Indigenous Sistergirls’ Experiences of Family and Community

ABSTRACT

While increasing attention has been paid to the experiences of Indigenous sistergirls over the past decade there still remains a dearth of empirical research on the experiences of this diverse population of Indigenous people. This paper seeks to add to the small body of existing literature by reporting on a thematic analysis of existing media in which 18 sistergirls shared their experiences of family and community. The thematic analysis identified two themes within each of these topics. Specifically, when talking about family, both familial acceptance and rejection were salient themes. When talking about community, both the traditional role of sistergirls in their communities and negative responses from communities were salient themes. The paper concludes by suggesting that increased knowledge about the lives of sistergirls may assist social workers in supporting sistergirls both in their own outreach endeavours, and in providing more culturally competent services.     

An exploration of social & emotional factors impacting well-being in women who have sex with women (WSW)

Abstract

“Women who have sex with women” or WSW have unique perspectives within the LBGTQ spectrum. The purpose of this study included documenting perceptions, feelings, and experiences among WSW. Thirty-seven women participated in six focus groups, ages ranged from 20–64 years. Responses were transcribed and thematically coded. Four themes emerged as influencing factors: shame and fear, community, gender roles, and normalcy. Each major theme produced minor themes providing a context within major themes. Results offer valuable insights that can assist community members, health professionals, and scientists to better appraise the disparities and stigma impacting social and emotional well-being among WSW.     

Using the Ecological Model to understand influences on college student vaping

ABSTRACT

Objective The Ecological Model was used to examine the social and environmental influences of the college environment on e-cigarette use (vaping) among college students. Participants: Undergraduate college student e-cigarette users (vapers) across three large college campuses in the southwest US from Jan 2015- Aug 2016. Methods: Thirty-three interviews were conducted. Transcribed interviews were coded then analyzed for themes. Results: College student vapers report multiple levels of influence on their vaping beyond personal beliefs and peer influences, including parents, explicit campus and community messaging, community member requests, and respect for others. College student vapers also describe constant associations with smokers in allowable public places to vape. Conclusions: Parents, community members, campus policy, and the physical environment all influence where and when college students vape. Health communication messages to prevent college student vaping should incorporate alternative messages that are important to college students, such as respect for others and social image.     

“So Tell Me,Why Do Women Need Something Different?”

SUMMARY

There has been a dramatic increase in the number of women in the criminal justice system over the past two decades, creating the need for gender-specific responses and programs in jails, prisons, and community corrections. Systems must adapt to appropriately respond to women and their families. Institutions and community-based organizations must help women to deal with their histories of trauma, violence, and substance abuse. One gender-specific, strength-based, community model for support is presented.     

Building from the Ground Up

SUMMARY

In an era of low crime rates and high imprisonment rates, the role of communities in producing safety and justice is open for critical reexamination. This article suggests that community resiliency is an unexplored factor in the recent drop in violent crime rates, and that community capacity is adversely affected by imprisonment policies, creating critical questions about the ability of community organizations to engage in partnerships on crime and justice topics. Drawing lessons from several community policing experiments, this article outlines a possible role for community engagement in reducing the current reliance on incarceration as a response to crime.     

Latinos Participating in Multiethnic Coalitions to Prevent Substance Abuse

Abstract

This paper presents a case study of a neighborhood based coalition formed by two major participants, a neighborhood association formed by white and older neighbors and a school based parents association formed by younger Latino neighbors. Differences in their communication and organizational sales emerged after an external agency brought them together to form a substance abuse prevention coalition. This paper explores emerging themes as two different communities attempt to organize around shared community concerns. Challenges and guidelines for developing multiethnic urban coalitions are also provided.     

Building a health communication brand for University of Texas System tobacco control

Objective: Despite declining cigarette smoking rates in the US, there is a continued need for tobacco prevention education campaigns to reach young adults. Recognizing the need for improved tobacco control messaging, the University of Texas (UT) System engaged The University of Texas at Austin Center for Health Communication to develop a brand and message that would strengthen tobacco control efforts at its 14 institutions. Methods: This article describes the iterative process involved in creating a brand for tobacco control, including an environmental scan, identifying potential message themes, and creating and refining logos. Results: This article highlights the process of developing a system-wide tobacco control brand. Specifically, the process included coordinating an interdisciplinary team with content and design experts, and presenting ideas to stakeholders for serial feedback and refinement, among others. Conclusions: Ultimately, this project offers a model for other systems of higher education interested in pursuing similar initiatives.     

La Victoria

ABSTRACT

This article utilizes the key themes of the just practice perspective (Finn &Jacobson, 2003ab) to examine a fifty-year history of community practice in La Victoria, a poor urban sector of Santiago, Chile. The author employs five key themes-meaning, power, context, history, and possibility-in exploring the challenges, contradictions and possibilities for community building under dictatorship and democracy. Lessons for critical community practice learned from La Victoria's history are addressed.     

“A Second-Chance at Being a Parent”: Grandparent Caregivers’ Reported Communication and Parenting Practices with Co-Residential Grandchildren

ABSTRACT

Grandfamilies, family structures in which grandparent(s) co-reside with and assume a primary caregiving role for at least one grandchild, are increasingly common in the United States. This qualitative, exploratory study, informed by family communication patterns theory (FCPT), illuminated the reported communication beliefs and practices of grandparents who serve as primary caregiver to at least one grandchild. Hybrid thematic analysis, combining FCTP with inductive analysis, was used to analyze 21 semi-structured interviews with grandparents. Results yielded four themes describing grandparents’ reported communicative practices: creating opportunities for listening and dialogue, talking about emotion, emphasizing openness, and allowing questioning; and three themes describing the impact of second-chance parenting: increased resources, acquired wisdom, and matured emotionally. Implications for grandfamily communication research in light of hybrid analyses and FCPT are discussed.     

Theory-Based Community Practice for HIV Prevention in Midlife and Older Women

ABSTRACT

In the last decade there has been a significant increase in HIV transmission among midlife and older women, particularly those from racial/ethnic minority communities. Although the number of women aged 50 and older diagnosed with HIV infection in the United States is increasing, they are rarely included in community HIV prevention strategies. This article presents integrating social capital with social justice themes into a socioecological framework for community practice that can significantly impact the efficacy of HIV prevention programs for midlife and older women. It also reviews the research and program implications for including midlife and older women in community interventions to halt the spread of HIV infection in this at-risk group. Suggestions for HIV prevention community practice with this underserved population are presented.     

E-technology and Community Participation: Exploring the Ethical Implications for Community-based Social Workers

ABSTRACT

To date, much of the work on social work, ethics and technology has been focused on clinical social work and micromorality—the ethical practices of the worker and their clients in one-on-one or therapeutic group interactions. In contrast, this article foregrounds social workers engaged in community work and the ethical implications at a macromoral level. Central to community-based social work, also known as social development work, is the principle of participation. In observing the ways e-technology is affecting community participation, the focus is upon communicative and social technologies, rather than assistive technologies, or technology enabled assessment. The article explores the intersection of these three themes of community participation, technology, and ethics to examine the implications for social workers located in the complex context of community work.     

Self- and Caregiver-Reported Experiences of Young Adults with Developmental Disabilities

ABSTRACT

The purpose of this study was to describe the experiences of young adults with developmental disabilities (DD) who were living in community settings with the aid of government-supported services. Six male and 10 female volunteer subjects (mean age = 24 years) were interviewed and the narrative data were analyzed revealing themes in six categories: (1) Home Life, (2) Relationships, (3) Health and Health Care, (4) Personal Growth and Accomplishments, (5) Occupation, and (6) Transportation. Subjects' most positive experiences were associated with integrated, comprehensive and timely services delivered by knowledgeable and sensitive service providers. Strong parental advocacy facilitated these features. Additionally, experiences were most positive when daily activities occurred within the sphere of either family or the disability community, as opposed to the broader community.

Research is suggested to further understand the dynamics of integration in the broader community and to devise strategies to successfully facilitate this integration.     

Stigma,AIDS, and HIV Prevention in Africa: Reports from Community Organizations Providing Prevention Services

ABSTRACT

The AIDS epidemic in Africa remains a serious health crisis. Nongovernmental organizations (NGOs) in Africa play a critical role in the delivery of HIV prevention services. An important barrier to their HIV prevention efforts is stigma directed at persons living with HIV/AIDS. In order to understand how stigma affects HIV prevention programming, we conducted in-depth qualitative interviews with NGO directors in 29 African countries. Qualitative analytic approaches were used to identify key themes. Substantial discrimination and stigmatization of HIV-positive persons was reported. HIV-positive women were particularly likely to suffer negative social and economic consequences. The stigma associated with HIV interfered with disclosure of HIV status, risk-reduction behaviors, and HIV testing, creating significant barriers to HIV prevention efforts.

Interventions to reduce AIDS-related stigma in Africa are urgently needed. Reducing the burden of stigma is critical to fighting the epidemic in Africa and could play an important role in global HIV reduction.     

Betrayed and Broken: A Study of the Experiences of Victims of Child Sexual Abuse in the Ga Community in Accra,Ghana

ABSTRACT

Child sexual abuse is increasingly becoming an issue of concern in most societies across the globe, including Ghana. This is a phenomenological study that sought to describe the lived experiences of victims of child sexual abuse in Ghana, using the Ga community as a case study. Purposive and snowball sampling techniques were used to identify 17 sexually abused children in the Ga Community. Using the interpretative phenomenological analysis (IPA), four main themes described the experiences of the victims: (a) forced sex (b) incest (c) joleying and (d) transactional sex. The findings illustrate the different circumstances in which children were sexually abused in the community studied. It also presents socio-cultural factors that normalizes the sexual abuse of children in the Ga Community. These findings underline the need for effective preventive programs and community interventions to protect children and support victims of child sexual abuse.     

The Work of Caring for Children

Abstract

In this article I present a textual analysis of the child care policy debates that took place in the United States during the late 1980s. I identify and illustrate two themes that emerged in these debates. The first expressed a commitment to the “traditional” nuclear family and a belief in the importance of full-time motherhood for children's well-being. The second expressed a devaluation of two aspects of women's caregiving: the mother-work of welfare recipients and the work performed by child care providers. I argue that the views comprising these two themes contributed to the limitations of the federal child care legislation that was adopted in 1990.     

Exploring community stress and empowerment among stakeholders and youth in an urban community

ABSTRACT

Community-level stress, such as pervasive substance abuse and violence, can yield negative health and mental heath outcomes for youth from disadvantaged communities. Community empowerment is a process whereby community members work together to increase control in their community. This qualitative inquiry analyzed in-depth interviews with adult stakeholders (n = 17) as well as focus group interviews with token youth (n = 85) to explore perceptions of community stress and empowerment in one disadvantaged locale. Each of the 102 total participants helped interrogate the research questions: What does it mean to live in a stressed community? How might youth and adults perceive themselves capable of impacting a stressed community’s quality of life? Emergent themes, which include a nod to the utility of coalition building, are explored. Implications for policy, practice, and future research are also discussed.     

Health and Well-Being for Late Middle-Aged and Old Lesbians in a Rural Area

Abstract

Previous research on lesbian health care has drawn primarily from samples of young lesbians living in metropolitan areas. Through face-to-face interviews with twenty-one lesbians aged 54 or older and living in rural communities, this exploratory, naturalistic inquiry begins to fill a gap in the literature by examining the health care experiences of older, rural lesbians. Five themes emerged from the narrative data: issues of access; good health/good care; open to her own diversity; family and community; and visions-ideals and fears. We present these themes through informant quotes and discuss implications for policy and practice.     

Presidential youth fitness program implementation: An antecedent to organizational change

IntroductionGrounded in organizational change theory, the purpose of this study was to investigate the efficacy of the Presidential Youth Fitness Program (PYFP) and its association with healthy cultures within schools.MethodsUsing a qualitative approach, data were collected through interviews, site visits and artifacts across 374 schools. An explanatory collective case study approach was used to identify key events related to implementation.ResultsPivotal antecedents to organizational change included prolonged, continual PD, direct support of PYFP implementation, and recognition. Further, three key themes of leveling of the playing field, strategically overcoming barriers, and recruiting teacher fitness champions were identified.ConclusionsCreating a healthy school culture was an unexpected, but feasible outcome stemming from the implementation of the PYFP. A collective effort, led by physical education teachers and fitness champions and embraced by the administration, faculty, and community, is necessary for the school culture to unfreeze from its present status.     

Change IS Possible: Reducing High-Risk Drinking Using a Collaborative Improvement Model

Abstract

Objective: To describe the adoption of public health and improvement methodologies to address college students’ high-risk drinking behaviors and to aid in prevention efforts. Participants: Members of 32 colleges and universities, content experts, and staff members of the National College Health Improvement Program (NCHIP). Methods: A 2-year learning collaborative developed by NCHIP trained individuals from 32 different college and universities in using the Plan–Do–Study–Act cycle as a method to create and implement initiatives aimed at reducing students’ high-risk drinking behaviors and related harms. Results: Participants experienced success ranging from noteworthy increases in type and amount of interventions directed at reducing high-risk drinking, to creating collaboratives across campus, the local community, and stakeholders. Challenges related to data collection and creating lasting cultural change remain. Conclusions: The use of quality improvement methodologies and creation of a national collaborative successfully effected meaningful change in high-risk drinking behaviors on college campuses.     

“If Rainbows Were Everywhere”: Nonmetropolitan SGM Youth Identify Factors That Make Communities Supportive

ABSTRACT

Sexual and gender minority (SGM) youth in nonmetropolitan communities face marginalization due to their SGM identities. Community support may mitigate the negative outcomes associated with marginalization. Using the strengths perspective, this study investigated the factors SGM youth identify as making their communities supportive. Interviews were conducted with SGM youth to explore their perceptions of their community, community climate, and the factors that contribute to making communities supportive to SGM youth. Findings revealed four supportive community factors: supportive people, SGM visibility, SGM resources and education, and SGM-inclusive policies. Implications include creating SGM resources and providing professional training on SGM issues.