Influence of Church Attendance and Spirituality in a Randomized Controlled Trial to Increase Mammography Use Among a Low-Income, Tri-Racial, Rural Community

Background The influence of church attendance and spirituality on mammography use was studied among Native American, White, and African American women living in a rural county. Methods A randomized trial was conducted to increase mammography use. Women (n = 851) were randomly assigned to receive either an educational program delivered by a lay health advisor or a physician letter and brochure about cervical cancer screening (control group). Church attendance and spirituality were measured at baseline and mammography use was evaluated 12 months after enrollment using medical record review. Results Almost two-thirds of the women reported that they attended church at least once a week, and less than 4% were classified as having low spirituality. Church attendance (P = 0.299) or spirituality (P = 0.401) did not have a significant impact on mammography use. Conclusions Church attendance and spirituality did not impact mammography use.     

新型农村合作医疗定点医疗机构门诊用药分析

通过对新型农村合作医疗定点医疗机构门诊处方药品费用、药品种类、抗生素和激素的使用情况、给药方式等的分析,发现定点医疗机构存在不合理用药的问题,这将直接影响新型农村合作医疗的健康持续发展。对此,提出要加强健康教育和健康促进行动;加强医务人员专业知识和技能的培训;加强合理用药制度建设;加强定点医疗机构用药行为的监管。     

Does the effect of traffic calming measures endure over time? – A simulator study on the influence of gates

Accident statistics show that transitions from rural to urban areas are accident prone locations. Inappropriate speed and mental underload have been identified as important causal factors nearby such transitions. A variety of traffic calming measures (TCM) near rural–urban transitions has been tested in field experiments and driving simulator studies. Simulator experiments repeatedly exposing participants to the same treatment are scarce, hence it is unclear to what extent the effects of a TCM endure over time.This is precisely the objective of the current study: to examine what happens with the behavior of drivers when they are exposed multiple times to the same treatment (in this case a gate construction located at a rural–urban transition). Over a period of five successive days, seventeen participants completed a 17 km test-drive on a driving simulator with two thoroughfare configurations (gates present or absent) in a within-subject design. Results indicate that gates induced a local speed reduction that sustained over this five-day period. Even though participants were inclined to accelerate again once passed by this gate configuration, they always kept driving at an appropriate speed. We did not find any negative side effects on SD of acceleration/deceleration or SDLP.Overall we conclude that gate constructions have the potential to improve traffic safety in the direct vicinity of rural–urban transitions, even if drivers are repeatedly exposed. Notwithstanding, we advise policy makers to appropriately use this measure. Best is to always carefully consider the broader situational context (such as whether the road serves a traffic- rather than a residential function) of each particular location where the implementation of a gate construction is one of the options.     

Waimānalo Pono Research Hui: A Community–Academic Partnership to Promote Native Hawaiian Wellness through Culturally Grounded and Community‐Driven Research and Programming

Although Hawai‘i is often portrayed as an idyllic paradise and is recognized as one of the healthiest States in the United States, pervasive health disparities exist among Native Hawaiians. Similar to other indigenous populations across the globe, these disparities are linked to unjust social and economic policies rooted in colonization and historical trauma. Western‐centric efforts to address these disparities have yielded limited results. Consequently, indigenous frameworks to decolonize western‐centric research processes have emerged. The Waimānalo Pono Research Hui is an example of a community–academic partnership that uses indigenous methodologies and principles of community‐based participatory research as the foundation to engage Native Hawaiian community members in research. Monthly gatherings are held where community members and academic researchers share a meal and discuss community priorities with the goal of shaping research and programming that are rooted in Native Hawaiian values. A mission for the group has been created as well as protocols for community engagement to ensure all projects that work with the Waimānalo Pono Research Hui are ethically sound and grounded in the community's preferences, cultural knowledge, and lived experiences. Our community members continually report that the Waimānalo Pono Research Hui has positively transformed their perception of and willingness to engage in research. Similarly, university students and academic researchers express how much their knowledge about working with communities has grown and inspired them. Creating spaces for communities and researchers to build authentic relationships and engage in ongoing conversations can promote culturally grounded and community‐driven research and programming.     

Evaluation of therapist-supported parent-implemented CBT for anxiety disorders in rural children

Supplementing bibliotherapy with therapist-client communication has been shown to be an effective way of providing services to under-resourced and isolated communities. The current study examined the efficacy of supplementing bibliotherapy for child anxiety disorders with therapist-initiated telephone or email sessions, or with client-initiated contact in a randomised trial using a waitlist control. Participants were 100 anxiety-disordered children and their parents from rural and remote communities. All treatment conditions resulted in improvement on self-report measures and clinician rated severity. Telephone sessions produced superior outcomes with 79% of children being anxiety disorder free post-treatment compared with 33% of email and 31% of client-initiated participants. The results suggest that therapist supplemented bibliotherapy could provide an efficacious treatment option for families isolated from traditional treatment services.     

Family-level factors of early childhood development: Evidence from rural China

Family-level factors that characterize the home environment are critical inputs to early language and cognitive development, and potential mechanisms for improving developmental outcomes in vulnerable populations. Many studies conducted in high-income and Western settings highlight stimulating parenting, the home language environment, and parental self-efficacy as possible mechanisms of early development, though less is known about how these family-level factors impact child development in low- or middle-income settings. Even less is known about these family-level factors and early childhood development in rural China, where rates of cognitive and language delay in children aged 0–3 years are as high as 45% and 46%, respectively. Using data collected from 77 rural households with children aged 18–24 months in Southwestern China, this study examines the associations between stimulating parenting, the home language environment, and parental self-efficacy, and early cognitive and language development. The results indicate that stimulating parenting was significantly associated with cognitive, language, and overall development; the home language environment was only significantly associated with language development; and parental self-efficacy was not significantly associated with any developmental outcomes. The implications of such findings reveal mechanisms for supporting healthy child development in rural China.     

Rural Young Adults’ Lay Theories of Intimate Partner Violence: A Qualitative Examination

This study qualitatively examined rural emerging adults’ ways of thinking (i.e., lay theories) about the causes of intimate partner violence (IPV) and ideas on how to prevent IPV most effectively. Participants were 74 individuals (majority Caucasian, heterosexual, low income) between the ages of 18 and 24 who resided in one of 16 rural communities. Participants’ perceptions of the causes of IPV included (a) individual‐level pathology, stress, and lack of education; (b) intergenerational transmission of violence and early‐life factors; (c) relationship stressors and challenges; and (d) community factors. Furthermore, participants felt that IPV could most effectively be prevented through (a) education and awareness; (b) victim‐focused efforts (e.g., teaching self‐esteem); and (c) job creation. Overall, participants identified a number of established risk factors for IPV perpetration across the social ecological model, although a number were never or rarely mentioned (e.g., peer group norms, positive bystander action, and collective efficacy). Future research should examine if and how perceptions of the causes of IPV impact IPV prevention engagement and impact. Further, prevention initiatives that take into account understandings of lay theories about IPV may be more impactful in reducing IPV than prevention initiatives that do not.     

Occupational wage differentials among university educated technical personnel in a developing economy

Data taken in 1970–1971 from three university-trained occupational groups (2796 engineers, 1430 economists/business-administrators, and 162 basic scientists) in São Paulo's manufacturing industries are used in a path analysis to draw interoccupational comparisons concerning the antecedents of occupational wage differentials. The worker's total hourly wage is the dependent variable. A new variable, occupational influence level, is employed as immediately antecedent to wage, as in job experience (years in the present job). Years of advanced education, age, and seniority in the firm are treated as exogenous variables. Similarities and differences among occupations are discussed. As a whole the analysis illustrates a strategy of comparative occupational analysis.     

Occupational expectations and the hypothesis of increasing realism of choice

A two-wave analysis of the dynamics of occupational expectations in a rural youth panel generally failed to support the hypothesis of ‘increasing realism of choice.’ An analysis of four multiple regression equations indicated (1) that Black youth tended to lower their levels of occupational expectations over time and (2) that occupational expectations tended to vary with changes in occupational aspirations and educational expectations. However, family SEI, perception of occupational goal blockage, three measures of self image and change in perception of occupational goal blockage, were not found to be associated with the dynamics of occupational expectation. Two alternate explanations for the findings were presented.     

亲子亲合、逆境信念与农村留守儿童积极/消极情绪的关系

分别以173名双亲外出儿童和167名父亲外出儿童为被试,采用问卷法,探讨了父子/母子亲合、逆境信念与两类留守儿童积极/消极情绪的关系及作用机制。结果表明：（1）双亲外出儿童的逆境信念水平显著低于父亲外出儿童;（2）在双亲外出儿童群体中,父子亲合能够显著预测其积极情绪和消极情绪,而母子亲合仅能显著预测其积极情绪;在父亲外出儿童群体中,父子亲合仅能够预测其消极情绪,母子亲合则能够预测其积极情绪;（3）逆境信念在父子亲合/母子亲合与积极情绪之间起中介作用,但这种中介作用只存在于双亲外出儿童群体中。