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The importance of community support for women in a Gulf Coast Indigenous tribe. 社区支持墨西哥湾沿岸土著部落妇女的重要性
IF 1.4 Q2 Social Sciences Pub Date : 2023-06-28 Epub Date: 2022-10-05 DOI: 10.1108/ijhrh-06-2022-0060
Tess A Carlson, Jessica L Liddell

Purpose –: Community support is an integral aspect of health and well-being for Indigenous peoples. The purpose of this paper is to demonstrate the valuable role of community support for Indigenous women specifically, who experience reproductive health disparities at alarming rates. This study helps fill an important gap in Indigenous scholarship by centering the resilience of women and Indigenous tribes and by using a framework that is consistent with Indigenous holistic views of health.

Design/methodology/approach –: The data for this paper was collected as part of a larger study exploring the reproductive health experiences of a state-recognized Gulf Coast tribe. A total of 31 semi-structured interviews were conducted with individuals who identify as women and as members of this tribe using qualitative descriptive methodology. This method is recommended for research with Indigenous communities. A community advisory board with representatives from this tribe provided feedback throughout the project.

Findings –: Themes expressed by participants included Community Closeness and Support; Community Support in Raising Children; Informal Adoption Common; and Community Values of Mutual Aid and Self-Sufficiency. The findings support current literature noting the value of generational and communal ties for Indigenous peoples. Implications of this research include the need to value and support community networks in programs serving tribes, in addition to meaningfully including Indigenous communities in developing interventions.

Originality/value –: This paper centers Indigenous women's resilience, approaches the health and well-being of Indigenous tribes holistically and helps to fill an important gap in literature describing informal adoption (outside the legal system) in state-recognized Indigenous communities.

目的社区支助是土著人民健康和福祉的一个组成部分。本文的目的是要说明社区对土著妇女的特别支持所发挥的宝贵作用,因为土著妇女在生殖健康方面的差距之大令人震惊。这项研究以妇女和土著部落的复原力为中心,并采用与土著整体健康观相一致的框架,从而有助于填补土著学术领域的一个重要空白。设计/方法/方法本文的数据是作为一个更大的研究的一部分收集的,该研究探索了一个国家认可的墨西哥湾沿岸部落的生殖健康经验。使用定性描述方法,对女性和部落成员进行了总共31次半结构化访谈。建议将这种方法用于与土著社区的研究。由该部落代表组成的社区顾问委员会在整个项目中提供反馈。参与者表达的主题包括社区亲密和支持;社区对抚养儿童的支持;非正式收养;互助和自给自足的社区价值观。这些发现支持了当前文献中关于世代和社区关系对土著人民的价值的观点。这项研究的启示包括,在为部落服务的项目中,需要重视和支持社区网络,除了有意义地将土著社区纳入开发干预措施之外。原创性/价值本文以土著妇女的恢复力为中心,从整体上探讨土著部落的健康和福祉,并有助于填补文献中描述国家承认的土著社区非正式收养(法律体系之外)的重要空白。
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引用次数: 0
Historical prevalence of infectious diseases and gender equality in 122 countries 122个国家传染病的历史流行率和性别平等
Q2 Social Sciences Pub Date : 2023-06-12 DOI: 10.1108/ijhrh-12-2022-0137
Omang Ombolo Messono, Simplice Asongu, Vanessa Tchamyou
Purpose This study aims to examine the effects of the historical prevalence of infectious diseases on contemporary gender equality. Previous studies reveal the persistence of the effects of historical diseases on innovation, through the channel of culture. Design/methodology/approach Drawing on the parasite stress theory, the authors propose a framework which argues that historical prevalence of infectious disease reduces contemporary gender equality. The study uses ordinary least squares and two-stage least squares in a cross-section with data from 122 countries between 2000 and 2021. Findings This study provide support for the underlying hypothesis. Past diseases reduce gender equality both directly and indirectly. The strongest indirect effects occur through innovation output. Gender equality analysis may take these findings into account and incorporate disease pathogens into the design of international social policy. Originality/value This study complements the extant literature by assessing the nexus between historical prevalence of infectious diseases and gender equality.
目的本研究旨在探讨历史传染病流行对当代性别平等的影响。以往的研究表明,历史疾病对创新的影响通过文化的渠道持续存在。根据寄生虫压力理论,作者提出了一个框架,认为历史上传染病的流行降低了当代的性别平等。该研究在2000年至2021年期间的122个国家的数据中使用了普通最小二乘法和两阶段最小二乘法。本研究为潜在的假设提供了支持。过去的疾病直接和间接地减少了两性平等。最强烈的间接效应发生在创新产出中。性别平等分析可以考虑到这些发现,并将疾病病原体纳入国际社会政策的设计。独创性/价值本研究通过评估历史上传染病流行与性别平等之间的关系,对现有文献进行了补充。
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引用次数: 0
Status of primary healthcare services in a geographically disadvantageous area: a study of Alipurduar district, West Bengal, India 地理位置不利地区的初级保健服务状况:对印度西孟加拉邦Alipurduar区的研究
IF 1.4 Q2 Social Sciences Pub Date : 2023-05-25 DOI: 10.1108/ijhrh-09-2022-0097
B. Biswas, Piyal Basu Roy, Ankita Saha, Abhijit Sarkar
PurposeThe locational disadvantage of a health-care centre often restricts adequate delivery of health-care services in an area. The purpose of this study is to examine the status of primary health-care services in such a geographically disadvantageous area which is confined by forests, tea gardens and undulating topography.Design/methodology/approachNecessary secondary data of 13 primary health centres and 236 sub-centres has been collected from the Office of the Chief Medical Officer of Health. Based on obtained data, Health-care Infrastructure Index has been prepared which has been validated by an expert panel, and subsequently, the Thiessen Polygon method has been applied through Arc GIS software to show spatial variation of health-care services delivered by different health-care centres.FindingsIn the study area, there is wide variation found in the case of physical facilities, caregivers and connectivity of road networks, which altogether affect the overall status of health-care services. Among all the indicators, some health-care centres experience staff shortages for prolonged non-recruitment, inaccessibility and inconsistent patient load in different health centres.Originality/valueIn spite of the unfavourable geographical landscape, health-care centres have to be set up wherever possible. There is a need to make new roads and simultaneously the existing road connectivity should be improved so that patients and caregivers can move quickly whenever required. Existing physical facilities need to be renewed or redeveloped along with increasing the number of doctors and other health-care providers as per the need of people with an adequate and optimum level of services.
目的保健中心的地理位置不利,往往限制了该地区提供充分的保健服务。本研究的目的是调查这一地理位置不利地区的初级保健服务状况,该地区受森林、茶园和起伏地形的限制。设计/方法/方法从卫生首席医疗官办公室收集了13个初级保健中心和236个次级保健中心的必要二级数据。根据获得的数据,编制了卫生保健基础设施指数,并经专家小组验证,随后,通过Arc GIS软件应用Thiessen多边形方法,显示不同卫生保健中心提供的卫生保健服务的空间差异。在研究区域,在物理设施、护理人员和道路网络的连通性方面存在很大差异,这些因素共同影响到保健服务的总体状况。在所有指标中,一些保健中心由于长期不招人、难以进入和不同保健中心的病人负荷不一致而面临工作人员短缺的问题。原创性/价值尽管地理环境不利,但必须在可能的地方设立保健中心。有必要修建新的道路,同时应改善现有道路的连通性,以便患者和护理人员能够在需要时快速移动。现有的实体设施需要更新或重新发展,同时需要增加医生和其他保健提供者的人数,以满足人们获得适当和最佳服务水平的需要。
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引用次数: 0
Mental health of university students of Pakistan and Germany and the right to health care 巴基斯坦和德国大学生的心理健康与保健权
IF 1.4 Q2 Social Sciences Pub Date : 2023-05-05 DOI: 10.1108/ijhrh-05-2022-0040
Akhtar Bibi, Muyu Lin, J. Brailovskaia, J. Margraf
PurposePoor mental health in men and women is attributable to disparities in physical traits, social roles, power and health-seeking behaviours. This study aims to examine the gender differences in mental health among Pakistan and German university students and focuses on their right to seek mental health care.Design/methodology/approachData on depression, anxiety and stress symptoms, as well as positive mental health (PMH), resilience, social support and life satisfaction, were gathered from Pakistani and German students.FindingsIn contrast to the Pakistani group, where no such gender differences were seen, women in Germany reported higher degrees of stress, anxiety and depression, as well as a lower level of overall good mental health. In comparison to German men and women, Pakistani women scored equally high on resilience. While gender had no bearing on life happiness in either Pakistan or Germany, women in both countries perceived more social support than men did.Research limitations/implicationsThe study’s strengths include its large sample size and battery of mental health measures. The results of partial weak measurement Invariance (MI) on the stress subscale underlined the importance of using MI in cross-cultural studies. The validity of a direct comparisons on sum score between different language versions or country samples shall be cautious. Still, there are limitations. Firstly, the authors did not differentiate gender and biological sex, and there was no group of non-binary gender. Pakistani (N = 1,840) and German (N = 7,890) students were in unequal numbers. Again, only university students were sampled, so the results cannot be generalised to older (probably less educated) populations. Self-reported data that mainly obtained via online survey were the third limitation. This design is cost-effective and easy to administer for cross-cultural survey research. However, social desirability and memory bias are common in self-report inventories. Fourthly, although English is an official language in Pakistan and the medium of instruction in education, the authors recommend future study to use questionnaires that have been translated and validated into Urdu (Pakistan’s national language) and investigate gender differences in a general population. Fifthly, this is a cross-sectional survey; the authors were not able to explore the causality or risk factors that contribute to the poor mental well-being in Pakistan students in general or the relatively worse mental health in German women. Future studies may investigate the mechanism behind the phenomena observed in this study with longitudinal or experimental design. Last but not least, Germany and Pakistan differ in so many different aspects from culture, religions and history to social structure and economic status, which make it hard to claim whether the observed differences were due to national differences, cultural differences, economic differences, gender inequality difference
目的男性和女性心理健康状况不佳是由于身体特征、社会角色、权力和寻求健康行为方面的差异。本研究旨在调查巴基斯坦和德国大学生在心理健康方面的性别差异,并关注他们寻求心理健康护理的权利。设计/方法/方法从巴基斯坦和德国学生中收集有关抑郁、焦虑和压力症状以及积极心理健康(PMH)、复原力、社会支持和生活满意度的数据。调查结果与巴基斯坦组相比,在巴基斯坦组中没有发现这种性别差异,德国女性的压力、焦虑和抑郁程度更高,整体良好心理健康水平更低。与德国男性和女性相比,巴基斯坦女性在韧性方面得分同样高。虽然性别对巴基斯坦或德国的生活幸福感没有影响,但这两个国家的女性都比男性获得了更多的社会支持。研究局限性/含义该研究的优势包括样本量大和一系列心理健康指标。压力分量表的部分弱测量不变性(MI)结果强调了在跨文化研究中使用MI的重要性。不同语言版本或国家样本之间的总分直接比较的有效性应谨慎。尽管如此,还是有局限性的。首先,作者没有区分性别和生理性别,也没有非二元性别组。巴基斯坦(1840人)和德国(7890人)的学生人数不等。同样,只有大学生被抽样,因此结果不能推广到年龄较大(可能受教育程度较低)的人群。主要通过在线调查获得的自我报告数据是第三个限制。这种设计具有成本效益,易于管理跨文化调查研究。然而,社会愿望和记忆偏见在自我报告清单中很常见。第四,尽管英语是巴基斯坦的官方语言和教育教学语言,但作者建议未来的研究使用已翻译并验证为乌尔都语(巴基斯坦的国语)的问卷,并调查普通人群中的性别差异。第五,这是一项横断面调查;作者无法探究导致巴基斯坦学生总体心理健康状况不佳或德国女性心理健康状况相对较差的因果关系或风险因素。未来的研究可能会通过纵向或实验设计来研究本研究中观察到的现象背后的机制。最后但同样重要的是,德国和巴基斯坦在文化、宗教和历史、社会结构和经济地位等许多不同方面存在差异,这使得很难断言观察到的差异是由于民族差异、文化差异、经济差异、性别不平等差异还是其他影响。未来的研究将有助于纳入更多对不同“文化”方面有明确定义的国家样本,以更好地了解其他国家和不同心理健康结构中的性别差异。实际意义本研究首次尝试比较欧洲和南亚国家在积极和消极心理健康方面的性别差异模式,并侧重于针对性别的方法。尽管巴基斯坦大学生的心理健康状况普遍较差,但两性在心理健康方面的差异(如抑郁、焦虑、一般PMH)不如德国学生样本明显。在这些心理健康结构中进行性别比较将有助于改善对心理疾病的保护因素,并根据文化差异制定适当的管理方案。研究结果表明,西方国家的性别差异不可能总是直接转化为南亚文化框架。我们的研究结果还强调了改善巴基斯坦(学生)总体状况的重要性,而不是只关注一种性别。与此同时,在德国,对妇女的预防和干预计划更有必要。一旦巴基斯坦的总体情况得到改善,心理健康方面与性别相关的差异将得到明显观察。原创性/价值这些发现暗示了文化背景在推断心理健康中的性别差异时的重要性。此外,它支持推进减少与性别有关的心理健康不平等的综合政策,并侧重于男女获得心理健康护理的平等权利。
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引用次数: 0
Occupational health and safety rights of hospital workers in relation to needle stick injuries exposure in Pakistan 巴基斯坦医院工作人员接触针刺伤害的职业健康和安全权利
IF 1.4 Q2 Social Sciences Pub Date : 2023-05-03 DOI: 10.1108/ijhrh-10-2022-0108
Mohsin Abbas, Sidra Rafique, Z. Asam
PurposeThe purpose of this study is to explore the determinants of needle stick injuries (NSIs) suffering in terms of occupational health and safety (OHS) coverage critically for health-care workers’ rights in Pakistan.Design/methodology/approachThis is a qualitative study involving the designing of a questionnaire followed by the World Health Organization’s NSI prevention assessment tool and nationally published reports covering health-care workers’ OHS rights protection. A total of 17 public and private hospitals were surveyed with a two-stage sampling method. Descriptive and inferential statistics (one-way analysis of variance with multiple comparison tests) were applied and significant results were discussed (p = 0.05 & p = 0.01). The results were discussed critically in the context of the OHS rights of health-care workers.FindingsAnalysis revealed the following significant relationships: job type and safety behavior; age group of health-care workers and safety management; injection usage per day and safety behavior; past year’s needle sticks injuries cases with safety behavior and occupational exposure; work shift and work experience with safety knowledge, safety awareness and work experience with safety management. It was also found there is no specific OHS law in the country for health-care workers.Research limitations/implicationsThis study is limited in terms of sampling size and quantification of NSI burden among health-care workers.Practical implicationsImproved OHS management practices among health-care workers can control NSIs that ultimately ensure their workplace OHS rights. Health-care workers need OHS coverage in terms of awareness about potential workplace hazards and job training accordingly. Findings from extensive studies of a similar kind can give useful policy directions for workplace health management in health-care setup at the national level.Originality/valueThis study highlights the importance of OHS coverage for health-care workers in hospitals. It reports different determinants of NSIs suffering causing health-care worker’s rights violations at the workplace in Pakistan.
目的本研究的目的是从职业健康安全(OHS)覆盖率的角度探讨巴基斯坦医护人员权利中针刺伤害(NSI)的决定因素。设计/方法/方法这是一项定性研究,包括设计一份问卷,然后使用世界卫生组织的NSI预防评估工具和在全国范围内发表的关于医护人员职业健康安全权利保护的报告。采用两阶段抽样方法对17家公立和私立医院进行了调查。采用描述性和推断统计学(多元比较检验的单向方差分析),并讨论了显著结果(p=0.05&p=0.01)。这些结果在卫生保健工作者的职业健康安全权利的背景下进行了批判性讨论。结果分析揭示了以下重要关系:工作类型与安全行为;保健工作者的年龄组和安全管理;每日注射使用量和安全行为;过去一年的针刺伤害案例与安全行为和职业暴露;具有安全知识的工作班次和工作经验、安全意识和安全管理工作经验。研究还发现,该国没有针对医护人员的具体职业健康安全法。研究局限性/含义本研究在卫生保健工作者NSI负担的抽样规模和量化方面受到限制。实际意义改进医护人员的职业健康安全管理实践可以控制NSI,最终确保他们的工作场所职业健康安全权利。卫生保健工作者需要职业健康安全保险,以提高对潜在工作场所危险的认识,并进行相应的工作培训。类似的广泛研究结果可以为国家一级医疗机构的工作场所健康管理提供有用的政策指导。原创性/价值本研究强调了OHS覆盖对医院医护人员的重要性。它报告了国家统计机构在巴基斯坦工作场所遭受侵犯医护人员权利的不同决定因素。
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引用次数: 0
Association of positive psychological factors with the mental health of older adult retirees: a systematic review 积极心理因素与老年退休人员心理健康的关系:一项系统综述
IF 1.4 Q2 Social Sciences Pub Date : 2023-05-01 DOI: 10.1108/ijhrh-12-2022-0133
Farhana Sajjad Kiani, Saima Ehsan
PurposeThis study aimed to identify which positive psychological factors are associated with the mental health of older adult retirees. Positive psychology is an emerging discipline of psychology. The study and identification of such factors could lead to increased mental health and lower stress levels of individuals (Ho et al., 2014; Abbas et al., 2019).Design/methodology/approachThe authors searched the following electronic databases: Web of Science Core Collection and Scopus. Thematic synthesis was used for analysis. Database search resulted in the recruitment of 948 articles; after the screening process, only 7 articles were left for further analysis.FindingsThematic synthesis of resulting articles from systematic literature review revealed that “staying active after retirement, participation in social activities, volunteering, and presence of loved ones” are positive psychological factors that are positively associated with the mental health of older adult retirees. A few positive psychological factors and their association with the mental health of older adult retirees have been examined. Other positive psychological factors and their association with the mental health of older adult retirees are yet to be investigated in future research.Research limitations/implicationsFirst, many studies have investigated meaning and purpose in life, relationships or having intimacy, well-being, transcendence, flow or engagement, spirituality and flourishing (pleasant life, engaged life and meaningful life, relationship and achievement) (LeBon, 2014). However, many other positive psychological constructs need to be studied yet in this age group examples include wisdom, courage, mindfulness, forgiveness, resilience, emotional intelligence, hope and humor. Second, there is need of theory in the field of successful aging with respect to the positive psychology. Third, which factors negatively contributed toward the mental health of older adult could be another area of future systematic literature review. Finally, role of culture needs to be examined with reference to which positive psychological factor could be important in a specific given cultural context.Practical implicationsThe findings of the current research will be useful for clinical psychologist, counselors and gerontologists to understand which factors positively contributed toward the mental health of older adult retirees, which in turn will help to improve mental health of older adult retirees. Findings of the present study set grounds for future research in the field of gerontology in specific cultural context. The findings of this study have added to scientific body of existing literature. Better understanding of retirement can lead to increase in use of positive intervention-based programs for retirees that can facilitate them with life after retirement.Social implicationsPolicymaker working on the well-being of older adult retirees can take help from this study’s eviden
目的本研究旨在确定哪些积极的心理因素与老年退休人员的心理健康有关。积极心理学是一门新兴的心理学学科。对这些因素的研究和识别可以提高个人的心理健康和降低压力水平(Ho et al.,2014;Abbas et al.,2019)。设计/方法论/方法作者搜索了以下电子数据库:Web of Science Core Collection和Scopus。采用专题综合法进行分析。数据库搜索结果征聘了948篇文章;筛选过程结束后,只剩下7篇文章进行进一步分析。从系统文献综述中获得的文章的主题综合显示,“退休后保持活跃、参与社会活动、志愿服务和亲人的存在”是积极的心理因素,与老年退休人员的心理健康呈正相关。研究了一些积极的心理因素及其与老年退休人员心理健康的关系。其他积极的心理因素及其与老年退休人员心理健康的关系有待于未来的研究。研究局限性/含义首先,许多研究调查了生活中的意义和目的、关系或亲密、幸福、超越、流动或参与、精神和繁荣(愉快的生活、参与的生活和有意义的生活、关系和成就)(LeBon,2014)。然而,在这个年龄段,还有许多其他积极的心理结构需要研究,例如智慧、勇气、正念、宽恕、韧性、情商、希望和幽默。第二,积极心理学在成功老龄化领域有理论的必要性。第三,哪些因素对老年人的心理健康有负面影响可能是未来系统文献综述的另一个领域。最后,需要考察文化的作用,在特定的文化背景下,哪些积极的心理因素可能是重要的。实际意义当前的研究结果将有助于临床心理学家、咨询师和老年学家了解哪些因素对老年退休人员的心理健康有积极贡献,进而有助于改善老年退休人员心理健康。本研究的发现为未来在特定文化背景下进行老年学研究奠定了基础。这项研究的发现增加了现有文献的科学性。更好地了解退休情况可以使退休人员更多地使用基于积极干预的计划,为他们的退休生活提供便利。社会影响研究老年退休人员福祉的政策制定者可以从这项研究的循证研究结果中获得帮助,以制定任何政策。原创性/价值系统的文献综述巩固了现有的关于当前研究主题的文献综述。这篇系统的文献综述强调了与老年退休人员心理健康增强相关的因素。此外,研究结果揭示了文献中的一个重要空白,即许多积极的心理结构需要研究,但在这个年龄段,例子包括智慧、勇气、正念、宽恕、韧性、情商、希望和幽默。因此,本研究对未来的研究具有启示意义。
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引用次数: 0
Restrictive human rights measures against the spread of COVID-19: an interdisciplinary approach between law and health-care management 针对COVID-19传播的限制性人权措施:法律与卫生保健管理之间的跨学科方法
IF 1.4 Q2 Social Sciences Pub Date : 2023-04-07 DOI: 10.1108/ijhrh-05-2022-0049
Ioanna Pervou, P. Mpogiatzidis
PurposeThe purpose of this paper is to demonstrate the close relationship between the disciplines of law and health-care studies. This interrelation has become particularly evident during the spread of the COVID-19 pandemic, when restrictive human rights provisions have been initiated by many states for the sake of public health. Research focuses on the notional proximity of the principle of proportionality and its health-care correlative: effectiveness. It also goes through the influence of acceptance rates for the application of restrictive measures.Design/methodology/approachResearch focuses on interdisciplinary literature review, taking into consideration judicial decisions and data on acceptance rates of restrictive human rights measures in particular. Analysis goes in depth when two categories of restrictive human rights measures against the spread of the pandemic are examined in depth: restrictive measures to achieve social distancing and mandatory vaccination of professional groups.FindingsRestrictive human rights measures for reasons of public health are strongly affected by the need for effective health-care systems. This argument is verified by judicial decision-making which relies to the necessity of health-care effectiveness to a great extent. The COVID-19 pandemic offers a laminate example of the two disciplines’ interrelation and how they infiltrate each other.Research limitations/implicationsFurther implications for research point at the need to institutionalize a cooperative scheme between legal and health-care decision-making, given that this interrelation is strong.Originality/valueThe originality of this paper lies on the interdisciplinary approach between law and health-care studies. It explains how state policies during the pandemic were shaped based on the concepts of effectiveness and proportionality.
目的探讨法律学科与卫生保健学科之间的密切关系。在2019冠状病毒病大流行蔓延期间,这种相互关系变得尤为明显,许多国家为了公共卫生启动了限制性人权条款。研究的重点是比例原则的概念接近性及其与卫生保健相关的有效性。它还受到适用限制性措施的接受率的影响。设计/方法/方法研究的重点是跨学科文献审查,考虑到司法判决和特别是关于限制性人权措施接受率的数据。在深入审查防止大流行病蔓延的两类限制性人权措施时,进行了深入的分析:实现社会距离的限制性措施和专业群体的强制性疫苗接种。调查结果基于公共卫生原因的限制性人权措施受到有效卫生保健系统需求的强烈影响。这一论点得到了司法决策的证实,司法决策在很大程度上依赖于保健效力的必要性。COVID-19大流行为这两个学科的相互关系以及它们如何相互渗透提供了一个层叠的例子。研究限制/影响对研究的进一步影响指出,鉴于法律和保健决策之间的相互关系很强,有必要将这种合作计划制度化。原创性/价值本文的原创性在于法律与卫生保健研究之间的跨学科方法。它解释了大流行期间国家政策是如何根据有效性和相称性的概念形成的。
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引用次数: 0
“We are experiencing pain on our own”: mental health care to prevail over impacts of cultural silence on HIV “我们正在独自经历痛苦”:心理健康护理将战胜文化沉默对艾滋病毒的影响
IF 1.4 Q2 Social Sciences Pub Date : 2023-03-29 DOI: 10.1108/ijhrh-08-2022-0089
G. Mwalabu, C. Evans, S. Redsell, Pammla Petruka, Patrick Mapulanga
PurposeThis qualitative case study aims to investigate how current services meet the emotional needs of young women growing up with perinatally acquired human immunodeficiency virus (HIV). Young women (15–19 years old), caregivers and service providers were recruited through three multidisciplinary HIV management centres in Malawi.Design/methodology/approachIn-depth interviews were used to collect data for 14 “cases” (each “case” involved a young woman, a caregiver and a service provider, for a total of 42 participants). The interviews with adolescents were conducted using an innovative visual method known as the “my story” book.FindingsThematic analysis revealed that young women experienced traumatic experiences and emotional neglect after being diagnosed as HIV positive. Lack of adult support networks and social isolation were identified as intersecting factors contributing to their mental distress. According to the findings of this study, HIV care should more explicitly include comprehensive mental health-care services. This provision should include ongoing individualised counselling sessions, supplemented by communication skills training to help break the prevalent cultural silence on HIV issues. Young people living with HIV, in general, and young women, are more likely to experience mental health issues than their non-infected peers. Integrating comprehensive mental health evaluation and treatment into HIV care for young people can be beneficial.Practical implicationsMental health issues are critical and underserved challenges among young people living with perinatally acquired HIV. Women experience a higher prevalence of mental challenges than men. Integrating comprehensive mental health evaluation and treatment into HIV care for young people can be beneficial. Therefore, interventions to assist young people with mental health issues are needed within the context of HIV management in Malawi.Originality/valueMany studies on mental health and HIV/AIDS have been conducted. However, there is very little information as regards the emotional needs of young women growing up with perinatally acquired HIV. This study fills the void.
目的本定性案例研究旨在调查目前的服务如何满足患有围产期获得性人类免疫缺陷病毒(HIV)的年轻女性的情感需求。年轻女性(15-19岁 岁),通过马拉维的三个多学科艾滋病毒管理中心招募了护理人员和服务提供者。设计/方法/方法深入访谈用于收集14个“病例”的数据(每个“病例”涉及一名年轻女性、一名护理人员和一名服务提供者,共有42名参与者)。对青少年的采访采用了一种被称为“我的故事”书的创新视觉方法。主题分析显示,年轻女性在被诊断为艾滋病毒阳性后,经历了创伤经历和情感忽视。缺乏成人支持网络和社会孤立被认为是导致他们精神痛苦的交叉因素。根据这项研究的结果,艾滋病毒护理应该更明确地包括全面的心理保健服务。这项规定应包括持续的个性化咨询课程,并辅以沟通技能培训,以帮助打破在艾滋病毒问题上普遍存在的文化沉默。一般来说,感染艾滋病毒的年轻人和年轻女性比未感染艾滋病毒的同龄人更有可能出现心理健康问题。将全面的心理健康评估和治疗纳入对年轻人的艾滋病毒护理可能是有益的。实际意义心理健康问题是围产期感染艾滋病毒的年轻人面临的关键和服务不足的挑战。女性的心理挑战发生率高于男性。将全面的心理健康评估和治疗纳入对年轻人的艾滋病毒护理可能是有益的。因此,在马拉维艾滋病毒管理的背景下,需要采取干预措施来帮助有心理健康问题的年轻人。然而,关于在围产期感染艾滋病毒的情况下成长的年轻妇女的情感需求的信息很少。这项研究填补了空白。
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引用次数: 0
Persistent economic inequalities in menstrual hygiene practices in India: a decomposition analysis 印度月经卫生实践中持续存在的经济不平等:分解分析
IF 1.4 Q2 Social Sciences Pub Date : 2023-02-28 DOI: 10.1108/ijhrh-10-2022-0109
J. Pradhan, Kshirabdhi Tanaya Patra, S. Behera
PurposeThe purpose of this study is to examine the socio-economic inequalities that exist in the use of unhygienic menstrual practices in India and its states, as well as to identify the contribution of various socio-economic factors that leads to these inequalities.Design/methodology/approachData from the National Family Health Survey-5 (2019–21) for 240,285 menstruating women aged 15–24 years is used to examine the above objectives. The concentration index for unhygienic menstrual practices is calculated to measure the socio-economic inequalities, which are then decomposed into their determining factors.FindingsThe state of Punjab experiencing the highest level of economic inequality, followed by Telangana and Haryana. The results from decomposition analysis suggest that rural residence (13%), illiteracy (7%), poor economic status (53%), not reading newspaper (12%) and not watching TV (14%) contribute 99% to the total socio-economic inequality in using unhygienic menstrual practices in India. The contribution of economic status to total inequalities is more in all the states except for Kerala and Mizoram, where caste and residence play an important role.Originality/valueThis paper signifies the role of economic inequality in the use of unhygienic menstrual practices in India as well as the contribution of various socio-economic factors contributing towards these inequalities. The results from decomposition analysis suggest the need for unique health intervention strategies for different states following the evidence of major contributions to total inequalities in the use of unhygienic menstrual practices.
本研究的目的是研究印度及其各邦在使用不卫生月经习惯方面存在的社会经济不平等,并确定导致这些不平等的各种社会经济因素的贡献。设计/方法/方法使用240,285名15-24岁经期妇女的全国家庭健康调查第5期(2019-21年)数据来检查上述目标。计算不卫生月经习惯的浓度指数,以衡量社会经济不平等,然后将其分解为决定因素。旁遮普邦的经济不平等程度最高,其次是特伦加纳邦和哈里亚纳邦。分解分析的结果表明,农村居住(13%)、文盲(7%)、经济状况不佳(53%)、不读报纸(12%)和不看电视(14%)造成了印度不卫生月经习惯中99%的社会经济不平等。除了种姓和居住地起重要作用的喀拉拉邦和米佐拉姆邦外,所有邦的经济地位对总体不平等的贡献都更大。原创性/价值这篇论文表明经济不平等在印度使用不卫生的月经习惯中的作用,以及各种社会经济因素对这些不平等的贡献。分解分析的结果表明,有证据表明,在使用不卫生的月经习惯方面存在完全不平等的主要原因,因此需要针对不同的州制定独特的保健干预战略。
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引用次数: 1
COVID-19 phobia, response to the vaccine and the right of urban migrant dwellers in the Ghanaian slums 新冠肺炎恐惧症、对疫苗的反应以及加纳贫民窟城市移民的权利
IF 1.4 Q2 Social Sciences Pub Date : 2023-01-27 DOI: 10.1108/ijhrh-06-2022-0057
Anthony Nkrumah Agyabeng, Alexander Preko, Kofi Hilla Avusuglo, Anthony Sumnaya Kumasey, Akwasi Sarfo Kantanka, Mawuli Feglo
PurposeThis study investigate urban migrant dwellers’ gender and age differences in response to the specific phobia of COVID-19 and hesitancy toward vaccines in the slum settlements.Design/methodology/approachThe study anchored on the two-factor model proposed by Mowrer (1939) and used a quantitative design approach with a convenience sampling method for data gathering among 362 urban migrants residing and working in the cities of Ghana. The study used the Mann–Whitney U test and the regression analysis for the analysis.FindingsThe result showed that there is a significant difference between males and females in their understanding of economic phobia, thoughts on social phobia and perception level of vaccine hesitancy. Additionally, there is a significant difference between age groups in their level of thoughts of psychological phobia, economic phobia and thoughts of vaccine hesitancy. Finally, the specific of phobias of COVID-19 are significant predictors of vaccine hesitancy.Research limitations/implicationsThis research is slum-specific, which implies that the outcome cannot be generalized to other geographical settings.Practical implicationsThe study demonstrates how a pandemic manifests itself to dwellers in slums. The outcome of the study sheds light on how policymakers appreciate the dynamics of the pandemic in a developing country, which may guide future responses to pandemics.Originality/valueThe outcome of the study sheds light on how policymakers appreciate the dynamics of the pandemic in a developing country, which may guide future responses to pandemics.
目的本研究调查了城市移民在应对新冠肺炎特定恐惧症和贫民窟居民对疫苗犹豫时的性别和年龄差异。设计/方法/方法本研究以Mowrer(1939)提出的双因素模型为基础,采用定量设计方法和方便抽样方法,对居住和工作在加纳城市的362名城市移民进行数据收集。该研究使用了Mann–Whitney U检验和回归分析进行分析。结果表明,男性和女性对经济恐惧症的理解、对社交恐惧症的思考以及对疫苗犹豫的感知水平存在显著差异。此外,不同年龄组的心理恐惧症、经济恐惧症和疫苗犹豫症的想法水平存在显著差异。最后,新冠肺炎恐惧症的特异性是疫苗犹豫的重要预测因素。研究局限性/含义这项研究是针对贫民窟的,这意味着研究结果不能推广到其他地理环境。实际意义这项研究展示了一种流行病是如何在贫民窟的居民身上表现出来的。这项研究的结果揭示了决策者如何理解发展中国家疫情的动态,这可能会指导未来应对疫情。原创性/价值该研究的结果揭示了决策者如何理解发展中国家疫情的动态,这可能会指导未来应对疫情。
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引用次数: 0
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International Journal of Human Rights in Healthcare
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