‘Just kids playing sport (in a chair)’: experiences of children,families and stakeholders attending a wheelchair sports club

Children who use wheelchairs have few opportunities to play sport with their able-bodied peers and siblings. This appreciative, qualitative study explored the experiences of children, families and stakeholders at a wheelchair sports club. Participant observation, research activities, focus groups and interviews were used. Sixty-three people participated (37 children, 14 stakeholders, 10 parents, two older siblings). Thematic analysis identified one unifying theme (realising potential) and four main themes: invisibility of disability; ambivalence and attraction of the chair; fun and fellowship; and thrills and skills. The Cheetahs created opportunities for meaningful participation in wheelchair sports for children with and without disabilities.     

The environment as a determinant of child mortality among migrants in frontier areas of Pará and RondÔnia, Brazil, 1980

This article examines child mortality as an indicator of the quality of life among migrants living in Brazilian Amazonia in 1980. I focus on migrants in the frontier states of Pará and RondÔnia, which experienced rapid settlement during the 1970s. The key question here is the effect of settlement location on child mortality rates. While RondÔnia had lower ratios of population per public health establishments and personnel than Pará, RondÔnia nonetheless exhibited a higher malaria prevalence in 1980. I therefore attribute locational differences in child mortality to environmental factors important to malaria transmission rather than to health care infrastructure. The findings from multivariate regression analysis show that net of the effects of human capital, migration history and migrant living standards, settling in Pará rather than RondÔnia resulted in significantly lower rates of child mortality. These findings suggest that environmental factors coinciding with location of frontier settlement had important consequences for the living standards of migrants in the Brazilian Amazon.     

Learning about restoration of urban ecosystems: a case study integrating public participation,stormwater management,and ecological research

Restoration of ecosystem functions in urban environments is made challenging by 1) a public that often lacks understanding of ecological principles, 2) inadequate evidence of the effectiveness of restoration practices, and 3) difficulty integrating social and biophysical factors in studies of urban ecosystems. This paper describes a case study in which potential solutions to these challenges were explored. We facilitated collaborative learning through public participation in the design and implementation of an urban riparian buffer along a headwater stream in a neighborhood park, a process that was informed by ecological research. Learning outcomes were evaluated using surveys and qualitative assessment of discussion. Results indicated that participants’ knowledge about water quality problems associated with urbanization, stormwater, and nonpoint-source pollution increased, familiarity with stormwater management practices increased, and perceptions about the importance of stream ecosystem functions changed. In-stream monitoring of sediment delivery, as well as direct measurements of buffer infiltration capacity, provided early evidence of buffer effectiveness in prevention of sediment inputs to the stream and absorption of runoff from surrounding surfaces. This study provides a useful model for integration of collaborative learning through participation, ecological restoration, and ecological research in an urban setting. Elements deemed essential to success of this model included an opportunity for dialog focused on a specific natural feature, sustained interaction between participants and researchers, opportunities for hands-on participation by urban residents, and flexibility in restoration practice installation.     

Sexual Rehabilitation After Prostate Cancer Through Assistive Aids: A Comparison of Gay/Bisexual and Heterosexual Men

The use of assistive aids in sexual rehabilitation after prostate cancer (PCa) was examined in 124 gay, bisexual, and other men who have sex with men (GBM) and 225 heterosexual men. GBM were significantly more likely to use assistive aids (79% versus 56%), to try multiple assistive aids (M = 1.65 versus M = 0.83) including medication, penile injection, penile implant, vacuum pump, and nonmedical sex aids, and to seek information about sexual rehabilitation on the Internet, through counseling, or in a support group. There were no differences between the groups in satisfaction with the use of assistive aids. However, use of aids was a significant negative predictor of sexual functioning for GBM and a significant positive predictor for heterosexual men. Interview accounts described satisfaction with assistive aids in terms of maintaining erectile functioning and relationships. The majority of men in the study also described hindrances, both physical and social, resulting in discontinuation of assistive aids, including perceived artificiality, loss of sexual spontaneity, side effects, failure to achieve erectile response, cost, and lack of access to information and support. It is concluded that the specific needs and concerns of GBM and heterosexual men regarding sexual rehabilitation after PCa need to be addressed by clinicians.     

Assessing the Psychometric Properties of Both a Global and a Domain-Specific Perceived Quality of Life Measure When Used with Youth Who Have Chronic Conditions

The purpose of this paper was to assess the psychometric properties of the Students’ Life Satisfaction Scale (SLSS) and the Brief Multidimensional Students’ Life Satisfaction Scale (BMSLSS) when used with youth who have chronic conditions. Baseline data from a longitudinal study examining predictors of changes in perceived quality of life (PQOL) for youth with chronic conditions were used. SLSS and BMSLSS data were collected on over 400 youth aged 11–17 using youth self-report and parent proxy-report versions. Internal consistency, convergent validity, and factor structure were examined for both versions. Extent of agreement and magnitude of differences between youth and parent report were evaluated. Finally, gender, age, and condition group differences in youth report scores were examined for the SLSS and BMSLSS. Strong internal consistency was demonstrated for the youth and parent reports of both measures. As with normative samples, a single factor structure was found for youth and parent reports of the BMSLSS. However, both youth and parent reports of the SLSS had a two-factor structure: one consisting of five positively worded items, and the other, two negatively worded items. Youth reported their PQOL to be significantly higher than did their parents. Significant differences in PQOL scores for the youth report were not found by age, gender, or conditions. Findings show that, from a psychometric standpoint, the BMSLSS (both youth and parent report) is a promising measure of PQOL for use in population-based research with youth who have chronic conditions. The SLSS may need to be revised to exclude negative items when used with this population of youth.     

The Quality of Urban Environments in the Brazilian Amazon

In the Brazilian Amazon during the 1980s,urban population growth outstripped rural growth, andby 1991, most of the region's population resided inurban areas. Much of this urban growth involvedestablishment of unplanned housing with inadequateinfrastructure, which resulted in rising pollution. This paper compares indicators of environmentalquality in urban populations of the Amazon in 1980 and1991, and among different kinds of urban populationsin 1991. The results show that environmental qualityin the region deteriorated during the 1980s as theproduction of and exposure to environmental hazardsrose while resources to ward off hazards eroded. Thefindings also show that environmental quality wasparticularly poor in more rapidly growing urbancenters. The urban Amazon may not afford an adequatestandard of living and this may generate out-migrationfrom the region.     

Heterosexism and social work education: The invisible challenge

This paper is concerned with the new discourse in social work education with its emphasis on anti-discriminatory and anti-oppressive practice. This directive is examined critically in relation to sexual orientation, suggesting that the contemporary climate is confusing and far from straightforward. The ideological, theoretical and legislative contexts in which social work as a profession has developed are reviewed, and their heterosexist bias exposed. In contrast to developments in relation to racism and sexism, little attention has been given to heterosexism - yet the heterosexual hegemony needs challenging with urgency if we are to truly work in an anti-oppressive way with lesbians and gay men.     

Cumulative Risk for Early Sexual Initiation Among American Indian Youth: A Discrete‐Time Survival Analysis

Approximately 3 million teens are diagnosed with a sexually transmitted disease (STD) annually; STDs rates for American Indian young adults are among the highest of any racial/ethnic group. An important risk factor for STDs is early initiation of sex. In this study, we examined risk for early initiation with 474 American Indian youth ages 14–18, using 11 risk factors from three developmentally important microsystems (family, school, peers) along with several individual characteristics; a cumulative risk index was also calculated. Discrete‐time survival analyses showed that predictors of early initiation differed by gender. For young men, younger initiation of sex was predicted by lower grades, liking school less, having peers with less prosocial attitudes, a greater likelihood of having used alcohol or drugs at first sex, and having higher sensation‐seeking. For young women, earlier initiation was related to having mothers who had their first child at an early age and who had less formal education, to having parents who had divorced, dropping out of high school, using alcohol/drugs at first sex, and higher sensation‐seeking. Higher cumulative risk was associated with elevated risk of sexual initiation, although the degree of added risk varied with age for women. Cumulative risk deserves broader attention in understanding the early initiation of sexual intercourse.