Man Up Monday: An integrated public health approach to increase sexually transmitted infection awareness and testing among male students at a midwest university

ABSTRACT

Objective: This campaign sought to (a) increase awareness of sexual health and chlamydia testing; (b) motivate students, particularly sexually active men who do not pursue regular sexually transmitted infection (STI) testing, to get tested; and (c) improve the capacity of the student health center to provide free chlamydia testing and treatment for all students. Participants: Students enrolled at a 4-year public research university (N = 333). Methods: Collaborative partnerships formed the foundation of a campus marketing and testing campaign, with treatment for students testing positive for chlamydia. Results: A total of 333 students were tested over 5 consecutive Mondays, showing a chlamydia incidence of 9.6%. The incidence for females and males were 8.6% and 10.8%, respectively. Conclusions: The campaign was effective in reaching men, an at-risk population not traditionally emphasized in STI testing.     

Field Instructors' Commitment to Student Supervision: Testing the Investment Model

The aim of the study was to examine field instructors' commitment to student supervision, using an adapted form of the Investment Model, which consists of six components related to supervision: rewards (positive aspects of the job), costs (negative aspects of the job), degree of investment in the job, quality of alternative jobs, satisfaction of the job, and commitment to the job. A non‐purposive sample of 178 field instructors of bachelor‐level social work students completed mailed questionnaires. The findings show that the greater the rewards, the greater the field instructors' commitment, investment, and satisfaction. On the other hand, higher job cost was inversely related to commitment, satisfaction, and investment. Job satisfaction mediated between rewards, cost, investment and job commitment. The article helps to illuminate some of the factors associated with field instructors' commitment to undergraduate student supervision and suggests ways of increasing it.     

Varicella immunization requirements for US colleges: 2014–2015 academic year

ABSTRACT

Objective: To obtain information on varicella prematriculation requirements in US colleges for undergraduate students during the 2014–2015 academic year. Participants: Health care professionals and member schools of the American College Health Association (ACHA). Methods: An electronic survey was sent to ACHA members regarding school characteristics and whether schools had policies in place requiring that students show proof of 2 doses of varicella vaccination for school attendance. Results: Only 27% (101/370) of schools had a varicella prematriculation requirement for undergraduate students. Only 68% of schools always enforced this requirement. Private schools, 4-year schools, northeastern schools, those with <5,000 students, and schools located in a state with a 2-dose varicella vaccine mandate were significantly more likely to have a varicella prematriculation requirement. Conclusions: A small proportion of US colleges have a varicella prematriculation requirement for varicella immunity. College vaccination requirements are an important tool for controlling varicella in these settings.     

US college and university student health screening requirements for tuberculosis and vaccine-preventable diseases, 2012

ABSTRACT

Objective: Colleges are at risk for communicable disease outbreaks because of the high degree of person-to-person interactions and relatively crowded dormitory settings. This report describes the US college student health screening requirements among US resident and international students for tuberculosis (TB) and vaccine-preventable diseases (VPDs) as they relate to the American College Health Association (ACHA) guidelines. Methods/Participants: In April 2012, US college health administrators (N = 2,858) were sent online surveys to assess their respective school's TB screening and immunization requirements. Results: Surveys were completed by 308 (11%) schools. Most schools were aware of the ACHA immunization (78%) and TB screening (76%) guidelines. Schools reported having policies related to immunization screening (80.4%), immunization compliance (93%), TB screening (55%), and TB compliance (87%). Conclusion: Most colleges were following ACHA guidelines. However, there are opportunities for improvement to fully utilize the recommendations and prevent outbreaks of communicable diseases among students in colleges.     

“How We Stay Together Without Going Crazy:” Reconstruction of Reality Among Women of Mixed-Orientation Relationships

Until recently, the literature that addressed the phenomenon of mixed-orientation relationships, in which the female partner is straight and the male partner is non-straight, has focused mainly on the men’s perspective. Most of the studies have employed a pessimistic tone, underscoring the obstacles faced by each of the partners. This study was designed to understand how women of mixed-orientation relationships construct their reality within such a relationship, focusing on elements that assist them in maintaining those relationships. Based on the phenomenological paradigm, in-depth interviews with eight women in mixed-orientation relationships were conducted. The findings indicate that in order to adapt to their newly constructed reality, women reframe various individual, marital, and social aspects in their lives. Those reframing processes constituted a point of departure to developing a conceptual model, which outlines the journey to reality reconstruction among women in mixed-orientation relationships.     

The Myth of Openness and Secrecy in Intimate Relationships: The Case of Spouses of Mixed-Orientation Marriage

The phenomenon of mixed-orientation marriages, in which one of the partners is straight and the other is non-straight, is invisible, yet not insignificant. Focusing on gay and bisexual men who are married to straight women, this article was designed to explore one of the essential themes in their relationship: the dynamics between secrecy and openness regarding the men’s sexual orientation and gay practices. Based on the phenomenological paradigm, 38 men and eight women of mixed-orientation marriages in Israel were interviewed and shared their subjective life reality. Six patterns of secrecy and openness were identified, including complete secrecy, conspiracy of silence, initiated concealment (of the husband and wife), disloyalty/violation of the agreement, selective sharing, and complete openness. The findings challenge the idea that secrecy is detrimental and openness is beneficial in the context of mixed-orientation marriages. Findings are discussed within the framework of the dialectical approach.     

Coercion and justice: a critical analysis of compulsory intervention towards adult substance abusers in Scandinavian social law

Compulsory interventions towards adult substance abusers have a long tradition in the Scandinavian countries. Attitudes towards such controversial measures have changed during the last decades, and currently all three countries (Denmark, Norway and Sweden) emphasise individual autonomy and integrity as the basic principle in social law. In this article justifications of compulsory interventions are analysed on the basis of three general principles of justice: the liberal Principle of Autonomy, the Principle of Care and the utilitarian Harm Principle. A critical approach towards the weighting of these principles is applied in the discussion of the legal foundation of compulsory measures in the Norwegian, Swedish and Danish social laws.     

A methodology for quantifying the effect of missing data on decision quality in classification problems

Decision making is often supported by decision models. This study suggests that the negative impact of poor data quality (DQ) on decision making is often mediated by biased model estimation. To highlight this perspective, we develop an analytical framework that links three quality levels – data, model, and decision. The general framework is first developed at a high-level, and then extended further toward understanding the effect of incomplete datasets on Linear Discriminant Analysis (LDA) classifiers. The interplay between the three quality levels is evaluated analytically – initially for a one-dimensional case, and then for multiple dimensions. The impact is then further analyzed through several simulative experiments with artificial and real-world datasets. The experiment results support the analytical development and reveal nearly-exponential decline in the decision error as the completeness level increases. To conclude, we discuss the framework and the empirical findings, elaborate on the implications of our model on the data quality management, and the use of data for decision-models estimation.