Emergency Contraceptive Pill (ECP) Use and Experiences at College Health Centers in the Mid-Atlantic United States: Changes Since ECP Went Over-the-Counter

Abstract

Objective: To investigate the availability of emergency contraceptive pills (ECPs) at college health centers since ECP went over-the-counter (OTC) in 2006. Related issues, such as distribution procedure, existence of a written protocol, personnel involved, contraindications, follow-up procedures, methods of advertising, and staff attitudes, were examined. Participants: The sample included 135 college and university health centers in the mid-Atlantic region of the United States. Methods: Data were collected via telephone survey with the use of a 42-item survey instrument. Results: Forty-three percent of schools reported distributing ECPs, for an average of 10.6 years. Major changes in ECP distribution and usage since ECP went OTC related primarily to protocol in ECP distribution, advertising for ECP services, and ECP accessibility to university students. Conclusions: College health centers are responding to the OTC status of ECP in a number of ways, primarily relating to their distribution procedures and advertising techniques.     

Toward Health Reform for Seniors in Bermuda: Historical Constraints on Political Possibilities

In 2009, as the United States moved toward health care reform, the government of Bermuda implemented its FutureCare program to make health care for seniors more affordable. This article investigates how preferences for reform and its eventual design were shaped by the country's social history and commitment to free market values. Data derive from 36 in-depth interviews with key stakeholders deemed knowledgeable about health care financing and delivery in Bermuda, including government officials, provider representatives, insurance executives, and consumer advocates. Data also derive from a variety of documentary sources. Results indicate that although a clear need for health care and the ability to finance it for seniors exists in Bermuda, the scope of reform was circumscribed by preferences for prior policy decisions, creating a favorable tax and business environment for international corporations and a minimalist social welfare state for addressing racial and economic inequality. This suggests that widespread agreement on the challenges in meeting the health and long-term care needs of the elderly does not necessarily lead to equally commensurable solutions to addressing it.     

Social Density of Gambling and Its Association with Gambling Problems: An Initial Investigation

The role of social factors in pathological gambling has received relatively little systematic research. The goal of the current study was to examine the relationship between a target individual’s gambling behavior and the gambling behavior among that individual’s parents, siblings and five closest friends. The specific aims were, first, to apply a novel brief assessment to study the social density of factors relating to pathological gambling; second, to replicate previously observed findings involving the social aggregation of alcohol and tobacco use; and third, to examine social density findings among the three domains. Participants were 128 frequent gamblers from the Athens, Georgia area, 79.7 % male with a mean age of 34.2 (SD = 11.7). Participants were assessed using the Diagnostic Interview for Gambling Severity for gambling severity, the Alcohol Use Disorders Identification Test for alcohol abuse, the Fagerstrom Test of Nicotine Dependence for tobacco use, and the novel Brief Social Density of Gambling, Alcohol, and Tobacco Assessment. Significant relationships were observed between participants’ and friends’ activity within all domains: gambling (ps = .001), alcohol use (p < .001) and tobacco use (p < .001). Relationships with friends’ activity across domains were less strong. Distinct patterns of associations with parents and siblings were not observed. Thus, social aggregation was observed across the three domains of potentially addictive behaviors, generally with specificity within domains and with friends, not biological relatives. Methodological considerations and potential applications of these findings are discussed.     

Parental Divorce and College Students: The Impact of Family Unpredictability and Perceptions of Divorce

The impact of parental divorce, perceptions of divorce, and family unpredictability on the locus of control, interpersonal trust, and assertiveness of college students (n = 115) was studied. Roughly 27% of participants came from divorced homes; they did not differ significantly from participants from nondivorced homes on locus of control, trust, or assertiveness. However, negative perceptions of parental divorce were associated with a more external locus of control. Aspects of maternal unpredictability related to lower trust yet higher assertiveness. Participants with divorced parents reported more unpredictable finances and somewhat more unpredictable meals growing up. Implications for adjusting to divorce are discussed.     

Dissociation in Medical Practice: Social Distress and the Health Care System

The average physician has developed several different headv, each representing another selfon the same body. One is that ofthe conventional, ethical professional who wants nothing more than to improve mankind’s health and well-being, the standard model. Another is the scientist who intends to be perceived as calculating, cold, and factual in determining what will or will not assist the ailing patient (Uexkull & Hannes, 1986). His tools are drugs, surgery, and hospitalization for presumed physical and mental ills. The third, and the one that concerns us the most, is what I will call “the neo-capitalist professional hero” (Lifton, 1971). This persona is an evolution of our American dominated internationaL cuLture which the medical profession as a group has honored by honing and poli5hing with extraordinary skil, second only to politicians and bankers, maximizing it to the ftuther detriment of the entire society. Though the body needv all three to function, none of these heads willingly acknowledges or suppOl1s the importance of the others. In what follows, a variety of media, journals, professional books, and a survey are refen"ed to in documenting data about ethical Laxity and fraud in the medical profession. Institutional, social concepts are developed that explain the data, and revealing how sociaL distress is the embodiment of the neo-capitalist professional hero. There are also suggestions for remedies in what follows, which are presented without realistic hope for implementation very soon, unfortunately, since they involve deep changes in established sociaL institutions. However, the country at large has developed some awareness of a problem which has reached epidemic propOrlions in the medical profession. FUrlher increments in awareness promise to tip the balance into positive government action.     

Effects of Photovoice: Civic Engagement Among Older Youth in Urban Communities

Youth civic engagement is critical to many community empowerment initiatives. Photovoice is a popular empowerment technique for disenfranchised groups, including youth. The technique has little published empirical support. This research assesses Photovoice as a youth mobilization project within the context of an ongoing community development initiative. It was hypothesized that Photovoice participation would (a) improve students' interest in civic engagement and (b) have greater impact on older rather than younger adolescents. Thirty-three (33) youths (15–21 years of age) completed a Survey of Youth Engagement before and after Photovoice participation. Results indicate a main effect for age, with youths 18 years of age and older scoring significantly higher than youths under 18 years of age. This study suggests that Photovoice promotes significant changes in perceived civic engagement among older youths.     

Age influences anthropometric and fitness-related predictors of bone mineral in men

Objective. This study assessed the influence of age on the predictors of bone mineral in men.

Methods. Middle-age (n = 41, 54 ± 4 yrs) and older (n = 40, 69 ± 5 yrs) men underwent grip and knee extensor strength tests, total body dual-energy X-ray absorptiometry with regional analyses and a graded exercise treadmill test.

Results. Bone-free lean mass (BFLM) and, to a lesser extent, fat mass (FM) were correlated with bone mineral variables in middle-age men. In older men, BFLM and, to a lesser extent, FM were related to bone mineral content (BMC) at most sites, but inconsistently to bone mineral density (BMD). Knee extensor strength related to bone mineral (BMC and BMD) at most sites in middle-age men, but none in older men. Grip strength inconsistently related to bone mineral in both groups. Aerobic capacity related to bone mineral in middle-age men, but none in older men. In multiple regression, body weight or BFLM predicted bone mineral in middle-age men (R² = 0.33–0.68) and BMC in older men (R² = 0.33–0.50). Predictors of BMD were inconsistent in older men.

Conclusions. Relationships of body composition, muscular strength and aerobic capacity to bone mineral are stronger in middle-age versus older men.     

Exploring the factors related to endorsing gambling as an escape

Research suggests there is a strong relationship between gambling severity and endorsing gambling as an escape. The present study investigated what factors were related to endorsing gambling as an escape. In Experiment 1, 149 university students completed a questionnaire designed to measure the contingencies maintaining one's gambling and a measure of executive function. Endorsing gambling as an escape was predicted by executive function associated with affect (empathy). In Experiment 2, 269 university students completed a questionnaire of the contingencies maintaining one's gambling and two measures related to affect (current affective state and pattern of emotion regulation). Impulse control related to dealing with negative emotions was unique in predicting gambling as an escape. The results suggest that endorsing gambling as an escape is related to emotion regulation both at a neurological and cognitive level, which is potentially informative for those interested in identifying, preventing and treating problem gambling.     

Race,Hyper‐Incarceration,and US Poverty Policy in Historic Perspective

In this article, I bring scholarship on welfare reform into discussion with work on crime control and racial and ethnic relations. I locate the genesis of hyper‐incarceration and the moral suasion imposed on the recipients of contemporary social welfare services through the poverty policies of the Victorian era and later the postbellum south, implicating the checkered history of racial domination in the United States in the development of social welfare and criminal justice policy. I conclude by discussing the ways in which the United States has been reconfigured to facilitate these trends and of new terrain in the study of marginality in the neoliberal age. Doing so demonstrates the long‐standing collusion between welfare state and criminal justice actors, identifies the racialized target of punishment and poverty management, highlights the significance of race in the development of social policy, and exhibits the importance of social welfare policy in contemporary race and ethnic relations.