Managing the implementation of innovations

Data from a field survey of acceptance and implementation of a new training system are used to assess the validity and utility of a conceptual model of implementation processes. Results demonstrate the model's applicability, provide evidence of its explanatory power, and suggest that the model can be usefully applied to guide implementation planning and monitoring. Such applications are expected to improve the return realized on investment in new technologies, policies, and programs.     

SOURCES OF INFORMATION ABOUT HIV/AIDS,TRUST OF SOURCES AND PERCEIVED RISK OF INFECTION

The relationship between sources of information about AIDS/HIV, trust of the sources, how informed about AIDS people thought they were, and perceived risk to self and others were examined using three samples. One included young heterosexual students (113 females and 91 males), while the others included slightly older heterosexuals (74 females and 73 males) and homosexuals (82 males) from the general community. Homosexual men were the only group who trusted the same sources from which they received the most information (eg gay publications and AIDS organisations). Heterosexuals trusted expert sources the most, but the students received most information from magazines aimed at their peer groups and the heterosexuals in the community sample received most information from the print media. For the students, perceived personal risk was influenced most by perceived risk to male friends and people with the same sexual practices, whereas for the community samples it was influenced most by perceived risk to people with the same practices. The results suggest a strong peer influence on perceptions of personal risk of HIV infection.     

Young Women's Use of a Vaginal Microbicide Surrogate: The Role of Individual and Contextual Factors in Acceptability and Sexual Pleasure

Currently in clinical trials, microbicides have historically been promoted as a woman-controlled (although more recently woman initiated) method of sexually transmitted infection (STI) prevention. The contradicition that exists in this rationale is that women's bodies, specifically the genitals, have been constructed as a negotiated space within sexual interactions. This study qualitatively explored the factors influencing 40 young women's use of a vaginal moisturizer (VM), utilized as a microbicide surrogate. The results indicated that use of the VM was dependent upon product characteristics (i.e., the lubricating qualities affect on sexual pleasure, timing of insertion), individual factors (i.e., reproductive health goals, experiences with side effects of existing contraceptive methods), and contextual factors (i.e., social norms). An understanding of these bodily and social issues may be beneficial in designing targeted educational campaigns and effective instructional materials as well as in facilitating positive dialogue around women's bodies and their sexuality.     

Global Changes and Gendered Responses: The Feminization of Migration From Georgia

While frequently discussed, the feminization of migration remains among the least understood trends in migration literature. Existing research links feminization of migration to socioeconomic change in migrant origin countries, changes in destination‐country labor markets, structural factors, and changing social attitudes. However, questions of how the feminization of migration begins and how it becomes socially institutionalized remain largely unanswered. Having experienced a recent, dramatic increase in female migration, Georgia provides an excellent case to study the emergence of women's labor migration. Our findings highlight the importance of human capital, increasing divorce rates, and an absence of local economic opportunities in motivating increasing numbers of women to migrate. Additionally, changing destination patterns and shifts in labor‐market demand toward feminized occupations act as key initial conditions enabling the growth of women's migration. As migration is feminized, cultural beliefs stigmatizing female migrants can be renegotiated to frame women's migration within normative gender approaches, providing pathways for cultural maintenance. In the early stages of the feminization of migration, we find the initial attempts to reframe migration are powerful; they can challenge, or at least delay, the expansion of women's autonomy that is often associated with migration.     

Personal Trauma and Risk Behaviors Among Youth Entering Residential Treatment

The focus of this study was to determine the prevalence and types of traumas experienced by adolescents prior to admission to long term mental health residential care and the impact of these traumas on their risk behaviors. The research was conducted at a state-supported residential mental health treatment facility functioning under the authority of the Department of State Health Services. Client level data was extracted from social assessment forms (N = 457) in case records of clients. Results confirmed that exposure to trauma was pervasive among adolescents admitted to the facility. Findings also revealed a link between trauma and risk behaviors among youth entering residential treatment facilities. Increased trauma exposure significantly impacted the risk behaviors of youths entering the residential treatment facility. The results indicate that the total number of traumas experienced was a greater predictor of risk behaviors among these youth than the specific traumas experienced. Internalizing behaviors such as self-harm and suicide attempts also increased with the number of traumas experienced by the adolescent. The study demonstrates the need for further exploration of the complex relationship between personal trauma, mental health, and social development in adolescents.     

The structural context of social indicator differentials in Japanese prefectures 1965–75

This comparative analysis of the 45 Japanese prefectures shows that a set of 14 standard social indicators can be reduced, using factor analysis, to two principal factors: affluence and social pathology. Another factor analysis, this time conceptually guided, generated five indices of structural context, urban differentiation, cultural heritage, agricultural development, progressive industrialization, and Communist vote. As hypothesized, these five structural variables predict both social affluence and social pathology, but theoretical considerations required that the components of the social pathology factor be examined individually. Suicide rates were also examined separately, and although the structural dimensions show some capacity to account for the rates, the findings prompt an elaboration of the theory that brings it more closely in line with its Durkheimian antecedents.     

Inequality in life expectancy, functional status, and active life expectancy across selected black and white populations in the United States

We calculated population-level estimates of mortality, functional health, and active life expectancy for black and white adults living in a diverse set of 23 local areas in 1990, and nationwide. At age 16, life expectancy and active life expectancy vary across the local populations by as much as 28 and 25 years respectively. The relationship between population infirmity and longevity also varies. Rural residents outlive urban residents, but their additional years are primarily inactive. Among urban residents, those in more affluent areas outlive those in high-poverty areas. For both whites and blacks, these gains represent increases in active years. For whites alone they also reflect reductions in years spent in poor health.     

Tibetan Fertility Transitions in China and South Asia

The own‐children method, an indirect technique, is used to estimate fertility rates for two populations of Tibetans during the 1980s and 1990s: a sample of rural villages in the Tibet Autonomous Region of China and exiles living in India and Nepal. The analysis provides evidence that these two populations underwent remarkably similar fertility transitions in both timing and magnitude. In both cases total fertility rates declined from over six births per woman to below the level of replacement in a span of 15 years. The parallel nature of these fertility transitions is intriguing given that, although the populations share a common ethnic identity, they have lived under sharply differing political, economic, and social conditions since the 1960s.     

High Fertility and Children's Schooling in Ghana: Sex Differences in Parental Contributions and Educational Outcomes

This paper explores the linkages at the family level between sustained high fertility and children's schooling in Ghana, in the context of a constrained economic environment and rising school fees. The unique feature of the paper is its exploration of the operational significance of alternative definitions of “sib size” – the number of “same-mother” siblings and “same-father” siblings – in relation to enrolment, grade attainment, and school drop-out for boys and girls of primary and secondary school age. The analysis is based on the first wave of the Ghana Living Standards Measurement Survey (GLSS) data, collected in 1987–88. The results of the statistical analysis lead to the conclusion that the co-existence of high fertility, rising school costs, and economic reversals is having a negative impact on the education of girls, in terms of drop-out rates and grade attainment. Some of the costs of high fertility are borne by older siblings (particularly girls) rather than by parents, with the result that children from larger families experience greater inequality between themselves and their siblings by sex and birth order. Because fathers have more children on average than mothers, the inequality between their children appears to be even greater than between mothers' children, particularly given the importance of fathers' role in the payment of school fees. The paper concludes that the greatest cost for children in Ghana of sustained high fertility is likely to be the reinforcement of traditional sex roles, largely a product of high fertility in the past.