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Racial Health Disparities and Black Heterogeneity in COVID-19: A Case Study of Miami Gardens. COVID-19 中的种族健康差异和黑人异质性:迈阿密花园案例研究》。
Q3 Social Sciences Pub Date : 2023-06-01 Epub Date: 2023-01-20 DOI: 10.1177/19367244221142565
Yok-Fong Paat, Max C E Orezzoli, Chun-Kit Ngan, Jeffrey T Olimpo

The COVID-19 pandemic is a critical public health concern that has disproportionately affected the Black community in the United States. The purpose of this study was to examine the risk and protective factors faced by residents in the City of Miami Gardens during the COVID-19 pandemic, with emphases placed on racial health disparities and Black heterogeneity. Using convenience and snowball sampling, quantitative and qualitative data for this study were collected via an anonymous online questionnaire using QuestionPro. Survey links were distributed by e-mail invitations with assistance from city officials to the residents of this predominantly Black city in Florida (n = 83). Descriptive statistics and relevant qualitative responses are presented. Furthermore, a machine learning (ML) approach was used to select the most critical variables that characterized the two racial groups (Black versus non-Black participants) based on four ML feature selectors. Study findings offered important and interesting insights. Specifically, despite the greater prevalence of adopting measures to protect themselves and others from COVID-19, Black participants were more susceptible to activities that increased their COVID-19 risk levels. In addition, their rate of infection, particularly among the Afro-Caribbean ethnic group, was reported to be higher, indicating the need to further investigate the underlying conditions and root causes (including vaccine hesitancy and refusal) that contribute to their greater health disparities.

COVID-19 大流行是一个重要的公共卫生问题,对美国黑人社区的影响尤为严重。本研究旨在探讨迈阿密花园市居民在 COVID-19 大流行期间面临的风险和保护因素,重点关注种族健康差异和黑人异质性。本研究采用便利抽样和滚雪球抽样法,通过 QuestionPro 匿名在线问卷收集定量和定性数据。在市政府官员的协助下,调查链接通过电子邮件发送给佛罗里达州这个以黑人为主的城市的居民(n = 83)。本文介绍了描述性统计和相关定性回答。此外,还使用了机器学习(ML)方法,根据四个 ML 特征选择器,选出了描述两个种族群体(黑人与非黑人参与者)特征的最关键变量。研究结果提供了重要而有趣的见解。具体来说,尽管黑人参与者更普遍地采取了保护自己和他人免受 COVID-19 感染的措施,但他们更容易参与那些会增加其 COVID-19 风险水平的活动。此外,据报告,他们的感染率更高,尤其是在非洲-加勒比族裔群体中,这表明有必要进一步调查造成他们健康差异更大的潜在条件和根本原因(包括疫苗犹豫不决和拒绝接种)。
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引用次数: 0
Secondary Risk in COVID-19 Vaccination Intentions: A Theoretical Contribution to the Protection Motivation Paradigm. COVID-19疫苗接种意图的二次风险:对保护动机范式的理论贡献
Q3 Social Sciences Pub Date : 2023-06-01 DOI: 10.1177/19367244231159594
Melvin Prince, Young Kim

This study presents an original model that features the emotion of fear of COVID-19 as a direct effect on vaccination intentions. A central research question addressed in the study is what roles do the emotion of fear of contracting COVID-19 and the threat posed by uptake of the COVID-19 vaccination play in levels of vaccination intention? The study used a structural equation model (SEM) and applied the SmartPLS 3.2.6 data analysis tool for model estimation and multivariate analysis variables. A key finding is that vaccination resistance is strongest when fear of COVID-19 is lower, and vaccination threat higher. Vaccination threat appraisal and vaccination intention were found to have a negative relationship. Response costs at higher levels lessen motivation for COVID-19 vaccination. Research implications include research-based targeting of differing segments by their primary fear, either fear of COVID-19 or of the preventative vaccine.

本研究提出了一个原始模型,其特征是对COVID-19的恐惧情绪对疫苗接种意图的直接影响。该研究解决的一个核心研究问题是,对感染COVID-19的恐惧情绪和接种COVID-19疫苗所构成的威胁在疫苗接种意图水平中发挥了什么作用?本研究采用结构方程模型(SEM),采用SmartPLS 3.2.6数据分析工具进行模型估计和多变量分析。一项重要发现是,当对COVID-19的恐惧程度较低、疫苗接种威胁较高时,疫苗接种耐药性最强。接种威胁评价与接种意愿呈负相关。较高的应对成本降低了COVID-19疫苗接种的动机。研究影响包括根据不同人群的主要恐惧(对COVID-19的恐惧或对预防性疫苗的恐惧),以研究为基础,针对不同人群。
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引用次数: 0
The Conditional Influence of Poverty, Inequality, and Severity of Poverty on Economic Growth in Sub-Saharan Africa 贫困、不平等和贫困严重程度对撒哈拉以南非洲经济增长的条件影响
Q3 Social Sciences Pub Date : 2023-05-13 DOI: 10.1177/19367244231171821
S. Asongu, J. Eita
Poverty and inequality represent major policy syndromes that are relevant in the achievement of most United Nations’ Sustainable Development Goals (SDGs) in sub-Saharan Africa (SSA), while economic growth is also essential for the achievement of attendant SDGs. This study extends existing literature by assessing the conditional influence of poverty, income inequality, and severity of poverty on economic growth. The focus is on 42 countries in SSA with data from 1980 to 2019. The Gini index is used to measure income inequality. Poverty is measured in terms of the poverty headcount ratio, while the severity of poverty is computed as the squared of the poverty gap index. The empirical evidence is based on quantile regressions to assess how income inequality and poverty dynamics affect economic growth throughout the conditional distribution of economic growth. Our main finding shows that the negative response of economic growth to poverty is a decreasing function of economic growth. In other words, the incidence of poverty in reducing economic growth decreases with increasing levels of economic growth. In two specifications, the effect of inequality is negative in bottom quantiles and positive in top quantiles of the conditional distribution of economic growth. Policy implications are discussed, especially as it pertains to (1) the relevance of poverty in mitigating economic growth in SSA contingent on initial levels of economic growth and (2) comparative incidences of poverty and inequality in affecting economic growth.
贫困和不平等是与撒哈拉以南非洲实现大多数联合国可持续发展目标(sdg)相关的主要政策症状,而经济增长对于实现相关的可持续发展目标也至关重要。本研究通过评估贫困、收入不平等和贫困严重程度对经济增长的条件影响,扩展了现有文献。重点关注SSA的42个国家,提供1980年至2019年的数据。基尼系数是用来衡量收入不平等的。贫困是根据贫困人口比例来衡量的,而贫困的严重程度是通过贫困差距指数的平方来计算的。经验证据是基于分位数回归来评估收入不平等和贫困动态如何影响整个经济增长的条件分配。我们的主要发现表明,经济增长对贫困的负响应是经济增长的递减函数。换句话说,减少经济增长的贫困发生率随着经济增长水平的提高而降低。在两个指标中,不平等的影响在经济增长条件分布的底部分位数为负,在顶部分位数为正。本文讨论了政策影响,特别是涉及到:(1)贫困在减缓经济增长方面的相关性,这取决于经济增长的初始水平;(2)贫困和不平等的比较发生率在影响经济增长方面。
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引用次数: 4
Classification of Mental Health Court Participants: Implications for Completion and Recidivism 精神健康法庭参与者的分类:对完成和再犯的影响
Q3 Social Sciences Pub Date : 2023-05-10 DOI: 10.1177/19367244231172144
Jeremiah W. Jaggers, Kort C. Prince, J. Castillo, Allyn Walker
The aims of this study were to (a) classify the types of individuals who might be most appropriately served by a mental health court (MHC) and (2) describe the association between class membership on recidivism and MHC completion. Criminal and treatment history data for 350 MHC participants were used. Class memberships were derived using hidden Markov models. Mediation analysis was then used determine the relationship between class, successful MHC completion, and recidivism. Modeling identified a three-class solution and a subsequent path analysis found that those classes associated with lower criminal justice system involvement were more likely to finish MHC successfully and were less likely to recidivate. This study supports research showing patterns of criminal behavior and health/mental health service use is associated with MHC completion and recidivism. The classification of individuals presented here may help court professionals determine to whom MHC should be offered.
本研究的目的是:(a)对可能最适合由心理健康法庭(MHC)服务的个人类型进行分类;(2)描述累犯班级成员与MHC完成之间的关系。使用了350名MHC参与者的犯罪和治疗史数据。类成员使用隐马尔可夫模型派生。然后使用中介分析确定阶级、MHC成功完成和再犯之间的关系。建模确定了一个三级解决方案,随后的路径分析发现,那些与刑事司法系统参与度较低相关的班级更有可能成功完成MHC,并且不太可能再犯。这项研究支持了一项研究,即犯罪行为模式和健康/心理健康服务的使用与MHC完成和再犯有关。这里介绍的个人分类可以帮助法院专业人员确定应该向谁提供MHC。
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引用次数: 0
Building Bridges and Mending Fences: Cultural Conflict and Cultural Brokering between Academic and Immigrant Communities 搭建桥梁与修补藩篱:学术与移民社群之间的文化冲突与文化中介
Q3 Social Sciences Pub Date : 2023-05-08 DOI: 10.1177/19367244231171530
M. Vanlandingham, T. Nguyễn, Cam-Thanh Tran, NhuNgoc K. Pham, B. Buì, Philip Anglewicz
Our objective is to illustrate how to create and maintain a healthy flow of carefully curated communication between a research team and a community of interest using the principles of cultural brokering. We begin with a brief critical review of the existing literature on cultural brokering between immigrant and academic communities. We follow this review with a case study of cultural brokering between a research team at Tulane University and the Vietnamese American immigrant community in New Orleans. We draw upon specific examples from an ongoing collaboration to illustrate types of cultural conflict that are common to academic and community collaborations, and we discuss how different types and features of cultural brokering have helped to resolve these conflicts and keep the project(s) moving forward. We summarize a set of traits, potential roles/contributions, and training and operating strategies for a cultural broker.
我们的目标是说明如何使用文化中介的原则在研究团队和感兴趣的社区之间创建和维护一个健康的精心策划的沟通流。我们首先对移民和学术界之间文化中介的现有文献进行简要的批判性回顾。我们以杜兰大学的一个研究小组与新奥尔良的越南裔美国移民社区之间的文化中介为例进行了回顾。我们从正在进行的合作中借鉴具体的例子来说明学术和社区合作中常见的文化冲突类型,并讨论文化中介的不同类型和特征如何帮助解决这些冲突并保持项目向前发展。我们总结了文化经纪人的一系列特征、潜在角色/贡献以及培训和运营策略。
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引用次数: 0
Financial Literacy Confidence and Gambling Intensity among Informal Labor 非正式劳动力的金融素养、信心与赌博强度
Q3 Social Sciences Pub Date : 2023-04-29 DOI: 10.1177/19367244231162296
Dalina Amonhaemanon
This paper aimed to investigate whether financial literacy (knowledge and confidence) affects the level of gambling intensity among informal laborers in southern Thailand. Multistage sampling was applied, and a semi-structured questionnaire was used to interview the subjects face-to-face. There were in total 995 questionnaires used in the analysis that applied logistic regression. The results reveal that there was an inconsistency between what the subjects actually know and what they think they know. Their actual financial literacy was poor, while their financial literacy confidence was high. Females had higher financial literacy confidence than males. In addition, it was found that the higher the financial literacy confidence, the higher the gambling intensity. If the subject possessed good financial literacy, the gambling intensity was not increased. Thus, providing financial education could be one approach to reducing gambling intensity. Besides financial education, training with the purpose to achieve a healthy dose of financial literacy confidence is also no less crucial. JEL: G53; G59; G40
本文旨在调查金融素养(知识和信心)是否影响泰国南部非正式劳工的赌博强度水平。采用多阶段抽样,采用半结构化问卷进行面对面访谈。采用logistic回归分析共使用问卷995份。结果显示,实验对象实际知道的和他们自认为知道的并不一致。他们的实际金融素养较差,而他们的金融素养信心较高。女性对金融知识的信心高于男性。此外,研究发现,金融素养信心越高,赌博强度越高。如果受试者具有良好的金融知识,则赌博强度不会增加。因此,提供金融教育可能是减少赌博强度的一种方法。除了金融教育之外,为获得健康的金融知识和信心而进行的培训也同样至关重要。凝胶:G53;G59;G40
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引用次数: 0
Medication Assisted Recovery: A Social Ecological Approach to Understanding How Stigma Shapes Effective Use 药物辅助康复:一种社会生态学的方法来理解耻辱如何塑造有效的使用
Q3 Social Sciences Pub Date : 2023-04-11 DOI: 10.1177/19367244231159096
M. Fry, K. Shircliff, Marian S. Benham, Tess Duncan, K. Ladd, Misty Kannapel Gilbert, M. J. Rattermann, Melissa A. Cyders
Stigma is a well-documented barrier to effective individual and community response to mental illness and, in recent years, is a recognized impediment to prevention and treatment of substance use disorders (SUDs). This study uses focus group data to explore stigmatizing views of medication assisted recovery (MAR) among those in recovery and the people, organizations, and communities that surround them, with attention to implications for long-term recovery. Across groups, we find consistent themes that MAR simply trades one drug for another, MAR should be used only as a stepping-stone to full abstinence, and that long-term use of MAR indicates ineffectiveness or treatment failure. Data suggest the prevalence of these perceptions leads those in recovery and providers to see MAR as a last resort treatment, encourages individuals to discontinue MAR before they are ready, and as result increases risk of relapse and overdose.
污名是阻碍个人和社区有效应对精神疾病的一个有据可查的障碍,近年来,它也是预防和治疗物质使用障碍的公认障碍。本研究使用焦点小组数据来探讨在康复者和他们周围的人、组织和社区中对药物辅助康复(MAR)的污名化观点,并关注对长期康复的影响。在各个小组中,我们发现一致的主题是MAR只是用一种药物换另一种药物,MAR应该只作为完全戒断的踏脚石,长期使用MAR表明无效或治疗失败。数据表明,这些观念的流行导致康复者和提供者将MAR视为最后的治疗手段,鼓励个人在准备好之前停止MAR,结果增加了复发和过量用药的风险。
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引用次数: 0
Analyzing communication skills of Dentistry Post Graduate Residents with Geriatric Patients in Clinical Encounter by using Video Recordings 利用录像分析牙科研究生住院医师与老年病人临床接触时的沟通技巧
Q3 Social Sciences Pub Date : 2023-04-11 DOI: 10.1177/19367244231160719
Hina Zafar Raja, R. Kamran, Muhammad Farid, Mohammad Saleem, M. Mumtaz, Shazia Tufail, Junaid Sarfaraz Khan
Background: An effective communication between the doctor and patient is the foremost factor in establishing good interpersonal relationships. This comprises of both verbal and non-verbal communicators. Particularly in the geriatric population, communication can be hindered due to physiological and psychological deterioration. This study was designed to assess the communication skills of dentistry postgraduate residents (PGRs), with their geriatric patients and provide a baseline for the shortcomings and improvements. Methods: Four postgraduate residents of both genders were selected to take clinical interviews of geriatric patients. Audio-video recordings were made by an expert and reviewed by all researchers. The interviews were transcribed individually and thematic analysis was done. Open and axial coding was done for data organization under themes and subthemes. Results: Data transcription led to initial generation of 61 codes. These codes were categorized under nine codes through axial coding and grouping of similar codes. Persistent overlapping of content was found in data transcription, which may indicate data saturation. Conclusion: Workshop-trained postgraduate students of dentistry demonstrated relatively instrumental communication skills at their clinical encounter with geriatric patients. However, the professional demeanor demands further finesse in soft skills, which can be achieved through its regular practice.
背景:医患之间的有效沟通是建立良好人际关系的首要因素。这包括语言和非语言沟通者。特别是在老年人群中,由于生理和心理的恶化,交流可能受到阻碍。本研究旨在评估牙科研究生住院医师(pgr)与老年患者的沟通技巧,并为其不足和改进提供基线。方法:选取4名男女研究生住院医师对老年患者进行临床访谈。录音录像由一位专家制作,并由所有研究人员审阅。访谈被单独记录下来,并进行了专题分析。在主题和子主题下对数据进行开放式和轴向编码。结果:数据转录产生61个编码。通过轴向编码和相似码的分组,将这些码分为9个码。在数据转录中发现了持续的内容重叠,这可能表明数据饱和。结论:工作坊训练的牙科研究生在临床遇到老年患者时表现出相对有用的沟通技巧。然而,专业的风度需要在软技能上有进一步的技巧,这可以通过经常的练习来实现。
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引用次数: 0
Insights into Leadership among Female Clergy in the Evangelical Lutheran Church in America 美国福音派路德教会女性神职人员的领导力洞察
Q3 Social Sciences Pub Date : 2023-03-31 DOI: 10.1177/19367244231154895
D. Phelps
Christian congregations strive to be caring and inspirational communities, but women who lead them often face challenges to their well-being not experienced by their male counterparts. We conducted a study of leadership challenges among female pastors, administering a survey to a sample of 102 Evangelical Lutheran Church in America (ELCA) pastors. The results suggest that pastors are not isolated from the types of gender discrimination females experience outside of the church. The insights gained can be useful to church leaders, clergy, seminarians, congregants, and those generally interested in gender dynamics and effective leadership strategies.
基督教会众努力成为关怀和鼓舞人心的社区,但领导他们的女性往往面临着男性同行所没有经历过的健康挑战。我们对女性牧师的领导力挑战进行了一项研究,对102名美国福音路德教会(ELCA)牧师进行了抽样调查。研究结果表明,在教会之外,女性所经历的各种性别歧视并不是牧师所孤立的。从中获得的见解对教会领袖、神职人员、神学院学生、教友以及那些对性别动态和有效领导策略感兴趣的人都很有用。
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引用次数: 0
Caregiver Faculty: Working through a Pandemic. 护理教师:应对大流行。
Q3 Social Sciences Pub Date : 2023-03-01 DOI: 10.1177/19367244221142757
Debra Marshall, Sara Hoskin

Myriad research examines benefits and drawbacks of working from home, both pre- and post-pandemic. Our research looks at how work from home mandates due to the COVID-19 pandemic were implemented, primarily by those who also had caregiver roles to fulfill. We used a convenience sample, drawing from full-time college faculty at a mid-sized state college in Florida, gathering information from caregivers and non-caregivers for comparative purposes. As we analyzed our data, we considered two additional concepts: Elmore's backward mapping, which asks us to consider how employer mandates are implemented and will assist us in making policy recommendations, and Smith's Standpoint, which allowed us to consider our own different gendered experiences as we analyzed survey responses. Our findings reveal that there are some employees well suited to working from home, while others are less enthusiastic about this initiative, and that a significant factor is household caregiving responsibilities, often considered to be the domain of women. Our insights shed light on differences in caregiver-employee statuses; we hope to help guide effective institutional policy should there be a need for workplaces to shut down again and to encourage administrators to consider faculty who may be a good work from home fit should it be considered for everyday work. Understanding where the strengths and weaknesses were/are for workers who work from home will benefit employers.

无数的研究调查了在大流行之前和之后在家工作的利弊。我们的研究着眼于2019冠状病毒病大流行导致的在家工作任务是如何实施的,主要是那些也有照顾者角色需要履行的人。我们使用了一个方便的样本,从佛罗里达州一所中等规模的州立大学的全日制大学教师中抽取,从护理人员和非护理人员中收集信息以进行比较。在分析我们的数据时,我们考虑了另外两个概念:埃尔莫尔的反向映射,它要求我们考虑雇主的命令是如何实施的,这将有助于我们制定政策建议;史密斯的立场,它允许我们在分析调查回应时考虑我们自己不同的性别经验。我们的研究结果显示,有些员工非常适合在家工作,而另一些人则对这一举措不太感兴趣,其中一个重要因素是照顾家庭的责任,这通常被认为是女性的领域。我们的见解揭示了照顾者-雇员状态的差异;如果有必要再次关闭工作场所,我们希望能帮助指导有效的制度政策,并鼓励管理人员考虑那些可能适合在家工作的教员,如果考虑日常工作的话。了解在家工作的员工的优点和缺点将使雇主受益。
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引用次数: 0
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Journal of Applied Social Science
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