Improving community health through evaluations

There has been an increasing emphasis on sustainable communitydevelopment in recent years, which is linked to community healththrough quality of life and intergenerational considerations.Evaluations are one of the basic tools to improving communityhealth with the most effective evaluations being those thatare meaningful to the community itself, and which provide tangiblefeedback and incentives for improved performance. Drawing onwell-known methods, this paper illustrates four important componentsof community evaluations. Although each method incorporatessome or all of these components, their achievements to datehave been limited. The reasons for this, as well as how evaluationscan play a more effective role in improving community health,are discussed.     

Reciprocal relationships among alcohol use, risk perception, and sexual victimization: a prospective analysis

OBJECTIVE: The authors' purpose in this study was to assess longitudinally the relationships among alcohol use, risk perception, and sexual victimization. PARTICIPANTS: Three hundred and seventy-two women from 2 midsized universities made up the sample. METHODS: Participants filled out questionnaires regarding history of sexual victimization, alcohol use, and perceived personal risk for sexual assault in the following 2 months. The authors then reassessed participants at 2 follow-up periods. RESULTS: The pattern of results suggested that that the relationship between alcohol use and sexual victimization was complex and that alcohol use may moderate the relation between history of victimization and revictimization for women with sexual assault histories. In particular, results indicated an increase in risk for sexual revictimization with increases in alcohol use for women with a history of sexual victimization. The data did not, however, support a reciprocal relationship between sexual assault and drinking (eg, in that a sexual victimization during one time period did not predict drinking behaviors in subsequent time periods). CONCLUSIONS: These results underscore the importance of both alcohol and sexual assault programming on college campuses.     

Parenting in Females Exposed to Intimate Partner Violence and Childhood Sexual Abuse

Child sexual abuse and intimate partner violence may have a significant impact on parenting. The current study expands on existing research by examining the effects of child sexual abuse and intimate partner violence on parenting styles and parenting self-efficacy. In women from a parenting intervention program (n?=?20), child sexual abuse was related to lower parenting self-efficacy and more permissive parenting. In women at a domestic violence shelter (n?=?45), child sexual abuse was related to current sexual coercion of the partner, and authoritative parenting was related to higher parenting self-efficacy. These results indicate that having a history of child sexual abuse should be taken into consideration when dealing with mothers in violent relationships.     

Prostitution and the Politics of HIV Prevention in Cambodia: A Historical Case Study

Cambodia received international attention in the early 1990s when it emerged from civil war with the highest HIV rate in Asia, in which up to 60% of sex workers were infected. A massive influx of financial, human, and material resources ensued, and debates over “best practices” for HIV prevention were played out. Over time, the politics of AIDS shifted, mirroring changes in the politics of the largest player in global health, the United States. This sparked acrimonious polarization within international health policy, with direct implications for the lives of sex workers. This article traces those debates over sex work and HIV, highlighting the example of one brothel district in Cambodia where Medecins Sans Frontieres provided services to over 300 migrant Vietnamese sex workers. Using literature and program documentation from the time, this article highlights how countries such as Cambodia can become vulnerable to manipulation and used to serve wider political agendas.     

Remembering,Apologies, and Truth: Challenges for Social Work Today

Abstract

In 2003, over 41?000 families with accompanying children throughout Australia were assisted by homeless services. Sole fathers with children in their care who are homeless are a minority group within this overall population of homeless families and, as such, little is known about their experiences of homelessness and fathering. The present paper reports on an exploratory study of sole fathers with children in their care who were homeless in the Australian Capital Territory. The study identifies the fathers’ pathways into and experiences of homelessness, and the fathers share their stories of what it means to be a sole father. The paper identifies the issues fathers may experience when dealing with homelessness and fatherhood. An increased understanding of these experiences can contribute to the development of further research and improved practice with such families.     

Family Well-Being Concerns of Grandparents in Skipped Generation Families

This study examined the family well-being concerns of grandparents in skipped-generation families. Co-resident grandparents who are responsible for raising their grandchildren completed surveys, focus groups, or individual interviews. Service providers to skipped-generation families also participated in individual interviews to provide an additional perspective to grandparents' concerns. Results indicated 5 levels of concerns: intrapersonal, interpersonal, organizational or institutional, policy, and societal. Concerns at different levels were interrelated and pointed to the need for multilevel interventions to help these families. Implications of the findings for future interventions with skipped-generation families are discussed.     

Goodness-of-fit testing for the marginal distribution of regime-switching models with an application to electricity spot prices

This paper complements a recently published study (Janczura and Weron in AStA-Adv Stat Anal 96(3):385–407, 2012) on efficient estimation of Markov regime-switching models. Here, we propose a new goodness-of-fit testing scheme for the marginal distribution of such models. We consider models with an observable (like threshold autoregressions) as well as a latent state process (like Markov regime-switching). The test is based on the Kolmogorov–Smirnov supremum-distance statistic and the concept of the weighted empirical distribution function. The motivation for this research comes from a recent stream of literature in energy economics concerning electricity spot price models. While the existence of distinct regimes in such data is generally unquestionable (due to the supply stack structure), the actual goodness-of-fit of the models requires statistical validation. We illustrate the proposed scheme by testing whether commonly used Markov regime-switching models fit deseasonalized electricity prices from the NEPOOL (US) day-ahead market.     

Is Bigger Really Better?

This study investigates the effect of a capital facilities project on nonprofit financial vulnerability metrics. The author employs a difference‐in‐differences technique to model the relationship between facilities investments and financial vulnerability indicators using data for a matched‐pair sample of nonprofit organizations that invested and did not invest in a facilities project. Overall the findings suggest that investments in facilities are associated with temporary increases in an organization's net assets ratio and decreases in its surplus ratio after a project is completed, and that the costs associated with facilities projects (for example, debt) place strain on nonprofit finances. The study's findings have implications for the financial management of nonprofit organizations, particularly in regard to the associated costs of capital expansion.