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Social And Contextual Factors That Influence Hiv Risk Behaviors Among Indigenous Msm In The Peruvian Amazon, Isaac E. Alva, E. Roberto Orellana 2012 Universidad Peruana Cayetano Heredia

Social And Contextual Factors That Influence Hiv Risk Behaviors Among Indigenous Msm In The Peruvian Amazon, Isaac E. Alva, E. Roberto Orellana

Social Work Faculty Publications and Presentations

Men who have sex with men (MSM) face a significantly higher risk of HIV infection than the general population around the globe. In Peru, HIV prevalence among MSM range from 14% to 23%, with Lima, the capital, and port cities in the Amazonian region being the most affected. Recent studies found that indigenous MSM who leave their villages for cities along the Amazon River and its tributaries, engage in high risk behaviors such as high alcohol consumption and unprotected sex with mestizo (non- indigenous) MSM. This study examined social and contextual factors associated with risky behaviors among indigenous MSM in ...


Motivating Men Who Have Sex With Men To Get Tested For Hiv, Magaly M. Blas, Luis A. Menacho, Isaac E. Alva, E. Roberto Orellana 2012 Universidad Peruana Cayetano Heredia

Motivating Men Who Have Sex With Men To Get Tested For Hiv, Magaly M. Blas, Luis A. Menacho, Isaac E. Alva, E. Roberto Orellana

Social Work Faculty Publications and Presentations

Although men who have sex with men (MSM) have the highest HIV prevalence in Peru, they are underserved by traditional preventive programs. Interestingly, in Peru the Internet and cell-phones have emerged as a convenient tool to reach this population.


Physical Activity Among Latino Children In London, Ontario: An Assessment Of Physical Activity Levels, Sedentary Behaviours, And Physical Activity-Related Barriers And Facilitators, Gillian E. Mandich 2012 The University of Western Ontario

Physical Activity Among Latino Children In London, Ontario: An Assessment Of Physical Activity Levels, Sedentary Behaviours, And Physical Activity-Related Barriers And Facilitators, Gillian E. Mandich

Electronic Thesis and Dissertation Repository

The purpose of the study was to assess the physical activity (PA) levels, sedentary behaviours, and PA-related barriers and facilitators of a sample of Latino children in London, Canada. Forty boys and 34 girls (mean age = 11.4 years) completed questionnaires related to PA levels, sedentary behaviours, and PA-related barriers and facilitators, and 64 of these children wore an accelerometer for 4 consecutive days. Children spent an average of 53 minutes per day in moderate-to-vigorous PA. The average daily sedentary time for participants was 8.6 hours, and subjective measures revealed that participants spent 3.8 hours per day in ...


Pay-For-Performance In Five State Medicaid Programs: Lessons For The Nursing Home Sector, Edward M. Miller, Julia Doherty 2012 University of Massachusetts Boston

Pay-For-Performance In Five State Medicaid Programs: Lessons For The Nursing Home Sector, Edward M. Miller, Julia Doherty

Office of Community Partnerships Posters

This project looks at the pay-for-performance program in five state Medicaid programs and lists the lessons that the Nursing Home Sector can learn from. They are: The federal government has traditionally sought to ensure quality outcomes through nursing home (NH) surveys conducted by state officials; Some states have begun to experiment with pay-for-performance (P4P) incentives, which provider higher Medicaid reimbursement to those facilities achieving desired outcomes; By 2007, there were 9 state P4P programs covering 20% of NHs and 16.7% of residents; Little is known about the use of P4P to promote quality and efficiency in the NH sector.


Increasing Consumer Involvement In Medicaid Nursing Facility Reimbursement: Lessons From New York And Minnesota, Edward M. Miller, Cynthia Rudder 2012 University of Massachusetts Boston

Increasing Consumer Involvement In Medicaid Nursing Facility Reimbursement: Lessons From New York And Minnesota, Edward M. Miller, Cynthia Rudder

Office of Community Partnerships Posters

This project identified the facts about Nursing Facility Reimbursement by Medicaid in the states of New York and Minnesota. The results of this project are as follows: Medicaid is the main purchaser of nursing home (NH) care in the United States; States design their methods of reimbursing NHs to achieve desired policy objectives; Few consumers or resident advocates have been involved in the development or modification of state methods for reimbursing NHs; Lack of consumer involvement has resulted in payment systems that favor industry and government interests at the expense of issues important to residents and families.


Increasing Physical Activity In Inner City Youth Using Novel Interactive Gaming, SD de Ferranti, SK Steltz, Scott Crouter, A Kim, SK Osganian, Jessica Whiteley, H Feldman, Laura L. Hayman, GoKids Boston, University of Massachusetts Boston 2012 Children's Hospital Boston

Increasing Physical Activity In Inner City Youth Using Novel Interactive Gaming, Sd De Ferranti, Sk Steltz, Scott Crouter, A Kim, Sk Osganian, Jessica Whiteley, H Feldman, Laura L. Hayman, Gokids Boston, University Of Massachusetts Boston

Office of Community Partnerships Posters

The aim of this project was to assess the feasibility of participation in an afterschool physical activity program incorporating novel exercise technologies on changing physical activity level and physical fitness, compared to a nutrition education intervention alone. A second objective was to assess whether this type of intervention could modify cardiovascular risk factors and anthropometrics.


Inclusive National And Community Service: Bringing Together Service And Disability Communities, Paula Sotnik, Jewel Bazilio-Bellegarde, George Jesien, Felicia L. Wilczenski, Gayann Brandenburg, Debra Hart, Sheila Fesko, Stephan Hamlin-Smith, Alice Krueger 2012 University of Massachusetts Boston

Inclusive National And Community Service: Bringing Together Service And Disability Communities, Paula Sotnik, Jewel Bazilio-Bellegarde, George Jesien, Felicia L. Wilczenski, Gayann Brandenburg, Debra Hart, Sheila Fesko, Stephan Hamlin-Smith, Alice Krueger

Office of Community Partnerships Posters

National service and volunteer programs, seeking to reflect the diversity of their communities, are increasing the participation of individuals with disabilities as members, volunteers, and leaders and working to ensure each individual has a meaningful service experience. In order to support their inclusive efforts, the National Service Inclusion Project (NSIP) brings together the national service and disability communities at a local, state, and national level. Through partnership building, strategic planning, and resource sharing, there have been measureable increases in numbers of service participants with disabilities and the quality of their experience.


Malnutrition In Young Pakistani Children, Shela Akbar Ali Hirani 2012 Aga Khan University

Malnutrition In Young Pakistani Children, Shela Akbar Ali Hirani

School of Nursing & Midwifery

Background: Pakistan is a developing country with the second highest infant and child mortality rate in South Asia. In this region, malnutrition underlies much of the high infant and under five child morbidity and mortality rates. Although struggle to tackle the issue of malnutrition among young Pakistani children has been going on since many decades, till yet a realistic solution for this growing problem has not been found.

Objective: This paper aims at reviewing literature to analyse the biological, maternal, socio-cultural, environmental, and politico-economical determinants of malnutrition among young children in Pakistan so that need based interventions can be recommended ...


Obstacles To Attending Treatment In An Urban Mental Health Clinic: A Client’S Perspective Approach To Identifying Factors Influencing Treatment Attendance, Nicholas M. Delaney 2012 The College at Brockport

Obstacles To Attending Treatment In An Urban Mental Health Clinic: A Client’S Perspective Approach To Identifying Factors Influencing Treatment Attendance, Nicholas M. Delaney

Counselor Education Master's Theses

The majority of clients seeking, and participating in, mental health treatment face a variety of barriers to their regular attendance; much of the focus, however, has continued to be centered around the experience of the provider and not on the client. The following research investigates the perceptions held by clients in an urban, low income, mental health setting, about what barriers they face. Clients completed a survey asking them to identify, on a likert scale, the degree to which they experienced barriers in several areas as they pertained to their mental health treatment. Clients also identified ways in which they ...


Investigating Burnout At A County Mental Health Agency, David B. Luce 2012 The College at Brockport

Investigating Burnout At A County Mental Health Agency, David B. Luce

Counselor Education Master's Theses

Burnout is an increasingly prominent phenomenon that exists within helping professions due to the nature of the work required by them. Initially a deep look into burnout and the factors that contribute to it are explored. Consequences of burnout are compartmentalized into organizational and personal components to build necessary support for the current study. Risk factors that predispose an individual or establish an environment that facilitates higher levels of burnout are then examined. A general look at helping professionals and the impact burnout has on each is then followed by a specific look at the population of agency-based mental health ...


The Ideal Whole Health Family Oriented Community Center, Jessica St. Germain 2012 University of New Hampshire - Main Campus

The Ideal Whole Health Family Oriented Community Center, Jessica St. Germain

Honors Theses and Capstones

This paper discusses what would make up the ideal whole health family oriented community center. It looks at the history of community centers in a general manner, and it looks at three existing community centers in New Hampshire. This paper also addresses potential problems and difficulties a whole health family oriented community center might face.


Connecting Cultures: Msmcbj’S Alternative Methods To Mental Health Therapy Within The Aldeia Indigenous Reserve And The Bom Jardim Favela, Emily Rasowsky 2012 SIT Study Abroad

Connecting Cultures: Msmcbj’S Alternative Methods To Mental Health Therapy Within The Aldeia Indigenous Reserve And The Bom Jardim Favela, Emily Rasowsky

Independent Study Project (ISP) Collection

For my Independent Research Project I observed how community integration and connecting individuals back to the indigenous cultural idea of community work together to improve upon the mental health of individuals in the Favela of Bom Jardim, Fortaleza and the Pitaguary Indigenous Reserve or Aldeia. I examined how the Movimento de Saude Mental Comunitara do Bom Jardim (MSMCBJ) organization provides individuals within Bom Jardim a space to build a supportive community, based in indigenous ideals, while simultaneously providing professional and social opportunities for the Pitaguary tribe to create a sense of cultural valorization and how both of these aspects lead ...


Conflict Situation For Health Care Workers: A Case Study Of The Occupational Challenges In Kasangati Health Centre Iv And Their Implications For Patient Care., Shannon McDowell 2012 SIT Study Abroad

Conflict Situation For Health Care Workers: A Case Study Of The Occupational Challenges In Kasangati Health Centre Iv And Their Implications For Patient Care., Shannon Mcdowell

Independent Study Project (ISP) Collection

Many factors influence a country’s ability to provide quality health services for its people. Particularly, quality health care hinges upon the availability of properly trained and equipped health care workers (HCWs) to deliver effective care. Resource-strained countries committed to the Millennium Development Goals are confronting the reality that shortages and uneven distribution of HCWs threaten their capacities to encourage and establish healthy communities. A scarcity in HCWs is one challenge of public health initiatives and places stress on existing HCWs. Other challenges faced by HCWs severely affect performance, motivation, and overall care-giving ability.

This study aims to examine the ...


The Influence Of Neighborhood Characteristics On The Existence Of Asthma In Children, Elizabeth Adejuyigbe 2012 University of New Hampshire - Main Campus

The Influence Of Neighborhood Characteristics On The Existence Of Asthma In Children, Elizabeth Adejuyigbe

Annual Undergraduate Conference on Health and Society

Asthma is one of the leading chronic diseases in children 17 years of age and under with nine million American children suffering from it. Previous studies to understand causal factors of disease including asthma tend to focus on the individual and sociocultural characteristics but there is little to no research using neighborhood characteristics, a factor that does influence health. Research shows that other community‐level environmental factors like collective efficacy, community structural factors, and neighborhood safety can affect a persons’ psychosocial well-being, and in turn increase morbidity. For this reason, researchers suggest that the need to understand asthma and its ...


Bungy Jump Into The Unknown - Women Escaping Domestic Violence, Megan Levy 2012 University of Notre Dame Australia

Bungy Jump Into The Unknown - Women Escaping Domestic Violence, Megan Levy

Megan Levy

What happens to those women coming out of a women’s refuge? Can they live away from Domestic Violence? Do they have parenting skills? To answer these questions a case study methodology combined with theories from Humanistic, Social and Community Psychology was implemented to analyse the contents of the meetings held by the refuge’s Self-Help Group,. This group consisted of 11 women, ages 29 to 48 yo: Five of them still in domestic violence; and the rest escaping DV: two, in the refuge, and four who had left 12 to 36 months ago. The first finding: When a woman ...


Risk Factors For Depression Among Married Women Belonging To Higher And Lower Socioeconomic Status In Karachi, Pakistan, Saima Zainab, Zafar Fatmi, Ambreen Kazi 2012 Aga Khan University

Risk Factors For Depression Among Married Women Belonging To Higher And Lower Socioeconomic Status In Karachi, Pakistan, Saima Zainab, Zafar Fatmi, Ambreen Kazi

Community Health Sciences

OBJECTIVES: To determine the risk factors for depression among married women belonging to low and high socioeconomic status in Karachi.METHODS: The study design was cross-sectional. The data was collected from 128 adult married women during July to September 2005. The women were selected from different socioeconomic classes from five hospitals/institutes in Karachi. The Centre for Epidemiology Studies-Depression (CES-D) scale was used to screen the subjects for depression and a structured questionnaire was used to identify the factors for depression.RESULT: According to the CES-D scale, 65% of the study population was found to be depressed. Among the women ...


Blunting The Legacy Of Alcohol Abuse In Western Australia, Tony Kirby 2012 Western University

Blunting The Legacy Of Alcohol Abuse In Western Australia, Tony Kirby

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.


Design Of A Fuzzy-Based Decision Support System For Coronary Heart Disease Diagnosis, Awang Bulgiba 2012 Department of Social and Preventive Medicine, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA

Design Of A Fuzzy-Based Decision Support System For Coronary Heart Disease Diagnosis, Awang Bulgiba

Awang Bulgiba Awang Mahmud

In the present paper, a fuzzy rule-based system (FRBS) is designed to serve as a decision support system for Coronary heart disease (CHD) diagnosis that not only considers the decision accuracy of the rules but also their transparency at the same time. To achieve the two above mentioned objectives, we apply a multi-objective genetic algorithm to optimize both the accuracy and transparency of the FRBS. In addition and to help assess the certainty and the importance of each rule by the physician, an extended format of fuzzy rules that incorporates the degree of decision certainty and importance or support of ...


The Clinical Gaze In The Practice Of Migrant Health: Indigenous Mexican Migrants In The United States, Seth M. Holmes PhD, MD 2012 University of California - Berkeley

The Clinical Gaze In The Practice Of Migrant Health: Indigenous Mexican Migrants In The United States, Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

This paper utilizes eighteen months of ethnographic and interview research undertaken in 2003 and 2004 as well as follow-up fieldwork from 2005 to 2007 to explore the sociocultural factors affecting the interactions and barriers between U.S. biomedical professionals and their unauthorized Mexican migrant patients. The participants include unauthorized indigenous Triqui migrants along a transnational circuit from the mountains of Oaxaca, Mexico, to central California, to northwest Washington State and the physicians and nurses staffing the clinics serving Triqui people in these locations. The data show that social and economic structures in health care and subtle cultural factors in biomedicine ...


Explaining And Improving Breast Cancer Information Acquisition Among African-American Women In The Deep South, Charkarra Anderson-Lewis, Levi Ross, Jarrett Johnson, Janice Hastrup, Lee Green, Connie L. Kohler 2012 University of Southern Mississippi

Explaining And Improving Breast Cancer Information Acquisition Among African-American Women In The Deep South, Charkarra Anderson-Lewis, Levi Ross, Jarrett Johnson, Janice Hastrup, Lee Green, Connie L. Kohler

Levi Ross

Objectives: A major challenge facing contemporary cancer educators is how to optimize the dissemination of breast cancer prevention and control information to African American women in the Deep South who are believed to be cancer free. The purpose of this research was to provide insight into the breast cancer information-acquisition experiences of African American women in Alabama and Mississippi and to make recommendations on ways to better reach members of this high-risk, underserved population.

Methods: Focus group methodology was used in a repeated, cross-sectional research design with 64 African American women, 35 years old or older who lived in one ...


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