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Book Attitudes about Human Papillomavirus  HPV  Vaccine Among Parents of Rural Adolescents

Download or read book Attitudes about Human Papillomavirus HPV Vaccine Among Parents of Rural Adolescents written by Natasha Louise Underwood and published by . This book was released on 2017 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of increasing human papillomavirus (HPV) vaccination coverage among adolescents is a public health imperative to prevent unnecessary morbidity and mortality associated with cervical, oropharyngeal and other HPV related cancers and conditions. Despite the availability of two vaccines that protect against 90% of genital warts and 70% of cervical cancers, national HPV vaccination rates remain below the Healthy People 2020 targets of 80% coverage for females and males. The purpose of this study is to investigate human papillomavirus vaccination behavior among rural adolescents in Georgia. Specifically, in an effort to increase HPV vaccination coverage among hard to reach populations, this study aims to understand barriers as well as facilitators to HPV initiation among adolescent males and females living in rural communities. This study used a cross-sectional survey implemented with parents of adolescents age 10-18 years old in rural communities to measure: 1) parental attitudes, 2) healthcare utilization, 3) subjective norms and 4) cues to action. A step-wise forward logistic regression analyses was conducted to better understand the correlates of HPV vaccination. A majority of the sample was African American (69%, n=131) and female (52%, n=100). The mean age was 14 years old (SD=2.1). Most adolescents were covered by Medicaid insurance (64%, n=123) and less than 2% were uninsured (1.6%, n=3). The final model contained three significant correlates: provider recommendation, social norm score and information exposure score (R2=0.41, Ï72 (3)=87.3, p

Book Guide to Introducing HPV Vaccine Into National Immunization Programmes

Download or read book Guide to Introducing HPV Vaccine Into National Immunization Programmes written by World Health Organization and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This document is intended for use by national immunization programme managers and immunization partners to inform the policy discussions and operational aspects for the introduction of HPV vaccine into national immunization programmes and to provide upto-date references on the global policy, as well as the technical and strategic issues related to the introduction of HPV vaccine."--Publisher's description.

Book Parental Education on Human Papillomavirus Vaccine Use

Download or read book Parental Education on Human Papillomavirus Vaccine Use written by Chika Okechukwu and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Human Papillomavirus (HPV) is a universal health problem that is transmitted sexually, affecting both male and female. Evidence indicates that about 79 million people are affected in the United States. Every year, about 14 million Americans are infected with HPV (CDC, 2016c). It is associated with multiple diseases such as cervical cancer, vaginal and vulvar cancers, anal cancers, throat cancer and penile cancers. A safe and efficient vaccine has been approved for both boys and girls. The Center for Disease Control and Prevention announced that teens and young adult under age 26 are at a particular risk for HPV. It is essential to start the vaccination series between 9 and 17 years of age. Parental and caregivers acceptance of HPV vaccine for their children has been a problem. Despite, the HPV vaccine promotions and availability, the vaccination rates of HPV continue to low. The focus should be on parents and caregivers because parental attitudes, beliefs, knowledge, intention to vaccinate and behaviors appear to contribute to low parental acceptance of the vaccine (Gamble et al., 2010). Parental and caregiver education improved parental knowledge, intention to vaccinate and attitude towards HPV vaccination. The purpose of this project was to develop an evidence-based parental and caregiver educational intervention to improve knowledge, intention to vaccinate and attitude towards HPV vaccine, hoping to influence parents and caregivers of children ages 9 to 17 to consent to the HPV vaccine. Parental education as an intervention, focusing on HPV and HPV vaccine was found to have positive impact on parental knowledge, intention to vaccinate and parental attitude toward HPV vaccine. There was a 40%, 73%, and 33% improvement respectively on parental knowledge, attitude, and intention to vaccinate which was higher than the benchmark. Key words: Human Papillomavirus, vaccine, parent education, knowledge, attitude, intention" -- Abstract

Book Knowledge  Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao

Download or read book Knowledge Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao written by Choi-Wan Chan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Knowledge, Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao" by Choi-wan, Chan, 陳彩環, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Human papillomavirus (HPV), a family of viruses with more than 40 genotypes is known to infect genital tract of males and females. High-risk HPV including genotypes 16, 18 can cause cervical cancer while low-risk HPV including genotypes 6, 11 can cause benign or low grade cervical lesions and genital warts. Considering HPV infection is the most common sexually transmitted infection worldwide, as well as in Macao, with prevalence up to 8.1%, and given that cervical cancer is the top ten most frequent female cancer which causes high burden in our health care system, it is important to have a comprehensive intervention for control HPV and cervical cancer. Since the HPV vaccine for preventing cervical cancer has been available in Macao, it is worth to know the willingness to be vaccinated among target population. Base on findings from previous studies, the parental attitudes and acceptance is the key factor of vaccination for young girls. Other potential factors, such as the HPV knowledge, vaccine safety and efficacy, cost, the age of daughter and the physician's attitudes, may also affect parental acceptance. Given that no previous study on this topic has been conducted, this study is aimed to understand the knowledge, attitudes and acceptability of HPV vaccination, and to explore and identify the affecting factors for acceptance among school girls and their parents. A school-based simple cluster random sampling method was used. Data was collected by anonymous self-administrated questionnaires among 574 school girls aged at 12-22 and 702 parents aged at 30-65. About 47% of the school girls had heard of HPV and 88.3% had heard of HPV vaccine, while 57.1% of parents had heard of HPV and 83.2% had heard of HPV vaccine. Although the HPV-related knowledge was poor among young girls and their parents, 92% of girls indicated a positive intention to be vaccinated for herself and 88% parents would willing to consent daughter to be vaccinated if the HPV vaccine became in routine immunization. However, the parental vaccination acceptability for daughters decreased to 40% and only 30% of mothers would willing to accept for themselves, if they had to pay a full course for three doses of HPV vaccine. About 97% of school girls and 95% of parents supported that HPV vaccine should be included in government immunization programme. We also found that young girls and parents are more favor in later HPV vaccination rather than vaccination at recommended age. Cost is the dominant affecting factor in determining parental acceptability of HPV vaccination. In addition, daughter's age, vaccine safety concern, Pap smear attendance and HPV knowledge are significantly associated with HPV vaccine acceptance. It may be worthwhile to further investigate the reasons for the delay vaccination among the young adolescent girls and among their parents, to examine if any underlying factors were unexpressed. DOI: 10.5353/th_b5022251 Subjects: Papillomavirus vaccines - China - Macau(Special Administrative Region)

Book Parental Perceptions and Attitudes Toward the Human Papilloma Virus  HPV  Vaccine in a Community Setting

Download or read book Parental Perceptions and Attitudes Toward the Human Papilloma Virus HPV Vaccine in a Community Setting written by Ashley Danielle Fields and published by . This book was released on 2010 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Barriers To HPV Vaccination Among Male Adolescents

Download or read book Barriers To HPV Vaccination Among Male Adolescents written by Kelli Gora and published by . This book was released on 2014 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: To identify barriers to implementing practice recommendations regarding HPV (human papillomavirus) vaccination for male adolescent patients among Family Nurse Practitioners (FNPs). Rationale/Background: HPV infection is a source of numerous cancers. More than one-quarter of the HPV-associated cancers in the United States occur in males. The quadrivalent vaccine is approved in young males and is effective in the prevention of genital warts and reducing HPV related cancers yet vaccination rates are low and expected to remain low. Barriers to vaccination exist even after the 2011 recommendation for routine use. Method: Quantitative, surveys. A 22-item instrument was administered to FNPs working in primary care settings. Participants were surveyed regarding financial, logistic, provider, and parental barriers to vaccination among adolescent males. Results: Descriptive analysis at both the item and scale level demonstrated that FNPs report financial barriers as the most significant barrier. The barriers of least concern were provider attitudes. Barriers regarding FNPs' perception of parental attitudes were seen as moderately concerning. Independent samples t-tests showed that FNPs who did not administer the HPV vaccine to male adolescent patients reported having significantly more financing barriers as compared to FNPs who did. Conclusion: Results suggested that financial issues may constrain FNPs' implementation of practice recommendations for the HPV vaccine and that FNPs who did not administer the HPV vaccination to adolescent male patients may be unable to do so due to financial reasons. Perceptions of parental attitudes are also seen as playing a role in preventing male adolescent patients from receiving the HPV vaccine. Efforts to reduce barriers to implementing recommended HPV vaccine practices should focus on lessening the expense of the vaccine for both providers and parents and increasing parental knowledge and understanding of the HPV vaccine for their sons. Definitions: HPV4 is used to reference the quadrivalent and Gardasil® vaccinations; permissive refers to the 2009 Advisory Committee on Immunization Practices (ACIP) support of allowing adolescent males aged 9-26 to decide, in collaboration with their health care providers, to vaccinate; recommended is the ACIP's modification from permissive to routine recommendation.

Book College Students    Attitudes Toward Human Papillomavirus Vaccination

Download or read book College Students Attitudes Toward Human Papillomavirus Vaccination written by and published by . This book was released on 2016 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human papillomavirus (HPV) is the most common sexually transmitted virus in the world. Although HPV vaccine is an adolescent vaccine, a ‘catch-up’ vaccine is also recommended for 13 to 26 years-old females who have not been vaccinated previously and 13 to 21 years-old males who have not been vaccinated previously. The majority of Americans, however, reach adulthood without receiving the recommended HPV vaccine doses. Increasing the HPV vaccination series uptake requires theory-driven empirical understanding of factors influencing HPV-related decisions among this population. Based on the Social Cognitive Theory, the current study assessed the interaction between personal and environmental determinants of vaccine uptake and its effect on the behavioral intention to obtain the HPV vaccine. The San Diego State University Psychology Department participant pool was utilized to collect the data from 209 participants between the ages of 18 to 26 years who have not yet obtained any dose of HPV vaccine. Data were collected anonymously and analyzed using a series of seven correlation analyses, two hierarchical linear regression analyses, and three mediation analyses. The findings demonstrated that: (1) female gender and social influence (parents’ and peer endorsement of HPV vaccine) significantly predicted behavioral intentions to obtain the HPV vaccine, p

Book Teenagers Need Drugs Too

Download or read book Teenagers Need Drugs Too written by Kristen Angell Dupard and published by . This book was released on 2016 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is one of the leading causes of death among women around the world and is linked to the human papillomavirus (HPV). Strains HPV-16 and-18 are linked to the causes of cervical cancer. Research shows that HPV vaccination in adolescent females projects a 70% non-contraction rate. However, only 57.3% of girls between the ages of 13-17 in the U.S. have received their first HPV vaccination dose. Researchers have begun speculating that factors such SES and race could be contributing to low vaccination participation. Answers to such information can aid in improving federal and state vaccination policies and prevent the diseases caused by HPV. The current study aimed to determine if race and socioeconomic status (SES) interacted in such a way that predicted the attitudes of minority caregivers toward the HPV vaccine in terms of its acceptability and accessibility. Parents of adolescent females enrolled at a local Mississippi high school were surveyed to determine if this interaction predicts lower vaccination rates. It was anticipated that minority parents of low SES would have lower vaccination rates than those of higher SES. The univariate results indicated the following: 90% of participants identified as African American/Black, 39% (majority) of the respondents had completed some college or obtained an associate's degree, 42% (majority) of the income level was between $30,001-$50,000, and 70% of daughters had received some shots of the HPV vaccination. Bivariate Chi-Square ([Chi][squared]) analyses determined if categorical independent variables (Race, Education, and Finances) were significantly associated with vaccine participation. Bivariate tests were not statistically significant (p> 0.05). However, a correlation between vaccination participation and income showed that the higher the income level, the more likely a parent was to vaccinate their daughter against HPV. Other independent variables yielded significance. At the univariate level, 74% of health care providers had recommended the vaccine, 72% of respondents had insurance to cover vaccine, and 70% of respondents had very easy access to health care. At the bivariate level, only two independent variables were significant. The results showed the following: insurance coverage: (95 % CI: (1.038- 20.3810) ([Chi][squared] = 4.353, Df = 1, and Sig p = 0.037) and vaccine recommendation (95% CI: 3.675-156.738) ([Chi][squared] = 14.727, Df = 1, and Sig p = 0.0001). Being recommended by a health care provider was a significant predictor of vaccine participation at the multivariate level. Ostensibly, parents are aware of the vaccine and are taking preventive measures. Additional research could answer whether minority caregivers from low SES will be less inclined to have their adolescent daughters vaccinated. HPV is one of the most preventive, yet deadly, STIs and further research is imperative. --Page iv.

Book Knowledge  Attitude  And Behaviour Towards Human Papilloma Virus  Hpv  Vaccine Among Women In Ciracas Community Health Care

Download or read book Knowledge Attitude And Behaviour Towards Human Papilloma Virus Hpv Vaccine Among Women In Ciracas Community Health Care written by ARIN RAHMA and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: KNOWLEDGE, ATTITUDE, AND BEHAVIOUR TOWARDS HUMAN PAPILLOMAVIRUS (HPV) VACCINE AMONG WOMEN IN CIRACAS COMMUNITY HEALTH CARE Landika A1, Rahma A1, Sugianto A1, Ridhanya A1, Adhyatmoko B1, Octavia E2, Winarto H1,2 1Faculty of Medicine, University of Indonesia, Jakarta, Indonesia 2Department of Obstetric and Gynecology, Cipto Mangunkusumo National Central General Hospital, Jakarta, IndonesiaINTRODUCTION. Cervical cancer is the second most common cancer suffered by women in the world. Infection of Human Papillomavirus (HPV) is the main cause of cervical cancer which can be prevented up to 70% with vaccination. To reduce the incidence of cervical cancer, Indonesia is establishing HPV vaccination program for adolescence. However, in Puskesmas, the primary health care center, HPV vaccination rates are still very low. Therefore, this study was conducted to find out the correlation between knowledge, attitude, and behavior of productive age women in Ciracas sub-district to HPV vaccination.METHODS. This study used cross-sectional descriptive analytic design to find out the relationship between knowledge, attitude, and behavior of women in Ciracas Sub-district, Jakarta and the number of people receiving HPV vaccination. The data that has been collected were verified, edited, and coded for inclusion and processing using SPSS for Mac version 21.0. Characteristics of sample population are defined using specific outcome measures that include age, education level, current occupation, and sexual history. u2003RESULTS. In overall included population for the study (n=56), 26.7% have good knowledge, 39.28% have adequate knowledge, and 34.02% have poor knowledge on the definition and importance of HPV vaccination. Regarding the attitudes, 35.7% of overall respondents show good attitude, 33.9% show fair attitude, and 30.4% show poor attitude towards HPV vaccination. According to the data collected, 26.7%, 39.28%, and 34.02% of the respondents have good, adequate, and poor knowledge on HPV vaccination.Among those in good knowledge category, people tend to have good attitude (66.7%) towards HPV vaccine. It is quite predictable that people with poor knowledge are very likely to have poor attitude (84.2%). However, this correlation is not proven to be statistically significant (p=0.052). Among the population with good knowledge, surprisingly, less people have good behaviour compared to the people in the adequate knowledge category. As predicted, people with poor knowledge are likely to have poor behaviour towards HPV vaccination. There are only 7% of respondents with good behavior and majority have enough attitude with enough behavior (36%). There was a statistically significant correlation between respondent age and knowledge of HPV vaccine (p = 0.036). There was a statistically significant positive correlation between the educational level of the respondents and the knowledge of HPV vaccine (p 0.001).DISCUSSION. The majority of respondents were in the ideal reproductive age (52%) where 21% of the respondents had never had sexual intercourse. There was a statistically positive significant correlation between respondent age and knowledge of HPV vaccine (p

Book Deadly Choices

    Book Details:
  • Author : Paul A. Offit
  • Publisher : Basic Books (AZ)
  • Release : 2015-03-10
  • ISBN : 0465057969
  • Pages : 298 pages

Download or read book Deadly Choices written by Paul A. Offit and published by Basic Books (AZ). This book was released on 2015-03-10 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: A renowned researcher vigorously challenges the anti-vaccine movement in this powerful defense of science in the face of fear.

Book Parental Attitudes of Human Papillomavirus Vaccination of Adolescent Girls in Alabama

Download or read book Parental Attitudes of Human Papillomavirus Vaccination of Adolescent Girls in Alabama written by Allison G. Litton and published by . This book was released on 2009 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Assessment of Health Literacy and Potential Barriers Regarding Acceptance of the Human Papillomavirus  HPV  Vaccine Among Parents Guardians

Download or read book Assessment of Health Literacy and Potential Barriers Regarding Acceptance of the Human Papillomavirus HPV Vaccine Among Parents Guardians written by Brittany Vo-Le and published by . This book was released on 2016 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human Papillomavirus (HPV) infection has been a rising concern due to its association with cervical cancer, but many parents are still not getting their children vaccinated to prevent this type of cancer. The purpose of the proposed research is to increase the uptake of the HPV vaccine by identifying the barriers preventing adolescents from receiving this vaccination, and increasing the literacy of parents/guardians about HPV and the HPV vaccine. To identify the aforementioned barriers, a questionnaire will be given to participating parents/guardians of children/adolescents visiting the Department of Pediatrics at UNT Health Science Center. This questionnaire was designed to aid in the assessment and discovery of the parent's/guardians' knowledge regarding HPV and the HPV vaccine, potential barriers to accepting the HPV vaccine for their children, and their attitudes towards the HPV vaccine and vaccination in general. Materials for this clinical research study have been completed, and IRB approval has been obtained, so data collection can begin. After completion of this research study, we expect to not only increase parents/guardians literacy regarding HPV and the HPV vaccine, but also to identify the major barriers preventing them from getting their child vaccinated. Information gained will provide a basis for developing a new health literacy intervention within the Department of Pediatrics at UNT Health Science Center.

Book Human Papillomavirus  HPV  Vaccines

Download or read book Human Papillomavirus HPV Vaccines written by Margaret Ellen Heffernan and published by . This book was released on 2011 with total page 1016 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Mixed Methods Research

Download or read book Mixed Methods Research written by Vicki L. Plano Clark and published by SAGE Publications. This book was released on 2015-09-23 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mixed Methods Research: A Guide to the Field by Vicki L. Plano Clark and Nataliya V. Ivankova is a practical book that introduces a unique socio-ecological framework for understanding the field of mixed methods research and its different perspectives. Based on the framework, it addresses basic questions including: What is the mixed methods research process? How is mixed methods research defined? Why is it used? What designs are available? How does mixed methods research intersect with other research approaches? What is mixed methods research quality? How is mixed methods shaped by personal, interpersonal, and social contexts? By focusing on the topics, perspectives, and debates occurring in the field of mixed methods research, the book helps students, scholars, and researchers identify, understand, and participate in these conversations to inform their own research practice. Mixed Methods Research is Volume 3 in the SAGE Mixed Methods Research Series.

Book SYSTEMATIC REVIEW OF HPV VACCI

Download or read book SYSTEMATIC REVIEW OF HPV VACCI written by Tian Guan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "The Systematic Review of HPV Vaccine Acceptability Among Males" by Tian, Guan, 管天, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introduction: Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) disease nowadays in the world and it actually infects in both sexes. HPV prevalence in men was reported to be over 20% in most studies, and the number is much higher among men having sex with men (MSM) either HIV positive or negative. Food and Drug Administration (FDA) approved the Gardasil-one of the HPV vaccines brand-in the USA in 2009 for use on males' aged 9-26 years and it is proved to be effective in preventing genital warts and anal cancer. However, little study has been conducted to demonstrate a better situation of the acceptability on HPV vaccination among males. Objectives: To explore the acceptability of HPV vaccine among males by combining acceptability and attitude analyses targeted adult males and adolescent boys' parents. Methodology: A systematic review was conducted to search for literatures that demonstrate acceptability analyses of HPV vaccination that contains males, by searching in MEDLINE, Google Scholar and CNKI using relevant keywords. English and Chinese articles published from 2009 to 2015 that talking about men ages over 9 years old were selected. Results: Twelve qualified articles, 7 were conducted in the United States, 1 in Hong Kong, 2 in mainland China, 1 in Korea and 1 in Canada were selected in this systematic review. The acceptability of HPV vaccination was not the same among these articles; the different acceptance level might be due to region, age, price and sexual preference. Three of the twelve articles were targeted local population; and compared to other countries, vaccine acceptability is generally lower in Hong Kong and Mainland China. Four of the twelve articles targeted parents' attitude on HPV vaccination of their adolescent sons; parents would be more willing to get their son's vaccinated if the vaccine were cheaper. The other eight articles targeted adult males showed that MSM group has a lower acceptance than the general society. Discussion: The two factors mentioned most among the 12 studies were sexually and financially related. The group of men having sex with men has a relatively high prevalence of HPV infection in anus leading to anal cancer. Due to MSM group's high prevalence of HPV infection, sexual preference might be a major factor for vaccine acceptability. However, research shows a rare acceptability among them. Price has a significant impact in HPV vaccination acceptance in all articles despite of region, ethnic, age or sexual preference since the vaccine is expensive. Several cost-effective analyses indicate that HPV vaccine for males might not be cost-effective, but more investigations are needed. Subjects: Papillomavirus vaccines

Book Meta Ethnography

Download or read book Meta Ethnography written by George W. Noblit and published by SAGE. This book was released on 1988-02 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can ethnographic studies be generalized, in contrast to concentrating on the individual case? Noblit and Hare propose a new method for synthesizing from qualitative studies: meta-ethnography. After citing the criteria to be used in comparing qualitative research projects, the authors define the ways these can then be aggregated to create more cogent syntheses of research. Using examples from numerous studies ranging from ethnographic work in educational settings to the Mead-Freeman controversy over Samoan youth, Meta-Ethnography offers useful procedural advice from both comparative and cumulative analyses of qualitative data. This provocative volume will be read with interest by researchers and students in qualitative research methods, ethnography, education, sociology, and anthropology. "After defining metaphor and synthesis, these authors provide a step-by-step program that will allow the researcher to show similarity (reciprocal translation), difference (refutation), or similarity at a higher level (lines or argument synthesis) among sample studies....Contain(s) valuable strategies at a seldom-used level of analysis." --Contemporary Sociology "The authors made an important contribution by reframing how we think of ethnography comparison in a way that is compatible with the new developments in interpretive ethnography. Meta-Ethnography is well worth consulting for the problem definition it offers." --The Journal of Nervous and Mental Disease "This book had to be written and I am pleased it was. Someone needed to break the ice and offer a strategy for summarizing multiple ethnographic studies. Noblit and Hare have done a commendable job of giving the research community one approach for doing so. Further, no one else can now venture into this area of synthesizing qualitative studies without making references to and positioning themselves vis-a-vis this volume." -Educational Studies