Thematic Analysis of Mainstream Rap Music - Considerations for Culturally Responsive Sexual Consent Education in High School

Background: Much of the research literature on sexual consent and sexual consent education has been focused on college students, providing a significant gap in our understanding of high school students, especially ethnic minority youth, who are at greatest risk for unwanted sexual contact and sexual activity. Furthermore, recent research suggests that music with sexually suggestive and misogynistic themes influence sexual communication and consenting behaviors. An analysis of rap music produced after the year 2000 is necessary to identify themes that may influence sexual communication among youth. Methods: A thematic analysis was conducted to examine the lyrics of mainstream rap music songs. Songs from the Billboard Hot Rap Singles Year-End Charts for the years 2001 through 2011 served as the data corpus for thematic analysis. Results: Each year, an average of 18 songs in the top 25 rap music hits included some level of sexual content. Overall, approximately 74% of the 244 songs made references to sex, sexual expectations and/or relationships. Three major themes emerged from the analysis: (1) It’s Really About Sex or Nothing At All, (2) Substances as the Precursor/Enhancer, and (3) Performance, Parts & Brand. Conclusion: The major themes found here highlight the prevalence of norms that perpetuate non-consensual sex and non-verbal sexual communication in a dominant musical genre. Each theme presented in this study represents rules and expectations related to sexual interactions that could influence an adolescent’s view of sexual communication and consent. Findings here should be further examined to identify how adolescents may perceive them and resonate with their meanings

Clueless in the city: conceptualizations of the city in German environmentalism

"Um erfolgreich zu sein, brauchen soziale Bewegungen ein Credo, das Eigenschaften, Ursachen und mögliche Lösungen eines sozialen Problems so popularisiert, dass potentielle Anhänger und Unterstützer motiviert sind, sich in vielfältigen Formen zu engagieren. In dem Vortrag werden die Verfasser argumentieren, dass es den deutschen Umweltschutzbewegungen in den verschiedenen Zeitepochen bisher nicht gelungen ist ein anziehendes Gesellschaftsmodell zu entwickeln, in dem die 'Stadt' bzw. urbane Lebensformen einen positiven Beitrag zur Qualität der Umwelt leisten können. Dies ist immer ein Kernmangel der Bewegung gewesen und bleibt es vermutlich auch in Zukunft. Dieses Manko ist tief verwurzelt in der Geschichte der deutschen Umweltbewegungen. Der Vortrag wird Grundzüge dieser spezifischen Vorkriegsgeschichte der Stadtfeindlichkeit darstellen. Desgleichen werden die neue Umweltbewegung der 70er und 80er Jahren analysiert. Erst jetzt wurde hier die Stadt in eine umfassende gegenkulturelle Theorie von Umweltproblemen und -lösungen einbezogen. Die Stadt und ihre Industrien allerdings wurden auch in diesen Konzepten lediglich als Verursacher der Probleme betrachtet. Einige der von der Umweltbewegung geförderten Maßnahmen konnten durchgesetzt werden, aber die Hiobsbotschaften auf das eigene Auto und das eigene Haus im Grünen zu verzichten, wie auf den Konsum, waren nicht umzusetzen. Obwohl die Umweltorganisationen heute auch weiterhin viele Unterstützer haben und sich eines gewissen Wachstums erfreuen können, haben sie ihre Strategien insofern geändert, dass jetzt der Naturschutz in Deutschland und in den Entwicklungsländern in den Vordergrund gestellt wird. Im Kampf gegen den Stadtverkehr und Landschaftszersiedlung werden nur noch Rückzugsgefechte betrieben und eine grundsätzliche Kritik der städtischen Konsumgesellschaft wird nicht mehr propagiert. Gleichwohl könnten diese neuen Konzepte zur nachhaltigen Stadtentwicklung ironischerweise die Eckpfeiler eines positiven Konzepts von Stadt und Umwelt begründen, dies allerdings, angesichts des wirtschaftspolitischen Klimas, mit bisher wenig Resonanz in Politik und in der Bevölkerung." (Autorenreferat

Sexual health education for behavior change: How much is enough?

Purpose: Successful implementation of sexual health curricula in school settings is often compromised by competing academic priorities. This study explores the association between exposure to sexual health lessons (time-on-task in hours and lesson content topics) and delayed sexual initiation of middle school students at long term follow-up. Methods: Post hoc data analysis was conducted from a RCT (n=15 middle schools) in the south-central U.S. in which grade 7 students demonstrated delayed sexual initiation (adjusted odds ratio [AOR]: 1.54, 95% CI: 1.20 to 1.99) by grade 9 follow-up after using It’s Your Game (IYG), a 24 lesson sexual health curriculum. Logistic regression was conducted on a sub-sample of 314 grade 7 and 8 students who received IYG and who were sexually inexperienced at baseline, adjusting for covariates of age, gender, and race/ethnicity to address the impact of lesson exposure variables (time-on-task in hours and type of sexual health content) on initiation of any sex by grade 9. Results: The greatest impact of exposure on delayed sexual initiation was a duration of 13 or more lesson hours (OR = 8.40; p\u3c0.05) and exposure to lesson content on HIV/STI and pregnancy consequences (OR = 4.93; p\u3c0.05). Conclusions: Results support previous exposure studies and provide guidance on how effective sexual health curricula can meet the challenges of delivery in a reduced and competitive academic environment

Can dream science be used to elicit healthy behaviors?

The science of dreams and their interpretation may seem like a recent trend, justifying current research interests. Yet, for centuries, dream science, once called oneirology, has captivated dreamers in quest of meanings and motivated scientists in search of explanations. Due to the recent expansion of dream research this narrative review discusses and explores relationships between dreaming and health promoting behaviors. Perspectives from current evidence are classified according to the fundamentals of the Freudian dream theory. Selected investigations are reviewed according to specific elements of the psychoanalytic theory, suggesting new approaches including a possible explanation of the paradox of the rapid eye movement (REM) sleep and new terms proposed, pre-REM and post-REM, to replace non-REM (NREM) sleep. This review draws parallels between selected studies and the possible health promotion benefits within a psychoanalytic perspective, proposing possible lines of research to improve physical and mental health and wellbeing within the context of dreaming. The potential of dreaming to elicit healthy behaviors may be possible if the dynamics of the psyche\u27s structure are consciously understood. Further examinations of dream science could lead to unexplored areas of public health, neuropsychoanalysis, and health promotion with an integrative and cross-disciplinary approach

Sociodemographic factors associated with attendance to Brighter Bites, a school-based food co-op nutrition intervention for low-income families

Participants: The analytic sample included 6,796 participants from five of the six cities in which Brighter Bites was implemented (Houston, Austin, Dallas, Washington, D.C., and Southwest Florida). Main Outcome Measures: Predictor variables included child’s grade, gender, race/ethnicity, parent employment, and government assistance utilization. Outcome variable was a binary measure of attendance: 1=attendance at or above the threshold or 0=attendance below the threshold, where the threshold was operationalized as attending 75% of the distributions. Analysis: A multi-level logistic regression and bivariate analysis were completed to measure the association between attendance and predictor variables. Results: Results show, compared to Hispanics, Whites were 39% and African Americans 53% less likely to attend at the threshold. Also, families who received SNAP benefits were 33% less likely to attend and families with homemakers had 1.68 greater odds of attending. Conclusions and Implications Identifying predictors of program attendance can inform future equitable implementation and dissemination strategies. Findings indicate race/ethnicity, parent employment and receipt of certain government assistance have significant associations with attending Brighter Bites

Reducing Sexual Risk among Racial/ethnic-minority Ninth Grade Students: Using Intervention Mapping to Modify an Evidenced-based Curriculum

Background: Racial/ethnic-minority 9th graders are at increased risk for teen pregnancy, HIV, and STIs compared to their White peers. Yet, few effective sexual health education programs exist for this population. Purpose: To apply IM Adapt—a systematic theory- and evidence-based approach to program adaptation—to modify an effective middle school sexual health education curriculum, It’s Your Game…Keep It Real! (IYG), for racial/ethnic-minority 9th graders. Methods: Following the six steps of IM Adapt, we conducted a needs assessment to describe the health problems and risk behaviors of the new population; reviewed existing evidence-based programs; assessed the fit of IYG for the new population regarding behavioral outcomes, determinants, change methods, delivery, and implementation; modified materials and activities; planned for implementation and evaluation. Results: Needs assessment findings indicated that IYG targeted relevant health and risk behaviors for racial/ethnic-minority 9th graders but required additional focus on contraceptive use, dating violence prevention, active consent, and access to healthcare services. Behavioral outcomes and matrices of change objectives for IYG were modified accordingly. Theoretical methods and practical applications were identified to address these behavioral outcomes, and new activities developed. Youth provided input on activity modifications. School personnel guided modifications to IYG’s scope and sequence, and delivery. The adapted program, Your Game, Your Life, comprised fifteen 30-minute lessons targeting determinants of sexual behavior and healthy dating relationships. Pilot-test data from 9th graders in two urban high schools indicate promising results. Conclusion: IM Adapt provides a systematic theory- and evidence-based approach for adapting existing evidence-based sexual health education curricula for a new population whilst retaining essential elements that made the original program effective. Youth and school personnel input ensured that the adapted program was age-appropriate, culturally sensitive, and responsive to the needs of the new population. IM Adapt contributes to the limited literature on systematic approaches to program adaptation

Using an intervention mapping approach to develop a discharge protocol for intensive care patients

Background: Admission into an intensive care unit (ICU) may result in long-term physical, cognitive, and emotional consequences for patients and their relatives. The care of the critically ill patient does not end upon ICU discharge; therefore, integrated and ongoing care during and after transition to the follow-up ward is pivotal. This study described the development of an intervention that responds to this need. Methods: Intervention Mapping (IM), a six-step theory- and evidence-based approach, was used to guide intervention development. The first step, a problem analysis, comprised a literature review, six semi-structured telephone interviews with former ICU-patients and their relatives, and seven qualitative roundtable meetings for all eligible nurses (i.e., 135 specialized and 105 general ward nurses). Performance and change objectives were formulated in step two. In step three, theory-

Refugee Health Education: Evaluating a Community-Based Approach to Empowering Refugee Women in Houston, Texas

Although resettlement agencies in the United States assist refugees by offering a variety of local social and health services, refugees are still less likely to access these services. Few studies have evaluated refugee health education interventions focusing on barriers to accessing healthcare and overcoming negative social determinants of health. This study evaluated the feasibility, acceptability, and perceived impact of a yearlong health education intervention to empower Burmese refugee women living in Houston, Texas. The intervention included workshops, community excursions, question and answer (Q&A) sessions, and home visits. The evaluation was a formative qualitative study including interviews with Burmese refugee women who participated in the intervention and local resettlement agency caseworkers. Qualitative content analysis guided the data analysis and was conducted to identify categories and emergent themes. Key findings indicated that motivation to participate in the intervention was impacted by the women’s perceived relevance of health education material to Burmese cultural values and opportunities for hands-on learning to promote self-efficacy. Recommendations for future interventions include the use of community health workers to train refugee health educators, pairing English lessons with health education material to promote development of English language skills, developing teaching materials for refugees with low literacy, establishing bottom-up support from refugee resettlement agencies, and incorporating the social work ecological model to tailor health-focused interventions to the specific needs of the refugee community

Brighter Sights: Using Photovoice for a Process Evaluation of a Food Co-op Style Nutrition Intervention

Access to healthy food is a critical factor impacting childhood obesity. Brighter Bites is a school-based program that addresses the issue of fresh food access among low-income families living in food deserts using a food co-op model. The aim of this study is to evaluate initial parent participant reactions to the ongoing Brighter Bites program using Photovoice. A predominately Hispanic, economically disadvantaged, urban school was chosen as the site for the Photovoice project. A total of seven Brighter Bites parent participants were enrolled and six completed the study. The participants developed research questions, took documentary photographs, completed a group analysis of the resulting photos, selected key images and created accompanying captions for a community event. During analysis of the photographs by the group, eight major themes emerged including: impact on the family food budget, produce quality, exposure to unknown fruits and vegetables, socializing with other parents, strategies to use/get children to eat produce, child curiosity of program, and children having fun helping with produce. These themes informed researchers of possible target areas for future program development and quality improvement. The positive nature of most photographs and comments suggests the program is being accepted in the community and impacting local families with regard to food access, food security and healthy eating behaviors