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The Engaging Men project aimed to identify facilitators, societal approaches to and support for domestic violence, and barriers to men's participation in domestic violence research, assessing the importance of each factor. Participatory concept mapping was used with a convenience sample of men (n = 142) in person and online across Australia, Canada and the United States of America. Engaging Men identified 43 facilitators, societal approaches to and support for domestic violence, and/or barriers to men's participation in domestic violence research. The strongest facilitators related to external connections, such as concern for women around them. Men also recognized societal approaches to and support for domestic violence and the strongest barriers centered on internal feelings, including fear, shame and guilt about being linked to domestic violence. This study suggests that providing a safe environment for men to express genuine thoughts, feeling and views about domestic violence is vital, yet rarely available in domestic violence research. Therefore, research opportunities need to be more effectively designed and incentivized to address challenging issues identified by men, such as fear, shame and guilt and offer meaningful opportunities to demonstrate positive change., Author(s): Raglan Maddox [sup.1] [sup.2] , Patricia O'Campo [sup.3] [sup.4] , Jonathan Grove [sup.5] , Michael Yonas [sup.6] , Carlos Chan [sup.7] , Aly Kassam [sup.3] , Alisa Velonis [sup.3] [...]

While numerous studies have explored prevalence and determinants of intimate partner violence (IPV), one area that has yet to be sufficiently explored is whether men and women agree on the acts, behaviours, and attitudes that comprise IPV. Through the use of concept mapping, we examined the similarities and differences in the conceptualization of IPV among a diverse sample of men and women. Although men and women conceptualized physical and sexual violence similarly, men tended to rate non-physical behaviors related to control as less important to the definition of IPV than women. Moreover, even when men and women used similar labeling language for grouping of items, the statements included in each cluster were substantially different for non-physically abusive items. A greater understanding of similarities and differences in the conceptualization of IPV by gender can help inform appropriate gender specific IPV intervention and prevention efforts., Author(s): Patricia O'Campo [sup.1] , Yu Janice Zhang [sup.1] , Mairi Omand [sup.2] , Alisa Velonis [sup.3] , Michael Yonas [sup.4] , A. Minh [sup.1] [sup.5] , Ajitha Cyriac [sup.1] [...]

The article discusses a study conducted between December 2007 and March 2008 that involved 19 gender-stratified focus groups with African American parents and adolescents from Allegheny County, Pennsylvania, to explore the process and content of parent-adolescent communication about sex. Discussions about intimate partner violence (IPV) and healthy relationships emerge inductively as critical topics in these conversations. The authors use a grounded theory approach to content analysis to identify and organize themes related to discussions on these topics. A total of 125 participants from 52 families are recruited for the study. Family history of child sexual abuse often motivates discussions. Mothers are described as the primary parent discussing sexual issues with children. Fathers primarily role model ideal male partnership behavior for sons and daughters. Parents seek to prevent daughters from experiencing sexual abuse or emotional manipulation by partners and focus on instilling a sense of responsibility to and respect for romantic partners in sons. Parents prioritize and express the need for tools to influence their adolescent's socialization as romantic partners. Mothers and fathers approach this process differently. Family-focused interventions to prevent unhealthy relationships can build on parent's efforts.

Youth violence is a significant public health problem. Although the relationship between neighborhood-level factors and urban youth violence is recognized, the specific mechanisms of this relationship are often unclear. Prominent neighborhood individuals were identified within four select low-income urban neighborhoods in Baltimore City. In-depth interviews were conducted to explore these individuals' perceptions of the relationship between social and structural neighborhood-level factors and urban youth violence. Employment opportunities, local businesses, trash management, vacant housing, and street lighting were perceived as important neighborhood factors influencing young people's experiences. The relationship between these neighborhood characteristics and the local illicit drug market and youth violence is highlighted. Results provide an enhanced understanding of the importance of using a participatory-based research approach and the mechanisms of the relationship between neighborhood-level factors and youth violence. Both are critical components in designing and implementing multilevel youth violence prevention efforts.

This article reports qualitative findings of seven focus groups that illuminate the phenomenon of dating and dating violence from the perspective of the young adolescent. This study was part of a larger intervention project, "An Arts-Based Initiative for the Prevention of Violence Against Women and Girls," a collaboration of the Centers for Disease Control and Prevention and Johns Hopkins University, School of Nursing. Concepts of interest included: dating norms, ecological factors, elements of healthy and unhealthy relationships, and prevention strategies. Four themes emerged: respect versus disrespect, influence of friends, cost and benefit of sexual activity and violence as an acceptable response. The implications of this data highlight the need for school personnel to increase their awareness and understanding of the challenges middle school youth face. Dating violence prevention programs should be designed accordingly.

Background: Cancer patients can experience healthcare system-related challenges during the course of their treatment. Yet, little is known about how these challenges might affect the quality and completion of cancer treatment for all patients, and particularly for patients of color. Accountability for Cancer Care through Undoing Racism and Equity is a multi-component, community-based participatory research intervention to reduce Black-White cancer care disparities. This formative work aimed to understand patients' cancer center experiences, explore racial differences in experiences, and inform systems-level interventions. Methods: Twenty-seven breast and lung cancer patients at two cancer centers participated in focus groups, grouped by race and cancer type. Participants were asked about what they found empowering and disempowering regarding their cancer care experiences. The community-guided analysis used a racial equity approach to identify racial differences in care experiences. Results: For Black and White patients, fear, uncertainty, and incomplete knowledge were disempowering; trust in providers and a sense of control were empowering. Although participants denied differential treatment due to race, analysis revealed implicit Black-White differences in care. Conclusions: Most of the challenges participants faced were related to lack of transparency, such that improvements in communication, particularly two-way communication could greatly improve patients' interaction with the system. Pathways for accountability can also be built into a system that allows patients to find solutions for their problems with the system itself. Participants' insights suggest the need for patient-centered, systems-level interventions to improve care experiences and reduce disparities. [ABSTRACT FROM AUTHOR]

Abstract Background Standing orders programs (SOPs) allow non-physician medical staff to assess eligibility and administer vaccines without a specific physician's order. SOPs increase vaccination rates but are underutilized. Method In 2009, correlates of SOPs use for influenza vaccine and pneumococcal polysaccharide vaccination (PPV) were assessed in a nationally representative, stratified random sample of U.S. physicians (n = 880) in family and internal medicine who provided office immunization. The response rate was 67%. Physicians reporting no SOPs, only influenza SOPs, and joint influenza and PPV SOPs were compared using multinomial and logistic regression models to examine individual and practice-level correlates. Results 23% reported using SOPs consistently for both influenza vaccine and PPV, and 20% for influenza vaccination only, with the remainder not using SOPs. Practice-level factors that distinguished practices with joint influenza-PPV SOPs included perceived practice openness to change, strong practice teamwork, access to an electronic medical record, presence of an immunization champion in the practice, and access to nurse/physician assistant staff as opposed to medical assistants alone. Discussion Physicians in practices with SOPs for both vaccines reported greater awareness of ACIP recommendations and/or Medicare regulations and were more likely to agree that SOPs are an effective way to boost vaccination coverage. However, implementation of both influenza and PPV SOPs was also associated with a variety of practice-level factors, including teamwork, the presence of an immunization champion, and greater availability of clinical assistants with advanced training. Conclusions Practice-level factors are critical for the adoption of more complex SOPs, such as joint SOPs for influenza and PPV.