Over half a million women die annually due to maternity complications. Studies support that utilization of health services reduces maternal mortality. Using a nationally representative sample of 7878 previously pregnant women from Nepal we examined if gender empowerment is associated with health service use. Findings showed that three of the five indicators of empowerment -women's age at birth of their first child, their education and knowledge about sexually transmitted diseases -significantly increased utilization of health services, especially antenatal and delivery services. Women's opinion about wife beating and their participation in intra-household financial decisions were insignificant. Implications for social work practice are discussed.
Highlights
We review prior research on race and the criminal justice system response to sexual assault.
Studies varied in race focus, theory use, sample composition, and how and whose race was measured.
Seemingly disparate findings were not‐so‐disparate after considering individual study features.
Race‐based oppression, like all forms of oppression, is cumulative and must be contextualized.
Researchers yield a great power, and responsibility, in deciding how to include race in research.
The purpose of this study was to evaluate the feasibility and outcomes of the Engaged4Life program, an intervention to encourage inactive community-dwelling older adults to embed physical activity, cognitive activity, and social interaction into their everyday lives in contexts that are personally meaningful and natural for them. 15 participants were randomized to the intervention group (technology-assisted self-monitoring of daily activity via pedometers and daily tablet-based surveys; psychoeducation + goal-setting via a 3-hour workshop; and peer mentoring via phone 2X/week for 2.5 weeks) and 15 to the control (technology-assisted self-monitoring only). Recruitment was shown to be feasible and efficient, but not able to reach the target for men. Retention rate was 83% and participants manifested high adherence and engagement with the intervention. Though this pilot trial was not powered to demonstrate significant differences between groups, daily steps increased by 431 (11% increase) from baseline to week-4 for the intervention (p<.05), but decreased by 458 for the control, for a net difference of 889 steps (p<.05). Findings were sustained at week-8 (p<.01). In a future trial, difficulties in recruiting men, barriers due to the technology-intensive design, and the optimization of secondary outcome measures should be addressed.
The high levels of health and psychosocial needs among correctional populations strongly shape the well-being of the urban communities from which a large number of criminal justice-involved individuals come or to which they return. The benefits of providing services to correction-involved individuals and linking them to providers such as with alternative to incarceration (ATI) programs may be limited if they encounter difficulties accessing such services. This study identified the types of barriers that have prevented entrants into ATI programs from receiving health and psychosocial services. We then tested the association between number of prior incarcerations and number of barriers by gender. From a random sample of adults (N = 322; 83 women and 239 men) entering ATI programs in New York City, data were collected via structured interviews that elicited self-reported sociodemographics, substance use, prior incarcerations, and barriers that had actually prevented a participant from visiting or returning to a service provider. Participants reported an average of 3.0 barriers that have prevented them from receiving health and psychosocial services. The most prevalent barriers predominantly concerned service providers' inability to accommodate constraints on participants' time availability or flexibility, transportation, and money. Compared to women, men had a significantly different association that was in the adverse direction--i.e., more prior incarcerations was associated with more barriers--between prior incarcerations and encountering service barriers. Findings indicate that ATI program entrants experience many barriers that have prevented them from receiving health and/or psychosocial services. Furthermore, men with more extensive incarceration histories particularly are disadvantaged. ATI programs can improve the public health of urban communities if such programs are prepared and resourced to facilitate the receipt of services among program participants, especially men who have more extensive incarceration histories.
Opportunities to improve skills and opportunities to teach or train others may be associated with job satisfaction, work engagement and organizational commitment. The analysis reported in this paper used a subsample of 823 employees within two Japanese and three American worksites. We tested not only the direct relationships of each type of training opportunity (to improve skills and to teach or train others) with each of three outcomes (job satisfaction, work engagement and organizational commitment) but also the potential moderating roles of performance orientation, job security and age. The relationships were assessed separately for Japanese and American respondents. The results highlight the importance of opportunities to improve skills for all three outcomes and of opportunities to teach and train for job satisfaction and work engagement. Performance orientation, job security and age generally were not significant moderators and, when they were, the effects were typically restricted to one country. The consistently positive coefficients for training opportunities should provide insight for cross-national organizations seeking to identify human resource policies effective across varying cultural, economic and demographic contexts.
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