The purpose of this study was to explore the use of gay-related Internet chat rooms by young men who have sex with other men of color (YMSMC) in a specific catchment area. Participants were 104 YMSMC age 18 to 24 (M = 21.56) who were encountered in two gay-related Internet chat rooms during April 2005. Participants were mainly African American (53.7%, n = 56), HIV-negative (57.6%, n = 60), and online looking for some type of sexual encounter (80.7%, n = 84). The results of this study support the need to develop specific culturally appropriate HIV prevention Internet outreach protocols targeting YMSMC at risk for HIV infection. Lessons learned while conducting this study and recommendations are also discussed.
Marks et al 1 offer important insights into access to high-quality cancer treatment for patients with Medicaid. The authors randomly selected 1 in 3 Commission on Cancer-accredited facilities and trained secret shoppers to pose as people with Medicaid insurance seeking a new patient appointment for treatment of 1 of 4 types of cancer: breast, colorectal, kidney, and skin. Secret shopper or audit methodology avoids bias associated with self-reports of access by facility administrators and has been widely used to study health care access, particularly related to Medicaid.
The importance of a racially and ethnically diverse nursing workforce has been staunchly avowed across federal, national, and institutional levels. The rise of diversity, equity, and inclusion (DEI) practitioners in academic nursing has become more important as institutions seek the goal of achieving health equity. The scope of the DEI practitioner role in academic nursing varies. Concerns include role confusion and DEI practitioner titles. In this article, we offer recommendations for establishing a DEI practitioner position, including best practices for scope, titling, authority, time allocation, salary/compensation and resources/staffing. We conclude with further recommendations for how to successfully establish these positions for long term impact in nursing.
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