Screening opportunity bias in case-control studies of cancer screening

In case-control evaluations of cancer screening, subjects who have died from the cancer in question (cases) are compared with those who have not (controls) with respect to screening histories. This method is subject to a rather subtle bias, among others, whereby the cases have greater opportunity to have been screened than the controls. In this paper, we propose a method of correction for this bias. We demonstrate its use on two case-control studies of mammographic screening for breast cancer.     

Healthy Living in Two Worlds: Testing a Wellness Curriculum for Urban Native Youth

The Healthy Living in Two Worlds project developed a wellness curriculum for urban, Northeastern Native American youth. The curriculum sought to increase physical activity, decrease or prevent recreational tobacco use, and increase healthy eating practices. The program was delivered in a summer day camp format to 16 Native American youth ages 9–13. These youth have considerable exposure to recreational tobacco use in their households and among their peers but they express an intention to resist pressure to use recreational tobacco products. Some of these youth do not eat regular meals, particularly breakfast and lunch. Program participants appear to be physically active and their activity seems to have increased after the program.     

Social exclusion and social capital: A comparison and critique

Social exclusion and social capital are widely used concepts with multiple and ambiguous definitions. Their meanings and indicators partially overlap, and thus they are sometimes used interchangeably to refer to the inter-relations of economy and society. Both ideas could benefit from further specification and differentiation. The causes of social exclusion and the consequences of social capital have received the fullest elaboration, to the relative neglect of the outcomes of social exclusion and the genesis of social capital. This article identifies the similarities and differences between social exclusion and social capital. We compare the intellectual histories and theoretical orientations of each term, their empirical manifestations and their place in public policy. The article then moves on to elucidate further each set of ideas. A central argument is that the conflation of these notions partly emerges from a shared theoretical tradition, but also from insufficient theorizing of the processes in which each phenomenon is implicated. A number of suggestions are made for sharpening their explanatory focus, in particular better differentiating between cause and consequence, contextualizing social relations and social networks, and subjecting the policy ‘solutions’ that follow from each perspective to critical scrutiny. Placing the two in dialogue is beneficial for the further development of each.     

Perceived Challenges to the Sustainability of Community-Based Aging Initiatives: Findings from a National Study of Villages

Concerns have been raised regarding the sustainability of Villages, a rapidly-expanding set of organizations that typically use a participant-directed approach to improve older adults’ quality of life and ability to age in place. Using online survey and telephone-interview data from a 2013 follow-up study of Villages across the United States, this study examined organizational leaders’ perceptions of the major challenges to sustainability. Major challenges identified included: (a) funding, (b) membership recruitment, (c) leadership development, (d) meeting members’ service needs, and (e) limitations of the Village model itself. Findings point to a number of important considerations for the development, implementation, and sustainability of the Village model, including the role of social workers in addressing these challenges.     

English language issues for jury service by New Zealanders from migrant and refugee backgrounds

This paper describes an exploratory study carried out to identify the issues for jury service for people with low levels of English language ability. Questions were emailed to English language teachers and providers of support services to New Zealanders from migrant and refugee backgrounds. The experiences reported by respondents related to issues of understanding the New Zealand legal system, responses to jury summons, excusal from jury service, jury selection, and courtroom and jury room language. In addition, the levels of English language ability appropriate for jury service and approaches to assessing this were identified as concerns. Suggestions are made for improvements to the process and framework for jury service.     

Evaluation of the What's Real: Myths & Facts about Marriage Curriculum: Differential Impacts of Gender*

ABSTRACT

What’s Real is a high school marriage education curriculum designed to teach students how to develop healthy relationships and marriages. This study evaluated the effectiveness of this curriculum with 206 high school students who were in either the What’s Real group or a control group. Findings suggest that the curriculum increases knowledge of healthy relationship concepts, positively impacts attitudes related to students’ willingness to be involved in pre- and postmarital counseling, and increases students’ attitudes toward cohabitation avoidance. Implications for further development of the curriculum and other implications for practitioners and policymakers are discussed.     

Preparing for social work with refugees using enquiry and action learning

Internationally there is a need for social workers to be prepared to work with refugees and displaced persons. In many countries including the UK it may be difficult to ensure this is included in basic professional courses, especially if these are based on traditional disciplines, or if curriculum content is already overloaded. An approach to learning is described which is problem-led, and based on self-directed small group study, through which teaching and learning about work with refugees has successfully been included at a British school of social work.     

Risk and Protective Factors Associated with Personal Mastery Among Sexual Minority African-American Female Sex Workers

Research among sexual minorities has traditionally examined problems such as substance use, HIV risk, mental health problems, and victimization. Among sexual minority street-based female sex workers, these vulnerabilities can be magnified. Grounded in theories of resilience, this study examines risk and protective factors associated with a high level of personal mastery among a vulnerable population of women. Data are drawn from baseline interviews from street-based African-American female sex workers enrolled in a randomized intervention trial in Miami, Florida. We compare sexual minority (N = 197) and heterosexual (N = 365) women on measures of risk and protective factors; among sexual minority women we present logistic regression analyses which reveal that severe mental distress and HIV transmission risk are associated with low levels of personal mastery, while protective factors of transportation access and social support are associated with high levels of personal mastery. These findings suggest that these protective factors may potentially facilitate the development of personal mastery and represent beneficial avenues for intervention efforts.