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151.
Abstract

Objectives: To examine the impact of downward social comparison and the “known partner is a safe partner” heuristic on college students’ sexual decisions. Participants: One hundred-eighty heterosexual or bisexual undergraduate college students. Methods: Participants read dating vignettes that varied on perspective and familiarity and then rated the likelihood the couple would engage in sexual intercourse and use a condom. Results: There were no differences in rated likelihood based on familiarity, suggesting that the students did not view the 2 partner types as significantly different. Students rated the likelihood of sexual intercourse lower and condom use higher when the vignette was presented from the second person perspective. Conclusions: The students’ use of downward social comparison is consistent with the “better than average effect,” suggesting that the students perceive their own behavior as safe. The implication is that safer sex messages might be most effective if they focus on what students will gain by practicing safer sex behaviors, not just avoidance of a risk behavior.  相似文献   
152.
This paper measures racial inequalities in the US using a multidimensional ‘wellbeing’ approach that simultaneously considers the distributions of income, health and education. The primary objective is to examine trends in US wellbeing inequality with an emphasis on changes in racial composition. Data is taken from 1990 to 2007 and we observe increases in income inequality, a decline in education inequality and unchanged health inequality over the period. Taken together, these results show a slight increase in the dispersion in multidimensional wellbeing. Stratifying by racial groups shows that this increase is due to widening intra-racial inequalities while inter-racial differences remained unchanged. The method is also used to evaluate wellbeing across groups and we estimate black wellbeing to average around 76 % of whites, while persons from other races average approximately 93 %. Some other changes in composition occur through time and the results are shown to be robust to a number of changes in parametric weightings.  相似文献   
153.
154.
The positive associations between education and health and survival are well established, but whether the strength of these associations depends on gender is not. Is the beneficial influence of education on survival and on self-rated health conditioned by gender in the same way, in opposite ways, or not at all? Because women are otherwise disadvantaged in socioeconomic resources that are inputs to health, their health and survival may depend more on education than will men??s. To test this hypothesis, we use data from the National Health Interview Survey-Linked Mortality Files (NHIS-LMF). We find that education??s beneficial influence on feeling healthy and on survival are conditional on gender, but in opposite ways. Education has a larger effect on women??s self-rated health than on men??s, but a larger effect on men??s mortality. To further examine the mortality results, we examine specific causes of death. We find that the conditional effect is largest for deaths from lung cancer, respiratory disease, stroke, homicide, suicide, and accidents. Because women report worse health but men??s mortality is higher, education closes the gender gap in both health and mortality.  相似文献   
155.
Spatio-temporal surveillance methods for detecting outbreaks of disease are fairly common in the literature with the SCAN statistic setting the benchmark. If the shape and size of the outbreaks are known in advance, then the SCAN statistic can be trained to efficiently detect these, however this is seldom true. Therefore, we want to devise plans that are efficient at detecting a number of outbreaks that vary in size and shape. This article examines plans which use the exponential weighted moving average statistic to build temporal memory into plans and tries to develop robust plans for detecting outbreaks of unknown shapes and sizes.  相似文献   
156.
There are many reasons for believing that the environment exerts an influence (directly or indirectly) on the wellbeing of children and families. However, while clear evidence is available that low socioeconomic status is associated with lower than average levels of wellbeing, especially among adults, the evidence linking the social and emotional adjustment of children with the quality of the environment is patchy and equivocal. In this paper we focus on three levels of the family environment: the street, the home and the neighborhood. Neighborhood quality was measured by the Vinson-Homel social problems index, street-type as residential or commercial/retail, and housing quality in terms of upkeep, floor occupied, availability of playspace and occupancy type. The research hypothesis was that after allowing for community selection processes children living in lower quality environments would be less satisfied with various areas of their lives, would experience more negative emotions, and would have more restricted and less positive friendship patterns. The sample comprised 321 families which included a 9–11 year old child, drawn from 18 neighborhoods of Sydney. Neighborhood social problem score and street-type, and some aspects of housing, predicted emotional and social adjustment. Before and after controls for family composition, social class and culture, children living in commercial streets, particularly in inner-city areas, stood out from all others in their feelings of loneliness, dislike of other children and feelings of rejection, worry, fear, anger and unhappiness. Children living in high social problems areas showed a pattern of social constriction rather than maladjustment. These results suggest not simply the influence of social class but genuine community socialization effects. Possible sources of, and mechanisms for, these effects are suggested.  相似文献   
157.
Ross CE  Mirowsky J 《Demography》1999,36(4):445-460
We refine the established association between education and health by distinguishing three aspects of a person's education (quantity, credential, and selectivity) and by examining the mechanisms through which they may correlate with health. Data are from the 1995 Aging, Status, and the Sense of Control Survey, a representative U.S. national telephone survey of 2,593 respondents aged 18 to 95, with an oversample of elderly. Results show that physical functioning and perceived health increase significantly with years of formal education and with college selectivity for those with a bachelor's or higher degree, adjusting for age, sex, race, marital status, and parental education. The credential of a college degree has no net association with physical functioning and perceived health beyond the amount attributable to the additional years of schooling. Of the three aspects of education, years of schooling has the largest effect. Most of that association appears attributable to its correlation with work and economic conditions, social psychological resources, and health lifestyle. A large portion of the net association of college selectivity with physical functioning and perceived health appears attributable to health lifestyle.  相似文献   
158.

Background

Gestational diabetes mellitus is one of the most common complications of pregnancy. Women with Gestational diabetes are at increased risk of serious health outcomes, such as pre-eclampsia, obstructed labor, and the development of Type 2 diabetes later in life. Chinese migrants, the third largest cultural group in Australia, are more likely to develop Gestational diabetes than Australian-born women. However, to date, Gestational diabetes self-management has not been investigated in this population.

Aim

To explore the understanding and self-management experiences of Gestational diabetes among Chinese migrants.

Methods

Data were collected through individual semi-structured face-to-face interviews. Participants were recruited from the antenatal clinic at the Royal Prince Alfred Hospital. Interviews were audio-recorded, transcribed verbatim and thematically analyzed.

Findings

Although the majority of participants demonstrated a good understanding of Gestational diabetes, some did not understand the principles behind healthcare advice and faced challenges in self-management. Confusion about self-monitoring of blood glucose and fear of insulin were also evident. Participants relied on both formal and informal sources of information. Some had difficulty obtaining adequate support. Cultural influences on self-management included meeting family needs, Chinese diet and use of Chinese medicines.

Conclusion

To assist Chinese women with Gestational diabetes to better self-manage their condition, there is a need for clinicians to: (1) provide more effective diabetes education to ensure clear understanding of self-management principles; (2) actively elicit and respond to women’s confusion and concerns; (3) provide women with adequate practical support; and (4) develop greater cultural awareness.  相似文献   
159.
Healing from childhood sexual abuse: a theoretical model   总被引:1,自引:1,他引:0  
Childhood sexual abuse is a prevalent social and health care problem. The processes by which individuals heal from childhood sexual abuse are not clearly understood. The purpose of this study was to develop a theoretical model to describe how adults heal from childhood sexual abuse. Community recruitment for an ongoing broader project on sexual violence throughout the lifespan, referred to as the Sexual Violence Study, yielded a subsample of 48 women and 47 men who had experienced childhood sexual abuse. During semistructured, open-ended interviews, they were asked to describe their experiences with healing from childhood sexual abuse and other victimization throughout their lives. Constructivist grounded theory methods were used with these data to develop constructs and hypotheses about healing. For the Sexual Violence Study, frameworks were developed to describe the participants' life patterns, parenting experiences, disclosures about sexual violence, spirituality, and altruism. Several analytic techniques were used to synthesize the findings of these frameworks to develop an overarching theoretical model that describes healing from childhood sexual abuse. The model includes four stages of healing, five domains of functioning, and six enabling factors that facilitate movement from one stage to the next. The findings indicate that healing is a complex and dynamic trajectory. The model can be used to alert clinicians to a variety of processes and enabling factors that facilitate healing in several domains and to guide discussions on important issues related to healing from childhood sexual abuse.  相似文献   
160.
Applications: CUSUM Charts for AR1 Data: are they worth the Effort?   总被引:1,自引:0,他引:1  
The conventional one-sided CUSUM procedure is extended for controlling autocorrelated data which are approximately AR1. The performances of these procedures are compared using simulation studies and the average run length as a criterion. Also these procedures are compared to two versions of Shewhart individual charts. Two applications are considered.  相似文献   
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