Internet Use Among People with HIV/AIDS

ABSTRACT

The Internet offers people with HIV/AIDS timely information about treatment advances and supportive social contacts for this stigmatized disease, yet little is known about Internet use patterns among people with HIV/AIDS. This study of 120 persons with HIV/AIDS in the U.S. found approximately 19% used the Internet for HIV/AIDS-related purposes, much lower than the rate for general Internet use among the U.S. population. Lower incomes were associated with lower rates of use, echoing the “digital divide” found in the general population. Access from home was most common and information sought was primarily on medical treatments and medications. Possible reasons for low access rates, strategies for increasing access, and implications for other client groups are discussed.     

The Supply Side of the Digital Divide: Is There Equal Availability in the Broadband Internet Access Market?

The newest dimension of the digital divide is access to broadband (high-speed) Internet service. Using comprehensive U.S. data covering all forms of access technology (chiefly DSL and cable modem), I look for evidence of unequal broadband availability in areas with high concentrations of poor, minority, or rural households. There is little evidence of unequal availability based on income or on black or Hispanic concentration. There is mixed evidence concerning availability based on Native American or Asian concentration. Other findings: Rural location decreases availability; market size, education, Spanish language use, commuting distance, and Bell presence increase availability.     

Electronic Media Access and Use for Sexuality and Sexual Health Education Among Men Who Have Sex With Men in Four Cities in Tanzania

Abstract

Background: Electronic media use is an important avenue for reaching stigmatized populations. We examined Internet access and use of sexually related electronic media among men who have sex with men (MSM) in 4 cities in Tanzania. Methods: A questionnaire was administered to 231 MSM in Dar es Salaam, Mwanza, Arusha, and Tanga regarding electronic media type, times of use, type of use and frequency of use of sexually-related media. Results: Mean age was 25.7?years, and 52% had completed high school. Half had access to the internet through personal electronic devices, a further quarter had access through work, 10% through friends’ devices, and only 2% had no access to the internet. Most frequently used electronic devices were personal computer followed by work smartphone, with work computer a close third. These patterns were consistent for both seeking other men for sex and finding sexual health information. All respondents had accessed sexual material electronically at some time. Substantial logged-in time was reported each week seeking/chatting with potential sexual partners (median?=?48 hr), looking at “porn” (median?=?24 hr), and searching for health information (median?=?7 hr). Over 98% indicated that they would use an anonymous/confidential online service for HIV and sexually transmitted infection testing. The majority (79%) had found sexual partners throughout the Internet in the last 24?hours, and 52% sought sexual health education online 2–3 times per week. Peak search time was evenings, increasing during weekends. Discussion: For Tanzanian MSM in cities, sexual electronic media use is high and includes work devices. Sexual health information seeking, and openness to electronic counseling and testing was almost universal. Electronic sites for sexual health access should be explored and evaluated.     

Liability and the Internet: Risks and Recommendations for Social Work Practice

SUMMARY

Use of the Internet for counseling and information services has increased dramatically in the last five years. Although the Internet may benefit consumers by helping them secure needed services and resources, social workers and social service agencies who provide counseling over the Internet need to be aware of the legal risks associated with its use. Among the most salient concerns that need to be addressed are client confidentiality and privacy of records, appropriateness of treatment services, and the duty to warn others of harm that a client might pose to them. This paper looks at these legal concerns in light of appropriate Social Work practice and recommends methods to abate the risks that might occur when Internet counseling and service is provided.     

Online Mental Health Information Seeking in Young Adults with Mental Health Challenges

Barriers such as stigmatization and access to health care may lead young adults with mental health conditions (YAMHC) to try to find alternatives to more traditional means of obtaining care. One possible alternative is to seek information online. The purpose of this article is to better understand how YAMHC use the Internet to access information about mental health, and the challenges they face when trying to access that information. Semistructured focus groups were conducted to investigate how YAMHC use the Internet for information and support regarding their mental health. Three major themes about mental health information seeking emerged from the data: (a) Topics searched, (b) Motivations for going online to search for information, and (c) Barriers to successful searching. Findings indicate that YAMHC look up information related to their mental health for a variety of reasons that are unique to the online experience, and use that information to help them with their care, despite at times feeling overwhelmed by, and not always trusting of, the information available.     

'Reconnecting' the Unemployed

This paper discusses the potential uses of the Internet and other forms of information and communication technology (ICT) as a tool for delivering information services for unemployed people, comparing the experiences and attitudes of jobseekers in peri-urban and remote rural labour markets. The analysis is based upon research carried out in two areas: the first combining a remote rural town with a much larger, more sparsely populated, rural 'travel-to-work area'; the second, a centrally located peri-urban labour market. Survey research undertaken in the study areas gathered responses from 490 unemployed jobseekers. Emerging issues were then followed up during twelve focus groups. The study found that the use of ICT for job seeking remained a marginal activity for most unemployed people, but was much more important in remote rural communities. In these areas, jobseekers were more likely to use the Internet as a search tool and were particularly dependent on telephone helplines provided by the public employment service (PES). However, the study also found that a 'digital divide' was evident within the unemployed client group. Those with low educational attainment, the long-term unemployed, young people and those perceiving their ICT skills to be 'poor' were less likely to use the Internet. Although respondents in rural areas were more likely to use ICT to look for work, they also pointed to the overriding importance of informal, social networks as a means of sharing job information in remote communities. We conclude that ICT may have a future role in the delivery of services for jobseekers, especially in rural areas. However, policies are required to ensure that information provided through ICT-based services is locally relevant, and disadvantaged groups have access to the facilities and training they require.     

Bringing Technology to School: An Online Resource Guide for the School Social Worker

SUMMARY

The Internet can assist social workers and other human service professionals to obtain information that may potentially benefit both themselves and their clients. There is little doubt among those who are familiar with the Internet that this electronic medium has revolutionized the way we communicate and access knowledge. This article provides school social workers and other human service professionals with links to resources that can be incorporated into practice by offering specific Web pages related to school social work practice.     

Promoting online media relations: Public relations departments’ use of Internet in the UAE

This paper discusses the use of Internet by public relations departments in the United Arab Emirates, to reach their key publics online and to gather information and monitor data to perform their tasks and to promote and develop their relations with the news media. Findings of the study show that all 24 organizations have a homepage, but only two thirds of them are posting their publications on the net, and only one third are using electronic newspapers to monitor their coverage in the media and to gather news, data and information of importance for the various tasks they perform. Only three organizations out of 24 have an online newsroom, and only two have a virtual tour about the organization. None of the surveyed organizations’ Web site has a film or videos. Organizations in the United Arab Emirates still have a lot to do to take advantage fully and rationally of what interactive communication, Internet and online publications are offering for a better performance and more effective public relations.     

Digital Na(t)ives? Variation in Internet Skills and Uses among Members of the “Net Generation”*

People who have grown up with digital media are often assumed to be universally savvy with information and communication technologies. Such assumptions are rarely grounded in empirical evidence, however. This article draws on unique data with information about a diverse group of young adults’ Internet uses and skills to suggest that even when controlling for Internet access and experiences, people differ in their online abilities and activities. Additionally, findings suggest that Internet know‐how is not randomly distributed among the population, rather, higher levels of parental education, being a male, and being white or Asian American are associated with higher levels of Web‐use skill. These user characteristics are also related to the extent to which young adults engage in diverse types of online activities. Moreover, skill itself is positively associated with types of uses. Overall, these findings suggest that even when controlling for basic Internet access, among a group of young adults, socioeconomic status is an important predictor of how people are incorporating the Web into their everyday lives with those from more privileged backgrounds using it in more informed ways for a larger number of activities.     

Information society and digital divide in South Africa: results of longitudinal surveys

Integration into the information society implies that information plays an increasingly important role in all sectors of society and holds distinct social and economic benefits. Discourses on the information society are, however, also associated with the digital divide and inequalities in access to and use of information and communication technologies (ICTs). Within sub-Saharan Africa, South Africa is often regarded as one of the most information-integrated societies due to widespread mobile phone ownership, among other things. However, while ICT access has been emphasized, research also points to the role of demographic, socio-economic and cultural factors such as ethnicity, income, education and gender. This article discusses the results of questionnaire surveys conducted by Afrobarometer among probability South African samples in 2008 and 2011. The results indicate that individual Internet use and mobile Internet access were lower than estimated in the literature. Furthermore, gender gaps, as well as considerable gaps between population groups and educational levels, were found in Internet and computer use, mobile ownership and access to mobile Internet and accessing news via the Internet. Conclusions regarding strategies for bridging the digital divide and integrating South Africa into the information society are discussed.     

A global overview of major or unique libraries, clearinghouses, and bibliographic databases in social gerontology

Eighty-six major and/or unique information resources in social gerontology, mostly in the form of libraries, clearinghouses and other hybrid resources, and bibliogrphic databases were identified through an international survey. They are practically all located in the more developed countries, and the large majority are in the United States. A growing number are available in electronic format, facilitating direct end-user access. Significant information gaps continue to exist and access to the data resources of the northern hemisphere remains a major problem for developing nations.     

Technology Investment Trends

SUMMARY

Social service agencies across the country are investing in a wide range of technological, business process reengineering, and organizational change projects. These projects include:

? ? using technology to connect social workers to enable collaborative case management;

? ? building databases with sophisticated querying applications that allow quick, effective decision making at the front-line and management levels; and

? ? expanding the number of ways clients can access services through the use of the Internet, kiosks, electronic benefit transfers, etc.

Successful projects have a clearly identified business need and a strategy for addressing that need. This strategy includes understanding the process, organizational and technological context, evaluating alternative means of meeting the need, and developing a solid program management plan.     

Information for Clinical Social Work Practice: A Potential Solution

The field of social work requires knowledgeable, skilled and self-confident professionals. We assume that many of these social workers will have less than optimal access to professionally relevant information, within and outside of their workplaces. We also assume that they, like others searching for information, will have a limited set of search skills yet will want to obtain the information for practice they need as easily as possible. Finally, we assume they will continue turning to the Internet to access relevant information. This paper describes Information for Practice (IP), an Internet service designed for social work practitioners based on these assumptions. Data regarding use of this service are presented.     

Gender differences in client–provider relationship as active ingredient in substance abuse treatment

The client–provider relationship is increasingly evaluated as an active ingredient in the delivery of substance abuse treatment services. This study examines gender differences in client–provider relationship as an important treatment ingredient affecting retention in treatment and reduced post-treatment substance use. The study uses data collected for the National Treatment Improvement Evaluation Study (NTIES), a prospective, cohort study of U.S. substance abuse treatment programs and their clients. Data on individual characteristics were collected at the pre-treatment interview; on client–provider relationship and services received at treatment exit; and on post-treatment drug use at 12 months post-treatment. The analytic sample consists of 3027 clients from 59 service delivery units (1922 men and 1105 women). Structural equation modeling (SEM) was used to assess the structural relations and causal connections between relationship and service variables and treatment outcome variables. Results indicate that a positive client–provider relationship is related directly to longer duration and reduced post-treatment drug use for the total sample and for men analyzed separately. For women, a positive client–provider relationship was related directly to treatment duration and only indirectly to reduced post-treatment drug use. The findings point to the significance of including client–provider relationship in service delivery models – both as a therapeutic element as well as an element facilitative of matching services to specific client needs.     

Teenagers’ Internet Use and Family Rules: A Research Note

The Internet poses challenges to parents who want their children to take advantage of online resources but also want to protect their children from questionable content. Using data from 749 dyads of American parents and their teenage children with Internet access, this study finds that the majority of parents report regulating their teenage children's Internet use, but parents report more monitoring (61%) than teens report (38%). Multivariate regression analyses indicate fathers, younger parents, parents who use the Internet with their children, and parents with younger teens engage in a higher level of parental monitoring. This study provides a first look at parental monitoring of children's Internet use and points to the need to study family rules from both parents’ and children's perspectives.     

Human Services and the Information Economy

SUMMARY

This article discusses the impact of the information economy on human services. The major topics discussed include: the changing nature of work, the impact of the cost of adoption of technology by the human services, the changing expectations the public has for agency use of technology, the move to electronic record keeping and data management, the need for developing a data integrity management process, and the impact of the Internet and intranets on software development.     

Using Online Databases to Guide Practice and Research

Abstract

As tools for human service practitioners and researchers, online databases to locate evaluation literature are becoming increasingly useful. This article uses a clinical problem (concern about the effectiveness of electroconvuisive shock therapy for depressed persons), and a researcher's problem (planning a study to evaluate group treatment for child abusers), to illustrate logic of online searches for evaluation literature. New techniques for synthesizing many studies may require sweeping changes in how abstracts are formulated for bibliographic databases. Study synthesis techniques suggest ways to code studies to describe treatment method, client type, outcome measures, indices of study quality, and indices of treatment effect size. By replacing abstracts with such coded information, evaluation studies could be synthesized continuously for their program and policy implications.     

Use of the Internet for Community Practice

ABSTRACT

The Internet is a relatively new community practice tool with immense potential for more effective and efficient delivery of services. The lack of research about Internet community practice is an obstacle to the effective and efficient use of Internet tools. This research used the Delphi technique to elicit the opinions of experts on how the Internet tools of email, newsgroups, text, listservs, search engines, and chat are used by the four primary models of community practice found on the Internet (information dissemination, organization building, mobilization, and community planning). Findings show that a substantial number of people use community practice sites. The most useful Internet tools for the four Internet community practice models studied were text presentation and email. The least useful tools were newsgroups and chat. Barriers to Internet community practice include quality and currency of information, bandwidth, staff time, agency support, rapid technological change, marketing, browser consistency, user skills, and the lack of Internet access by potential users. The study concluded that Internet community practice is effective and will continue to grow as society enters the information age. The findings are particularly relevant for community practice agencies interested in setting up or enhancing an agency Web site to help provide services.