PubMed · 14664209
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Michael G Maihofer. 2003. They're back!. https://pubmed.ncbi.nlm.nih.gov/14664209/
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Unprotected sex among gay/bisexual men throughout the AIDS epidemic has usually been described as unintentional due to a relapse from safer sex behavior. The term "barebacking" emerged among HIV-positive men explicitly seeking unprotected sex with seroconcordant partners, but has come into use in the larger gay community to simply mean condomless sex. Some men have also taken on the identity as a "barebacker." The present study assessed prevalence and predictors of bareback identity in a sample 687 gay/bisexual men attending community events. Barebackers reported significantly more use of crystal methamphetamine and higher peer norms for unprotected sex; HIV-negative barebackers were higher in sexual compulsivity while HIV-positive barebackers were higher in romantic obsession as well as drug/alcohol influenced sexual expectancies. HIV prevention efforts targeting barebackers and barebacking must be carefully developed if programs and campaigns are to be effective given the open debates about this phenomenon in the gay community.
GOALS OF THE WORK: The aim of this study was to explore the bereaved caregivers' experience of the Hospice at Home service delivered in one region of the UK. MATERIALS AND METHODS: Three hundred and ten bereaved caregivers identified by the Community Specialist Palliative Care Team or Hospice at Home nurse, who met inclusion criteria, were sent a postal questionnaire to explore their views and experiences of the Hospice at Home service. Data were collected during 2002. MAIN RESULTS: In total, 128 caregivers responded, providing a 41% response rate. Most caregivers believed that the Hospice at Home service enabled their loved one's wish to be cared for and to die at home to be fulfilled. A number of suggestions were made relating to increased awareness of the service, training for staff, coordination of service delivery and bereavement support. CONCLUSIONS: The bereaved caregivers were thankful for the Hospice at Home service; however, the need for practical support, increased awareness of the Hospice at Home service and bereavement support were also identified. Although the bereaved caregivers provided a valuable insight in evaluating service provision, it is acknowledged that some caregivers are often so grateful for the treatment and care received that they tend to forget or ignore their less pleasant experiences. Further research is therefore required using an in-depth qualitative approach investigating on the carers' views and experiences of accessing the Hospice at Home service.
The paper contrasts Lennart Nordenfelt's normative theory of health with the naturalists' point of view, especially in the version developed by Christopher Boorse. In the first part it defends Boorse's analysis of disease against the charge that it falls short of its own standards by not being descriptive. The second part of the paper sets out to analyse the positive concept of health and introduces a distinction between a positive definition of health ('health' is not defined as absence of disease but in positive terms) and a positive conception of health (health is seen as an ideal). An objection against Nordenfelt's account is developed by making use of a specific example of an ambitious athlete. It is stated that Nordenfelt's conceptualisation includes too many phenomena under the umbrella of ill health. An ideal conception of health like Nordenfelt's is in danger of supporting medicalization. In conclusion, although Nordenfelt's theory is not altogether rejected and even seen in congruence with Boorse's account, it is claimed that the naturalistic framework should obtain conceptual priority.