Everyone should be able to choose how they get around : How Topeka, Kansas, passed a complete streets resolution

BACKGROUND: Regular physical activity can help prevent chronic diseases, yet only half of US adults meet national physical activity guidelines. One barrier to physical activity is a lack of safe places to be active, such as bike paths and sidewalks. Complete Streets, streets designed to enable safe access for all users, can help provide safe places for activity. COMMUNITY CONTEXT: This community case study presents results from interviews with residents and policymakers of Topeka, Kansas, who played an integral role in the passage of a Complete Streets resolution in 2009. It describes community engagement processes used to include stakeholders, assess existing roads and sidewalks, and communicate with the public and decision-makers. METHODS: Key informant interviews were conducted with city council members and members of Heartland Healthy Neighborhoods in Topeka to learn how they introduced a Complete Streets resolution and the steps they took to ensure its successful passage in the City Council. Interviews were recorded, transcribed, and analyzed by using focused-coding qualitative analysis. OUTCOME: Results included lessons learned from the process of passing the Complete Streets resolution and advice from participants for other communities interested in creating Complete Streets in their communities. INTERPRETATION: Lessons learned can apply to other communities pursuing Complete Streets. Examples include clearly defining Complete Streets; educating the public, advocates, and decision-makers about Complete Streets and how this program enhances a community; building a strong and diverse network of supporters; and using stories and examples from other communities with Complete Streets to build a convincing case

Self and role perception of social work students during training

Thesis (M.S.)--Boston Universit

Stable incidence rates of tuberculosis (TB) among human immunodeficiency virus (HIV)-negative South African gold miners during a decade of epidemic HIV-associated TB.

During the last decade, annual tuberculosis (TB) case-notification rates increased 4-fold, to >4000 cases/100000 person-years, in the study workforce, among whom prevalence of human immunodeficiency virus (HIV) was 30% in 2000. Three separate cohort studies, totalling 6454 HIV-negative participants, were combined and analyzed for time trends. Observed incidence of TB varied between 962 (1991-1994) and 1589 (1999-2000) cases/100000 person-years (P=.17, test for trend). There was, however, a progressive increase in age, and, for each period, older age was associated with increased incidence rates of TB (P<.001). Having adjusted for age differences, there was no significant association between incidence of TB and calendar period (P=.81, test for trend). Relative to 1991-1994, multivariate-adjusted incidence-rate ratios were 0.94, for 1995-1997, 0.96, for 1998-1999, and 1.05, for 1999-2000. Preventing a secondary epidemic of TB among HIV-negative individuals may be achievable with conventional means, even in settings with a high burden of HIV-associated TB

Psychological and Emotional Responses to Climate Change among Young People Worldwide: Differences Associated with Gender, Age, and Country

Recent research has described concern and anxiety about climate change, especially among young people, but limited data are available looking at the responses of adolescents. Based on further analysis of an existing dataset that obtained survey responses from young people aged 16–25 in 10 different countries, this paper examines differences associated with gender and age, which are important predictors of vulnerability to the impacts of climate change. Gender differences were small but consistent, with female respondents expressing greater levels of concern and negative emotions, while male respondents were more optimistic and expressed greater faith in the government. Within this narrow age group, there were small but significant positive correlations showing that concern and negative emotions about climate change were higher among older respondents. There were complex differences among countries; in general, respondents in the Philippines, India, and Nigeria reported a stronger psychological impact of climate change than respondents in the United States and Finland. These results help to describe the extent and patterns of climate anxiety in multiple locations around the world in an age range that is relatively understudied