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391.

Background

Health-related quality of life of women in the postpartum period may depend on the mode of birth. However, previous findings are contradictory.

Aim

To explore health-related quality of life of women at the sixth week and sixth month postpartum by mode of birth.

Methods

We performed a longitudinal prospective study in Spain that included 546 healthy primiparae aged 18 to 45 years who gave birth to a healthy newborn. At the sixth week and sixth month postpartum, we analysed sociodemographic and clinical characteristics and compared health-related quality of life (measured using the SF-36) by mode of birth (normal vaginal, forceps, vacuum-extraction, elective caesarean section, emergency caesarean section). In addition, we analysed the change in health-related quality of life between the two time points for each mode of birth.

Findings

We did not find differences in health-related quality of life by mode of birth at the sixth week or sixth month postpartum. At the sixth week postpartum, regardless of the mode of birth, women with postpartum urinary incontinence reported lower health-related quality of life. Between the sixth week and sixth month postpartum, health-related quality of life improved for all modes of birth.

Conclusion

While mode of birth is not directly associated with health-related quality of life, it does have an indirect relationship in the short term. Women who reported the lowest health-related quality of life were those with postpartum urinary incontinence. Most women with postpartum urinary incontinence were in the forceps group.  相似文献   
392.
Job crafting presents a set of proactive behaviours in which employees may engage to alter the job content or their relations with others at work. In recent years, several measures have been developed to capture job crafting. In the present study, we test the validity and reliability of an existing Job Crafting Questionnaire (the JCRQ) in four studies: first, we test the scale validity of the JCRQ in a Spanish diary study (Spain, N?=?164, diary occasions 820). Second, we test the scale validity across two Western (Spain, N?=?164 and UK, N?=?109) and two Eastern cultures (China, N?=?170 and Taiwan, N?=?165). Third, we test the test–retest reliability in a Spanish three-wave longitudinal sample (N?=?191). Finally, we test the criterion validity using data from the four countries. Results confirm the presence of five independent job crafting dimensions: increasing challenging demands, decreasing social job demands, increasing social job resources, increasing quantitative demands and decreasing hindrance job demands. The JCRQ shows acceptable test–retest reliability, scale and criterion validity across the four studies.  相似文献   
393.
In this article, we explore how ‘family’ is conceptualized and negotiated in a Mexican and a Chilean child protection institution. We draw on empirical material from two qualitative studies, employing a multi‐method approach. By using a theoretical framework from family sociology, we explore how ‘family’ is done and displayed by families of children in residential care despite socio‐economic, structural and institutional constraints. These displays consist mainly of ‘little things’ of a mundane character, such as homemade food, sweets, gifts, clothing and family photos, and more intangible displays as family narratives, affection and parental responsibility. The empirical material reveals how professionals commonly disregard these displays in favour of ‘big things’ such as housing, employment, nuclear family structure, therapy and parental school attendance. The professionals' recommendations and decisions in child custody cases can be interpreted as recognitions or rejections of family displays, as the acceptable limits of unconventionality are legally, socially and culturally drawn.  相似文献   
394.
In this paper, we analyse wage differences between foreign and Spanish nationals in Spain. This analysis is relevant because Spain has witnessed a sharp increase in the proportion of foreign workers over the past decade. In our analysis, we explicitly account for unobserved heterogeneity at firm level, a situation which occurs when relevant covariates (for example, those connected to a specific firm's production process) are not included in the model because they are unmeasurable, unobservable or unavailable for the researcher. When accounting for such heterogeneity, our results show that wage gaps between foreign nationals from developing countries and Spanish nationals range between ?6.35 per cent and ?11.30 per cent. We also find that wage differences, between Spanish nationals and others in the same firm and job, are substantially greater for almost every group of low‐tenured foreign workers and also for those holding open‐ended contracts.  相似文献   
395.
In this paper, we offer an initial assessment of the impact of the economic crisis on Spain's migration flows. After a period of intensive economic growth and the ensuing immigratory appeal (1995–2007), Spain has been hit hard by the recession. This has modified the trends that had so far characterized foreign immigration in Spain. The impact of the economic recession has been particularly severe in the case of immigrant workers and, consequently, from an institutional point of view, the Spanish government has adopted various measures to restrict the arrival of new immigrants: it has reduced work permit quotas and it has modified the Foreign Residents Law, toughening residence permit requirements. It has also tried to encourage voluntary returns with a programme devised to provide assistance to immigrants originating from countries with which Spain has social security agreements. The response to this programme has, however, been very limited. Immigration flows have continued and rates of return have stayed low, although new trends are also detectable, such as a decrease in the number of irregular arrivals and a rise in informal employment, as well as differences in the impact of unemployment according to nationality and gender. This reveals the complexity of migration processes beyond the supply and demand of labour and the political will to regulate human mobility. Consequently, immigration patterns in Spain reveal the degree of complexity reached by human mobility, which has increased beyond the logic of the labour market and the government's attempts at regulating migration flows by means of institutional measures. The immigrants' hope of raising their standard of living and the socio‐economic differences between source and receiving countries, even at a time of severe economic crisis, do still serve as explanations for current migration networks, one of the key points in the current debate on international migration.  相似文献   
396.
This article describes the results of a qualitative study, based on the perspective of critical discourse analysis, which explores the discourse on childhood of 10‐ and 11‐year‐old boys and girls from a middle‐income socioeconomic sector in Santiago, Chile. Among the findings, a complex and relational notion of childhood is highlighted. The children perceive themselves as overwhelmed and subjected to excessive demands by grown‐ups, and conceive of adulthood as a state without real freedom due to the excessive demands of work and family.  相似文献   
397.
Research on Latino parents of children with intellectual and developmental disabilities (IDD) suggests that these parents often use spirituality to conceptualize and to cope with their child’s diagnosis. However, there are no studies that examine religion among Latino parents of children with autism spectrum disorders (ASD). The current study explores how Latino parents of children with ASD incorporate spirituality into their conceptualizations of their child’s disability. In the current study, 34 Latina mothers of children with ASD were interviewed about autism-related services, family characteristics, and cultural beliefs including spiritual beliefs. Thematic analysis of the transcribed interview data relating to spiritual beliefs was conducted for the present study. Most mothers endorsed beliefs that their child with a disability was a message from God. Within this theme, mothers reported beliefs that their child was a blessing from God, a test from God, a sign from God or that the parent was special. Other parents believed that having a child with a disability was not an act of God, but related to biomedical factors, and another group of parents was unsure about the spiritual meaning of their child with a disability. Lastly, some mothers reported that their larger cultural group believed that having a child with a disability was a punishment or a negative sign from God but they markedly rejected that conception. These findings suggest that providers working with Latino families of children with ASD should acknowledge the importance of spirituality for these families.  相似文献   
398.
The age of a patient is a strong moderator of both the course and the evolution of disorders/diseases. However, the effects of current age in pathological gambling (PG) have rarely been examined. The aim of this study is to explore the moderating effects of the patients’ current age in relation to personality traits and clinical outcomes of PG. A total sample of 2,309 treatment-seeking patients for PG, diagnosed according to DSM-IV criteria, participated in this study and were assessed with the Diagnostic Questionnaire for Pathological Gambling according to DSM-IV criteria, the South Oaks Gambling Screen, the Symptom Checklist, the Temperament and Character Inventory-R, and other clinical and psychopathological measures. Orthogonal polynomial contrasts showed linear trends in the relationship between age and PG: the older the patient, the more comorbid health problems were visible. The presence of additional quadratic trends also suggests that age plays a significant role in moderating the possibility of existing PG problems and general psychopathology. No interaction term was found between age and sex, but it was present for age and some personality traits: self-transcendence and reward dependence (these two traits were only relevant to the level of impairment due to PG at specific ages). This study suggests that the patients’ age influences psychopathological and clinical aspects associated to PG. Intervention in the earliest manifestations of this complex problem is essential in order to better address the need of successful treatment planning.  相似文献   
399.
Let U, V and W be independent random variables, U and V having a gamma distribution with respective shape parameters a and b, and W having a non-central gamma distribution with shape and non-centrality parameters c and δ, respectively. Define X = U/(U + W) and Y = V/(V + W). Clearly, X and Y are correlated each having a non-central beta type 1 distribution, X ~ NCB1 (a,c;d){X \sim {\rm NCB1} (a,c;\delta)} and Y ~ NCB1 (b,c;d){Y \sim {\rm NCB1} (b,c;\delta)} . In this article we derive the joint probability density function of X and Y and study its properties.  相似文献   
400.
The paper used time-series data and examined the effect of economic and social variables on the male and female self-employment rates in Spain. We also employed cointegration analysis (with and without) structural breaks. We thus find strong evidence that long run relationships exist among the variables. More precisely, we find that the unemployment rates and the ratio of self-employment to employees’ earnings have a positive effect on self-employment, whereas, economic development and divorce rates have a negative effect. Importantly, we find that the economic variables have equal or stronger long run impact on females than males, with both groups reacting to changes in family circumstances. Finally, we show that the short run family circumstances are better predictors of self-employment choices rather than economic factors, with self-employment being a means of adjustment to new personal circumstances and economic needs.  相似文献   
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