Rural living poses special challenges (and opportunities) for the significant health information intermediary role that women enact. The authors describe interviews with 40 women living in a rural, medically underserved county in south-western Ontario, Canada, who discussed their information-seeking experiences and the strategies used to find information about a chronic health concern or an acute medical problem. The women's stories reveal that they define health very broadly and that their information seeking is influenced by contextual factors, such as rural living and gender roles, that interplay with their self-reliance, health literacy, and the availability and willingness of others in professional and non-professional roles to give support within relationships of care. The authors discuss themes emerging from the interviews in connection with the apparent mismatch between women's lived realities and the policy assumptions supporting the development of e-health strategies for providing health information to people living in rural and remote communities.
Rural-dwelling Canadians are less likely than their urban counterparts to be knowledgeable about HIV/AIDS or to talk about it, confirming reports by PHAs that rural communities tend to be silent about the disease. The findings support policy recommendations for HIV education programs in rural areas that encourage discussion about the disease and personal contact with PHAs.
Shelters for abused women have expanded from "safe havens" to providing a range of residential and outreach services, and face increasing pressure to demonstrate "value for money" by providing evaluation metrics that may or may not reflect what they actually do. We conducted interviews and surveys with 68 shelter directors in Ontario, Canada, and found that differences in service philosophy and how abuse is defined influence decisions about who receives services and the shelter's role in the broader community; these in turn affect how the work of shelters is positioned. Implications for shelter service evaluation are discussed.
According to Sasha Alyson, collections development librarians have a responsibility to provide books that address the needs of the estimated 10 percent of the population who are homosexual. Several authors have discussed the important role that libraries can play in the lives of gays and lesbians (see for example, Alyson, 1984; Ashby, 1987; Parkinson, 1987; and Monroe, 1989). Because they afford a degree of privacy to users, libraries that house good collections are a desirable place for gays and lesbians to sift through their positive and negative images and, in so doing, find solace and hope.
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