What Do Men Want?

Abstract

Men play a key role in determining good sexual health outcomes for themselves and their sexual partners. However, many interventions and much of the programmatic focus and effort in reproductive and sexual health care delivery, are focused on women. This paper shows how international goals for development (the Millennium Development Goals), and international agreements on population and development (such as that agreed at the International Conference on Population and Development, Cairo,1994) cannot be met without the full and active involvement of men. We argue that achieving international goals and targets requires more than simply encouraging men to take more responsibility for their actions, it requires a detailed understanding of men's own concerns in the field of sexual health and a commitment to address those concerns to achieve better sexual health for all.

Using examples from south Asia, the paper explores the evidence surrounding the burden of men's sexual ill-health in the Region. We find that while public health programmes are (rightly) focused on controlling HIV (and sexually transmitted infections to some degree), evidence from population-based surveys of men across south Asia shows that men are most concerned with ‘psycho-sexual conditions’ including discharge syndromes, weakness, and erectile dysfunction. There is evidence that some of these conditions may be linked to higher rates of risk-taking and gender-based violence in some men. We further review patterns of care seeking for men reporting these and other sexual health problems.

We conclude that the challenges facing public health professionals are how to ensure that men receive interventions which are appropriate (and affordable and accessible and of high quality) for addressing their own sexual health concerns whilst also meeting wider public health goals of improving population levels of sexual and reproductive health.     

国外程式语加工研究概述

此文梳理了国外程式语加工的研究,得出结论：此类研究虽然起步较晚,但已受到越来越多的关注与研究,取得了一些初步的研究成果.后续研究应基于多种方法,考察不同群体（尤其是外语学习者）对不同类型程式语的加工问题.     

Parents' Definition of Effective Child Disability Support Services: Implications for Implementing Family-Centered Practice

The current study examined parents' perspectives of services within a community-based childhood disability program in the process of enhancing the family centeredness of its services. Qualitative interviews were conducted with 39 mothers and 22 fathers approximately 18 months after entering the service delivery system. Parents reported that effective service delivery requires service coordinators with interpersonal and practice skills working within an adequately resourced service system that has policies and procedures that are responsive to family needs. Parent feedback was congruent with the principles of family-centered practice and has important implications for the implementation of family-centered services.     

The Integrated Care Team: A Practice Model in Child and Family Services

The Integrated Care Team brings together representatives from each of Windermere’s service areas to create a group of highly experienced and knowledgeable professionals. This transdisciplinary team aims to provide a cohesive and effective support to service delivery staff working with individuals and families who are experiencing issues across multiple service areas. This support involves sharing of knowledge, contacts, resources and brokerage. Initial evaluation of the Integrated Care Team demonstrates strong positive outcomes for individuals and families with results that could not be so efficiently achieved through standard practice. Positive outcomes occur more quickly, more effectively, with less disruption to individuals and families and with more ease for workers than in standard practice. Workers who utilize the Integrated Care Team and representatives who sit on the Team comment on the efficacy of the approach reinforcing the value of key worker models, transdisciplinary teams, seamless service and breaking down silos between service areas; even within the same agency.     

Service Patterns of Adult Survivors of Childhood Versus Adult Sexual Assault/Abuse

This analysis compared the characteristics and service patterns of adult survivors of childhood sexual assault/abuse and adult survivors of adult sexual assault/abuse. Utilizing data from sexual assault crisis centers serving survivors in a Midwestern state over a six year period and controlling for revictimization, we describe and compare the demographic characteristics, referral sources, and service patterns of the two groups. Results indicate that paths into service differ for the two groups. Furthermore, adult survivors of childhood sexual assault/abuse obtain significantly more hours of service and service contacts on average than adult survivors of adult sexual assault/abuse. Implications for policy and practice are discussed.     

Adverse Childhood Experiences and Healthcare Costs in Adult Life

ABSTRACT

The current study aims to present the prevalence of adverse childhood experiences and examine the healthcare costs associated with primary, allied, and specialist healthcare services. The Australian Longitudinal Study on Women’s Health is a general health survey of four nationally representative age cohorts. The current study uses 20 years of survey and administrative data (1996–2015) from the cohort born 1973–1978. Overall, 41% of women indicated at least one category of childhood adversity. The most commonly reported type of childhood adversity was having a household member with a mental illness (16%), with the most commonly reported ACES category being psychological abuse (17%). Women who had experienced adversity in childhood had higher healthcare costs than women who had not experienced adversity. The healthcare costs associated with experiences of adversity in childhood fully justify a comprehensive policy and practice review.     

Positive enough? A content analysis of settlement service organizations' inclusivity of LGBTQ immigrants

Little is known about how effective Canadian settlement organizations are in meeting the needs of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) immigrants. The authors conducted a two-stage content analysis of the inclusion of LGBTQ immigrants in 34 settlement organizations in Ontario and Newfoundland and Labrador, and on the delivery of services by nine settlement organizations that self-described as LGBTQ-positive spaces. Stage 1 deductive content analysis findings revealed poor inclusion and support for LGBTQ immigrants. Stage 2 inductive content analysis findings revealed four service priority areas: health/well-being, community connections, advocacy/education, and disability. Recommendations for best practices are discussed.     

Assessing Service Providers at LGBTQ-Affirming Community Agencies on Their Perceptions of Training Needs and Barriers to Service

Service providers (N = 109) at lesbian, gay, bisexual, transgender, and questioning (LGBTQ)-affirming social service agencies were surveyed on their perceived training needs, experiences, and barriers to service access experienced by their clients. Hierarchical regression analysis identified that training experiences significantly influenced self-perceived competence, controlling for agency-related factors including the extent of perceived barriers to service. Findings are discussed with implications for training, practice, and future research.     

Military,Masculinity, and Citizenship: Tensions and Contradictions in the Experience of Blue-Collar Soldiers

This article seeks to problematize the relationship between military service, masculinity, and citizenship, from the perspective of lower-class soldiers who serve in blue-collar roles in the Israeli military. Introducing class and ethnicity into the “taken for granted” equation of men, military, and the state reveals counter-hegemonic conceptions of masculinity and citizenship, and exposes tense and often contradictory relationships between them.

Based on in-depth interviews, I argue that blue-collar Israeli soldiers simultaneously accept and challenge the hegemonic Zionist conceptions of both masculinity and citizenship. Unlike the combat soldiers, blue-collar soldiers demonstrate gender and national identities that are not anchored in military life. Rather, these soldiers present an alternative version of “home-based masculinity,” which grants the family superiority over the military and the state. This masculinity is expressed through two recurring themes: ongoing resistance to military discipline and authority, and an emphasis on the role of the provider over the role of the soldier. Through these daily military practices, the soldiers express their rejection of the republican “principle of contribution” as a criterion to one's belonging to the collective. However, their conception of citizenship emphasizes a militant ethno-national discourse. The discrepancy between their antimilitaristic practices and their militant patriotism reflects their ambivalent socio-political location in Israeli society between their preferred location as Jews and their marginal location as Mizrachim of lower classes. These ambivalent identities reveal that a mutual affirming connection between the military, masculinity, and the state exists only for hegemonic groups. For non-hegemonic groups, the relationship between masculinity, military, and citizenship is ridden with conflicts and inner contradictions.     

Rebuilding Community Organizing Education in Social Work

Although the campaign and election of Barack Obama as the nation's first President with a background in community organizing (CO) has boosted the visibility and popularity of the field, graduate social work programs have not taken full advantage of the opportunity. This article, therefore, presents a three-fold argument regarding the future of CO education. There is an increasing demand and need for trained organizers and community organizing education. This historical moment holds significant potential for CO education in social work. Graduate schools of social work with CO programs should broaden their outreach to attract potential students and activists to careers as social change agents.