Theory-Based Policy Development for HIV Prevention in Racial/Ethnic Minority Midlife and Older Women

ABSTRACT

In 2008, there were more than a million persons with HIV/AIDS in the United States. The CDC (2007) estimates that 15% of persons with HIV/AIDS are over age 50. At greater risk are women of color. Most intervention efforts have focused on intrapersonal aspects of an individual and his or her sexual-risk behaviors, with little or no attention directed toward interpersonal and socioenvironmental considerations of risk and prevention. This paper considers the limitations of current national policies relating to HIV prevention in minority populations, especially among midlife and older women of color. In particular, this paper examines risk and prevention policies in light of ecological perspectives, social capital, and dialogical theories.     

Prospective First‐Generation College Students: A Social‐Cognitive Perspective

The authors investigated differences in college‐going expectations of middle school students who would be the 1st in their families to attend college. Social‐cognitive career theory (SCCT; R. W. Lent, S. D. Brown, & G. Hackett, 1994) was used to examine college‐related expectations in 272 seventh‐grade students. Differences were found between prospective 1st‐generation college students (PFGCSs) and their non‐PFGCS peers, with the former group demonstrating lower self‐efficacy, higher negative outcome expectations, and more perceived barriers. Path analysis demonstrated partial support for the SCCT model. An alternative model for PFGCSs is proposed.     

Testing for Full Insurance Using Exogenous Information

We strongly reject the full-insurance hypothesis, using testing variables that are not decision variables for the households under investigation. We find that households are not insured against changes in the unemployment rate associated with the household head's occupational category. Using this exogenous information, we also investigate the appropriateness of exogeneity assumptions on idiosyncratic variables that have been used as testing variables in the full-insurance literature. It is shown that several exogeneity assumptions made in the existing literature are potentially problematic.     

Essay: On spirituality and social work practice

Abstract

Gradually, developments in both psychoanalytic theory and practice have pushed the psychoanalytic therapist from a position of presumed knowing and automatic authority towards a more full, complex and parallel participation in the therapeutic process. This dethroning corresponds to the more general undermining of the expert in the postmodern critique of established knowledge and power relations. It is argued that the shift has come about within psychoanalysis by the increasingly environmentalist tilt in theory, by the ascendance of countertransference thinking, and by the demise of the natural science model for psychoanalytic theory. Some implications for practice deriving from these changes are discussed.     

Simultaneous Logit-Based Confidence Intervals for Odds Ratios in 2 × k Classification Tables with a Fixed Reference Level

In this article, we consider the problem of constructing simultaneous confidence intervals for odds ratios in 2 × k classification tables with a fixed reference level. We discuss six methods designed to control the familywise error rate and investigate these methods in terms of simultaneous coverage probability and mean interval length. We illustrate the importance and the implementation of these methods using two {\sc hiv} public health studies.     

The Cost Effectiveness of Hepatitis Immunization for US College Students

Abstract

Hepatitis B immunization is recommended for all American children, and hepatitis A immunization is recommended for children who live in areas with elevated disease rates. Because hepatitis A and B occur most commonly in young adults, the authors examined the cost effectiveness of college-based vaccination. They developed epidemiologic models to consider infection risks and disease progression and then compared the cost of vaccination with economic, longevity, and quality of life benefits. Immunization of 100,000 students would prevent 1,403 acute cases of hepatitis A, 929 cases of hepatitis B, and 144 cases of chronic hepatitis B. Hepatitis B vaccination would cost the health system $7,600 per quality-adjusted life year (QALY) gained but would reduce societal costs by 6%. Hepatitis A/B vaccination would cost the health system $8,500 per QALY but would reduce societal costs by 12%. Until childhood and adolescent vaccination can produce immune cohorts of young adults, college-based hepatitis immunization can reduce disease transmission in a cost-effective manner.     

Hours of Paid Work in Dual-Earner Couples: The United States in Cross-National Perspective

Abstract

In this paper we examine the hours of paid work of husbands and wives in 10 industrialized countries, using data from the Luxembourg Income Study. We present results on the average hours of paid work put in jointly by couples, on the proportion working very long weekly hours, and on gender equality in working time within families. The United States ranks at or near the top on most indicators of working time for couples, because of (1) a high proportion of dual-earner couples; (2) long average work weeks, especially among women; and (3) a high proportion of individuals who work very long hours. In terms of gender equality, the United States ranks above average in paid working time among dual-earner couples with no children but fares less well among working parents. Finally, we discuss policies and institutions that may help explain the distinctive United States results, namely the long hours and moderate levels of gender equality, including the regulation of maximum hours, the demand for part-time work, and the public provision of child care.     

Suicide Ideation Among College Students Evidencing Subclinical Depression

Abstract

Identifying elevated suicide ideation in college students is a critical step in preventing suicide attempts and deaths by suicide on college campuses. Although suicide ideation may be most prominent in students with severe depression, this should not suggest that only students with severe depression experience significant risk factors for suicide. Objective: The purpose of these 3 studies was to explore the relation between suicide ideation and severity of depressive symptoms in college students. Participants: In each study a sample of college students were recruited for participation. Methods: Participants completed self-report assessments of depressive symptoms and suicide ideation. Results: The results of these studies suggest that although the greatest elevation in suicide ideation occurs at the highest depressive symptoms, significant suicide ideation is also experienced by college students with mild and moderate depressive symptoms. Conclusions: The implications of these findings for the assessment of suicide ideation are discussed.     

Pornography in small places and other spaces

This article investigates pornographic web-based media at a time when commercial pornography has flooded the Internet and pockets of sex activism are budding alongside the porn boom. Pornography moving freely across borders is foremost a capitalist vision, but the web’s sexual potency is equally defined by web users and artists who visit and maintain peer-to-peer networks for producing and sharing sexually explicit materials. Revisiting Foucault’s notion of space as ‘heterotopia’, networked sexual communication and pornography are shown to permeate physical places and other spaces. Web users cultivate attachments to everyday places and spaces other than the ones they routinely inhabit. Networked sexual agency materializes desire far beyond the confines of community rituals and commodity industries. Besides the fact that porn industries expand their markets and diversify products, sex communities emerge alongside these markets and play a vital role in negotiating sexuality. The article shows how the Internets decentralized mechanisms of power and communication, including debating societies and playgrounds, have entered the realm of online porn and sexuality. Developing a theoretical notion of space as other spaces, the article unfolds the sexual web as exuberant, dispersed in bodies and cultures, yet forcefully regulated by global corporations and nation-state governments.