Social Problems

社会问题
  • 文章类型: Journal Article
    每年有超过1000名澳大利亚青少年和年轻人(AYAs)被诊断出患有癌症。许多人报告说社会福利需求未得到满足,影响他们的心理健康。澳大利亚AYA癌症护理提供者缺乏很好地解决这些需求的指导。我们的目标是制定准则,以照顾澳大利亚癌症患者的社会福祉。根据澳大利亚国家健康与医学研究委员会的指导,我们成立了一个多学科工作组(n=4名心理社会研究人员,n=4名心理学家,n=4AYA癌症幸存者,n=2名肿瘤学家,n=2名护士,和n=2社会工作者),定义了准则的范围,通过系统审查收集证据,给证据分级,并调查了AYA癌症护理提供者关于指南的可行性和可接受性。准则建议应评估哪些AYA的社会福祉,谁应该领导这个评估,何时应使用哪些工具/措施进行评估,以及临床医生如何解决AYAs的社会福祉问题。一个关键的临床医生,他对AYAs的发展需求很了解,应在癌症治疗期间和之后领导对社会福祉的评估。建议使用AYA心理肿瘤学筛查工具来筛查社会福祉需求。HEADSSS评估(主页,教育/就业,吃/锻炼,活动/同伴关系,吸毒,性,自杀/抑郁,安全/灵性评估)可用于深入评估社会福祉,而社交恐惧症量表可用于评估社交焦虑。AYA癌症护理提供者将指南评为高度可接受,但讨论了许多可行性障碍。这些指南为AYAs与癌症的社会福祉提供了最佳的护理途径。解决实施的未来研究对于满足AYAs的社会福祉需求至关重要。
    More than 1000 Australian adolescents and young adults (AYAs) are diagnosed with cancer annually. Many report unmet social well-being needs, which impact their mental health. Australian AYA cancer care providers lack guidance to address these needs well. We aimed to develop guidelines for caring for the social well-being of AYAs with cancer in Australia. Following the Australian National Health and Medical Research Council guidance, we formed a multidisciplinary working group (n = 4 psychosocial researchers, n = 4 psychologists, n = 4 AYA cancer survivors, n = 2 oncologists, n = 2 nurses, and n = 2 social workers), defined the scope of the guidelines, gathered evidence via a systematic review, graded the evidence, and surveyed AYA cancer care providers about the feasibility and acceptability of the guidelines. The guidelines recommend which AYAs should have their social well-being assessed, who should lead that assessment, when assessment should occur with which tools/measures, and how clinicians can address AYAs\' social well-being concerns. A key clinician, who is knowledgeable about AYAs\' developmental needs, should lead the assessment of social well-being during and after cancer treatment. The AYA Psycho-Oncology Screening Tool is recommended to screen for social well-being needs. The HEADSSS Assessment (Home, Education/Employment, Eating/Exercise, Activities/Peer Relationships, Drug use, Sexuality, Suicidality/Depression, Safety/Spirituality Assessment) can be used for in-depth assessment of social well-being, while the Social Phobia Inventory can be used to assess social anxiety. AYA cancer care providers rated the guidelines as highly acceptable, but discussed many feasibility barriers. These guidelines provide an optimal care pathway for the social well-being of AYAs with cancer. Future research addressing implementation is critical to meet AYAs\' social well-being needs.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    What just societies owe to non-citizen immigrants is a controversial question. This paper considers three accounts of the requirements of distributive justice for non-citizens to determine what they might suggest about the provision of publicly funded health care to pregnant undocumented immigrants. These accounts are compared to locate an overlapping consensus on the duty of the state to provide care to pregnant undocumented immigrants. The aim of this paper is not to take a substantive position on the \"right\" prenatal policy, but rather to explore the moral space that this issue occupies and suggest that real moral progress can be achieved through the consistent application of shared values.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    无家可归是最残疾和不稳定的生活条件之一。这项Delphi共识研究的目的是确定无家可归者和弱势群体中的优先需求和高危人群亚组,以指导制定更具反应性和以人为本的临床实践指南。
    我们使用了一个文献综述和专家工作组,以产生一个初步列表的需求和处于危险的亚组的无家可归者和弱势住房的人口。然后我们遵循了一种改进的德尔菲共识方法,询问健康专家,使用电子调查,和有无家可归经历的人,使用口腔调查,优先考虑整个加拿大的需求和高危人群。排名标准包括潜在影响,不平等和疾病负担的程度。我们设定≥60%的评级,以确定三轮调查的共识。
    来自加拿大各地的84名卫生专业人员和76名有无家可归经历的人参加了会议。总体反应率为73%。参与者确定了优先需求,包括心理健康和成瘾护理,便利获得永久住房,促进获得收入支持和病例管理/护理协调。参与者还对需要进一步研究的特定无家可归者亚群进行了排名,包括:土著人民(原住民,梅蒂斯,和因纽特人);青年,妇女和家庭;获得性脑损伤的人,智力或身体残疾;以及难民和其他移民。
    纳入专家卫生专业人员和有无家可归生活经历的人的观点,在确定现实世界的需求方面提供了有效性,以根据优先需求指导四个关键领域的系统审查。并成立了许多工作组,以探索如何针对特定的风险人群调整干预措施,创建基于证据的指南。
    Homelessness is one of the most disabling and precarious living conditions. The objective of this Delphi consensus study was to identify priority needs and at-risk population subgroups among homeless and vulnerably housed people to guide the development of a more responsive and person-centred clinical practice guideline.
    We used a literature review and expert working group to produce an initial list of needs and at-risk subgroups of homeless and vulnerably housed populations. We then followed a modified Delphi consensus method, asking expert health professionals, using electronic surveys, and persons with lived experience of homelessness, using oral surveys, to prioritize needs and at-risk sub-populations across Canada. Criteria for ranking included potential for impact, extent of inequities and burden of illness. We set ratings of ≥ 60% to determine consensus over three rounds of surveys.
    Eighty four health professionals and 76 persons with lived experience of homelessness participated from across Canada, achieving an overall 73% response rate. The participants identified priority needs including mental health and addiction care, facilitating access to permanent housing, facilitating access to income support and case management/care coordination. Participants also ranked specific homeless sub-populations in need of additional research including: Indigenous Peoples (First Nations, Métis, and Inuit); youth, women and families; people with acquired brain injury, intellectual or physical disabilities; and refugees and other migrants.
    The inclusion of the perspectives of both expert health professionals and people with lived experience of homelessness provided validity in identifying real-world needs to guide systematic reviews in four key areas according to priority needs, as well as launch a number of working groups to explore how to adapt interventions for specific at-risk populations, to create evidence-based guidelines.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Journal Article
    Marginalized communities often attract more than their share of research. Too often, this research benefits researchers disproportionately and leaves such communities feeling exploited, misrepresented, and exhausted. The Downtown Eastside (DTES) neighborhood of Vancouver, Canada, has been the site of multiple public health epidemics related to injection drug use as well as the site of much community-led resistance and struggle that has led to the development of cutting-edge harm reduction interventions (e.g., North America\'s first supervised injection facility, Insite) and a strong sense of community organization. This background has made the DTES one of the most heavily researched communities in the world. Amidst ongoing experiences of unethical or disrespectful research engagement in the neighborhood, a collaboration between local academic researchers and community representatives developed to explore how we could work together to encourage more respectful, community-responsive research and discourage exploitative or disrespectful research.
    We developed a series of six weekly workshops called \"Research 101.\" These workshops brought together approximately 13 representatives from peer-based organizations in the DTES with a variety of experiences with research. Research 101 created space for community members themselves to discuss the pitfalls and potential of research in their neighborhood and to express community expectations for more ethical and respectful research.
    We summarized workshop discussions in a co-authored \"Manifesto for Ethical Research in the Downtown Eastside.\" This document serves as a resource to empower community organizations to develop more equitable partnerships with researchers and help researchers ground their work in the principles of locally developed \"community ethics.\" Manifesto guidelines include increased researcher transparency, community-based ethical review of projects, empowering peer researchers in meaningful roles within a research project, and taking seriously the need for reciprocity in the research exchange.
    Research 101 was a process for eliciting and presenting a local vision of \"community ethics\" in a heavily researched neighborhood to guide researchers and empower community organizations. Our ongoing work involves building consensus for these guidelines within the community and communicating these expectations to researchers and ethics offices at local universities. We also describe how our Research 101 process could be replicated in other heavily researched communities.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • DOI:
    文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • DOI:
    文章类型: Legislation
    这些准则提供了旨在消除在征聘和任命方面的性别歧视的措施的具体例子,员额分配,和晋升。《准则》指出,雇主应避免对男女规定不同的招聘年龄。
    These Guidelines provide concrete examples of measures aimed at eliminating sex discrimination in regard to recruitment and appointment, post assignment, and promotion. Among the Guidelines is one stating that employers should avoid imposing different recruitment ages for men and women.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • DOI:
    文章类型: Letter
    The Sun article, \"Employers finding that AIDS in the workplace is a managerial nightmare\" (April 3), did not accurately portray the status of AIDS in the workplace. The AIDS virus, HTLV III, is transmitted by body fluids, primarily semen and blood, and there is no known risk of transmitting the virus by casual contact in the workplace. The Center for Disease Control (CDC) released guidelines for child care workers last August. Guidelines on preventing transmission of AIDS in the workplace were issued by CDC in November 1985. These guidelines specifically discussed health care, personal service, and food service workers. The recommendations were against routine screening. Furthermore, employment should not be restricted on the basis of a positive HTLV III antibody test. A person with HTLV III infection should be exempt from the workplace only if there are circumstances interfering with job performance. In Maryland, the Governor\'s Task Force on AIDS has gone on record as endorsing CDC guidelines related to employment. Furthermore, the task force condemns discrimination based on the disease AIDS, AIDS Related Complex (ARC), or HTLV III infection. Increasingly AIDS patients are being considered legally disabled and therefore are protected by federal and state laws prohibiting discrimination on the basis of a handicap. Marylanders who are subjected to mandatory HTLV III screening in the workplace, or if discriminated against on the basis of HTLV III inefction, should contact the Maryland Commission on Human Relations, the Maryland Department of Health and Mental Hygiene, or the Health Education Resource Organization (HERO). All 3 of these resources guarantee confidentiality. It is only by employees reporting incidents that a nightmare in the workplace can be avoided in Maryland.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • DOI:
    文章类型: Journal Article
    While in western countries it is largely unacceptable to discriminate against and marginalize people with HIV/AIDS, people in some developing countries believe that these individuals should be either isolated from the rest of society or killed. 1.5 years after the Second International Consultation on HIV/AIDS and human rights, UNAIDS has released a detailed document listing its guidelines upon HIV/AIDS and human rights. Suggesting that public health and individual rights complement rather than conflict each other, the document and its guidelines represent an attempt to put to rest the long-running conflict between public health interests and individual rights as they relate to HIV/AIDS. The guidelines were developed, published, and disseminated with the hope that they will help create legal safeguards against the discrimination of people with HIV/AIDS and also empower women. The edited guidelines noting 18 human rights are presented.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • DOI:
    文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Case Reports
    针对美洲印第安人客户的文化知情社会工作健康和心理健康干预措施必须与他们的环境和文化适应和谐。本文讨论了美洲印第安人关于健康和疾病以及文化适应程度的信念。提供了指南,以帮助非印度社会工作者设计文化上适当的干预措施。
    Culturally informed social work health and mental health interventions directed toward American Indian clients must be harmonious with their environment and acculturation. This article discusses American Indian beliefs about health and illness and degrees of acculturation. Guidelines are offered to help non-Indian social workers design culturally appropriate interventions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号