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At least 577 records · Page 32Linked to original sources
PubMed1996

Summary of track D: social science: research, policy and action.

SCOPE: This review summarizes the main issues discussed during Track D, which examined the societal impact of HIV/AIDS, and responses to the epidemic by individuals, families, communities and societies worldwide. Micro- and macrolevel issues addressed included the development, implementation and evaluation of programmes for prevention and care; policy development and implementation; structural issues such as the impact of gender relations, development and migration on the development of the epidemic; and the social and economic impact of HIV/AIDS on affected societies and communities. RECURRENT THEMES: Presentations provided strong evidence that peer-led, community-based programmes offer particularly effective ways of working, and that participatory research involving affected communities provides useful results for the design and evaluation of programmes and policies. This is the case across settings, issues, populations and countries. FUTURE DIRECTIONS: Emerging needs include how best to ensure sustainability of national and international responses, how best to scale up successful interventions for wider reach, and how best to work with systematically marginalized, neglected groups and populations. Research priorities include the characterization of the multiple determinants of HIV-related vulnerability, and the evaluation of interventions that take these complex determinants as their starting point. A more coherent and strategic response requires less separation between the different constituencies involved in AIDS work, and the more sustained involvement of people living with HIV/AIDS themselves.

Community Health Services↗
PubMed1989

Environment and quality of life: a reaction from the perspective of social science and environmental design.

While it is a truism that nursing homes should reflect a homelike setting, relatively few nursing homes have been successful in avoiding a hospital-like image. In this reaction to the paper by Dr. Kayser-Jones, I have reviewed major theoretical models of how environment influences adaptation in the aged and presented some ways in which the nursing home environment can be modified. The delivery of long-term care services to the aged can be improved by addressing their physical, social, and psychological needs through better architectural and interior design, as well as efforts on the part of nursing professionals to ensure adequate patient care. Nurses can play a key role in the design process by assisting architects in programming buildings that meet the basic requirements for good patient care.

Animals↗
PubMed1999

A social science perspective on screening for Chlamydia trachomatis.

A recent report from the chief medical officer's expert advisory group on Chlamydia trachomatis has recommended the setting up of two pilot projects to assess the feasibility of introducing a national chlamydia screening programme. In addition to screening all symptomatic individuals and all attenders at genitourinary medicine clinics, the report recommends opportunistic screening of sexually active young women and women at high risk of infection, who are attending either general practice or family planning clinics. The success of any new screening programme depends on a wide variety of factors, not least the acceptability of such screening to its target population. In recent years, social scientists have made significant contributions to the understanding of the psychological factors which facilitate or inhibit uptake of screening services. The aim of this report is to discuss briefly the contribution social scientists could make to the chlamydia screening programme in the United Kingdom. In particular, the possible effects of screening for a stigmatized condition such as a sexually transmitted infection are explored.

Ambulatory Care Facilities↗
PubMed1998

Female juvenile delinquency: misunderstood by the juvenile justice system, neglected by social science.

The study of juvenile delinquency has focused primarily on conduct disorder and aggression in males, while relatively little attention has been paid to females who commit delinquent acts. This article offers a critical review of the existing theories of and research on female delinquency and the juvenile justice system's response to female delinquency. The inadequacies and persistence of historical theories and the conceptual and methodological strengths and weaknesses of contemporary perspectives in female delinquency are reviewed. Understanding and treatment of female and male delinquency could be enhanced through the adoption of a gender-integrated theory of delinquency that is informed by the comprehensive study of developmental, psychological, and social-ecological determinants.

Adolescent↗
PubMed1992

Drug injecting and HIV infection: new directions for social science research.

An overview is presented of the relationship between drug injecting and HIV infection. The pattern of spread of HIV infection among drug injectors and risk factors associated with the spread of HIV among drug injectors are considered, together with evidence on the adoption of behavior changes intended to reduce such risks. Some promising reduction in risky behaviors has been evident among established drug injectors. Public health prevention strategies, such as syringe distribution and exchange and AIDS outreach work, appear to have fostered decreases in HIV-related risks among drug injectors. The role of methadone maintenance remains uncertain. Despite advances, many obstacles remain. The future research agenda requires work on prevention strategies and the role of drug user treatment. Social scientists need to address the fact that patterns of drug-using behavior reflect powerful "structural factors" such as poverty, unemployment, and housing conditions.

Cross-Cultural Comparison↗
PubMed1995

[Medical chemoprevention of cancers. From the point of view of social sciences].

The orientation of the medical activity toward preventive strategies knows currently an important development. This movement shows various logic, which are: on one hand a rational step, a strategic choice in favour of prevention, and on the other hand a choice by elimination, when the other forms of intervention establish insufficient efficiency. Prevention had to follow the path of validity to acquire pertinence. The gold-standard is randomised blinded trials and it is this kind of procedure that has been proposed in the BCPT (Breast cancer prevention trial). By comparison with a classic therapeutic trial the main differences of prevention trial lay in: criteria of inclusion, analyses of impact larger than the simple efficiency (quality of life), on the focus on the risk (especially genetic) and the legal context. One of the main points is the question of risks induced by an intervention on healthy persons. In this context, even the passage of an uncertainty to a "certainty" concerning induced risks can not always suffice to close the controversy. Physicians cannot in this case, refer to norms and to models since this type of intervention is new.

Antineoplastic Agents↗