加强管理，改善流动人口卫生保健服务利用

为改善流动人口卫生保健服务利用水平,通过现场调查、焦点组访谈和二级资料提取等定性定量研究方法收集上海流动人口卫生保健服务利用情况的资料。在对上海流动人口卫生保健服务利用现状、存在的问题和利用障碍进行了分析的基础上,提出了加强管理,改善流动人口卫生保健服务利用的8项建议。     

流动人口生殖健康服务质量评价的相关理论研究

开展城市流动人口的生殖健康服务质量评价研究对于促进我国流动人口生殖健康状况持续改进和公平地享有生殖健康服务具有重要意义。从生殖健康的相关基本理论,我国生殖健康服务的政策支持,卫生服务质量评价的经典理论,系统思想及系统论,流动人口的特征等几个方面进行了流动人口生殖健康服务评价的理论基础系统论述。     

Attitudes Toward Fragile X Mutation Carrier Testing from Women Identified in a General Population Survey

Fragile X syndrome is primarily due to a CGG repeat expansion found in the FMR1 X-linked gene. In a previous study, we conducted focus groups with women to assess their attitudes towards fragile X carrier screening. In this follow-up study, we conducted in-depth interviews of general population reproductive-age women who were identified as carriers. We explored their attitudes toward testing for carrier status of the fragile X mutation. These women underwent screening primarily to participate in a research project rather than in search of a diagnosis for specific symptoms. As such, these women were wholly unprepared for positive carrier results. Their responses about their results and carrier screening, in many cases, were being worked out over the course of the interview itself. The most salient finding of this work is the apparent lack of relevance of carrier status to these women. Many expressed that although the information could be relevant in the future, it is not relevant at this stage of their lives in terms of family planning (either with respect to having unaffected offspring or to premature ovarian failure) and personal relationships. Although issues of abortion seemed prominent in the focus groups, we found that carrier status did not have an apparent effect on women’s attitudes about termination. We hypothesize this may be related to the fact that women had not processed their new carrier status and had not related it to previously-formed personal opinions. The findings of this work have significant implications for genetic counseling and population screening. Genetic counselors should be mindful that general population women may not recognize the immediate importance of their carrier status even when literature is provided and discussed prior to providing a sample. As part of comprehensive genetic counseling, counselors should identify the reproductive life stage of the woman receiving the new information and help her identify when this information would be more meaningful in her life. Counselors can assist in setting up a personalized road map with specific types of services that will be more applicable to the woman as her carrier status becomes more relevant.     

Global Aging: Challenges for Community Psychology

Older persons are among the major marginalized, disenfranchised citizens worldwide, yet this group has generally been ignored in the community psychology literature. In this paper, we trace the demographic trends in aging worldwide, and draw the field’s attention to the United Nations Program on Aging, which structures its policy recommendations in terms of concepts that are familiar to community psychologists. A central theme of the paper is that community psychology can have a role in producing the conceptual shifts needed to change societal attitudes now dominated by negative age stereotypes.     

Trajectories and predictors of indirect aggression: results from a nationally representative longitudinal study of Canadian children aged 2-10

The purposes of this study were to model the development of indirect aggression among a nationally representative sample of 1,401 Canadian children aged 4 at T2, 6 at T3, 8 at T4 and 10 at T5, and to examine predictors of trajectory group membership from T1 (age 2) child, familial, and parenting variables. Using a semi-parametric group-based modeling approach, two distinct trajectories were identified: "increasing users" comprising of 35% of the sample and "stable low users" comprising of 65% of the sample. Using logistic regression analyses to distinguish these two groups, we found that for girls, more frequent, increasing use of indirect aggression was associated with prior prosocial and physically aggressive behavior, low SES and low parental social support at age 2. For boys, increasing use of indirect aggression was associated with prior parenting issues at age 2-inconsistency and less positive parent-child interactions. Although this study provides unique information regarding the early development of indirect aggression and its predictors, more longitudinal research is needed to fully understand its development.     

Judaism and Theology In Martha Nussbaum's Ethics

The writings of Martha Nussbaum broadly defend an account of transcendence as internal, always rooted in the human context. Her account implies that any and all projects of normative theological ethics are superfluous, since they transcend the natural bounds of human experience and reason. This essay points toward a space for theology, specifically Jewish theology, in Nussbaum's work, through an analysis of her recent philosophical and autobiographical writings on Judaism. Nussbaum's account in Upheavals of Thought associates Judaism with carnality and vulnerability; this essay supplements her account by pointing to a non-natural origin of emotional judgments in some of the texts Nussbaum treats. This move serves to temper the emphasis on autonomy in liberal Jewish thought, and provides an account of transcendence which can serve as the basis of a more traditional Jewish theological ethics.     

The effect of context during word perception in schizophrenic patients

Hospitalized chronic and acute schizophrenics were compared with age- and social-status-matched controls on word perception tests to measure the effect of context on recognition thresholds. In Experiment 1 the method of J. Morton (1964, British Journal of Psychology, 55, 165-180) was adopted to see how related and unrelated contexts influenced word recognition thresholds when both context and stimulus word were presented visually. Experiment 2 was an auditory analog of Experiment 1 and in addition the chronic schizophrenics were selected on the basis of a presence or absence of auditory hallucinations. The influence of context on perceptual thresholds was quite normal in all schizophrenics. However, analysis of the incorrect responses elicited showed that some schizophrenic subjects do produce bizarre or irrelevant responses or perseveration to a greater extent than their controls. These results are explained in terms of automatic and strategic modes of information processing. The automatic processes responsible for the adjustment of perceptual thresholds operate normally in schizophrenics but response production which demands strategic selection and editing of responses is prone to malfunction which results in the observed deviations in the normal use of language.     

Comparing latent distributions

We consider the problem of comparingm latent population distributions when the observed values are scores on a test battery with binary items. The latent densities are assumed to be normal densities, and we consider a test for equality of the means as well as a test equality of the variances. In addition, we consider a longitudinal model, where the test battery has been applied to the same individuals at different points in time. This model allows for correlations between the latent variable at different time points, and methods are discussed for estimating the correlation coefficient.This work was supported in part by a grant from the Danish Social Science Research Council.