Improving Social Work Education in Vietnam Through International Cooperation: The ‘Social Work Education Enhancement Program’

This paper describes an initiative to improve social work education in Vietnam through a three-year international collaborative, including US Aid for International Development, San José State University, eight universities in Vietnam, Vietnam's government ministries, and Cisco Systems, Inc. The social work profession was officially recognized by the Vietnamese government in 2010. Despite the rapid expansion of social work education programs, there are significant limitations in the universities' ability to provide social work education. The goal of the Social Work Education Enhancement Program (SWEEP) is to strengthen the capacity of Vietnam's undergraduate social work programs to deliver quality education and prepare trained, job-ready social workers. The SWEEP project aims to improve the administration of social work education, the professional capacity of faculty, social work curriculum, and networking technology to enable centers for excellence in learning and scholarship. To ensure that the SWEEP team targeted training and technical assistance activities that were culturally congruent, a comprehensive needs assessment and frequent mid-course evaluations were conducted, showing many shared and unique contextual issues facing universities. The collaborative process of developing social work education which fits the local context can be replicated in other countries that are in the early stages of social work development.     

A Multi‐Program Collaboration in Field Education

This paper describes the development of a US‐based field education collaboration among three social work programs that includes: field instructor orientation, continuing education for field instructors, an advisory board, a joint website and database, a field instructor manual and selected joint forms. Benefits, challenges, considerations and strategies will be offered for programs that wish to embark on similar projects.     

‘Health in all Placements’ as a Curriculum Strategy in Social Work Education

The convergence of health and social perspectives that aim to improve the quality of life of individuals, groups and communities through advancing the social determinants of health provides an important context for social work education. The adaptation of global initiatives such as Health in All Policies (HiAP) to a `health in all placements' approach in social work education is suggested as a curriculum initiative to support learning about health inequalities and enable students to locate their practice in the social, political, environmental and economic context of health and wellbeing. The integration of this approach with principles of social justice, social inclusion and the theoretical framework of transformative learning in field education is also discussed. It is argued that the approach supports the inclusion of global and local perspectives in social work curricula and pedagogical imperatives in higher education.     

Population Development and Reproduction Health Education in Tibet

MY ancestors have lived in Lhasa, Tibet, for generations. I have personally witnessed the great changes in modern Tibetan society. The total population of the region has doubled since 1951. The Fourth National Census in 1990 revealed that the human fertility rate in the Tibet Autonomous Region was 27.60 per thousand, the natural population growth rate 18.40 per thousand, and the total fertility rate of women at childbearing age 4.22.     

The DSM-5’s Proposed New Categories of Sexual Disorder: The Problem of False Positives in Sexual Diagnosis

The proposals that have emerged from the DSM-5 revision process have triggered considerable controversy, especially regarding potential invalid inflation of diagnostic categories. To illustrate the kinds of issues that have emerged, I closely examine the proposed new categories of sexual disorder. The DSM-5 Sexual and Gender Identity Disorders Work Group is proposing the addition of three categories of disorder to the DSM-5??hypersexuality, hebephilia (as part of a revised pedophilia category that would become pedohebephilia), and coercive paraphilic disorder (basically a ??nonconsent?? or rape paraphilia). These proposals are driven by perceived clinical or forensic needs. I argue, however, that their conceptual soundness remains problematic; each could lead to large numbers of false positive diagnoses (i.e., diagnoses that mistakenly label a normal variant of behavior as a mental disorder), with potential for serious forensic abuse in ??sexually violent predator?? civil commitment proceedings.     

The Effects of the State Children’s Health Insurance Program on Insurance Status and Health Care Utilization of Children

The State Children’s Health Insurance Program (SCHIP) of 1997 aimed to increase public insurance eligibility to children in families that were above the Medicaid income cutoff line, but were too poor to afford private coverage. This paper shows that SCHIP helped as many as 1.3 million children leave the ranks of the uninsured. However, almost 400,000 of these children came from families with two privately insured parents, and added approximately $300 million in health care expenses to federal and state budgets. This paper also presents estimates of health care consumption of children who switched to public insurance as a result of SCHIP.     

Improving Health Services for Rural Pregnant and Lying-in Women——Achievements in the Reproductive Health Program of Chinese Women

FROM 1992 to 1997, the All-China Women's Federation organized and implemented a reproductive health program for Chinese women, which was sponsored by the American Ford Foundation. The program was divided into two phases. The first phase, lasting from 1992 to 1994, focused on locating problems and studying them. Women's federations from 16 provinces, municipalities and autonomous regions throughout China formed a research group and conducted extensive studies in a variety of fields while cooperating with experts from sociology, medicine     

Social Workers’ Roles in Supporting the Sexual and Relational Health of Children with Disabilities

The purpose of this study was to understand social workers’ roles in meeting the sexual and relational health needs of children (aged 3–11) with disabilities. We conducted semi-structured interviews with 12 social workers from a range of practice settings. A phenomenological lens privileged the perspectives of social workers in their definitions of disability and sought to convey the meaning they assigned to their experiences of working with children in practice concerning matters related to sexual and relational health. Social workers enacted a broad definition of disability and often came to work with youth in contexts labeled as sexually problematic. In the provision of sexual health services, social workers embodied commonly adhered to roles including as practitioners, enablers, advocates, brokers, and managers. Services are needed that promote positive sexuality and relational health among children with disabilities. It is important that social workers be proactive advocates for the full inclusion of people with disabilities as equal sexual citizens.     

How Effective is Peer Education in Addressing Young People’s Sexual and Reproductive Health Needs in Developing Countries?

This review article questions the assumptions at the core of peer education interventions adopted in young people’s sexual and reproductive health programmes in developing countries. Peer education is a more complex and problematic approach than its popularity with development agencies and practitioners implies. Its rise to prominence is more indicative of the desire to find effective tools to address the HIV/AIDS pandemic, than of peer education’s proven effectiveness. The often simplistic model of social relations that underlies peer education interventions leads to the reinforcement of gendered power relations, and a failure to take account of the social dynamics of poverty. The dominant rationales for peer education are examined and contested. In spite of the mismatch between rhetoric and experience, the appeal of the approach remains powerful, stemming largely from the objective of engaging young people in health interventions in a way that increases their autonomy and capacity .     

Togetherness—The Health Care Team

Abstract

In order to evaluate the progress of a health service, certain criteria (indices) should be established and monitored. If any health center wishes to compare its situation with others, a valid instrument for measuring morbidity is required, and the criteria must be in conformity with national and/or international standards. This paper details methods of producing health indices from medical diagnoses. It is based on experience in a health service for students. Three systems are offered to cover centers with and without computer facilities: 1) a minimum for student health services; 2) the “minima” requested by the World Health Organization; 3) a classification of conditions of special interest in student health. It is strongly recommended that the International Classification of Diseases (ICD-9) of the World Health Organization be accepted as the local and international basis for these diagnostic categories.

“Epidemic Non-A, Non-B Hepatitis in Nepal: Recovery of a Possible Etiologic Agent and Transmission Studies in Marmosets,” MARK A. KANE, et al. An epidemic of non-A, non-B hepatitis occurred in Kathmandu Valley, Nepal, during 1981–1982, with approximately 7.6% of households and 1.4% of individuals affected. Cases occurred preponderantly in the 15- to 34-year-old age group (70%), with most cases (75%) occurring in males. A high mortality rate (21%) occurred in pregnant women admitted to the hospital. No single water source was implicated, but epidemic peaks occurred during monsoon rains, and multiple opportunities for enteric transmission existed. One of eight patient stools examined by immune electron microscopy revealed aggregated, antibody-coated, 27-nm viruslike particles when convalescent serum samples were used as sources of antibody. Inoculation of two chimpanzees and four marmosets with a suspension of this stool resulted in elevated liver enzyme activity in three marmosets. Fecal excretion of 27-nm particles during the acute phase of disease (with temporally coincident antigen activity by radioimmunoassay) was observed in one marmoset, which also developed convalescent antibody against the particles in the original inoculum. (Journal of the American Medical Association 1984;252:3140–3145.)

“High-dose Vitamin C Versus Placebo in the Treatment of Patients with Advanced Cancer who Have Had No Prior Chemotherapy; A Randomized Double-Blind Comparison,” CHARLES G. MOERTEL, et al. It has been claimed that high-dose vitamin C is beneficial in the treatment of patients with advanced cancer, especially patients who have had no prior chemotherapy. In a double-blind study 100 patients with advanced colorectal cancer were randomly assigned to treatment with either high-dose vitamin C (10 g daily) or placebo. Overall, these patients were in very good general condition, with minimal symptoms. None had received any previous treatment with cytotoxic drugs. Vitamin C therapy showed no advantage over placebo therapy with regard to either the interval between the beginning of treatment and disease progression or patient survival. Among patients with measurable disease, none had objective improvement. On the basis of this and our previous randomized study, it can be concluded that high-dose vitamin C therapy is not effective against advanced malignant disease regardless of whether the patient has had any prior chemotherapy. (New England Journal of Medicine 1985;312:137–41.)     

LIFE CHOICES—The Program and Its Users

Summary

LIFE CHOICES Is a pioneering sociological software program which realistically simulates the life cycle in contemporary America. The player goes through life, making choices about school, work, family, finance, health and daily living. The result is a life scenario, consisting of a sequence of choices, realistic outcomes, choices, etc. LIFE CHOICES provides a realistic context for thinking through decisions which occur at every stage of life. This article describes LIFE CHOICES, its application within school, home and counseling settings, and the issues which were involved in its development and marketing.     

Examining Heterosexual Women’s Anal Sexual Health Knowledge and Product Use

Prevalence rates indicate that receptive anal sex is increasingly part of heterosexual women’s sexual repertoire. However, there is a body of literature linking this behavior to risk for adverse sexual health outcomes. Women’s anal sexual health knowledge and awareness of behaviors associated with elevated risk have received less attention in the research literature. The aim of the current study was to examine anal sexual health knowledge and product use among heterosexual women aged 18 to 30 years. A total of 33 self-identified heterosexual women recruited from the general population participated in one of six focus groups. The results suggest that knowledge was variable. Salient sexual health themes centered on risks of human immunodeficiency virus/sexually transmitted infections (HIV/STIs), other infections, and physical harm/damage. Product-use themes included cleanliness/hygiene, comfort, and product safety. Participants expressed the desire for anal sexual health education. The results have implications for sexual health research, education, and clinical practice.     

Herpes: Coping and Caring—A Total College Health Program

Abstract

This article seeks to assist college health nurses in developing appropriate protocols for patient care. In addition, the authors outline factors influencing protocol content, design, and development and describe steps in creating individualized protocols by practice setting. To provide college health nurses with a basic understanding of protocols, the authors offer definitions and examples of appropriate and inappropriate use, and show how protocols can influence the delivery of patient care. Although protocols may provide college health nurses with directives for managing specific health problems, they require a sophisticated level of judgment and skill in their implementation.     

Are Online Sexual Activities and Sexting Good for Adults’ Sexual Well-Being? Results From a National Online Survey

Abstract

Objectives: Online sexual activities (OSA) and sexting are often framed as risk behaviors in adolescents. This study investigates experiences of adults. Methods: Based on the positive sexuality approach, the current study measured prevalence, predictors, and perceived outcomes of OSA and sexting in a national online sample of N?=?1,500 participants from Germany (ages 18–85). Results: 68% of adults reported previous involvement in OSA and 41% in sexting. Perceived positive OSA and sexting outcomes outweighed the negative. Conclusions: Sexual health professionals should acknowledge online sexual expression in adults of the general population as normal and mostly positive behavior.     

The Burden of Sexual Problems: Perceived Effects on Men’s and Women’s Sexual Partners

Sexual dysfunction sometimes negatively affects the individual, his or her partner, and the relationship. We investigated the relationship between the distress experienced by men and women with orgasmic phase difficulties and the perceived distress of their partner(s). We also identified predictors of perceived partner distress, and related self and partner distress to severity of the problem and relationship quality. Data were drawn from 374 men with premature ejaculation (PE) and 377 women with anorgasmia who responded to a survey regarding their sexual functioning, including their distress about their condition and the perceived distress of their partners. Results yielded an overall distress score consisting of combined self and perceived partners distress, with women showing a higher overall score and higher perceived partner distress than men. For men, significant predictors of perceived partner distress included self-distress, relationship quality, interest in sex, and arousal difficulty; for women, only the level of self-distress significantly predicted perceived partner distress. These findings indicate the burden of experiencing sexual difficulty, identify factors related to perceived partner distress, and demonstrate differences in self versus partner distress across men and women. Overall, such findings reiterate the strong need for the inclusion of the partner in any attempted remediation of a sexual problem.     

The Relationship Between College Women’s Sexual Attitudes and Sexual Activity: The Mediating Role of Body Image

ABSTRACT. This study examined the relationship between sexual attitudes and engagement in sexual activity among a sample of 401 college women. In addition, we investigated the potential role of body image as a mediator of this relationship. Online surveys included self-report measures of sexual attitudes ranging from liberal to conservative, body image satisfaction, and frequency of sexual activity. Results indicated that more liberal sexual attitudes were directly linked with more frequent sexual activity. Whereas mediation was not evident, indirect effects existed such that more liberal sexual attitudes were associated with higher body image satisfaction, which, in turn, was associated with increased sexual activity. Clearly, sexual attitudes and body image are important cognitive factors that affect women's sexual activity, yet each influence alone is not enough to explain the complex process that leads to sexual behavior. Although cross-sectional in nature, our findings suggest that body image and sexual attitudes may work together as a process to affect women's sexual activity.     

The Effects of Children’s Health on Mothers’ Employment

When children have health problems, mothers face a tradeoff between the decision to work to satisfy increased expenses and the decision to stay home to fulfill enlarged caregiving needs, especially for children with chronic conditions. This research used an instrumental variables approach to investigate the labor market consequences of mothers due to burden to care children with health problems. We found mothers’ employment probability increased by 0.9% for every $100 of increased out-of-pocket medical spending, while employment probability fell by 1.0% for every half day of school/day care a sick child missed. By correcting for endogeneity we addressed a potential empirical bias. Analyses by subgroups showed that Hispanic mothers were less likely to work in the labor market with high caregiving burden. We also found that the effects of time burden on labor market outcomes were magnified for black mothers.