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31.
Contradictory data exist regarding optimal methods and instruments for intimate partner violence (IPV) screening in primary care settings. The purpose of this study was to determine the optimal method and screening instrument for IPV among men and women in a primary-care resident clinic. We conducted a cross-sectional study at an urban, academic, internal medicine residency continuity clinic in Connecticut among English or Spanish speaking adult patients. One group of patients ( n = 340) received a self-administered questionnaire (SAQ) containing the partner violence screen (PVS) and the Hurt, Insulted, Threatened or Screamed at Questionnaire (HITS). A second group (n = 126) was screened with PVS and HITS by their primary care providers during face-to-face (FTF) clinical encounters. Multivariable logistic regression models were used to determine the association between IPV prevalence and screening method (SAQ or FTF) after adjusting for socio-demographic effects. The overall IPV prevalence was 17.3% using the SAQ and 9.0% with FTF screening (p = .008). Patients receiving the SAQ were more likely to report IPV than those who were screened FTF (adjusted odds ratio [AOR]: 2.6, 95% confidence interval [CI]: 1.2-5.6). This effect persisted for women, who had a higher odds of IPV when screened through a SAQ than when screened FTF (AOR: 3.5, 95% CI: 1.4-8.6). Men did not differ in reporting IPV between methods: 11% with SAQ versus 9.4% FTF (p = .69). In internal medicine residency continuity clinics, a SAQ for IPV may result in higher disclosure and completion rates among female patients compared to FTF screening. Unique screening instruments and methods may be needed for men. 相似文献
32.
Two American specialists on Russia report the results of two nationwide surveys conducted in that country in 1992 (N = 1,393) and 1993 (N = 1,598). Focus was on rates and types of political activism and their correlation with attitudes toward economic and political reform. Conclusions are that different types of political activism attract different constituencies. People with higher income and occupational status participate in a wide range of activities but are significantly less likely than others to vote. Those with less to gain from the transition are more likely to vote—perhaps a legacy of communism—but take part less in activities which demand high levels of commitment and resources. Journal of Economic Literature Classification Numbers: P29, Jl8. 相似文献
33.
Abstract This article supports growing calls to ‘take small states seriously’ in the international political economy but questions prevailing interpretations that ‘smallness’ entails inherent qualities that create unique constraints on, and opportunities for, small states. Instead, we argue that discourses surrounding the ‘inherent vulnerability’ of small states, especially developing and less-developed states, may produce the very outcomes that are attributed to state size itself. By presenting small states as a problem to be solved, vulnerability discourses divert attention away from the existence of unequal power structures that, far from being the natural result of smallness, are in fact contingent and politically contested. The article then explores these themes empirically through discussion of small developing and less-developed states in the Commonwealth and the World Trade Organization (WTO), considering in particular how smallness has variously been articulated in terms of what small states either cannot or will not do. 相似文献
34.
David Canter Laura Hammond Donna Youngs Piotr Juszczak 《Journal of Quantitative Criminology》2013,29(3):423-446
Objectives
Current ‘geographical offender profiling’ methods that predict an offender’s base location from information about where he commits his crimes have been limited by being based on aggregate distributions across a number of offenders, restricting their responsiveness to variations between individuals as well as the possibility of axially distorted distributions. The efficacy of five ideographic models (derived only from individual crime series) was therefore tested.Methods
A dataset of 63 burglary series from the UK was analysed using five different ideographic models to make predictions of the likely location of an offenders home/base: (1) a Gaussian-based density analysis (kernel density estimation); (2) a regression-based analysis; (3) an application of the ‘Circle Hypothesis’; (4) a mixed Gaussian method; and (5) a Minimum Spanning Tree (MST) analysis. These tests were carried out by incorporating the models into a new version of the widely utilised Dragnet geographical profiling system DragNetP. The efficacy of the models was determined using both distance and area measures.Results
Results were compared between the different models and with previously reported findings employing nomothetic algorithms, Bayesian approaches and human judges. Overall the ideographic models performed better than alternate strategies and human judges. Each model was optimal for some crime series, no one model producing the best results for all series.Conclusions
Although restricted to one limited sample the current study does show that these offenders vary considerably in the spatial distribution of offence location choice. This points to important differences between offenders in the morphology of their crime location choice. Mathematical models therefore need to take this into account. Such models, which do not draw on any aggregate distributions, will improve geographically based investigative decision support systems. 相似文献35.
36.
This study uses data from the 2002 Cebu Longitudinal Health and Nutrition Survey to examine the prevalence of and factors associated with intimate partner violence perpetration by husbands and wives in Cebu, Philippines. Multinomial logistic regression was used to identify the factors associated with wife-only, husband-only, and reciprocal perpetration. About 26% of women reported that either they or their partner perpetrated at least one physically aggressive act during the past year, whereas 22% reported sexual coercion by their husband during their relationship. The most common reason cited for hurting the partner was his or her alcohol use, partner nagging, the wife fighting back, and jealousy. In the regression analysis, the wife's alcohol use and violence between the wife's parents were predictors of all three perpetrator groups. The importance of regular church attendance and husband control and dominance varied for the groups. Research and prevention implications are discussed. 相似文献
37.
While it is known that diesel fuel combustion engines produce much lower concentrations of carbon monoxide (CO) than gasoline engines, these emissions could certainly generate lethal ambient concentrations given a sufficient amount of time in an enclosed space and under suitable environmental conditions. The authors report a case of CO poisoning which was initially referred for autopsy as a presumed natural death of a truck driver found in the secure cab of a running diesel tractor trailer truck. Completion of the preliminary investigation ascribed death to complications of ischemic heart disease (IHD), pending toxicological analysis that included quantification of CO. When the toxicology results showed lethal blood COHbg, the cause of death was re-certified as CO intoxication secondary to inhalation of (diesel) vehicular exhaust fumes. Because of the unique source of fatal CO intoxication in this case, the contributory IHD and the possible contaminants in the putrefied blood, a 10-year retrospective review was conducted on all nonfire related CO deaths autopsied (n = 94) at the Office of the Chief Medical Examiner in Louisville, KY from 1994 to 2003. For validation of the COHbg detection method used by the Kentucky Office of Forensic Toxicology (KYOFT), blood samples from these cases along with controls were submitted to three laboratories using various analytical methods yielding no statistically significant differences. Lastly, an extensive literature review produced no scientifically reported cases of fatal CO poisoning attributed to diesel fuel exhaust. 相似文献
38.
Throughout the 1990s, tens of thousands of Ukrainian women were trafficked into prostitution. This phenomenon was researched
by collecting data through interviews and surveys in Ukraine, media reports, governmental and non-governmental (NGO) reports
on trafficking, and participant observation in conferences. Trafficking occurs because of a transnational political criminal
nexus, which is comprised of individual criminals, organized crime groups, corrupt police and governmental officials, foreign
governments, and NGOs. Traffickers' methods of operation are flexible and adapted to ease of recruiting victims, cooperation
of corrupt officials, risk of being detected, and profit. In destination countries, victims are controlled by confiscation
of travel and identity documents, debt bondage, threats, and violence. Political components of the nexus include foreign governments
that support NGOs that ignore the views of civil society in Ukraine, and instead, support the foreign governments' positions
on trafficking and prostitution, resulting in a corruption of civil society. Some foreign governments also support changes
in laws that enable a legal flow of women into their sex industries. 相似文献
39.
40.
The European Court of Justice is often seen as the motor ofEuropean legal integration because it "constitutionalized "the treaties establishing the European Communities (EC) throughits jurisprudence. In reality though, the Court's role has ratherbeen that of a promotor or provocateur because the member statesand the national courts have been, by and large, cooperativepartners in this process, and many of the political consequencesof the Court's rulings have been hidden in its legal language.The Court will likely be careful in the future about continuingits judicial activism with the same vigor. Since the Treatyon European Union, many politically divisive issues are potentiallyopen to the Court's interpretation. In addition, the cooperativeattitude, by member states and the national courts, is no longerguaranteed. 相似文献