An Exploratory Investigation of Treatment Strategies for Black,Gay, Bisexual,and Heterosexual Men-Who-Have-Sex- With-Men Who Use Methamphetamine

Research has repeatedly indicated a strong relation between methamphetamine use and risky sex leading to HIV-seroconversion. Despite the high prevalence of HIV among Black gay, bisexual, and other men-who-have-sex-with-men (BMSM) and the strong association between methamphetamine use and HIV-seroconversion, treatment research on methamphetamine use and HIV-risk behaviors among BMSM is limited. The goal of this exploratory study was to investigate treatment strategies for BMSM that may be used to inform methamphetamine treatment programs tailored for BMSM. Data was collected on a sample of HIV-negative and HIV-positive gay, bisexual, and heterosexual BMSM (N = 52) in New York City. Participants were asked to discuss methamphetamine treatment strategies they believed would be successful in treating their own methamphetamine abuse and that of other BMSM who use methamphetamine. Results indicated four treatment areas salient for BMSM seeking treatment for methamphetamine used disorders: (a) outreach/recruitment strategies, (b) therapist qualities, (c) group characteristics, and (d) intervention elements themselves. Findings gathered here and through literature review underscore the importance of adapting evidence-based methamphetamine treatment strategies to include culturally-relevant treatment strategies that address the specific needs of BMSM who use methamphetamine.     

Precarious social inclusion: chronic homelessness and impaired decision-making capacity

This paper presents findings from an online survey of practitioners working in the homelessness sector in Australia, that explored practitioner perspectives of policy and service delivery to people with impaired decision-making capacity who experience chronic homelessness. This paper identifies from the research that unrealistic, inflexible and conditional policy, program and service responses from both the public and community sectors restrict positive outcomes for people with impaired decision-making capacity who are chronically homeless. These are significantly affected by sectoral silos whereby service types could not coordinate to facilitate adequate support. Supportive practices constructed of unconditional, flexible and wrap around support are needed along with “no exclusion” eligibility criteria for access to services. New approaches are needed in developing policy and delivering human services to people with impaired decision-making capacity that redress chronic homelessness, and enhance the prosperity of social inclusion for this vulnerable group of people.     

Race and Trends in Pornography Viewership, 1973–2016: Examining the Moderating Roles of Gender and Religion

While some research has uncovered racial differences in patterns of pornography viewership, no studies to date have considered how these patterns may be changing over time or how these trends may be moderated by other key predictors of pornography viewership—specifically, gender and religion. Using nationally representative data from the 1973–2016 General Social Survey (GSS; N = 20,620), and taking into account different ethnoreligious histories with pornography as a moral issue, we examined how race, gender, and religion intersect to influence trends in pornography viewership over 43 years. Analyses revealed that Black Americans in general were more likely to view pornography than Whites, and they were increasing in their pornography viewership at a higher rate than Whites. Moreover, Black men were more likely to consume pornography than all other race/gender combinations, but differed only from White women in their increasing rate of pornography viewership. Lastly, frequent worship attendance moderated trends in pornography viewership only for White men. By contrast, regardless of attendance frequency, Black men and women showed increasing rates of pornography use, while White women showed flat rates. We conclude by discussing the implications of these findings for research on the intersections of race, gender, religion, and sexuality.     

A comparative analysis of Norwegian and American social workers’ views about inclusion of religion and spirituality in social work

ABSTRACT

This article presents results from a comparative analysis of national surveys of Norwegian and American social workers’ views and practice with regard to inclusion of religion and spirituality in their professional work with clients. Findings include views about professional values, educational preparation, raising the topics of religion and spirituality with clients experiencing oppression, and use of related interventions. Overall, American social workers are more likely to address religion and spirituality than Norwegians. International comparative statistical and conceptual analyses consider influences of differences in practice settings, respondents’ age and length of experience, and cultural contexts.     

Methods for Detecting and Estimating Population Threshold Concentrations for Air Pollution–Related Mortality with Exposure Measurement Error

The association between daily fluctuations in ambient particulate matter and daily variations in nonaccidental mortality have been extensively investigated. Although it is now widely recognized that such an association exists, the form of the concentration–response model is still in question. Linear, no threshold and linear threshold models have been most commonly examined. In this paper we considered methods to detect and estimate threshold concentrations using time series data of daily mortality rates and air pollution concentrations. Because exposure is measured with error, we also considered the influence of measurement error in distinguishing between these two completing model specifications. The methods were illustrated on a 15-year daily time series of nonaccidental mortality and particulate air pollution data in Toronto, Canada. Nonparametric smoothed representations of the association between mortality and air pollution were adequate to graphically distinguish between these two forms. Weighted nonlinear regression methods for relative risk models were adequate to give nearly unbiased estimates of threshold concentrations even under conditions of extreme exposure measurement error. The uncertainty in the threshold estimates increased with the degree of exposure error. Regression models incorporating threshold concentrations could be clearly distinguished from linear relative risk models in the presence of exposure measurement error. The assumption of a linear model given that a threshold model was the correct form usually resulted in overestimates in the number of averted premature deaths, except for low threshold concentrations and large measurement error.     

Effects of the Chernobyl Accident on Public Perceptions of Nuclear Plant Accident Risks

Assessments of public perceptions of the characteristics of a nuclear power plant accident and affective responses to its likelihood were conducted 5 months before and 1 month after the Chernobyl accident. Analyses of data from 69 residents of southwestern Washington showed significant test-retest correlations for only 10 of 18 variables--accident likelihood, three measures of impact characteristics, three measures of affective reactions, and hazard knowledge by governmental sources. Of these variables, only two had significant changes in mean ratings; frequency of thought and frequency of discussion about a nearby nuclear power plant both increased. While there were significant changes only for two personal consequences (expectations of cancer and genetic effects), both of these decreased. The results of this study indicate that more attention should be given to assessing the stability of risk perceptions over time. Moreover, the data demonstrate that experience with a major accident can actually decrease rather than increase perceptions of threat.