Suchergebnisse

Injection drug use is an ongoing urban health crisis in China and one of the largest drivers of the transmission of HIV/AIDS. Sentinel surveillance sites in Yunnan province show upwards of 20% of injection drug users (IDUs) are HIV positive. Though the Ministry of Health has scaled-up needle exchange programs (NEPs), they have not received official government recognition nor have they been extensively evaluated to explore factors influencing their acceptability and feasibility. Using in-depth qualitative interviews conducted from February to July 2008 with 35 participants consisting of IDUs and other key stakeholders, we explored facilitators and barriers to accessing needle exchange programs in Kunming, the capital of Yunnan province. Content analysis was conducted to identify themes including attitudes toward NEPs and harm reduction, barriers to access, and suggestions for improvement. Themes that emerged included fears of breached confidentiality and police interference at the exchange sites and tensions between the public health and law enforcement perspective. Low levels of NEP-related knowledge and awareness were uniformly reported among interviewees. Suggestions to facilitate an increase in NEP acceptance included raising awareness of harm reduction and HIV more generally, offering services such as psychological counseling, job training and behavioral therapy at NEPs, and increasing communication between police, government, and public health officials. High rates of HIV infection among injection drug users in China have prompted rapid scale up of NEPs. Additional adaptations are necessary, however, to increase needle exchange use among injection drug users. This study finds that an urgent need to raise awareness of NEPs among policy makers and IDUs and act upon identified steps for developing social-structural interventions to create enabling environments that facilitate increased access to NEPs among injection drug users in Kunming.

AbstractThe long‐term sustainability and stability of the evaluation profession is dependent on superior, evaluation‐specific education programs designed to help increase the quality, numbers, visibility, and collective impact of evaluation theory and practice in society. Recent studies illustrate the breadth of colleges and universities in the United States that are offering certificates, master's degrees, and doctoral degrees with a specialization in evaluation. Less attention has been paid, however, to the ways higher education institutions prepare would‐be evaluators to recognize the limits of their expertise and to work with individuals and communities that may not share their expertise or background. The importance of this awareness is compounded by the ethical challenges associated with facilitating evaluative work with diverse, historically marginalized groups such as LGBTQ+ communities, which may have their own fraught histories with evaluation. This chapter will discuss LGBTQ+ perspectives that educators should include in their evaluation curricula to help inform high‐quality, ethical practice, and conclude with a dialogue between the authors about the process of writing the chapter, their concerns, and their hopes for the future.

Poor cognitive control has been associated with maladaptive thinking, like rumination and worry, that increase risk for internalizing psychopathology. However, little research has investigated how cognitive control is associated with commonalities between rumination and worry (i.e., repetitive negative thinking; RNT). The current study aimed to investigate how cognitive control predicts engagement in a common component of RNT over time via an indirect mechanism of dependent stress generation in a one-semester longitudinal study of emerging adult college students ( N = 224). Executive functioning task performance and self-reported attentional control (not working memory capacity task performance) prospectively predicted RNT, mediated by dependent stress, but did not predict change in stress or RNT from baseline. These findings suggest that aspects of cognitive control relevant for successful goal pursuit may be involved with maintaining levels of stressful life events and subsequent RNT.