Risk Avoidance

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Thandi Puoane - One of the best experts on this subject based on the ideXlab platform.

  • fear of sexually transmitted infections among women with male migrant partners relationship to oscillatory migration pattern and Risk Avoidance behaviour
    South African Medical Journal, 2006
    Co-Authors: Gail Hughes, Catherine Hoyo, Thandi Puoane
    Abstract:

    Background : In South Africa, former apartheid laws encouraged rural males seeking employment to migrate to urban areas, moving weekly, monthly or annually between their rural families and urban workplaces. The combination of the migrant labour system and long family separations caused an explosion of serious health consequences, among others sexually transmitted infections (STIs) in the migrant population. Objective : To describe some correlates of male migration patterns for the rural women left behind, especially the fear of STIs that this engendered in them and their Risk-Avoidance behaviour. Setting and subjects : In KwaZulu-Natal, 208 prenatal patients who were partners of oscillating male migrant workers were interviewed to determine their demographic and behavioural characteristics, and their fear of STIs. Results : Thirty-six per cent of the rural women said that they were afraid of contracting STIs from their returning migrant partners. Women who saw their partners infrequently were more fearful of STI transmission, and were less able to have sexual communication. However, almost none of the women protected themselves, while only 8% used condoms, primarily for contraceptive purposes. Conclusions : These results reflect the gender-based power relationships of South African male migrants and their rural partners, the social and economic dependency of the women on their migrant partners, and the women's social responsibility to bear children. The results point to the need to go beyond interventions that simply seek to modify behaviour without altering the forces that promote Risk taking and discourage Risk reduction, and the need to develop appropriate interventions to curb STIs and decrease HIV. South African Medical Journal Vol. 96(5) 2006: 434-438

  • Fear of sexually transmitted infections among women with male migrant partners – relationship to oscillatory migration pattern and Risk-Avoidance behaviour
    South African Medical Journal, 2006
    Co-Authors: Gail Hughes, Catherine Hoyo, Thandi Puoane
    Abstract:

    Background : In South Africa, former apartheid laws encouraged rural males seeking employment to migrate to urban areas, moving weekly, monthly or annually between their rural families and urban workplaces. The combination of the migrant labour system and long family separations caused an explosion of serious health consequences, among others sexually transmitted infections (STIs) in the migrant population. Objective : To describe some correlates of male migration patterns for the rural women left behind, especially the fear of STIs that this engendered in them and their Risk-Avoidance behaviour. Setting and subjects : In KwaZulu-Natal, 208 prenatal patients who were partners of oscillating male migrant workers were interviewed to determine their demographic and behavioural characteristics, and their fear of STIs. Results : Thirty-six per cent of the rural women said that they were afraid of contracting STIs from their returning migrant partners. Women who saw their partners infrequently were more fearful of STI transmission, and were less able to have sexual communication. However, almost none of the women protected themselves, while only 8% used condoms, primarily for contraceptive purposes. Conclusions : These results reflect the gender-based power relationships of South African male migrants and their rural partners, the social and economic dependency of the women on their migrant partners, and the women's social responsibility to bear children. The results point to the need to go beyond interventions that simply seek to modify behaviour without altering the forces that promote Risk taking and discourage Risk reduction, and the need to develop appropriate interventions to curb STIs and decrease HIV. South African Medical Journal Vol. 96(5) 2006: 434-438

Gail Hughes - One of the best experts on this subject based on the ideXlab platform.

  • fear of sexually transmitted infections among women with male migrant partners relationship to oscillatory migration pattern and Risk Avoidance behaviour
    South African Medical Journal, 2006
    Co-Authors: Gail Hughes, Catherine Hoyo, Thandi Puoane
    Abstract:

    Background : In South Africa, former apartheid laws encouraged rural males seeking employment to migrate to urban areas, moving weekly, monthly or annually between their rural families and urban workplaces. The combination of the migrant labour system and long family separations caused an explosion of serious health consequences, among others sexually transmitted infections (STIs) in the migrant population. Objective : To describe some correlates of male migration patterns for the rural women left behind, especially the fear of STIs that this engendered in them and their Risk-Avoidance behaviour. Setting and subjects : In KwaZulu-Natal, 208 prenatal patients who were partners of oscillating male migrant workers were interviewed to determine their demographic and behavioural characteristics, and their fear of STIs. Results : Thirty-six per cent of the rural women said that they were afraid of contracting STIs from their returning migrant partners. Women who saw their partners infrequently were more fearful of STI transmission, and were less able to have sexual communication. However, almost none of the women protected themselves, while only 8% used condoms, primarily for contraceptive purposes. Conclusions : These results reflect the gender-based power relationships of South African male migrants and their rural partners, the social and economic dependency of the women on their migrant partners, and the women's social responsibility to bear children. The results point to the need to go beyond interventions that simply seek to modify behaviour without altering the forces that promote Risk taking and discourage Risk reduction, and the need to develop appropriate interventions to curb STIs and decrease HIV. South African Medical Journal Vol. 96(5) 2006: 434-438

  • Fear of sexually transmitted infections among women with male migrant partners – relationship to oscillatory migration pattern and Risk-Avoidance behaviour
    South African Medical Journal, 2006
    Co-Authors: Gail Hughes, Catherine Hoyo, Thandi Puoane
    Abstract:

    Background : In South Africa, former apartheid laws encouraged rural males seeking employment to migrate to urban areas, moving weekly, monthly or annually between their rural families and urban workplaces. The combination of the migrant labour system and long family separations caused an explosion of serious health consequences, among others sexually transmitted infections (STIs) in the migrant population. Objective : To describe some correlates of male migration patterns for the rural women left behind, especially the fear of STIs that this engendered in them and their Risk-Avoidance behaviour. Setting and subjects : In KwaZulu-Natal, 208 prenatal patients who were partners of oscillating male migrant workers were interviewed to determine their demographic and behavioural characteristics, and their fear of STIs. Results : Thirty-six per cent of the rural women said that they were afraid of contracting STIs from their returning migrant partners. Women who saw their partners infrequently were more fearful of STI transmission, and were less able to have sexual communication. However, almost none of the women protected themselves, while only 8% used condoms, primarily for contraceptive purposes. Conclusions : These results reflect the gender-based power relationships of South African male migrants and their rural partners, the social and economic dependency of the women on their migrant partners, and the women's social responsibility to bear children. The results point to the need to go beyond interventions that simply seek to modify behaviour without altering the forces that promote Risk taking and discourage Risk reduction, and the need to develop appropriate interventions to curb STIs and decrease HIV. South African Medical Journal Vol. 96(5) 2006: 434-438

Pierre Falzon - One of the best experts on this subject based on the ideXlab platform.

  • Producing effective treatment, enhancing safety: Medical physicists' strategies to ensure quality in radiotherapy
    Applied Ergonomics, 2011
    Co-Authors: Adelaide Nascimento, Pierre Falzon
    Abstract:

    The purpose of this article is to understand the way in which medical physicists take into account treatment effectiveness and safety when selecting a treatment plan, with respect to the medical prescription and the technical, human and organizational resources available. Data-gathering was based on the allo-confrontation method: 14 medical physicists from five different treatment centers commented on real treatment plans that had been drawn up by their colleagues. Results show that medical physicists have two means at their disposal to control treatment effectiveness and safety: Risk Avoidance and Risk reduction. Risk Avoidance is achieved when conceiving the treatment solution. Risk reduction occurs after the design of the plan and consists in accompanying and assisting the radiographers at the work station where the treatment is carried out.

Scott Clair - One of the best experts on this subject based on the ideXlab platform.

  • Outcomes of a Peer HIV Prevention Program with Injection Drug and Crack Users: The Risk Avoidance Partnership
    Substance Use & Misuse, 2009
    Co-Authors: Margaret R. Weeks, Julia Dickson-gomez, Mark Convey, Maria Martinez, Kim Radda, Scott Clair
    Abstract:

    The Risk Avoidance Partnership (RAP) Project conducted in Hartford, Connecticut, tested a program to train active drug injectors and crack cocaine users as “Peer Health Advocates” (PHAs) to deliver a modular HIV, hepatitis, and STI prevention intervention to hard-to-reach drug users in their networks and others in the city. The intervention was designed to diffuse health promotion and Risk-reduction interventions by supporting PHAs to model prevention practices and deliver Risk- and harm-reduction materials and information. We compared change in behaviors and attitudes between baseline and 6-month follow-up of 112 primarily African-American and Latino PHAs, 223 of their drug-user network contact referrals, and 118 other study recruits (total n = 523). Results indicated significant HIV Risk reduction among all study participants, associated with significant health advocacy action conducted by PHAs, and a relationship between exposure to the RAP peer-delivered intervention and Risk reduction among all study...

  • The Risk Avoidance Partnership: Training Active Drug Users as Peer Health Advocates
    Journal of Drug Issues, 2006
    Co-Authors: Margaret R. Weeks, Julia Dickson-gomez, Katie E. Mosack, Mark Convey, Maria Martinez, Scott Clair
    Abstract:

    Efforts have expanded to create AIDS prevention programs for drug users that consider the social context and interpersonal relationships within which Risky practices take place. The Risk Avoidance Partnership (RAP) project is designed to train active drug users as peer/public health advocates (PHAs) to bring a structured, peer-led intervention into the sites where they and their drug-using social networks use illicit drugs. The RAP peer health advocacy training curriculum and peer-led intervention promote harm reduction among drug users and support drug-user organization to reduce infectious disease and other harm in the context of injection drug use, crack cocaine use, and sexual activity. Initial findings suggest that RAP PHAs perceive a significant positive role change in themselves while conducting health advocacy work and willingly and successfully carry the peer-led intervention into locations of high-Risk drug activity to deliver it to their peers even in the absence of project staff support.

Margaret R. Weeks - One of the best experts on this subject based on the ideXlab platform.

  • Translation of the Risk Avoidance Partnership (RAP) for Implementation in Outpatient Drug Treatment Clinics.
    Journal of Psychoactive Drugs, 2015
    Co-Authors: Margaret R. Weeks, Kristin M. Kostick, Jennifer Dunn, Paul Mclaughlin, Phil Richmond, Shonali M. Choudhury, Chinekwu Obidoa, Heather Mosher, Maria Martinez
    Abstract:

    AbstractScientific literature increasingly calls for studies to translate evidence-based interventions into real-world contexts balancing fidelity to the original design and fit to the new setting. The Risk Avoidance Partnership (RAP) is a health promotion intervention originally designed to train active drug users to become Peer Health Advocates. A theoretically driven approach was used to adapt RAP to fit implementation in outpatient methadone treatment clinics and pilot it with clinic patients. Ethnographic observations and process tracking documented the RAP translation and pilot experience, and clinic and community characteristics relevant to program implementation. Clinic administrators, staff, and patients were interviewed on their values, capacities, interest in RAP, perceived challenges of implementing RAP in drug treatment clinics, and experiences during the pilot. Findings indicated that RAP core components can be met when implemented in these settings and RAP can fit with the goals, interests,...

  • Outcomes of a Peer HIV Prevention Program with Injection Drug and Crack Users: The Risk Avoidance Partnership
    Substance Use & Misuse, 2009
    Co-Authors: Margaret R. Weeks, Julia Dickson-gomez, Mark Convey, Maria Martinez, Kim Radda, Scott Clair
    Abstract:

    The Risk Avoidance Partnership (RAP) Project conducted in Hartford, Connecticut, tested a program to train active drug injectors and crack cocaine users as “Peer Health Advocates” (PHAs) to deliver a modular HIV, hepatitis, and STI prevention intervention to hard-to-reach drug users in their networks and others in the city. The intervention was designed to diffuse health promotion and Risk-reduction interventions by supporting PHAs to model prevention practices and deliver Risk- and harm-reduction materials and information. We compared change in behaviors and attitudes between baseline and 6-month follow-up of 112 primarily African-American and Latino PHAs, 223 of their drug-user network contact referrals, and 118 other study recruits (total n = 523). Results indicated significant HIV Risk reduction among all study participants, associated with significant health advocacy action conducted by PHAs, and a relationship between exposure to the RAP peer-delivered intervention and Risk reduction among all study...

  • The Risk Avoidance Partnership: Training Active Drug Users as Peer Health Advocates
    Journal of Drug Issues, 2006
    Co-Authors: Margaret R. Weeks, Julia Dickson-gomez, Katie E. Mosack, Mark Convey, Maria Martinez, Scott Clair
    Abstract:

    Efforts have expanded to create AIDS prevention programs for drug users that consider the social context and interpersonal relationships within which Risky practices take place. The Risk Avoidance Partnership (RAP) project is designed to train active drug users as peer/public health advocates (PHAs) to bring a structured, peer-led intervention into the sites where they and their drug-using social networks use illicit drugs. The RAP peer health advocacy training curriculum and peer-led intervention promote harm reduction among drug users and support drug-user organization to reduce infectious disease and other harm in the context of injection drug use, crack cocaine use, and sexual activity. Initial findings suggest that RAP PHAs perceive a significant positive role change in themselves while conducting health advocacy work and willingly and successfully carry the peer-led intervention into locations of high-Risk drug activity to deliver it to their peers even in the absence of project staff support.