Response effects to attitudinal questions about domestic violence against women: A comparative perspective

According to the national Demographic and Health Surveys (DHS), between 10% and 90% of women in poorer countries agree that domestic violence against women is justified. Such wide variation in women’s responses raises concerns about the comparability of the underlying attitudinal question, and the validity of comparative research that assumes comparability. Using 67 DHS conducted in 48 countries between 1995 and 2007, we explored whether cross-national variation in women’s affirmative responses to this question were explained by cross-national variation in survey design, socioeconomic conditions, or both. Variation in survey design had considerable predictive power and accounted for a non-trivial amount of the variance in women’s affirmative responses. Including the survey-design variables also modestly altered associations of the outcome with structural variables of interest in comparative studies. These findings offer insights about future analyses and data collections on women’s attitudes about domestic violence against women.     

医疗服务透视与中国新医改方向

中国新一轮医改进入了制度重构阶段.而作为医改的核心医疗服务体系如何改革令人瞩目.医疗服务的禀性以及相关关系的复杂性,展现了中国医改的艰巨性和重要性.实践证明,政府缺位的市场化、商业化绝不是中国新医改的根本方向.新医改要在加大财政投入、优化资源配置、多元化服务提供以及强化信息披露等方面体现出政府主导责任.     

丧偶对中国老年人健康的影响:社会连结的调节作用北大核心CSSCI

中国作为人口老龄化发展速度最快的国家之一,正在迎来规模日益庞大的晚年丧偶群体。预计2050年我国60岁及以上的丧偶人口规模将达到1.18亿左右。近年来老年丧偶者的生活质量受到政府和学界的广泛关注。本文利用六期“中国老年人健康影响因素跟踪调查(CLHLS)”数据分析丧偶对我国老年人多种健康指标的影响以及社会连结在其中发挥的调节作用。研究发现丧偶会影响老年人的健康后果和健康行为。在健康后果方面,丧偶对老年人认知功能的影响具有显著的性别差异。丧偶降低了老年男性的认知功能,但在一定时期内提高了老年女性的认知功能。同时,丧偶会对老年人的心理健康产生负面影响。在健康行为方面,丧偶提高了老年女性参与体育锻炼的可能性和老年男性抽烟的可能性。此外,丧偶效应因丧偶前社会连结的不同而存在差异。婚姻质量较低的老年男性在丧偶之后IADL能力反而提高;经常打牌/麻将有助于抑制丧偶对老年男性和女性IADL能力的不利影响,同时也可以抑制丧偶对老年女性慢性病数量的增加作用;子女支持有助于抑制丧偶对老年男性心理健康的负面影响。     

大学生体育文化素养及健商

健商是21世纪人类最新的健康文化和全新的健康理念,大学生的健商与自身体育文化素养水平有密切关系,即体育文化素养水平越高健商水平也就越高,因此通过体育与健康教育可以使大学体育文化水平及健康得到提高。健商的提高,将会提高大学生现在及将来的生活质量和健康水平。因此,通过体育教育来提高大学生的健商与健康。     

Measuring women's experiences of maternity care: A systematic review of self-report survey instruments

BackgroundRecognition of the measurement of women's experiences of their maternity care as a critical component of care quality evaluation has led to a proliferation of instruments to measure this concept. However, the suboptimal methodological and psychometric quality of these instruments, or the lack of reporting of same, hinders the credibility and efficient use of the arising results, which often serve as an indicator for the direction of limited resources within maternity services.AimTo review systematically and critically appraise self-report survey instruments measuring women's experiences of their maternity care.MethodsA systematic review was conducted using comprehensive searches of the CINAHL, OVID MEDLINE and EMBASE citation databases. Inclusion and exclusion criteria were applied, and a stepped approach employed to facilitate evaluation of the methodological and psychometric quality of included instruments.Findings4905 records were obtained from database searches. Additional records were obtained via reference checking and by expert suggestion. Following stepped screening, 40 papers related to 20 instruments are included in this review. Findings indicate that evidence of the methodological and psychometric quality have not been reported for many included instruments.ConclusionsPublished evidence of the methodological and psychometric quality of self-report survey instruments to evaluate women's experiences of their maternity care is lacking. The conduct and reporting of future development processes of such instruments can be improved.Systematic review PROSPERO registration: CRD42018105325.     

《化学与健康》公选课教学框架构建探索

本研究旨在探索全面构建公共选修课程——《化学与健康》的教学框架。《化学与健康》公选课的是利用化学知识和原理为手段，紧紧围绕“健康”教育主题普及健康知识的一门课程。在该课程构建过程中，利用其多学科相互融合的特点，通过构建“三位一体”的课程教学体系，并合理设计实践教学活动，逐步引导学生增强健康意识，纠正不良生活习惯，树立科学的现代健康观念，最终达到全面提升学生身体素质的目的。本课程的设计理念充分体现了现代高等教育中健康教育的综合性、科学性、可操作性和导向性。     

Aligning theory and methodology in mixed methods research: Before Design Theoretical Placement

When a theoretical framework (and its components) is not clearly linked to research methods, researchers risk designing flawed studies, wherein the stated research question is inconsistent with the research design. Explicitly identifying one’s theoretical orientation can provide an orderly schematic for linking observations from separate investigations (i.e. qualitative, quantitative) thereby facilitating understandings and guiding research designs particularly in fields of social and health sciences where complex phenomena are an aspect of the subject of inquiry. Although this has been established, how researchers might position their research theoretically to guide mixed methods research is less clear. In this paper, we propose the Before Design Theoretical Placement as a general guide for specifying and locating studies in a broader theoretical grounding, and discuss how it may inform overall study considerations. We then use this approach to illustrate how theories and methods can work together to facilitate professional knowledge development from a relational perspective.     

Health Staff Responses to Domestic and Family Violence: The Case for Training to Build Confidence and Skills

ABSTRACT

Domestic and family violence (DFV) is a serious, worldwide public health concern and the literature suggests that women who have experienced violence identify health care providers as the professionals they would most trust with disclosure of abuse. Social work is well positioned to respond to women presenting in hospitals after experiencing DFV and in advocating for systems and policy initiatives to support health staff in becoming adequately trained and supported to detect and respond appropriately. This paper reports on research that surveyed health staff in two hospitals in Queensland, Australia, to identify what DFV training they had received, whether this training increased their knowledge, skills and confidence to address DFV and what services they would access to support women presenting with DFV. The results showed that the respondents were an experienced staff group who had worked in the health sector for 10–20 years but despite having access to State-based training, the majority of them had not completed any in-house training and only 12% had received face-to-face training, and when they did undertake training, it was usually only a two-hour session. Seventy-five per cent of respondents would refer to their hospital-based social worker and 40% would make referrals to other support services, primarily social work.

IMPLICATIONS

• Hospitals need to prioritise, commit to, and resource appropriate and regular training to better equip health staff to identify and respond to DFV.

• Training needs to build the knowledge and skills of staff members to address their confidence to intervene and offer support.

• Social work can provide an important role in advocating and developing training and procedures to sustain health staff members’ capacity to respond appropriately to DFV.

     

A mixed methods study: Midlife African American women’s knowledge,beliefs, and barriers to well-woman visit,flu vaccine,and mammogram use

ABSTRACT

African American women (AAW) are particularly at risk for deleterious health outcomes that might be mitigated through increased preventive care use. A mixed methods study that examined relationships between knowledge of, beliefs about, and barriers to well-woman visits, flu vaccines, and mammograms was conducted with midlife AAW who participated in an online survey (n = 124) and in-depth interviews (n = 19). Findings showed that greater knowledge of preventive service recommendations and positive patient-provider relationships were associated with greater preventive service use. Flu vaccines were significantly underused. Study implications inform strategies to increase preventive care utilization among AAW and increase capacities to improve health disparities.