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Anthropological research: Online dating as disappointing as the real-life dating scene
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Sounds familiar: People on online dating sites are experiencing frustration because it does seem that the internet in many ways is just the same old bar scene. This is one of the findings of research by anthropologist Susan E. She is conducting an ethnographic study of online dating among women age thirty and above. She says the women on the one hand gained a sense of empowerment from their online dating experiences.
But they still wanted the man to make the first move and expected him pick up the tab:. But, at the same time, they are experiencing frustration because it does seem that the internet in many ways is just the same old bar scene. Complaints include a preponderance of men who are looking for much younger women, as well as men who misrepresent their looks, interests or marital status, or who show little interest in moving the relationship offline, she said.
She would like to find more study participants from across Canada, including women who are looking for same-sex partners. The study will be completed in May, , and a summary of the results will be posted online, she writes on her homepage. Sexual anthropologist explains how technology changes dating, love and relationships. Denise Carter: The Birth of a Cyberethnographer. I have noticed that several people from my entourage have turned to online dating as a new hope of finding a partner.
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New approaches are needed to provide care to persons with HIV who do not engage in conventionally organized HIV clinics. We compared outcomes in the 12 months pre- and postbaseline and used generalized estimating equations to compare changes in Max vs control patients, adjusting for unstable housing, substance use, and psychiatric disorders. Continuous viral suppression and engagement in care increased in both groups but did not differ significantly continuous viral suppression: aRRR, 1.
The Max Clinic improved viral suppression among patients with complex medical and social needs. Several strategies to re-engage out-of-care PWH have been studied, including Data to Care [ 1 ], which uses public health surveillance data to guide health department efforts to return patients to care, and a clinic-based patient retracing strategy, which uses clinic data to identify and re-engage patients [ 2—4 ].
Although some evaluations have suggested that these strategies are effective in relinking patients to at least 1 medical visit [ 1 , 5—7 ], controlled studies have shown minimal or no effect on viral suppression [ 3 , 4 , 8 ]. Most re-engagement efforts to date have focused on reconnecting patients to the system of care from which they disengaged, but new approaches are needed to engage the highest-need patients, such as those with co-occurring unstable housing, substance use disorders, and psychiatric disorders [ 9 ].
However, other evidence-based approaches to improve care delivery, such as open access scheduling [ 13 ] and financial incentives [ 14 ], are not commonly used and could further improve care engagement. Such approaches can be targeted to patients who do not succeed with lower-intensity care and support in order to optimize resource allocation while meeting patient needs [ 15 ]. Interventions to improve care and support services for high-need PWH have shown promising outcomes [ 16 , 17 ], but these could be even more effective if paired with low-barrier clinics tailored to high-need patients.
The clinic includes walk-in visits for primary care, incentives for completing visits and achieving viral suppression, and intensive case management support. We developed the clinic in the context of Seattle—King County reaching the UNAIDS goals in and in the wake of implementing 2 HIV care re-engagement interventions that had no substantial impact on viral suppression [ 3 , 8 ].
We reasoned that success in achieving additional improvements in population-level viral suppression would require focusing on the individuals with the most difficulty engaging in care and require structural changes in how our area provides HIV care. We previously reported promising outcomes for patients enrolled in the first 2 years [ 18 ].