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Experiences of Women in Sierra Leone Relating to Accessing Breast Cancer Treatment 塞拉利昂妇女接受乳腺癌治疗的经历
Pub Date : 2024-03-07 DOI: 10.5590/josc.2024.16.1.01
Anne Neville, M. Aagard
The lack of consistent access to breast cancer care and treatment remains a significant problem for women diagnosed with breast cancer in Sierra Leone. The instability of the political structure has created an environment with a high level of illiteracy and financial hardship among the female population, resulting in a significant deficiency in information relating to symptoms and the detection of breast cancer. To study the lived experience of women living in Sierra Leone who were diagnosed with breast cancer, I [the first author] used a descriptive phenomenological approach. I conducted semi-structured interviews based on Andersen and Newman’s healthcare utilization model, identifying predisposing, enabling, and need factors (Andersen & Newman, 1973). I recruited 10 participants by placing flyers in two organizations supporting breast cancer patients and used snowball sampling. Findings from the study showed that participants were aware of breast cancer and the risks associated with delayed cancer treatment. Social structures were identified as the main contributors to accessing breast cancer screening and selecting a health facility for treatment. Perceptions of affordability, quality of services, and recommendations by previous clients simultaneously influenced the selection of a health facility. The findings may assist health systems with addressing access to breast cancer care and treatment for women in Sierra Leone. Government officials may utilize the findings from this study to develop healthcare policies regarding access to breast cancer treatment.
对于塞拉利昂确诊患有乳腺癌的妇女来说,无法持续获得乳腺癌护理和治疗仍然是一个重大问题。政治结构的不稳定造成了女性人口文盲率高和经济困难的环境,导致与乳腺癌症状和检测相关的信息严重匮乏。为了研究生活在塞拉利昂、被诊断出患有乳腺癌的妇女的生活经历,我(第一作者)采用了描述性现象学方法。我根据安德森和纽曼的医疗保健利用模式进行了半结构化访谈,确定了倾向因素、有利因素和需求因素(安德森和纽曼,1973 年)。我通过在两家乳腺癌患者支持机构张贴传单和滚雪球抽样的方式招募了 10 名参与者。研究结果表明,参与者了解乳腺癌以及与癌症治疗延迟相关的风险。社会结构被认为是影响接受乳腺癌筛查和选择医疗机构进行治疗的主要因素。对经济承受能力、服务质量和老客户推荐的看法也同时影响着对医疗机构的选择。研究结果可能有助于卫生系统解决塞拉利昂妇女获得乳腺癌护理和治疗的问题。政府官员可以利用本研究的结果来制定有关获得乳腺癌治疗的医疗保健政策。
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引用次数: 0
Textbook Tasks for Social Change: Instantiation of Development Debates and Interposition of Pedagogical Interventions in Media Literacy Education 社会变革的教科书任务:发展辩论的实例和媒介素养教育中教学干预的介入
Pub Date : 2023-10-10 DOI: 10.5590/jssc.2023.15.2.02
John N. Ponsaran
As materialization of their discursive stance as instructional communicators and media producers, textbook authors instantiate various development debates as well as interpose a wide range of pedagogical interventions for critical reflection and adoption by learners. This qualitative study sought to situate these development debates and the counterpart pedagogical interventions within the context of textbook task design as an application and embodiment of social justice communication. The development debates serve as the proposed contexts for media text analyses, reflective exercises, case studies, and media production, among others. Correspondingly, the interposition of interventions allows students to make sense of and act upon the instantiated development debates. Intrigued by the intricacies of textbook task design, I undertook this media education inquiry to contribute to the goals of foregrounding pressing development and policy issues and applying appropriate critico-creative pedagogies. By employing critical thematic analysis, I was able to extract, code, and interpret the qualitative data that revealed the diverse but interconnected socio-sectoral issues and the dialectical categories of pedagogical interventions. As contextual themes, the following development debates surfaced: poverty-related, governance-related, election-related, migration-related, tourism- and sports-related, women- and gender-related, misrepresentation- and marginalization-related, information- and media-related, and technology-related issues. As forms of intermediation, the interposition of pedagogical interventions to development debates can be classified into the following dialectical categories, namely: traditional versus critical, individual versus collective, isolated versus intersectional, personal versus structural, and academic versus more than academic.
作为教学传播者和媒体生产者的话语立场的具体化,教科书作者实例化了各种发展辩论,并为学习者的批判性反思和采用提供了广泛的教学干预。这项定性研究试图将这些发展辩论和相应的教学干预置于教科书任务设计的背景下,作为社会正义沟通的应用和体现。发展辩论可作为媒体文本分析、反思练习、案例研究和媒体制作等的拟议背景。相应地,干预的介入使学生能够理解实例化的发展辩论并采取行动。教科书任务设计的复杂性引起了我的兴趣,我进行了这次媒体教育调查,以期为突出紧迫的发展和政策问题以及应用适当的批判性创造性教学法的目标做出贡献。通过采用批判性的主题分析,我能够提取、编码和解释定性数据,这些数据揭示了多样化但相互关联的社会部门问题和教学干预的辩证类别。作为背景主题,下列发展辩论浮出了台面:与贫困有关的、与治理有关的、与选举有关的、与移民有关的、与旅游和体育有关的、与妇女和性别有关的、与歪曲和边缘化有关的、与信息和媒体有关的以及与技术有关的问题。作为中介形式,教学干预对发展辩论的介入可以分为以下辩证类别,即:传统与批判,个人与集体,孤立与交叉,个人与结构,学术与超越学术。
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引用次数: 0
Walden’s New Journal! Journal of Sustainable Social Change 瓦尔登新日报!可持续社会变革杂志
Pub Date : 2023-04-22 DOI: 10.5590/jssc.2023.15.1.00
Mark Starik, William C Schulz
Walden University announces a change of name for its Journal of Social Change. The new name is the Journal of Sustainable Social Change and will focus more attention on both multi-level socio-economic and environmental systems and sustainability (defined as long-term quality of life)
瓦尔登大学宣布其《社会变革杂志》更名。新名称为《可持续社会变革杂志》,将更多地关注多层次的社会经济和环境系统以及可持续性(定义为长期生活质量)。
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引用次数: 0
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Journal of Sustainable Social Change
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