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121.
Objective. Previous research suggests that bereavement and adjustment to widowhood are long term and should be studied as processes rather than as static outcomes. We analyze how spousal care giving affects survivors' depressive symptoms 18 and 48 months into widowhood. Method. We use three waves of data from the Changing Lives of Older Couples (CLOC) Survey and estimate OLS regression equations to determine the long‐term effects of spousal care giving on widow(er)s' well‐being. Results. At 18 months, more burdensome spousal care giving predicted higher levels of depressive symptoms, while greater caregiver stress predicted lower levels. Specific characteristics of the caregiving situation were no longer significant predictors of well‐being 48 months into widowhood, although care giving itself had an ameliorative effect on level of symptoms. Conclusions. The results highlight the dynamic nature of bereavement and suggest that the effects of spousal care and characteristics of the care situation on depressive symptoms during widowhood are not linear over time. We discuss the implications of our findings for the conceptualization of the relationship between care giving and bereavement.  相似文献   
122.
Nowhere is the paradox between the ideals of the South African Constitution and lived reality more apparent than in public contestations around gender and sexuality. Gay and lesbian equality has come to occupy a symbolic place as a litmus test of the success of constitutional democracy in South Africa. And yet, because gay and lesbian equality is not widely supported, it is also one of the key moral barometers testing the gap between the Constitution and public opinion. This article looks at a series of public hearings held under the auspices of the National House of Traditional Leaders to gauge public opinion on same‐sex marriages. This is used as a case study to explore how sexuality becomes pivotal in debates about nationhood and belonging.  相似文献   
123.

Background

Exposure to alcohol prenatally can result in a child being diagnosed with fetal alcohol spectrum disorder. Affected infants experience lifelong impairments that can involve, physical, cognitive, behavioural and emotional difficulties that impact on their functional capacity. Effective prevention of fetal alcohol spectrum disorder is critically needed in Australia. Reduction in the prevalence of this disorder will only be possible if we prevent alcohol consumption during pregnancy.

Aim

This paper provides an overview of fetal alcohol spectrum disorder and discusses the role of caseload midwifery as part of a multi-level prevention approach.

Findings

Drawing on previous research, caseload midwifery has potential to support the prevention of fetal alcohol spectrum disorder through continuity of care.

Conclusion

Prevention of fetal alcohol spectrum disorder will be more likely if women experience a supportive relationship with a known midwife, who has received appropriate training and can enable women to feel comfortable in discussing and addressing alcohol use.  相似文献   
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125.
ABSTRACT

Community-level stress, such as pervasive substance abuse and violence, can yield negative health and mental heath outcomes for youth from disadvantaged communities. Community empowerment is a process whereby community members work together to increase control in their community. This qualitative inquiry analyzed in-depth interviews with adult stakeholders (n = 17) as well as focus group interviews with token youth (n = 85) to explore perceptions of community stress and empowerment in one disadvantaged locale. Each of the 102 total participants helped interrogate the research questions: What does it mean to live in a stressed community? How might youth and adults perceive themselves capable of impacting a stressed community’s quality of life? Emergent themes, which include a nod to the utility of coalition building, are explored. Implications for policy, practice, and future research are also discussed.  相似文献   
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127.
The Fisher information about parameters of interest (P-information) is invariant with respect to nuisance parameters, and induces an information inequality associated with likelihood factorization. This information inequality provides a natural basis for measuring information loss due to using only a sublikelihood function for inference. In contrast with the global reparametrization of some previous concepts in the literature, the concepts of P-ancillarity and P-sufficiency proposed in this article are characterized by the notion of no pointwise information loss with respect to the parameters of interest. A conditional version of P-sufficiency is also proposed. The asymptotic efficiency of likelihood inference under P-ancillarity or P-sufficiency is outlined.  相似文献   
128.
Study of labor unions again is moving to the forefront of economists’ attention. This resurrection of interest stems from two sources. First, econometric studies indicate that the impact of unions on wages is varied. Further, the absence of theoretical foundation for analysis of labor unions now is appreciated widely. But recent developments in theories of agency, of public choice, and of property rights promise progress toward a better model of labor unions. That model built, the impacts of unions can be ascertained. Allen Dalton and Don Leavens provided able research assistance.  相似文献   
129.
The supervision and training of women requires thinking and planning about how to address issues women bring to the training process as a result of sex-role typing. Dependent behavior and attitudes are interactional problems that need to be overcome in a training process that leads to competency and creativity for therapists. Strategic supervision can benefit women by increasing their self-reliance, sense of personal authority, and competence.  相似文献   
130.
Evaluation research in social work is becoming more varied and is showing signs of greater sophistication. It is taking on new forms and functions in such innovations as single subject designs and developmental research. Field experiments have begun to look more like scientific undertakings aimed at advancing knowledge and less like bad marriages between tight designs and loose programs. Agencies have made a start toward making evaluation a part of routine operations through the introduction of accountability systems and other evaluation mechanisms. In so doing they may be turning away from occasional, splashy projects to a more humdrum, but probably more efficient and useful approach to evaluation.  相似文献   
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