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681.
The present study examined the relationship between spiritual health locus of control, breast cancer beliefs, and mammography utilization among a sample of 1,227 African American women from urban public health centers. Spiritual health locus of control was conceptualized as having an active and passive dimension, empowering individuals in their health beliefs and behaviors or rendering them to rely on a higher power (e.g., God) to determine their health outcomes, respectively. The active dimension was negatively associated with perceived benefits of mammography and positively associated with perceived barriers to mammography. The active and passive spiritual dimensions are distinct from internal and external health locus of control. Further study of their associations with other health-related beliefs and behaviors is warranted. 相似文献
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Amy L. McGuire Mark P. Aulisio F. Daniel Davis Cheryl Erwin Thomas D. Harter Reshma Jagsi 《The American journal of bioethics : AJOB》2020,20(7):15-27
Abstract The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing policies for pandemics differ by institution, health system, and applicable law. Most seem to agree that a patient’s ability to benefit from treatment and to survive are first-order considerations. However, there is debate about what clinical measures should be used to make that determination and about other factors that might be ethically appropriate to consider. In this paper, we discuss resource allocation and several related ethical challenges to the healthcare system and society, including how to define benefit, how to handle informed consent, the special needs of pediatric patients, how to engage communities in these difficult decisions, and how to mitigate concerns of discrimination and the effects of structural inequities. 相似文献
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Abstract An experiment was conducted to examine the effects of levels of naturally occurring dysphoria and elaborative encoding on recall. Previous research has indicated that the facilitative effects of elaborative encoding on recall are reduced by the induction of negative moods in laboratory settings. However, the effects of endogenous dysphoria on recall are less clear. In the present study, 82 subjects from a college population were categorised as dysphoria or nondysphoric on the basis of two self-report measures. They were then presented with sentences in both elaborated and nonelaborated form, and recall for target words embedded in the sentences was assessed. Results demonstrated that nondysphoric individuals benefited from elaborative encoding in recall performance, whereas dysphoric individuals did not. Results are discussed in terms of Ellis and Ashbrook's (1988) resource allocation model of depression. 相似文献
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National health data are presented to demonstrate that important issues of women's health are linked to inequality and to the generalized oppression of women. Health issues of violence, reproductive health, coronary health, and mental health are reviewed as they relate to women of color and diverse ethnicity as well as to women in general. Feminist principles are applied to these issues, pointing out inequalities in assessment, treatment and access to care, bias in research and lack of research on topics particularly relevant to women and minorities, and limitations in the education and training of health care providers. It is imperative that these problems, which are not solely biological, be addressed in light of systems-level analysis that includes a feminist lens. Guided by feminist principles and sensibilities, the relevance of behavioral and social science is outlined for research, training, assessment, intervention, evaluation, and overall social change. 相似文献
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