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Perspectives of South Asian Youth in the United States about Gender Norms and Healthcare Decision Making 美国南亚青年对性别规范和医疗决策的看法
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-07-19 DOI: 10.1093/swr/svae016
Nidhi Khosla, Shreya Bhandari
The aim of this study was to explore the voices of South Asian youth in the United States about gender norms and healthcare decision making. Ten focus group discussions were held with 36 students of South Asian origin at a university on the West Coast of the United States. Thematic analysis was performed on the focus group data. Three main themes emerged from the data: (1) intersectionality of gender with other factors that affect healthcare decision making, (2) impact of gender on health, and (3) coping strategies. Participants reported preferential treatment for boys versus girls, vesting decision-making control among males, worse health among females, and coping strategies. A few responses indicated that power differentials in some families were shifting to a more egalitarian balance between males and females. Aspects such as age, employment, and language barriers intersected with gender to create a complex web of influence on healthcare decision making. The study has implications for social workers to offer culturally responsive support to South Asian youth in the United States, paying attention to the intersectionalities when working with them. Further research is needed to explore the influence of gender on healthcare decision-making processes of South Asian youth in the United States.
本研究旨在探讨美国南亚青年对性别规范和医疗决策的看法。研究人员与美国西海岸一所大学的 36 名南亚裔学生进行了 10 次焦点小组讨论。对焦点小组数据进行了主题分析。数据中出现了三大主题:(1)性别与影响医疗决策的其他因素的交叉性,(2)性别对健康的影响,以及(3)应对策略。参与者报告了男孩对女孩的优待、男性拥有决策控制权、女性健康状况较差以及应对策略。一些答复表明,一些家庭中的权力差异正在转向男女之间更加平等的平衡。年龄、就业和语言障碍等因素与性别交织在一起,对医疗决策产生了复杂的影响。这项研究对社会工作者为美国南亚青年提供文化响应支持具有重要意义,他们在与南亚青年合作时应注意交叉性。还需要进一步研究探讨性别对美国南亚青年医疗决策过程的影响。
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引用次数: 0
“The Air Is Being Sucked Out of the Room”: Experiences of Social Work Students of Color with Antiracism Education in the Classroom and Practicum "房间里的空气都被吸走了":有色人种社会工作专业学生在课堂和实习中接受反种族主义教育的经历
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-05-04 DOI: 10.1093/swr/svae009
Justin E Lerner, Angie Kim
This study explores the experiences of social work students of color (SOC) and their antiracism education within a school of social work at a public university. Twenty-one SOC participated in focus groups where they described their experiences with antiracism education. Several key themes were identified: (a) finding community through affinity groups, (b) SOC interactions with White students, (c) differentiating internalized racism and anti-Black racism, (d) the impact of White instructors and the lack of mentors and supervisors of color, (e) microaggressions and incidents of racism, and (f) taking up space. As this is an exploratory study, authors make recommendations for social work schools to pilot in the future. These recommendations include assessing White students’ skill level with antiracism education and practice before placing them in classes with SOC, assessing faculty’s skill set with antiracist teaching and providing ongoing support, creating sustained affinity spaces for SOC as a way to booster wellness, designing and piloting antiracist outcomes for social work students, and developing simulation-based learning with simulated patients as a tool to measure antiracist practice competencies.
本研究探讨了一所公立大学社会工作学院中有色人种社会工作专业学生(SOC)的经历及其反种族主义教育。21 名有色人种社工学生参加了焦点小组,并在小组中描述了他们在反种族主义教育方面的经历。会议确定了几个关键主题:(a) 通过亲和团体找到社区,(b) SOC 与白人学生的互动,(c) 区分内化的种族主义和反黑人种族主义,(d) 白人导师的影响以及缺乏有色人种导师和督导,(e) 微攻击和种族主义事件,以及 (f) 占据空间。由于这是一项探索性研究,作者为社会工作学校今后的试点工作提出了建议。这些建议包括:在将白人学生安排到与社会工作学生一起上课之前,评估他们在反种族主义教育和实践方面的技能水平;评估教师在反种族主义教学方面的技能组合,并提供持续支持;为社会工作学生创建持续的亲和空间,作为促进健康的一种方式;为社会工作学生设计和试行反种族主义成果;开发基于模拟病人的模拟学习,作为衡量反种族主义实践能力的一种工具。
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引用次数: 0
LGBTQ+ People’s Perceptions of Interactions with Outgroup Members: Implications for Social Work Education and Practice LGBTQ+ 人士对与外群体成员互动的看法:对社会工作教育和实践的影响
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-05-04 DOI: 10.1093/swr/svae008
Morgan E Braganza, David R Hodge
Engaging respectfully with individuals who identify as lesbian, gay, bisexual, transgender, queer, genderqueer, or gender-nonconforming (LGBTQ+) is an ethical imperative. To help social workers fulfill this obligation, this study explored the lived experiences of LGBTQ+ people regarding their interactions with people outside the LGBTQ+ community, and what LGBTQ+ people desire for future interactions. Narrative interviews were conducted with 11 LGBTQ+ social work graduate students and alumni to explore (a) their self-reported experiences engaging in one-on-one and small group interactions with outgroup members throughout their lives and (b) the meaning they gleaned from their life experiences across various domains (e.g., work, family, education) that might improve future interactions. Analysis produced six storylines that can be summarized as (1) unbalanced depictions of difference, (2) avoiding interactions, (3) managing positive treatment of an identity, (4) restricting certain perspectives, (5) focusing on differences, and (6) the importance of seeing humanity. The findings suggest several strategies for interacting with LGBTQ+ people in a more culturally sensitive way including discussing the LGBTQ+ community in a nuanced manner (as opposed to monolithically) and considering the level of attention paid to individuals’ sexual orientation and gender identity.
以尊重的态度与被认定为女同性恋、男同性恋、双性恋、变性人、同性恋者、变性人或性别不符合者(LGBTQ+)的人交往是一项道德义务。为了帮助社会工作者履行这一义务,本研究探讨了 LGBTQ+ 与 LGBTQ+ 社区以外的人交往时的生活经历,以及 LGBTQ+ 对未来交往的期望。研究人员对 11 名 LGBTQ+ 社会工作专业的研究生和校友进行了叙事性访谈,以探究:(a)他们自我报告的一生中与外部群体成员进行一对一和小组互动的经历;(b)他们从不同领域(如工作、家庭、教育)的生活经历中获得的可能改善未来互动的意义。分析得出了六个故事情节,可以概括为:(1)对差异的不平衡描述;(2)避免互动;(3)管理对某种身份的积极对待;(4)限制某些观点;(5)关注差异;以及(6)看到人性的重要性。研究结果提出了几种以更具文化敏感性的方式与 LGBTQ+ 互动的策略,包括以细微的方式(而不是单一的方式)讨论 LGBTQ+ 群体,以及考虑对个人性取向和性别认同的关注程度。
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引用次数: 0
Environmental Sensitivity Scale for Social Workers: A Scale Development Study 社会工作者环境敏感性量表:量表开发研究
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-04-10 DOI: 10.1093/swr/svae006
Umut Yanardağ, Murat Çay, Melek Zubaroğlu Yanardağ
The objective of this quantitative study was to develop a valid and reliable scale to examine the environmental sensitivity of social workers, the Environmental Sensitivity Scale. First, the researchers created an item pool by considering the information in the literature. Then, exploratory factor analysis (EFA), confirmatory factor analysis and reliability analyses were carried out. A total of 314 social workers practicing in the field in Türkiye (previosly referred to as Turkey) participated in the study. The EFA conducted for validity indicated an 11-item structure composed of two factors. The first factor provides information about environmental sensitivity in macro practices ; the second factor provides information about environmental sensitivity in micro and mezzo practices. The reliability analyses also revealed that the resulting structure was reliable. The Cronbach’s alpha reliability coefficients for the first factor, second factor, and total score were .830, .815, and .875, respectively. The developed scale can be utilized to figure out the attitudes of social workers about environmental sensitivity.
这项定量研究的目的是开发一个有效可靠的量表--环境敏感性量表,以考察社会工作者的环境敏感性。首先,研究人员根据文献信息建立了一个项目库。然后,进行了探索性因子分析(EFA)、确认性因子分析和信度分析。共有 314 名在土耳其(前称土耳其)从事该领域工作的社会工作者参与了研究。对有效性进行的 EFA 分析表明,该问卷由两个因子组成,共 11 个项目。第一个因子提供宏观实践中的环境敏感性信息;第二个因子提供微观和中观实践中的环境敏感性信息。信度分析也表明,所得出的结构是可靠的。第一因子、第二因子和总分的 Cronbach's alpha 信度系数分别为 0.830、0.815 和 0.875。所编制的量表可用于了解社会工作者对环境敏感性的态度。
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引用次数: 0
A Qualitative Exploration of Social Workers’ Job Preparedness in Law Enforcement Agencies 对执法机构中社会工作者工作准备情况的定性探索
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-04-09 DOI: 10.1093/swr/svae005
Dasha J Rhodes, Jam H Ost, Sharon Gandarilla-Javier
Police agencies are increasingly integrating social workers in response to more calls regarding mental health and social welfare needs. Limited research captures the experiences and needs of social workers in law enforcement agencies. This article explores social workers’ job preparedness through a qualitative phenomenological study. The study includes a semistructured interview with 40 participants from across the nation to identify factors for job preparedness, social workers’ experiences, and perceived areas for development. As a result, seven themes emerged: exposure, a lack of understanding, unpredictability, programmatic growth and support, systemic challenges, assessment needs, and workplace culture. Most participants revealed that they did not feel prepared for their role but shared instances of helpful experiences, insights, and needs of the profession. The participants highlighted the need for social workers to continue to educate themselves to better prepare for the populations they serve. Several implications are discussed to address and enhance the needs of the profession.
为了应对更多有关心理健康和社会福利需求的电话,警察机构越来越多地将社会工作者纳入其中。有关执法机构中社会工作者的经验和需求的研究十分有限。本文通过定性现象学研究探讨了社工的工作准备情况。研究包括对来自全国各地的 40 名参与者进行半结构化访谈,以确定工作准备的因素、社工的经验以及认为需要发展的领域。结果,出现了七个主题:接触、缺乏了解、不可预测性、项目发展和支持、系统性挑战、评估需求和工作场所文化。大多数参与者表示,他们没有为自己的角色做好准备,但也分享了一些有益的经验、见解和行业需求。与会者强调,社会工作者需要继续进行自我教育,以便更好地为他们所服务的人群做好准备。我们还讨论了解决和提高该行业需求的若干影响。
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引用次数: 0
Caregiving and Obesity among Black American Adults 美国黑人成年人的护理和肥胖问题
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-02-17 DOI: 10.1093/swr/svae002
Katrina R Ellis, Dolapo Raji, Jacquelyn S Pennings, Roland J Thorpe, Marino A Bruce
Black American adults often report higher rates of obesity and caregiving compared with other racial or ethnic groups. Consequently, many Black American caregivers and care recipients are obese or have obesity-related chronic conditions (e.g., diabetes, hypertension). This study investigated associations between caregiving and obesity among Black Americans, including the role of health behaviors and chronic conditions. The sample included data from 2015 and 2017 Behavioral Risk Factor Surveillance System for non-Hispanic Black (NHB) or African American adult caregivers (n = 2,562) and noncaregivers (n = 7,027). The association between obesity (dependent variable) and caregiving status, fruit consumption, vegetable consumption, physical activity, and number of chronic conditions (independent variables) were evaluated using hierarchical binomial logistic regressions. Caregiving, being female, and chronic conditions were associated with higher odds of obesity, while physical activity was associated with lower odds of obesity. Physical activity, diet, and chronic conditions did not account for differences in obesity among caregiving and noncaregiving Black Americans. Increasing understanding of health behaviors and chronic disease burden of NHB caregivers has implications for programs aiming to improve obesity-related outcomes for caregivers and recipients. Future research should investigate multilevel factors that contribute to observed differences.
与其他种族或族裔群体相比,美国黑人成年人报告的肥胖率和护理率往往更高。因此,许多美国黑人护理者和受护理者肥胖或患有与肥胖相关的慢性疾病(如糖尿病、高血压)。本研究调查了美国黑人中护理与肥胖之间的关联,包括健康行为和慢性病的作用。样本包括非西班牙裔黑人(NHB)或非裔美国人成年照顾者(n = 2,562)和非照顾者(n = 7,027)的 2015 年和 2017 年行为风险因素监测系统数据。通过分层二项式逻辑回归评估了肥胖(因变量)与护理状况、水果食用量、蔬菜食用量、体力活动和慢性病数量(自变量)之间的关系。护理、女性和慢性病与较高的肥胖几率相关,而体育锻炼与较低的肥胖几率相关。体育锻炼、饮食和慢性病并不能解释美国黑人在照顾者和非照顾者之间肥胖的差异。加深对非裔美国人护理者的健康行为和慢性病负担的了解,对旨在改善护理者和受助者肥胖相关结果的计划具有重要意义。未来的研究应调查导致观察到的差异的多层次因素。
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引用次数: 0
Path Analysis of Factors Related to Burnout for Campus-Based Victim Advocates 校园受害者权益维护者职业倦怠相关因素的路径分析
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-01-24 DOI: 10.1093/swr/svad024
Sarah Nightingale
Campus-based victim advocates provide support and assistance to victims of interpersonal violence in the college context. In this study of professional campus-based victim advocates, structural equation modeling (SEM) was used to assess the direct and indirect effects of factors related to burnout. A total of 208 full-time victim advocates employed at four-year college campuses across the United States participated in an online survey in the summer of 2021. SEM analysis found that secondary traumatic stress and organizational support had significant direct effects on the level of burnout in this population. Also, organizational support served as a mediating factor between perceptions of leadership and burnout, and secondary traumatic stress served as a mediating factor between organizational support and burnout. Higher education institutions can make changes at the organizational level to address burnout of victim advocates through manageable work hours, control over workload, fair compensation, and increased sense of community investment in interpersonal violence response.
校园受害者权益维护者为高校人际暴力受害者提供支持和援助。在这项针对专业校园受害者权益维护者的研究中,我们使用了结构方程模型(SEM)来评估与职业倦怠相关因素的直接和间接影响。共有 208 名受雇于美国四年制大学校园的全职受害者权益维护者参与了 2021 年夏季的在线调查。SEM 分析发现,二次创伤压力和组织支持对该人群的倦怠程度有显著的直接影响。此外,组织支持是领导力认知与职业倦怠之间的中介因素,而二次创伤压力则是组织支持与职业倦怠之间的中介因素。高等教育机构可以在组织层面做出改变,通过可管理的工作时间、对工作量的控制、公平的报酬以及增强社区对人际暴力应对措施的投资意识来解决受害者权益维护者的职业倦怠问题。
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引用次数: 0
Measuring Afrocentrism: A Review of Existing Instruments 衡量非洲中心主义:现有工具评述
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-01-23 DOI: 10.1093/swr/svad023
Husain Lateef, Adrian Gale, Meredith Parker, Melody Konadu Frempong
Measurement of Afrocentrism and investigation of Afrocentricity’s significance in the lives of Black Americans has gained momentum, given the current evidence suggesting that cultural factors matter in the lives of diverse populations. In particular, factors associated with African philosophical constructs may have significant relationships with improved mental health and overall well-being among African and African diaspora populations. However, the prior conceptual literature suggests that Afrocentrism is a heterogenous concept with a multitude of domains associated with its measurement. The present study was envisioned given the relative absence of studies evaluating the availability and psychometric properties of Afrocentric measures within social work. Utilizing systematic analysis methodology and PRISMA guidelines, a search for Afrocentric measures was undertaken using four key databases. Spanning the literature between 1980 and 2021, this review identified a total of seven instruments that fully met the study’s inclusion-specific criteria. In accordance with the call for continued research and practice emphasizing resilience and protective factors within the lives of Black populations, the present study provides accessible knowledge to researchers and practitioners on the currently available instruments to evaluate Afrocentrism in the lives of populations of African descent.
鉴于目前有证据表明文化因素对不同人群的生活至关重要,对非洲中心主义的测量和对非洲中心主义在美国黑人生活中的意义的调查已经获得了动力。特别是,与非洲哲学建构相关的因素可能与改善非洲人和非洲散居人口的心理健康和整体福祉有着重要的关系。然而,先前的概念性文献表明,非洲中心主义是一个异质概念,与其测量相关的领域众多。由于相对缺乏对社会工作中非洲中心主义测量方法的可用性和心理测量特性进行评估的研究,本研究应运而生。利用系统分析方法和 PRISMA 准则,我们在四个主要数据库中搜索了以非洲为中心的测量方法。在 1980 年至 2021 年期间的文献中,该研究共发现了七种完全符合研究特定纳入标准的工具。为了响应持续研究和实践的号召,强调黑人生活中的复原力和保护因素,本研究为研究人员和从业人员提供了关于目前可用的评估非洲裔生活中的非洲中心主义的工具的知识。
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引用次数: 0
The Value of Social Work to Health, Health Systems, and Interprofessional Teams: A Scoping Review 社会工作对健康、健康系统和跨专业团队的价值:范围审查
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2024-01-23 DOI: 10.1093/swr/svad022
Abigail M Ross, Julia Jashinski, Molly Zatony Lombardo, Jazmyne Keane, Geoffrey Wilkenson
Social workers are an integral part of the U.S. healthcare system, yet specific contributions of social work to health and cost-containment outcomes is sparse. This scoping review describes and evaluates the state of the evidence on how social work interventions impact health and economic outcomes since the passage of the Patient Protection and Affordable Care Act. Three databases (PubMed, PsycINFO, and CINAHL) were searched using the convention [“social work” OR “social services”] AND “health” AND [“cost” OR “utilization” OR “readmission”] for studies published between 2010 and 2022. Unique records were evaluated on inclusion criteria (U.S.-based, reported social work, and cost or health outcomes) using a five-phase scoping review process. Methodological quality was assessed using two validated metrics. Of 1,655 unique records retrieved, 40 (2.4%) met inclusion criteria. Full-text review yielded 15 studies. Most (75%) studies described transitional care interventions for older patients and high utilizers of health services, with the majority (75%) led by social workers. While health and cost outcomes were generally positive, overall methodological quality of the sample was low. Social work intervention can improve health and cost outcomes. More robust economic analyses that inform policy, practice, and health service delivery are needed.
社会工作者是美国医疗保健系统不可或缺的一部分,但社会工作对健康和成本控制结果的具体贡献却很少。本范围综述描述并评估了自《患者保护与平价医疗法案》通过以来,社会工作干预如何影响健康和经济成果的证据状况。我们使用["社会工作 "或 "社会服务"]和["健康 "和["成本 "或 "利用 "或 "再入院"]]的约定检索了三个数据库(PubMed、PsycINFO 和 CINAHL)中 2010 年至 2022 年间发表的研究。根据纳入标准(基于美国、报告社会工作、成本或健康结果),采用五阶段范围审查流程对唯一记录进行评估。方法学质量采用两个经过验证的指标进行评估。在检索到的 1655 条唯一记录中,有 40 条(2.4%)符合纳入标准。全文审阅得出 15 项研究。大多数研究(75%)描述了针对老年患者和医疗服务高使用率者的过渡性护理干预措施,其中大多数(75%)由社工领导。虽然健康和成本方面的结果普遍是积极的,但样本的总体方法质量较低。社工干预可以改善健康和成本结果。需要进行更有力的经济分析,为政策、实践和医疗服务的提供提供依据。
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引用次数: 0
Social Work Research 社会工作研究
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2023-11-17 DOI: 10.1093/swr/svad021
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引用次数: 0
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