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The purpose of this study was to explore individual- and school-level policy characteristics on student smoking behavior using
an ecological perspective. Participants were 24,213 (51% female) Grade 10–11 students from 81 schools in five Canadian provinces.
Data were collected using student self-report surveys, written policies collected from schools, interviews with school administrators,
and school property observations to assess multiple dimensions of the school tobacco policy. The multi-level modeling results
revealed that the school a student attended was associated with his/her smoking behavior. Individual-level variables that
were associated with student smoking included lower school connectedness, a greater number of family and friends who smoked,
higher perceptions of student smoking prevalence, lower perceptions of student smoking frequency, and stronger perceptions
of the school tobacco context. School-level variables associated with student smoking included weaker policy intention indicating
prohibition and assistance to overcome tobacco addiction, weaker policy implementation involving strategies for enforcement,
and a higher number of students smoking on school property. These findings suggest that the school environment is important
to tobacco control strategies, and that various policy dimensions have unique relationships to student smoking. School tobacco
policies should be part of a comprehensive approach to adolescent tobacco use. 相似文献
Epigenetics is a rapidly evolving scientific field of inquiry examining how a wide range of environmental, social, and nutritional exposures can dramatically control how genes are expressed without changing the underlying DNA. Research has demonstrated that epigenetics plays a large role in human development and in disease causation. In a sense, epigenetics blurs the distinction between "nature" and "nurture" as experiences (nurture) become a part of intrinsic biology (nature). Remarkably, some epigenetic modifications are durable across generations, meaning that exposures from our grandparents' generation might affect our health now, even if we have not experienced the same exposures. In the same vein, current exposures could affect the health of not only individuals currently living but also future generations. Given the relative novelty of epigenetics research and the multifactorial nature of human development and disease causation, it is unlikely that conclusive proof can be established showing that particular exposures lead to epigenetic risks that manifest into specific conditions. Using the Capabilities Approach ("CA") developed by Amartya Sen and Martha Nussbaum, this article argues that epigenetic risk is not merely a medical issue, but that it more generally implicates the underlying fairness and justice of our social contract. For instance, how we develop mentally or physically has a tremendous impact upon our inherent capabilities and our set of life options. The CA prompts us to ask questions such as: (1) what impact do particular epigenetic risks have on our ability to exercise free choices; (2) are these risks avoidable; and (3) how are these risks distributed across society? Due to the complex nature of epigenetic risk, tort law is predictably incapable of addressing this harm. Further, while regulatory agencies possess the statutory authority to begin addressing epigenetic harms, currently these agencies are not attuned to measure or to respond to this type of harm. This article argues that it is imperative to initiate a regulatory framework to address epigenetic risk from specific substances even if conclusive proof of disease causation cannot be established. Shifting the burden of generating epigenetic risk data to producers of suspected harmful substances serves as a start. As information concerning epigenetic risks accrues, the regulatory response should evolve concurrently. As part of a dynamic policy-making approach our goals need to encompass the following: (i) promotion of knowledge in the scientific, legal, and public domains; (ii) assessment and modification of current regulations to address preventable risk; and (iii) an overarching commitment to protect human capabilities in an equitable manner. 相似文献
Suicides or suicide attempts with power saws (band, circular or chain saws) are rather rare events and only a few case reports exist in the forensic literature. The use of a band saw, in particular, has been extremely rare in cases of suicide.We report two cases of suicide that occurred in the same suburban area, three years apart. In each case, the victim was a carpenter and had a history of psychiatric disorder and/or of prior suicide attempts.We summarize the findings of the death scene investigations, the pertinent autopsy findings, and also summarize the world literature pertaining to suicide committed with power saws. 相似文献
In the face of an unprecedented surge in United Nations (UN) peacekeeping activity over the past three years—with now almost 100,000 military, police and civilian personnel deployed on four continents in 18 operations—there is a need for the UN to develop a comprehensive doctrine that better defines what modern UN peacekeeping has become and that covers the full range of civilian peacebuilding activities that are now a standard feature of Security Council mandates. This paper serves as a primer and proposes an agenda for debate on such a doctrine. It summarises evolutions in thinking and practice over the past 15 years. It also highlights key conceptual challenges and political fault lines to be reconciled in order for a new comprehensive doctrine to enjoy broad support of the UN's 192 Member States, while still providing relevant guidance to thousands of personnel on the front-lines of the effort to help rebuild war-torn states. 相似文献
From 1998 to 1999, I interviewed women who had been incarcerated under the Zina Ordinance (zina means illicit sex) in Pakistan. This led me to an examination of women's moral regulation by their families, a process in which I maintain the state is complicit. I argue against relativist explanations of this process, which view Pakistani culture or notions of timeless Islam as the reason for women's incarceration. Instead, I examine the interconnection of morality with the legal/judicial structures, the relationship between the state and patriarchy within families, and the plight of impoverished women in Pakistan within an era of globalization. In my analysis, I link economic development and human rights to globalization and the continuing costs of militarization. Such connections allow feminists to target the structural conditions that sustain the laws in Pakistan and help create an environment that will bring about the repeal of the laws while contributing to trans-national feminist solidarity. 相似文献