A Pilot for Improving Depression Care on College Campuses: Results of the College Breakthrough Series–Depression (CBS-D) Project

Abstract

Objective: To implement a pilot quality improvement project for depression identification and treatment in college health. Participants: Eight college health center teams composed primarily of primary care and counseling service directors and clinicians. Methods: Chronic (Collaborative) Care Model (CCM) used with standardized screening to identify, treat, and track depressed students for 12 weeks to monitor predetermined process and clinical outcomes. Results: Of all students receiving primary medical care services between January 2007 and May 2008, 69% (n = 71,908) were screened for depression. A total of 801 depressed students were treated and tracked; most predetermined treatment process and clinical outcome targets were achieved. Conclusion: The CCM for depression shows promise for improving depression identification and care for college students.     

HPV vaccine acceptance among a sample of Southern men who have sex with men: A comparison of younger and older men

Objectives: Do short, online educational messages about the human papillomavirus (HPV) influence younger and older men who have sex with men (MSM) differently? Second, what are the HPV knowledge levels and risk perceptions of Southern MSM living outside of major metropolitan areas? Methods: This study draws on participants who completed an anonymous online survey asking about their knowledge, risk assessment, and vaccine acceptance regarding HPV. Results: Knowledge about HPV was low among the MSM in this study. After reading a one-page information intervention, vaccine acceptability increased by a statistically significant amount among both a Younger and Older cohort but risk perception only increased among the younger respondents. Single men regardless of age cohort reported sharper increases in perceived risk after the intervention, but relationship status did not produce significant differences in vaccine acceptability. Conclusion: Online, brief interventions may be effective means of increasing motivation to vaccinate among Southern MSM.     

Nationwide Newspaper Coverage of Same-Sex Marriage: A Community Structure Approach

Using the community structure approach to compare coverage of same-sex marriage in leading U.S. newspapers in 35 major cities nationwide, all articles of 250+ words were sampled from a 5-year span of January 1, 2007, to June 23, 2011, for a total of 577 articles. Articles were coded for “prominence” and “direction,” and then combined into a “Media Vector” score for each newspaper, ranging from .4523 to ?.1067. Initial Pearson correlations revealed three clusters had significant relationships: stakeholder (stakeholder proportions correlating with favorable coverage of stakeholder concerns), buffer (privilege correlating with favorable coverage of human rights issues), and vulnerability (vulnerable populations correlating with coverage favoring their perspectives). The stakeholder cluster includes: (percentage 25–44: r = .506, p = .001; gay market index: r = .432, p = .005; percentage 65+: r = ?.397, p = .009; percentage voting Democratic: r = .335, p = .025; percentage voting Republican: r = ?.330, p = .026). The buffer hypothesis was also confirmed (percentage college educated: r = .465, p = .002; percentage family income of $100,000+: r = .383, p = .012; and percentage professional/technical occupations: r = .300, p = .040). One vulnerability indicator, percentage below the poverty line, was also confirmed (r = ?.297, p = .041). A varimax rotated factor analysis and regression yielded 2 factors accounting for more than 29% of the variance: privilege/gay marketing/political identity, 24%, and Evangelicals, 5%.     

Boundary Labor and the Production of Emotionless Commodities: The Case of Beef Production

This study examines cattle producers' work in conventional U.S. beef production. Producers express emotional connection to cattle, but also treat cattle as economic assets. Balancing these perspectives is central to their work. This article introduces the concept of “boundary labor” to describe the way producers' emotion management separates cattle physically and emotionally from products derived from their bodies. Producers have three central emotional skills that make this labor possible. They include (1) a sense of responsibility, (2) sentiments of dominion, and (3) faith in the cycle of production.     

An examination of the resurgence of ethnicity literature

This paper presents a critical review of the most frequently cited resurgence of ethnicity studies. Many of the sources cited in recently published ethnic relations books are found to lack an empirical base. They are essentially polemical, impressionistic and anecdotal works. Empirical studies that support the resurgence of ethnicity theme are also examined. Their shortcomings are noted. Nevertheless, these empirical studies provide convincing evidence that ethnic differences persist into the later generations. Overall, however, the empirical studies overwhelmingly document increasing assimilation. Virtually no evidence is found for the notion of a third generation resurgence.     

The influence of riparian corridor width on ant and plant assemblages in northern Sydney,Australia

Protecting riparian corridors is a commonly applied environmental policy in urban landscapes. However, empirical data demonstrating their efficacy for biodiversity conservation outcomes is scarce. In this study we investigated whether riparian corridor width influences the diversity and community structure of ant (Hymenoptera: Formicidae) and vascular plant assemblages therein. Eighteen corridors of differing widths were selected from within the Ku-ring-gai Local Government Area, Sydney Australia. Ants were sampled using pitfall traps positioned within rectangular vegetation transects (30 × 10 m). Both ant and plant species richness, when standardised for sampling effort, were unrelated to riparian corridor width. However, significant compositional differences between sites were evident with increased width up to ~50 m. Narrow corridors contained greater abundances of opportunistic ant species and higher proportions of exotic plants. We interpret this to be the result of the greater disturbance/edge influence derived from adjacent upland urban environments. Site beta diversity did not increase with corridor width, suggesting that the exclusion of novel upslope habitats in narrow riparian corridors is not a significant cause of community assemblage modification at these sites. To minimise the impact of deleterious edge effects on ant fauna, environmental managers should seek to retain riparian corridors wider than ~50 m. However, we observed substantial between-site variability of biotic assemblages, irrespective of corridor width. Therefore we recommend that environmental management practice needs to take a catchment-wide approach and consider other parameters that may contribute to riparian health so as to optimise the protection of riparian biodiversity.     

Cognitive dissonance and risk denial: The case of cannabis use in adolescents

This paper integrates insights from both sociology and psychology into the economic approach of drug use. Within this theoretical framework, the utility provided by cannabis use depends on the ability to deny its riskiness, and this ability is a kind of human capital accumulated through earlier consumption. This assumption is tested with a dataset of French adolescents. A simultaneous equation model is estimated, with one equation for cannabis use, and one for risk denial. The results provide some empirical evidence in favour of the tested assumption, and they also cast doubt on the efficiency of preventive information at school.