Not So Great Expectations: Sex and Housewives in Hong Kong

The study explores the life of married women who are being described as having “good,” “normal,” “blessed” sexuality. The case of si-nais (housewives) in Hong Kong shows that we can never assume that married women (or any social category) are privileged by virtue of their status on the sexual hierarchy. The blessings of social respectability apparently enjoyed by these women may work to enable or hinder women's expression of their erotic desires and sexual fulfillment, depending on their special social circumstances. These women's imagination and experience of good sex is composed of a multitude of components. Women may feel good because they can achieve other psychological and social aims that are important in their lives (which could be related to the maintenance of marriage or the peace of the family). Women may feel good because of the erotic satisfaction that they derive from different pursuits including interests, leisure or other intimate relationships, rather than sexual fulfillment in terms of orgasm or physical pleasure. Women may reformulate their pleasures variously at different stages of their lives. Social respectability, orgasm, emotional intimacy, or any other specific element, may all enter or leave the formula for good sex.     

Disparities Between HIV Testing Levels and the Self-Reported HIV-Negative Status of Sexually Active College Students

The methodological issues of using self-reported human immunodeficiency virus (HIV) testing history to determine HIV infection status are understudied. This study aimed to assess the disparities between HIV testing history and self-reported HIV status, with a specific objective of estimating the prevalence of self-reported HIV-negative status in sexually active students who had never had an HIV test (inaccurate self-disclosure). Participants were recruited from four Hong Kong universities; 255 students were included in the analysis, with 16.1% of participants being men who have sex with men (MSM). Overall, 81.6% of participants reported they never had been tested for HIV, with inaccurate self-disclosure by 65.9% of participants. Among participants who used condoms inconsistently, only 20.2% had had HIV tests, with inaccurate self-disclosure by 66.7% of subjects. Among MSM students, only 36.6% had had HIV tests, with inaccurate self-disclosure by 61.0% of participants. Among MSM students who used condoms inconsistently, only 35.1% had had HIV tests, with inaccurate self-disclosure by 62.2% of participants. The findings raise concerns about the use of self-reported HIV status in clinical practice and research. The low prevalence of HIV testing found suggests that interventions to promote HIV testing should be continued.     

Parental attitudes towards education: What matters for children's well-being?

This study explores the potential influence of parental attitudes towards education on their children's daily life and their development in Korea. Qualitative methodologies were used; semi-structured in-depth interviews with 34 participants. The findings suggest that the desire of the parents for the educational success of their children is profound and it has a huge impact on their actual behavior towards their children. Although there was a contrast between what parents should want and the underlying preoccupying concern, all of the parents placed great importance on their children's academic achievement as a means to acquire personal advancement, higher social status, and wealth. The children's developmental needs for leisure, pleasure, and sleeping are overlooked. Their psychological and emotional well-being tends to be ignored. Focusing on the best interests of children is going too far for some in Korean society. This study concludes that behind the idea of well-being of children and fulfilling each child's potential must lie fundamental values concerning the needs, interests and welfare of children. This must be put at the heart of our policies and practices.     

西部民族地区生态环境建设的文化思考

西部民族地区生态环境的恶化 ,直接影响了西部大开发战略的实施。本文立足于制度文化、物质文化、思想观念文化和生态文化教育 ,对西部民族地区生态环境建设作了些探讨     

從可持續發展視角論澳門的輸入外勞政策

澳門博彩業開放所折射出的輸入外勞政策備受關注。本文通過分析博彩業開放後就業市場的變化,結合社會對博彩業開放的成果分享和责任分擔及輸入外勞政策的利益分析,提出輸入外勞政策應從澳門長速及可持續發展的視角出發,為顧全大局而敢於傾斜。     

论回族族源传说的基本结构

用结构主义人类学方法,比较六个回族族源的传说叙事结构,来探究回族文化的深层结构是一种尝试。多数文本的叙事结构一致性,沿着“唐王梦见回回(梦)———大臣圆梦,邀请回回(圆梦)———回回来华,辅助唐朝(请求贤士)———回回想家,唐王给他们娶亲,以求定居(人种和文化的交流)”的顺序来表述。在对不同传说对文化元素组合关系运用的共同性的讨论中,多个文本均是以回回/汉人、伊斯兰教/多神信仰、通婚/不通婚等三对基本的二元对立的关系组合来叙事,这正是回族日常生活中起主导作用的深层结构。     

香港患者安全管理模式文化的启示与思考

近年来,由于医院管理理念的进步和患者自主意识的增强,患者安全问题已经引起世界卫生组织及众多国家医务界的高度关注.世界卫生组织（WHO）多次呼吁各成员国密切关注患者安全,提出全球共同努力,开展保证患者安全的行动.文章简要介绍了香港医院管理局近年来大力推行的建立患者安全文化“五步曲”,即首先不要造成伤害、两大支柱、三个层面协同推进素质改善、四种安全文化、5×5风险列表,同时就内地与香港在患者安全管理模式上的差异,以及内地在患者安全文化推行过程中的相关问题进行了简要讨论.     

Women's maternity care needs and related service models in rural areas: A comprehensive systematic review of qualitative evidence

BackgroundUnderstanding the needs of rural women in maternity care and service models available to them is significant for the development of effective policies and the sustainability of rural communities. Nevertheless, no systematic review of studies addressing these needs has been conducted.ObjectivesTo synthesise the best available evidence on the experiences of women's needs in maternity care and existing service models in rural areas.MethodsLiterature search of ten electronic databases, digital theses, and reference lists of relevant studies applying inclusion/exclusion criteria was conducted. Selected papers were assessed using standardised critical appraisal instruments from JBI-QARI. Data extracted from these studies were synthesised using thematic synthesis.Findings12 studies met the inclusion criteria. There were three main themes and several sub-themes identified. A comprehensive set of the maternity care expectations of rural women was reported in this review including safety (7), continuity of care (6) and quality of care (6), and informed choices needs (4). In addition, challenges in accessing maternity services also emerged from the literature such as access (6), risk of travelling (9) and associated cost of travel (9). Four models of maternity care examined in the literature were medically led care (5), GP-led care (4), midwifery-led care (7) and home birth (6).ConclusionThe systematic review demonstrates the importance of including well-conducted qualitative studies in informing the development of evidence-based policies to address women's maternity care needs and inform service models. Synthesising the findings from qualitative studies offers important insight for informing effective public health policy.     

Impact of Widowhood on Parent–Child Relations: Does Parents' Personality Matter?

The authors evaluated the extent to which the short‐term effect of late life widowhood on parent–child relationships is moderated by 5 personality traits—Extraversion, Agreeableness, Conscientiousness, Emotional Stability, and Openness to Experience—and how these interactive effects differ by gender. Data were from the Changing Lives of Older Couples Study (N = 1,532). The results indicated that the effects of widowhood on positive and negative interactions with children were significantly moderated by Agreeableness, Extraversion, and Openness to Experience. An agreeable personality helped widowed persons receive more positive interactions, whereas Openness to Experience reduced negative interactions. Widowed persons with higher Extraversion reported more negative interactions. Furthermore, moderating effects of Extraversion and Openness to Experience differed by gender; specifically, higher Extraversion scores predicted increased positive interactions with children for widowed women but decreased positive interactions for widowed men. The significant association between Openness to Experience and decreased negative interactions with children was more apparent among men than among women.     

Challenges to Bridging Field and Classroom Instruction: Exploring Field Instructors’ Perspectives on Macro Practice

Field education and macro practice have been highlighted as central educational domains in social work education; however, little scholarship has looked at how macro social work practice competencies have been integrated into field-based learning. This exploratory study aimed to gain perspectives from field instructors regarding macro social work and the integration of macro practice into their work with practicum students. Consistent with scholarship that has elucidated the impacts of neoliberalism on social work, including the marginalization of macro practice, emergent themes demonstrated that field instructors face barriers to incorporating macro work into their training of students. Challenges include prevalence of the medical model, time constraints, and funding limitations. Further, field instructors observed gaps among students, their university, and their organizational setting in regard to expectations for integrating macro practice into field education. Recommendations and directions for future research are discussed.