SHORT REVIEWS

Books reviewed in this article: Paul Demeny and Geoffrey Mcnicoll (eds.), Encyclopedia of Population Barbara Ehrenreich and Arlie Russell Hochschild (eds.), Global Woman: Nannies, Maids, and Sex Workers in the New Economy Food and Agriculture Organization of the United Nations, World Agriculture: Towards 2015/2030: An FAO Perspective and Summary Report Jeanne X. Kasperson and Roger E. Kasperson, Global Environmental Risk Richard Lynn, Eugenics: A Reassessment Douglas W. Maynard, Hanneke Houtkoop‐Steenstra, Nora Gate Schaeffer, and Johannes van der Zouwen (eds.), Standardization and Tacit Knowledge: Interaction and Practice in the Survey Anthony M. Messina (ed.), West European Immigration and Immigrant Policy in the New Century     

Stigma Management Among Gay/Bisexual Men with HIV/AIDS

People with HIV infection are subjected to prejudice, discrimination and hostility related to the stigmatization of AIDS. To manage the stigma of their disease, they mount complex coping strategies. This paper reports results from a qualitative study that examined gay/bisexual men's experiences of living with HIV infection. Unstructured interviews from a diverse sample of 139 men were analyzed to examine how men coped with AIDS-related stigma. We discerned a variety of stigma management strategies that could be arranged along a continuum from reactive to proactive based on the extent to which they implicitly accepted or challenged the social norms and values that underlie the stigmatization of HIV/AIDS. Reactive strategies to cope with stigma involve defensive attempts to avoid or mitigate the impact of stigma, but imply acceptance of the underlying social norms and values that construct the stigma. Examples of reactive strategies include hiding one's HIV status, presenting one's illness as a less stigmatizing one (e.g., cancer), or distancing one's self from more damaging aspects of AIDS-stigma (e.g., attributing infection to blood transfusion). Proactive strategies challenge the validity of the stigma and imply disavowal and resistance of the social norms and values that underlie the stigma. Examples of proactive strategies include engaging in public educational efforts that address misperceptions about HIV transmission and social activism to change the social and political conditions that affect PWA/HIV.     

A Two-Phase Exact Algorithm for MAX-SAT and Weighted MAX-SAT Problems

We describe a two-phase algorithm for MAX-SAT and weighted MAX-SAT problems. In the first phase, we use the GSAT heuristic to find a good solution to the problem. In the second phase, we use an enumeration procedure based on the Davis-Putnam-Loveland algorithm, to find a provably optimal solution. The first heuristic stage improves the performance of the algorithm by obtaining an upper bound on the minimum number of unsatisfied clauses that can be used in pruning branches of the search tree.We compare our algorithm with an integer programming branch-and-cut algorithm. Our implementation of the two-phase algorithm is faster than the integer programming approach on many problems. However, the integer programming approach is more effective than the two-phase algorithm on some classes of problems, including MAX-2-SAT problems.     

Violence in the nursing profession: Occupational and lifestyle risk factors in Swedish nurses

Abstract

In a national study of the work environment, physical, and mental well-being of more than 2600 Swedish nurses, 30% reported having experienced violence at work. Possible association between violence and a range of occupational, demographic, and lifestyle characteristics were studied. Stepwise multiple linear and logistic regressions were used to further examine risk factors for violence. Occupational factors with significant correlations to workplace violence were nursing discipline (type of ward or facility), years of work experience, supervisory responsibilities, night work, work dissatisfaction, work-related musculoskeletal injury, and frequency of patient handling. Demographic/lifestyle factors related to violence were age, gender, smoking, coffee consumption at work, and use of alcohol to relax after work. The best fit linear regression model explained 17% of the variance in violence, 13%, of the variance in threat of violence. The logistic regression model confirmed an increased risk of violence and threats in psychiatric and geriatric settings. However, much remains unexplained about the aetiology of violencc in health carc settings. This report provides the basis for a pilot intervention study currently in progress.     

Differences in white-nonwhite community mental health center service utilization patterns

Routinely collected computerized data were used to study the process of service delivery in terms of admission patterns, type and quantity of services rendered, and status at termination for whites and nonwhites in two community mental health centers. Social area analysis techniques were employed to control for socio-economic status, ethnicity and life style variables, and an epidemiologic model was used to analyze admission and service delivery rate differences. It was found that nonwhite admission rates were at least twice as great as white rates. Service delivery rates to the population at large were considerably greater for nonwhites than for whites. Delivery of direct services within the centers differed for whites and nonwhites, but no consistent trends emerged when types and amounts of services rendered were analyzed, controlling for sex, ethnicity, age, diagnosis and social area. Disruption of care indices were greater for nonwhites than for whites. Highlighted were some of the complexities involved in interpreting results of utilization studies.