were used to verify their efficiency as quality indicators. Of the 200 links identified, 75 websites were included. The results of the study indicate low scores on each of the measures. A composite global score appeared as a good content quality indicator. While gambling-related education websites for patients are common, their global quality is poor. There is a need for useful evidence-based information about gambling on the web. As the phenomenon has greatly increased, it could be relevant for Internet sites to improve their content by using global score as a quality indicator.  相似文献   
257.

Background

Annually, up to 2.7 million neonatal deaths occur worldwide, and 25% of these deaths are caused by birth asphyxia. Infants born in rural areas of low-and-middle-income countries are often delivered by traditional birth attendants and have a greater risk of birth asphyxia-related mortality.

Aim

This review will evaluate the effectiveness of neonatal resuscitation educational interventions in improving traditional birth attendants’ knowledge, perceived self-efficacy, and infant mortality outcomes in low-and-middle-income countries.

Methods

An integrative review was conducted to identify studies pertaining to neonatal resuscitation training of traditional birth attendants and midwives for home-based births in low-and-middle-income countries. Ten studies met inclusion criteria.

Findings

Most interventions were based on the American Association of Pediatrics Neonatal Resuscitation Program, World Health Organization Safe Motherhood Guidelines and American College of Nurse-Midwives Life Saving Skills protocols. Three studies exclusively for traditional birth attendants reported decreases in neonatal mortality rates ranging from 22% to 65%. These studies utilized pictorial and oral forms of teaching, consistent in addressing the social cognitive theory. Studies employing skill demonstration, role-play, and pictorial charts showed increased pre- to post-knowledge scores and high self-efficacy scores. In two studies, a team approach, where traditional birth attendants were assisted, was reported to decrease neonatal mortality rate from 49–43/1000 births to 10.5–3.7/1000 births.

Conclusion

Culturally appropriate methods, such as role-play, demonstration, and pictorial charts, can contribute to increased knowledge and self-efficacy related to neonatal resuscitation. A team approach to training traditional birth attendants, assisted by village health workers during home-based childbirths may reduce neonatal mortality rates.  相似文献   
258.

Background

Pregnancy after infertility is a challenging experience. The first-trimester screening test may add stress. Partner support reduces psychological distress in pregnant women after spontaneous conception. No data are available for women who conceive via assisted reproductive technology.

Aim

To assess whether there was a difference between couples who underwent assisted reproductive technology and couples who conceived spontaneously in the support they felt they provided to their partner and whether their perception of support received from their partner reduced their distress.

Methods

This longitudinal prospective study included 52 women (spontaneous conception) and 53 women (assisted reproductive technology), as well as their partners. Participants completed the state scale of the State-Trait Anxiety Inventory, the Edinburgh Depression Scale, and two partner-support subscales of the Dyadic Coping Inventory: before prenatal testing (gestational age 12 weeks), immediately after receiving the results (gestational age of approximately 14 weeks), and once all the prenatal screenings had been completed (gestational age 22 weeks).

Findings

Women who underwent assisted reproductive technology felt less able to help their partner cope with stress and felt their partner was less able to help them cope with stress than women with spontaneous pregnancy. This difference was not observed in men. Higher perceived partner support lowered the anxiety and depression of couples who conceived spontaneously, but did not benefit couples who followed fertility treatment.

Conclusion

These results add to our knowledge of the emotional state of women and their partners during pregnancy after infertility. This knowledge may allow prenatal care providers to offer specialized counselling to women and their partners in the transition from infertility to parenthood.  相似文献   
259.
A representative sample of undergraduate and postgraduate international students at a large Australian university (n = 979, 64% females) completed a mail-back survey examining their perceptions of social connectedness. Four aspects of social connectedness were investigated: (1) connectedness in Melbourne, (2) social mixing and interaction with co-culturals and Australians, (3) involvement in organisations, associations and groups, and (4) connections to home and family. The majority of students report being well-connected to others in Melbourne, although some desire increased personal support from people who know and care about them. Connectedness in Melbourne is related to students’ cultural background and communication skills in the new culture and their evaluation of their perceived academic progress. Students from Asian countries reveal different patterns to other students, especially in the relationships between connectedness and interactions with co-culturals. Awareness of these and other differences among international students from varying cultural backgrounds can help target assistance in achieving a sense of well-being.  相似文献   
260.
The focus of this paper is the educational and economic status of indigenous Australians aged 50 years and over as reported in the 1991 Population Census. These indigenous people were less likely to be in employment than other Australians in the same age group and were more likely to be in unskilled occupations. Although there was no evidence of an improvement in the relative individual incomes of indigenous people in this age group between 1986 and 1991, there was some evidence of gains relative to other Australians in the share of the population in employment. This probably reflects the expansion of the Community Development Employment Projects (CDEP) scheme and as such should not be taken as an indicator of growth in indigenous employment independent of government support.  相似文献   
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