Sex Differences Among College Students in Awareness of the Human Papillomavirus Vaccine and Vaccine Options

Abstract

Objectives: To explore awareness of human papillomavirus (HPV) and use of HPV vaccines (Gardasil and Cervarix) by college students. Participants: The sample was composed of 817 undergraduates at 2 northeastern US universities; they participated between February and May 2010. Methods: Students were provided with a link to an anonymous, self-administered, Web-based survey comprised of 76 questions. The survey included questions about health behaviors, awareness, and knowledge of HPV and the 2 HPV vaccines, and vaccine uptake. Results: Results indicate high levels of awareness of HPV as well as marked sex differences related to vaccine awareness and uptake. Both sexes are largely unaware of Cervarix and the differences between Cervarix and Gardasil. Conclusion: The study affirms the importance of a clinician's recommendation for HPV vaccination. Public health messaging should become more inclusive of adolescent and young adult males. College students’ awareness of HPV vaccine options mirrors Gardasil's market dominance in the United States.     

Five-year all-cause mortality rates across five categories of substantiated elder abuse occurring in the community

ABSTRACT

Elder abuse increases the likelihood of early mortality, but little is known regarding which types of abuse may be resulting in the greatest mortality risk. This study included N = 1,670 cases of substantiated elder abuse and estimated the 5-year all-cause mortality for five types of elder abuse (caregiver neglect, physical abuse, emotional abuse, financial exploitation, and polyvictimization). Statistically significant differences in 5-year mortality risks were found between abuse types and across gender. Caregiver neglect and financial exploitation had the lowest survival rates, underscoring the value of considering the long-term consequences associated with different forms of abuse. Likewise, mortality differences between genders and abuse types indicate the need to consider this interaction in elder abuse case investigations and responses. Further mortality studies are needed in this population to better understand these patterns and implications for public health and clinical management of community-dwelling elder abuse victims.     

Reflective learning in social work education: Scaffolding the process

This article examines the contribution of reflective learning in social work education to professional self-construction of social workers in Ireland. It suggests a framework for scaffolding this process on a post-graduate programme and gives an account of the issues and dilemmas faced by the authors in implementing this framework. The article focuses on the construction of a 'learning community', which facilitates and scaffolds reflective teaching/learning, in two particular course modules, the Use of Self in Social Work and the Practice Skills Laboratory. The authors document the underlying theoretical constructs utilised and the practical implications for the learning environment.     

Inter- and transdisciplinary approaches to population–environment research for sustainability aims: a review and appraisal

The causes and consequences of demographic changes for the environment, and the possible ways of influencing population dynamics to achieve ‘sustainability’, have been the subject of many debates in science and policy in recent decades. However, the body of knowledge concerning relationships between population dynamics and sustainability is quite fragmented, dispersed over many disciplines, and encompasses diverse theories, paradigms and methodologies. This paper reviews four selected frameworks: linear, multiplicative, mediated, and system-theoretical approaches and perspectives. We represent how population–environment relationships are conceptualized, provide examples of research questions and accepted approaches, and critically assess their utility for different sorts of research for sustainable development. We note the growing recognition of the value of embracing complexity in population–environment research, and how this is consistent with normative aims of development.     

Motivational interviewing as a pregroup intervention for partner-violent men

This study investigated the effects of a pregroup motivational intervention for domestic abuse perpetrators. Men presenting for treatment at a community domestic violence agency (N = 108) were assigned to receive either a two-session intake using the techniques of motivational interviewing (MI) or a structured intake (SI) control. All participants were then referred to a cognitive behavioral treatment (CBT) program in groups homogeneous with respect to intake condition. The motivational intake led to more constructive in-session behavior during the early phase of group CBT, greater compliance with group CBT homework assignments, higher late session therapist ratings of the working alliance, and more help seeking outside of the domestic violence program. No significant effects of intake condition were found on session attendance, self-reports of readiness to change abusive behavior, or client reports of the working alliance. Partner reports of abusive behavior outcomes during the 6 months after group CBT revealed a marginal effect favoring the MI condition on physical assault. The findings suggest that motivational interviewing can increase receptivity to partner violence interventions.     

Our population predicament: a new look

Issued to mark the Population Reference Bureau's 50th anniversary, this issue updates the story of world population presented in its popular predecessor of 1971, "Man's Population Predicament." Estimated at 1/2 billion in 1650, world population reached about 2 billion in 1930, 4 billion in 1975, and is projected to be about 6 billion in 2000. Most of today's rapid growth is occurring among the 3/4 of the world's peoples living in less developed countries where the post-World War II gap between high birth rates and falling death rates has only recently begun to narrow. This growth, coupled with high consumption in developing countries, is putting tremendous pressures on the Earth's resources, environment, and social fabric. New evidence on Europe's population transition and from China, Indonesia, and Thailand in the 1970s suggests that well-designed family planning programs can speed fertility decline but rapid worldwide attainment of replacement level fertility will also require special development efforts and measures that go beyond family planning. Current projections of the world's ultimate peak population range from 8 billion in the mid 21st century to 11 billion in about 2125, depending on when replacement-level fertility is reached. China's drive for a drastic birth rate reduction and the oil crisis might change fertility behavior more rapidly than most demographers have heretofore thought likely.     

The temporal relationship of marriage,conception, and birth in Massachusetts

An investigation into the timing of first births in relationship to the date of marriage in Massachusetts confirmed the finding of previous national and local birth timing studies that first births likely to have been conceived before the marriage of their parents constitute a substantial proportion of all first births. The differential frequency of premaritally conceived births among various subgroups appeared to account for the variation noted in the overall timing patterns of first births after marriage. Data were gathered through linkage of certificates of birth of a sample of legitimate first children with the marriage record of their parents. Analysis of the marriage-first birth interval by maternal age and race, type of marriage ceremony, and occupation of the bride and groom were conducted and comparisons with previously published data were made. Separate consideration was given to the frequency and characteristics of those births likely to be premaritally conceived and those likely to have been conceived after the wedding.     

A longitudinal study of domestic water conservation behavior

A 1988 study of a school-linked sample in a metropolitan and a regional urban area established baseline data for knowledge, attitudes, intentions, and behavior with regard to water management and conservation (Murphy, Watson, & Moore, 1991). This paper reports on a 1991 follow-up, utilising both longitudinal and cross-sectional samples of students, teachers and parents, which aimed at identifying changes within the community since the initial study. In addition, the study sought to identify factors influential in change and the extent to which the pattern of relationships between knowledge, attitudes, intentions and behaviors had remained stable over time. The results indicated that there was a move towards greater conservation as measured by the variables studied over the three year period, that media interventions and water costs were perceived as influential in this change, and that reported conserving behavior continued to be better predicted by stated intentions than by knowledge. Little difference in the pattern of intervariable relationships was observed across the time span studied.     

The fiscal burden of rising dependency ratios

This paper explores the issue of the fiscal burden of population aging in Canada over the period from 2004 to 2026 by introducing a new methodological tool and using an approach that (a) is comprehensive with respect to government revenues and expenditures, (b) uses a fine disaggregation of government revenues and expenditures, and (c) integrates demographic, economic, and fiscal developments. The results indicate that the concerns about the ability of the existing fiscal system to withstand the pressures of population aging are unfounded. They indicate that, in the absence of an economic collapse, the existing fiscal structure will be able to handle the fiscal pressures of population aging. Instead of letting a nonexistent problem drive the course of fiscal policy in Canada, it would be more profitable to focus on avenues for making the fiscal structure a more effective tool for economic growth and human development.