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Palabras clave: Violencia laboral; Relaciones médico-paciente; Servicios de salud; Perú (fuente: DeCS BIREME). EXTERNAL WORKPLACE VIOLENCE AGAINST DOCTORS IN HOSPITAL SERVICES IN LIMA METROPOLITANA, PERU 2014 ABSTRACTObjectives.To calculate the frequency and factors associated with external workplace violence (EWV) against doctors in health inpatient services in the metropolitan area of Lima (Spanish: Lima Metropolitana), Peru. Materials and methods. A cross-sectional analytic study, which included doctors from the Ministry of Health (MINSA), Social Security (EsSalud), and the private subsector, was carried out. The frequency of EWV was measured throughout the entire professional practice during the previous 12 months and during the last month. Variables related to the doctor, assailant, and health service were measured. Raw and adjusted prevalence ratios (PR) were calculated by means of a Poisson-family generalized linear model with non-parametric bootstrapping. Results. A total of 406 doctors participated; 31.5% were victims of EWV at least once during their professional practice, with 19.9% over the past 12 months and 7.6% during the last month. The chances of being threatened in the last 12 months increased if the doctor was male (adjusted PR [aPR]: 1.7; 95% confidence interval [CI] = 1.1-2.8), had graduated from a Peruvian university outside of the metropolitan area of Lima (aPR: 1.5; 95% CI = 1.1-2.4), worked at MINSA (aPR: 7.9; 95% CI = 2.24-50.73) or EsSalud (RR: 8.68; 95% CI = 2.26-56.17), and worked in the emergency (aPR: 1.9; 95% CI = 1.2-3.6) or operating room (aPR: 1.6; 95% CI = 1.1-2.3). Age, years of professional practice, or being a medical resident were not associated with EWV. Conclusion. In the hospitals studied, a large number of doctors have been victims of EWV. Working in public services increases the possibility of violence. Implementation of support, identification, and primary prevention strategies in hospitals is recommended.

This study describes the patterns of substance use by male and female gang members in Milwaukee, Wisconsin, from their teenage years in the 1980s into adulthood. Milwaukee gangs started out as one form of neighborhood-based drug-using peer group. There was much variation in drug use, and family variables explained little of the variation. Male gang members raised in families with a history of gang involvement and drug use were more likely than other gang members to use cocaine and to use it seriously. On the other hand, severe family distress was not related to onset, duration, or seriousness of cocaine use in either males or females. Cocaine use for both males and females increased in adulthood. It appears that the etiology of adult and adolescent drug use may differ. Neither social control theory nor differential association theory is well suited to explain the variations in gang drug use by age or gender.

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Two studies were conducted to test the hypothesis that identification with academic achievement among Latino college students was related to the extent to which their ethnic group and significant others were linked to academic achievement. Participants completed a series of implicit association tests measuring the interrelations among academic achievement, self, and ethnic groups (Study 1) or significant others (Study 2). Study 1 revealed that the more college students identified with Latinos (relative to Caucasians) and stereotyped Latinos as low academic achievers (relative to Caucasians), the less they identified with academic achievement. Study 2 showed that the more Latino college students identified with significant others and viewed these significant others as high academic achievers, the more they identified with academic achievement. These findings are consistent with principles of cognitive consistency and stress the socio-relational facets of the academic self-concept.