Kenta Asakura

HPV vaccine acceptability among men: a systematic review and meta-analysis

Objective To understand rates of human papillomavirus (HPV) vaccine acceptability and factors correlated with HPV vaccine acceptability. Design Meta-analyses of cross-sectional studies. Data sources We used a comprehensive search strategy across multiple electronic databases with no date or language restrictions to locate studies that examined rates and/or correlates of HPV vaccine acceptability. Search keywords included vaccine, acceptability and all terms for HPV. Review methods We calculated mean HPV vaccine acceptability across studies. We conducted meta-analysis using a random effects model on studies reporting correlates of HPV vaccine acceptability. All studies were assessed for risk of bias. Results Of 301 identified studies, 29 were included. Across 22 studies (n=8360), weighted mean HPV vaccine acceptability=50.4 (SD 21.5) (100-point scale). Among 16 studies (n=5048) included in meta-analyses, perceived HPV vaccine benefits, anticipatory regret, partner thinks one should get vaccine and healthcare provider recommendation had medium effect sizes, and the following factors had small effect sizes on HPV vaccine acceptability: perceived HPV vaccine effectiveness, need for multiple shots, fear of needles, fear of side effects, supportive/accepting social environment, perceived risk/susceptibility to HPV, perceived HPV severity, number of lifetime sexual partners, having a current sex partner, non-receipt of hepatitis B vaccine, smoking cigarettes, history of sexually transmitted infection, HPV awareness, HPV knowledge, cost, logistical barriers, being employed and non-white ethnicity. Conclusions Public health campaigns that promote positive HPV vaccine attitudes and awareness about HPV risk in men, and interventions to promote healthcare provider recommendation of HPV vaccination for boys and mitigate obstacles due to cost and logistical barriers may support HPV vaccine acceptability for men. Future investigations employing rigorous designs, including intervention studies, are needed to support effective HPV vaccine promotion among men.

Never reflected anywhere: body image among ethnoracialized gay and bisexual men.

A growing body of literature has highlighted the increased prevalence of body image concerns and associations with health outcomes among gay and bisexual men (GBM). Little research, however, has examined the link between body image and social oppression for ethnoracialized GBM. Using an intersectionality lens and qualitative inductive analysis, data were collected through focus groups and interviews with GBM (n=61) who identify with one of four ethnoracial groups (Black, East/Southeast Asian, South Asian, Latino/Brazilian). Three main themes emerged: (1) body image idealization in gay/bisexual male culture, (2) negotiating a racialized body image, and (3) negotiating the impact of body image on relationship with self and others. The study results highlighted how multiple forms of oppression (e.g., racism, sexism) intersected with one another to impact the body image and overall well-being among ethnoracialized GBM.

“It Gets Better” … but How? Exploring Resilience Development in the Accounts of LGBTQ Adults

As reports of bullying and suicide increase, research on lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth must expand its focus from vulnerabilities to resilience development. The purpose of this inductive qualitative study was to explore resilience development in the accounts of LGBTQ adults by analyzing videos posted for the It Gets Better social media campaign (n = 21). Four major themes emerged: (1) leaving hostile social environments; (2) experiencing “coming out” in meaningful ways; (3) remembering the social environment; and (4) turning challenges into opportunities and strengths. These findings suggest that, despite the campaigns premise, life did not automatically get better for the LGBTQ participants. Rather, the findings offer a nuanced look at the pathways to resilience development. Implications for social work practice are discussed.

Queer Youth Space: A Protective Factor for Sexual Minority Youth

Physical, psychological, and social vulnerabilities of sexual minority youth are well documented. Yet factors that protect this population from these risks remain relatively unknown. Previous researchers suggest that (1) a sense of safety, meaningful relationships with others, and positive identity development are protective and (2) social support programs focusing on sexual minority youth (Queer Youth Space) have a positive impact. In this article, Queer Youth Space is explored as a program that may promote protective factors and mediate risks. Theories of attachment, self psychology, and social identity are applied to conceptualize Queer Youth Space and its protective roles. Implications for social work practice and research are discussed.

It Takes a Village: Applying a Social Ecological Framework of Resilience in Working With LGBTQ Youth

Hostile social environments can have detrimental impacts on lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. Considering the professions commitment to social justice and person-in-environment perspectives, social workers are well positioned to promote not only the internal capacity of LGBTQ youth but also the capacity of their social ecologies to better support them. This article suggests the relevance of a social ecological framework of resilience to social work practice with LGBTQ youth. Findings of the authors grounded theory study, along with other relevant literature, are used to specify elements in applying this framework to working with LGBTQ youth. A youth case will be discussed to inform interventions that can be employed across the micro, mezzo, and macro levels of practice.

Paving Pathways Through the Pain: A Grounded Theory of Resilience Among Lesbian, Gay, Bisexual, Trans, and Queer Youth

This grounded theory study utilized interviews with 16 service providers and 19 lesbian, gay, bisexual, trans, and queer (LGBTQ) youth to develop a substantive theory of resilience processes among LGBTQ youth. The core category, paving pathways through the pain, suggests that LGBTQ youth build on emotional pain inflicted by external adversities to carve out pathways to resilience. Youth employed the following resilience processes: (1) navigating safety across contexts, (2) asserting personal agency, (3) seeking and cultivating meaningful relationships, (4) un-silencing marginalized identities, and (5) engaging in collective healing and action. Youth focused on particularly painful adversities and engaged intentionally in one or more of the resilience processes related to the origins of their pain.

Extraordinary Acts to “Show Up” Conceptualizing Resilience of LGBTQ Youth

Sexual and gender diversity is an overlooked subject in resilience research. This study seeks to advance the conceptualization of resilience among lesbian, gay, bisexual, trans, and queer (LGBTQ) youth. Informed by social ecological theory of resilience, grounded theory analysis of interviews with service providers (n = 16) and LGBTQ youth (n = 19) yielded the following categories: (a) facing adversities across contexts, and (b) “doing well” while still in pain. LGBTQ youth face both general and LGBTQ-specific adversities. LGBTQ youth, even in a so-called “post-gay” era, remain challenged to navigate marginalization to maintain their well-being. Participants endorsed a context-dependent understanding of “doing well,” rather than using normative criteria of health (e.g., absence of psychopathologies). Although resilience is known as “ordinary magic,” this article alternatively proposes that resilience is LGBTQ youths’ extraordinary acts to “show up” every day to battle through adversities.

Strengthening the Signature Pedagogy of Social Work: Conceptualizing Field Coordination as a Negotiated Social Work Pedagogy

ABSTRACTAlthough field education is considered the signature pedagogy of social work, the work of field coordinators appear to remain peripheral to other aspects of social work education, such as coursework and research. In this article, we suggest that field coordination requires a far more complex set of knowledge and skills than merely matching students with placements based on availability and interest. Using critical and relational theories, this article conceptualizes field coordination as a negotiated pedagogy in which the coordinators navigate complex and often competing needs among students, field agencies, and social work practice. In making visible its nuances and intricacies, we suggest that field coordination is a critical relational pedagogy essential to advancing social work education.

Teaching Note—Social Work Serial: Using Video-Recorded Simulated Client Sessions to Teach Social Work Practice

ABSTRACT Simulation, the use of trained actors as simulated clients, has gained empirical support as an effective teaching and assessment method in social work education. The associated costs involving the use of live simulation, however, often pose a barrier and prevent less resourced schools from implementing this pedagogical approach in the classroom. Social Work Serial is a pedagogical project that used video-recorded simulated client sessions as an alternative to live simulation. In this teaching note, we will describe step-by-step production and implementation processes involving the project and discuss the implications of video-based simulation for social work education.

Meta-analysis of correlates of HPV vaccine acceptability among men: supporting vaccine implementation science

Background Understanding ubiquitous research-to-practice gaps in uptake of adult vaccines, particularly those for sexually transmitted infections (e.g., suboptimal human papillomavirus [HPV] vaccine uptake among men in the US), may provide evidence to support the successful dissemination of future HIV vaccines. To this end, we assessed rates of HPV vaccine acceptability and factors correlated with HPV vaccine acceptability among men.