摘要:

Abstractmany aspects of the role of social support in psychological adaptation to illness have been investigated using different definitions of the construct. The present study focused on the role of instrumental social support and one aspect of emotional social support, namely supportive communication. In addition, the differential role of support provided in these areas by the spouse and significant others (SO) was examined. Subjects were 76 post‐mastectomy breast cancer patients treated at a University Hospital in Istanbul. Patients were administered Spielberger's State‐Trait Anxiety Inventory and the Beck Depression Inventory, and were interviewed using a structured interview developed by the authors. Results showed that supportive communication with the spouse, positive reaction of the spouse to mastectomy, marital satisfaction and open discussion of emotions concerning cancer were positively associated with psychological well‐being. Instrumental support from the spouse or SO was not related to depression or an

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00001.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractThis paper reviews the ways in which diversity and inequality are represented in the major sources of health data in Britain. It examines how identities linked to disability, ‘race’, class and sexuality are represented in official statistics and national surveys. The paper argues that (1) the methods of data‐collection and data‐analysis result in the exclusion of minority group experiences and (2) the measures of social position mask and misrepresent dimensions of inequality that the new social movements have sought to make visible. Illustrations of these processes ar

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00002.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractMen have hitherto largely been invisible in research on informal care. This paper examines gender differences in informal caring, focusing on gender differences according to the relationship between the carer and care‐recipient and the location of caring.The paper uses secondary analysis of the 1990–91 General Household Survey, which identified over 2700 adults as informal carers. Four per cent of men and women provide care for someone living in the same household. More women than men, 13% compared with 10%, provide care for someone living in another household. Men carers are less involved in care provision than women, providing fewer hours of care each week, and are less likely to be the main carer. However, gender differences are most marked among married carers, apart from those caring for their spouse, and least among unmarried carers. Married men can often rely on their wives to perform caring roles rather than performing them personally.Women carers are more likely to provide personal care than men carers, but the gender difference is least among those caring for their spouse or for disabled children. Cross‐sex personal care is performed within the marital relationship and by parents caring for disabled children, but seldom by adult children caring for their parents or in more distant caring relationships. Evidence of cross‐sex taboos in giving personal care is largely restricted to care provided in another household. Since the majority of elderly people in need of care are women, such cultural taboos may reinforce the pressure on mid‐life women to care for mothers and mothe

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00003.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractAs our reliance on interdisciplinary health care teams for meeting the multidimensional needs of the community becomes greater, new interdisciplinary education programmes and learning experiences are needed to educate students and health care professionals to become better team players. The St Joseph's Community Health Centre (SJCHC) model of community‐based interdisciplinary health care team education was developed with support from McMaster University and the Educational Centre for Aging and Health's Clinical Teaching Unit Without Walls. The SJCHC model is structured as one 3‐h session each week for eight consecutive weeks and is an elective learning experience for students. Six to eight senior health, social science and other health‐related students work with two group facilitators as a team on discussion theme topics: team dynamics; role issues and professional values; collaboration and conflict; communication, leadership and power; client‐centred goal‐oriented care; and consumerism issues. The success and impact of the SJCHC model has been measured by several primary and secondary outcomes outlined in the Charting the Outcomes of Educational and Clinical Approaches (COE

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00004.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

AbstractThe objective of this study was to determine whether members of ethnic minorities in Sweden and repatriated Latin American refugees suffer from more pain than the majority population. Further, to describe simple demographic data and rates of lifestyle, material conditions, mental well‐being, sickness and long‐term use of drugs. This survey, involving face‐to‐face interviews, focused on 338 refugees from Latin America aged 16–74 years, who lived in Lund, and 60 Latin American refugees from Lund who were repatriated. A random sample of 165 South European labour migrants, 398 Finnish labour migrants, and 1159 Swedish controls from the Swedish Annual Level‐of‐Living Surveys 1980–1981 and 1988–1989 were used. The data were analysed unmatched with logistic regression in main effect models. Lund, a medium‐sized town in southern Sweden, Santiago and Montevideo capitals of Chile and Uruguay respectively, and the whole of Sweden (labour migrants from Southern Europe and Finland, Swedish controls) were the areas used for the study. There was a strong association between being a Latin American refugee and self‐rated pain, with an estimated odds ratio of 1.99 (1.22–3.17) when controlled for sex, age and lifestyle variables (logistic regression). No association was revealed between the other ethnic groups and the dependent variable pain in logistic regression or with crude odds ratios. Age, not taking regular exercise and daily smoking were significant risk factors for pain. Negative factors for health such as not taking regular exercise and smoking were more common among all studied ethnic groups. Scarce social network, poor material conditions, and poor mental well‐being were common among refugees and labour migrants living in Sweden. Furthermore, about half of the Latin American refugees had consulted a physician in the previous 2 weeks compared with 2.7% of the Swedes About half of the Latin American refugees and those who were repatriated and a quarter of the labour migrants and 16% of the Swedes were under regular medical treatment. The present study showed that being a non‐European refugee with experiences of violent uprooting from a culturally different society was associated with increased odds for pain. Further, that ethnic minorities in Sweden in the future might have an increased risk of poor health because of a negative lifestyle and the influence of other negative demog

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00005.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00006.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Review article: The impact of HIV and AIDSJill Bourne BSc Econ(Hons), Dip SSRM, Post‐Graduate Research Student, School of Social and Administrative Studies, University of Wales College of CardiffHIV Infection and Children in Need, edited by Daphne Batty. British Agencies for Adoption and Fostering, London. 1993, £8.50, 150pp. ISBN 1‐873868‐08.Living with AIDS: Experiencing Ethical Problems, by Miriam N. Cameron. SAGE Publications, California. 1993, £15.50, 272pp. ISBN 0‐8039‐4779‐8.Adolescents and AIDS: A Generation in Jeopardy, by J. Ralph Diclemente. SAGE Publications, California. 1992, £12.50, 328pp. ISBN 0‐8039‐4182‐X.AIDS: A Problem for Sociological Research, by Michael Pollak. Genevieve Paicheler and Janine Pierret. SAGE Publications, London. 1992, £10.95, 136pp. ISBN 0‐8039‐8841‐9.Women and AIDS, by Corrine Squire. SAGE Publications, London. 1993, £12.95, 208pp. ISBN 0‐8039‐8588‐6.Medicine as Culture. Illness, Disease and the Body in Western Society, by Deborah Lupton, by Alison Chapple BSc SRN. SAGE Publications, London. 1994, £11.99, 182pp. ISBN 0‐8039‐8925‐3.,Research Assistant, Medical Sociology Unit, Department of Primary Care, University of LiverpoolCommunity Care into Practice Series Involving Disabled People in Community Care Planning, by Catherine Bewley, by Caroline Glendinning, by Cheryl Watson BA (Applied Social Sciences) CertEd RNMH. Joseph Rowntree Foundation, York. 1994, £8.50, 43pp. ISBN 1‐872470‐89‐0.Senior Lecturer, School of Community and Mental Health, Faculty of Health Care and Social Studies, University of LutonClinical Case Management: A Guide to Comprehensive Treatment of Serious Mental Illness, by Robert W. Surber, by Malcolm Firth BA(Oxon) MSc (PSW) CQSW BAC. SAGE Publications, California. 1994, £18.95, 275pp. ISBN 0‐8039‐4387‐3.University Practice Teacher/Senior Psychiatric Social Worker, School of Psychiatry and Behavioural Sciences, Manchester Royal InfirmaryThe Midwife's Tale: An Oral History from Handywoman to Professional Midwife, by Nicky Leap, by Billie Hunter, by Louise Silverton BSc SRN SCM MSc MTD. Scarlet Press, London. 1993, £12.99, 215pp. ISBN 1‐85727‐041‐X.Director of Research and Education, Royal College of Midwives, LondonEmotion in Organizations, by Stephen Fineman, by Nancy Harding BSc PhD. SAGE Publications, London. 1993, £11.95, 230pp. ISBN 0‐8039‐8734‐X.Lecturer in Health Care Man

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1995.tb00007.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY