Research report: Exploring the beliefs, attitudes, and behaviors of MSM engaged in substance use and transactional sex in Ghana

This study was implemented by Boston University in collaboration with the Kwame Nkrumah University of Science and Technology with support from the President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development under Project SEARCH Task Order No. GHH‐I‐00‐07‐00023‐00, beginning August 27, 2010. The content and views expressed here are the authors’ and do not necessarily reflect the opinion or policy of USAID or the U.S. Government.This report presents findings from a qualitative study examining the vulnerability to HIV of young men who have sex with men (MSM) in Kumasi, Ghana, and their prevention needs. The study was jointly conducted in Kumasi, Ghana’s second largest urban center, by Boston University’s Center for Global and Health and Development (CGHD) and the Kwame Nkrumah University of Science and Technology (KNUST). It was carried out as a component of Project SEARCH funded by the United States Agency for International Development. The study was designed and conducted in collaboration with FHI 360 (formerly Family Health International (FHI)), an international non‐governmental organization based in the capital city of Accra which operates programs targeting MSM and other key populations in Kumasi, and the Ghana AIDS Commission (GAC). Preventing HIV among key populations in Ghana is a major goal for the National AIDS Control Program (NACP) and the GAC.1 MSM are a particularly stigmatized population in Ghana, in part because male‐to‐male sex has traditionally been viewed as illegal, making them a difficult yet critical to reach population with HIV/AIDS‐related services. This qualitative study was conducted in order to enhance understanding of the beliefs, attitudes, and behaviors of adolescent and young MSM (aged 15‐29). In this population, we particularly sought to focus on two sub‐groups: MSM who engage in transactional sex and those who use alcohol or illicit substances (hereinafter “substances”). The specific objectives were to explore: 1) the types and extent of substance use by MSM; 2) the overlap between substance use and transactional sex among MSM; 3) the beliefs and attitudes related to substance use and transactional sex; 4) knowledge and risk behaviors of both subgroups. The study’s broader goal was to collect and analyze in‐depth data that can be used to improve the outreach and effectiveness of local programs that aim to reach these groups with important HIV prevention and treatment information and with services appropriate to their needs.Support from the President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development under Project SEARCH Task Order No. GHH‐I‐00‐07‐00023‐00, beginning August 27, 201

Associations of Blood Pressure and Cholesterol Levels During Young Adulthood With Later Cardiovascular Events.

BackgroundBlood pressure (BP) and cholesterol are major modifiable risk factors for cardiovascular disease (CVD), but effects of exposures during young adulthood on later life CVD risk have not been well quantified.ObjectiveThe authors sought to evaluate the independent associations between young adult exposures to risk factors and later life CVD risk, accounting for later life exposures.MethodsThe authors pooled data from 6 U.S. cohorts with observations spanning the life course from young adulthood to later life, and imputed risk factor trajectories for low-density lipoprotein (LDL) and high-density lipoprotein cholesterols, systolic and diastolic BP starting from age 18 years for every participant. Time-weighted average exposures to each risk factor during young (age 18 to 39 years) and later adulthood (age ≥40 years) were calculated and linked to subsequent risks of coronary heart disease (CHD), heart failure (HF), or stroke.ResultsA total of 36,030 participants were included. During a median follow-up of 17 years, there were 4,570 CHD, 5,119 HF, and 2,862 stroke events. When young and later adult risk factors were considered jointly in the model, young adult LDL ≥100 mg/dl (compared with <100 mg/dl) was associated with a 64% increased risk for CHD, independent of later adult exposures. Similarly, young adult SBP ≥130 mm Hg (compared with <120 mm Hg) was associated with a 37% increased risk for HF, and young adult DBP ≥80 mm Hg (compared with <80 mm Hg) was associated with a 21% increased risk.ConclusionsCumulative young adult exposures to elevated systolic BP, diastolic BP and LDL were associated with increased CVD risks in later life, independent of later adult exposures

Not just another ball game : young adult and adult football fictions are different

Current media attention on the crossover novel highlights the increasing permeability of the boundaries between young adult and adult fiction. This paper will focus upon some of the difficulties around definitions of young adult fiction before considering the fiction of football, or soccer as it is more commonly known in Australia. The football genre exhibits a number of discrete and identifiable differences between young adult and adult readerships including, for example, the role of the protagonist, and the narrative’s distance from the game. This paper will use Franco Moretti’s Mapping as Distant Reading model of abstraction to highlight and unpack these and other characteristic differences in the narratological and stylistic techniques employed across adult and young adult texts. Close reading analysis of the adult football fiction Striker (1992) by Hunter Davies and young adult football fiction Lucy Zeezou’s Goal (2008) by Liz Deep-Jones’ will further illustrate the range of tensions and divergences as they are reflected across those readerships. The texts have been selected because they speak to themes of fear and safety; Joe Swift (Striker) is driven by a need to move away from childhood poverty and insecurity, while Lucy Zeezou shelters a homeless friend. With both protagonists being kidnapped for ransom for example, the texts have also been selected for their striking similarities in form and content

A spatial revolution continues in Oakland

The article describes the purpose-built young adult space in Oakland Public Library\u27s (OPL) 81st Avenue Branch in California. Launched on January 29, 2011, the space emphasizes the library\u27s dedication to young adult literature. The space expands the library\u27s commitment to public space equity for teenagers as well as contributes to the facility\u27s revolution in serving young adult readers. An overview of the planning process involved in the construction of the space.

The Poverty-Reducing Effects of the EITC and Other Safety Nets for Young Adult Parents

In this brief, Jess Carson explores the poverty-reducing effects of key federal safety net programs among 18-24 year old (“young adult”) parents. An estimated 2.5 million very young children live with a young adult parent, with low-income children especially likely to do so. The brief finds that more than four in five young adult parents, regardless of income, participate in at least one major safety net program. Of these, the Earned Income Tax Credit (EITC) is the most widely used and the most effective at reducing poverty under the Supplemental Poverty Measure, and poverty would increase by 6.7 percentage points without the EITC. Continued efforts to expand and support access to the EITC can provide young families with a key source of poverty-alleviating income

Locating experience in time and place: a look at young adult fiction and spiritual intelligence

Spiritual intelligence describes self-awareness and intuition, with the development of creative thinking, compassion, and connectedness with others. Many researchers point to an awakening and development of spiritual intelligence that is enhanced through exploration of existential questions within the genre of young adult fiction. Such literature absorbs the adolescent reader so that they become transported into the narrative, exploring a sense of self and of others This article discusses the ways in which young adult fiction, including comparison of a novel of older context (An Episode of Sparrows) with contemporary dystopian fiction (The Maze Runner), can foster young adults’ exploration of self-awareness and cultivate the continued development of notions of connectedness, justice and responsibility. It describes current research on the relationship between spiritual intelligence in young adults and the narrative transportation effect of young adult fiction

A Tool for Change: Young Adult Literature in the Lives of Young Adult African-Americans

published or submitted for publicatio

Assessing osteoporosis in the young adult

Osteoporosis in the young adult is a relatively rare phenomenon, and its diagnosis needs careful assessment of the affected person. The emphasis in the assessment of bone health is gradually shifting from a simple quantitative assessment of bone mineral density to one that includes bone quality. This may be particularly important in the young adult, where the aetiological cause of osteoporosis may be a primary genetic condition or secondary to another chronic condition

Iowa Young Adult Roundtables Summary, 2003

In 2003, 60 young people participated in the Young Adult Roundtables (YARTs) in Davenport, Mason City, Sioux City, and Des Moines. YARTs participants represent a variety of backgrounds, cultures, identities, and experiences. Each YART has a facilitator and a mentor. The mentor is a CPG member. The youth participate in CPG work primarily to assure that youth voices are heard and youth needs addressed. The youth meet every other month for three hours. Youth completed an anonymous questionnaire during their first meeting of the year

Do young people experiencing the transition from children’s services to adult services understand the process and what their choices are?

This project research examines the understanding that young people who receive services from North Yorkshire Children's Social Care Disabled Children's teams, have of the process of transition to Adult and Community Services. Young people who have been through the system and now use an independence group explained that the relationship they had with their social services transitions worker was of great importance and helped develop the questions asked to the interviewees. A sample of young people were identified by their workers for the research and most were happy to share their experiences. Some of their carers acted as interpreters and all gave their views of the process. The report highlights that many of the young people had no relationship with their transitions worker and indicates that parents are also often unable to identify a person to allay fears about the move to Adult and Community Services. The report highlights the failure of both Adult and Community Services and Children's Social Care services to develop a meaningful relationship with service users so that they can participate in the planning process. The report discusses the different needs of young people and their families whilst focusing on how to involve the recipients of services in the planning process, the majority of the young people interviewed did not know who their Adult and Community Services Transitions worker was nor did they have any clear idea of any choices they might have. Other agencies (such as Education) seem better able to engage with the young people. Young people can take a meaningful part in planning for their own future, but need to build a relationship with the transitions worker before they can do so. Young people with additional learning needs may need intensive or regular sessions with a worker in order to make sense of the system and participate in any meaningful way