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21.
Men who have sex with men (MSM) and transgender individuals of color, the largest demographic in the House Ball Community (HBC), are amongst the group at highest risk for HIV infection in the United States. The HBC have limited access to culturally appropriate HIV education. This study aimed to develop a partnership with HBC leaders to uncover strategies for increasing HIV prevention knowledge, including participation in HIV vaccine trials. To this end a research institution-community-HBC partnership was established. In-depth qualitative and quantitative data were collected from the 14 HBC leaders in Western New York, revealing that knowledge of HIV and related vaccine trials was limited. Barriers to increasing HIV knowledge included fear of peer judgment, having inaccurate information about HIV, and lack of education. Among the HBC, community partnerships will further aid in the development of future HIV prevention programs and increase individuals’ willingness to participate in future HIV vaccine trials.  相似文献   
22.
Faced with economic uncertainty and declining retirement security, older adults have increasingly tried to remain in, or return to, the workforce in recent years. Unfortunately, a host of factors, such as ageism and changing skill requirements, present challenges for older adults seeking employment. Low-income older adults, in particular, may lack necessary education and skills and have limited access to job opportunities and training. In this review, we examine factors that inhibit and support employment for low-income older adults and explore the role of social work in facilitating their inclusion in the workforce.  相似文献   
23.
The intra-industry effect of Lloyd's financial distress on publicly traded US insurance companies is examined. Given Lloyd's prominence in the international insurance industry, large losses raised questions about the industry's capacity for certain types of risks and the financial solvency of other insurers. The market value of US property-liability insurers fell significantly at the announcement. This decline is related to the firm's revenues from insurance and reinsurance exposure. Results support contagion between Lloyd's distress and the US insurance industry. The study raises concerns about the potential for a systematic disruption of the supply of reinsurance in the international marketplace.  相似文献   
24.
Reactions to early life trauma can reemerge or be exacerbated in later life as coping resources and abilities are compromised by age-related changes and declines in health. For newly admitted nursing home residents, this can impact their receptiveness to assistance with care and elicit challenging reactions to environmental and situational triggers. Unfortunately, current assessment tools fail to account for reactions to early-life trauma. In this article, we review existing literature on early-life trauma and aging and introduce a hypothetical case to illustrate the importance of identifying nursing home residents with past trauma experiences.  相似文献   
25.
ABSTRACT

The number of older adults is steadily increasing in the United States and across the globe. Aging is linked to an increased risk of disability. Disabilities that limit one or more major life activities such as seeing, hearing, walking, and motor skills impact a person’s ability to drive a car. Low utilization of alternative transportation by older adults and people with disabilities may put them at risk for social isolation. Social isolation is associated with a variety of negative health outcomes. While communities are challenged to create available, acceptable, accessible, adaptable and affordable mobility options, there are widely held, inaccurate biases around older adults’ abilities to contribute to the development and improvement of alternative transportation options. Gerontological social workers are well-positioned to address this bias. This paper presents a case study of a large metropolitan county in the Midwest where community-based participatory research (CBPR) strategies were used to engage older residents to support the development of alternative transportation options supporting the tenets of environmental justice.  相似文献   
26.
Nearest Shrunken Centroid (NSC) classification has proven successful in ultra-high-dimensional classification problems involving thousands of features measured on relatively few individuals, such as in the analysis of DNA microarrays. The method requires the set of candidate classes to be closed. However, open-set classification is essential in many other applications including speaker identification, facial recognition, and authorship attribution. The authors review closed-set NSC classification, and then propose a diagnostic for whether open-set classification is needed. The diagnostic involves graphical and statistical comparison of posterior predictions of the test vectors to the observed test vectors. The authors propose a simple modification to NSC that allows the set of classes to be open. The open-set modification posits an unobserved class with a distribution of features just barely consistent with the test sample. A tuning constant reflects the combined considerations of power, specificity, multiplicity, number of features, and sample size. The authors illustrate and investigate properties of the diagnostic test and open-set NSC classification procedure using several example data sets. The diagnostic and the open-set NSC procedures are shown to be useful for identifying vectors that are not consistent with any of the candidate classes.  相似文献   
27.
ABSTRACT

Using a social capital and social cohesion lens, we reposition the concept of civic engagement among older adults to examine pathways for building age-friendly communities. We analyzed data drawn from a Community-Based Participatory Research study in the Southern U.S. that explored lived experiences of older adults, age 55 and above, who participated in individual interviews (n = 15) and six focus group discussions (n = 45) to examine their perceptions of social identity, social connectedness, and civic engagement geared toward an age-friendly city. Findings indicated that several older adults had access to social networks and socially invested resources, thereby having opportunities for civic engagement and building age-friendly neighborhoods. However, social, cultural, linguistic, and structural barriers were more evident among certain diverse ethnic populations. Marginalized low-income minorities and immigrants, such as Hispanic participants, felt the lack of social cohesion among the larger society limited their ability to give back, thus decreasing their civic engagement activities. In contrast, Caucasian and African-American older adults were able to contribute to the political process through more civic participation activities. We provide implications for examining the role of social capital and social engagement to bolster civic engagement among older adults in building age-friendly communities.  相似文献   
28.
This paper discusses a successful public involvement effort that addressed and resolved several highly controversial water management issues involving environmental and flood risks associated with an electrical generation facility in British Columbia. It begins with a discussion of concepts for designing public involvement, summarizing research that indicates why individuals and groups may find it difficult to make complex choices. Reasons for public involvement, and the range of current practices are discussed. Next, four principles for designing group decision process are outlined, emphasizing decision-aiding concepts that include value-focused thinking and adaptive management. The next sections discuss the Alouette River Stakeholder Committee process in terms of objectives, participation, process, methods for structuring values and creating alternatives, information sources, and results. Discussion and conclusions complete the paper.  相似文献   
29.
30.
This article uses newspaper coverage of a case from Baltimore, Maryland, to explore racial variation in the rhetorical framing of urban crime. In October 2002, seven members of the Dawson family were murdered in a house fire. The murders became an expression of Baltimore’s character and the lives of its residents. After analyzing 206 newspaper articles about the case, we find stark differences in the way the case, its causes, and its consequences are presented to readers. Newspapers with primarily white audiences—both “mainstream” and “alternative” papers—present the case as a horrific, singular instance, placing responsibility on the perpetrator. In contrast, articles in African American newspapers offer a complex web of explanation, calling attention to the structural inequalities and disparate access to state resources. Whereas white newspaper portray the Dawson family as martyrs in the drug war, black newspapers position the family as part of a wider of community of African Americans who are victims of slack policing, racial discrimination, and negligent social policy. We argue that these rhetorical differences are more than cosmetic. Rather, they provide a framework for better understanding the relationship between the press and policy makers. Differences in coverage of the case also contribute to our understanding of why blacks and whites have fundamentally different understandings of race in the United States.  相似文献   
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