Squaring Up: Experiences of Transition from Off‐Street Sex Work to Square Work and Duality—Concurrent Involvement in Both—in Vancouver,BC

Many studies of exit from sex work are inspired by role theory, where people experience a lack of attachment to a role; are faced with individual, interactional, and structural challenges; contemplate transition and exit a role; and then struggle to establish postrole identities and new lives. This framework has been used to explicate the factors and experiences of those who leave or attempt to leave the sex industry; however, it is limited because studies present sex work as a harmful and dangerous profession that people are trapped in, escaping, or have survived. In this paper, I discuss Vancouver's history of violence against sex workers and I review research on sex work exiting and bring forward recommendations for the design of exit program based on the experiences of 22 active and former off‐street sex workers from Vancouver, British Columbia. I describe study participants who include Sex‐Work‐No‐More participants who would not return to the industry, Sex‐Work‐Maybe participants who consider reinvolvement, and Dual‐Life participants who are employed in sex work and conventional work simultaneously. These participants uniquely challenge narrow, binary understandings of involvement and transition because they discuss their use of deception to obtain resources needed to make change; the support that clients have provided; their strategic engagement in sex work as a means to exit; their considerations of reentry; and for some, their dual employment. In light of new legislation that criminalizes activities related to sex work—the Protection of Communities and Exploited Persons Act—and the Federal government announcement of $20 million dollars for the creation of exit services nationwide, hearing from sex workers is essential to advancing agendas in this area. De nombreuses études de la sortie du travail du sexe sont inspirées par la théorie des rôles, où les gens éprouvent un manque d'attachement à un rôle; sont confrontés à des défis particuliers, interactionnelles et structurelles; contempler transition et quitter un rôle; et ensuite du mal à établir des identités post‐rôle et les nouvelles vies. Ce cadre a été utilisé pour expliquer les facteurs et les expériences de ceux qui quittent ou tentent de quitter l'industrie du sexe; Cependant, elle est limitée parce que le travail présente des études de sexe comme une profession nocive et dangereux que les gens sont piégés dedans, échapper ou ont survécu. Dans cet article, je discute de l'histoire de la violence contre les travailleurs du sexe de Vancouver et je passe en revue la recherche sur le travail du sexe sortant et de formuler des recommandations pour la conception d'un programme de sortie fondée dans les expériences de 22 travailleurs actifs et les anciens hors rue sexe de Vancouver CB Je décris les participants à l'étude qui incluent le travail du sexe‐No‐More participants qui ne reviendrait pas à l'industrie; Sex‐travail, peut‐être les participants qui considèrent réengagement; et les participants Dual‐vie qui sont employés dans le travail du sexe et le travail classique simultanément. Ces participants contestent unique, ententes binaires étroites de la participation et de la transition parce qu'ils discutent de leur recours à la tromperie pour obtenir les ressources nécessaires pour apporter des changements; le soutien que les clients ont fourni; leur engagement stratégique dans le travail du sexe comme un moyen de sortir; leurs considérations de rentrée; et pour certains, leur double emploi. À la lumière de la nouvelle législation qui criminalise les activités liées au sexe de travail ‐ Loi sur la protection des collectivités et des personnes victimes d'exploitation ‐ et l'annonce du gouvernement fédéral de 20 millions de dollars pour la création de services de sortie à l'échelle nationale, l'audition de travailleurs du sexe est essentielle pour programmes faisant la promotion dans ce domaine.     

Medicare and Medicaid Reimbursement Rates for Nursing Homes Motivate Select Culture Change Practices But Not Comprehensive Culture Change

Components of nursing home (NH) culture change include resident-centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and “culture change” NHs. We use mixed methods to examine the presence of culture change practices in the context of an NH’s payer sources. Qualitative data show how higher pay from Medicare versus Medicaid influences implementation of select culture change practices, and quantitative data show NHs with higher proportions of Medicare residents have significantly higher (measured) environmental culture change implementation. Findings indicate that heightened coordination of Medicare and Medicaid could influence NH implementation of reform practices.     

A Faith‐Based Advantage?

This study explored whether religiously affiliated nonprofit schools participating in Milwaukee's long‐standing school voucher program engage in more fundraising and perform better on academic indicators than nonsectarian nonprofit schools. The analysis of three years of organizational‐level voucher school data reveals that a higher percentage of religious affiliated schools engage in fundraising, and that religious schools affiliated with umbrella organizations have higher test score indicators than nonsectarian schools. The author concludes that the religious advantage is likely in part a result of the broader access to networks and resources available to religious schools associated with umbrella organizations like a Catholic archdiocese or Lutheran synod. The results are relevant to policymakers who are considering implementing a reinvented government approach to the provision of public goods, as well as leaders of nonprofit corporations who seek to maximize performance.     

The LGBQ Social Climate Matters: Policies,Protests, and Placards and Psychological Well-Being Among LGBQ Emerging Adults

Sexual minority youth, including emerging adults, are at risk for negative health outcomes. Minority stress theory posits that heterosexism can contribute to these outcomes among sexual minorities. Researchers have tested this theory with respect to interpersonal heterosexism; however, little attention has been given to macro-level and environmental forms of heterosexism, especially among lesbian, gay, bisexual, and queer (LGBQ) youth. In this study, we examine the role of objective social climate (LGB state-level policies) and experiential distal and proximal environmental microaggressions on the psychological well-being of LGBQ emerging adults. Furthermore, we examine the role of LGBQ identity salience as a moderating factor on the macro/environmental-heterosexism and well-being relationship. Multivariable linear regression results suggest that living in a state without same-sex marriage laws is associated with greater self-esteem, whereas both distal and proximal environmental microaggressions are risk factors for anxiety and perceived stress. Furthermore, identity salience can ameliorate the effects of distal microaggressions and intensify the effects of proximal microaggressions and same-sex marriage legislation. Implications for practice with sexual minority youth are discussed.     

Handling Missing Values in Longitudinal Panel Data With Multiple Imputation

This article offers an applied review of key issues and methods for the analysis of longitudinal panel data in the presence of missing values. The authors consider the unique challenges associated with attrition (survey dropout), incomplete repeated measures, and unknown observations of time. Using simulated data based on 4 waves of the Marital Instability Over the Life Course Study (n = 2,034), they applied a fixed effect regression model and an event‐history analysis with time‐varying covariates. They then compared results for analyses with nonimputed missing data and with imputed data both in long and in wide structures. Imputation produced improved estimates in the event‐history analysis but only modest improvements in the estimates and standard errors of the fixed effects analysis. Factors responsible for differences in the value of imputation are examined, and recommendations for handling missing values in panel data are presented.     

Creating Tactile Space during a University Extension Field Day Event: The Case of a Sustainable Agriculture Innovation

Drawing on the concept of “tactile space,” we evaluate the experiential learning environment of a university extension field day event focused on a sustainable agriculture innovation: biodegradable plastic mulch. Introduced by sociologist Michael Carolan, “tactile spaces” are sensuously rich learning environments where participants interact with each other and the environment in an “embodied” and “embedded” manner leading to long‐lasting attitudinal and behavioral change. In our study, farmers, extension professionals, crop consultants, and mulch manufacturers participated in a field day event designed to provide both embodied and embedded experiences in an effort to stimulate interest in biodegradable plastic mulch, an economically and environmentally sustainable alternative to polyethylene mulch. Field day participants engaged in hands‐on demonstrations preceded and followed by focus group sessions. Enhancing the learning environment in these ways improved the success of the field day event by encouraging practice‐based forms of learning, which supplemented and reinforced the claims made about biodegradable plastic mulch. However, the tactile space could have been enriched by providing more opportunities for participants to become embedded within the environment, and by adding elements to overcome the temporal limitations of the field day event. This research contributes to the broader literature on participatory research and extension.     

Sexual Assault Risks Among Gay and Bisexual Men

The goal of this study was to examine lifetime patterns of sexual assault and associated risks among a purposive sample of gay and bisexual men (N = 183; 18 to 35 years old, M = 24.3). Cross-sectional data were collected via written, self-administered questionnaires and face-to-face, event-based qualitative interviews. Alcohol severity scores indicated high rates of hazardous drinking (53.0%) and possible dependence (14.2%) among participants. One-half of men (50.8%) reported childhood sexual abuse (CSA), and 67.2% reported adult sexual assault (ASA). Average age at most recent ASA was 21 years. Most perpetrators (83.9%) of recent ASA incidents were male; 67.0% of participants reported consuming alcohol and/or drugs prior to the most recent incident. Regression findings indicated more severe CSA experiences and past alcohol-related problems predicted recent severe ASA. Although we found similarities between gay and bisexual men in lifetime sexual assault history, we found some distinct differences in ASA risk factors. Bisexual men reported higher alcohol severity scores, more female ASA perpetrators, higher internalized homophobia scores, and fewer male sexual partners than gay men. Findings suggest the need for interventions that reduce ASA risk among sexual minority men—and the potential benefits of focusing on alcohol consumption in risk reduction efforts.