Utilization of health care among female-to-male transgender individuals in the United States

Female-To-Male (FTM) transgender individuals were approached at a conference and several peer support groups in the United States and asked to complete a short questionnaire regarding their medical care. Results from the 122 completed questionnaires indicated that a high number of respondents were taking testosterone (n = 106) and had some gender-confirming surgery (n = 68). Seventy percent of respondents rated their overall quality of health care "good" or "excellent." A surprising finding was the low number (7%) reporting diagnoses of polycystic ovarian syndrome--the incidence of which has been reported elsewhere as high as 50%. Also notable were the high levels of employment, insurance, knowledge of standards of care, and access to providers, contrasting with reports from studies involving predominantly Male-To-Female (MTF) individuals. Finally, FTM's usage of transition-related medical resources can vary, but many within this study are foregoing genital surgery.     

Attracting the best talent in the context of migration policy changes: the case of the UK

ABSTRACT

Employment projections and skills strategies emphasise the importance of (highly) skilled labour for competitiveness. A strategic focus on ‘attracting the best talent’ globally may conflict with policies to ‘grow local talent’. This issue is considered in the UK context of a shift from a liberal immigration regime to a demand-led system characterised by increasing restriction, through adjustments to a points-based system to manage labour migration from outside the European Economic Area (EEA). The specific focus is on an annual limit on non-EEA labour migrants introduced in 2011 and tightening of eligibility criteria for entry of (highly) skilled migrants, amid business’ concerns that this might stifle economic growth. Drawing on 20 employer case studies and literature on skills and migration policy, the article investigates the costs and implications for business in adhering and seeking to adapt to migration policy changes. Such changes pose administrative burdens on employers and limit business flexibility but associated monetary costs to businesses are difficult to quantify. Adaptation strategies and the impact of migration rule changes vary: some firms experience limited impact, some adjust their recruitment behaviour and some feel their underlying business rationale is threatened. Developing local talent is a partial long-term solution.     

The triangle <Emphasis Type="Italic">k</Emphasis>-club problem

Graph models have long been used in social network analysis and other social and natural sciences to render the analysis of complex systems easier. In applied studies, to understand the behaviour of social networks and the interactions that command that behaviour, it is often necessary to identify sets of elements which form cohesive groups, i.e., groups of actors that are strongly interrelated. The clique concept is a suitable representation for groups of actors that are all directly related pair-wise. However, many social relationships are established not only face-to-face but also through intermediaries, and the clique concept misses all the latter. To deal with these cases, it is necessary to adopt approaches that relax the clique concept. In this paper we introduce a new clique relaxation—the triangle k-club—and its associated maximization problem—the maximum triangle k-club problem. We propose integer programming formulations for the problem, stated in different variable spaces, and derive valid inequalities to strengthen their linear programming relaxations. Computational results on randomly generated and real-world graphs, with \(k=2\) and \(k=3\), are reported.     

Grasping the Diversity of Cohabitation: Fertility Intentions Among Cohabiters Across Europe

The authors examined the association between different meanings of cohabitation and fertility intentions. Using data from the Generations and Gender Surveys on 5,565 cohabiters from 9 European countries (Austria, Bulgaria, France, Germany, Hungary, Lithuania, Norway, Romania, and Russia), they proposed a cohabitation typology based on attitudes toward marriage, intentions to marry, and perceived economic deprivation. Despite substantial variation in the prevalence and types of cohabiting relationships across Europe, cohabitation has become a living arrangement within which childbearing intentions are commonly formed and at times carried out. The authors found that the meaning that cohabiters attached to their union influenced significantly their short‐term fertility intentions, net of other covariates. Cohabiters who viewed their unions as a prelude to marriage were the most likely to plan to have a child in the near future, both in Western and Eastern European societies. The association between fertility intentions and marriage intentions was particularly strong among cohabiters who do not as yet have children in common, but it was also present in a more muted form among cohabitating parents. The findings suggest that, although marriage and childbearing are becoming less closely linked life events, they are not disconnected decisions for a large majority of cohabiters across Europe.     

Exposure to Suicide Movies and Suicide Attempts: A Research Note

Research on the impact of exposure to suicide movies on suicidality has been marked by three limitations. It is largely based on (1) aggregate data subject to the ecological fallacy, (2) exposure to a single movie, and (3) relative lack of controls for psychological states and social factors linked to suicide. The present study addresses these gaps. It follows a modified Beach method and assesses the impact of cumulative, voluntary exposure to suicide movies on suicide attempts. The subjects are 260 undergraduates at a midwestern university. The dependent variable is a previous suicide attempt. Cumulative exposure to suicide movies is based on self-reports. Controls include religiosity, depression, burdensomeness, and demographics. A multivariate logistic regression analysis determined that, controlling for other predictors, for each additional movie exposure the risk of attempted suicide increased by 47.6 percent. This is the first investigation to demonstrate a link between cumulative, voluntary exposure to suicide movies on suicidality.     

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.     

From products to publics? The potential of participatory design for research on youth,safety and well-being

This paper considers how ‘participation’ features as a key concept in contemporary approaches to research, policy and interventions to promote young people's experiences of safety and well-being in digital society. In particular, it examines the potential of participatory design (PD) methodology as a way of expressing, surfacing and supporting engagement with youth perspectives in research and design projects. In doing so, we explore how the language, materials and processes of a PD approach can help reconfigure the aims of research beyond the production of ‘products’ towards fostering ‘youth-inclusive publics’. Drawing on the concept of ‘infrastucturing’ and ‘attachments’ [Le Dantec, C. A., and C. DiSalvo. 2013. “Infrastructuring and the Formation of Publics in Participatory Design.” Social Studies of Science 43 (2): 241–264. doi:10.1177/0306312712471581], the paper reflects on an Australian research project to develop online campaigns to promote youth safety and well-being in digital society. From our analysis emerged three commitments of PD with young people that help articulate, make visible and unpack ‘attachments’ to concepts of youth, technology and well-being and provide new opportunities for engagement with youth experience in research and intervention design. We find that these commitments – the embodiment of context; the enactment of creativity and the emergence of connectivity – offer novel insights on youth participation in complex research projects. Moreover, foregrounding these commitments through PD can build shared vocabularies, artefacts and processes of engagement with young people in research projects focused on youth safety and well-being.     

Investigating the quality of social work. An experience of self-assessment with Italian social workers

Evaluating the quality of social work practice is becoming increasingly important for various reasons, among which are changes in the welfare system and the reduction of resources. Meanwhile, it is acknowledged that evaluating the quality of social work is a highly complex task. Different meanings are attributed to the concept of quality and the concept of quality in itself is linked to the notion of social work identity, nature and aims, which is an object in transition. Although performance appraisal systems are spreading, a common understanding about what is ‘good social work practice’ is lacking, also within the professional community. In Italy, social workers seem missing in the arena of investigating and indicating which criteria can be used to evaluate social work practice. To counteract this weakness, a participative research-intervention project was developed from 2006 to 2011, aimed at supporting social workers in evaluating their work. During workshops with practitioners a self-evaluation tool was designed by means of asking social workers for the possible criteria to be used to define ‘good social work practice’. This paper presents the structure and methods adopted throughout such project, focusing on both the self-assessment questionnaire and the emerging notions of quality of social work.     

Arts policy and practice for disabled children and young people: towards a ‘practice spectrum’ approach

This article argues for an approach to the evaluation of arts policy and practice for disabled children and young people that goes beyond the dialogic antagonism between Disability Arts and community arts, and towards a ‘practice spectrum’. Little is known about the extent to which a Disability Arts perspective has extended into arts policy and practice for disabled children and young people. The article aims to redress this knowledge gap. It is based upon two sets of data collected in relation to the East Midlands region of England during 2014. First, a critical evaluation was conducted of official and institutional attitudes to arts practice with disabled children and young people. Second, interviews exploring contemporary practice were conducted with 24 arts organisations. Their practice represents a diverse range of art forms and programmes undertaken in the region, and a range of attitudes and positions taken towards disabled children and young people. We argue that the best way to conceive of current practice is as a spectrum, as opposed to an antagonism between community arts and Disability Arts perspectives. There is, however, little evidence of the penetration of a Disability Arts perspective into policy and practice for children and young people.     

A systematic approach to smoking cessation activities in Danish shelters

Introduction: Shelter users have an alarmingly high smoking prevalence; our aim was to develop systematic smoking cessation activities in the shelters. Method: All available (n?=?13) shelters in Copenhagen were included. This Participatory Action Research had a development/test period and an implementation period for the revised intervention. Shelter-staff completed a questionnaire at baseline. Municipal smoking cessation counselors were trained to work with shelter users. Three types of on-site smoking cessation activities were developed and offered. Results: The estimated mean smoking prevalence in shelter users was 79%. Only two shelters ran smoking cessation activities prior to study start. All but one of the shelters implemented group-based intervention activities and approximately 13% of smokers signed-up; 26.6% of those who attended the first session were abstinent after approximately 12 weeks, as confirmed by staff. Conclusion: Smoking cessation activities in shelters are wanted by staff and shelter users, they are feasible and even very vulnerable persons are able to quit. Based on our experiences in Copenhagen shelters, we propose a systematic approach for future smoking cessation initiatives: smoking activities should be driven by the municipality, be pro-active, on-site, tailored and flexible, in addition, free nicotine therapy should be offered and trained smoking cessation counselors should be available.