Showing posts with label Newark. Show all posts
Showing posts with label Newark. Show all posts

Monday, February 1, 2016

Pre-Exposure Prophylaxis (PrEP) for Safer Conception among Serodifferent Couples: Findings from Healthcare Providers Serving Patients with HIV in Seven US Cities

Pre-exposure prophylaxis (PrEP) can reduce the risk of HIV transmission among serodifferent couples trying to conceive, yet provider knowledge, attitudes, and experience utilizing PrEP for this purpose are largely unexamined. 

Trained interviewers conducted phone interviews with healthcare providers treating patients with HIV in seven cities (Atlanta, Baltimore, Houston, Kansas City, Newark, Philadelphia, and San Francisco, N = 85 total). 

Quantitative and qualitative data were analyzed to describe experience, concerns, and perceived barriers to prescribing PrEP for safer conception. Providers (67.1% female, 43 mean years of age, 70.4% white, 10 mean years treating HIV+ patients, 56% in academic vs. community facilities, 62.2% MD) discussed both benefits and concerns of PrEP for safer conception among serodifferent couples. 

Only 18.8% of providers reported experience prescribing PrEP, 74.2% were willing to prescribe it under ideal circumstances, and 7.0% were not comfortable prescribing PrEP. Benefits included added protection and a greater sense of control for the HIV-negative partner. Concerns were categorized as clinical, system-level, cost, or behavioral. 

Significant differences in provider characteristics existed across sites, but experience with PrEP for safer conception did not, p = 0.14. Despite limited experience, most providers were open to recommending PrEP for safer conception as long as patients understood the range of concerns and could make informed decisions. 

Strategies to identify and link serodifferent couples to PrEP services and clinical guidance specific to PrEP for safer conception are needed.

Purchase full article at:   http://goo.gl/6wvGSj

  • 1 Department of Family Medicine, University of Kansas Medical Center , Kansas City, Kansas.
  • 2 Health Services and Outcomes Research, Children's Mercy Hospital , Kansas City, Missouri.
  • 3 François-Xavier Bagnoud Center, School of Nursing, Rutgers, The State University of New Jersey , Newark, New Jersey.
  • 4 Division of Infectious Diseases, Perelman Schools of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.
  • 5 Division of Infectious Diseases, Department of Pediatrics, Emory University School of Medicine , Atlanta, Georgia .
  • 6 HIVE, University of California San Francisco , San Francisco, California.
  • 7 Department of Obstetrics and Gynecology, Baylor College of Medicine , Houston, Texas.
  • 8 Department of Gynecology and Obstetrics, Johns Hopkins Medical Institutions , Baltimore, Maryland. 
  •  2016 Jan 29



Sunday, January 17, 2016

Exploring the Defensive Actions of Drug Sellers in Open-Air Markets: A Systematic Social Observation

Objectives: The current study contributes to the literature through a systematic social observation of the defensive actions of drug sellers within open-air retail markets. The study expands upon previous literature by incorporating a novel data collection and coding method.

Methods: Video footage of narcotics transactions was extracted from the closed-circuit television (CCTV) system of the Newark, NJ Police Department. Researchers transcribed and coded the footage to measure the frequency of defensive actions incorporated by drug sellers. Fisher’s exact tests measured whether the frequency of each defensive action significantly differed across geographic setting or time of day.

Results: The frequency of many defensive actions was significantly related to geographic setting and time of day. The strongest relationship was observed between the use of stash spots and setting. Overall, the findings suggest that drug sellers adopt tenets of Opportunity Theory to protect themselves from law enforcement, specifically by acting as guardians and place managers on their own behalf.

Conclusions: This study extends prior techniques and provides an additional case study on the use of CCTV footage in the study of street-level crime. This methodology can be used in concert with more traditional ethnographic techniques in the study of the drug trade and in crime-and-place research in general.

Purchase full article at:   http://goo.gl/tnYZFG

By:  
1Department of Law and Police Science, John Jay College of Criminal Justice, New York City, NY, USA
2Centre for Criminology and Sociolegal Studies, University of Toronto, Toronto, Ontario, Canada
Eric L. Piza, Department of Law and Police Science, John Jay College of Criminal Justice, New York City, NY, USA. Email: epiza@jjay.cuny.edu







Wednesday, December 16, 2015

Politics, Police Accountability, and Public Health: Civilian Review in Newark, New Jersey

Police brutality, a longstanding civil rights issue, has returned to the forefront of American public debate. A growing body of public health research shows that excessive use of force by police and racial profiling have adverse effects on health for African Americans and other marginalized groups. Yet, interventions to monitor unlawful policing have been met with fierce opposition at the federal, state, and local levels. 

On April 30, 2015, the mayor of Newark, New Jersey signed an executive order establishing a Civilian Complaint Review Board (CCRB) to monitor the Newark Police Department (NPD). Using a mixed-methods approach, this study examined how advocates and government actors accomplished this recent policy change in the face of police opposition and after a 50-year history of unsuccessful attempts in Newark. 

Drawing on official public documents, news media, and interviews conducted in April and May 2015, I propose that: (1) a Department of Justice investigation of the NPD, (2) the activist background of the Mayor and his relationships with community organizations, and (3) the momentum provided by the national Black Lives Matter movement were pivotal in overcoming political obstacles to reform. Examining the history of CCRB adoption in Newark suggests when and where advocates may intervene to promote policing reforms in other US cities.

Purchase full article at:   http://goo.gl/ZSvJcU

By:   McGregor A1.
  • 1Princeton University, Princeton, NJ, USA. aleciam@princeton.edu.