The Fountain District: Framework Plan

The \u27South Auditorium\u27 neighborhood established itself in the days when loggers and other workers filled the district’s hotels due to its proximity to the river. In the wake of the Great Depression and as the logging trade declined, the area began to fall into disrepair and development shifted away from the Willamette River. By the 1950s, many of its 2,000+ inhabitants were low-income or elderly and living in small, poorly maintained apartments, shuffling from one to the next as they were forced out of their prior home. The neighborhood was also extremely diverse, housing numerous immigrant families, particularly Italian, Jewish, Chinese, and African American families. In 1955, the newly formed Portland Development Commission targeted a block of land in what was then considered part of South Portland as a test of the new Urban Renewal philosophy making the rounds in planning circles, at the behest of the Mayor’s Advisory Committee. It was decided that a 110 acre portion of the district would be razed in two phases. Interestingly, the district had originally been intended as the home for a new expo center or coliseum, with the remaining redevelopment occurring around it. This center would be just the sort of attraction to lure people to the city center, it was believed; these plans were scrapped, however, after conflicts between interested parties on each side of the Willamette resulted in the centerpiece of the project (later to be Veterans’ Memorial Coliseum) being relocated to the eastern side of the river. Inspired by the design principles of Le Corbusier and the budgets of major firms such as Skidmore, Owings, and Merrill (SOM), renewal pressed onward, with the forthcoming towers and plazas to be punctuated by greenspaces, among them a set of fountains crafted by Lawrence Halprin. Little, if anything, remains of the district as it had existed prior to the removal of the area’s residences, businesses, and the communities who resided there. This project was conducted under the supervision of Donald J. Stastny and Edward Starkie

Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adults

IntroductionTransgender and gender non-binary (TGNB) individuals are disproportionally affected by HIV and face high rates of discrimination and stigmatization, resulting in limited access to HIV prevention services. Pre-exposure prophylaxis (PrEP) is highly efficacious for reducing the risk of HIV transmission. However, little research is available regarding PrEP awareness and utilization among TGNB adolescents and young adults (AYA).MethodsTGNB AYA ages 15–24 years old were recruited between December 2021 and November 2022 for participation in a one-time, anonymous online survey study to assess PrEP awareness and perceptions, as well as barriers to its use. Participants were recruited from seven academic centers offering gender-affirming care to TGNB AYA across the United States.ResultsOf the 156 TGNB AYA individuals who completed the survey, most (67%) were aware of PrEP; however, few (7%) had been prescribed PrEP. Many (60%) had not spoken to a medical provider and, even if the medication was free and obtained confidentially, most participants did not plan to take PrEP due to low perceived HIV risk, lack of PrEP knowledge, and concern about interactions between their hormone therapy and PrEP.DiscussionThese findings underscore the need for broad PrEP educational efforts for both TGNB AYA and their providers to improve knowledge, identify potential PrEP candidates among TGNB AYA and improve access by addressing identified barriers

Promoting Self-Management in Adolescents with Chronic Health Conditions: Understanding Parent Support Needs

Thesis (Master's)--University of Washington, 2018For adolescents with chronic health conditions, developing self-management abilities is an ongoing process that may affect their future health outcomes. Parents are inextricably involved in this process and have the opportunity to act as key players in promoting self-management as youth progress towards becoming young adults. The aim of this study was to understand the support needs of parents working to promote self-management in their adolescent children with chronic health conditions, and to elaborate on a previously published Ecological Framework for transitioning to adult healthcare. Five major themes were identified: (1) Ease of navigating health systems, (2) Education on adolescent development, (3) Coaching for parents and adolescents on communication strategies and self-management skills, (4) Connecting parents and adolescents with peer support, and (5) Clinical strategies to increase the child’s involvement in medical care. Using these findings, we provide specific recommendations for future research and program development at both clinical and health system levels to support parents in promoting self-management in their adolescent children