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Relationships between Physical Health and Employment among People with Serious Mental Illness 严重精神疾病患者身体健康与就业的关系
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-04-14 DOI: 10.1093/SWR/SVAA025
Elizabeth A O’Neill
Individuals with serious mental illness (SMI) have high rates of chronic physical health conditions and unemployment. Research suggests that a person’s health is related to their employment. Although available research indicates that mental health is related to employment for adults with SMI, there is a need for further inquiry regarding physical health. This study used data from three waves of the Medical Expenditures Panel Survey to examine multivariate relationships between physical health conditions, health-related quality of life (HRQOL), and employment among a sample of individuals with SMI (N = 648). Findings suggested that people with SMI and physical health conditions had lower HRQOL, compared with those with SMI only, and that physical and mental HRQOL mediated relationships between physical health conditions and employment. It is important to note that physical HRQOL had a stronger relationship with employment than mental HRQOL. These findings have important implications for integrated health care practice and research and policies aimed at expanding or restricting access to health care.
患有严重精神疾病(SMI)的人有很高的慢性身体健康状况和失业率。研究表明,一个人的健康与他们的就业有关。虽然现有的研究表明,精神健康与重度精神障碍成人的就业有关,但需要进一步调查身体健康。本研究使用来自医疗支出小组调查的三波数据来检验重度精神障碍患者(N = 648)的身体健康状况、健康相关生活质量(HRQOL)和就业之间的多变量关系。研究结果表明,重度精神障碍和身体健康状况的人的HRQOL比单纯重度精神障碍的人低,并且身体和精神HRQOL介导了身体健康状况与就业之间的关系。值得注意的是,身体HRQOL与就业的关系比精神HRQOL更强。这些发现对旨在扩大或限制获得卫生保健的综合卫生保健实践和研究以及政策具有重要意义。
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引用次数: 1
A Randomized Controlled Trial of Yoga with Incarcerated Females: Impacts on Emotion Regulation, Body Dissociation, and Warnings of Substance Relapse 一项监禁女性瑜伽的随机对照试验:对情绪调节、身体分离和物质复发警告的影响
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-03-26 DOI: 10.1093/SWR/SVAA023
Samantha Willy-Gravley, J. Beauchemin, P. Pirie, Alexandra Gomes, E. Klein
Mental health and substance abuse challenges are widespread among incarcerated populations, often coupled with complicated histories of abuse, trauma, and other psychological problems. Traditional treatments have largely consisted of psychological or pharmaceutical interventions. However, the implementation, effectiveness, and financial burden of traditional interventions have led to exploration into alternative approaches. The purpose of this study was to evaluate the effectiveness of a six-week yoga intervention on body dissociation, emotion regulation, and signs of substance relapse among incarcerated females. Participants were assigned to an intervention group, therapeutic community, or general population control group. This study conceptualized body awareness and emotional regulation as mechanisms of change and hypothesized that improvements in these constructs would ultimately lead to improved signs of substance use relapse scores as compared with the wait-listed control and comparison groups. An analysis of covariance revealed significant differences in warnings of relapse (p < .01), emotion regulation (p < .01), and body dissociation (p < .05). Paired samples t tests revealed significant change from pre- to posttest for the intervention group across all outcome variables. Findings suggest that yoga may be an effective integrative treatment for mental health and substance use challenges among incarcerated females.
精神健康和药物滥用问题在被监禁人群中普遍存在,往往伴随着复杂的滥用史、创伤和其他心理问题。传统的治疗方法主要包括心理或药物干预。然而,传统干预措施的实施、有效性和财政负担促使人们探索替代方法。本研究的目的是评估为期六周的瑜伽干预对在押女性身体分离、情绪调节和物质复发迹象的有效性。参与者被分配到干预组、治疗社区或一般人群对照组。本研究将身体意识和情绪调节概念化为改变的机制,并假设这些结构的改善最终会导致物质使用复发评分的改善,与等待列表的对照组和对照组相比。协方差分析显示,复发预警(p < 0.01)、情绪调节(p < 0.01)和身体分离(p < 0.05)方面存在显著差异。配对样本t检验显示干预组在所有结果变量上的前后检验有显著变化。研究结果表明,瑜伽可能是一种有效的综合治疗方法,可以治疗被监禁女性的心理健康和物质使用问题。
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引用次数: 2
Situated Causality: What Ethnography Can Contribute to Causal Inquiry in Social Work 情境因果关系:民族志对社会工作因果调查的贡献
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-03-25 DOI: 10.1093/SWR/SVAA027
J. Mathias, John Doering-White, Yvonne S. Smith, Melissa Hardesty
This article considers how ethnography can contribute to developing causal theories relevant to social work practice. Social work researchers typically reserve causal inferences for studies that rely on certain quantitative study designs, and ethnography tends to be seen as insufficient for making causal claims. Integrating data from three ethnographies of social work practice, this article posits that ethnography is particularly well equipped to (a) identify causal processes that do not fit existing academic theories, (b) document causal theories implicit in social action, and (c) examine how competing causal theories are contested. Such contributions can enrich causal inquiry that has traditionally prioritized prediction (what is the likelihood of this happening?) over explanation (how does this work?). This is consistent with recent calls for attention to causal mechanisms in implementation science and other fields. Ethnography can expand the causal vocabulary of social work research, bringing depth and nuance to causal theories while also making these theories more amenable to uptake by practitioners.
本文考虑民族志如何有助于发展与社会工作实践相关的因果理论。社会工作研究人员通常将因果推论保留在依赖于某些定量研究设计的研究中,而民族志往往被认为不足以做出因果主张。本文综合了来自三种社会工作实践的民族志的数据,认为民族志特别适合(a)识别不符合现有学术理论的因果过程,(b)记录隐含在社会行动中的因果理论,以及(c)研究相互竞争的因果理论是如何被争议的。这些贡献可以丰富传统上优先考虑预测(这种情况发生的可能性有多大?)而不是解释(这是如何工作的?)的因果调查。这与最近呼吁注意执行科学和其他领域的因果机制是一致的。民族志可以扩展社会工作研究的因果词汇,为因果理论带来深度和细微差别,同时也使这些理论更容易被实践者所接受。
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引用次数: 3
Mental Health Consequences and Service Use of Older Adults at Risk of Financial Exploitation 面临经济剥削风险的老年人的心理健康后果和服务使用
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-02-23 DOI: 10.1093/swr/svaa018
A. Lavery, L. Hasche, Anne P. Deprince, Kerry Gagnon, Tejaswinhi Srinivas, E. Boyce
This study examines whether the experience of financial exploitation is associated with increased likelihood of mental health consequences and subsequent use of mental health services. Interviews were conducted with 99 participants, age 60 and older, at risk for elder abuse. The authors and research team administered standardized measures of elder mistreatment, depression, trauma, social support, and service use. Older adults who experienced financial exploitation reported worse trauma symptoms and depression than those who did not experience financial exploitation. Those with increased functional impairment were least likely to rely on mental health services. The findings highlight the importance of interventions to address and enhance response to depression, trauma, and social support in older adults who are victims of financial exploitation.
这项研究调查了经济剥削的经历是否与心理健康后果的可能性增加和随后使用心理健康服务有关。对99名年龄在60岁及以上、面临虐待老人风险的参与者进行了访谈。作者和研究小组对老年人虐待、抑郁、创伤、社会支持和服务使用进行了标准化的测量。经历过经济剥削的老年人报告的创伤症状和抑郁症比没有经历过经济剥削的老年人更严重。那些功能障碍加重的人最不可能依赖心理健康服务。研究结果强调了干预措施的重要性,以解决和加强对经济剥削受害者老年人的抑郁、创伤和社会支持的反应。
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引用次数: 4
Guidelines for Using Child Welfare Administrative Data from a Measurement Perspective 从测量角度使用儿童福利行政数据指南
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-02-23 DOI: 10.1093/swr/svaa008
Daniel Ji, S. Marshall
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引用次数: 0
Participant Recruitment in Social Work: A Social Media Approach 社会工作参与者招募:一种社会媒体方法
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-02-23 DOI: 10.1093/SWR/SVAA017
Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
With the widespread adoption of social media, researchers are finding new ways to conduct research involving human subjects. Health-related fields have begun to use social media for participant recruitment. However, the social work profession has been slow to adopt the use of social media recruitment techniques. This article describes experiences of a team of social work researchers who used social media to recruit participants for a national survey of social workers using four social media platforms to recruit participants: Facebook, LinkedIn, Twitter, and Reddit. After three weeks of recruitment, 1,757 participants from all 50 states and the District of Columbia had completed the survey. Facebook and LinkedIn were the most effective social media platforms for recruitment. Authors discuss these results in light of their limitations to provide implications for future research using social media within the fields of social work and related health professions.
随着社交媒体的广泛采用,研究人员正在寻找新的方法来进行涉及人类受试者的研究。与健康相关的领域已经开始使用社交媒体招募参与者。然而,社会工作行业在采用社交媒体招聘技术方面进展缓慢。这篇文章描述了一个社会工作研究团队的经验,他们使用社交媒体招募参与者,参与一项全国性的社会工作者调查,使用四个社交媒体平台招募参与者:Facebook、LinkedIn、Twitter和Reddit。经过三周的招募,来自全美50个州和哥伦比亚特区的1757名参与者完成了调查。Facebook和LinkedIn是最有效的招聘社交媒体平台。作者讨论了这些结果的局限性,为未来在社会工作和相关卫生专业领域使用社交媒体的研究提供了启示。
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引用次数: 4
Effects of Violence on Trauma among Immigrant Women from Central America 暴力对中美洲移民妇女创伤的影响
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-02-23 DOI: 10.1093/swr/svaa019
Arlette Vila, E. Pomeroy
The purpose of the study was to explore the effects of violence on trauma among forced-immigrant women from the northern triangle of Central America (NTCA) resulting from direct and indirect violence in their country of origin and during the migratory journey through Mexico. In trauma theory the concept of compounding stressors is an important framework for understanding aspects of human development, especially among low-socioeconomic-status and oppressed populations. Authors hypothesized that violence would have an impact on trauma and conducted interviews with 108 women ages 18 to 65 from the NTCA who traveled by land across Mexico before entering the United States. A survey instrument captured demographic information and types of violence experienced in the home country and during the migratory journey. A standardized screening tool was used to measure trauma symptoms. A hierarchical regression model for trauma was entered in the following order: (a) demographics and (b) violence. Violence was found to be a significant predictor for trauma. Findings suggest that having experienced violence in the country of origin and through the migratory journey had a powerful role in predicting trauma symptoms among immigrant women from the NTCA.
这项研究的目的是探讨暴力对来自中美洲北部三角地区(NTCA)的被迫移民妇女的创伤的影响,这些妇女是在其原籍国和通过墨西哥的移民旅程中受到直接和间接暴力造成的。在创伤理论中,复合应激源的概念是理解人类发展的一个重要框架,特别是在低社会经济地位和受压迫人群中。作者假设暴力会对创伤产生影响,并采访了108名来自NTCA的18至65岁的妇女,她们在进入美国之前通过陆路穿越墨西哥。一项调查工具收集了人口资料和在原籍国和移徙途中所经历的暴力类型。采用标准化筛选工具测量创伤症状。创伤的层次回归模型按以下顺序输入:(A)人口统计和(b)暴力。暴力被发现是创伤的重要预测因素。研究结果表明,在原籍国经历暴力和在迁徙过程中经历暴力,在预测来自NTCA的移民妇女的创伤症状方面发挥了重要作用。
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引用次数: 1
Congregations Serving Homeless Populations: Examining Predictive Factors and Policy Implications 为无家可归者服务的会众:检查预测因素和政策影响
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-02-23 DOI: 10.1093/SWR/SVAA016
Catherine Fisher, L. Ortiz, Qais Alemi, N. Malika
In this study, authors analyzed data from the 2012 National Congregations Study (NCS) to explore what factors are predictive of a congregation’s engagement in programs serving people experiencing homelessness. Using a cross-sectional sample of 1,328 congregations derived from the third wave of the NCS, authors applied multivariate logistic regression to identify congregational characteristics associated with programming for homeless adults. Approximately one-fourth of all congregations in our sample reported some type of homeless programming. The authors’ final model indicates that 10 variables predict greater likelihood of congregations having programs serving the homeless, which include factors such as larger annual spending and lower percentage low-income congregants; recent formation of a nonprofit entity; collaboration with another organization; certain religious traditions; and the presence of other sponsored programs such as (a) services targeting a specific gender, (b) services helping sexual assault and domestic violence victims, and (c) services for older adults. Given the ongoing U.S. homelessness crisis, this study may help housing authorities and local continuums of care identify congregations for potential partnership to help achieve the Housing First policy priorities and meet specific homeless subpopulation needs.
在这项研究中,作者分析了2012年全国会众研究(NCS)的数据,以探索哪些因素可以预测会众参与为无家可归者服务的项目。利用来自第三次全国人口普查浪潮的1328个会众的横断面样本,作者应用多元逻辑回归来确定与无家可归成年人规划相关的会众特征。在我们的样本中,大约四分之一的会众报告了某种类型的无家可归者计划。作者的最终模型表明,10个变量预测教会更有可能为无家可归者提供服务,其中包括年度支出较大和低收入会众比例较低等因素;最近成立的非营利实体;与其他组织的合作;某些宗教传统;以及其他赞助项目的存在,例如(a)针对特定性别的服务,(b)帮助性侵犯和家庭暴力受害者的服务,以及(c)为老年人提供的服务。鉴于美国目前的无家可归危机,这项研究可能有助于住房当局和当地的连续护理机构确定潜在的合作伙伴关系,以帮助实现住房优先政策的优先事项,并满足特定的无家可归亚人口需求。
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引用次数: 1
Looking Back, Looking Ahead: 2020 and What Comes Next 回顾,展望:2020年和接下来会发生什么
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-02-23 DOI: 10.1093/swr/svaa020
C. Bright
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引用次数: 0
Calling Social Work to the Movement for Educational Justice 呼吁社会工作加入教育正义运动
IF 1.7 3区 社会学 Q3 SOCIAL WORK Pub Date : 2021-02-23 DOI: 10.1093/swr/svaa014
Anna L. Ball
The persistent and systemic inequities within the U.S. public education system have grave implications for children’s and youth’s outcomes, yet these inequities go far beyond academics. Marginalized and vulnerable students experience injustices across the educational system, including disproportionality in school discipline, unequal access to advanced courses, and poor conditions for learning. Social work has a solid history of addressing issues that intersect across families, schools, and communities, but the profession has had little engagement in the recent educational justice movement. As educational scholars advance a movement to address educational inequities, it will be increasingly important for social work researchers to provide valuable insight into the multiple components that make up youth development and support positive well-being for all individuals within a democratic society. This article encourages social work researchers to extend lines of inquiry that investigate educational justice issues by situating social work practice and research within educational justice and suggesting an agenda for future social work research that will advance equity for all students.
美国公共教育体系中持续存在的系统性不平等对儿童和青少年的发展产生了严重影响,但这些不平等远远超出了学术领域。边缘化和弱势学生在整个教育系统中遭受不公正待遇,包括学校纪律不成比例、获得高级课程的机会不平等以及学习条件恶劣。社会工作在解决家庭、学校和社区之间的问题方面有着坚实的历史,但这个职业在最近的教育正义运动中几乎没有参与。随着教育学者推动解决教育不公平问题的运动,社会工作研究人员提供有价值的见解,了解构成青年发展的多个组成部分,并支持民主社会中所有个人的积极福祉,这将变得越来越重要。本文鼓励社会工作研究者通过将社会工作实践和研究置于教育公正之中,并为未来的社会工作研究提出一个议程,以促进所有学生的公平,从而扩展调查教育公正问题的探究线。
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引用次数: 2
期刊
Social Work Research
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