Correlates of Suicide Ideation Among LGBT Nebraskans

The aim of this investigation is to outline correlates of suicide ideation among LGBT individuals living in Nebraska. A community-based participatory research approach was utilized to develop a 30-minute, online anonymous survey. Almost half of the sample had seriously considered suicide at some point in their lives. Significant correlates of increased likelihood of suicide ideation are age, gender, transgender identity, income, depression, and discrimination. Suicide ideation is a serious concern for the health of LGBT Nebraskans. Steps should be taken to incorporate individuals who fall into these high-risk categories in suicide outreach programs.     

Assessing the impact of an asset-based intervention on educational outcomes of orphaned children and adolescents: findings from a randomised experiment in Uganda

ABSTRACT

This paper examines the effect of an asset-based intervention on academic performance and school transition among orphaned and vulnerable children in Uganda. Participants were randomly assigned to either the control arm or two treatment arms receiving an asset-based intervention. Participants in the treatment arms scored better grades; and had higher odds of transitioning to post-primary education relative to the control arm. Programmes which target financial insecurity may have a positive impact on the educational achievement and progression of orphaned children. There is a need to consider incorporating asset-based interventions within the development of educational policy, especially in low-income countries.     

Aborigines and Conservationism: The Daintree-Bloomfield Road

This paper examines the relationship between Aborigines and the conservation movement by presenting a case study of a pro-development stance taken by an Aboriginal group. In 1983, the Aborigines, Kuku-Yalanji speakers from Wujalwujal south of Cooktown in north Queensland, supported the construction of a road into their community through an ecologically important area of lowland coastal rainforest near Cape Tribulation north of Cairns. The paper attempts to explain the conflict between pro- and anti-road forces by looking, first, at some conservationists' notions of Aboriginal culture, and, second, at the local Aboriginal political economy. It concludes by raising other issues, including that of consultation, and the use by the conservation movement of Aboriginal culture as a touchstone for its endeavours.     

The Infertility (Medical Procedures) Act 1984: A New Dimension of Legal Regulation?

Recent legislation governing the practice of In-Vitro Fertilization indicates that the traditional regulatory role of the law has significantly expanded. This article examines implications arising from the Victorian Infertility (Medical Procedures) Act 1984 and specifically, the extent to which the law can now regulate the genetic composition of human beings.     

Toward a Social Theory of Resilience: Social Systems,Cultural Systems,and Collective Action in Transitioning Forest‐Based Communities

Impacts from post‐Fordist and poststaples economic transition in the Canadian natural resource sector have resulted in dramatic challenges to the livelihoods of many rural residents and the viability of many rural communities. This study seeks to understand community response to economic transition through a lens of social ecological resilience. This article puts forward Archer's theory of cultural morphogenesis as an analogous model of social ecological change that focuses attention on cultural systems, cultural elaboration, and collective action within an adaptive cycle of resilience. With case material from focused ethnographies of two forest‐dependent communities, we identify distinctive interactions between culture and agency over time that condition community response to change, and we make an analytical distinction between the social system and cultural system. These insights point to catalysts for collective action and adaptation within a resilient cultural realm that extend beyond institutional factors such as economic dependency or political opportunity. By integrating culture, we also deepen the social theory contribution to social‐ecological resilience.     

Migration Dynamics,Entrepreneurship, and African Development: Lessons from Malawi

Using data from Malawi, this study situates the discourse on migration, entrepreneurship, and development within the context of Africa's social realities. It examines self‐employment differences among three groups of migrants and corresponding group differences in agricultural and non‐agricultural self‐employment. International migrants are found to be more engaged in self‐employment than internal migrants. However, our results suggest that previous findings on the development‐related contributions of returning migrants from the West need to be appropriately contextualized. When returnees from the West invest in self‐employment, they typically shy away from Africa's largest economic sector – agriculture. In contrast, levels of self‐employment, especially in agricultural self‐employment, are highest among returning migrants and immigrants from other African countries, especially from those nearby. We also underscore the gendered dimensions of migrants’ contribution to African development by demonstrating that female migrants are more likely to be self‐employed in agriculture than male migrants. Furthermore, as human‐capital increases, migrants are more likely to concentrate their self‐employment activities in non‐agricultural activities and not in the agricultural sector. The study concludes using these findings to discuss key implications for policy and future research.     

Healthy Lifestyling: A Nontraditional Approach to Facilitating Health-Enhancing Behaviors in University Undergraduates

Abstract

“Should the Risk of Acquired Immunodeficiency Syndrome Deter Hepatitis B Vaccination? A Decision Analysis,” Henry S. Sacks, et al. The current epidemic of acquired immunodeficiency syndrome (AIDS) and fear that its causative agent contaminates the currently available hepatitis B vaccine may have deterred vaccine use. We formulated a decision-analytic model that compares the risk of death from hepatitis B and AIDS in those vaccinated with the risk of death from hepatitis B alone in those who wait two years for a synthetic vaccine. For individuals with 5% annual risk of hepatitis B, the best current estimate is that vaccination now would save 25 lives per 100,000. The best current estimate of the rate of vaccine-induced AIDS is zero, and one can be 95% confident that the rate is less than eight per 100,000. The rate would have to be considerably higher before postponement of vaccination would be rational for those for whom vaccination has been recommended. (Journal of the American Medical Association 1984;252:3375-3377.)

“Oral Candidiasis in High-risk Patients as the Initial Manifestation of the Acquired Immunodeficiency Syndrome,” Robert S. Klein, et al. We studied the frequency with which unexplained oral candidiasis led to unequivocal acquired immunodeficiency syndrome (AIDS) in patients at risk. Twenty-two previously healthy adults with unexplained oral candidiasis, of whom the 19 tested had a reversed T4/T8 ratio and 20 had generalized lympadenopathy, were compard with 20 similar patients with a reversed T4/T8 ratio and generalized lymphadenopathy who did not have oral candidiasis. All were intravenous-drug abusers, homosexual or bisexual men, or both. Thirteen of the 22 patients with oral candidiasis (59%) acquired a major opportunistic infection or Kaposi's sarcoma at a median of three months (range, 1 to 23) as compared with none of 20 patients with generalized lymphadenopathy and immunodeficiency but without candidiasis who were followed for a median of 12 months (range, 5 to 21) (P < 0.001). AIDS developed in 12 of 15 patients with candidiasis and T4/T8 ratios less than or equal to 0.51, as compared with none of four with ratios equal to or greater than 0.60 (P < 0.01). We conclude that in patients at high risk for AIDS, the presence of unexplained oral candidiasis predicts the development of serious opportunistic infections more than 50% of the time. Whether the remainder will have AIDS is not yet known. (New England Journal of Medicine 1984;311:354-8.)