Anal Cancer Screening: Barriers and Facilitators Among Ethnically Diverse Gay,Bisexual, Transgender,and Other Men Who Have Sex With Men

ABSTRACT

Knowledge and beliefs about anal cancer screening among gay and other men who have sex with men remains unclear, despite data that suggests significant risk for intra-anal HPV-related cancers. Nevertheless, community-based screening activities may be most effective when stakeholder perspectives are addressed. We conducted four focus groups among 16 male and 3 female health care advocates experienced in working with diverse gay and other men who have sex with men in Los Angeles. Barriers to anal cancer screening included lack of awareness, stigma, psychological and physical discomfort, the anus as hidden/private, primary concern with HIV, and men's lack of healthcare seeking. Facilitators were community screening sites, novel strategies such as home testing, health care system changes and targeted educational campaigns, which may increase anal cancer awareness and screening among ethnically diverse men who have sex with men.     

An Investigation into the Role of Image Repair Theory in Strategic Conflict Management

This study investigated the effectiveness of image repair strategies and contingency theory perspectives in crisis management. A content analysis of news releases and reports on sexual assaults at the Air Force Academy in 2002 found crisis communication is a dialectic process serving to change the perspectives of the institution and the media over the crisis period. A proactive approach was most effective in generating positive media coverage. Bolstering was the most effective image repair strategy and apologizing was ineffective. The study suggests a complexity approach to crises might better prepare communicative entities to deal with a crisis.     

Software and Method: Reflections on Teaching and Using QSR NVivo in Doctoral Research

This reflective paper draws on a range of experiences developed over the last 11 years regarding the way in which qualitative data analysis (QDA) software (QSR NUD?IST and NVivo) is taught and used within doctoral research. The existing separation of qualitative methods training from QDA software training can result in disconnected technical and methodological learning curves. This can cause a number of problems for doctoral students because a ‘methods revolution’ is being experienced and current students are not necessarily exposed to the support they require via the methods literature, their postgraduate training programme or their supervisor. Three key influences on the use of QDA software are discussed within the context of teaching and learning QSR NVivo: the increased popularity of QDA software amongst those from traditionally positivistic backgrounds; the promise of improved levels of transparency; and the reliance upon the free tutorials, which are distributed with the software, to learn qualitative research methods as well as software processes. Implications for doctoral students, supervisors and examiners are discussed.     

Expressive Free Speech,the State and the Public Sphere: A Bakhtinian–Deleuzian Analysis of ‘Public Address’ at Hyde Park

In this paper I explore how struggles around free speech between social movements and the state are often underpinned by a deeper struggle around expressive images of what counts as either ‘decent’ or ‘indecent’ discussion. These points are developed by exploring what is arguably the most famous populist place for free speech in Britain, namely Hyde Park. In 1872 the state introduced the Parks Regulation Act in order to regulate, amongst other things, populist uses of free speech at Hyde Park. However, although the 1872 Act designated a site in Hyde Park for public meetings, it did not mention ‘free speech’. Rather, the 1872 Act legally enforced the liberty to make a ‘public address’ and this was implicitly contrasted by the state of an expressive image of ‘indecent’ speakers exercising their ‘right’ of free speech at Hyde Park. Once constructed, the humiliating image of ‘indecent’ free speech could then be used by the state to regulate actual utterances of public speakers at Hyde Park. But the paper shows how in the years immediately following 1872 a battle was fought out in Hyde Park over the expressive image of public address between the state and regulars using Hyde Park as a public sphere to exercise free speech. For its part the state had to engage in meaningful deliberative forms of discussion within its own regulatory framework and with the public sphere at Hyde Park in order to maintain the legal form, content and expression of the 1872 Act. To draw out the implications of these points I employ some of the theoretical ideas of the Bakhtin Circle and Gilles Deleuze. Each set of thinkers in their own way make valuable contributions for understanding the relationship between the state, public sphere and expressive images.     

How are George Orwell’s writings a precursor to studies of popular culture?

George Orwell is known as an acclaimed novelist, essayist, documentary writer, and journalist. But Orwell also wrote widely on a number of themes in and around popular culture. However, even though Orwell's writings might be considered as a precursor to some well-known themes in studies of popular culture his contribution to this area still remains relatively unacknowledged by others in the discipline. The aim of this article is simply, therefore, to provide a basis to begin to rethink Orwell’s contribution to contemporary studies of popular culture. It does so by demonstrating some comparable insights into culture and society between those made by Orwell and those found in the work of Bakhtin, Bourdieu, and Deleuze. These insights are also related to four main areas of discussion: debates in contemporary cultural studies about the contested pleasures of popular culture and experiences; the relationship between language and culture; how social class needs to be defined not just economically but also culturally; and how one might escape cultural relativism when writing about popular culture. The article concludes by suggesting that Orwell is a precursor to contemporary studies of popular culture insofar that some of the cultural themes he explores have become established parts of the discipline’s canon.     

Beginning Practice in Child Protection: A Blended Learning Approach

Statutory child protection is arguably one of the most complex and challenging areas of work within the welfare sector. In the state of Victoria, Australia, the child protection service is delivered by a state government department, the Department of Human Services, employing over 900 staff. A significant proportion of its recruitment is achieved through employing new graduates from a diverse educational base (e.g. social work, psychology and welfare). This convergence of circumstances, inexperienced workers with a variety of professional education backgrounds, beginning work in a complex, highly scrutinised professional domain, creates a unique challenge for in‐service educators responsible for induction. The ‘Beginning Practice in Child Protection’ programme is an attempt to meet this challenge, employing multi‐modal learning resources, interactive skills based clinics combined with workplace learning opportunities structured to deliver just‐in‐time messages. In addition, on‐line ‘virtual vignettes’ that support learning at the employee workstation are utilised. Evaluation findings suggest this programme is successful in achieving its aims of a supported introduction to the work, increasing worker confidence and satisfaction while leading to quality knowledge and skills acquisition. This paper will establish the context for child protection practice in Victoria, describe the programme designed to address the need, before highlighting key messages arising from an independent evaluation.     

Remembering Norma (In Memory of Norma C. Lang, 1927–2012)

This tribute to Norma Lang, who died on June 26, 2012, recognizes her contributions to the field of social work and, especially, to social work with groups. Although Lang was a very private person who would not have approved of a tribute, she would have been pleased that a group effort contributed to this article. The group, dubbed the “Toronto Five” by coauthor Patricia Moffat, describes Dr. Norma C. Lang as a matriarch in the social work profession—a complex, strong, capable, and independent pillar with an incredible way of caring for us.     

A care coordination program for substance-exposed newborns

The Vulnerable Infants Program of Rhode Island (VIP-RI) was established as a care coordination program to promote permanency for substance-exposed newborns in the child welfare system. Goals of VIP-RI were to optimize parents' opportunities for reunification and increase the efficacy of social service systems involved with families affected by perinatal substance use. Findings from VIP-RI's final four years show that by 12 months, 86% of substance-exposed newborns had identified permanent placements and 77% were placed with biological parents or relatives.     

College student perceptions on campus alcohol policies and consumption patterns

Environmental strategies for colleges and universities to reduce alcohol consumption among their students include the development and enforcement of campus alcohol policies. This study examines students' knowledge and attitudes toward campus alcohol policies and how they relate to alcohol consumption and alcohol social norms. A sample of 422 freshman students was surveyed during their first month at a 4-year public college. Findings indicated that the majority of students (89%) were aware of campus policies, yet of those who were aware, less than half (44%) were accepting of these campus rules and regulations. In addition, the majority (79%) of students drank at social events, despite this behavior being in direct violation of campus alcohol policies. However, those who supported campus rules consumed significantly less alcohol at social events than those who opposed or had no opinion of the rules. Also, those who supported the rules perceived that their peers and students in general consumed significantly less alcohol at social events than those who were opposed or had no opinion. This outcome supports the premise established by several theories of behavior change including the theory of planned behavior, which state that behavior is influenced less by knowledge than by attitude and intention.