Differences by gender, ethnicity, and acculturation in the efficacy of the keepin' it REAL model prevention program

This study examined whether the efficacy of keepin' it REAL, a model program for substance use prevention in schools, was moderated by gender, ethnicity, and acculturation. Gender differences in program efficacy may arise through boys' higher risk of drug use, inadequate attention to girls' developmental issues, or cultural factors like polarized gender expectations. Data came from a randomized trial in 35 Phoenix, Arizona, middle schools involving 4,622 mostly Latino 7th graders. Using multi-level mixed models and multiple imputation missing techniques, results for the total sample showed no gender differences in program effects on recent substance use, but the program was more effective in fostering boys' than girls' anti-drug norms. Subgroup analyses demonstrated several more beneficial program effects for boys than girls (less alcohol and cigarette use and stronger anti-drug norms), but only among less acculturated Latinos. There were no gender differences in program effects among more acculturated Latinos, nor among non-Latino whites.     

Migration Planning Among Female Prospective Labour Migrants from Nepal: A Comparison of First‐Time and Repeat‐Migrants

As international female labour migration has increased, so too have efforts to prevent the exploitation of labour migrants. However, evidence to underpin prevention efforts remains limited, with little known about labour migrants’ migration planning processes. Using data from a survey of female prospective labour migrants from Nepal, this article compares socio‐demographics and migration‐planning processes between first‐time and repeat‐migrants. We identified several factors which might increase repeat‐migrants’ vulnerability to exploitation during the migration process, or obstruct their engagement in pre‐migration interventions: more rapid migration planning than first‐time migrants; lower involvement in community groups; and a perception that they already have the knowledge they need. Only one‐third of repeat‐migrants planned to go to the same destination and 42 per cent to work in the same sector as previously. With repeat‐migration a common livelihoods strategy, it is crucial that interventions are guided by evidence on the needs of both first‐time‐ and repeat‐migrants.     

Teen Childbearing and Depression: Do Pregnancy Attitudes Matter?

The relationship between teen childbearing and depression has been extensively studied; however, little is known about how young women's own attitudes toward becoming pregnant shape this association. This study used data from the National Longitudinal Study of Adolescent Health to investigate whether the relationship between teen childbearing and adult depression is moderated by adolescent attitudes toward becoming pregnant. The results showed that although, on average, women who had first births between ages 16 and 19 experienced no more depressive symptoms in adulthood than women who had first births at age 20 or older, the relationship between teen childbearing and adult depression varied significantly based on adolescent pregnancy attitudes. When they had negative adolescent attitudes toward getting pregnant, teen mothers had similar levels of depression as adult mothers, but when they had positive adolescent pregnancy attitudes, teen mothers actually had fewer depressive symptoms than women with adult first births.     

Peddlers of Information: Unintended Consequences of Information-Centred Development for North Indian Non-Government Organizations

Information and knowledge have re-emerged as essential resources in the fight against poverty, with new opportunities for their dissemination seen to empower the poor and the agencies that work with them. While optimism is high, little empirical evidence exists as to the actual effect of these changes within localized development contexts. This article contributes to overcoming this lacuna by exploring the role of local non-government organizations (NGOs) in Uttarakhand, North India. It examines how the promotion of information and knowledge as development goods have changed the way NGOs understand poverty and their own roles within the sector. I propose the metaphor of NGOs as ??peddlers of information?? to draw attention to the current emphasis on awareness, sensitisation and assemblage of information about the grassroots as the primary??and in many cases only??development work NGOs undertake. This metaphor provides an analytical device through which to assess the roles of NGOs in immanent and intentional development.     

A systematic review of education for the prevention of HIV/AIDS among older adults

Through a comprehensive literature search, the authors of this systematic review identified 21 articles focused on primary prevention of HIV/AIDS for adults aged 50 and over. Three major challenges to providing HIV/AIDS education for older adults include health professionals' ageism, older adults' reluctance to discuss sexuality, and their misconception of their HIV risk. Clinical guidelines for social workers, nurses, and physicians identified the importance of sharing information and assessing risk, considering cultural diversity, and devising creative delivery strategies. Three models of HIV/AIDS education include group education programs delivered by social workers or other health professionals, peer education models, and one-on-one early intervention models including HIV/AIDS testing. Additional outreach and research on HIV/AIDS prevention among older adults is needed.     

Semantic analysis of natural language processing in a study of nurse mobility in the Northern Territory,Australia

In lieu of diverse consequences in the demand and supply of health care professionals such as nurses and midwives in Australia and the world, a firm understanding of the characteristics of staff mobility and the factors influencing their retention could lead to achieving enhanced service delivery, greater job satisfaction, and the establishment of a more stable and robust workforce. The research reported in this paper attempts to shed light on qualitative aspects of mobility in health care professional staff in the Northern Territory of Australia. It builds upon an existing survey study of the quantitative factors that determine why nurses and midwives come to the Northern Territory, why some stay and why many leave, by analysing additional qualitative textual responses of participants using semantic network approaches to natural language processing. Our results illustrate the methodological and policy significance of semantic approaches to knowledge acquisition and representation, especially in complementing findings of traditional survey analysis techniques, and in analysing the broader social settings, effects and consequences of staff retention and mobility.