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Book Impact of HPV Education on Knowledge  Perception  and Cultural Influence Among African American Parents

Download or read book Impact of HPV Education on Knowledge Perception and Cultural Influence Among African American Parents written by Christina Lattner and published by . This book was released on 2017 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Infection with human papillomavirus (HPV), the sexually transmitted virus that causes cervical and penial cancer can be prevented. An effective vaccine has been approved for both boys and girls since 2006. Despite recommendation from the Center of Disease Control, vaccination initiation and completion rates among African American adolescents in the United States are lower than average in the nation.

Book Three Shots at Prevention

Download or read book Three Shots at Prevention written by Keith Wailoo and published by JHU Press. This book was released on 2010-10-01 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2007, Texas governor Rick Perry issued an executive order requiring that all females entering sixth grade be vaccinated against the human papillomavirus (HPV), igniting national debate that echoed arguments heard across the globe over public policy, sexual health, and the politics of vaccination. Three Shots at Prevention explores the contentious disputes surrounding the controversial vaccine intended to protect against HPV, the most common sexually transmitted infection. When the HPV vaccine first came to the market in 2006, religious conservatives decried the government's approval of the vaccine as implicitly sanctioning teen sex and encouraging promiscuity while advocates applauded its potential to prevent 4,000 cervical cancer deaths in the United States each year. Families worried that laws requiring vaccination reached too far into their private lives. Public health officials wrestled with concerns over whether the drug was too new to be required and whether opposition to it could endanger support for other, widely accepted vaccinations. Many people questioned the aggressive marketing campaigns of the vaccine's creator, Merck & Co. And, since HPV causes cancers of the cervix, vulva, vagina, penis, and anus, why was the vaccine recommended only for females? What did this reveal about gender and sexual politics in the United States? With hundreds of thousands of HPV-related cancer deaths worldwide, how did similar national debates in Europe and the developing world shape the global possibilities of cancer prevention? This volume provides insight into the deep moral, ethical, and scientific questions that must be addressed when sexual and social politics confront public health initiatives in the United States and around the world.

Book HPV Vaccine Awareness and Acceptance

Download or read book HPV Vaccine Awareness and Acceptance written by Jamie Phillipich and published by . This book was released on 2014 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Many studies have assessed the public’s perceptions and acceptability of the Human Papillomavirus (HPV) vaccine, while others have analyzed the media’s coverage of the vaccine, however few have specifically assessed the media influence on the perception HPV and vaccine compliance. College freshman in fall 2013 were the first group of adolescent females targeted by the proposed Gardasil vaccine guidelines in 2006 for 11-12 year old girls, and the first group of adolescent males targeted in 2009 for 15-16 year old boys. Thus, there is limited data evaluating how this population was educated about HPV and if the media has influenced their perception and acceptance of the vaccine. The aim of this study was to evaluate this population’s education about HPV/Gardasil and determine if the media had in increased role in their reception of HPV knowledge and if the media influenced their reception of the HPV vaccine, Gardasil. Methods: One thousand randomly selected 18-19 year old freshman students at Grand Valley State University were invited to participate in this cross-sectional quantitative pilot study using an on-line, anonymous questionnaire. The 48 question survey evaluated participant demographics, basic STD knowledge and perceptions, HPV knowledge, personal sexual behaviors, acquisition of sexual health information, knowledge about Gardasil, vaccination barriers, and vaccination status. Pearson Chi-Square tests, score developments, Mann-Whitney, and Spearman’s rank correlation were used to analyze data. Results: One hundred forty six students completed the survey. The majority of participants were female (69.2%) and white, non-Hispanics (87.7%). The study revealed 68% of respondents reported obtaining HPV and Gardasil related information from the media, and 37% of respondents felt that the information presented in the media was not believable. Respondents reported receiving the most believable HPV –related information from health education classes and healthcare providers. An HPV knowledge score was developed and Mann-Whitney analysis revealed that neither gender (p-value=0.619), vaccination status (p-value=0.417), nor parent’s having a college degree (p-value=0.210) had a significant impact on HPV knowledge. Additionally, a health score analyzed the amount of interaction between healthcare providers and media exposure students received. A Mann-Whitney test revealed gender had a significant impact (p-value=0.001) on the health score, with females outscoring (M=3.27. SD=1.054) males (M=2.36, SD=1.125). Individuals who received the vaccine scored significantly higher (M=3.64, SD=0.586, p-value,0.001) than those who did not receive the vaccine ((M=2.45, SD=1.234). Additionally, 41% of the respondents had a health score of 100% with 25% of this subset reporting receiving the vaccine. Thus, despite receiving all the health information about Gardasil, 75% had not been vaccinated. Conclusion: The result of this study suggests that regardless of the amount of interaction students had with healthcare providers and /or the media, it did not affect their overall knowledge of HPV or Gardasil. It is imperative as providers, to impact accurate, honest information with patients and their families so they have information necessary to make informed decisions about their health, particularly in regards to HPV information and Gardasil vaccine.

Book The Effect of Promotora Delivered Education on HPV and HPV Vaccine Knowledge in Hispanic Parents

Download or read book The Effect of Promotora Delivered Education on HPV and HPV Vaccine Knowledge in Hispanic Parents written by Sasha Gorecki and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human Papillomavirus (HPV) causes nearly all cervical cancers, 90% of anal cancers, and 60-70% of penile, vaginal, valvular, and oropharyngeal cancers (CDC, 2020). Hispanics have the highest cervical cancer incidence rate of any minority group and a mortality rate 26% higher than Whites (CDC, 2021; American Cancer Society, 2018). HPV vaccination completion rates in the Hispanic population (62.7% of adolescents aged 13 to 17) are much below Healthy People 2030's goal of 80% of 13- to 15-year-olds up to date with HPV vaccinations (Healthy People 2030, n.d.). There is a lack of culturally appropriate interventions to increase HPV vaccine uptake. Prior studies suggest that promotora led education is an effective strategy to increase health behavior activities. The purpose of this study is to determine the effect of a culturally appropriate educational intervention, promotora delivered education, on HPV and HPV vaccine knowledge and intention to vaccinate with the HPV vaccine in Hispanics. The dependent variables are HPV and HPV vaccine knowledge level and intention to vaccinate. This study is significant to advanced practice nursing because providing culturally appropriate education and interventions will help combat ethnic and racial health disparities to ultimately decrease the incidence and mortality rates of HPV related cancers in Hispanics.

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 The Impact of a Comic Book Intervention on Increasing East African American Adolescents  HPV Vaccine related Knowledge  Attitudes and Intentions to Receive Vaccine

Download or read book The Impact of a Comic Book Intervention on Increasing East African American Adolescents HPV Vaccine related Knowledge Attitudes and Intentions to Receive Vaccine written by Michelle Bom Yi Shin and published by . This book was released on 2020 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: HPV vaccine uptake is low among East African-American (EAA) adolescents in the U.S. To improve HPV vaccine uptake in EAA communities, we developed a theory-based, community-informed comic book for adolescents as a part of an intervention targeting mothers and adolescents. We evaluated the impact on participating adolescents' HPV and HPV vaccine knowledge, attitudes and vaccination intentions. Methods: The culture-specific comic book intervention was delivered to unvaccinated EAA adolescents who participated in ethno-linguistic-specific dinners with their mothers in Washington (8 dinners in Somali, 2 in Amharic) between 2017-2018. English-speaking adolescents aged 14-17 were assigned to complete a self-administered survey either before or after reading the comic book. Surveys were identical and assessed knowledge, barriers, communication with parents, and intention. Responses between adolescents completing the pre- vs post-test were compared with chi-squared tests. We used generalized estimating equation (GEE) models to estimate relative risks (RRs) and 95% confidence intervals (CIs) to measure the magnitude of the impact of the intervention on each construct. We also stratified the GEE models by gender to enumerate gender-specific intervention effects and tested for the presence of interaction between the participants' gender and the assigned survey group (e.g., pre- or post-intervention). Results: Among 136 (Pre-test=64, Post-test=72) participants, 90% were Somali and 54% female. Adolescents assigned to the post-test were more likely to correctly answer questions on HPV/HPV-vaccine knowledge than those assigned to the pre-test (correct responses ranged from 27%-67% on the pre-test vs. 66%-90% post-test). The differences were statistically significant (p

Book The Effect of an E based Educational Intervention on Expatriate Parents  Human Papillomavirus  HPV  Knowledge  Perception  Vaccination Intention and Uptake in Bangkok  Thailand

Download or read book The Effect of an E based Educational Intervention on Expatriate Parents Human Papillomavirus HPV Knowledge Perception Vaccination Intention and Uptake in Bangkok Thailand written by Melissa M. Baker and published by . This book was released on 2013 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the world, human papillomavirus (HPV) is most prevalent sexually transmitted infection (STI) among young people between 15 and 24 years of age (WHO, 2010). Two prophylactic vaccines are available to prevent the HPV types 6, 11, 16 and 18. The objective of this randomized controlled trial, guided by the Health Belief Model, is to measure the effect of the E-based HPV educational program on expat parents' HPV knowledge, perception and HPV vaccination intention and uptake. Using non-probability sampling techniques, forty-three expat parents who live in Bangkok, Thailand, were recruited for this study. Data analysis was computed using IBM SPSS v.21. Statistical tests computed include Pearson product-moment correlation co-efficient (Pearson r), t-tests, chi-square tests, and the Difference in Differences (DID) estimation. Statistical analyses were performed with a 95% confidence interval and significance of p

Book Using a Mixed Methods Sequential Design to Identify Factors Associated with African American Mothers  Intention to Vaccinate Their Daughters Aged 9 to 12 for HPV with a Purpose of Informing a Culturally relevant  Theory based Intervention

Download or read book Using a Mixed Methods Sequential Design to Identify Factors Associated with African American Mothers Intention to Vaccinate Their Daughters Aged 9 to 12 for HPV with a Purpose of Informing a Culturally relevant Theory based Intervention written by Jennifer L. Cunningham and published by . This book was released on 2013 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this sequential, explanatory mixed methods research study was to understand what factors influenced African American maternal intentions to get their daughters aged 9 years to 12 years vaccinated in Alabama. In the first, quantitative phase of the study, the research questions focused on identifying the predictive power of eleven variables, representing selected factors associated with maternal intentions to vaccinate their daughters. The data were collected via a self-developed instrument that used a mixed mode survey design that was web-based (N = 14) and paper-based (N = 228). Participant demographics were analyzed using descriptive statistics. A binary, logistic regression analysis identified four variables best predicting maternal intentions towards HPV vaccinating their daughters against HPV: perceived barrier: information; perceived barrier: daughter too young for the vaccine; culture: future-time orientation; and subjective norms. In the second, qualitative phase were selected from the quantitative phase to explore the results from the statistical tests in more depth. Nine participants were selected using a stratified proportional subgroup sampling design and a maximal variation principle. Data collection included use of semi-structured interviews from five participants with positive intentions and four participants with negative intentions. Seven themes related to maternal intentions to vaccinate their daughters against HPV emerged in the thematic analysis of each participant and across the participants: role of knowledge, interpersonal influences, personal experiences, cultural influences, benefits of HPV vaccination, barriers of HPV vaccination, and vaccination uptake recommendations. For each participant, the themes differed in the number and similarity subthemes comprising them. There were similarities and differences among the participants in the study, while there were more similarities among participants in each group (those with positive intentions and those with negative intentions). Perceived barriers and future-time orientation were the most discussed themes. Vaccination uptake recommendations and interpersonal influences were other reasons mothers chose to or not to vaccinate their daughters. The results of the quantitative and qualitative phases were integrated while interpreting the outcomes of the entire study. Based on the findings from the quantitative and qualitative phases of the study, recommendations were made for a theoretical, culturally-tailored intervention to promote HPV vaccination uptake among African American girls aged 9 to 12 years.

Book Filipino American Mothers  Knowledge about Male HPV Vaccination and Intent to Vaccinate Their Sons

Download or read book Filipino American Mothers Knowledge about Male HPV Vaccination and Intent to Vaccinate Their Sons written by Krista M Navarra and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Information about the attitude and intent of Filipino-American mothers on HPV vaccination for their adolescent son is unavailable and unidentified. In this systematic review, three unique studies within different cultural backgrounds and demographic locations were analyzed. Data were collected from the following populations: Puerto Ricans, Ugandans, Caribbean Americans and African Americans. All studies were cross-sectional and integrated questionnaires which distinguished parents' knowledge and attitude toward HPV vaccinations along with additional information such as socio-economic status, educational attainment, occupation, etc. In the study performed in Puerto Rico, 200 parents of 9-17 years old were given a self-administered questionnaire, and the results showed that over 62% have heard about the vaccination for males and 71% are willing to get their sons vaccinated. More than 41% of parents with unvaccinated sons revealed that the primary reason they did not get them vaccinated was because they were unaware that boys were allowed to get the vaccine. In the Uganda study consisting of 1,508 parents, 83% of them believed that HVP vaccinations are very important for sons. Interestingly, in the third study in Caribbean Americans and African Americans, over 68% of parents were interested in their sons receiving the vaccine but only 1 in 2 though that their sons actually needed it. The self-administered surveys posed a concern for validity for all studies. From these studies, we hope to further more research on the Filipino-American community in Daly City, California to assess mother' prior knowledge of HPV and to learn how they feel about vaccinating their adolescent sons. Targeted HPV-specific education by providers could lead to high vaccine uptake in all types of populations.

Book Parents  Perceptions of Human Papilloma Virus Vaccine for Their Adolescent Sons

Download or read book Parents Perceptions of Human Papilloma Virus Vaccine for Their Adolescent Sons written by Paige E. Dorsel and published by . This book was released on 2021 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Human papilloma virus, HPV, is a sexually transmitted infection that can cause genital wards or even cancer. Though the HPV vaccine has been approved for many years, vaccine rates are extremely low, especially in the male population. This review of literature was conducted to examine the factors that influence parents' decision-making processes regarding Human Papilloma Virus (HPV) vaccination for their adolescent male children, in order to improve HPV vaccination rates. Methods: The ProQuest Nursing & Allied Health Database and CINAHL database were utilized within this review of literature. There were 21 studies included in the bib matrix. Results: Four main themes emerged: knowledge, beliefs, cost, and demographic influence. Many parents/guardians are unaware that the vaccine was intended for males. Beliefs surrounding the effect of the vaccine on sexual behavior, low perceived risk of HPV infection, and social interactions also pose a barrier. Cost is a potential barrier that was mentioned throughout many studies. Lastly, HPV vaccination decisions were influenced by the demographic grouping of participants Discussion: The four themes (knowledge, beliefs, cost, and demographic influence) were explored. The Health Belief was utilized in attempt to explain the parents' health behavior of deciding whether or not to have their child receive the HPV vaccine. Conclusion: Overall, parents continue to be reluctant to vaccinate their children against HPV. Most parents lack knowledge about the vaccine and its immense benefits to their child. The Health Belief Model was utilized in order to analyze the parents' decision process and suggest nursing interventions to improve HPV vaccination rates. - Abstract

Book Educating College Students About Human Papillomavirus

Download or read book Educating College Students About Human Papillomavirus written by Pamela Carter Bryant and published by . This book was released on 2021 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: Educating College Students About Human Papillomavirus Background: Human Papillomavirus (HPV) infection is the most common sexually transmitted infection in the US affecting almost 60% of college women ages 20 to 24 years. At one west coast community college, two thirds of males and half of females were unaware of HPV vaccine recommendation through age 26 years. Objectives: This aim of this project is to determine if an evidence-based online educational video about HPV and HPV vaccine would increase knowledge of HPV and intent to receive the vaccine among community college students enrolled in urban and suburban community colleges in Southern California. Measured outcomes of interest included HPV knowledge and intent to receive HPV vaccine. Methods: A quasi-experimental, one-group pre-posttest design was used to determine the effect of the HPV educational video on a sample of 24 gender and ethnically diverse community college students ages 18 through 26 years. Knowledge changes were measured using an online Student HPV-Knowledge Assessment immediately before and after video education. Statistical analysis included descriptive statistics, paired t-test, and the McNemar chi-square test for paired dichotomous variables. Results: Study results revealed all participants were aware of HPV and a majority was aware of the vaccine. Findings confirmed increased knowledge of HPV, perception of risk, and increased intent to get HPV vaccine in participants who were previously aware of disease following the intervention. These results support the utility of an online educational intervention to increase knowledge of HPV and intent of HPV vaccine uptake. Conclusion: HPV infection is common. Awareness of vaccines as protection from disease is increased during the pandemic, providing opportunity for influence of increased HPV vaccine uptake. The impact of HPV vaccine education through an educational video may be an effective method to reach young college students to heighten awareness and increase knowledge of HPV leading to increased HPV vaccine uptake. Future studies may examine if widespread education on vaccination as disease prevention during pandemic conditions could have impact on other vaccine uptake, specifically HPV vaccine, or if perception of risk from HPV infection might be overshadowed by perception of risk for COVID-19 and thus affect vaccine interest.

Book Involving African American Parents in the Educational Process

Download or read book Involving African American Parents in the Educational Process written by Shirley Chopp Chevalier and published by . This book was released on 2003 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Influence of Parents  guardians  Education Levels on Perceptions of Academic Success Among African American Adolescents

Download or read book The Influence of Parents guardians Education Levels on Perceptions of Academic Success Among African American Adolescents written by Angela D. Rogers and published by . This book was released on with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Blackwell Handbook of Adolescence

Download or read book Blackwell Handbook of Adolescence written by Gerald R. Adams and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 680 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume brings together a team of leading psychologists to provide a state-of-the-art overview of adolescent development. Leading experts provide cutting-edge reviews of theory and research. Covers issues currently of most importance in terms of basic and/or applied research and policy formulation. Discusses a wide range of topics from basic processes to problem behavior. The ideal basis for a course on adolescent development or for applied professions seeking the best of contemporary knowledge about adolescents. A valuable reference for faculty wishing to keep up-to-date with the latest developments in the field. Now available in full text online via xreferplus, the award-winning reference library on the web from xrefer. For more information, visit www.xreferplus.com

Book Done to Us  Not with Us

    Book Details:
  • Author : Brian K. Bridges
  • Publisher :
  • Release : 2012
  • ISBN :
  • Pages : 18 pages

Download or read book Done to Us Not with Us written by Brian K. Bridges and published by . This book was released on 2012 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the importance of postsecondary education to the economic and social vitality of the U.S. and the individuals who pursue this academic goal, the educational pipeline to and through college is broken for communities of color, the fastest-growing segment of the population. This report offers a revealing glimpse of the American system of public education from the perspective of those with the biggest stake in better schools: the parents of the African American children who are least well served by the system. This report is a meta-analysis of a two-part research program that involved both a quantitative survey and qualitative focus groups. The study was conducted in February and March 2012 in five target cities: Atlanta, Detroit, Memphis, New Orleans, and Washington, D.C. These cities were chosen because they have large African American populations, robust education reform efforts are under way or are part of a planning process to address the cities' challenges, and United Negro College Fund (UNCF) has a strong institutional presence there. These cities in particular face many of the educational challenges that prevent too many African American children from fulfilling their potential, and they therefore serve as excellent testing grounds. The key findings from this study reinforce and add greater details to the body of knowledge about African American parents and their involvement in the education of their children. Most important, a substantial percentage of low-income African American parents and caregivers who participated in the study (87 percent) have high aspirations for their children and overwhelmingly want them to graduate from college. An appendix contains the following: (1) Data Collection Methods; and (2) Topics on Which Low-Income Parents Would Like More Information to Support Their Child's Academic Progress.

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 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