Are People Aware of Their HIV‐positive Status Responsible for Driving the Epidemic in Sub‐Saharan Africa? The Case of Malawi

Many have alleged that those who are now aware that they are HIV‐positive are driving the epidemic. This article reports the results of a study in Malawi that provides empirical evidence of differences in knowledge, attitudes and behaviour between HIV‐positive people and those unaware of their sero‐status. It comes to three conclusions: HIV‐positive people report better knowledge and attitudes; there is substantially higher safer‐sex practice among those aware of their HIV‐positive status; and the assertion that the epidemic is spread by those aware of their positive sero‐status is unsubstantiated. The overall message is that there is a need to accelerate both HIV testing and positive‐prevention work.     

A Survey of AIDS Knowledge and Attitudes Among Prostitutes in an International Border Community

Prostitutes are a high risk population engaged in high risk behavior for the transmission of HIV Disease (AIDS). This paper presents the results of a survey to evaluate the knowledge, attitudes and behaviors of prostitutes about HIV Disease (AIDS). This survey was conducted in an International Border Community. A total of sixty women participated in this survey. The sources of information on AIDS and its accuracy were explored. The impact of this knowledge on behavior was identified. The most important finding is that the prostitutes are not utilizing risk reduction behaviors while having sexual relationships with their clients. The survey found that fifty-four percent of the participants did not use condoms on a regular basis. And an alarming ten percent did not use condoms at all. The results of this survey have implications for social workers and public health workers who must develop strategies to work effectively with this high risk population.     

Public Knowledge and Attitudes to HIV: Research From Three Decades in Sweden

The overarching objective of this article is to describe the Swedish public's knowledge about HIV and attitudes toward people living with HIV during the period 1987–2011. Within the framework of this objective, the article also directs a special focus at the association between knowledge about HIV transmission and attitudes toward people who are HIV positive. The study is based on the results of a questionnaire sent to a stratified random sample on eight occasions between 1987 and 2011. The study population comprises the Swedish general public aged 16–44 and is stratified on the basis of the respondents' age, with each of five age groups (16–17, 18–19, 20–24, 25–34, and 35–44) comprising 20% of the study respondents. A total of 21,027 individuals have completed the questionnaire in the eight surveys. The survey instrument is relatively short and comprises 27 questions on knowledge, attitudes and sexual behaviour relating to HIV. The eight surveys show that the public's knowledge about HIV and its different transmission routes is high and has increased over time. Above all there has been an increase in the level of knowledge about how HIV is not transmitted between people. However, the public's knowledge about the infectiousness of individuals receiving treatment for HIV infection is low. Public attitudes toward people with HIV have also undergone a clear shift over time, toward increased tolerance and a decline in the level of fear, especially in social situations. Despite this, a residual suspicion and stigmatisation can be seen in the public's attitudes to people who are HIV positive. This is most obvious from the questions that link HIV to sexuality and here the changes are very modest over time. Public knowledge about HIV and its transmission routes has increased between 1987 and 2011. Attitudes toward people who are HIV positive have generally become more tolerant and positive, not least in relation to different social situations. The fear of becoming infected has declined. At the same time there remains a stigma, which continues to direct suspicion at people who are living with HIV and to ascribe them negative characteristics and behaviors that are based on prejudice. The results show, however, that the public's attitudes toward same-sex relationships are clearly more accepting today than they were previously, and that the symbolic association between HIV and this group is tending to become weaker.     

Attitudes Toward Advanced Licensing for Macro Social Work Practice

ABSTRACT

Trends in clinical licensing and a renewed energy to strengthen macro practice are raising questions about the appropriateness of licensure for macro social work practice. This article presents findings from an online survey of macro social work educators and macro social work practitioners exploring their attitudes toward an advanced-level macro social work license. Faculty and practitioner responders agreed that there is a role for advanced-licensing of macro social work practice; however, the lack of a collectively strong response reflects a current state of ambivalence toward advanced-level licensing for macro practice. Implications from these findings on contemporary social work are discussed.     

Motivators and Barriers to Participation of Ethnic Minority Families in a Family-Based HIV Prevention Program

Summary

Involving low-income, ethnic minority families in lengthy HIV prevention programs can be challenging. Understanding the motivators and barriers to involvement may help researchers and practitioners design programs that can be used by populations most at risk for HIV exposure. The present study discusses motivators and barriers to involvement in the Collaborative HIV Prevention and Adolescent Mental Health Project (CHAMP), using data from a sample of 118 families that participated at varying levels in the twelve sessions of the program. Most participants chose motivators that reflect their perceptions of individual and/or family needs (“CHAMP might help me, mine, and other families”), and of characteristics of the program, such as CHAMP staff were friendly, CHAMP was fun. Among barriers to involvement, respondents expressed concerns about confidentiality, and about being judged by program staff. Respondents also reported experiencing many stressful events in their families (e.g., death and violence in the family) that may have been barriers to their involvement. Knowing these motivators and barriers, researchers and practitioners can enhance involvement in HIV prevention programs.     

Body-mind discipline for life: The non-conformity of contemporary Japanese tea ceremony practitioners

The Japanese tea ceremony has taught its practitioners how to discipline one's body and mind through the acquisition of specific body movements. This self-discipline has urged tea ceremony practitioners to conform to authorities and the patriarchy, most notably the iemoto, or specific families patriarchally monopolizing the right to issue permissions to tea ceremony practitioners. This paper elucidates how contemporary tea practitioners have been succeeding but also appropriating the self-disciplinary attitudes for their own self-serving purposes. Based on ethnographic data, the paper argues that married women practitioners during and after Japan's postwar economic growth, and young company workers-practitioners in the 21st century, are distancing themselves from the iemoto system and the patriarchy, while making use of them in their respective ways. These cases indicate that body-mind discipline can help one become an autonomous individual who does not need to submit even to the very authorities from whom that self-discipline was learned.     

Using evaluation techniques and performance claims to demonstrate public relations impact: An Australian perspective

Public relations professionals use many methods to demonstrate their contribution to organizational goals, yet it is unclear how their attitudes towards evaluation and the reporting of success matches real outcomes. Ten years after the International Public Relations Association produced an evaluation gold paper, this study combines research on Australian practitioners’ evaluation practices and attitudes, and data from industry awards to identify how practitioners demonstrate their accountability. Data suggest that despite the attention paid to evaluation by the academy and industry, practitioners still focus on measuring outputs, not outcomes to demonstrate performance and continue to rely heavily on media-based evaluation methods.     

Youth care workers' perspectives on and adoption of evidence-based practice

Despite increased emphasis on evidence-based practice (EBP), the limited implementation of EBP is a well-known reality. This research examines youth care practitioners' knowledge of, attitudes toward and adoption of EBP (N = 74). Additionally, the difference between EBP and empirically supported treatments (ESTs) is made. Findings show that some practitioner background variables are related to their knowledge of and attitudes toward EBP, but not to ESTs. Findings also provide evidence for current dissemination and implementation models that strongly emphasize the importance of good knowledge of and favorable attitudes toward EBP and EST by practitioners. Expanding the knowledge base of practitioners and positively influencing their attitudes toward EBP are two of the tracks for closing the gap between research and practice.     

“Jimmy Cap Before You Tap”: Developing Condom Use Messages for African American Women

This study examined which characteristics of persuasive communications are most effective in changing African American women’s condom use attitudes. Focus groups were convened with 40 African American women (M_age = 25.54, SD = 4.67) to assess their opinions on current effective strategies used to promote condom use among their peers. Participants discussed effective characteristics of messaging campaigns (i.e., source, message type, channel) and how these could be used in future prevention messages. Findings revealed that making messages that are fun, catchy, and informative, delivered frequently through social media, TV, or radio by a peer or celebrity would be perceived as most effective in changing young African American women’s attitudes. Other themes that emerged were that condom use is more strongly associated with pregnancy prevention than HIV prevention and that sexual partners were perceived to have negative condom use attitudes. Recommendations centered on increasing exposure of HIV prevention messages by placing messages on the Internet and including a funny phrase or jingle in the message so that it is easy to remember and could potentially serve as a conversation starter for discussing safe sex with partners.     

USING SOCIAL NETWORK INTERVENTIONS TO IMPROVE MENTALLY ILL CLIENTS’ WELL-BEING

This paper reviews empirical evidence showing that the structures of the social networks of mentally ill clients influence both their well-being and their use of mental health services. Network interventions that might help clients better address network-related problems, and might help their families improve relationships and prevent caretaker’s burn-out are presented. A case illustration will demonstrate how practitioners can assess a client’s social network, involve the client’s family in treatment, evaluate that treatment, and select tailored interventions. This case will emphasize both how practitioners can help a client restructure her network, and the complementary roles of formal and informal networks. The author shows practitioners how to match clients’ initial network structures to interventions and desired outcomes. Practitioners can thus help clients modify their social networks, increase the use of preventive services, and improve their well-being. Dr. Pinto has been supported by a training grant from the National Institute of Mental Health (732MH19139, Behavioral Sciences Research in HIV Infection; Principal Investigator, Anke A. Ehrhardt, Ph.D.) at the HIV Center for Clinical Behavioral Studies for Clinical and Behavioral Studies.     

Discrepancy Between Korean Government and Corporate Practitioners Regarding Professional Standards in Public Relations: A Co-Orientation Approach

This study examines the perceptional accuracy and the extent of the discrepancy between the professional standards of government and corporate public relations practitioners. Using a co-orientation approach in a national survey of randomly selected public relations professionals in Korea, it also measured practitioners' own attitudes as well as responses to questions about the attitudes of their peers concerning professional standards.

The results of this study suggest the influence of cultural perspectives. First, gender inequality in the relationship hierarchy has been largely eliminated but there is still no social and occupational consensus in the Korean public relations field. Second, the personal influence model and the behavior of gao guanxi (personal relations) still operate in the public relations of government systems, which have paternal authoritarian cultures. Government practitioners, nevertheless, feel strongly about the importance of social scientific research in their field and desire closer relationships with their communities and publics.     

An exploration of factors which may influence how teachers perceive participatory action research tools being employed in schools

This article draws on a lead researcher's observations about participatory research collaboration within a qualitative research project involving teachers, pupils and members of the communities surrounding schools. It presents a practical account of research processes aimed at uncovering to how pupils, teachers and community members in economically and socially disadvantaged neighbourhoods perceived their own roles in relation to creative activity with groups of children, who had been identified by their schools as being in need of help to engage in learning. The activities were led by artists who would not normally be involved in schools. Social constructionist frameworks for evaluation are combined with the literature on participatory appraisal, in order to suggest a politically sensitive course of action by which practitioners and peer interviewers could be involved more usefully in the future, through direct collaboration on the planning tasks to reveal rarely articulated pupil attitudes.     

Older Persons Parenting Children Who Have Lost a Parent Due to HIV

ABSTRACT

This article reviews scholarship regarding older relatives raising minor children in order to highlight the situation of caregivers raising minor children who have lost a parent because of HIV. HIV-af-fected families are a relatively new type of intergenerational grouping which deserve a closer examination. It is likely that the phenomenon of HIV-affected custodial caregiving grandparents will increase, and it is vital that policy makers, practitioners, and researchers explore their needs and assets. The particular challenges of HIV-affected grandfamilies are explored, then policy and practice issues are addressed in light of their particular relevance for HIV-affected surrogate parents.     

HIV conspiracy theory beliefs mediates the connection between HIV testing attitudes and HIV prevention self-efficacy

Abstract

Objective: High rates of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) can be found in states in both the Appalachian and Southeastern regions of the United States. As infection rates increase, it is imperative to understand factors that improve HIV prevention. The current work explored whether HIV conspiracy beliefs influences the link between HIV testing attitudes and perceived prevention ability. Participants: Four samples were collected during Fall 2013 (N?=?373), Spring 2014 (N?=?231), Fall 2014 (N?=?345), and Spring 2015 (N?=?369) at a rural, Southeastern, Appalachian university. Methods: Participants in all samples completed an online survey. Results: Four studies showed that HIV conspiracy theory beliefs mediated the relationship between HIV testing attitudes and HIV prevention self-efficacy. Conclusions: HIV conspiracy theory beliefs at least partially explain the connection between testing attitudes and HIV prevention self-efficacy. Results have implications for the role of HIV testing attitudes, beliefs, and self-efficacy.     

The Development and Validation of the Couple and Relationship Education Attitudes Index: Results from Two Studies

As relationship educators work to reach more participants for their programs, they often face challenges with recruitment and retention. The theory of planned behavior, along with research, posits that attitudes are often predictive of behavior, and that attitudes toward education and help-seeking can be varied by unique contexts. This paper reports on the development and validation of an index that measures attitudes toward couple relationship education (CRE). The two scales within this index (benefits of CRE & CRE is not a good fit) assess how comfortable individuals are with CRE. The results from two studies support the validation of the index and show how CRE attitudes are linked to relational factors and a measure of intentions to attend CRE, using the scales within the index. Implications for researchers and practitioners are discussed.     

Classroom Goal Structures and HIV and Pregnancy Prevention Education in Rural High School Health Classrooms

Over 5,000 adolescents enrolled in required rural high school health courses reported their perceptions of mastery and extrinsic goal structures in their health classrooms. Data were collected from all students at three time points (prior to HIV and pregnancy instruction, 3 months after instruction, and 1 year after instruction). Results indicated that classroom goal structures were related to both proximal and distal knowledge, attitudes, intentions, and efficacy beliefs. Results in particular indicate that the perception of a mastery goal structure in health education classrooms fosters knowledge, improved attitudes, enhanced efficacy beliefs, and lower intentions to have sexual intercourse.     

Whom Should We Serve? A Discourse Analysis of Social Workers’ Commentary on Undocumented Immigrants

We present a discourse analysis of social work practitioners’ commentaries on undocumented immigrants that were collected from a survey of practicing social workers’ attitudes toward immigration and immigrants. Analyzing 198 open-ended comments, we explore the discursive mechanisms practitioners employ to construct undocumented immigrants, and their professional responsibilities toward them. These views are illustrative of the ways in which the profession determines inclusion and exclusion, writ large in national immigration policies and laws and played out in the arenas of social work and social services. Disparate views of practitioners highlight tensions in the profession's relationships to law and social policies as well as to its own ethics and identity.     

Urban-rural influences in U.S. environmental and economic development policy

Despite the fact that rural communities have the most to gain and lose in matters involving economic development and environmental preservation, they often are given the least voice in the political processes that create policies in these areas. Agendas are set, policies formulated and implemented by policy-makers, administrators, and practitioners in urban areas. These outside policies may not be consistent with how rural communities view the tradeoffs between the environment and the economy. We call for decentralization of economic and environmental policy. It is understood, however, that such an approach may involve risk. What if rural-based policy-makers and practitioners are, for instance, aggressively antienvironmental and pro-economic growth? Using results from a national sample of rural development officials, this study examines the environmental and economic development attitudes of development officials based on a population continuum. The findings suggest that rural-based development officials often have a greater appreciation of rural environmental quality of life features compared to their urban counterparts. The implications of the findings are detailed and suggestions for future research are provided.     

Religiosity, sexual behaviors, and sexual attitudes during emerging adulthood

The current study examined associations between religiosity and sexual behaviors and attitudes during emerging adulthood. Two hundred and five emerging adults completed surveys about five aspects of their religiosity (group affiliation, attendance at religious services, attitudes, perceptions of negative sanctions, and adherence to sanctions) and their sexual behaviors (abstinence, age of onset, lifetime partners, condom use) and attitudes (conservative attitudes, perceived vulnerability to HIV, and condom-related beliefs). Associations were found between the measures of religiosity and sexuality, although the patterns differed by measures used. Religious behavior was the strongest predictor of sexual behavior. Many aspects of religiosity were associated with general sexual attitudes, which was not the case for perceived vulnerability to HIV and condom-related beliefs. The findings support reference group theory and highlight the importance of considering the specific constructs of religiosity and sexuality assessed in studies of these topics.     

Parent Involvement Practices in Child Protection: A Matter of Know-How and Attitude

Modern view of child protection services implies that to help young people, simply intervening on their behalf is not sufficient. It suggests that involving parents in the assistance process is essential in order to ensure that they are most likely to play their role as parents to their children in the fullest possible way. Although several articles have dealt with the issue of parent involvement, very few have attempted to document the practices used by practitioners to encourage such involvement. This article presents the findings of a study on child protection practices for involving parents in a child protection context. It is exploratory in nature, and uses a qualitative methodology. The study population is made up of 38 child protection service workers. An analysis of the practitioners’ discourse reveals that the behaviour and attitudes used by them to encourage parent involvement are very diverse. There also appear to be key moments in securing their involvement, that is, making contact, setting objectives and means of action, and applying the case plan. In addition to corroborating earlier studies on the issue of parent involvement, our findings indicate that the majority of the caseworkers interviewed practice an approach that aims to empower clients.Funding of this project was provided by le Fonds Richelieu de recherche sur l’enfance.Marie-Christine Saint-Jacques, Geneviève Lessard, and André Beaudoin are affiliated with School of Social Work, Laval University, Quebec, Canada. Sylvie Drapeau is affiliated with Department of Foundations and Practices in Education, Laval University, Quebec, Canada.