Social support and physical health: the importance of belonging

Social support is a multifaceted construct recognized as a significant predictor of physical health. In this study, the authors examined several support domains simultaneously in a sample of 247 college students to determine their unique prediction of physical health perceptions and physical symptoms. They also examined gender differences across social support and physical health. Their findings indicated that belonging predicted better health perceptions for women and fewer physical symptoms for men, suggesting that a sense of connection to a group of others is a key support component for the physical health of college students.     

Risk,fear, bird flu and terrorists: A study of risk perceptions and economics

This paper examines the relationship between risk perceptions, affect and the economic consequences of a bio-security threat against the U.S. food system. The main argument is that there exists a link between risk perceptions and economic behavior. The paper raises conjectures through a utility-theoretic economic model and examines these through two separate surveys, the first being a hypothetical agroterrorist attack and the second a hypothetical discovery of ‘bird flu’ in the United States. The results provide strong evidence that risk perception and fear can interact with consumption in an economically significant way.     

Eight‐Month‐Old Infants' Perception of Possible and Impossible Events

This study investigated 8‐month‐old infants' perception of object permanence in an extension of the rotating screen studies by Baillargeon (1987) and Baillargeon, Spelke, and Wasserman (1985). Using computer‐animated stimuli similar to the “live” stimuli used by Baillargeon and her colleagues (Baillargeon, 1987; Baillargeon et al., 1985), 48 8‐month‐old infants were habituated to 1 of 4 computer‐animated events and then tested on all 4 events. The events involved a screen that rotated in either a 180° or 120° arc*** and a block that either was sitting in the path of the rotating screen or absent from the event. The results provided no evidence that infants responded on the basis of the possibility or impossibility of the events as claimed by Baillargeon and her colleagues, but instead indicated that the infants responded on the basis of perceptual novelty. These results are consistent with the findings of Schilling (this issue) and Bogartz, Shinskey, and Schilling (this issue). Taken together, along with the findings of Rivera, Wakeley, and Langer (1999), these more recent findings suggest that Baillargeon's (1987; Baillargeon et al., 1985) results should not be interpreted as definitive evidence of object permanence in very young infants.     

Teaching evidence-based social work in foundation practice courses: learning from pedagogical choices of allied fields

The field of social work is attuned to the need to incorporate evidence-based practice education into masters-level curriculum. One question remaining is how to integrate evidence-based practice in the foundation practice courses. Integration of evidence-based practice across the foundation-level curriculum coincides with the Council on Social Work Education's mandate that student's engage in research-informed practice and practice-informed research. Through a discussion of definitions, criticisms, and pedagogy across the allied fields of medicine, nursing, and social work the authors address the current status of evidence-based practice curriculum in foundation-level education. The authors incorporate the lessons learned from allied fields and a Masters of Social Work student's analyses of their experience of evidence-based practice learning to propose an adult-learner model to improve evidence-based practice pedagogy in Social Work.     

Family planning and resilience: associations found in a Population,Health, and Environment (PHE) project in Western Tanzania

Using 2016 household survey data from Tanzania, we define and measure resilience within the context of Population, Health, and Environment programming and quantify the link between resilience and family planning. We created a multicomponent model using confirmatory factor analysis in a structural equation modeling context. Factor loadings for eight defined latent factors of resilience were statistically significant (p?<?0.001). We created a factor called “FP-MCH” reflecting awareness, attitudes, and access to family planning (FP) and health care services and use of maternal and child health care (MCH) facilities. Analysis, with controls, shows that a 1 standard deviation (SD) increase in FP/MCH was associated with a 0.68 SD increase in resilience (p?<?0.01), suggesting that the association between FP/MCH and resilience is robust across a range of factors. Analyses showed that the association between FP/MCH is broadly related to the construct of resilience and not through any single component. This study supports the importance of including FP/MCH as part of integrated projects to enhance resilience.     

Sexual Behavior Latent Classes Among Men Who Have Sex With Men: Associations With Sexually Transmitted Infections

Men who have sex with men (MSM) are at disproportionate risk of acquisition of sexually transmitted infections (STIs). We used latent class analysis (LCA) to examine patterns of sexual behavior among MSM and how those patterns are related to STIs. We examined patterns of sexual behavior using behavioral and clinical data from a cross-sectional study of 235 MSM who presented to an urban sexual health clinic for STI testing. Analyzed data were collected using a combination of interviewer- and self-administered surveys and electronic health records. We used LCA to identify underlying subgroups of men based on their sexual behavior, described the demographics of the latent classes, and examined the association between the latent classes and STI status. We identified three latent classes of sexual behavior: Unprotected Anal Intercourse (UAI) Only (67%), Partner Seekers (14%), and Multiple Behaviors (19%). Men in the Multiple Behaviors class had a 67% probability of being STI positive, followed by men in the UAI Only class (27%) and men in the Partner Seekers class (22%). Examining the intersection of a variety of sexual practices indicates particular subgroups of MSM have the highest probability of being STI positive.     

Resilience in the face of sexual minority stress: “Choices” between authenticity and self-determination

This qualitative study explored the experience of sexual minority stressors and corresponding resilience. Using a grounded theory approach, the core category identified in the analysis was minority stress results from systemic factors that cause lesbian, gay, and bisexual (LGB) people to face competition between their desires for authenticity and self-determination. These findings shed light upon the insidious nature of minority stress, especially within U.S. contexts that lack protective legislation, and the adaptive strategies people use to mitigate their effects. By positioning resilience as a choice between authenticity and self-determination, resilience is understood to lessen but not resolve the deleterious impact of sexual minority stress.     

Exploratory study of the use of community treatment orders with clients of an Ontario ACT team

ABSTRACT

Community Treatment Orders (CTOs) have raised questions about coercion, lack of autonomy, and effectiveness in reducing hospitalizations and improving service users’ quality of life. This study examined the experiences of clients and clinicians when CTOs are used in combination with Assertive Community Treatment (ACT) in a recovery oriented approach. Eleven clients who were or had previously been on a CTO and eight ACT clinicians were interviewed. Although most clients had negative feelings about CTOs, some acknowledged their lives had improved. Clinicians reported that the decision to employ a CTO is sometimes debated within the team but they agreed that combining CTOs and ACT resulted in regular access to mental health supports, fewer hospitalizations and overall improvement of quality of life for their clients.