Psychosocial factors associated with hiv testing amongst scottish gay men

This article describes the relationship between HIV testing and a range of psychosocial, sexual and socio-demographic variables. Trained research staff distributed a self-report questionnaire in the gay bars of Glasgow and Edinburgh, in May 2000. Questionnaires were completed by 803 men (a response rate of 78%). We present the results of both bivariate and multivariate analyses identifying key variables associated with never having had an HIV test. Thus we outline some psychosocial barriers to HIV testing. Multivariate analysis indicated that the most important factor associated with never having tested was fear of a positive result; this was particularly true for those men who reported higher levels of risky sexual conduct. We discuss the relevance of these findings in terms of presenting a psychosocial agenda which demands that stigma and the social exclusion of HIV positive people should be addressed before gay men are encouraged to seek HIV testing.     

Psychosocial factors influencing American men and women in their decision for sterilization

A self-administered questionnaire was answered by nearly 300 surgically sterilized men and over 200 such women 6 weeks after their surgery. Nearly half of these Americans were from large families. More women than men reported a history of medical, gynecologic, or psychiatric problems; one half had been pregnant four or more times; one third reported recent pregnancy. Most sterilized people reported an unsatisfactory contraceptive history. Despite that women had more complications from the procedure than men, improved psychosocial adjustment between 6 weeks before and 6 weeks after sterilization was reported by more women than men.     

Psychosocial factors associated with teenage pregnancy in Jamaica.

The self-esteem and perceived maternal care and control of 134 Jamaican schoolgirls and 108 pregnant adolescents and teenage mothers were compared. The girls were 14 through 17 years of age, from working-class backgrounds, and living in rural and urban areas. Adapted versions of the Coopersmith Self-Esteem Inventory and the Parental Bonding Instrument were administered. Results indicated that the two groups did not differ in perceived maternal care and control. However, the self-esteem of urban schoolgirls was significantly higher than that of their once-pregnant counterparts. This was also true of the total sample. Urban teenagers without father figures were nearly 2.7 times more likely to have been pregnant than were those living with adult male relatives. Thus, father-figure absence and low self-esteem may combine as risk factors for teenage pregnancy in urban Jamaica.     

Person factors associated with suicidal behavior among African American women and men

This study compared person risk factors among the following groups of low-income, African American adults in an urban, public hospital: (a) suicide attempters and nonattempters, (b) male and female attempters, and (c) all 4 groups (50 female attempters, 50 female nonattempters, 50 male attempters, and 50 male nonattempters). Participants completed psychological distress, aggression, substance use, cognitive processes, religiosity/spirituality, and ethnic identity measures. Compared with nonattempters, attempters reported more psychological distress, aggression, substance use, and maladaptive coping strategies; less religiosity/spirituality; and lower levels of ethnic identity. Male attempters endorsed more substance use than female attempters. No person risk factors differentiated among the 4 groups. Assessment of person risk factors and implementation of commensurate culturally competent interventions are recommended.     

Relation of socioeconomic status to logical and sociomoral judgment of middle-aged men

Empirical links between socioeconomic status and logical and sociomoral judgment were studied. Logical judgment was measured with adaptations of the pendulum and correlations tasks devised by Inhelder and Piaget (1958); sociomoral judgment was scored with the standard Kohlberg interview. Measures of socioeconomic status (SES) were status of family of origin and subject's educational attainment and occupational prestige. In a sample of 83 middle-aged men, the 3 measures of SES accounted for 25% and 12% of the variance in logical and sociomoral judgment, respectively. Adult occupational prestige accounted for 6% of the variance in logical judgment beyond that explained by family status and education, suggesting that adult cognitive functioning may be related to occupational placement, occupational experience, or both.     

Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women.

Personal, program-based, and environmental barriers to physical activity were explored among a U.S. population-derived sample of 2,912 women 40 years of age and older. Factors significantly associated with inactivity included American Indian ethnicity, older age, less education, lack of energy, lack of hills in one's neighborhood, absence of enjoyable scenery, and infrequent observation of others exercising in one's neighborhood. For all ethnic subgroups, caregiving duties and lacking energy to exercise ranked among the top 4 most frequently reported barriers. Approximately 62% of respondents rated exercise on one's own with instruction as more appealing than undertaking exercise in an instructor-led group, regardless of ethnicity or current physical activity levels. The results underscore the importance of a multifaceted approach to understanding physical activity determinants in this understudied, high-risk population segment.     

Life satisfaction and identity structure in late middle-aged men and women

A total of 32 retirement-age subjects (17 men and 15 women) provided information about their lives by rating each of their identities in terms of a list of self-generated features. They also rank-ordered their currently enacted identities in terms of time spent in each and completed a life-satisfaction questionnaire. The Identities X Features matrices were analyzed by algorithms that generated a hierarchical model of identity structure for each subject based on feature ratings. The hierarchical levels of identities were combined with time-spent rankings to obtain an index of personal style, a measure that reflected the unique organization of identities for each subject. Personal style indices were then correlated with life-satisfaction scores. Results confirmed the prediction that life satisfaction in this age group is a function of the amount of time spent in identities that give expression to multiple aspects of the self.     

Psychosocial factors associated with adolescent boys' reports of dating violence

The prevalence of dating violence, as well as its association with psychosocial factors, was examined among a nationally representative sample of 9th- through 12th-grade U.S. boys (N = 7,434) who completed the 1999 Youth Risk Behavior Survey. The dependent variable was physical dating violence; the independent variables were violence, suicide, substance use, and sexual risk behavior. Unadjusted odds ratios (OR) and 95% confidence intervals (CI) were examined. Multivariate logistic regression was used to examine all significant independent variables from the univariate models. Adjusted OR and 95% CI were examined to assess the significance of these relationships. In terms of prevalence, 9.13% of the boys reported physical dating violence. Boys who reported sad/hopeless feelings (OR = 1.68), had attempted suicide (OR = 2.22), reported fighting (OR = 1.81), had multiple sex partners (OR = 3.53), and reported nonuse of condoms (OR = 1.66) were more likely to report physical dating violence. These findings indicate that physical dating violence among adolescent boys may be a more serious problem than has previously been recognized. It was concluded that intervention programs should include a focus on boys as not only perpetrators but also recipients of dating violence.     

Marital status and quality in middle-aged women: Associations with levels and trajectories of cardiovascular risk factors.

The current study compared cardiovascular risk profiles and trajectories (i.e., within-person changes) of women who were married or cohabitating and who had high relationship satisfaction with those of women with moderate or low satisfaction and with those of women who were single, divorced, and widowed. Participants were 493 women from the Healthy Women Study, a prospective investigation of health during and after the menopausal transition. Risk factors were measured across more than 5 occasions and 13 years, on average. Data were analyzed using a multilevel modeling technique. Overall, women in relationships with high satisfaction had lower levels of biological, lifestyle, and psychosocial risk factors when compared with the other groups. In some cases, women in satisfying marriages also showed a lower risk trajectory on risk factors relative to other women. Hence, marriage appears to confer health benefits for women, but only when marital satisfaction is high.     

Experiential and physiological responses associated with anger and aggression in women and men

In a 2 × 2 × 2 factorial design, 48 male and female college students were either given a “sex-appropriate” provocation or were not provoked. Half of the subjects were then requested to give a “stream of consciousness” (SOC) report. Throughout the experiment, three physiological measures were monitored. Finally, all subjects delivered noxious sounds to their same-sex partner as part of a Buss-type learning task. No sex differences were found for subjects not giving the SOC report; provoked men and women were equally angry, hostile toward their partner, and displayed equal amounts of aggressive behavior. Provoked men reporting on their SOC, however, appeared to stimulate themselves to more aggression, whereas women seemed to adopt a nonhostile strategy for coping with their anger, thus reducing their inclination to behave aggressively. These patterns of results were closely paralleled by physiological changes. The relative validity of systolic and diastolic blood pressure as indicators of anger arousal was also discussed.     

Psychosocial factors associated with reports of physical dating violence among U.S. adolescent females

The present study, based upon the national 2005 Youth Risk Behavior Survey of U.S. high school students, provides the most current and representative data on dating violence among adolescent females (N = 7,179). The dependent variable was physical dating violence. The independent variables included four dimensions: violence, suicide, substance use, and sexual risk behavior. Unadjusted odds ratios (OR) and 95% confidence intervals (CI), were examined followed by multivariate logistic regression analyses, which included all significant independent variables from the bivariate analyses. Adjusted OR and 95% CI were computed to assess the significance of the relationships. In terms of prevalence, 10.3% of female adolescents reported experiencing physical dating violence. Black girls (OR = 1.47) and girls who reported sad/hopeless feelings (OR = 1.42) considered suicide (OR = 1.55), engaged in physical fighting (OR = 2.17), had recent sexual partners (OR = 2.10), or had unprotected sexual intercourse (OR = 1.70) were more likely to report physical dating violence. These findings suggest dating violence against adolescent females is widespread and associated with a host of other risk factors that deserve further attention through longitudinal research and intervention efforts.     

Psychosocial factors associated with physical growth and behavior adaptations of children with renal dysfunction

To probe factors related to growth in children with renal insufficiency, who often grow poorly, 21 patients age 2 to 10 yr. were studied. Relationships among height rates, calorie intake, and staff ratings of compliance were positive but nonsignificant. The balance of stresses and supports was significantly related to growth and ratings of adjustment. Variables related to parent-child-staff communications were explored.     

Psychosocial stress and social support are associated with prostate-specific antigen levels in men: results from a community screening program.

Perceived stress and satisfaction with social support were assessed in 318 men participating in a prostate-specific antigen (PSA) screening program. We predicted that high stress would be associated with high PSA and high social support with low PSA. We also predicted a Stress x Support interaction (buffering). Hypothesized main effects were confirmed and were not explained by recency of previous rectal examinations or current urinary symptoms. There was no evidence of buffering. Stress and social support were not associated with results of digital rectal examinations. These findings raise the possibility that psychosocial factors promote prostate disease through direct physiologic pathways. However, it is also possible that the data reflect effects of stress on health-related behaviors or that stress scores were affected by participants' anticipation of prostate problems on the basis of prior PSA tests or symptoms.     

Social life factors affecting suicide in Japanese men and women

To clarify the social life factors affecting suicide mortality in Japanese men and women, the relationship between a wide variety of social and demographic indicators and age-adjusted suicide mortality was assessed in 46 prefectures in Japan by stepwise multiple-regression analysis after classification of the indicators by factor analysis. The findings indicated that rural residence was the major factor for male mortality in both 1970 and 1975; over the interval between these years, a serious economic crisis (the oil crisis) took place, and the mortality significantly increased. In addition, in 1970 (a time of high economic growth), home help for the elderly (a possible indicator of social isolation in old people), depopulation by social mobility, and urban residence were positively associated with male mortality. In women, on the other hand, both the 5-year increase in suicide mortality and the effects of the social life factors were less significant. The unique position of Japan in comparison with Western countries regarding social risk factors for suicide is discussed in the light of these findings.     

Coping with conflict situations: middle-aged and elderly men

In this study we investigated the coping responses of fairly healthy, middle-aged (40-64 years, n = 76) and elderly (65-92 years, n = 106) men to five conflict situations (i.e., decision making, defeat in a competitive circumstance, frustration, authority conflict, and peer disagreement). Coping responses were measured by the Life Situations Inventory, developed to assess three forms of coping: problem-solving, avoidance, and resignation. Scales were based on a 28-item questionnaire and were derived rationally through item analysis. Alpha coefficients ranged from .75 to .82. Elderly subjects used avoidance significantly less often than did middle-aged subjects in handling decision-making and authority-conflict situations. No differences were noted between the age groups in use of problem solving or resignation. Both middle-aged and elderly persons favored use of problem solving in managing all conflicts. Results suggest that studies that do not address potential interactions between age and stress situation may be missing an important element in the age-coping relation.     

Implicit self-esteem is associated with higher levels of trait gratitude in women but not men

ABSTRACT

Higher levels of trait gratitude have been associated with measures of greater self-reported self-esteem. However, such self-report measures may be influenced by self-report biases. In this study we investigated for the first time whether implicit measures of self-esteem would be associated with greater trait gratitude in a sample of 88 undergraduate students (41 female). We observed that, in women (but not men), higher levels of trait gratitude were associated with higher implicit self-esteem (r = .26, p = .05), even when accounting for depressive symptoms. This finding may be of particular importance, as implicit measures of self-esteem have been more strongly associated with psychological health than explicit measures. Future research should further investigate whether the experience of gratitude affects self-esteem differently in men and women, as this knowledge may be important in informing the design of future gratitude interventions aimed at improving psychological health in men and women.     

Feminine sex role and depression in middle-aged women

The present study was designed to investigate the relationship of sex-role orientation and depression in middle-aged women. It was hypothesized that middle-aged females who were clinically depressed would score higher in feminine characteristics on the Bem Sex Role Inventory (BSRI) than similar women who were not depressed. The subjects were two groups of women between the ages of 35 and 50. The clinical group consisted of 15 women who were currently diagnosed as depressive and who were undergoing treatment for depression at three local mental health centers. The nonclinical group consisted of 24 women who were not currently seeking treatment for depression and who had never undergone psychiatric treatment or therapy. All subjects were administered the BSRI and Beck's Depression Inventory.Results supported the hypothesis that depression in middle-aged females is related to their degree of acceptance of the traditional feminine role. For all subjects, depression scores were positively correlated with femininity scores. It was concluded that the woman who subscribes to a traditional feminine role stereotype has a greater vulnerability to depression in her middle years.     

Psychosocial factors in sunbathing and sunscreen use

Excessive exposure to the sun has been related to the development of various types of skin cancer, but use of sunscreen decreases the risk. The present project was designed to empirically examine psychosocial factors in sunbathing and sunscreen use. One hundred twenty sunbathing and nonsunbathing beachgoers were interviewed about their health practices, knowledge about skin cancer, moods, and social rewards obtained through sunbathing. They also completed several relevant personality questionnaires. Data were considered using a theoretical perspective combining aspects of health belief, social influence, social learning, and risk-taking models. Results indicate that sunbathing is clearly related to having a positive attitude toward risk taking, having little knowledge about skin cancer, reporting a relaxed mood, having friends who sunbathe, and engaging in activities related to maintaining a positive physical appearance. Sunscreen use is related to sex, having knowledge about skin cancer, knowing people who have had cancer, and reporting high levels of anxiety. The implications of these findings for the design of intervention strategies and for the future study of health-compromising behaviors are discussed.