AIDS funding and the rhetoric of scarcity

This article describes the “rhetoric of scarcity,” a viewpoint that focuses on the inadequate past support for and the uncertain future of AIDS funding. This view is at variance with the consistent rise in financial support for AIDS and with the criticism from some quarters that AIDS is being overfunded relative to other diseases. The rhetoric of scarcity expressed by members of the AIDS community is distinctive but not unique to HIV/AIDS and can be traced to qualities of the epidemic and the ways in which nonprofit organizations obtain their funds.     

Use of maternal health services in rural China

We use data from the nationally representative 1997 Demographic and Reproductive Health Survey to examine use of maternity services in rural China. The data indicate that roughly 60 per cent of women had at least one prenatal visit, while 40 per cent had a professionally assisted birth over the period 1988-97. Despite China's shift from a more socialist to a more privatized health care system, use of maternity services increased over this period. These increases are consistent with the push toward integration of reproductive health into family planning that emerged after the 1994 International Conference on Population and Development and the 1995 Fourth World Women's Conference held in Beijing. At the same time, we find indirect evidence that the target-based population policy may well have exerted downward pressure on use of maternity services; differences by parity are marked and multilevel models predicting use of maternity services indicate underdispersion at the individual level.     

Factors Contributing to Parents’ Preparation For Special-Needs Adoption

Three hundred and sixty-eight parents shared their perceptions of special-needs adoption preparation. Utilizing both quantitative and qualitative data to determine and understand what factors contribute to preparation, this study found that 12 child, family, and agency variables were correlated with perceived preparation, and that parents perceived level of preparation was predicted by the childs ability to attach, by the parents relationship with the agency, by the duration of the adoption, and by the parents ages at the time of adoption. Implications of these findings are discussed, as they relate to supporting parents, children, and families in special-needs adoptive placements.     

Beyond termination: length of stay and predictors of permanency for legally free children

Despite growing awareness of the complex needs of legally free children in child welfare care, relatively little empirical investigation has been done of these children and their experiences. This article reports the results of a study of length of stay and predictors of permanency in a sample of 1,366 legally free children in state custody in Washington state. A Cox proportional-hazards event history model was developed to explore the effects of gender, race, and ethnicity, and age at initial placement, on the likelihood of achieving legalized adoption or guardianship. Results indicate that older children, boys, and African American children were all significantly less likely to achieve a permanent outcome than were Caucasian children. Hispanic children, in the other hand, were significantly more likely to achieve a permanent outcome. The implications of these findings for permanency planning practice and policy development are discussed.     

Physical exercise and improvements in mental health

1. Walking groups provide activity and support for their members. 2. Exercise competes with anxiety and depression and may diminish these negative affects. 3. Most YMCAs provide financial aid by reducing fees for people with disabilities.     

Voice and Identity in a Bicultural/Bilingual Environment

Researchers have noted that with the onset of adolescence, girls' voices become muted and school achievement drops. Girls learn that the expression of strong feelings leads to distance from others, and that full use of their bodies and minds cause others discomfort. Self-esteem suffers and girls become at risk for destructive behaviors. Most studies have been done with middle class Caucasian girls. Those few studies done with young girls of color speak of girls on the margin who seem to resist losing their voices and their self-esteem. This article describes a study involving 5th–8th grade girls participating in an Advisory group program at a grammar school in a predominantly Mexican community of a large city. Group sessions were taped and analyzed for common themes including voice and self-esteem. Focus was directed to the influence of the bicultural/bilingual environment in analysis of group content. Implications for practice are included.     

Perspectives on work (re)entry for persons with disabilities: implications for clinicians

Despite the prevalence of government funding to support employment opportunities for persons with disabilities, real jobs for this population still appear to be elusive. McMaster University researchers examined how six stakeholder groups defined workplace (re)entry success for persons with disabilities. Focus groups and individual interviews were conducted with representation from employers, unions, persons with disabilities, co-workers, supervisors and human resource departments. Participants numbered 86 and the average age was 42. Participant comments provided the researchers with rich data related to the study objectives. Success was perceived as not only a match between the employee and the job but also a win-win for employer and employer, a uniquely defined set of circumstances based on the specific individual and their environment as well as respect for the individual's dignity and quality of life. This article discusses the study and its outcomes and highlights implications for clinicians.     

The Media and Genetically Modified Foods: Evidence in Support of Social Amplification of Risk

Empirical examinations of the "social amplification of risk" framework are rare, partly because of the difficulties in predicting when conditions likely to result in amplification effects will occur. This means that it is difficult to examine changes in risk perception that are contemporaneous with increases and/or decreases in social or media discussion of the risks associated with a particular risk event. However, the collection of attitude data before, during, and after the increased reporting of the risks of genetically modified food in the United Kingdom (spring 1999) has demonstrated that people's risk perceptions do increase and decrease in line with what might be expected upon examination of the amplification and attenuation mechanisms integral to the framework. Perceptions of benefit, however, appeared to be permanently depressed by negative reporting about genetically modified food. Trust in regulatory institutions with responsibility for protecting the public was not affected. It was concluded that the social amplification of risk framework is a useful framework for beginning to explain the potential impact on risk perceptions of a risk event, particularly if that risk event is presented to the public as a new hazard occurring in a crisis context.