Social health protection in Cambodia: Challenges of policy design and implementation

The Government of Cambodia is implementing ambitious reform initiatives to improve the country's social health protection system. In January 2018, it was announced that the Health Equity Fund (HEF), which is fully subsidized by a joint government‐donor initiative for the reimbursement of user fees for the poor at public health facilities, is to be expanded to some segments of informal workers belonging to associations, as well as to commune and village chiefs. Since 2017, the National Social Security Fund (NSSF) has provided social health insurance for formal economy workers in enterprises with eight employees or more. In January 2018, it was expanded to civil servants and all employees regardless of the size of the enterprise. However, this article highlights that the new ambitious reforms are not accompanied by careful planning as regards funding, service delivery, human resources and institutional design. This article therefore aims to examine key policy issues and challenges for Cambodia's ambitious reform of its social health protection system in terms of resource generation, population coverage, strategic purchasing and governance.     

Service Patterns of Adult Survivors of Childhood Versus Adult Sexual Assault/Abuse

This analysis compared the characteristics and service patterns of adult survivors of childhood sexual assault/abuse and adult survivors of adult sexual assault/abuse. Utilizing data from sexual assault crisis centers serving survivors in a Midwestern state over a six year period and controlling for revictimization, we describe and compare the demographic characteristics, referral sources, and service patterns of the two groups. Results indicate that paths into service differ for the two groups. Furthermore, adult survivors of childhood sexual assault/abuse obtain significantly more hours of service and service contacts on average than adult survivors of adult sexual assault/abuse. Implications for policy and practice are discussed.     

Posttraumatic Stress and Mental Health Functioning of Sexually Abused Children

This study examined the relationship between levels of posttraumatic stress and overall mental health functioning of fifty-three sexually abused children. This study analyzes the relationships between the mental health functioning of sexual abuse victims and PTSD, using data collected from the Non-Offending Parents Project. Unlike numerous earlier studies, standardized instruments (the Child Assessment Schedule and the Child Posttraumatic Stress Reaction Index) were used for data collection. Data analysis supported the hypothesis that the posttraumatic stress level of children who have been sexually abused is associated with level of child mental health functioning. Nearly all the children in the study were experiencing a clinical level of posttraumatic stress, and were diagnosed as having PTSD. Child Assessment Schedule subscale areas which were related to posttraumatic stress level included worries, physical complaints, moods, school functioning, family, and fears.     

Effect of framing on cognitive processing in public relations

The purpose of this study was to determine the effect of message framing on cognitive processing by employees of an internal organizational message. A between-subject factorial experimental design with random assignment was used to test the moderating role of message frames on cognitive processing. Subjects in the study produced a significantly different number of thoughts in response to messages with different frames. The different frames presented also resulted in generation of different topics of thought for participants. This difference in cognitive response to a message may point to a difference in the salience of the message for the audience. The results of this study underscore the need for public relations practitioners to understand the needs and motivations of internal audiences and to contextualize internal messages for increased effectiveness in persuasion.     

Race and Gender Inequality in Homeownership: Does Place Make a Difference?*

Abstract Racial differences in homeownership have long been a topic of sociological study. Previous studies, however, neglected to consider differences in levels of homeownership between nonmarried black and white women in the context of place. Accordingly this paper focuses on the interaction between place, race, and gender and its impact on homeownership for nonmarried persons. The study employs the Integrated Public Use Microdata Series (IPUMS) and logistic regression analysis to address the following questions: Has the racial differential in homeownership for nonmarried women changed from 1970 to 1990? How do place, race, and gender interact to determine the levels of homeownership for nonmarried women? The findings reveal that, although black women were less likely than white women to own homes, the racial differential declined dramatically in rural areas over the two‐decade period. The overall trend of decline was opposite to that for urban areas.     

Preschoolers' Mind‐related Comments During Collaborative Problem‐solving: Parental Contributions and Developmental Outcomes

Preschool children's mind‐related comments were analyzed during collaborative problem‐solving interactions with mothers and fathers, and in relation to parental mind‐mindedness (MM) and children's concurrent theory of mind (ToM). Seventy‐two parents (36 fathers, 36 mothers) and their four‐year‐olds participated. Parents' comments to encourage independent thinking and children's own mind‐related comments were expected to mediate, in serial, the relationship between parental MM and children's ToM. The proposed model of mediation received empirical confirmation. In addition, mothers and fathers were found to perform similarly on two measures of MM and in their usage of autonomy promoting and control comments. Finally, no differences were found in the frequency of children's mind‐related comments during interactions with fathers and mothers.     

Towards Greater Recognition of the Right to Play: An Analysis of Article 31 of the UNCRC

Children’s right to play is formally enshrined in Article 31 of the United Nations Convention on the Rights of the Child (UNCRC). However, few research studies have explored children’s experiences of play from an explicit rights‐based perspective. Using children’s views to illustrate the multi‐dimensional relationship Article 31 holds with other key children’s rights, this article shows how a rights‐based classification of play emphasises issues such as freedom, safety, choice and inclusion. The article highlights the fact that while Article 31 has provided an impetus for play policies throughout the UK, these have not been developed from an explicit rights‐based perspective. The article concludes by suggesting that the Committee on the Rights of the Child could take a greater lead on this issue through more robust monitoring and enforcement of Article 31.     

Paternal and Maternal Mind‐mindedness and Preschoolers' Theory of Mind: The Mediating Role of Interactional Attunement

The present investigation explored (1) fathers' contributions to children's theory of mind (ToM) development, (2) the similarity between maternal and paternal mind‐mindedness (MM) in relation to children's ToM, and (3) the relative predictive strength of two concurrently administered measures of MM (an online and an interview assessment) in relation to children's ToM. Thirty‐nine fathers, mothers, and their four‐year‐olds participated. Paternal MM was positively correlated with children's ToM performance. In addition, the two groups of parents performed similarly on both measures of MM. The findings also suggest that mothers and fathers who scored higher on the MM interview were more attuned to their children's mental processes during the online interaction measure of MM. The online measure of MM was found to mediate the relationship between the interview measure of MM and children's ToM for the maternal–child data only.