Returning to work with HIV/AIDS: a qualitative study

In addition to being an outcome, workforce reentry is a process: People with HIV/AIDS attempting to go back to work must make initial decisions to engage in such an attempt, they then must go through a series of steps that may include re-education or retraining, job searches, résumé development, and other activities. Sustaining employment, in turn, entails its own set of activities. People attempting workforce reentry may also experience barriers on their journeys back to work, they may employ certain strengths to reach their goals, and they may use resources to facilitate preparation for work. Few studies have attempted to study this process. This study was designed to provide an initial attempt to study the process of workforce reentry. Abstracted information from the progress notes of 104 people with HIV/AIDS attempting workforce reentry was qualitatively analyzed using a grounded theory approach to identify themes. Three major themes emerged with reliability: Barriers to workforce reentry, staff-identified strengths, and resources used in workforce-reentry efforts. Although none predicted successful workforce reentry, participants in the study experienced substantial barriers in their workforce-reentry efforts, staff identified significant strengths, and participants used appropriate resources in their efforts to go back to work. Implications for workforce-reentry programs for people with HIV/AIDS are discussed.     

HIV prevention barriers in transgender women: a qualitative study

Abstract

Sexual contact is still one of the most important routes of HIV transmission. The aim of this study was identify the factors that underlie the higher prevalence of high-risk sexual behaviors in a sample of transgender women in Iran. The qualitative study used face-to-face, semi-structured, in-depth interviews in a sample of 15 transgender women. Our participants used sexual practices as a way to be approved/accepted as a woman. Using sex for this purpose led them to engage in high-risk sexual relationships. It is essential to consider these issues in consulting and education about high-risk behaviors.     

Women's health and HIV: experience from a sex workers' project in Calcutta

This article narrates an inspiring discovery for development professionals who are searching for ways to empower women to protect themselves, their partners and families from HIV infection. This was based on the experience of the author as she came across a movement of sex workers who successfully negotiated safe sex in the heart of Calcutta, India. Employing focus group discussions, informal interviews and home visits during 1999, the author discovered that a Sexually Transmitted Disease/HIV Intervention Project has been set up to promote disease control and condom distribution among these sex workers. Operating on three principles for its work--respect, recognition, and reliance, the program aims to create an impact on the sex workers themselves and their peers. Likewise, the need to build alliances with clients, training the police and forming the Durbar Mahila Samanvaya Committee were deemed as necessary. Several lessons were learned during the course of the research: use of stories and history to rally the community; retaining flexibility, meeting changing needs; using drama to promote communication; and negotiating with men and opposing patriarchy.     

Identity development among social workers,from training to practice: results from a three-year qualitative longitudinal study

During their training, social work students embark on a process of professional identity (PI) development which will continue to evolve even after graduation. While the literature has begun to point out factors that may facilitate PI development, research that documents the various processes and narratives of identity development is scarce, including in social work. Because PI is known to be influenced by many aspects pertaining to personal, educational and occupational contexts, and because those contexts can be varied, it becomes important to explore PI development from initial training to professional practice and map which aspects may be influencing the experience, and how they do so. Drawing on a longitudinal qualitative methodology, we explore the experience of six young social workers and map the development of their professional identities over the course of nearly three years. Meetings during their final year of undergraduate studies, and again after 6 and 18 months of employment, reveal some of the aspects that emerged as fundamental facilitators of or impediments to a strong PI. This article concludes by suggesting ways to foster a stronger sense of PI among social workers going forward.     

Transition to adulthood and recession: a qualitative study

While the transition to adulthood has been broadly examined, less is known about the impact of economic recession on the well-being and psychosocial functioning of young people. The present study used qualitative interviews with 12 college students to understand their experience. Consensual qualitative research was used to analyse data and develop core themes around young people's experiences. Interviews focused on how young people perceived the impact of the economic recession on their social context and on emotional, behavioural, and interpersonal dimensions. Although students showed a proactive attitude in dealing with the crisis, findings highlighted a negative impact on psychological functioning characterized by feelings of instability and helplessness and by difficulties in planning for the future. Other general themes emerged, including disengagement from community participation expressed by feelings of isolation, lack of interest, and distrust. Directions for future research and implications for practice are discussed.     

Sexual abuse,family violence,and female delinquency: findings from a longitudinal study

The current study examines the effects of three forms of childhood victimization on self-reported delinquency and aggression in adolescent girls. These analyses are based on a longitudinal sample of 141 mother-daughter pairs participating in a study about marital violence and child development. When the children were school aged, mothers and children provided reports describing (a) child exposure to marital violence, (b) escalated physical abuse against the child, and (c) child sexual abuse. Children were followed up into adolescence and re-interviewed. Self-reports of delinquency (violent and nonviolent), running away, and violence against parents were collected. Results indicate that out of the three forms of victimization, child sexual abuse emerged as the strongest predictor of girls' violent and nonviolent criminal behavior. Girls with a history of physical abuse in childhood were most likely to assault their parents. Witnessing marital violence failed to contribute further to delinquency, beyond the adverse association with childhood sexual abuse. Findings highlight a unique avenue for delinquency in girls via childhood sexual exploitation.     

Charities, Authority and Disabled People: a qualitative study

Disabled people are greatly under-represented in positions of authority within traditional charities. Using qualitative data from original empirical research, this paper identifies some of the causes of their exclusion. The values, attitudes and beliefs of those who govern traditional charities accord largely with the 'personal tragedy' or medical model of disability, and a major consequence of this perspective is that disabled people are confined to roles in which they have little opportunity to exercise power in the traditional voluntary sector.     

A global sense of migrant places: towards a place perspective in the study of migrant transnationalism

Contemporary transnational migrants have complex social lives in that they live in a number of different cross‐border social networks at the same time. Most transmigration scholars try to grasp this social complexity of migrant transnationalism by using a network lens. In this article, I argue in favour of adding a place lens to the analytical tool kit of transmigration scholars. Although a network lens works well for studying the internal complexity of cross‐border social networks, a place lens is more useful for gaining an understanding of their external complexity, in other words the ways these networks interrelate. By drawing on geographical and anthropological literature on open and relational understandings of place, and especially on the work of Doreen Massey and Arjun Appadurai, I shall show that interrelating migrant networks are visible in place in two ways. On the one hand, migrant places are meeting places of social networks, and on the other hand they are sites (translocalities) where transmigrants can reach out to people in other places.     

Social assistance for poor children in urban China: A qualitative study from the recipients' perspective

In urban China, the recipients' experiences living with social assistance are neglected. This article examines social assistance for poor children in urban China, mainly by interviewing parents and children from urban Dibao households in Tianjin and Chengdu. It finds that the recipients' feelings included gratitude, helplessness, shame and exclusion which reflected limited policy effect on material support and social exclusion prevention. It argues that the recipients are under-served and current social assistance policy for poor children which only includes differentiated aid and education aid is inadequate and should be further improved.     

Sex, lies, and videos in rural China: a qualitative study of women's sexual debut and risky sexual behavior

This paper attempts to understand the sexual behaviors of young, unmarried women living in rural China with a special focus on sexual debut, sexual risk-taking behaviors, and reproductive health consequences. The analysis is based on forty in-depth interviews with young women who had undergone induced abortion as well as information from focus group discussions. Study participants identified pornographic videos and parents' tacit approval and even encouragement as factors instigating their sexual debut. Reasons for unprotected intercourse include spontaneous sexual activity, misconceptions about fertility and the effective use of contraceptives, and the lack of negotiation skills. The results indicate the importance of making reproductive health education more accessible to rural populations in China, a group usually considered to be more traditional and less likely to engage in premarital sex.     

Gambling-related embezzlement in the workplace: a qualitative study

People with severe gambling problems typically first spend all their available money on gambling and then resort to borrowing, selling personal property and other ways of procuring more money for gambling. Some problem gamblers commit economic crimes. This investigation examined gambling-related embezzlement in the workplace, an aspect of problem gambling that may severely harm the gambler, significant others and the employer. The methods used are the study of newspaper articles and qualitative interviews with 18 informants, including professionals in workplace security and drug-use prevention, therapists specializing in problem gambling treatment, counsellors from mutual support societies, and recovered problem gamblers who had embezzled. Gambling-related embezzlement often progresses in a characteristic sequence shaped by specific processes in which the gambler’s thoughts and emotions interact systemically with the monetary losses caused by participating in commercial gambling and the opportunity to embezzle money in the workplace. In this study, criminological theory of white collar crime usefully complemented psychological theories of problem gambling. It is concluded that a processual perspective, in addition to consideration of psychological and environmental factors, is valuable for understanding the progression to severe problem gambling.     

Effects of HIV prevention messages on treatment-seeking and adherence for HIV-infected children in Maputo,Mozambique: A qualitative study

As antiretroviral treatment (ART) becomes more readily available to children in sub-Saharan Africa (SSA), it is important that the experiences of children and their caretakers be carefully examined from more than just a logistical perspective. This paper is based upon an original exploratory and qualitative study that focused on ART in Mozambique. Through in-depth semi-structured interviews, the study examined the experiences of 26 caretakers—primarily mothers—of pediatric patients aged 3–12 receiving ART through the Pediatric Day Hospital of the Maputo Central Hospital (Mozambique) as well as those of their clinicians (7 physicians and 2 dedicated nurses).The interviews focused on the effect of standard HIV prevention communications on pediatric treatment-seeking and ART adherence via several mediating factors such as: 1) Caretakers' sources of HIV information and their perceived reliability; 2) Levels of trust and communication between providers and patients/caretakers related to the completeness of discussions dealing with HIV risk factors and modes of transmission (particularly for the 19% of mothers interviewed who were uninfected themselves) and; 3) The potential propagation of shame and fear through HIV prevention messages which may contribute to sub-optimal adherence (marked, for example, by fear of involuntary disclosure to others in the child's household).The results indicate that all three of these mediating factors deserve further attention as caretakers did, indeed, report adverse effects on initial treatment-seeking and adherence for the children in their care broadly linked with these factors. As patients and their caretakers often must progress through several counseling sessions before or during commencement of ART, there is ample opportunity for these interpersonal and psychosocial factors to be addressed without the need for further financial or human resource allocations.     

Outcomes of parental mental illness on children: a qualitative study from Iran

Children of parents with mental illness are a substantial, yet marginalized group. This study, as part of a more extensive research project, used grounded theory to explore the outcomes of parental mental illness on their children. Seventeen informants were interviewed at a mental hospital in the city of Qazvin, Iran. The participants were selected using purposeful and theoretical sampling. Interviews were analyzed using Strauss and Corbin's method. It was revealed that parental mental illness leads to five major outcomes that involve communication, mental, educational, economic, and extra roles factors. As such, it is suggested that these children should be considered within health care plans and that policy makers, nurses, and other health care providers use these findings for preventive and educational purposes.     

Transnational lives,transnational marriages: a review of the evidence from migrant communities in Europe

Abstract Whom do migrants marry? This question has become a popular topic of research, and existing studies identify a common trend: most of the non‐European, non‐Christian migrants in Europe marry someone from their country of origin. The motivations for such practices are to be found in the characteristics of transnational spaces and in the social structures that emerge in such spaces. Based on a review of research from several European countries, three such constellations are discussed: first, the obligations to kin, especially when migration regulations become more restrictive, and marriage becomes the last route by which to migrate to Europe. Second, new forms of global inequality, between the metropolitan centre and countries of the global periphery, give migrants in Europe improved status and standing in their society of origin and therefore excellent opportunities on the marriage market there. Third, gender relations have started to shift in both host society and migrant families. Men and women alike are trying to rebalance power relations within marriage and to shift them in their favour. In this process marriage to a partner from the country of family origin may promise strategic benefits. The article ends with suggestions for future research.     

Quadriplegia,virtue theory,and flourishing: a qualitative study drawing on self-narratives

Grounded in the logic of the virtue tradition, the qualitative study “the good life and quadriplegia” collected the self-narratives of people that have lived with the impairment over the medium to long term. This article draws on those narratives to describe how people understood the good life in the context of the losses and hardship of their spinal-cord injury, and the virtues and attitudes that helped them to achieve it. While highlighting the importance of virtue, participant stories resisted the ideology of the positivity myth, recognising that flourishing includes hardships, limitation, and failure, as well as meaning, virtue, and accomplishment.     

Mediated reunions in adoption: findings from an evaluation study

In Canada, there are long waiting lists of adopted persons and birthparents seeking information or actual reunions. In the province of Quebec, the government authorized a pilot project, involving a fee-for-service program and use of contract social workers to supplement agency staff as intermediaries in the reunion process. This article reports on the project's evaluation and provides birth-parents' and adoptees' responses to reunion. A survey of clients who used this service found a high level of satisfaction. There were, however, some significant differences between birthparents and adoptees as well as between those who were searching and those found.     

School choice from a household resource perspective: Preliminary findings from a north of England case study

This paper seeks to widen the conceptual lens of school choice debate and analysis to account for multiple, intersecting economies, cultures, and infrastructures of daily life. Preliminary findings are presented in the case of primary school enrolment in the north of England city of Newcastle upon Tyne. The national context is one in which public service delivery has been influenced by the language of ‘choice’, notably a parent's ‘right to choose’ a school other than that nearest to their child's home, and ‘responsibility’ to exercise choice as self-determined consumer-citizens. At the metropolitan level this translates as market-led competitive enrolment and a tendency for more children to travel longer distances to school and for there to be greater variation in journey length, as some parents are able to use superior transport and personnel as leverage in their quest for a better choice of state school. Findings are presented from a multi-method pilot study combining daily diary, resource audit, and biographic analysis for a sample of 18 families drawn from two case study schools. One school (Town) attracts pupils from an area of low-income population, to which most children journey on foot; the other school (Woodland) attracts pupils from further away, situated within a largely middle-class area, to which most children are driven in their parent's car. The findings show how the market model assumes and rewards a particular mode of choice-making which fails to recognise that some parents seek less instrumentally for their child to be happy. Discussion combines theory, empirical findings, and critical analysis to expose the subtle inequities of school choice in relation to neo-liberal thinking.     

Research Note: The LIVITY study: research challenges and strategies for engaging with the black caribbean community in a study of HIV infection

There is an increasing incidence of new HIV‐1 diagnoses among black Caribbeans in the UK, but there has been limited research in this area. The LIVITY study is the first in‐depth epidemiological and behavioural study to examine the impact of HIV among black Caribbeans in the UK. The UK black Caribbean community has traditionally been regarded as less likely to participate in clinical research and surveys. We identified three major challenges to recruitment to the LIVITY study: general distrust of the research process; the considerable stigma surrounding HIV in the black Caribbean community and the sensitivity of obtaining detailed sexual histories. The strategies devised to help overcome these barriers to optimise recruitment included: the establishment of a black Caribbean Community Advisory Group to facilitate communication between the community and the researchers and assist in questionnaire design to improve acceptability to the participants; use of healthcare practitioners as gatekeepers; extensive piloting and modification of the questionnaire among black Caribbean patients; reassurances of confidentiality during recruitment; and ethnic matching between interviewer and study participants. Another challenge was the high rate of loss to follow‐up among eligible patients, potentially compromising the study’s generalisability. Nevertheless, use of the above strategies resulted in a satisfactory enrolment rate of 57%, who were representative of all eligible patients.     

Substance use and vulnerability to sexual and physical aggression: a longitudinal study of young adults

Using data from 2,170 individuals who participated in Waves 8 (age 23) and 9 (age 29) of a multiyear panel study, this study examined whether alcohol and marijuana use in young adulthood increase one's risk for experiencing subsequent sexual or physical assault victimization, whether victims' own violent behavior or involvement in the sale of drugs explain any effects of substance use on victimization, and whether these associations differ by gender. Controlling for prior victimization, we found that marijuana use, but not alcohol use, predicted women's and men's subsequent sexual victimization and men's subsequent physical assault victimization, and that heavy alcohol use, but not marijuana use, predicted women's subsequent physical assault victimization. Whereas the links from marijuana use to victimization were explained by users' own violent behavior, the link from alcohol use to women's physical assault victimization was not.