An evaluation of retail outlets as part of a community prevention trial to reduce sales of harmful legal products to youth

Communities across the nation have become increasingly concerned about inhalant use and use of harmful legal products among youth because of increasing prevalence rates and deleterious health consequences from abusing these products. The increasing concern of communities about inhaling and ingesting legal products has been coupled with increasing awareness and concern about ability of youth to access and abuse a variety of other legal retail products. There are few examples of scientifically designed community prevention projects that seek to reduce youth abuse of such legal products. This article describes a community prevention trial that is designed to reduce sales of inhalants and other harmful legal products to youth and demonstrates how the retailer component of the trial can be rigorously evaluated. It also shows how data from youth purchase attempts can complement survey data from retailers.     

Community Work:

This article presents a typology of models of community work currently extant in the United Kingdom. It focuses on clarifying theoretical points through analysis of the currently most widely accepted contemporary models in use throughout the UK: community care; community organization; community development; social/community planning; community education; and community action, and developing models of feminist community work, and black and anti-racist community work. The typology presented is organized on a continuum from models focused on ''care'' to those focusing on ''action.'' Each model is analyzed in relation to the following characteristics: strategy; workers' main roles; and typical agencies and examples of work. Selected critical key texts treating each model are documented. Discussion highlights similarities and differences among the models particularly with regard to techniques and skills and ideological traditions to provide a framework to understand community work practice.     

Problem Gambling and Comorbid Psychiatric and Substance Use Disorders Among Drug Users Recruited from Drug Treatment and Community Settings

Little is known about gambling rates of drug users recruited from drug treatment compared with those recruited from the community. We use the Diagnostic Interview Schedule (DIS) to provide lifetime prevalence estimates of problem gambling (i.e., at least one gambling problem) and DSM-III-R pathological gambling (i.e., at least four gambling problems) and describe the association between gambling and psychiatric disorders for drug users recruited from drug treatment settings (n = 512) and from the community (n = 478). We also report the relative risk of being a recreational and problem gambler in this sample. The sample was first interviewed in 1989–90 as a partof two NIDA-funded St. Louis-based studies. The prevalence of problem gambling in the overall sample was 22% and the prevalence of pathological gambling was 11%. There were no statistically significant differences in problem and pathological gambling rates for subjects recruited from drug treatment and those recruited from the community. The conditional prevalence rates, that is, the rate of problem and pathological gambling only among gamblers were 27% and 13.5%, respectively. Major findings indicate that problem gambling was associated with Antisocial Personality Disorder (ASPD), even after controlling for recruitment source and socio-demographic characteristics. In fact, when examining the temporal order of these disorders, we found that pathological gambling was always secondary to ASPD, occurring on average 11.4 years after the onset of ASPD. Problem gamblers, compared with everyone else, were more likely to be male, African-American, recruited from drug treatment, have ASPD and be dependent on illicit drugs. Multinomial logistic regression analysis predicted the relative risk of being a recreational and problem gambler (compared with a nongambler) in this sample according to socio-demographics, ASPD, and dependence on illicit drugs. Results imply that screening for gambling problems will need to be broad-based among drug users.     

The effects of a continuous passive motion device on myoelectric activity of the erector spinae during prolonged sitting at a computer workstation

Continuous passive motion (CPM) has been proposed as a method to help individuals with low back pain cope with prolonged sitting. The purpose of this study was to investigate the effects that a commercially available CPM device had on lumbar and thoracic erector spinae (ES) muscle activation (using surface electromyography, "EMG"), and on subjective discomfort during prolonged seated computer work with and without the use of the CPM device. There were no significant differences in average ES muscle activation levels, amplitude probability distribution functions, and EMG gaps number and length when sitting with the CPM device was compared to sitting normally. Subjective ratings of discomfort were also not significantly different between the two sitting conditions. The results indicated that there were no clear mechanisms by which the CPM device may reduce ES muscle pain and fatigue for the tasks and pain-free individuals studied.     

Implementation and evaluation of an HIV/STD intervention in Peru

This paper presents the lessons learned through a process evaluation (PE) after 1 year of implementation of a 2-year community intervention in Lima, Peru. The intervention consisted of training and motivating community popular opinion leaders (CPOLs) for three marginal population segments to disseminate prevention messages among their peers. PE data included: observations, qualitative interviews with CPOLS, conversations and messages delivered by CPOLs, training facilitators' perceptions about implementation, and a survey of CPOLs. The PE helped to document and enhance the intervention. CPOLs were motivated to talk to their peers. CPOLs perceived that their participation had an effect on their own risk behaviors and saw their role as beneficial to their community. The PE was helpful in examining training delivery and the feasibility and acceptability of the intervention in order to assess the elements related to program success necessary to replicate the CPOL model.     

DEMAND FOR DIFFERENTIATED DURABLE PRODUCTS: THE CASE OF THE U.S. COMPUTER PRINTER MARKET

This paper develops an estimation technique for analyzing the impact of technological change on the dynamics of consumer demand in a differentiated durable products industry. The paper presents a dynamic model of consumer demand for differentiated durable products that explicitly accounts for consumers' expectations of future product quality and consumers' outflow from the market that arises endogenously from their purchase decisions. The timing of consumers' purchases is formalized as an optimal stopping problem. A solution to that problem defines the hazard rate of product adoptions, while the nested discrete choice model determines the alternative‐specific purchase probabilities. Integrating individual decisions over the population distribution generates rich dynamics of aggregate and product‐level sales. The empirical part of the paper applies the model to data on the U.S. computer printer market for 1998–1999. The estimates support the hypothesis of consumers' forward‐looking behavior, allowing for better demand forecasts and improved measures of welfare gains from introducing new products. (JEL L11, C35, D91)     

Community turnarounds in declining company towns: A restructuring model

This article presents a model which a community can use to offset the employment losses associated with the closure of a large employer. The model is particularly applicable to “company towns” and is based on the experience of a specific Swedish company town. The model requires cooperation between the company which plans to close the plant and the community which must arrange for alternative employment. Since successful cooperation leads to a restructuring of the local economy, the model is called a “community restructuring model”.     

Banking on community: The use of time banking as an innovative community practice teaching strategy

ABSTRACT

This article explores the use of a classroom-based, experiential time banking project as an innovative community practice teaching strategy. It presents a preliminary, qualitative evaluation of a seven-week, time banking project among 40 students enrolled in a Master of Social Work community practice course, spanning two academic years. Findings highlight challenges (e.g., lack of time) and benefits (e.g., building a sense of community) associated with the model specifically, as well as the ways in which participation expanded understandings of and appreciation for the power and potential of community practice more generally. Recommendations for future teaching and research applications are offered.     

Examining the structure of awareness and perceptions of groundnut aflatoxin among Ghanaian health and agricultural professionals and its influence on their actions

This study uses a modified health belief model (HBM) within a socio-economic framework to evaluate the influence of awareness and knowledge on actions to reduce aflatoxin (AF) contamination in groundnuts (peanuts). Data were collected in 2002 through a self-administered questionnaire from a sample of 367 individuals. Socio-economic factors affecting perceptions, awareness, knowledge, and action were examined using structural equation modeling. The perceived benefits of good quality groundnuts and/or groundnut products were the most important determinants of awareness and knowledge of AF among agricultural and health professionals in Ghana. Awareness, in turn, had a significant causal effect on the professionals’ decisions to take actions to increase the level of awareness of AF in the society. Demographic factors, such as gender and level of education significantly influenced knowledge of AF and the perception of the benefits of good quality groundnut. Type of profession had a significant influence on awareness and perceived seriousness of the AF problem. Education was a significant determinant of awareness of AF in groundnuts. The study generates important information for policy decision making when considering resource allocation to reduce food contamination in developing economies.     

Relationship management as antecedents to public communication behaviors: Examining empowerment and public health among Asian Americans

This study examined the effects of relationship management by community health organizations on the situational perceptions, and, in turn, on information behaviors about health issues among community members. Survey data with 222 Asian Americans indicated that trust and control mutuality played different but complementary roles on problem recognition, involvement recognition, and constraint recognition, which then differently impacted four information behaviors ranging from information attending, information forwarding, information sharing, and information seeking. This study proposed and tested a public-oriented model and contributed to two lines of research: examining public-centered consequences of relationship management and exploring antecedents to the formation of publics. It has practical implications on fostering relationships and empowering community members.     

An Approach to Community Outreach Practice in the 21st Century

ABSTRACT

This article presents the findings of a study about knowledge, attitudes and beliefs about AIDS held by older Hispanic adults. Members of the convenience sample provided responses that identify concerns about effective practice in outeach and information provision to older adults with regard to risky sexual practices. Intervention to prevent the spread of HIV/AIDS among older adults needs to be culturally competent and to be attuned to social practices, traditions, community concerns, and generational perspectives with regard to serious health problems related to sexual behavior. The sample composition was primarily Hispanic (97.4%); Catholic, (92.1%) and female (84.2%) with a mean age of 73.7 years. Approximately 28.2% of those surveyed stated that they felt that AIDS was an important problem for older adults. The majority, (76.3%) were aware of locations where health information and services were available if AIDS were a problem. Even though the majority indicated knowledge that AIDS is spread through sexual intercourse, more than one third, (36.8%) thought that sexually active adults 55 and over never use condoms. A discussion of the implications for disease prevention programs and community practice is presented emphasizing the importance of empowerment strategies in health promotion programs and the strengthening of multidisciplinary collaborative efforts to effect positive community health changes.     

A public health perspective for youth gambling

The recent emergence of gambling problems among youth around the world is alarming. For those most vulnerable in our society, children and adolescents, problem gambling presents a serious public health concern. Our current knowledge and understanding of the magnitude of the problem and its considerable impact upon the well-being of youth compels us to respond in a timely and effective manner. A general public health paradigm to gambling, originally articulated by Wynne (1997) and Korn and Shaffer (1999), highlights the importance of such an approach. However, a conceptual model and framework to understand and specifically address youth problem gambling within a public health framework is needed. This article articulates a theoretical framework and model that will help facilitate the development, implementation and evaluation of a comprehensive, multi-level health promotion and prevention strategy for youth problem gambling.     

Community drug abuse prevention in a Hmong village in Thailand

The goal of this project was to implement a model of drug abuse prevention, drawing on health care, psychosocial and legal principles, in a selected village community in Thailand. Primary, secondary, and tertiary prevention strategies were used within a nursing conceptual framework that included the interactions among the person, drugs, and environment. An initial community survey revealed 112 addicted individuals and identified many atrisk groups, such as children of addicted parents, adolescents, and women. Primary health care and dental health services were provided in the community, as well as drug abuse education and activities for school children and at-risk groups. Treatment camps were also established in the community on two occasions to provide detoxification and rehabilitation services for addicted individuals. At the end of the 3-year program, there were no new addicted individuals, and the number of addicted individuals decreased from 112 to 50 (after first treatment) and 26 (after second treatment). In addition, the villagers were more aware of problems related to using opium and heroin and of modern, approved drugs to treat illnesses. The prevention strategies were beneficial for the community members, as well as the addicted individuals and theirfamilies.     

A majority sound change in a minority community: /u/-fronting in Chicano English

Many sociolinguistic studies have found that minority groups are not participating in the sound changes characteristic of the majority community. This study, however, presents evidence that /u/-fronting, a sound change observable in California Anglo speakers, is found in the minority Mexican-American community as well, among speakers of Chicano English. Furthermore, while a high percentage of variation research has focused on correlating sociolinguistic variables with traditional social factors (age, gender, and social class being the most common), the results of this research underscore the need to analyze variation within the context of those social categories that are of particular significance to the specific community being studied, as well as the importance of incorporating interactions among social factors into a sociolinguistic analysis.     

Quality of life and sustainability issues as seen by the population of low-income housing in the region of Campinas, Brazil

This paper presents a study on quality of life and sustainability indicators relating to site-planning parameters for low-income public housing projects in the region of Campinas, Brazil. The study is based on a post-occupancy-evaluation (POE), conducted in five housing developments. Most of these housing projects are based on a repetitive model and are devoid of urban infrastructure. Users act on their own in providing for some elements considered necessary to create an identity and community spirit. Results show that the population relates quality of life to economic factors and sustainability is associated to reduce utility bills. Houses are preferred to apartments and satisfaction with the present housing conditions is high, despite low feelings of security in the neighbourhood. This work is part of a broader study, which aims to develop design evaluation tools. Most sensitive quality of life and sustainability indicators related to site-planning should permeate these tools and establish design guidelines. The inclusion of a large number of qualitative design issues into the decision-making process and the questioning of existing standardized solutions are seen as essential means to increase local housing quality.     

Evaluation design for a community prevention trial. An environmental approach to reduce alcohol-involved trauma

The Community Prevention Trial was 5-year effort to reduce alcohol-involved injuries and death through a comprehensive program of community awareness and policy activities. The three experimental communities were of approximately 100,000 population each (one in Northern California, one in Southern California, and one in South Carolina). Matched comparison communities were used for each experimental community. This article describes the evaluation approach used in a program that sought to change environmental factors not a specific population or target group. This approach demanded unique evaluation approaches for determining overall community aggregate effects, that is, distal outcomes, as well as changes in key mediating variables, that is, process effects. The problem of trending and lagged effects of community prevention programs are discussed.     

Ethnic identity, neighborhood risk, and adolescent drug and sex attitudes and refusal efficacy: the urban African American girls' experience

This study examined the impact of ethnic identity and neighborhood risk on drug and sex attitudes and refusal efficacy among early adolescent urban African American females (n = 175). The model also predicted a moderating relationship of ethnic identity on neighborhood risk for drug and sex attitudes and refusal efficacy. Data were collected as part of a larger drug education program and analyzed via hierarchical multiple regression. The analyses controlled for household structure and menarche. Results indicated a direct relationship of higher ethnic identity and higher sexual refusal efficacy, higher disapproval of drug use, and lowered intentions to use drugs. Neighborhood risk was directly related to lower disapproval of drug use. There was a small moderating effect of ethnic identity on neighborhood risk for intention to use drugs. Findings provide support for prevention programs for African American youth that seek to reduce risk behaviors by increasing ethnic identity, particularly in low resource communities.     

“Family” Support for Family Violence: Exploring Community Support Systems for Lesbian and Bisexual Women Who Have Experienced Abuse

ABSTRACT

“Family” is a euphemistic term that lesbian, gay, bisexual, and transgender (LGBT) people use among ourselves to designate membership in lesbian, gay, bisexual, and transgender communities. Ironically, this “family” may be the most sought, yet least successful, support for dealing with the intimate partner violence that occurs within LGBT families. This study of 11 lesbian and bisexual women's experiences seeking support revealed several tiers of unmet needs within the LGBT community. They rarely used services in the general community, although these services are often the focus of both criticism and efforts to build support systems for LGBT victim/survivors. A model presents the different stages and potential sources of support.