Visiting medical staff in Soviet Lithuania: between duties to the regime and women’s needs
ABSTRACT This article sheds light on the unauthorised activities of visiting medical staff in Soviet Lithuania. Mainly, female Soviet medical staff were supposed to take care of women’s and children’s health in the suburban and rural parts of Soviet Lithuania. They had to carry out doctors’ prescriptions and provide social monitoring. However, an analysis of extensive archival, published, and oral history sources reveals that, while fulfilling the roles assigned to them by the authorities, they also assumed a distinct function as providers of alternative health and social services, as well as practical knowledge—resources that were in high demand, but unavailable through official channels in everyday Soviet life. Visiting medical staff often acted as social intermediaries between different agents of society, creating a network of women’s self-help services and supplies that existed alongside the formal system. This research shows that activities of feldshers and visiting sisters often assumed an illegal character and were incompatible with their official duties. In addressing the needs of society, they became important agents in the public’s survival strategies.
- Research Article
723
- 10.3760/cma.j.cn121094-20200219-00063
- Mar 20, 2020
- Zhonghua lao dong wei sheng zhi ye bing za zhi = Zhonghua laodong weisheng zhiyebing zazhi = Chinese journal of industrial hygiene and occupational diseases
Objective: To investigate the mental health of clinical first-line medical staff in COVID-19 epidemic and provide theoretical basis for psychological intervention. Methods: The mental health status of the first-line medical staff was investigated by Self-rating Anxiety Scale(SAS) and Post-Traumatic Stress Disorder Self- rating Scale (PTSD-SS). From February 7 to 14, 2020, 246 medical staff participated in the treatment of COVID-19 were investigated using cluster sampling, and received 230 responses, with a recovery rate of 93.5%. Results: The incidence of anxiety in medical staff was 23.04% (53/230) , and the score of SAS was(42.91±10.89). Among them, the incidence of severe anxiety, moderate anxiety and mild anxiety were 2.17%(5/230) , 4.78%(11/230) and 16.09%(37/230) , respectively. The incidence of anxiety in female medical staff was higher than that in male [25.67%(48/187) vs 11.63%(5/43) , Z=-2.008, P=0.045], the score of SAS in female medical staff was higher than that in male [(43.78±11.12) vs (39.14±9.01) , t=-2.548, P=0.012]. The incidence of anxiety in nurses was higher than that in doctors[26.88% (43/160) vs 14.29% (10/70) , Z=-2.066, P=0.039], and the score of SAS in nurses was higher than that in doctors [ (44.84±10.42) vs (38.50±10.72) , t=-4.207, P<0.001]. The incidence of stress disorder in medical staff was 27.39% (63/230) , and the score of PTSD-SS was (42.92±17.88) . The score of PTSD-SS in female medical staff was higher than that in male[ (44.30±18.42) vs (36.91±13.95) , t=-2.472, P=0.014]. Conclusion: In COVID-19 epidemic , the incidence of anxiety and stress disorder is high among medical staff. Medical institutions should strengthen the training of psychological skills of medical staff. Special attention should be paid to the mental health of female nurses.
- Research Article
10
- 10.3390/ijerph19073896
- Mar 25, 2022
- International Journal of Environmental Research and Public Health
The aim of this study was to evaluate the relationship between the intensity of health behaviors and health-related quality of life in female mid-level medical staff. The study group consisted of 153 female mid-level medical staff members. The intensity of health behaviors was examined with the Polish version of Health Behavior Inventory. Health-related quality of life was verified with the Short Form Health Survey questionnaire (SF 36v2). Among the participants, 33% had low, 39% average, and 28% high intensity of health behaviors. The mental component of health-related quality of life was rated higher (83.3 ± 15.3 points) compared to the physical one. The lowest health-related quality of life was observed in the domain of “bodily pain”, while the highest was found for the domain of “social functioning”. Both the physical and mental components of health-related quality of life were significantly positively correlated with health behavior prevalence in all its categories. The post-hoc tests revealed the variation in physical and mental components of HRQoL according to the level of health behavior intensity.
- Research Article
1
- 10.3760/cma.j.issn.1001-9391.2018.06.005
- Jun 20, 2018
- Zhonghua lao dong wei sheng zhi ye bing za zhi = Zhonghua laodong weisheng zhiyebing zazhi = Chinese journal of industrial hygiene and occupational diseases
Objective: To investigate the current status of reproductive health among the female medical staff in a provincial maternal and child health hospital and analyze the occupational influencing factors for reproductive health, particularly the effects of high-intensity work, work shift, chemical poisons, and physical and biological factors on reproductive health, and to provide a scientific basis for developing related intervention measures and promoting the reproductive health of professional females. Methods: A reproductive health questionnaire was designed in terms of age, type of work, professional title, education level, working hours, working strength, and the reproductive health of female staff to analyze the current status of reproductive health, working strength, and occupational hazardous factors. The female medical staff in the provincial maternal and child health hospital completed the questionnaire on the internal network of the hospital voluntarily. Results: Of all respondents, 19.46% had a history of miscarriage, 5.90% visited the hospital due to infertility, 21.31% had irregular menstruation within the last 3 months, and 30.57% had reproductive system disease; 72.28% of the investigated medical staff often worked at night, 47.25% often worked overtime (more than 3 days a week) , and 22.27% worked over 8 hours daily. The respondents who often worked overtime had a significantly higher prevalence of reproductive system disease than those who did not often work overtime (χ(2)= 58.65, P<0.01) . The respondents who often worked at night had a significantly higher rate of miscarriage than those who did not work at night (χ(2)=41.57, P<0.01) . In all respondents, 87.08% were often exposed to chemical injuries such as disinfectants, and 78.15% had contact with noise, radiation, and other physical injuries; the medical staff exposed to chemical and physical injuries had a significantly higher proportion of individuals with a history of miscarriage than the unexposed staff (χ(2)=10.04, P<0.01; χ(2)=13.30, P<0.01) . Conclusion: Much attention should be paid to the reproductive health of female medical staff in the provincial maternal and child health hospital, who have high working strength. The occupational hazard factors can be avoided by reasonably arranging the work schedule and creating a supportive environment to improve the reproductive health of female medical staff.
- Research Article
- 10.3760/cma.j.issn.1001-9391.2019.06.009
- Jun 20, 2019
- Zhonghua lao dong wei sheng zhi ye bing za zhi = Zhonghua laodong weisheng zhiyebing zazhi = Chinese journal of industrial hygiene and occupational diseases
Objective: To investigate needlestick injuries and depression among the female medical staff in a city district. Methods: Using cross-sectional survey methods, female medical staff from selected sixteen hospitals voluntarily participated in questionnaire survey on APP of mobile phone. They Data were uploaded assessment platform, saved by Excel, and analysed by SPSS 22.0 statistical software. Results: The lasted year, Incidence of needlestick injuries was 11.28%. Incidence of needlestick injuries was respectively 5.2%, 9.1% and 16.3% in Class-I hospital, Second-class Hospital and three levels of hospitals(χ(2)=28.900, P<0.01). And 6.3% Resting no more than 10 days of Incidence of needlestick injuries was 12.5%, others was 6.3%.Night shift no more than 5 days of Incidence of needlestick injuries was 8.5%, others was 15.1%. The rate of not less than 14 of BDI was respectively 18.6%, 29.1% and 32.7% in Class-I hospital, Second-class Hospital and three levels of hospitals (χ(2)=23.843, P<0.01). In recent one year, the rate of medical staff who have taken annual leave less than 10 days and higher than 10 days scoring over 14 in the Beck(Beck depression inventory, BDI) survey are respectively 29.1% and 17.8% (χ(2)=10.710, P<0.01). In recent one year, the rate of medical staff who worked in night shift less than 5 days and higher than 5 days each month scoring over 14 in the Beck survey are respectively 23.5% and 31.7%(χ(2)=8.886, P<0.01). In recent one year, the rate of medical staff who had needle injury and non-needle injury scoring over 14 in the Beck survey are respectively 35% and 25%(χ(2)=4.782, P<0.05). Conclusion: The needle injury rate, high score rate in Beck survey among the medical staff increased when the level of the hospital they worked for increased. Medical staff should improve their method of rest.
- Research Article
1
- 10.31261/ijrel.2022.8.2.08
- Dec 29, 2022
- International Journal of Research in E-learning
The use of information and communication technologies (ICT) is an important element in the work of social workers. Recent progress in ICT creates fundamentally new opportunities for social work in the provision of social services, including high-quality and timely responses to the requests of vulnerable population groups and persons in crises. In the information sector, work in the social sphere requires knowledge and skills in effective search, accumulation, processing, storage, presentation, and transmission of data using computers and computer networks. A social worker must be able to use information and computer technologies both for self-development in the professional sphere and for organizing their daily practical activities and solving socially significant problems. Therefore, it is necessary to form and develop ICT competence in professional activities for the quality provision of social services. The purpose of the study is to determine the ICT tools used in the practical work of social workers in the provision of social services, the scope of ICT application, and the analysis of the needs of social workers in Kyiv regarding the introduction of ICT into the system of providing social services.An online survey of social workers of state and non-state organizations in Kyiv, which provide social services to vulnerable population groups and persons in crises, was conducted. The theoretical sampling method was used, which made it possible to formulate generalized recommendations regarding introducing ICT tools into the social services system. To determine the typical ICT tools and directions of ICT used in social work, an expert meeting was held with specialists of the Department of Information and Analytical Work of the Kyiv City Center of Social Services. Resource monitoring was used for the automated search of information on the Internet.The authors of the article researched the information and communication technologies used by social service providers in their work and highlighted the prospects of ICT tools in state and non-state organizations. The ICT tools that are most often used in the provision of social services have been determined as a result of a survey of social service workers of state and non-state organizations in Kyiv. These tools are grouped into three main categories: communication channels, information dissemination channels, and methods of building online service provision processes. The key needs of social workers regarding the use of ICT tools in the process of providing social services and the most typical challenges in the implementation of these technologies are presented in the article. The authors identified the advantages of using ICT in the provision of social services and proved the effectiveness of the use of electronic services as a quick and effective tool in the process of meeting the requests of vulnerable population groups. The prospects for the use of ICT in the provision of social services are highlighted as well. It has been shown that the use of information and communication technologies in the provision of social services will positively affect the quality of the provision of social assistance and social services. The use of these technologies by social institutions makes it possible not only to effectively respond to the challenges of the military situation in Ukraine but also to promptly respond to the requests and needs of social service recipients and provide them with quality services. The authors presented the main ICTs that can be used by social workers when providing social services.
- Research Article
3
- 10.5505/agri.2013.97769
- Jan 1, 2013
- Ağrı - The Journal of The Turkish Society of Algology
The aim of this study was to evaluate the sensorial/affective dimension pain levels of patients using an electrostimulation method and to investigate the effects of gender and working conditions on pain thresholds. The sensorial dimension of pain and pain threshold levels of 262 healthy volunteers, aged between 20 and 40 years, were assessed using a Painmatcher machine. Patients were divided into four groups during the assessment period: Group I female medical staff (KS) (female doctors/nurses), Group II male medical staff (ES) (male doctors), Group III female sanitation workers (KT), and Group IV male sanitation workers (ET). The sensorial dimension of pain was significantly higher in male and female sanitation workers than among female medical staff (p<0.05). Sensorial dimension of pain were similar between male medical staff and female sanitation workers (p>0.05). Pain threshold levels were significantly higher in male sanitation workers than male medical staff (p<0.05). Female sanitation workers and female medical staff had similar pain threshold levels (p>0.05). The correlation between pain threshold levels and sensorial dimension of pain was not significant in Groups KS and ET, however this correlation was significant in groups ES and KT (p<0.05). The sensorial dimension of pain and pain threshold levels are more strongly associated with working conditions than gender. The threshold level of pain was high in individuals with physically demanding jobs.
- Research Article
- 10.31470/2306-546x-2021-50-106-123
- Aug 31, 2021
- University Economic Bulletin
Social service in the system of social protection of the population: theoretical, methodological and financial aspects
- Research Article
- 10.3760/cma.j.issn.1674-4756.2019.07.003
- Apr 10, 2019
- Central Plains Medical Journal
Objective To investigate female medical staff’s awareness of the knowledge about perimenopausal and osteoporosis in general hospitals in Henan Province. Methods The data of 800 female medical staff in general hospitals in Henan Province, aged 40 to 60 years, were randomly investigated from February to April 2018. Results A total of 782 eligible questionnaires were collected. Overall, about 73.0% medical staff knew perimenopausal symptoms, 13.9% of them knew hormone replacement therapy (HRT), and 11.4% of staff had recommended or used HRT, and 66.4% of them knew that postmenopausal osteoporosis was the common type of osteoporosis after menopause, and 67.1% of them knew the gold standard of diagnosis of osteoporosis was dual-energy X-ray absorptiometry. Conclusions The knowledge about perimenopausal and osteoporosis in female medical staff from general hospitals in Henan Province is not sufficient, and recommending and using rate of HRT is low. Key words: Medical staff; Perimenopausal; Hormone replacement therapy; Osteoporosis
- Research Article
9
- 10.11604/pamj.2023.45.30.36072
- May 15, 2023
- The Pan African Medical Journal
Introductionworkplace harassment is hypothesized to cause a psychological impact on the welfare of the individual. The aim of this study is to estimate the prevalence of sexual harassment among female medical staff in Khartoum state tertiary hospitals.Methodsthis is a cross-sectional hospital-based study in hospitals of Khartoum, Omdurman and North Khartoum. Our study population comprised female medical staff working in the outpatient clinics, emergency clinics, referred clinics and wards. The data was collected by online Google form self-administered questionnaire. The first part includes demographic information. The second part involved information regarding sexual harassment. The third part obtained information about the psychological status (effect) after harassment. The questionnaire was adopted and utilized from previous studies.Resultsin this study, 325 participants were recruited. Among the participants, 51.4% were doctors, majority (81.2%) of the study population were single. The mean age was 26.29 and SD 3.865. Forty percent (40%) stated they had been sexually harassed at work. Forty-five percent (45%) reported the harassment occurred more than 3 times and 46.4% reported loss of desire for work. Action taken for investigation was only reported by 5.4%. The logistic regression revealed that female doctors were 1.45 times more prone to sexual harassment. Also, medical staff with low socioeconomic status were 83.2% chance not sexually harassed.Conclusionthe prevalence of sexual harassment among female medical staff was high. Doctors were more vulnerable to sexual harassment. And, the reported incidents were scarce.
- Research Article
3
- 10.1080/01488376.2023.2281362
- Nov 8, 2023
- Journal of Social Service Research
Recent World Health Organization records show that hypertension is more common in Africa than in other parts of the world, and remains a major common risk factor for cardiovascular diseases, stroke, renal diseases, and death. However, little is known about hypertension management strategies among people in rural areas. Therefore, this phenomenological study aimed to investigate knowledge of hypertension management strategies among middle-aged adults in rural areas of Anambra state. Focus group discussions were used to collect data from 40 middle-aged adults (20 males and 20 females). The data were analysed thematically. Results showed that the participants were all aware of hypertension but lacked in-depth knowledge of disease management strategies. Most of the participants did not believe that engaging in regular physical exercise/activity, and other factors like reduction in salt and alcohol intake could help in controlling high blood pressure. Social workers who are also social service providers are needed to raise awareness among middle-aged people in rural areas about hypertension management strategies. This can be done through the provision of social services like education, health services, and transport services, as this will go a long way in helping rural dwellers gain more knowledge of hypertension management strategies. With the provision of health services, the rural population will not only know management strategies for hypertension but will also be able to check their blood pressure regularly, while transport services will make it possible for the rural population who do not have health centres in their community and means of transporting themselves to the neighbouring community for treatment to do so. Future research should focus on the importance of welfare/home visits as an avenue for awareness creation on hypertension management strategies, as this will be an avenue for the provision of better social services for people in rural areas and an improvement in social service research.
- Research Article
1
- 10.1080/19371918.2021.1974638
- Sep 5, 2021
- Social work in public health
Providers of public health and social services (“providers”) develop and deliver services by engaging in interprofessional collaboration (IPC), from seeking external advice to making referrals and linkages to various social and public health services. Providers collaborate with consumers of social and public health services (“consumers”) and student interns (e.g., social work, public health) to explore, determine, and deliver relevant services through a process referred to as co-production. Both IPC and co-production are widespread strategies with the potential to improve service accessibility and quality. However, the intersection of co-production and IPC remains understudied. This study examines factors that influence co-production in IPC among service providers, consumers, and student interns. We used cross-sectional survey data from an NIMH-funded study, including 379 providers in 36 HIV-service organizations in New York City. We examined the relationships between providers’ perspectives on co-production in IPC and multiple provider- and organization-level variables using random-effects logistic regression. Most respondents said that consumers and students in their agency participate in IPC on the issues that concern them. Providers who perceive greater flexibility in the IPC process were more likely to agree that their organizations’ providers co-produced IPC. Organizational service offerings (i.e., multilingual services, a comprehensive range of services), job positions, and full-time employment status were strong predictors of co-production. Our findings indicate that intentional and inclusive models of flexible IPC are needed. Fostering co-production in the HIV service field requires more institutional support and incentives for organizations, providers, and student interns. Implications for research and practice are discussed.
- Research Article
23
- 10.3389/fpsyt.2021.725596
- Oct 26, 2021
- Frontiers in Psychiatry
Aims: The modern medical model has been transformed into a biopsychosocial model. The integration of the biopsychosocial approach in healthcare can help improve the effectiveness of diagnosis and treatment. This study explored the actual application of the biopsychosocial approach in healthcare and provides a basis for targeted interventions to promote the biopsychosocial approach in healthcare.Methods: Study 1 involved one-on-one interviews with 30 medical staff and focus group interviews with 16 recent patients. Study 2 was a cross-sectional survey of 13,105 medical staff in Hangzhou, China that analyzed the status quo implementation of the biopsychosocial approach in healthcare.Results: Study 1 found that medical staff did not welcome patients to report information unrelated to their disease, hoping patients did not express their emotions. In the treatment process, patients believed that medical staff refused to attend to or did not encourage reporting of any information other than the disease, and that patients should have reasonable expectations for medical staff. Study 2 found that medical staff had a 37.5% probability of actively paying attention to the patient's psychosocial status. Female medical staff (38.5%) were actively concerned about the patient's psychosocial status significantly more than male medical staff (34.2%) (P < 0.01). The medical staff in the psychiatric department (58.4%) paid more active attention to the patient's psychosocial status than staff in the non-psychiatric departments (37.2%). Gender, department, hospital level, and professional title were the factors associated with the medical staff's attention to the patient's psychosocial status (P < 0.05). The influence of age on the probability of medical staff actively paying attention to the psychosocial status of patients increased with the number of years of employment. Participants that were 31–40 years old, had an intermediate professional title, and 11–15 years of employment were the least likely to actively pay attention to patients' psychosocial status.Conclusion: Although the biopsychosocial approach has been popularized for many years, it has not been widely used in medical care. Medical staff pay more attention to patients' physical symptoms and less attention to patients' psychosocial status. It is recommended that training will be provided to medical personnel on implementing a biopsychosocial approach with particular attention to the sociodemographic characteristics of medical personnel. Additionally, we propose helping patients set reasonable expectations, and formulating guidelines for implementing the biopsychosocial approach.
- Book Chapter
82
- 10.51952/9781447323563.ch003
- Oct 31, 2017
This book looks at the concept of stigma in the context of social welfare. The idea of 'social welfare' is commonly identified with the 'social services'. Both terms are regrettably unclear. 'Welfare' can be taken to mean 'relief'; a 'welfare recipient' is someone who receives a monetary allowance. Secondly, 'welfare' refers to individual well-being; in economics, 'social welfare' refers to the overall well-being of a society. Thirdly, it signifies a pattern of organised activities equivalent to the social services (Butterworth, Holman, 1975, 15). This is the principal use of the term in studies of social administration. Social welfareis an omnibus term used to cover a wide range of activities in society. These activities are concerned with the maintenance or promotion of social well-being. (Ibid, 14) This is a very wide concept. 'Social well-being' covers anything that could be argued to be good for society. All collectively provided services, Titmuss writes, are deliberately designed to meet socially recognised needs (1955, 39). ('Need' is used to signify those things which are deemed essential for the well-being of individuals or groups.) But not all services provided on this basis are social services: the army is an obvious example. The needs that are dealt with are of a specific kind. The services which are most commonly accepted in Britain as being social services are health, housing, education, social security and social work. They have in common, not only that they provide for needs, but that people receive directly a good or a service from them and are therefore dependent. Titmuss refers to states of dependency which are recognised as collective responsibilities (1955, 42-3). These include injury, disease, disability, old age, childhood, maternity and unemployment. People in these circumstances rely on socially provided goods and services, and it is this reliance which is the distinguishing characteristic of social welfare and the social services. Eyden writes that A social service is a social institution that has developed to meet the personal needs of individual members of society not adequately or effectively met by either the individual from his own or his family's resources or by commercial or industrial concerns. (in Byrne, Padfield, 1978, 1) This definition implies, firstly, that the social services respond to individual need; and secondly, that they do so only when other methods have failed. This is true of some services, but not of others: education, or health, are accepted as social services, but are provided without regard to other resources which could meet the need. Greve (1971), by contrast, cites a definition of a social service from a UN report: lt is an organized activity that aims at helping towards a mutual adjustment of individuals and their social environment. This objective is achieved through the use of techniques and methods which are designed to enable individuals, groups and communities to solve their problems of adjustment to a changing pattern of society, and through co-operatlve action to improve economic and social conditions. (Greve, 1971, 184-5) The definition, Greve notes, makes three points. The first is that the provision of social services is not simply a transaction in which a passive person receives bounty (in the form of cash, kind or counselling) from the rest of the community. Nor, as many still think, is a social service concerned to get people to adjust unilaterally to society or to their possibly squalid environment. ... society must also adjust to the individual. (Ibld, p 185 ) The second point is that social services help groups and communities, not only individuals. Eyden suggested that social services were individual and residual. But dependency is not necessarily a feature of individuals: a group or community may be collectively dependent. The third point is that there is a 'positive, developmental function' pursued through'co-operative action'.This is a good definition, but it has its weaknesses. Its essential flaw is that it is prescriptive rather than descriptive. It puts great emphasis on self-determination either by enabling people to meet their needs, or by cooperative action - when the relationship may be one of passive dependency. It emphasises mutual adjustment, whereas the reality may be a matter of social control. The concept of dependency does not in itself imply either adjustment or control, or determine a developmental function; but it is consistent with them, as it is consistent with other policies. A social service can be defined as a social institution which is developed to provide for those conditions of dependency which are recognised as collective responsibilities. This is a restricted definition, but I believe it reflects the actual use of the term. Housing, health, social security, education and social work are social services because they deal with conditions of dependency. Urban planning, road building, libraries and the police force do not. This is the distinction between social and public services. The distinction may seem irrational, and in some ways it is. The study of social policy has moved increasingly towards treating them on an equivalent basis; but 'social policy', which takes in any policy affecting relations in society, is a wider concept than a study of the social services. The distinction is not completely arbitrary; states of dependency do present a distinctive set of problems, and those problems are central to this study. 'Social welfare' is not used quite synonymously with 'social services', although the terms are very close: references to 'social welfare services' can be found (e.g. Reisman, 1977, 50), which seem to mean, not services to promote welfare, but rather services which perform the function called 'social welfare'. Social welfare can be defined as organised activity to improve the condition of people who are dependent. Stigma and social welfare Stigma is an important concept in the study of social administration; it has been described as the central issue (Pinker, 1971, 136). A stigma marks the recipient of welfare, damages his reputation, and undermines his dignity. It is a barrier to access to social services, and an experience of degradation and rejection. The imposition of stigma, Pinker writes, is the commonest form of violence used in democratic societies. (1971, 175). Although some sociologists have tried to claim it for their own (e.g. Lemert, 1972, 15), 'stigma' is not an academic term; people who are embarrassed or ashamed of their dependency on social services use the word to describe their feelings. An unemployed miner talks about the stigma of going up to the dole every week, I think it's awful. (cited Gould, Kenyon, 1972, 21) A tenant of a 'sink' estate says, It is stigmatised ... You felt ashamed to say you were from Abbeyhills, because of the stigma. (Flessati, 1978) A person who had been committed to a mental institution for three days ln 1935 wrote to a Royal Commission more than twenty years later asking to get my name off your registers so that I no longer bear the stigma of being a certified person. (Cmnd.169, 1957, 97) And a recipient of Supplementary Benefit complains, It's shame, the stigma of it. Richardson, Naidoo, 1978, 27) 'Stigma' is a part of common speech; and, like many other common words, it has no precise definition, but is used in a way that assumes other people will understand it. Exposition of the concept has been limited, and the idea has been accepted, for the most part, uncritically. References to 'stigma' ln studies of social administration tend to be made in passing; they are asserted, without the benefit of reason or evidence. I have built up an argument, in many places, on the basis of references like these - a short passage from one book, a phrase from another - in order to illustrate both the way the idea is used, and some of the underlying assumptions made about it. The result is, I hope, rather more than a selective review; it is an attempt to clarify the different uses of the word, to establish whether a coherent concept can be constructed, and to see what the implications of the idea of stigma are for social policy.
- Single Book
8
- 10.4324/9781315821757
- Feb 4, 2014
Contents * About the Editors * Contributors * Introduction * Demographics * Chapter 1. Culture-Specific Theoretical and Conceptual Models of Aging * Chapter 2. Therapeutic Interventions with Elders of Japanese Ancestry * How People of Japanese Ancestry in the United States Identify and Define Themselves * Cultural Influences on Americans of Japanese Ancestry * Health Issues Among Japanese Elderly * Social and Health Services Available to Japanese Elderly * Chapter 3. Vietnamese-American Elders * A Brief History of Vietnamese Immigration * Demographic Information * Adjustment Experiences * Vietnamese Elderly * Sources of Worry or Anxiety * Therapeutic Interventions * Guidelines for Working with Vietnamese Americans * Chapter 4. Elderly Russian Jewish Immigrants * Basic Demographic Information * Intergenerational Issues and Family Caregiving * Theoretical Perspectives and Key Concepts * The Process of Assimilation * Health Care Utilization and Access * Recommendations and Guidelines * Conclusion * Chapter 5. African-American Elders * Family System * Acculturation and Physical Health * Acculturation and Mental Health * Conclusion * Chapter 6. Elderly Puerto Ricans * Theoretical Perspectives * Factors Hypothesized to Impact Elderly Puerto Ricans * Physical Health Status of Elderly Puerto Ricans * Mental Health Status of Elderly Puerto Ricans * Use of Social Services by Elderly Puerto Ricans * Conclusion * Chapter 7. Cuban-American Elders * Historical Background of Cuban Immigrants * Demography of Elderly Cuban Americans * Health Status of Cuban Elderly * Health Care Services * Conclusion and Implications * Chapter 8. Mexican-American Elders * Population Trends and Statistics * Traits of the Population * Issues Related to Level of Acculturation * Implications for Health and Social Service Providers * Anticipated Changes and Recommendations * Chapter 9. The Yaqui (Yoeme) Elderly * The Current Cohort of the Yaqui Elderly * Yaqui Culture * Demographics that Impact Roles * Language Discrimination * Implications for Health and Social Services Practice * Yaqui Health Beliefs and Practices in Action * Chapter 10. Navajo Elders * The Dine * The Beginning * Government * Federal-Tribal Relationship * Navajo-Federal Relationship * Navajo Elders * Traditional and Modern Medical Care * Traditional and Current Health Care Behavior * Chapter 11. Views and Visions: Moving Toward Culturally Competent Practice * Common Themes * Policy, Program, and Research Directions * Research * Educational Objectives for Health and Social Service Providers * Index * Reference Notes Included
- Research Article
- 10.3760/cma.j.issn.1674-2907.2011.25.015
- Sep 6, 2011
- Chinese Journal of Modern Nursing
Objective To understand the characteristics of cervix diseases in female medical staff and provide basis for effective prevention and control.Methods The results of cervical cancer screening in 1 471 female medical staff in our hospitals in 2008 were compared with the 1 706 ones in 2010.Results Morbidity rates of various cervix diseases were 37.9% (558/1 471) in 2008 and 50.6% (864/1 706) in 2010,respectively.Most of them were diagnosed with chronic cervicitis (36.8% in 2008 and 47.1% in 2010).The difference of positive rate of screening test (TCT results ≥ASC-US) was significant between those in 2008( 1.1%,16/1 471 )and those in 2010(3.7%,63/1 706) ( x2 =12.65,P < 0.01 ).The results also showed that the incidences of various cervix diseases were related to age,and that high rates of cervicitis and cervical cancer were observed in the middle-aged (35 -50 years old).Conclusions Positive rates of cervical cancer screening test tend to rise,and the health condition of the middle-aged women (35 -50 years old) should be paid particular attention. Key words: Medical staff; Cervical cancer; Cervix diseases; Screening; Female