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Social and Behavioral Sciences Commons

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Full-Text Articles in Social and Behavioral Sciences

The Influence Of A Neo Liberal World View On Health, John Orwat, Michael Dentato, Michael Lloyd Nov 2014

The Influence Of A Neo Liberal World View On Health, John Orwat, Michael Dentato, Michael Lloyd

Michael P. Dentato, PhD, MSW

Neoliberalism is a world view that supports economic liberalization, or freedom from government intervention, as the best way to maximize the effect of trade, or economic efficiency. Liberalism was the most influential economic theory until the Great Depression in the 1930s, when Keynesian economics was introduced and quickly became influential. Keynesian economics also supports the notion that private markets maximize economic efficiency; however, it acknowledges the role of public sector interventions when private sector decisions result in inefficient macroeconomic outcomes. Keynesian economics was very influential from the 1930s until the 1970s; the manifestations may be seen in increased government intervention …


Substance Use Disorders & Ethical Considerations For Social Workers, John Orwat, Lynn Boyle, Michael Dentato, Tamara Faulkner-Beard Dec 2013

Substance Use Disorders & Ethical Considerations For Social Workers, John Orwat, Lynn Boyle, Michael Dentato, Tamara Faulkner-Beard

Michael P. Dentato, PhD, MSW

A code of ethics are central to professional social work practice, setting standards by which social workers seek guidance and direction with their work.  Such codes guide ethical decision making and educate professionals about their ethical behavior and challenges and, to some extent, standards of practice.  Practice with substance use disorders, however, encompasses several unique factors that warrant elucidation and discussion. With a focus on the substance use disorder treatment system, this chapter will focus on the various macro, mezzo, and micro level issues that present situations in which ethical principles conflict.  The goal is not to identify “correct” ethical …


Well-Being And Health Considerations For The Aging Lesbian Community: Understanding Age Cohorts, Partnerships And Caregiving Among Other Unique Needs, Michael Dentato, Shelley Craig, Lauren Mcinroy Dec 2013

Well-Being And Health Considerations For The Aging Lesbian Community: Understanding Age Cohorts, Partnerships And Caregiving Among Other Unique Needs, Michael Dentato, Shelley Craig, Lauren Mcinroy

Michael P. Dentato, PhD, MSW

Effectively exploring the well-being, health and mental health needs of the aging lesbian community can often be difficult and multi-leveled, while insuring a competent and comprehensive assessment of needs.  A limited amount of research has specifically attended to the lives and unique experiences of aging lesbians, along with those of the larger LGBT community, therefore such matters remain poorly understood.  Regardless, insuring any dialogue surrounding the needs of older lesbians must underscore their resilience - which for many has included becoming actively engaged as advocates for visibility and change - especially during the late 1960s and Stonewall Inn revolution, as …


Minority Stress Theory: An Examination Of Factors Surrounding Sexual Risk Behavior Among Gay And Bisexual Men Who Use Club Drugs, Michael P. Dentato, Perry N. Halkitis, John Orwat Dec 2012

Minority Stress Theory: An Examination Of Factors Surrounding Sexual Risk Behavior Among Gay And Bisexual Men Who Use Club Drugs, Michael P. Dentato, Perry N. Halkitis, John Orwat

Michael P. Dentato, PhD, MSW

Background: Few studies have examined the impact of minority stress theory (MST) upon sexual risk behavior among gay and bisexual men using club drugs. Similar studies have focused on ethnic minorities and women; however, gay and bisexual men demonstrate greater likelihood for risk behaviors leading to HIV/AIDS. Objective: This study examines sexual risk behavior from the perspective of minority stress theory upon substance-using gay and bisexual men and their partners. Methods: Multivariable logistic regression analysis examined minority stress associations with participant sexual risk behaviors, drug use, and partner type, controlling for demographics. Results: 396 gay and 54 bisexual respondents, ages …


Substance Abuse Treatment Utilization Among Adults Living With Hiv/Aids And Alcohol Or Drug Problems, John Orwat, Richard Saitz, Christopher Tompkins, Debbie Cheng, Michael Dentato, Jeffrey Samet Apr 2011

Substance Abuse Treatment Utilization Among Adults Living With Hiv/Aids And Alcohol Or Drug Problems, John Orwat, Richard Saitz, Christopher Tompkins, Debbie Cheng, Michael Dentato, Jeffrey Samet

Michael P. Dentato, PhD, MSW

This is a prospective cohort study to identify factors associated with receipt of substance abuse treatment (SAT) among adults with alcohol problems and HIV/AIDS. Data from the HIV Longitudinal Interrelationships of Viruses and Ethanol study were analyzed. Generalized estimating equation logistic regression models were fit to identify factors associated with any service utilization. An alcohol dependence diagnosis had a negative association with SAT (adjusted odds ratio [AOR] = 0.36, 95% confidence interval [95% CI] = 0.19–0.67), as did identifying sexual orientation other than heterosexual (AOR = 0.46, CI = 0.29–0.72) and having social supports that use alcohol/drugs (AOR = 0.62, …


Factors Associated With Attendance In 12-Step Groups (Alcoholics Anonymous/Narcotics Anonymous) Among Adults With Alcohol Problems Living With Hiv/Aids, John Orwat, Jeffrey Samet, Christopher Tompkins, Debbie Cheng, Michael Dentato, Richard Saitz Sep 2010

Factors Associated With Attendance In 12-Step Groups (Alcoholics Anonymous/Narcotics Anonymous) Among Adults With Alcohol Problems Living With Hiv/Aids, John Orwat, Jeffrey Samet, Christopher Tompkins, Debbie Cheng, Michael Dentato, Richard Saitz

Michael P. Dentato, PhD, MSW

Background: Despite the value of 12-step meetings, few studies have examined factors associated with attendance among those living with HIV/AIDS, such as the impact of HIV disease severity and demographics. Objective: This study examines predisposing characteristics, enabling resources and need on attendance at Alcoholic Anonymous (AA) and Narcotics Anonymous (NA) meetings among those living with HIV/AIDS and alcohol problems. Methods: Secondary analysis of prospective data from the HIV-Longitudinal Interrelationships of Viruses And Ethanol study, a cohort of 400 adults living with HIV/AIDS and alcohol problems. Factors associated with AA/NA attendance were identified using the Anderson model for vulnerable populations. Generalized …