关于城镇职工医疗保险制度改革和发展趋势

我国城镇职工医疗保险制度改革是本届政府的五大改革之一。改革的基本思路是“低水平、广覆盖、双方负担、统筹结合”。同时,国家有关部委又区同制定出台了６个医疗保险制度改革配套文件。最后对我国医疗保险的发展趋势进行了分析！?     

在新医学模式指导下预防碘缺乏病

碘缺乏病严重危害人类健康,是最大的、可预防的智力损伤因素。通过“社会动员”,推动防治碘缺乏病（ＩＤＤ）“轮子”运转,使我国消除ＩＤＤ事业有了巨大进步。目前存在的问题可能会影响到该事业的可持续发展。对此,提出一些建议。     

Spirituality in Physical Health and Aging

A variety of research has documented the association between various measures of religion/spirituality and physical health outcomes. The purpose of this paper is to review the literature on this topic. The paper also discusses the mechanisms that are thought to underlie the associations found in the literature. Further, the paper presents several avenues along which future research might proceed in order to advance our understanding of these issues. The paper concludes by making a case for the need for empirical examinations of these issues in countries other than the United States. Particular focus is paid here to religion among older adults in Japan.     

Determinants of Children's Primary Health Care Use

We review factors that influence children's use of primary health care services. Predictors of pediatric health care use include child health status, child mental health, parent and family functioning, demographic characteristics, and access to health care services. Health services research is marked by inconsistencies due to varying approaches to measurement, population sampling, and analysis, and models that do not incorporate situational factors. We present recommendations for practicing clinicians and discuss suggestions for future research to help identify additional factors that may influence a parent's decision to seek help from pediatric physicians. Health care use is determined by multiple factors, and complex models will lead to improved strategies for maximizing health status and establishing optimal pediatric care.     

初中生心理健康与气质、父母教养方式的关系

本研究从心理健康出发,采用《中学生心理健康量表》、《艾森克人格问卷》(儿童版)、《父母教养方式评定量表》对329名初中学生进行测量,探求初中生心理健康与气质、父母教养方式的关系。研究结果发现,初中生的心理健康与气质、家庭教养方式三者间存在交互作用,气质和家庭教养方式对心理健康有影响,气质是某些父母教养方式因子与心理健康的中介因素;并且气质特点与某些父母教养方式对初中生心理健康有较强的预测效应。     

Opium of the people? National identification predicts well-being over time

Social group membership and its social-relational corollaries, for example, social contact, trust, and support, are prophylactic for health. Research has tended to focus on how direct social interactions between members of small-scale groups (i.e., a local sports team or community group) are conducive to positive health outcomes. The current study provides evidence from a longitudinal cross-cultural sample (N = 6,748; 18 countries/societies) that the prophylactic effect of group membership is not isolated to small-scale groups, and that members of groups do not have to directly interact, or in fact know of each other to benefit from membership. Our longitudinal analyses suggest that national identification (strength of association with the country/society of which one is a citizen) predicts lower anxiety and improved health; national identification was in fact almost as positively predictive of health status as anxiety was negatively predictive. The findings indicate that identification with large-scale groups, like small-scale groups, is palliative, and are discussed in terms of globalization and banal nationalism.     

Paternal Support and Involvement in Unmarried Fragile Families: Impacts on Long-Term Maternal Mental Health

Fragile families are defined as those that include unmarried or romantically unstable parents who have children and are socioeconomically disadvantaged. Mothers in fragile families may experience risk factors that lead to increased depressive symptoms that inhibit their ability to bounce back after stressful events. Risk factors for poorer maternal mental health may include declines in father involvement and a lack of coparenting support. This study examined the connected nature of coparenting and father involvement over time among continuously unmarried mothers from the Fragile Families and Child Wellbeing Study. A bidirectional latent growth curve analysis demonstrated that early father involvement was associated with a more gradual decline in coparenting support over the child's first 5 years, while early coparenting support also predicted a slower decline in father involvement over time. Steeper declines in coparenting support and father involvement over time were linked with more maternal depression and lower maternal life satisfaction when their child was nine. Results demonstrate a clear need for targeted intervention with both parents in fragile families to promote involved fathering behavior and enhance coparental relationships.     

The Michigan infant mental health home visiting model

Selma Fraiberg's pioneering work with infants, toddlers, and families over 40 years ago led to the development of a field in which professionals from multiple disciplines learned to work with or on behalf of infants, very young children, their parents, and the relationships that bind them together. The intent was to promote social and emotional health through enhancing the security of early developing parent–child relationships in the first years of life (Fraiberg, 2018). Called infant mental health (IMH), practitioners from fields of health, education, social work, psychology, human development, nursing, pediatrics, and psychiatry specialize in supporting the optimal development of infants and the developing relationship between infants and their caregivers. When a baby is born into optimal circumstances, to parents free of undue economic and psychological stressors and who are emotionally ready to provide care and nurturing for an infant's needs, an IMH approach may be offered as promotion or prevention, with the goal of supporting new parent(s) in developing confidence in their capacity to understand and meet the needs of the tiny human they are coming to know and care for. However, when parental history is fraught with abandonment, loss, abuse or neglect, or the current environment is replete with economic insecurity, threats to survival due to interpersonal or community violence, social isolation, mental illness, or substance abuse, the work of the IMH therapist may require intervention or intensive treatment and becomes more psychotherapeutic in nature. The underlying therapeutic goal is to create a context in which the baby develops within the environment of a parent's nurturing care without the psychological impingement that parental history of trauma or loss or current stressors such as isolation, poverty, or the birth of a child with special needs, can incur.     

Emerging adult self-perception and link with adjustment to academic context among Female College Students

ObjectivesThis research aimed to investigate female emerging adult students’ self-perception in relation to their adjustment to academic context in France.MethodFirst, a preliminary study was a validation of the French version of the Self-Perception Profile for College Students (SPPCS, Neeman & Harter, 2012). Second, the study explored freshman year emerging adult females’ self-perception profiles based on the SPPCS, and their association with adjustment to academic context (depression and academic results).ResultsCluster analysis revealed seven self-perception profiles characterized by both global self-worth and self-esteem domains. These profiles were differently associated with positive and negative adjustment.ConclusionOverall, the findings highlight the importance of considering both global self-worth and domain-specific self-esteem to emphasize emerging adult students’ self-perception and its links with adjustment.