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Constructing Meaning in Elder Care: Perspectives of Informal Caregivers in Vietnam 建构长者照顾的意义:越南非正式照顾者的观点
IF 0.8 Q2 SOCIAL WORK Pub Date : 2026-10-20 DOI: 10.1111/aswp.70041
Cao Thanh Tam

Population aging poses significant challenges for Vietnam, where families remain the primary caregivers amid limited resources and a developing social welfare system. Grounded in cultural values and social norms, particularly filial piety, this study employs a qualitative approach using purposive sampling and semi-structured in-depth interviews with 37 informal caregivers of older adults with chronic illnesses in Ho Chi Minh City. Reflexive thematic analysis, supported by MAXQDA, reveals four key dimensions of caregiving meaning: (1) views on filial piety, encompassing cultural moral imperatives, inescapable structural duties, reciprocal care exchanges, and modern filial reinterpretations; (2) emotional affection; (3) gender expectations; and (4) elder care planning, which is shaped by cultural norms, care recipients' personal wishes, older adults' health status, prevailing biases toward institutional care, financial limitations, family support systems, and the consideration of external services. Together, these findings highlight the complex negotiation between traditional obligations and personal life demands, as well as the pressures inherent in home-based caregiving. These insights offer valuable implications for developing culturally grounded social policies and long-term care support in Vietnam's rapidly aging society.

人口老龄化给越南带来了重大挑战,在资源有限和社会福利体系不断发展的情况下,家庭仍然是主要的照顾者。基于文化价值观和社会规范,特别是孝道,本研究采用定性方法,采用有目的抽样和半结构化深度访谈,对胡志明市37名慢性病老年人的非正式护理人员进行了调查。在MAXQDA的支持下,反身性主题分析揭示了照顾意义的四个关键维度:(1)孝道观,包括文化道德要求、不可逃避的结构责任、互惠关怀交流和现代孝道重新诠释;(2)情感;(3)性别期望;(4)受文化规范、受护者个人意愿、老年人健康状况、对机构护理的普遍偏见、经济限制、家庭支持系统和外部服务考虑等因素影响的老年护理计划。总之,这些发现突出了传统义务和个人生活需求之间的复杂协商,以及家庭护理所固有的压力。这些见解为在越南快速老龄化的社会中制定基于文化的社会政策和长期护理支持提供了有价值的启示。
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引用次数: 0
The Dilemmas of Developing Palliative Care in Residential Care Homes for Older Adults 长者安老院发展缓和疗护的困境
IF 0.8 Q2 SOCIAL WORK Pub Date : 2026-10-16 DOI: 10.1111/aswp.70040
Liangguang Zhang, Shushan Chen, Wenyi Lin

Drawing on Bronfenbrenner's ecological systems theory, this study explores multi-level barriers to palliative-care provision in Chinese residential aged-care facilities, based on the experience of S Agency, a Guangdong pilot institution. A qualitative case study was conducted in October 2022, using three formal semi-structured interviews, five informal interviews, and non-participant observation. Thematic analysis was guided by the ecological framework. Ethical approval and participant informed consent were obtained. Dilemmas exist across micro- (low public awareness, staff-patient communication difficulties), meso- (imperfect teams, insufficient psychological support), exo- (unstandardized admission rules, ambiguous end-of-care definitions), and macro-levels (inadequate funding and insurance coverage). Traditional Chinese death-related values permeate all levels and shape service uptake. Multilevel interventions are needed: public education should reduce communication barriers; government should boost discipline building, training, and unified admission standards; collaborative service models and culturally appropriate promotion are recommended.

基于布朗芬布伦纳的生态系统理论,本研究以广东省试点机构S社为例,探讨了中国住宅养老机构提供姑息治疗的多层次障碍。定性案例研究于2022年10月进行,采用三次正式半结构化访谈,五次非正式访谈和非参与性观察。主题分析以生态框架为指导。获得伦理批准和参与者知情同意。困境存在于微观层面(公众认知度低、医患沟通困难)、中观层面(团队不完善、心理支持不足)、外观层面(入院规则不规范、临终关怀定义模糊)和宏观层面(资金和保险覆盖不足)。中国传统的与死亡有关的价值观渗透到各个层面,塑造了服务的吸收。需要多层次干预:公共教育应减少沟通障碍;政府应加强学科建设、培训和统一录取标准;建议采用协作服务模式和适合文化的推广方式。
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引用次数: 0
The Role of Family in Community-Based Drug Rehabilitation Program in Southern Philippines 家庭在菲律宾南部社区戒毒计划中的作用
IF 0.8 Q2 SOCIAL WORK Pub Date : 2026-10-11 DOI: 10.1111/aswp.70039
Alisa M. Cabacungan, Eva N. Mendoza

Drug dependence can disrupt family relationships and daily routines, making family involvement important in community-based recovery. Guided by Family Systems Theory, this cross-sectional survey examined the perspectives of 281 family members of persons who use drugs (PWUDs) who completed the Community-Based Drug Rehabilitation Program (CBDRP) in 12 rural barangays in Bukidnon, Philippines. Most households (80.8%) reported a monthly income below PHP 12,000. Family members had high awareness of CBDRP activities (Net Awareness Score = 68.63), but participation was fair (Average Participation Score = 40.84). Participation was highest in everyday caregiving activities, particularly encouraging and monitoring PWUDs. Concern for the PWUD was the most commonly reported reason for participation, whereas work fatigue was the most frequently reported barrier. Participation was lower in structured and public-facing activities than in home-based caregiving roles. Family respondents reported favorable post-program behavioral patterns among PWUDs, including greater focus on work (88.6%) and more time spent with family (86.5%). Findings indicate that families provide important support through direct caregiving, although livelihood demands and limited aftercare may constrain sustained participation. CBDRPs should strengthen family-centered, confidential, livelihood-responsive, and sustained aftercare strategies.

药物依赖会破坏家庭关系和日常生活,因此家庭参与对社区康复至关重要。在家庭系统理论的指导下,本横断面调查调查了菲律宾Bukidnon 12个农村村完成社区戒毒计划(CBDRP)的281名吸毒者家庭成员的观点。大多数家庭(80.8%)的月收入低于1.2万菲律宾比索。家庭成员对CBDRP活动的知晓程度较高(净知晓得分为68.63),但参与程度一般(平均参与得分为40.84)。参与率最高的是日常护理活动,特别是鼓励和监测pwud。对PWUD的关注是最常见的参与原因,而工作疲劳是最常见的障碍。在结构化和面向公众的活动中,参与程度低于以家庭为基础的护理角色。家庭受访者报告了良好的项目后行为模式,包括更专注于工作(88.6%)和更多的时间与家人在一起(86.5%)。研究结果表明,家庭通过直接照顾提供了重要的支持,尽管生计需求和有限的事后照顾可能会限制持续参与。CBDRPs应加强以家庭为中心、保密、生计响应和持续的善后战略。
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引用次数: 0
Rerooting Indian Practices in Mental Health and Its Relevance in Social Work Practice 重新确立印度精神卫生实践及其与社会工作实践的相关性
IF 0.8 Q2 SOCIAL WORK Pub Date : 2026-09-23 DOI: 10.1111/aswp.70035
Manasi Rani Panda, Narendra Kumar Bishnoi, Mitu Dash, Bishnu Mohan Dash

The present study reviews the Indian indigenous practices to deal with mental health and its significance in contemporary social work practice. In present time, there is a growing awareness on culture sensitive approaches to mental health, which has also revived the interest in indigenous practices that emphasizes on holistic well-being of an individual, integrating mind, body, and environment. History suggests that there has been a significant criticism on those practices during the colonial and postcolonial era, leveling it unscientific or superstition at some point. However, recent researches are highlighting their cultural significance, healing within community and breaking the bridge of treatment gaps, particularly in rural and interior part of India where people are still unaware and untrustful of the existing health system. The review also synthesizes empirical and conceptual literature on the historical evolution, marginalization, and recent resurgence of indigenous mental health approaches in India. It highlights how such practices align with core social work values of dignity, person-in-environment, and social justice.

本研究回顾了印度土著处理心理健康的做法及其在当代社会工作实践中的意义。目前,人们越来越意识到对心理健康采取文化敏感的方法,这也重新引起了人们对强调个人整体福祉的土著做法的兴趣,将精神、身体和环境融为一体。历史表明,在殖民时期和后殖民时期,这些做法受到了重大批评,在某种程度上认为这是不科学的或迷信的。然而,最近的研究强调了它们的文化意义,在社区内治愈和打破治疗差距的桥梁,特别是在印度农村和内陆地区,那里的人们仍然不了解和不信任现有的卫生系统。本综述还综合了关于印度土著精神卫生方法的历史演变、边缘化和最近复苏的经验和概念文献。它强调了这些做法如何与尊严、人与环境和社会正义的核心社会工作价值观相一致。
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引用次数: 0
Institutional Responses to Fatherlessness in Rapidly Developing Regions: A Qualitative Case Study From Indonesia 快速发展地区对父亲缺失的制度反应:来自印度尼西亚的定性案例研究
IF 0.8 Q2 SOCIAL WORK Pub Date : 2026-09-23 DOI: 10.1111/aswp.70037
Suci Iriani Sinuraya, Bahtiar Mohamad, Rizki Ardinanta

Fatherlessness is a profound emotional void increasingly intensified in developing regions by macroeconomic shifts, urbanization, and demanding capitalist labor structures. Because macro-institutional contexts are often treated as static background factors, a gap remains in understanding how localized multi-stakeholder networks collaborate outside Western welfare frameworks. This qualitative exploratory pilot study used purposive sampling and in-depth interviews with 10 institutional stakeholders in Sleman, Indonesia. Data were analyzed using a framework-based coding matrix informed by Ecological Systems Theory, yielding strong inter-coder reliability (κ = 0.85). Most institutions characterized the crisis as the emergence of the “passive father,” associating emotional detachment with economic exhaustion, digital interference, and patriarchal legacies. The findings revealed structural divergence within the response network: micro-level actors employed trauma-informed pastoral care and grassroots mentorship to address academic decline and youth street violence (klitih), while macro-level coordination remained hindered by bureaucratic fragmentation. Informants also noted maternal resilience, with single mothers adapting to dual-provider roles. The study contributes to Asian social policy by highlighting the operational paradox between functional meso-level referral pathways and fragmented macro-level coordination, emphasizing integrated cross-sector mechanisms and stronger institutional safety nets for child welfare.

无父是一种深刻的情感空虚,在发展中地区,随着宏观经济的转变、城市化和苛刻的资本主义劳动结构而日益加剧。由于宏观制度背景通常被视为静态背景因素,因此在理解本地化的多利益相关者网络如何在西方福利框架之外合作方面仍然存在差距。本定性探索性试点研究采用了有目的的抽样和对印度尼西亚Sleman的10个机构利益相关者的深入访谈。数据使用基于生态系统理论的框架编码矩阵进行分析,产生较强的编码间可靠性(κ = 0.85)。大多数机构将这场危机描述为“被动父亲”的出现,将情感疏离与经济枯竭、数字干扰和父权遗产联系在一起。研究结果揭示了响应网络内部的结构性差异:微观层面的参与者采用创伤相关的教牧关怀和基层指导来解决学业下降和青少年街头暴力(klitih)问题,而宏观层面的协调仍然受到官僚主义分裂的阻碍。举报人还注意到母亲的复原力,单亲母亲适应了双重提供者的角色。该研究通过强调功能性中观层面转递途径与碎片化宏观层面协调之间的操作悖论,强调综合跨部门机制和更强大的儿童福利制度安全网,为亚洲社会政策做出了贡献。
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引用次数: 0
Surviving Without Support: A Multi-Actor Qualitative Study of Domestic Violence Response Pathways in Bangladesh 在没有支持的情况下生存:孟加拉国家庭暴力应对途径的多行为者定性研究
IF 0.8 Q2 SOCIAL WORK Pub Date : 2026-09-18 DOI: 10.1111/aswp.70036
Wahid bin Ahsan, Humayra Rhusan

Despite the presence of legal protections and civil society interventions, women experiencing domestic violence in Bangladesh often remain in unsafe conditions over extended periods. Existing research has documented stigma, reporting gaps, social acceptance of violence, and individual-level barriers to help-seeking. This study examines how survivors and frontline actors navigate fragmented social welfare, legal, and informal support systems, focusing on where and how support pathways stall or break down over time. Drawing on a qualitative, multi-actor design, the study is based on in-depth interviews with 15 participants, including women with lived experience of domestic violence, family respondents, non-governmental organization workers, and legal and police actors in Bangladesh. Data were analyzed thematically with attention to sequencing of support-seeking and decision-making under constraint. Findings show that responses unfold through recurrent, partial, and time-bound interventions rather than linear resolution, shaped by economic precarity, informal mediation without enforcement capacity, conditional NGO assistance, and high procedural and evidentiary thresholds within formal legal systems. Survivors' endurance, withdrawal, and re-engagement emerge as strategic responses to cumulative risks rather than as passive acceptance. The study highlights how misaligned welfare and protection arrangements may stabilize unsafe conditions, underscoring the need for integrated social work and policy responses.

尽管有法律保护和民间社会干预,孟加拉国遭受家庭暴力的妇女往往长期处于不安全的环境中。现有的研究记录了耻辱、报告差距、社会对暴力的接受程度以及个人层面的求助障碍。本研究考察了幸存者和一线行动者如何应对支离破碎的社会福利、法律和非正式支持系统,重点关注随着时间的推移,支持途径在何处以及如何停滞或中断。该研究采用定性、多参与者设计,基于对15名参与者的深度访谈,其中包括有过家庭暴力经历的妇女、家庭受访者、非政府组织工作人员以及孟加拉国的法律和警察行为者。对数据进行主题分析,关注支持寻求和约束下决策的排序。研究结果表明,应对措施是通过经常性、局部和有时限的干预措施展开的,而不是线性解决方案,这是由经济不稳定、没有执行能力的非正式调解、有条件的非政府组织援助以及正式法律体系中较高的程序和证据门槛所决定的。幸存者的忍耐、退缩和重新参与是对累积风险的战略反应,而不是被动的接受。该研究强调了不协调的福利和保护安排如何可能稳定不安全的条件,强调了综合社会工作和政策应对的必要性。
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引用次数: 0
Human Capital and the Probability of Changing Work Mode: What Can We Learn From the COVID-19 Pandemic? 人力资本与工作模式转变的可能性:我们能从2019冠状病毒病大流行中学到什么?
IF 0.8 Q2 SOCIAL WORK Pub Date : 2026-09-18 DOI: 10.1111/aswp.70038
Trieu Thi Phuong, Nguyen Nu Nguyet Anh

Remote work is a new form of work and has become more popular since COVID-19 to adapt to the new normal. However, this form of work is only suitable for certain jobs and depends on employees' access to the Internet and the use of technological tools. This paper illustrates the relationship between human capital and the probability of changing the work mode of waged workers in Vietnam during COVID-19 based on the 2022 Labor Force Survey data. Employing logistic regression analysis, this study finds that waged workers with higher education, longer working duration, and those using IT at work before COVID-19 are associated with a higher probability of switching to remote work. Moreover, those with better jobs and occupations are associated with higher odds of changing work mode during COVID-19. The findings suggest that the ability to switch to remote work during shocks reveals a new dimension of labor market inequality. Policies ensuring social protection and promoting human capital for the labor force therefore contribute to long-term employment security and work flexibility, especially during unforeseen shocks. It is even more meaningful as the Vietnamese government is promoting the rapid development of the digital economy and citizens' IT level.

远程办公是一种新型的工作形式,自新冠肺炎疫情以来,为适应新常态,远程办公越来越受欢迎。然而,这种工作形式只适用于某些工作,并且依赖于员工对互联网的访问和技术工具的使用。本文基于2022年劳动力调查数据,阐述了越南人力资本与COVID-19期间有薪工人改变工作模式的概率之间的关系。通过logistic回归分析,本研究发现,受教育程度较高、工作时间较长的受薪工人以及在COVID-19之前使用IT的人转向远程工作的可能性更高。此外,那些拥有更好工作和职业的人在2019冠状病毒病期间改变工作模式的可能性更高。研究结果表明,在危机期间转向远程工作的能力揭示了劳动力市场不平等的一个新层面。因此,确保社会保护和促进劳动力人力资本的政策有助于长期就业保障和工作灵活性,特别是在不可预见的冲击期间。越南政府正在推动数字经济和公民信息技术水平的快速发展,这更有意义。
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引用次数: 0
Mediating and Moderating Influences of Career Decision-Making Self-Efficacy and Social Support on the Relationship Between Employment Stress and Job-Seeking Anxiety Among Chinese College Students 职业决策自我效能感和社会支持对大学生就业压力与求职焦虑关系的中介与调节作用
IF 0.7 Q2 SOCIAL WORK Pub Date : 2026-06-01 DOI: 10.1111/aswp.70034
Dan Linge, Azlina Mohd Kosnin

Higher education presents substantial challenges as students navigate diverse academic and career expectations. In China, final-year university students experience considerable stress due to societal, familial, and personal pressures related to employment. This study examined the relationships among employment stress (ES), job-seeking anxiety (JSA), career decision-making self-efficacy (CDMSE), and social support (SS), focusing on the mediating role of CDMSE and the moderating role of SS in the ES–JSA relationship. Using a quantitative, cross-sectional design, data were collected from 800 final-year students at two universities in Chongqing, China, through structured questionnaires and a multistage sampling strategy involving cluster sampling and stratified quota-based recruitment. Structural equation modeling (SEM), supplemented by PROCESS-based robustness checks, showed that ES significantly and positively predicted JSA. CDMSE partially mediated the relationship between ES and JSA, whereas SS moderated this association by weakening the adverse effect of ES on JSA. The findings refine understanding of employment-related psychological adaptation by supporting an integrated framework combining stress process theory, social cognitive theory, and the social support buffering model. These findings provide theoretical and practical implications for reducing job-seeking anxiety among Chinese university students.

高等教育面临着巨大的挑战,因为学生们要应对不同的学术和职业期望。在中国,由于与就业有关的社会、家庭和个人压力,应届大学毕业生承受着相当大的压力。本研究考察了就业压力(ES)、求职焦虑(JSA)、职业决策自我效能感(CDMSE)和社会支持(SS)之间的关系,重点研究了CDMSE在ES - JSA关系中的中介作用和社会支持的调节作用。采用定量、横断面设计,通过结构化问卷和多阶段抽样策略(包括整群抽样和分层配额招聘),从中国重庆两所大学的800名应届学生中收集数据。结构方程模型(SEM)和基于过程的鲁棒性检验表明,ES对JSA具有显著的正向预测作用。CDMSE部分介导了ES与JSA之间的关系,而SS通过削弱ES对JSA的不利影响来调节这种关联。研究结果通过支持压力过程理论、社会认知理论和社会支持缓冲模型相结合的综合框架,完善了对就业相关心理适应的理解。研究结果对降低大学生求职焦虑具有一定的理论和实践意义。
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引用次数: 0
Latent Classes of Perceived Academic Stress and Parent–Adolescent Conflict: Implications for Child Abuse Incidence in South Korea 潜在性学业压力与父母-青少年冲突:对韩国儿童虐待发生率的影响
IF 0.7 Q2 SOCIAL WORK Pub Date : 2026-05-29 DOI: 10.1111/aswp.70028
Jiyoung Kang

Although child abuse is a universal social problem, each society has a unique social and cultural context where it occurs. This study examined the effects of South Korean adolescents' perceived academic stress and parent–child conflict on the incidence of child abuse. Utilizing latent class analysis (LCA), the study identified distinct subgroups of adolescents (n = 1, 743) based on their levels of stress and conflict. Recognizing that the influence of the subgroups on child abuse might differ by family income, LCA and logistic regression analyses were conducted separately for low-income and middle- or high-income families. The results indicated that in middle- or high-income families, adolescents who experienced academic stress without parent–child conflict were less likely to face emotional abuse (OR = 0.40, 95% CI [0.20, 0.78]) compared to those experiencing both high stress and conflict. Furthermore, lower academic grades were identified as a significant risk factor for physical abuse within this income group. More effective child abuse prevention strategies are discussed for South Korean adolescents across different income groups.

虽然虐待儿童是一个普遍的社会问题,但每个社会都有其发生的独特社会和文化背景。本研究旨在探讨韩国青少年的学业压力认知和亲子冲突对儿童虐待发生率的影响。利用潜类分析(LCA),该研究根据青少年的压力和冲突水平确定了不同的亚组(n = 1743)。认识到亚组对虐待儿童的影响可能因家庭收入而异,因此分别对低收入和中高收入家庭进行了LCA和逻辑回归分析。结果表明,在中等或高收入家庭中,与同时经历高压力和冲突的青少年相比,经历过学业压力但没有亲子冲突的青少年更不可能面临情感虐待(or = 0.40, 95% CI[0.20, 0.78])。此外,在这一收入群体中,较低的学习成绩被认为是身体虐待的重要风险因素。针对不同收入群体的韩国青少年,讨论了更有效的预防虐待儿童策略。
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引用次数: 0
IF 0.7 Q2 SOCIAL WORK Pub Date : 2026-05-25
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引用次数: 0
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Asian Social Work and Policy Review
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