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Despite the risk it poses to children's mental and physical health, approval and use of corporal punishment (CP) remains high in the United States. Informed by the Theory of Planned Behavior, we examined potential predictors of attitudes supportive of CP while assessing the moderating effects of parents' (N=500) chosen primary professional source of advice regarding child discipline: pediatricians (47.8%), religious leaders (20.8%), mental health professionals (MHPs) (n=18.4%), or other identified professionals (13.0%). We conducted a random-digit-dial telephone survey among parents ages 18 and over within New Orleans, LA. The main outcome measure was derived from the Attitudes Toward Spanking scale (ATS). The main "predictors" were: perceived injunctive norms (i.e., perceived approval of CP by professionals; and by family and friends), perceived descriptive norms of family and friends regarding CP, and expected outcomes of CP use. We used multivariate OLS models to regress ATS scores on the predictor variables for each subset of parents based on their chosen professional source of advice. Perceived approval of CP by professionals was the strongest predictor of parental attitudes supportive of CP, except for those seeking advice from MHPs. Perceived injunctive and descriptive norms of family and friends were important, but only for those seeking advice from pediatricians or religious leaders. Positive expected outcomes of CP mattered, but only for those seeking advice from religious leaders or MHPs. In conclusion, the strength and relevance of variables predicting attitudes toward CP varied according to the professional from which the parent was most likely to seek advice.
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http://dx.doi.org/10.1007/s10826-016-0586-3 | DOI Listing |
Open Access J Contracept
September 2025
Coordinator for Centre for SET-SRHR Lira University, Lira, Uganda.
Background: Conventional top-down health interventions often exclude adolescents and community stakeholders from service design and implementation, resulting in low uptake and a mismatch with young people's needs. The CAFFP-PAC initiative in Northern Uganda sought to explore how a community-led, adolescent-centered inception process could support integration of adolescent-friendly family planning and post-abortion care into primary healthcare services.
Methods: A participatory qualitative design was employed during an inception meeting in Lira City on April 1, 2025, guided by principles of community-based participatory research and citizen science.
Nurs Ethics
September 2025
Department of Clinical and Organizational Ethics, University Health Network, Toronto, ON, Canada.
BackgroundHealthcare workers are increasingly subject to violence, aggression, and discriminatory requests from patients and families, reflecting broader societal biases within healthcare settings. In response, some institutions have developed policies and decision-making tools to guide leaders in addressing these situations ethically, consistently, and in accordance with human rights obligations.AimThis paper describes the revision of a previously published Caregiver Preference Algorithm to guide healthcare leaders in managing discriminatory patient requests.
View Article and Find Full Text PDFInt J Drug Policy
September 2025
Department of Sociology and Population Studies, University of Malawi, Malawi. Electronic address:
Background: Harmful alcohol consumption has significant public health implications across Africa and disproportionately affects vulnerable populations. In Malawi, the emergence of alcohol sachets - small, affordable plastic packets containing high-strength spirits - and their consumption, has raised substantial public health concerns. In particular, the resulting access and consumption amongst young people, led to a ban on those products by the Malawi Government in 2017.
View Article and Find Full Text PDFGlob Health Action
December 2025
Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden.
Background: In 2014, the Zambian government introduced the Comprehensive Sexuality Education (CSE) framework, decentralising its implementation from the national to the provincial administration. The provincial structures of the Ministries of Health and Education play an important role in providing technical, policy direction and coordination support. However, little research has focused on the role of CSE collaboration at the provincial level.
View Article and Find Full Text PDFBMC Public Health
August 2025
Center of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
Background: Faith healing at Sufi shrines holds enduring cultural and spiritual significance in Pakistan. Despite advancements in biomedical healthcare, many individuals, particularly in rural and underserved areas, continue to seek healing through shrine-based practices. This persistence reflects a complex integration of spirituality with health-seeking behavior, influenced by cultural beliefs, socioeconomic constraints, and limited access to formal healthcare services.
View Article and Find Full Text PDF