6 research outputs found
Integrating mental health and substance use treatment with HIV care for people experiencing homelessness.
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Integrating mental health and substance use treatment with HIV care for people experiencing homelessness.
Distribution and Performance of the Nonnative Seagrass Zostera japonica across a Tidal Height Gradient on Shaw Island, Washington.
v. ill. 23 cm.QuarterlyIn the Northeast Pacific the nonnative seagrass Zostera japonica frequently exists at the same sites as the native seagrass Zostera marina. Although at some sites their vertical distributions overlap, at most sites in the Pacific Northwest there is a distinctive unvegetated zone between them. The objective of this study was to better understand why a gap between the lower limit of Z. japonica and the upper limit of Z. marina exists. To address this issue we carried out transplant experiments, conducted in situ monitoring of existing Z. japonica patches, and collected sediment samples at South Beach on Shaw Island, Washington, during the spring and summer of 2006. Transplant and in situ monitoring data indicate that survival and performance of Z. japonica are reduced lower in the intertidal zone. In addition, Z. japonica patches tended to be smaller and more spaced out at lower tidal heights. Although we found no Z. japonica seeds within or outside extant Z. japonica patches, high transplant mortality indicates that Z. japonica dispersal limitation is an unlikely cause of the unvegetated gap zone. Our field observations further suggest that herbivory, bioturbation, and epiphytes are unlikely causes of the gap pattern at our study site. Instead, we hypothesize that light limitation prevents Z. japonica from occurring lower in the intertidal. A review of published vertical distribution data for both Zostera species indicates that the lower limit of Z. japonica is relatively invariant among sites. In contrast, the upper limit of Z. marina is highly variable, ranging by more than 4 m within some subregions in Washington State. Consequently we hypothesize that intersite variability in the vertical distribution of Z. marina is the primary driver of spatial variability in the presence of the unvegetated gap
COVID-19 Testing and Vaccine Acceptability Among Homeless-Experienced Adults: Qualitative Data from Two Samples.
BackgroundHomeless-experienced populations are at increased risk of exposure to SARS-CoV-2 due to their living environments and face an increased risk of severe COVID-19 disease due to underlying health conditions. Little is known about COVID-19 testing and vaccination acceptability among homeless-experienced populations.ObjectiveTo understand the facilitators and barriers to COVID-19 testing and vaccine acceptability among homeless-experienced adults.DesignWe conducted in-depth interviews with participants from July to October 2020. We purposively recruited participants from (1) a longitudinal cohort of homeless-experienced older adults in Oakland, CA (n=37) and (2) a convenience sample of people (n=57) during a mobile outreach COVID-19 testing event in San Francisco.ParticipantsAdults with current or past experience of homelessness.ApproachWe asked participants about their experiences with and attitudes towards COVID-19 testing and their perceptions of COVID-19 vaccinations. We used participant observation techniques to document the interactions between testing teams and those approached for testing. We audio-recorded, transcribed, and content analyzed all interviews and identified major themes and subthemes.Key resultsParticipants found incentivized COVID-19 testing administered in unsheltered settings and supported by community health outreach workers (CHOWs) to be acceptable. The majority of participants expressed a positive inclination toward vaccine acceptability, citing a desire to return to routine life and civic responsibility. Those who expressed hesitancy cited a desire to see trial data, concerns that vaccines included infectious materials, and mistrust of the government.ConclusionsParticipants expressed positive evaluations of the incentivized, mobile COVID-19 testing supported by CHOWs in unsheltered settings. The majority of participants expressed a positive inclination toward vaccination. Vaccine hesitancy concerns must be addressed when designing vaccine delivery strategies that overcome access challenges. Based on the successful implementation of COVID-19 testing, we recommend mobile delivery of vaccines using trusted CHOWs to address concerns and facilitate wider access to and uptake of the COVID vaccine