Mandatory Programs

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    文章类型: Journal Article
    人类从一开始就是一个公共物种,直到今天仍然如此。正因为如此,即使一小部分被测量的人口患了重病,整个剩余人口和周边地区陷入绝对混乱。事实上,我们在整个历史和最近的COVID-19大流行中都看到了这些情况,我们中的一些人忘记了遏制这种混乱的唯一方法,是通过制定强制性疫苗接种政策。然而,自从COVID-19以来,疫苗接种任务已经成为美国一个令人不安的话题,基本上是一个主要原因,一些美国公民不喜欢被告知如何处理他们的身体以及在其中放置什么,进一步相信他们的身体自主权是绝对的。数据显示,这种意识形态最近由于对政府和制药公司的不信任增加而变得更加普遍,以及政治信仰和从属关系。然而,数据还显示,这些人在过度侵略的情况下,对疫苗接种任务主张身体自主权,对执政法理学的理解非常错误,围绕上述疫苗接种任务和大规模疾病爆发的政策和现代科学数据。因此,本文旨在提供一个清晰和广泛的理解命题,虽然身体自主性在生活的其他方面受到青睐,在致命疾病爆发和强制性疫苗接种方面,这项权利可能会失败,因为目前没有其他实际或可行的替代方案。具体来说,本文介绍和/或提醒美国公众完善的判例法,相关的历史和科学信息以及围绕疫苗的相关立法机构,身体自主性,和疫苗接种任务。
    Humans have been a communal species since inception and continue to be so to this day. Because of this, if even a small scale of a measured population becomes severely ill, the entire remaining population and surrounding area is thrown into absolute chaos. In fact, we have seen these circumstances throughout history and in the recent COVID-19 pandemic yet, some of us have forgotten that the only way this chaos can be curbed, is by enacting a mandatory vaccination policy. Since COVID-19 however, vaccination mandates have become an uneasy topic of conversation in the United States for essentially one main reason, some U.S citizens do not like to be told what to do with their body and what to place inside it, further believing their bodily autonomy to be absolute. Data shows that this ideology recently became more widespread from an increase of mistrust of government and pharmaceutical companies, and from political beliefs and affiliations. Nevertheless, what the data also shows is that these same individuals were asserting their right to bodily autonomy against a vaccination mandate in an unduly aggressive manner, and on a very erroneous understanding of the governing jurisprudence, policies and modern scientific data surrounding said vaccination mandates and large scale disease outbreaks. This article therefore aims to provide a clear and extensive understanding of the proposition that, while bodily autonomy is favored in other aspects of life, this right can fail with respect to deadly disease outbreaks and mandatory vaccinations as there is presently no other practical or feasible alternative. Specifically, this article introduces and/or reminds the U.S. public of well-established governing case law, relevant historical and scientific information and the pertinent legislative authority surrounding vaccines, bodily autonomy, and vaccination mandates.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    在美国,对于正在经历离婚或参与儿童福利或少年司法系统的家庭来说,强制参加父母教育计划是一种普遍做法。参加育儿计划的任务给家庭带来了巨大的挑战,服务提供商,和服务体系。此外,获得的育儿服务的类型和质量差异很大,它们的影响需要更好地理解。为了满足这一需求,提供了有关离婚和儿童福利和少年司法环境中强制性育儿干预措施的影响和结果的实证文献现状的概述,并向该领域提供建议,以完善与授权育儿计划相关的研究。鉴于强制性育儿计划带来的挑战,强调了一种通过公共卫生视角来看待育儿的替代方法,以建立在越来越多的关于育儿支持计划在全民范围内应用的影响的研究基础上,并作为减少需要参加育儿计划的父母数量的可能方法。在一系列社区环境中推进普遍育儿支持的机会,包括初级保健,幼儿教育,并提供社区精神卫生系统。强调了关于普遍支持的行动机制和对受命接受治疗的父母人数的影响的知识差距,并提出了该领域未来的研究方向。
    Mandated participation in parent education programs is a common practice across the United States for families who are undergoing divorce or who are involved in the child welfare or juvenile justice systems. Mandates to participate in parenting programs create substantial challenges for families, service providers, and service systems. Furthermore, the type and quality of the parenting services accessed vary widely, and their impacts need to be better understood. To address this need, an overview of the current state of the empirical literature on the impacts and outcomes of mandated parenting interventions for divorce and in child welfare and juvenile justice settings is provided, and suggestions to the field are offered to refine research related to mandated parenting programs. Given the challenges that mandated parenting programs pose, an alternative approach that views parenting through a public health lens is highlighted to build on the growing body of research on the impacts of population-wide applications of parenting support programs, and as a possible way to decrease the number of parents who are required to attend parenting programs. Opportunities to advance universal parenting support within a range of community settings, including primary care, early childhood education, and community mental health systems are offered. Gaps in knowledge regarding mechanisms of action of universal supports and impacts on the number of parents mandated to treatment are highlighted, and future directions for research in this area are suggested.
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  • 文章类型: Journal Article
    背景:强制戒毒是越南和亚洲其他国家政府对非法药物使用的主要反应。长期强制康复与负面健康有关,社会和经济成果。不仅在越南,从强制戒毒中释放的人向社区服务的过渡也存在问题。这项研究利用了WHO卫生系统构建框架,以研究从强制戒毒康复中释放回社区的物质使用障碍(SUD)患者的机遇和挑战。
    方法:在2021年10月至2022年8月之间,我们采访了最近从强制戒毒返回或准备离开的SUD患者(n=25),他们的家庭成员(n=20)和在越南三个城市的戒毒领域工作的专业人员(n=28)。此外,我们对政策文件进行了审查,以补充采访数据。
    结果:该研究发现了越南戒毒系统在领导和治理方面的机遇和挑战,融资,劳动力,为SUD人员提供的信息系统和服务。关键机会包括一个法律框架,强调对SUD患者的社区支持,政府资助的全国非专业社会工作者网络,以及将人们与社区服务联系起来的持续努力。我们发现,由于缺乏明确的实施支持性政策的指示,社区服务资金不足,提供者对SUD患者的污名持续存在,并且美沙酮以外的社区药物治疗不可用。
    结论:越南继续强制戒毒,但支持以恢复为导向的政策来解决药物使用问题。重大挑战阻碍了这些政策的有效实施。我们的研究建议通过提高数据收集质量,加强现有政策和以恢复为导向的社区服务,建立非专业社会工作者的能力,以促进与服务的联系并扩大基于社区的药物治疗选择。
    BACKGROUND: Compulsory drug rehabilitation is a major governmental response to illicit drug use in Vietnam and other countries in Asia. Long-term compulsory rehabilitation is associated with negative health, social and economic outcomes. The transition to community-based services for people released from compulsory drug rehabilitation has been problematic not only in Vietnam. This study utilized the WHO Health System Building Blocks Framework to examine the opportunities and challenges for people with substance use disorders (SUD) who are released from compulsory drug rehabilitation back into the community.
    METHODS: Between October 2021 and August 2022, we interviewed people with SUD who had recently returned from or were preparing to leave compulsory drug rehabilitation (n = 25), their family members (n = 20) and professionals working in the field of drug rehabilitation (n = 28) across three cities in Vietnam. Additionally, we conducted a review of policy documents to complement the interview data.
    RESULTS: The study identified opportunities and challenges within Vietnam\'s drug rehabilitation system concerning leadership and governance, financing, workforce, information systems and service delivery for people with SUD. Key opportunities include a legal framework that emphasizes community-based support for people with SUD, a government-funded national network of lay social workers, and ongoing efforts to connect people to community-based services. We found significant challenges caused by the lack of clear instructions for implementing supportive policies, inadequate funding for community-based services, persisting stigma from providers towards people with SUD and unavailability of community-based drug treatment other than methadone.
    CONCLUSIONS: Vietnam continues with compulsory drug rehabilitation yet endorses recovery-oriented policies to address substance use issues. Substantial challenges hinder the effective implementation of these policies. Our study recommends reinforcing existing policies and enhancing recovery-oriented community-based services by improving the quality of data collection, building capacity of lay social workers who facilitate linkages to services and expanding community-based drug treatment options.
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  • 文章类型: Journal Article
    背景:这项研究调查了父母对意大利国家免疫计划(NIP)中强制性和推荐疫苗的态度与他们在5-11岁儿童中接受COVID-19疫苗之间的关系。
    方法:使用来自意大利南部约42,000名儿童的数据,检查了父母对以前接种疫苗的态度。分析考虑了强制性和推荐的疫苗接种,每个时间表的第一枪都被认为是相关的,无论何时给药或是否给药推荐剂量。进行了多变量逻辑回归分析,以分析年龄,性别,坚持强制接种疫苗,推荐接种疫苗的数量,和COVID-19疫苗接种。
    结果:我们的样本中COVID-19疫苗的接受率为50.7%。我们发现父母对以前接种疫苗的态度与接受COVID-19疫苗之间存在很强的联系。NIP下的强制性疫苗接种显示出最高的接受率,在非强制性疫苗中,肺炎球菌结合疫苗的接受率最高,可能是由于其与六价疫苗的共同给药。该研究发现,年幼儿童的COVID-19疫苗覆盖率有降低的趋势。
    结论:该研究强调了共同给药方法和精心计划的疫苗接种时间表在提高疫苗覆盖率方面的重要性。这表明整合新的疫苗,像COVID-19疫苗一样,纳入既定的疫苗接种时间表可能会增加接受度和覆盖率。研究结果强调了解决疫苗犹豫的紧迫性,特别是在儿科人群中,确保高疫苗接种覆盖率和有效的疾病控制。需要进一步的研究来探索提高疫苗接受度的潜在策略。
    BACKGROUND: This study investigates the association between parental attitudes towards mandatory and recommended vaccines in the National Immunization Plan (NIP) of Italy and their acceptance of the COVID-19 vaccine in children aged 5-11 years.
    METHODS: Using data from approximately 42,000 children in Southern Italy, parental attitudes towards previous vaccinations were examined. Mandatory and recommended vaccinations were considered for the analysis, with the first shot of each schedule being considered relevant, regardless of when it was administered or whether the recommended number of doses was administered. A multivariate logistic regression was performed to analyze associations between the covariates of age, sex, adherence to mandatory vaccinations, number of recommended vaccinations, and COVID-19 vaccination.
    RESULTS: The COVID-19 vaccine acceptance rate was 50.7% in our sample. We revealed a strong association between parental attitudes towards previous vaccinations and the acceptance of the COVID-19 vaccine. Mandatory vaccinations under the NIP showed the highest acceptance rates, and among non-mandatory vaccines, the pneumococcal conjugate vaccine had the highest acceptance rate, potentially due to its co-administration with the hexavalent vaccine. The study identified a trend of lower COVID-19 vaccine coverage in younger children.
    CONCLUSIONS: The study underscores the importance of co-administration approaches and well-planned vaccination schedules in enhancing vaccine coverage. It suggests that integrating newer vaccines, like the COVID-19 vaccine, into established vaccination schedules could potentially increase acceptance and coverage. The findings highlight the urgency of addressing vaccine hesitancy, particularly in the pediatric population, to ensure high vaccination coverage and effective disease control. Further research is needed to explore the potential strategies to increase vaccine acceptance.
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  • 文章类型: Journal Article
    本文通过分析欧洲人权法院(ECtHR)的相关ECHR权利和相关判例法,研究了强制性疫苗接种与《欧洲人权公约》(ECHR)的兼容性。通过侧重于第八条(私人生活权),第二条(生命权)和第九条(思想自由,良心与宗教)ECHR,我们制定了强制性疫苗接种立法合理的条件。有了这个,这项分析旨在为国家立法者提供有关负责任的立法政策的指导。此外,本文讨论了荷兰疫苗接种政策的法律框架,包括自COVID-19以来的事态发展。此外,简要讨论了欧盟在疫苗接种方面的作用。强调了在实施强制性疫苗接种政策之前进行广泛的社会和议会辩论的重要性,执法中的相称性也是如此。
    This contribution examines the compatibility of mandatory vaccination with the European Convention on Human Rights (ECHR) through an analysis of the relevant ECHR rights and related case law of the European Court of Human Rights (ECtHR). By focusing on Article 8 (Right to Private Life), Article 2 (Right to Life) and Article 9 (Freedom of Thought, Conscience and Religion) ECHR, we formulate conditions under which mandatory vaccination legislation is justified. With that, this analysis aims to provide national legislators with guidance on responsible legislative policy. Additionally, this article discusses the legal framework underlying the Dutch vaccination policy, including developments therein since COVID-19. Furthermore, the role of the European Union in the context of vaccination is briefly discussed. The importance of an extensive societal and parliamentary debate before implementing a mandatory vaccination policy is stressed, as is the need for proportionality in enforcement.
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  • 文章类型: Journal Article
    背景:疫苗授权是有争议的,人们在支持或拒绝疫苗授权方面的偏好差异很大。对一些人来说,疫苗授权代表了减少危害和支持公共卫生的承诺。对于其他人,疫苗授权被视为对个人自由的威胁和对个人选择的侵犯。该手稿调查了接种COVID-19疫苗的个体对COVID-19疫苗任务的支持,并根据人口统计学特征和COVID-19经验确定了差异。
    方法:在美国南德克萨斯州的一家疫苗接种诊所对接种COVID-19的个体进行了横断面调查,目的是确定态度,信仰,以及对COVID-19疫苗接种的看法和支持COVID-19疫苗接种任务的意愿。使用描述性统计学分析感兴趣的关联。
    结果:大约一半的样本来自西班牙裔或拉丁裔(48%);大多数受访者被确定为白人(59%),其次是12%的亚洲人。总的来说,59%的参与者支持COVID-19疫苗授权的可能性。初步数据显示,支持可能的COVID-19疫苗授权的意愿存在显著种族差异(χ2(1,n=893)=26.7,p<.001,phi=.17);80%的亚洲人报告支持COVID-19疫苗接种授权,而其他种族群体的这一比例为50%至57%。种族也存在显着差异(χ2(4,n=1033)=7.12,p=.008,phi=.08),因此较高比例的拉丁裔参与者(66%)表示愿意支持COVID-19疫苗授权。同样,年龄差异显著(χ2(4,n=1045)=20.92,p<.001,phi=.21),然而,性别或以前的COVID-19诊断没有发现显著差异.
    结论:即使在接种疫苗的人群中,对COVID-19疫苗接种任务的支持也存在争议。确定和理解导致对COVID-19疫苗接种任务的态度和信念差异的文化和环境因素,对于推进对话和宣传教育健康运动以提高COVID-19疫苗接种率至关重要。
    BACKGROUND: Vaccine mandates are controversial, and people vary widely in their preferences to support or reject vaccine mandates. For some, vaccine mandates represent a commitment to reduce harm and support public health. For others, vaccine mandates are viewed as a threat to individual freedom and a violation of personal choice. This manuscript investigated support for a COVID-19 vaccine mandate among COVID-19-vaccinated individuals and identified differences by demographic characteristics and COVID-19 experience.
    METHODS: Cross-sectional surveys were given to COVID-19-vaccinated individuals at a vaccination clinic in South Texas in the U.S. with the goal of identifying attitudes, beliefs, and perceptions about COVID-19 vaccination and willingness to support a COVID-19 vaccination mandate. Associations of interest were analyzed using descriptive statistics.
    RESULTS: Approximately half of the sample was of Hispanic or Latino origin (48 %); most respondents identified as White (59 %), followed by 12 % who identified as Asian. Overall, 59 % of participants supported the possibility for a COVID-19 vaccine mandate. Preliminary data showed significant racial differences in willingness to support a possible COVID-19 vaccine mandate (χ2 (1, n = 893) = 26.7, p < .001, phi = .17); 80 % of Asian people reported support for COVID-19 vaccination mandate compared to 50 % to 57 % for other racial groups. Significant differences also emerged by ethnicity (χ2 (4, n = 1033) = 7.12, p = .008, phi = .08) whereby a higher percentage of Latino participants (66 %) reported willingness to support a COVID-19 vaccine mandate. Similarly, significant differences were found by age (χ2 (4, n = 1045) = 20.92, p < .001, phi = .21), yet no significant differences were found by sex or previous COVID-19 diagnosis.
    CONCLUSIONS: Support for a COVID-19 vaccination mandate is controversial even among vaccinated people. Identifying and understanding cultural and contextual factors that underlie differences in attitudes and beliefs about COVID-19 vaccination mandates is essential to advance dialogue and inform educational health campaigns to increase COVID-19 vaccination rates.
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  • 文章类型: Journal Article
    我调查了教育对时间偏好的因果影响。为了处理教育的内生性,我利用了土耳其学校改革带来的教育外生变化,该改革将义务教育从5年提高到8年。我发现,教育会使个人做出更多的患者跨期选择,但不会诱使他们报告自己更有耐心。我还提供了证据,表明教育对患者跨期选择的影响并非通过财务福利的变化而起作用。
    I investigate the causal effect of education on time preferences. To deal with the endogeneity of education, I exploit exogenous variation in education imposed by a Turkish school reform that raised compulsory education from five to eight years. I find that education causes individuals to make more patient inter-temporal choices but does not induce them to report being more patient. I also provide evidence that the effect of education on patient inter-temporal choices does not operate through changes in financial well-being.
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  • 文章类型: Journal Article
    本研究采用了准实验设计来评估针对职前教师的6小时强制性压力管理和福祉计划的有效性和可接受性。一个由157名职前教师(法师=22.46岁;88%的女性)组成的项目小组完成了该项目以及基线,postprogram,以及后续措施。由63名职前教师组成的对照组(Mage=23.50岁;85%的女性)在相似的时间点完成了措施,但未收到该计划。所有参与者都完成了压力测量,应对自我效能感,焦虑,正念,和幸福。该计划小组完成了额外的福祉措施,影响,和程序满意度。研究结果表明,与对照组相比,计划组中的心理健康和幸福感的关键指标显着改善,并且计划满意度较高。讨论的重点是当前发现对教师准备计划中强制性纳入健康课程的影响,并指导他们自己和学生的福祉。(PsycInfo数据库记录(c)2023年APA,保留所有权利)。
    The present study employed a quasi-experimental design to evaluate the effectiveness and acceptability of a 6-hr mandatory stress management and well-being program for preservice teachers. A program group of 157 preservice teachers (Mage = 22.46 years; 88% women) completed the program as well as baseline, postprogram, and follow-up measures. A comparison group of 63 preservice teachers (Mage = 23.50 years; 85% women) completed measures at similar time points but did not receive the program. All participants completed measures of stress, coping self-efficacy, anxiety, mindfulness, and well-being. The program group completed additional measures of well-being, affect, and program satisfaction. Findings revealed significant improvements in key indices of mental health and well-being for those in the program group relative to the comparison group and high ratings of program satisfaction. Discussion focuses on implications of present findings for mandatory inclusion of wellness curriculum in teacher preparation programs with instruction on enhancing their own and their students\' well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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  • 文章类型: Journal Article
    背景:在COVID-19大流行期间,三个欧洲国家(奥地利,希腊,意大利)宣布和/或实施了对普通人群中高危人群的强制性COVID-19疫苗接种。除了这项政策的道德理由之外,重要的是评估和量化任务在提高疫苗接种率方面的有效性。
    方法:在第35/2021周和第50/2022周期间,目标年龄组(希腊:≥60岁;意大利:≥50岁)相对于对照组(希腊:50-59岁;意大利:25-49岁)的第一剂疫苗接种率的受控中断时间序列分析。对于奥地利,进行了不受控制的分析,因为疫苗授权针对所有≥18岁的成年人.
    结果:在希腊(RR=4.36,95%CI:3.57-5.32)和意大利(RR=2.90,95%CI:2.37-3.56),与对照组相比,目标年龄组的疫苗接种率大大提高。在整个研究期间持续存在的效果。希腊有176,428(95%CI:164,097-187,226)授权归因的第一剂疫苗接种,意大利有316,192(95%CI:282,467-346,678),其中大部分发生在任务生效之前。在奥地利,在宣布强制接种疫苗后,没有观察到疫苗接种率的明显增加。在研究期结束时,9.5%的希腊≥60岁儿童,4.9%的50岁以上的意大利和13.8%的18岁以上的奥地利仍未接种疫苗。
    结论:在希腊和意大利-尽管不是在奥地利-简单地宣布疫苗授权迅速增加了目标年龄组的COVID-19疫苗接种率,没有完全缩小疫苗接种差距。强制接种似乎有效地针对自满,但不是疫苗犹豫,它的公共健康利益需要权衡对信心和信任的可能有害影响。
    During the COVID-19 pandemic, three European countries (Austria, Greece, Italy) announced and/or implemented mandatory COVID-19 vaccination for high-risk groups in the general population. Besides the ethical justification for this policy, it is important to assess and quantify the effectiveness of the mandate in raising vaccination rates.
    Controlled interrupted time series analysis of first-dose vaccination rates in the targeted age groups (Greece: ≥60 years; Italy: ≥50 years) relative to a control group (Greece: 50-59 years; Italy: 25-49 years) between week 35/2021 and week 50/2022. For Austria an uncontrolled analysis was performed, as the vaccine mandate targeted all adults ≥18 years.
    Announcement of mandatory vaccination substantially increased vaccination rates in the targeted age groups compared to control in both Greece (RR = 4.36, 95 % CI: 3.57-5.32) and Italy (RR = 2.90, 95 % CI: 2.37-3.56), an effect which persisted throughout the study period. There were 176,428 (95 % CI: 164,097-187,226) mandate-attributable first-dose vaccinations in Greece and 316,192 (95 % CI: 282,467-346,678) in Italy, most of which occurred before the mandate came into effect. In Austria no discernible increase in vaccination rates was observed after the announcement of mandatory vaccination. At the end of the study period, 9.5 % of ≥60 year-olds in Greece, 4.9 % of ≥50 year-olds in Italy and 13.8 % of ≥18 year-olds in Austria remained unvaccinated.
    In Greece and Italy - though not in Austria - simple announcement of a vaccine mandate rapidly increased COVID-19 vaccination rates in the targeted age groups, without fully closing the vaccination gap. Mandatory vaccination appears to effectively target complacency but not vaccine hesitancy, and its public health benefits need to be weighted against possible detrimental effects on confidence and trust.
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