HIV seroprevalence and risk behaviors among clients attending tuberculosis clinics in Miami-Dade County,Florida, 1989–1996

Miami-Dade County is a major HIV epicenter and a port of entry for immigrants from nations with high endemic rates of tuberculosis (TB). We analyzed data from an unlinked (blinded) serosurvey of clients attending four Miami TB clinics to elucidate the dynamic HIV seroprevalence patterns in relation to demographics and risk behaviors. Data were analyzed from 3,107 consecutive TB patients at four TB treatment clinics over eight years. Overall HIV seroprevalence was 23.6% with a significantly higher infection rate for men (26.6%) compared to women (17.3%) (p < 0.0001). In rank order, the HIV infection rates were 30.3% for black non-Hispanics, 24.7% for white non-Hispanics and 14.2% for Hispanics. U.S.-born clients had significantly higher HIV rates compared with foreign-born clients (32.4% vs. 18.5%, p < 0.0001). HIV rates declined over six years from (32.5% to 15.9%, p < 0.0001) with significant trends observed for men and women; and for blacks, whites and Hispanics. Seroprevalence was 15.7% for clients identifying heterosexual contact as their only risk. Highly significant increases in seroprevalence above this heterosexual-contact-only `baseline', were found for clients disclosing the following high-risk behaviors: male-to-male sex, drug injection, smoking crack cocaine, receiving or giving money/drugs for sex, and sexual contact with a drug injector or HIV-infected partner. While highly significant elevations in HIV seroprevalence were associated with each of these definitive risk behaviors, even the baseline HIV infection rate of 15.7% in heterosexual-contact-only clients was markedly higher than that of the general population. These findings underscore the need to obtain routine HIV serology on all TB patients.     

Sexism and Racism in a Spanish Sample of Secondary School Students

The aim of this article was to investigate the relationship between sexism and racism in a Spanish sample as well to study common psychological patterns. 406 secondary school students responded to a questionnaire packet: Ambivalent Sexism Inventory towards women (Glick and Fiske, 1996), Ambivalent Sexism Inventory towards men (Glick and Fiske, 1999), Sexual Role scale (Moya et al., 1991), Blatant and Subtle Racism scale (Pettigrew and Meertens, 1995), Self-esteem (Rosenberg, 1965), Parwaise Comparison Value Survey (Oishi et al., 1998), and Big Five (Benet-Martínez and John, 1998). In general terms measures of sexism were correlated with racism measures. However, the idea that there are similar elements underlying sexism and racism is more evident in sexim towards women than sexism towards men.     

“They love death as we love life”: The “Muslim Question” and the biopolitics of replacement

This article approaches the analytic of the “Muslim Question” through the prism of the discursive and conspiratorial use of demographics as an alleged threat to Europe. It argues that concerns about “Muslim demographics” within Europe have been entertained, mobilized, and deployed to not only construct Muslims as problems and dangers to the present and future of Europe, but also as calls to revive eugenic policies within the frame of biopower. The article begins by sketching the contours of the contemporary “Muslim Question” and proceeds with a critical engagement with the literature positing a deliberate and combative strategy by “Muslims” centered on birth rates—seen by these authors as a tactical warfare—to allegedly replace European “native” populations. The analysis continues by focusing on two images juxtaposing life and death as imagined within the replacement discourse, and that capture that discourse in powerful albeit disturbing ways. Finally, the article proposes reading the population replacement discourse as a deployment of biopolitics and one of its many techniques, namely, eugenics.     

Promising Practices of Nonprofit Organizations to Respond to the Challenges Faced in Countering the Mistreatment of Older Adults

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - This article discusses promising practices used by employees and volunteers in nonprofit organizations (NPOs) in...     

Audience success or art for art's sake? Efficiency evaluation of dance companies in the United States

Our aim is to evaluate the performance of American dance companies, considering that the production process may be subdivided into consecutive stages consisting of fundraising, artistic production, and social impact. A three‐stage network‐Data Envelopment Analysis model is applied which takes account of the links between stages in the form of intermediate inputs/outputs and provides an overall indicator of efficiency together with partial performance indicators in the stages. Given the lack of information for some variables, we previously undertook a process to impute missing values following MICE (multiple imputation by chained equations) procedures. Results show that the highest levels of efficiency are achieved during the cultural creation stage, whereas the lowest correspond to social impact, indicating that dance companies pursue artistic excellence in their cultural programming, irrespective of their activity's commercial outcomes. Moreover, public and private funds are seen to be channeled following this guideline, thereby justifying the non‐profit status of these entities.     

Needs assessment of youths in residential child care in Portugal / Evaluación de necesidades de jóvenes en acogimiento residencial en Portugal / Evaluación de necesidades de jóvenes en acogimiento residencial en Portugal

Residential child care in Portugal is the most common protection measure in cases of family separation, since family foster care is still very rare. However, little is known about the needs of these children and young people. The purpose of this study is to describe the profile of adolescents close to legal adulthood who are in residential care, comparing it with a Spanish sample. The sample is composed of 345 young people aged 16 to 17 on whom information has been collected regarding their history of protection, family background, schooling, mental health and offending behaviour. A Spanish sample was selected as a comparison group (N = 384). The results reveal the complexity and special seriousness of the profile of young people in residential care in Portugal compared to a Spanish sample, highlighting a high presence of mental health problems and especially suicidal behaviours. Given these results, efforts should be focused on developing specialized residential care programmes adapted to the specific needs of these young people.     

How is participation related to well-being of homeless people? An explorative qualitative study in a Dutch homeless shelter facility

The majority of homeless people is socially excluded which negatively affects their well-being. Therefore, participation-based programs are needed. The current research is conducted within a Dutch homeless shelter facility that offers educational, recreational, and labor activities to clients in an environment which is designed to feel safe (an enabling niche). The main aim of these activities is to facilitate social participation. We conducted two qualitative studies consisting of 16 semi-structured interviews, to explore clients’ experiences with participation in activities in relation to their well-being. The findings showed that clients experienced that participation had led to an improvement of physical, social, and mental well-being. In general, clients reported that due to participation in activities they have strengthened their social support network, improved their (mental and physical) health, self-esteem and personal growth. We concluded that in order to facilitate long-term positive outcomes of participation in practice, it is necessary to focus on group cohesion, and on the social worker’s behavior and attitude.     

Correlation between pelvic floor strength and physical activity level in healthy men

The male pelvic floor muscles comprise a pair of compound muscle layers referred to as the levator ani. Studies have shown that pelvic floor muscle strength is affected by physical activity. This study aimed to assess male pelvic floor muscle strength through manometry of the external anal sphincter and evaluation of its association with physical activity level, BMI, and rectal pressure in healthy men. To assess physical activity level over the previous week, we used the International Physical Activity Questionnaire 8 (IPAQ). Pelvic floor muscle strength was assessed via anorectal manometry. The results shows a negative correlation between resting pressure and MET, a positive correlation between rectal pressure and resting and maximum pressure. The novel finding of this study is a negative correlation between walking and pelvic floor strength. This study raises new questions about the understanding of the interaction among physical activity, intraabdominal pressure, and pelvic floor strength in the physiology of continence in men.     

Respect in intergenerational relationships: Young adult women’s motivations

Care and respect are two sides of the same coin, yet very little is known about respect shown by younger women in relation to people aged 60 and older. This study sets out to explore what motivates young adult women to respect older people. Twenty-five post-graduate women from a tertiary education institution in South Africa participated in the Mmogo-method®, a projective visual data-collection method, to produce textual and visual data. These were analysed using sequential and visual analysis. Findings reported combinations of motivational types for respect of older people, on a continuum from extrinsic (socialised normative values) to intrinsic (personal choice and empathy), and from conditional to unconditional, namely: extrinsic/conditional; extrinsic/unconditional; self-motivated/conditional and self-motivated/unconditional. Respect as an impact on relational interactions between people is either constructive and encouraging or damaging and disparaging. Interpersonal risks are associated with motivation and this could affect future interactions and manifestations of intergenerational respect.