Research Note: The LIVITY study: research challenges and strategies for engaging with the black caribbean community in a study of HIV infection

There is an increasing incidence of new HIV‐1 diagnoses among black Caribbeans in the UK, but there has been limited research in this area. The LIVITY study is the first in‐depth epidemiological and behavioural study to examine the impact of HIV among black Caribbeans in the UK. The UK black Caribbean community has traditionally been regarded as less likely to participate in clinical research and surveys. We identified three major challenges to recruitment to the LIVITY study: general distrust of the research process; the considerable stigma surrounding HIV in the black Caribbean community and the sensitivity of obtaining detailed sexual histories. The strategies devised to help overcome these barriers to optimise recruitment included: the establishment of a black Caribbean Community Advisory Group to facilitate communication between the community and the researchers and assist in questionnaire design to improve acceptability to the participants; use of healthcare practitioners as gatekeepers; extensive piloting and modification of the questionnaire among black Caribbean patients; reassurances of confidentiality during recruitment; and ethnic matching between interviewer and study participants. Another challenge was the high rate of loss to follow‐up among eligible patients, potentially compromising the study’s generalisability. Nevertheless, use of the above strategies resulted in a satisfactory enrolment rate of 57%, who were representative of all eligible patients.     

Partner‐specific relationship characteristics and condom use among young people with sexually transmitted diseases

This study describes associations of partner‐specific relationship characteristics with consistent condom use among 297 young people (ages 13–24) with sexually transmitted diseases (STD). Relationship‐specific variables were relationship quality, reasons for sex, relationship duration, duration of sexual relationship, coital frequency, “established” versus “new” sexual partner, cohabitation, children, sexual coercion, and drug or alcohol use associated with coitus. Relationship characteristics associated with consistent condom use included lower relationship quality, lower emotional reasons for sex, lower coital frequency, sex with a new partner, noncohabitation, and not having a child with the partner. Controlling for sociodemographic variables, factors exhibiting independent associations with consistent condom use were lower relationship quality, lower coital frequency, and not having a child with the partner. While condom use with potentially high risk new partners is important, other types of relationships are also risky but associated with lower likelihood of consistent condom use. Better understanding of complex relationship characteristics is necessary to improve STD intervention programs.     

Sexual Orientation Development of Heterosexual,Bisexual, Lesbian,and Gay Individuals: Questions and Hypotheses Based on Kaestle’s (2019) Research

Christine Kaestle’s work assessed the three major dimensions of sexual orientation: sexual attractions, behaviors, and identity. She tracked the unfolding of sexual orientation over time, from adolescence to early adulthood (i.e., late twenties to early thirties), using three waves of data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), a U.S. representative sample. This article addresses some of the implications, questions, and hypotheses suggested by Kaestle’s findings. It ends by requesting follow-up data in adulthood to test hypotheses and resolve differences between the author and Kaestle in interpretation of the data.     

Diagnosing Discrimination: Stress from Perceived Racism and the Mental and Physical Health Effects*

Differences in health between racial groups in the United States are significant and persistent. Many studies have documented these differences as a result of a variety of different social factors. An emerging emphasis is the impact of racism in its various forms on physical and mental health. Social stress theory conceptualizes racism as a social stresssor which can produce negative health consequences for racial minorities. This study uses binary logit and negative binomial regression models of four items from the 2004 Behavioral Risk Factor Surveillance System (BRFSS) to test social stress theory and examine the relationship between stress symptoms from perceived racism and overall health (N = 32,585). The effect of race on the experience of emotional and physical stress symptoms from racism is substantial. Furthermore, experiencing both emotional and physical stress from perceived racist treatment is an important factor in predicting the number of poor mental and physical health days, indicating that the experience of stress from perceived racism is related to overall poorer health.     

The trend toward multiple authorship in social work: A British and US comparison

This article provides a comparative analysis of publication trends in social work in the US and Great Britain. This exploratory effort seeks to identify possible explanations for the phenomenon of multiple authorship, the implications of multi-authored scholarship, and some of the potential ethical questions that may arise from such collaborations in regard to what constitutes legitimate contributions to a scholarly article or book. To the extent that common trends are emerging across international boundaries, the incentive for heightened communication and collaboration may be increased in an effort to identify implications and derive solutions to common problems.     

Ideas in action: the politics of Prussian child labor reform, 1817–1839

This article explains the political origins of an 1839 law regulating the factory employment of children in Prussia. The article has two aims. First, it seeks to explain why Prussia adopted the particular law that it did. Existing historical explanations of this particular policy change are not correct, largely because they fail to take into account the actual motivations and intentions of key reformers. Second, the article contributes to theories of the role of ideas in public policymaking. Ideas interact with institutional and political factors to serve as motivators and as resources for policy change. As motivators, they drive political action and shape the content of policy programs; as resources, they enable political actors to recruit supporters and forge alliances. I offer a theory of the relationship between ideas, motivation, and political action, and I develop a methodological framework for assessing the reliability of political actors’ expressed motivations. Further, I explain how political actors use ideas as resources by deploying three specific ideational strategies: framing, borrowing, and citing. By tracing how different understandings of the child labor problem motivated and were embodied in two competing child labor policy proposals, I show how the ideas underlying reform had significant consequences for policy outcomes.     

Few in poll know real job of Family Counselling Agency

In this paper I hope to present

(i) some data which has been revealed by research and studies on the families of autistic children, especially in relation to theories of aetiology;

(ii) problems faced by families in coping with an autistic child;

(iii) the implications of these parental and family problems for counselling;

(iv) and finally to deal with the present situation in N.S.W.     

Environmental Social Work: Accounting for Gender in Climate Disasters

Abstract

The person-in-the-environment concept has largely been interpreted by social workers to indicate social networks and relationships, ignoring the physical environment and its complex impact on human health and wellbeing. This article examines the environmental domain, noting the critical role social workers can have in this field as a consequence of climate events and global warming. The article notes the significance of gender as a key factor in vulnerability to disasters and outlines the need for social workers to consider gender as a critical indicator in their work in this emerging area. Embodiment, connection to place, poverty, and cultural awareness are also significant, but often overlooked, factors in a social work response to environmental disasters. Ecological and ecofeminist theories give a direction for social work theory and practice in the postdisaster space. The article challenges social workers to reconsider the person-in-the-environment as a complex and critical emerging domain of social work theories and practice, a domain where gender awareness is fundamental.