Preventing hepatitis C virus transmission among young people in the justice system

Young people involved with the criminal justice system have been identified as a group at high risk of hepatitis C virus (HCV) infection. This study was designed to explore the feasibility of assessing an individualised structured HCV prevention intervention among young people recruited from post release agencies and youth drug and alcohol services in Victoria, Australia.     

Health-enhancing physical activity during practice among student football managers at a Division I university

Abstract

Objective: Student football managers have demands on their time that may pose barriers to meeting recommended current physical activity (PA) guidelines. The study sought to assess the amount of PA obtained by student football managers at a NCAA Division I Football university. Participants: Subjects were student football managers (n?=?14) with data collected in the fall 2015. Methods: Participants wore an Omron HJ-720ITFFP pedometer for seven consecutive days during football activities only, while self-reporting their overall PA on day 7. Measures were analyzed using repeated measures and mixed-design ANOVAs. Results: Managers averaged 8474 steps/day for each practice/game. All PA measures significantly varied by day and manager experience. Overall PA equated to 78?hours of walking. Conclusions: Student football managers easily met and surpassed the recommended aerobic health-enhancing PA guideline. While their manager-related PA was 140?minutes per week, other PA allowed them to easily reach significantly healthy levels of PA.     

U.S. Population Estimates and Correlates of Sexual Abuse of Community-Dwelling Older Adults

We describe the annual prevalence of sexual abuse among community-dwelling older adults in the United States. We also describe factors associated with experiencing sexual abuse. We used data from 24,343 older adults from the 2005 Behavioral Risk Factor Surveillance System pooled across 18 states. We estimated prevalence of sexual abuse, bivariate distributions, and odds ratio associations across demographic, health, and contextual factors. Our results show that 0.9% of older adults reported experiencing sexual abuse in the previous year. This represents approximately 90,289 community-dwelling older adults. We also report on factors associated with experiencing recent sexual abuse. There was a significant gender by binge drinking interaction, with a stronger association among women. There is a need for health promotion efforts targeted specifically toward older adults, encouraging them to seek services, if possible, after exposure to sexual abuse.     

Developing Self-Care Practices in a Trauma Treatment Course

This article describes the development of self-care practices of social work students who were part of a larger study of students’ experiences in a graduate course on the treatment of trauma. Consensual qualitative research methods were used to analyze 17 participant journals submitted at 4 times during the course. Findings indicated that students benefited from being introduced to evidence-based practices for mediating the stress of trauma education, including journaling and mindfulness-based stress reduction. Although students reported struggling with developing effective self-care practices, they demonstrated an ability to integrate self-care into their professional practice behaviors. The authors review recommendations for research and pedagogy of self-care practices in courses on trauma treatment.     

Book review

The ‘Research Governance Framework for Health and Social Care’ has recently been implemented in England and provides a set of standards to be used nationally in the conduct of health and social care research. Explicit and universal standards are to be welcomed in so far as they increase transparency in the contract between researchers and the agencies that participate in research, reiterate the importance of the ethical conduct of studies and the protection of participants. However, there have been some unanticipated consequences of the implementation of the framework which may serve to undermine the quality of research, the comparability of data and the timeliness of findings to inform policy and practice. This article examines these issues with reference to a recently established study involving vulnerable children and families. The potential implications for other studies are also explored and recommendations are made about how these issues may be overcome.     

Cohort Trends in Premarital First Births: What Role for the Retreat From Marriage?

We examine cohort trends in premarital first births for U.S. women born between 1920 and 1964. The rise in premarital first births is often argued to be a consequence of the retreat from marriage, with later ages at first marriage resulting in more years of exposure to the risk of a premarital first birth. However, cohort trends in premarital first births may also reflect trends in premarital sexual activity, premarital conceptions, and how premarital conceptions are resolved. We decompose observed cohort trends in premarital first births into components reflecting cohort trends in (1) the age-specific risk of a premarital conception taken to term; (2) the age-specific risk of first marriages not preceded by such a conception, which will influence women’s years of exposure to the risk of a premarital conception; and (3) whether a premarital conception is resolved by entering a first marriage before the resulting first birth (a “shotgun marriage”). For women born between 1920–1924 and 1945–1949, increases in premarital first births were primarily attributable to increases in premarital conceptions. For women born between 1945–1949 and 1960–1964, increases in premarital first births were primarily attributable to declines in responding to premarital conceptions by marrying before the birth. Trends in premarital first births were affected only modestly by the retreat from marriages not preceded by conceptions—a finding that holds for both whites and blacks. These results cast doubt on hypotheses concerning “marriageable” men and instead suggest that increases in premarital first births resulted initially from increases in premarital sex and then later from decreases in responding to a conception by marrying before a first birth.     

Returns on Lifetime Investments in Children in Egypt

Parental expectations about the companionship and assistance they will receive in later life from their children are key considerations in family formation decisions. We explore patterns of parents’ investment and the support and contact they receive from adult children in Egypt, where fertility is falling and sources of support at all life stages are in flux. Using data from a survey of older adults in Ismailia governorate, we consider parents’ past investments in childbearing, child survival, and children’s education and marriage, as well as recent assistance to adult children via housing, care for grandchildren, gifts, and money. The returns from children considered include economic assistance, instrumental support, and visits. Most parental investments are associated with frequent visits from children. The assistance children provide to parents is gendered: sons tend to provide economic transfers, whereas daughters tend to provide instrumental help. A greater number of surviving children is most strongly associated with parents’ receipt of multiple types of later-life returns. Investments in children’s education and marriage are not associated with assistance, but recent assistance to children—especially economic transfers and provision of housing—is associated with receiving instrumental assistance from adult children.     

Shared Spaces: An Intersubjective Case Study of a Graduate Student by a Graduate Student

The intersubjective therapeutic experience creates a shared space within which client and therapist are affected and changed, as seen in a psychotherapy case involving graduate students and a graduate student clinician. Analysis of a clinical case composite from an intersubjective perspective is the primary tool used to examine client–therapist concurrent graduate work. A composite is used to protect confidentiality. Several themes are explored: anxiety, perfectionism, and socioculturally situated life stage. As a search of the literature revealed no previous work on the intersubjective experience of psychotherapy when client and therapist are engaged in concurrent graduate work, further exploration is encouraged.