Discrimination

歧视
  • 文章类型: Journal Article
    农药的鉴定和检测对于保护环境和人类健康至关重要。然而,方便和快速地区分不同类型的农药可能是具有挑战性的。我们开发了一种超分子荧光传感器阵列,其中具有广谱包封能力的杯芳烃用作识别受体。传感器阵列对七种测试的农药表现出不同的荧光变化模式,包括除草剂,杀虫剂,和杀菌剂。反应时间只有三分钟,传感器阵列被证明是一种快速有效的农药鉴别工具。此外,这种超分子传感方法可以很容易地扩展,以便使用带有彩色扫描应用程序的智能手机实时和现场视觉检测不同浓度的伊玛唑。这项工作不仅为农药鉴定和定量提供了一种简单有效的方法,但也为识别相关领域的其他分析物提供了通用且有利的平台。
    The identification and detection of pesticides is crucial to protecting both the environment and human health. However, it can be challenging to conveniently and rapidly differentiate between different types of pesticides. We developed a supramolecular fluorescent sensor array, in which calixarenes with broad-spectrum encapsulation capacity served as recognition receptors. The sensor array exhibits distinct fluorescence change patterns for seven tested pesticides, encompassing herbicides, insecticides, and fungicides. With a reaction time of just three minutes, the sensor array proves to be a rapid and efficient tool for the discrimination of pesticides. Furthermore, this supramolecular sensing approach can be easily extended to enable real-time and on-site visual detection of varying concentrations of imazalil using a smartphone with a color scanning application. This work not only provides a simple and effective method for pesticide identification and quantification, but also offers a versatile and advantageous platform for the recognition of other analytes in relevant fields.
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  • 文章类型: Journal Article
    全球超过2.5亿人患有慢性乙型肝炎(CHB)感染。这些人中有很大一部分经常面临被定义为不公正的歧视,不公平,或以乙型肝炎状况为由对某人进行偏见治疗。与乙型肝炎相关的歧视尚未在文献中得到广泛记录。这项研究旨在描述歧视的生活经验,记录其影响,并阐明其后果。启动了乙型肝炎歧视注册表,以记录与乙型肝炎相关的自我报告歧视。注册表包括简短的人口统计问题(年龄,性别,原产国),特定于歧视的问题(其中,when,以及歧视是如何发生的),和开放式问题,以详细说明具体的经验。注册被分发到乙型肝炎患者/人群集中的列表服务,社交媒体网络,和世界各地的社区组织。分析了描述性数据,包括按国家/地区进行的比较分析和歧视类型以及使用主题分析技术分析的定性数据(开放式答复)。2021年5月至2023年12月期间,共有569人对调查做出了回应。确定为居住在菲律宾的个人(34%;N=194),尼日利亚(11%;N=60),巴基斯坦(8%;N=45),印度(6%,N=34),乌干达(5%;N=31),美利坚合众国(4%,N=26),加纳(3%;N=15),埃塞俄比亚(2%;N=14),以及数量较少的其他国家,总共有65个国家报告至少受到一个人的歧视。其中,461人分享了他们遭受歧视的经历的细节,其中大多数涉及对获得工作签证的限制,其次是国内与乙型肝炎相关的就业限制,基于教育的歧视,社区和医疗机构内的歧视,以及乙肝歧视的情感影响。这是乙肝相关的歧视事件的最大的主要集合,并强调如何乙肝歧视显然对个人的生活和限制经济机会的显著影响,无论身体症状。这些影响可能成为诊断和参与护理的障碍,因此需要解决的问题是实现全球消除乙型肝炎的目标。这些数据凸显了对全球的需求,国家应对措施和对乙型肝炎患者所经历的歧视的更系统的应对措施
    Over 250 million individuals live with chronic hepatitis B (CHB) infection worldwide. A significant proportion of these people often face discrimination defined as the unjust, unfair, or prejudicial treatment of a person on the grounds of their hepatitis B status. Hepatitis B related discrimination has not been widely documented in the literature. This study aims to describe the lived experience of discrimination, document its impact, and shed light on its consequences. A hepatitis B discrimination registry was launched to record self-reported discrimination associated with hepatitis B. The registry included brief demographic questions (age, gender, country of origin), discrimination-specific questions (where, when, and how discrimination occurred), and open-ended questions to detail specific experiences. The registry was distributed to hepatitis B patient/people-focused listservs, social media networks, and community-based organizations around the globe. Descriptive data were analyzed including comparative analysis by country and type of discrimination occurring along with qualitative data (open-ended responses) which were analyzed using thematic analysis techniques A total of 569 individuals responded to the survey between May 2021 and December 2023. Individuals identified as residing in the Philippines (34%; N = 194), Nigeria (11%; N = 60), Pakistan (8%; N = 45), India (6%, N = 34), Uganda (5%; N = 31), the United States of America (4%, N = 26), Ghana (3%; N = 15), Ethiopia (2%; N = 14), and other countries in smaller number with a total of 65 countries reported discrimination at least by one individual. Of these, 461 individuals shared details about their experiences of discrimination with most relating to restrictions on access to work visas, followed by in-country hepatitis B-related employment restrictions, educational-based discrimination, discrimination within the community and health facilities, and the emotional impact of hepatitis B discrimination. This is the largest primary collection of hepatitis B-associated discrimination events and highlights how hepatitis B discrimination clearly has a significant impact on individuals\' lives and limits economic opportunities regardless of physical symptoms. Such impacts likely act as barriers to diagnosis and engagement in care, so need to be addressed to achieve the global hepatitis B elimination goals. The data highlight a need for global, national responses and more systematic responses to discrimination experienced by people with hepatitis B.
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  • 文章类型: Journal Article
    背景:为患者提供接受治愈性经颈静脉肝内门体分流术(TIPS)的机会,而不是对门脉高压相关的静脉曲张出血和腹水的姑息性治疗,我们旨在评估肝相关血管形态改变,以提高对明显肝性脑病(HE)风险的预测准确性.
    方法:在这项多中心研究中,621名接受TIPS的患者被细分为培训(来自3家医院的413例)和外部验证数据集(来自另外3家医院的208例)。除了传统的临床因素,我们使用最大直径(包括绝对值和比值)评估肝脏相关血管形态变化.三种预测模型(临床,肝相关血管,并结合)使用逻辑回归构建。比较了它们的辨别和校准,以测试肝相关血管评估的必要性并确定最佳模型。此外,为了验证ModelC-V的改进性能,我们将它与以前的四种型号进行了比较,在辨别和校准方面。
    结果:组合模型优于临床和肝相关血管模型(训练:0.814、0.754、0.727;验证:0.781、0.679、0.776;p<0.050),并且具有最佳校准。与以前的型号相比,ModelC-V在辨别方面表现优异。高,middle-,低危人群显示明显不同的HE发生率(p<0.001)。尽管TIPS前氨预测明显HE风险的能力有限,组合模型显示出令人满意的预测显性HE风险的能力,在低氨和高氨亚组。
    结论:肝相关血管评估提高了显性HE的预测准确性,通过TIPS确保合适患者的治愈机会,并为肝硬化相关研究提供见解。
    BACKGROUND: To provide patients the chance of accepting curative transjugular intrahepatic portosystemic shunt (TIPS) rather than palliative treatments for portal hypertension-related variceal bleeding and ascites, we aimed to assess hepatic-associated vascular morphological change to improve the predictive accuracy of overt hepatic encephalopathy (HE) risks.
    METHODS: In this multicenter study, 621 patients undergoing TIPS were subdivided into training (413 cases from 3 hospitals) and external validation datasets (208 cases from another 3 hospitals). In addition to traditional clinical factors, we assessed hepatic-associated vascular morphological changes using maximum diameter (including absolute and ratio values). Three predictive models (clinical, hepatic-associated vascular, and combined) were constructed using logistic regression. Their discrimination and calibration were compared to test the necessity of hepatic-associated vascular assessment and identify the optimal model. Furthermore, to verify the improved performance of ModelC-V, we compared it with four previous models, both in discrimination and calibration.
    RESULTS: The combined model outperformed the clinical and hepatic-associated vascular models (training: 0.814, 0.754, 0.727; validation: 0.781, 0.679, 0.776; p < 0.050) and had the best calibration. Compared to previous models, ModelC-V showed superior performance in discrimination. The high-, middle-, and low-risk populations displayed significantly different overt HE incidence (p < 0.001). Despite the limited ability of pre-TIPS ammonia to predict overt HE risks, the combined model displayed a satisfactory ability to predict overt HE risks, both in the low- and high-ammonia subgroups.
    CONCLUSIONS: Hepatic-associated vascular assessment improved the predictive accuracy of overt HE, ensuring curative chances by TIPS for suitable patients and providing insights for cirrhosis-related studies.
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  • 文章类型: Journal Article
    背景:护理专业的学生遇到了一系列的健康问题。评估社会支持是大多数与健康状况相关的问卷调查的关键组成部分,旨在探讨健康状况与社会支持之间的关系和机制,以提高整体健康水平。因此,必须寻找适当的工具来评估护理专业学生的社会支持。奥斯陆-3社会支持量表(OSSS-3)是评估社会支持的可靠而简洁的工具。迄今为止,目前还没有基于项目反应理论(IRT)模型验证OSSS-3的研究。此外,尚未找到官方验证的中文版本。当前的研究旨在验证OSSS-3的中文版本。
    方法:OSSS-3被翻译成中文并具有文化适应性。随后,OSSS-3采用经典测试理论(CTT)和IRT模型进行验证。
    结果:分半信度为0.622。Cronbach'sα系数为0.687。每个项目与总分之间的相关性从0.723到0.835不等。复测系数为0.907。内容效度指数为0.933。提取了单个公因子,占方差的61.559%。单因素的项目负荷值在0.743和0.814之间。社区在0.552和0.663之间。男性和女性之间没有差异(P=0.055)。最高(30%)和最低(30%)组之间的得分差异达到显着性。IRT模型结果表明,判别参数范围为1.39至2.33,难度参数单调增加。
    结论:OSSS-3表现出令人满意的心理测量特性,是衡量中国护生社会支持的适当工具。
    BACKGROUND: Nursing students are encountering a range of health issues. Assessing social support is a key component in most questionnaire surveys related to health status, aiming to investigate the relationships and mechanisms between health status and social support to enhance overall health. Therefore, it is essential to seek out appropriate instruments to evaluate social support for nursing students. The Oslo-3 Social Support Scale (OSSS-3) is a reliable and concise instrument for evaluating social support. To date, there have been no studies validating the OSSS-3 based on Item Response Theory (IRT) models. Also, an officially validated Chinese version has not been found. The current research intended to verify the Chinese version of the OSSS-3.
    METHODS: The OSSS-3 was translated into Chinese and culturally adapted. Subsequently, the OSSS-3 was validated by employing the Classical Test Theory (CTT) and IRT models.
    RESULTS: The split-half reliability was 0.622. The Cronbach\'s α coefficient was 0.687. The correlations between each item and total scores varied from 0.723 to 0.835. The retest coefficient was 0.907. The content validity index was 0.933. A single common factor was extracted and accounted for 61.559% of the variance. The item loading values on the single factor were between 0.743 and 0.814. The communalities were between 0.552 and 0.663. There was no variance between males and females (P = 0.055). The difference in scores between the top (30%) and bottom (30%) groups attained significance. IRT models results revealed that the discrimination parameters ranged from 1.39 to 2.33 and difficulty parameters increased monotonically.
    CONCLUSIONS: The OSSS-3 demonstrates satisfying psychometric properties and is a proper instrument for measuring social support in Chinese nursing students.
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  • 文章类型: Journal Article
    由于配方变化和个体耐受性,分析聚山梨酯20(PS20)组成和每种组分对稳定性和安全性的影响是至关重要的。PS20组件的相似结构和极性使分离精确,identification,量化具有挑战性。在这项工作中,使用带有带电气溶胶检测(CAD)的一维高效液相色谱(HPLC)开发了一种高分辨率定量方法,以分离18种具有多种酯的关键组分。分离的成分通过超高效液相色谱-四极杆飞行时间质谱(UHPLC-Q-TOF-MS)进行表征,梯度与HPLC-CAD分析相同。与商业数据库相比,聚山梨酯化合物数据库和文库扩大了7倍。该方法调查了来自不同来源和等级的PS20样品对于不同剂型的差异,以评估组成-过程关系。UHPLC-Q-TOF-MS鉴定了来自不同来源的4批PS20中的1329至1511个化合物。方法观察了4种降解条件对峰组分的影响,确定稳定的成分及其变化的趋势。HPLC-CAD和UHPLC-Q-TOF-MS结果提供了指纹图谱差异的见解,区分准产品。
    Analyzing polysorbate 20 (PS20) composition and the impact of each component on stability and safety is crucial due to formulation variations and individual tolerance. The similar structures and polarities of PS20 components make accurate separation, identification, and quantification challenging. In this work, a high-resolution quantitative method was developed using single-dimensional high-performance liquid chromatography (HPLC) with charged aerosol detection (CAD) to separate 18 key components with multiple esters. The separated components were characterized by ultra-high-performance liquid chromatography-quadrupole time-of-flight mass spectrometry (UHPLC-Q-TOF-MS) with an identical gradient as the HPLC-CAD analysis. The polysorbate compound database and library were expanded over 7-time compared to the commercial database. The method investigated differences in PS20 samples from various origins and grades for different dosage forms to evaluate the composition-process relationship. UHPLC-Q-TOF-MS identified 1329 to 1511 compounds in 4 batches of PS20 from different sources. The method observed the impact of 4 degradation conditions on peak components, identifying stable components and their tendencies to change. HPLC-CAD and UHPLC-Q-TOF-MS results provided insights into fingerprint differences, distinguishing quasi products.
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  • 文章类型: Journal Article
    病原微生物引起的感染会带来负面影响,例如危害健康的疾病,并导致沉重的经济负担。因此,及时检测和鉴定病原体非常重要。此外,传统的临床诊断或食品检测往往面临处理大量样本的问题。这里,我们基于五种具有不同侧链的四苯基乙烯衍生物(TPEs)对不同种类的病原微生物的不同结合能力,设计了一种高通量荧光传感器阵列,用于检测和区分各种物种,从而实现快速的大规模诊断,并希望为进一步确定微生物感染和临床治疗提供指导。
    Infections induced by pathogenic microorganisms will bring negative effects such as diseases that damage health and result in heavy economic burden. Therefore, it is very important to detect and identify the pathogens in time. Moreover, traditional clinical diagnosis or food testing often faces the problem of dealing with a large number of samples. Here, we designed a high-throughput fluorescent sensor array based on the different binding ability of five tetraphenylethylene derivatives (TPEs) with various side chains to different kinds of pathogenic microbes, which is used to detect and distinguish various species, so as to realize rapid mass diagnosis, and hopefully provide guidance for further determination of microbial infections and clinical treatment.
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  • 文章类型: Journal Article
    虽然甘油三酯形式是在鱼中发现的天然形式的鱼油,鱼油的乙酯形式,在加工过程中使用以节省成本,也存在于市场上。在这项研究中,使用气相色谱-质谱(GC-MS)和液相色谱-线性离子阱质谱(LC-LIT/MS)测定脂肪酸和脂质,分别,根据开发的方法。脂肪酸的鉴定基于质谱特征和等效链长。然而,两种形式的鱼油的脂肪酸含量非常相似。还讨论了LC-LIT/MS方法在三酰基甘油(TAG)结构表征中的应用以及LIT/MS断裂的机理。CH2=CH2(m/z28)和CH3CH2OH(m/z46)的中性损失,这是鱼油乙酯的LIT/MS特征,第一次被发现。使用指纹色谱可以轻松准确地识别鱼油的甘油三酸酯形式。总之,脂质分析与LC-LIT/MS结合显示了区分鱼油类型的能力。
    Although the triglyceride form is the natural form of fish oil found in fish, the ethyl ester form of fish oil, which is used during processing to save costs, is also present on the market. In this study, fatty acids and lipids were determined using gas chromatography-mass spectrometry (GC-MS) and liquid chromatography-linear ion trap mass spectrometry (LC-LIT/MS), respectively, according to developed methods. The identification of fatty acids was based on the mass spectral characteristics and equivalent chain lengths. However, the fatty acid contents of both forms of fish oils are quite similar. The application of the LC-LIT/MS method for the structural characterization of triacylglycerols (TAGs) and the mechanism of LIT/MS fragmentation are also discussed. Neutral losses of CH2=CH2 (m/z 28) and CH3CH2OH (m/z 46), which are LIT/MS characteristics of ethyl ester from fish oil, were found for the first time. The triglyceride form of fish oils was easily and accurately identified using fingerprint chromatography. In conclusion, lipid analysis combined with LC-LIT/MS showed an improved capability to distinguish between types of fish oil.
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  • 文章类型: Journal Article
    简体中文(RFS)被广泛研究,并且对其在药品和食品中的价值有需求,越来越多的科学关注其种植和育种。我们使用基于超高效液相色谱的四极杆-轨道阱质谱的代谢组学来阐明野生单麻(WRFS)和栽培单麻(CRFS)的植物化学成分的异同。使用多变量统计分析和热图进行非目标代谢组学分析以识别差异。从WRFS和CRFS样品中鉴定出81种化合物。主成分分析和正交偏最小二乘判别分析表明,质谱法可以有效区分WRFS和CRFS。其中,17种具有高代谢含量的潜在生物标志物可以区分这两个品种,包括七种苯丙素类化合物,三种类黄酮,一种黄酮醇,一种生物碱,一个糖苷,和四种有机酸。值得注意的是,补骨脂素,芹菜素,和Bergapten,在RFS中起重要药理作用的必需代谢物,在WRFS中上调。WRFS和CRFS富含植物化学物质,并且在它们包含的化合物方面相似。这些发现强调了不同生长环境和药物品种对次生代谢产物组成的影响,并为改良CRFS品种的靶向育种提供了支持。
    Radix Fici Simplicissimae (RFS) is widely studied, and is in demand for its value in medicines and food products, with increased scientific focus on its cultivation and breeding. We used ultra-high-performance liquid chromatography quadrupole-orbitrap mass spectrometry-based metabolomics to elucidate the similarities and differences in phytochemical compositions of wild Radix Fici Simplicissimae (WRFS) and cultivated Radix Fici Simplicissimae (CRFS). Untargeted metabolomic analysis was performed with multivariate statistical analysis and heat maps to identify the differences. Eighty one compounds were identified from WRFS and CRFS samples. Principal component analysis and orthogonal partial least squares discrimination analysis indicated that mass spectrometry could effectively distinguish WRFS from CRFS. Among these, 17 potential biomarkers with high metabolic contents could distinguish between the two varieties, including seven phenylpropanoids, three flavonoids, one flavonol, one alkaloid, one glycoside, and four organic acids. Notably, psoralen, apigenin, and bergapten, essential metabolites that play a substantial pharmacological role in RFS, are upregulated in WRFS. WRFS and CRFS are rich in phytochemicals and are similar in terms of the compounds they contain. These findings highlight the effects of different growth environments and drug varieties on secondary metabolite compositions and provide support for targeted breeding for improved CRFS varieties.
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  • 文章类型: Journal Article
    目标:质量调整生命年(QALYs)的批评者认为它歧视老年人。然而,几乎没有经验证据来为这场辩论提供信息。比较已发表的65岁以上和65岁以下患者的成本效益分析(CEA)。
    方法:我们使用塔夫茨成本效益分析注册表来识别1976年至2021年在Medline上发布的CEA。符合条件的CEA根据年龄(≥65岁与<65岁)进行分类。比较了各年龄组之间增量成本效益比(ICER)的分布。我们使用逻辑回归来评估年龄组之间的关联以及根据混杂因素调整的成本效益结论。我们进行了敏感性分析,以探讨混合年龄和年龄未知的群体以及来自相同CEA的所有ICER的影响。还进行了亚组分析。
    结果:根据年龄<65岁(n=3,784)和年龄≥65岁(n=661)分类的4,445CEA被纳入主要分析。在两个年龄组之间,ICER的分布和得出干预措施具有成本效益的可能性相似。调整后的比值比(OR)范围为1.132(95%CI,0.930,1.377)至1.248(95CI,0.970,1.606)(OR>1表明年龄≥65岁的CEA更有可能得出干预措施具有成本效益的结论)。敏感性和亚组分析发现类似的结果。
    结论:我们的分析发现,对于年龄≥65岁的个体和年龄<65岁的个体,使用QALYs的已发表的ICER没有系统性差异。
    OBJECTIVE: Critics of quality-adjusted life-years argue that it discriminates against older individuals. However, little empirical evidence has been produced to inform this debate. This study aimed to compare published cost-effectiveness analyses (CEAs) on patients aged ≥65 years and those aged <65 years.
    METHODS: We used the Tufts Cost-Effectiveness Analysis Registry to identify CEAs published in MEDLINE between 1976 and 2021. Eligible CEAs were categorized according to age (≥65 years vs <65 years). The distributions of incremental cost-effectiveness ratios (ICERs) were compared between the age groups. We used logistic regression to assess the association between age groups and the cost-effectiveness conclusion adjusted for confounding factors. We conducted sensitivity analyses to explore the impact of mixed age and age-unknown groups and all ICERs from the same CEAs. Subgroup analyses were also conducted.
    RESULTS: A total of 4445 CEAs categorized according to age <65 years (n = 3784) and age ≥65 years (n = 661) were included in the primary analysis. The distributions of ICERs and the likelihood of concluding that the intervention was cost-effective were similar between the 2 age groups. Adjusted odds ratios ranged from 1.132 (95% CI 0.930-1.377) to 1.248 (95% CI 0.970-1.606) (odds ratio >1 indicating that CEAs for age ≥65 years were more likely to conclude the intervention was cost-effective than those for age <65 years). Sensitivity and subgroup analyses found similar results.
    CONCLUSIONS: Our analysis found no systematic differences in published ICERs using quality-adjusted life-years between CEAs for individuals aged ≥65 years and those for individuals aged <65 years.
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  • 文章类型: Journal Article
    本研究检查了种族认同之间的关联,感知的歧视和青年积极发展的多个指标(PYD;即,以内部为导向的能力,人际关系导向能力,信心,关怀,字符,家庭联系,对等连接,学校和社区的联系,对多样性和文化自豪感的积极态度)在第二代美籍华人青年中特别确定。
    参与者是196位第二代美籍华人青年(N女孩=93;M年龄=14.56,SD年龄=1.75),主要来自马萨诸塞州的波士顿地区。美国。估计了多元回归模型来检查种族认同之间的关联,感知到的歧视,和PYD的每个潜在指标,以及种族认同的调节作用,控制关键人口统计数据。
    (1)种族认同与所有PYD指标呈正相关,βs=.32至.72,ps<.01;(2)感知歧视与PYD的所有指标呈负相关(βs=-.15至-.32,ps<.05),除了以人际关系为导向的能力和关怀;(3)种族认同显着调节了感知的歧视与家庭联系之间的关系(β=.23,p<.01)。
    研究结果表明,尽管歧视对第二代华裔美国青年的积极发展具有潜在的负面影响,种族认同可能是这些年轻人在PYD推广实践中应考虑的关键优势。
    The present study examined the associations among ethnic identity, perceived discrimination and multiple indicators of positive youth development (PYD; i.e., intrapersonal-oriented competence, interpersonal-oriented competence, confidence, caring, character, family connection, peer connection, school and community connection, positive attitudes towards diversity and cultural pride) that were specifically identified among second-generation Chinese-American youth.
    Participants were 196 second-generation Chinese-American youth (N girl = 93; M age = 14.56, SD age = 1.75) primarily from the greater Boston area in MA, United States. Multivariate regression models were estimated to examine the associations between ethnic identity, perceived discrimination, and each potential indicator of PYD, as well as the moderating role of ethnic identity, controlling for key demographics.
    (1) Ethnic identity was positively related to all PYD indicators, βs = .32 to .72, ps < .01; (2) perceived discrimination was negatively associated with all indicators of PYD (βs = -.15 to -.32, ps < .05), except for interpersonal-oriented competence and caring; and (3) ethnic identity significantly moderated the relationship between perceived discrimination and family connection (β = .23, p < .01).
    Findings indicate that whereas discrimination has potential negative effects on the positive development of second-generation Chinese-American youth, ethnic identity may be a key strength that should be considered in PYD promotion practices for these youth.
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