暂无摘要。

To consider the possibility of consequences beyond the alleviation of perceived individual suffering, for families left behind, communities and society as a whole should the End of Life Choice Act gain public support in the September 2020 referendum in New Zealand.
This study used the Yin case study approach to undertake a single semi-structured in-depth interview with a participant who self-identified as having first-hand experience of assisted dying from a relative\'s perspective (in a country where this is legal). Thematic analysis was used to identify themes and trends from the interview transcript.
Three key themes emerged from the interview: the potential for assisted dying becoming an expectation for others to pursue when unwell and possibly facing a life-threatening illness; the notion of stigma being associated with the individual using assisted dying legislation and the family left behind; and that there may be the potential for such legislation to produce a contagion effect.
The introduction of assisted dying legislation into New Zealand culture provides a potential hotspot for family, community and social discord that may not be easily remedied. Further study in New Zealand is required to investigate whether a contagion effect of assisted dying is possible, and how as a society, we negotiate what could become a conflicted pathway potentially complicated by prejudice, judgement and stigma.

Discrimination in the workplace is illegal, yet discriminatory practices remain a persistent global problem. To identify discriminatory practices in the workplace, job advertisement analysis was used by previous studies. However, most of those studies adopted content analysis by manually coding the text from a limited number of samples since working with a large scale of job advertisements consisting of unstructured text data is very challenging. Encountering those limitations, the present study involves text mining techniques to identify multiple types of direct discrimination on a large scale of online job advertisements by designing a method called Direct Discrimination Detection (DDD). The DDD is constructed using a combination of N-grams and regular expressions (regex) with the exact match principle of a Boolean retrieval model. A total of 8,969 online job advertisements in English and Bahasa Indonesia, published from May 2005 to December 2017 were collected from bursakerja-jateng.com as the data. The results reveal that the practices of direct discrimination still exist during the job-hunting process including gender, marital status, physical appearances, and religion. The most recurrent type of discrimination which occurs in job advertisements is based on age (66.27%), followed by gender (38.76%), and physical appearances (18.42%). Additionally, female job seekers are found as the most vulnerable party to experience direct discrimination during recruitment. The results exhibit female job seekers face complex jeopardy in particular job positions comparing to their male counterparts. Not only excluded because of their gender, but female job seekers also had to fulfil more requirements for getting an opportunity to apply for the jobs such as being single, still at a young age, complying specific physical appearances and particular religious preferences. This study illustrates the power and potential of optimizing computational methods on a large scale of unstructured text data to analyze phenomena in the social field.

How do members of societally valued (dominant) groups respond when considering inequality? Prior research suggests that salient inequality may be viewed as a threat to dominant-group members\' self and collective moral character. However, people possess multiple social identities and may be advantaged in one domain (e.g., White) while concurrently disadvantaged in another domain (e.g., sexual minority). The present research tests whether individuals may reduce the moral-image threat of being societally advantaged in one domain by highlighting discrimination they face in other domains. Four experiments with individuals advantaged along different dimensions of inequality (race, social class, sexuality) reveal that making such inequality salient evokes greater perceived discrimination faced by oneself and one\'s ingroups along other identity dimensions.

Integration in one\'s social community may depend in part upon feeling safe and secure within one\'s physical community, or neighborhood. Moreover, high-quality neighborhoods may serve as a supportive resource, potentially \"buffering\" against the harmful influence of experiences such as discrimination or depression that could otherwise erode adults\' sense of belonging. This study examines longitudinal associations of perceived neighborhood quality, daily discrimination, and depression with social integration among midlife and older adults, and tests whether perceived neighborhood quality is of increased importance with age and/or in the contexts of discrimination and depression.
Multilevel random intercept models analyzed 6,016 observations of 3,102 individuals drawn from the 3 waves of the National Survey of Midlife Development in the United States (MIDUS, 1995-2014).
Perceived neighborhood quality was associated with greater social integration throughout adulthood, though its impact was slightly attenuated with age. Moreover, depression was harmful for social integration across the age range, yet its influence was significantly buffered by perceived neighborhood quality. Daily discrimination was not associated with social integration, net of covariates.
Findings underscore the importance of physical place and person-environment fit for social well-being throughout adulthood, and confirm the deleterious effects of depression for adults\' social integration. Further, results highlight perceived neighborhood quality as a critical component for successful \"aging in place,\" particularly as a social resource adults may call upon in the context of depression.

A four-wave survey on a national probabilistic sample (N = 17,399) tested novel predictions about how positive and negative contact with racial out-groups predicts warmth and anger toward those groups. Three competing hypotheses were tested: (a) that negative contact will outweigh positive contact when predicting both emotions (\"bad is stronger than good\"); (b) that negative and positive contact will similarly predict each emotion; and (c) that negative contact will have a disproportionately large association with anger (a negative emotion), whereas positive contact will have a disproportionately large association with warmth (a positive emotion)-a phenomenon known as affect matching. The data revealed clear evidence for affect matching: Negative contact was associated with high levels of anger more than low levels of warmth, whereas positive contact was associated with high levels of warmth more than low levels of anger. Results suggest that positive and negative feelings about out-groups may be tied to qualitatively distinct contact experiences.

Exclusionary behaviors can be detrimental to the health and well-being of faculty in the workplace. When colleagues are judged by their peers because of the color of their skin, the language they speak, their gender, or who they choose to love (lesbian, gay, bisexual, transgender, asexual, or questioning), affected faculty are left emotionally and physically vulnerable. Institutions of higher learning must set standards of zero tolerance for faculty-to-faculty incivility. With standards taken from each faculty discipline, codes of conduct can be implemented not only at a departmental level, but also throughout the educational system.

Many international medical graduates (IMGs) enter North American residency programs every year. The Canadian IMG physician pool increasingly includes Canadian-born IMGs (C-IMGs) along with Immigrant-IMGs (I-IMGs). Similar trends exist in the United States. Our objective was to understand the similarities and differences in the challenges faced by both I-IMGs and C-IMGs during residency to identify actionable recommendations to support them during this critical time. We performed a multiple case study of IMGs\' experiences at a large Canadian university. Within our two descriptive cases (I-IMGs, C-IMGs) we iteratively conducted twenty-two semi-structured interviews; we thematically analyzed our data within, between, and across both cases to understand challenges to IMGs\' integration and opportunities for curricular innovations to facilitate their adaptation process. Research team members with different perspectives contributed reflexively to the thematic analysis. Participants identified key differences between medical culture and knowledge expected in Canada and the health systems and curricula in which they originally trained. I-IMG and C-IMG participants perceived two major challenges: discrimination because of negative labelling as IMGs and difficulties navigating their initial residency months. C-IMGs described a third challenge: frustration around the focus on the needs of I-IMGs. Participants from both groups identified two major opportunities: their desire to help other IMGs and a need for mentorship. I-IMGs and C-IMGs face diverse challenges during their training, including disorientation and discrimination. We identified specific objectives to inform the design of curriculum and support services that residency programs can offer trainees as well as important targets for resident education and faculty development.

Providers make judgments to inform treatment planning, especially when adherence is crucial, as in HIV. We examined the extent these judgments may become intertwined with moral ones, extraneous to patient care, and how these in turn are situated within specific organizational contexts.
Our ethnographic case study included interviews and observations. Data were analyzed for linguistic markers indexing how providers conceptualized patients and clinic organizational structures and processes.
We interviewed 30 providers, observed 43 clinical encounters, and recorded fieldnotes of 30 clinic observations, across 8 geographically-diverse HIV clinics. We found variation, and identified two distinct judgment paradigms: 1) Behavior as individual responsibility: patients were characterized as \"good,\" \"behaving,\" or \"socio-paths,\" and \"flakes.\" Clinical encounters focused on medication reconciliation; 2) Behaviors as socio-culturally embedded: patients were characterized as struggling with housing, work, or relationships. Encounters broadened to problem-solving within patients\' life-contexts. In sites with individualized conceptualizations, providers worked independently with limited support services. Sites with socio-culturally embedded conceptualizations had multidisciplinary teams with resources to address patients\' life challenges.
When self-management is viewed as an individual\'s responsibility, nonadherence may be seen as a moral failing. Multidisciplinary teams may foster perceptions of patients\' behaviors as socially embedded.

Young people living with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) (PLWA) are at risk for HIV stigma.
The HIV/AIDS Stigma Instrument for PLWA was administered to 36 young PLWA across six clinics in Bandung, Indonesia, to assess the fear of contagion (FC), verbal abuse (VA), social isolation (SI), workplace stigma (WS), health care neglect (HCN) and negative self-perception (NSP).
The median scores for FC, VA, SI, WS and HCN were all 0 while the median score for NSP was 4. In the last 3 months approximately 45% of surveyed PLWA felt they did not deserve to live and 64% felt completely worthless.
While these results are preliminary, access to mental health services should be a priority in the clinics that provide antiretroviral therapies.