Adolescent fertility programs: taking the first few steps

Adolescent fertility programs in Asia and the Pacific have a long way to go to check the problems associated with adolescent fertility, but a start has been made. Delegates from 8 countries met in 1982 to share their problems and experiences in their own countries. The conference participants drew up plans to deal with a high rate of adolescent fertility, sexually active adolescents, out-of-wedlock births, unwanted pregnancies, sexually transmitted diseases, prostitution, rape, abortion, and drug addiction. The delegates felt that for adolescent fertility programs to be effective the program workers must first be equipped with the needed skills through proper training. Inadequate knowledge of the subject matter, inability to communicate with adolescents, personal bias, and lack of counseling skills were among the worker-related problems that conference participants identified. A few months after the conference, participant countries conducted a training program on the effective delivery of adolescent fertility-related information and counseling services. The training program, held in Manila from January 23 to February 2, 1984, was conducted by the Population Center Foundation and sponsored by the Family Planning International Assistance. Training program objectives included: in crease the participants' knowledge of sexuality-related matters; help them to communicate better with adolescents on matters related to sexuality and fertility; make them aware of other ways of responding to fertility-related information needs of adolescents; and improve their skills in counseling adolescents. Lectures, structured learning activities, discussions, role playing, and other methods were used to maximize learning. The training program was divided into 6 modules: group dynamics; human sexuality; information dissemination; counseling techniques; management; and action planning. The plans of Fiji, India, Indonesia, Nepal, Sri Lanka, Thailand, and the Philippines are reviewed. Organizers of the training program are confident that the action plans of the individual countries will take shape soon and clear the path toward more effective adolescent fertility programs.     

Methods of evaluating child welfare in Indian country: an illustration

The poor quality and quantity of data collected in tribal communities today reflects a lack of true community participation and commitment. This is especially problematic for evaluation studies, in which the needs and desires of the community should be the central focus. This challenge can be met by emphasizing indigenous methods and voice. The authors provide an illustration of how to do this.     

Gender nonconformity, homophobia, and mental distress in latino gay and bisexual men

This study explored whether gender nonconformity in gay and bisexual men is related to mental distress and if so, whether this relationship is mediated by negative experiences that are likely associated with gender nonconformity, including abuse and harassment. To study this question, data were analyzed from face-to face interviews with 912 self-identified gay and bisexual Latino men in three major U.S. cities collected by Diaz and colleagues (2001). Gay and bisexual Latino men who considered themselves to be effeminate had higher levels of mental distress and more frequently reported various negative experiences, compared with gay and bisexual Latino men who did not identify as effeminate. Higher levels of mental distress in effeminate men seemed to primarily result from more experiences of homophobia. Findings suggest the need for more attention to gender in research as well as counseling of sexual minority men.     

Problem gambling in the workplace, characteristics of employees seeking help

Few rigorous research studies exist to define the impact problem gambling may have on the workforce and the workplace. This study is an initial attempt to address this void by exploring the vocational patterns and demographics of callers with self report gambling problems to a state helpline. It utilizes Chi-squared Automatic Interaction (CHAID) Technique analysis to assess 1072 working age callers with gambling related problems. The goal of this exploratory investigation is to determine if the issue of problem gambling in the workplace warrants further research and, potentially, design of interventions. Discussion centers on the use of the information for development of employer based prevention and intervention efforts.     

Attitudes Toward Divorce and Their Relationship With Psychosocial Factors Among Social Work Students

This study aimed to explore attitudes toward divorce and their relationship with general satisfaction with life, spiritual beliefs, parental bonding, and depressive symptomatology among a sample of 210 social work students from two different universities in Florida. Results indicated that the majority of students had favorable attitudes toward divorce overall, perceiving divorce as a solution to unhappy marriage. Participants also reported strong feelings regarding marital obligation and the effect of divorce on children and society. Attitudes toward divorce were associated with spiritual beliefs and parental bonding.     

Who has Housing Affordability Problems? Disparities in Housing Cost Burden by Race, Nativity, and Legal Status in Los Angeles

Housing costs are a substantial component of US household expenditures. Those who allocate a large proportion of their income to housing often have to make difficult financial decisions with significant short-term and long-term implications for adults and children. This study employs cross-sectional data from the first wave of the Los Angeles Family and Neighborhood Survey collected between 2000 and 2002 to examine the most common US standard of housing affordability, the likelihood of spending 30 % or more of income on shelter costs. Multivariate analyses of a low-income sample of US-born Latinos, whites, African Americans, authorized Latino immigrants, and unauthorized Latino immigrants focus on baseline and persistent differences in the likelihood of being cost burdened by race, nativity, and legal status. Nearly half or more of each group of low-income respondents experience housing affordability problems. The results suggest that immigrants’ legal status is the primary source of disparities among those examined, with the multivariate analyses revealing large and persistent disparities for unauthorized Latino immigrants relative to most other groups. Moreover, the higher odds of housing cost burden observed for unauthorized immigrants compared with their authorized immigrant counterparts remains substantial, accounting for traditional indicators of immigrant assimilation. These results are consistent with emerging scholarship regarding the role of legal status in shaping immigrant outcomes in the United States.     

An Evaluation of the NERJIT Priority Rule in a Kanban‐Controlled Flowshop

Significant progress in production and information technologies and innovations in management of operations during the last couple of decades have made the production of small lots and deployment of Just‐In‐Time (JIT) concepts in flowshops possible. As a result, some researchers and practitioners have been seeking to improve the performance of non‐repetitive systems using JIT concepts. In this process, the JIT concepts that were originally designed for mass production have been modified to adapt JIT to non‐repetitive systems. This article uses a priority rule that is based on real‐time demand and production information for sequencing jobs in a kanban‐controlled flowshop. The analysis of the effect of this priority rule; the number of kanbans; the length of the withdrawal cycle; First‐Come, First‐Served (FCFS); and Shortest Processing Time (SPT) on four performance measures—customer wait time, total inventory, input stock‐point inventory, and output stock‐point inventory, shows that the use of this priority rule results in a significant reduction of customer wait time and a slight decrease in inventory.     

Issues to consider in internalization of a service

In a staff-model HMO, the demand for services may be greater in one area than in another. Services with little demand and/or high cost are usually contracted to an external provider or institution. Equipment purchases or renovation of a facility to accommodate a new service sometimes go hand in hand with internalizing a service, and capital budgeting is an integral part of the process. The decision on when it is feasible to internalize services has to be considered on two levels: service and finance. This article will look at what issues affect the organization on these two levels and will consider the cost-benefit and legal issues that need to be considered when making such a decision. A work sheet that may be used as is or modified is included.     

Demographic and related determinants of recent Cuban emigration

"This article highlights some of the principal demographic determinants of recent Cuban emigration, while also considering how these demographic variables interact with other social and economic determinants, utilizing a broad conceptualization of emigration. It also makes reference to Cuban military activities abroad. The conclusions that follow suggest that labor migration is more responsive to demographic factors than some theorists assume."