HIV/AIDS prevention support resourcing with family and peers: University student perspectives

This study explored how students construct family and peers as resources for their HIV prevention. The participants were 20 education students from a South African technology education university (female = 60%, black = 85%; age range = 18 to 24). They completed a semi-structured interview on their access to family and peers talking about HIV/AIDS prevention in the context of perceived cultural influences. The data was thematically analysed using open-coding. Findings suggest that students shared information about HIV/AIDS prevention with peers, and less so with family. They perceived cultural taboos around sex talk to be a barrier to open discussion of HIV/ADS. Students may need to acquire strategies to negotiate HIV/AIDS prevention approaches with family in the context of culture.     

Family interactions and sex education in the home

Despite the tremendous growth of family systems theory in recent years, sex education within a family systems context has received little attention. This study examined patterns of interaction within the family and the possible relationship of these patterns to the amount of sex education occurring in the home. Ninety-six adolescents (ages 13-14, 43% male, 90% Caucasian) and the parents of 63 of them (61 mothers and 45 fathers) completed three questionnaires: (1) FACES-II, a measure which categorizes family interactions as Balanced, Midrange or Extreme based on the two dimensions of cohesiveness and adaptability; (2) the Parent-Adolescent Communication Scale; and (3) the Home Discussion Questionnaire, a measure of the amount of discussion about 17 sex education topics. Adolescents who reported open communication and satisfaction with family interactions reported significantly more sex education in the home. Although mothers' reports of sex education were not related to their perceptions of family communication or interactions, fathers who reported the healthiest family interactions also reported the most involvement in the sex education of their adolescent.     

Effects of a teen pregnancy prevention program on teens' attitudes toward sexuality: A latent trait modeling approach

The purpose of this study was to examine the effects of program interventions in a school-based teen pregnancy program on hypothesized constructs underlying teens' attitudes toward sexuality. An important task related to this purpose was the validation of the constructs and their stability from pre- to postintervention measures. Data from 1,136 middle grade students were obtained from an earlier evaluation of an abstinence-based teen pregnancy prevention program (S. Weed, I. Ericksen, G. Grant, & A. Lewis, 2002). Latent trait structural equation modeling was used to evaluate the impact of the intervention program on changes in constructs of teens' attitudes toward sexuality. Gender was also taken into consideration. This investigation provides credible evidence that both 1st- and 2nd-order constructs related to measures of teens' attitudes toward risky sexual behavior are sufficiently stable and sensitive to detect program effects.     

Parent sex education beliefs in a rural South African setting

This study explored beliefs held by African community parents which are important in their children’s sexual health education. The informant parents (n = 30) were predominantly rural dwelling (female = 70%; black = 95%; rural = 80%; age range = 30 to 65 years old) from the Free State, South Africa. They reported on their child sex education beliefs; addressing appropriateness, resources, and content issues. Thematic analysis revealed that parents were more comfortable engaging in sex education with their older or young adult children rather than the younger children. Moreover, the parents considered sex education topics on sexual intercourse and instruments taboo subjects. Resourcing parents regarding sex education would require working around cultural barriers about the age appropriateness of sex education, as well as permissible content.     

Psychosocial characteristics of pregnant and nulliparous adolescents

A case control study was carried out with 19 pregnant and 20 nulliparous fifteen- and sixteen-year-old black teenage women patients at an adolescent clinic. Both groups were measured on twenty-one variables, which included personal and family history information as well as scores on twelve scales of adolescent psychosocial adjustment. A stepwise discriminant analysis was carried out comparing both groups. The first analysis using only psychosocial adjustment variables did not significantly discriminate between the two groups. The second analysis used family history and psychosocial adjustment variables and had a multiple correlation of .65, with p = .008. The discriminant function generated was able to correctly classify 89.5% of the pregnant group and 80% of the nulliparous group. The pregnant group had lower maternal educational level, later sex education, more brothers, better family adjustment, but poorer vocational adjustment. The study suggests that distinct characteristics do exist for the pregnant adolescent in the population studied, but that such characteristics do not indicate family or psychological disturbance in pregnant adolescents. Further, the importance of the meaning of adolescent pregnancy within different cultural and socioeconomic contexts is discussed.     

Premarital sexual, child rearing, and family attitudes of Iranian men and women in the United States and in Iran

Sexual, child rearing, and family attitudes of 160 Iranian immigrants in the United States (61 men, 99 women) and 97 Iranians (55 men, 42 women) in Iran were compared. Iranians in the United States in general, and women in particular, compared with their counterparts in Iran, expressed more permissive attitudes toward premarital sex and sex education, more tolerance toward homosexuality, and a greater acceptance of marital dissolution. Iranians in both countries assigned a high value to the maternal role and to family loyalty but did not endorse unrestricted freedom for youngsters. Influences of attitudinal disparity on interpersonal and family relationships are discussed, and implications for marriage counseling and family therapy are suggested.     

Risk factors associated with overdose among Bahraini youth.

The aim of this study was to identify the risk factors of overdose among Bahraini youth (15-24 years). These factors included psychiatric disorders, family pathology, and psychosocial stress. All suicide attempters in the country during an 18-month period (N= 100) were identified prospectively. One hospital-matched control was selected for each case. Both cases and controls underwent a semistructured personal interview in the two state general hospitals. A matched pair analysis was done, as well as computation of McNemar's continuity corrected chi-square test, odds ratio, and the 95% confidence interval of the odds ratio. The overdose attempter was more likely than the control to be unemployed, a member of a non-intact family, having a mother whose education was high school or above, not having a friend, involved in a boy/girlfriend relationship, and a cigarette smoker. More students among attempters had failed an examination in the past year than matched controls. Father's education, social class, death of father, recent row with a friend, use of drugs and alcohol, relationship with teachers, recent mobility, financial difficulties, and legal problems were similar in both groups. Stresses generated from living in a non-intact family, interpersonal relationships mainly with the opposite sex, unemployment, and school performance came out as the main risk factors. The association of previously identified risk factors such as depression, aggressive behavior, and use of drug and alcohol was low among attempters. While the results of this study are consistent with the present view that suicidal behaviors are multifactorial in origin, the magnitude and effect of each factor are culturally determined.     

Regular and problematic leisure-time Internet use in the community: results from a German population-based survey

In our study, we attempted to identify systematically the use of Internet applications in the German population in order to derive risk factors for problematic use. In a representative survey of the German population, we queried 1,401 women and 1,111 men between the ages of 14 and 94 years by specific questions and standardized questionnaires on depression, anxiety (HADS), and depersonalization (CDS-2). The majority of the German population (55%) used the Internet in their leisure time. Users were younger and had a higher socioeconomic status (education, employment, income). Leisure-time use included e-mail and information search, as well as shopping. Chatting, online communities, games and sex were domains of young, mostly male adults. Overall, 9.3% reported at least one negative consequence of Internet use, especially neglect of recreational activities and problems with family/partner, work or education, and health. Problematic use was associated with longer average daily online times, avoidance of negative emotions, preference for certain applications (gaming, gambling, online sex) and an increased rate of depersonalization. The extent of Internet use per se is not sufficient as an addiction criterion and other negative consequences; rather, specific adverse consequences need to be identified. If the Internet is used excessively to cope with negative affect states and alternative means of coping (e.g., social support, health-promoting behavior) are diminished, a vicious cycle may ensue with increasing stress and reliance on the reinforcing properties of certain online activities that may finally lead to addictive behavior.     

The Social Conditions for Successful Peer Education: A Comparison of Two HIV Prevention Programs Run by Sex Workers in India and South Africa

Peer education is a community-based intervention being implemented worldwide as an approach to HIV prevention. However, its results are inconsistent, with little consensus on why some projects succeed while others fail. Considering peer education as an ‘intervention-in-context’, we systematically compare the context and the implementation of two peer education interventions run by sex workers, one in India and one in South Africa, which produced contrasting outcomes. In so doing, we aim to identify key factors in the projects’ successes or failures that may inform future peer education efforts. The Indian project’s relative success was facilitated (1) by a more stable and supportive social, material and political context, and (2) by a community development ethos which devoted significant resources to sex workers’ involvement, ownership and empowerment, as opposed to a biomedical approach which marginalised sex workers’ concerns. We conclude with lessons learned and implications for current trends in peer education.     

RISK FACTORS FOR SEXUAL VICTIMIZATION IN DATING A Longitudinal Study of College Women

In this longitudinal study of college women, nine risk characteristics assessed prior to the start of college were examined in the effort to identify predictors of sexual victimization in college dating. A total of 100 women were followed for 32 months, with information about personal history, behaviors, and attitudes collected at Time 1 and information about subsequent sexual victimization collected at Time 2. Although four risk factors were significantly associated with victimization, a logistic regression analysis revealed that the best prediction model contained only two variables: Precollege sexual victimization in dating was positively correlated with college victimization, and sexual conservatism was negatively correlated with college victimization. Discussion focused on the needs for improved sex education for teenagers, prevention programs aimed at the precollege level, and increased research and clinical attention to the phenomenon of revictimization.     

Maternal age, investment, and parent-child conflict: a mediational test of the terminal investment hypothesis

Drawing on the evolutionary terminal investment hypothesis and Trivers' (1974) parent-offspring conflict theory, we advance and evaluate a mediational model specifying why and how maternal age, via mating effort and parental investment, affects mother-child conflict. Data from a longitudinal study of 757 families indicate that (a) older maternal age predicts lower mating effort during the child's first 5 years of life, and (b) thereby, higher maternal investment in middle childhood when the child is around 10 years old. (c) Higher maternal investment, in turn, forecasts less child-perceived mother-child conflict in adolescence (age 15). These results proved robust against theoretically relevant covariates (family resources, parity, maternal education, and maternal personality characteristics) and in the context of an autoregressive model. Study limitations are noted and results are discussed in terms of the unique contributions of an evolutionary perspective to the determinants-of-parenting literature.     

Barriers to fair housing for black women

This article examines barriers to fair housing (or equality of access to housing opportunities) for black women in both the private and public sectors. First the coverages of federal fair housing legislation are described. Then evidence of discrimination (behavior that denies to one group the rights or opportunities given to others) against black women seeking housing is explored in several contexts—on the basis of race, of sex, and of membership in a family with children. Available data suggest that the major form of housing market discrimination confronting black women is based on race. Despite legislation prohibiting them, subtle forms of discrimination on the basis of both race and sex appear to continue. In addition, several instances were reported in which discrimination against families with children was used to camouflage racially motivated discrimination.This analysis is the author's own and should not be attributed to the U.S. Congressional Budget Office.     

CAUSAL ATTRIBUTIONS BY JAPANESE AND AMERICAN MOTHERS AND CHILDREN ABOUT PERFORMANCE IN MATHEMATICS*

In this study we examined the possibility that causal inferences about performance may help explain the relatively superior achievement of Japanese students in mathematics. Data from mothers and children in Japan and the U.S. were examined for (a) attributions about causes of performance in math; (b) intra-family transmission of beliefs; and (c) effect of sex of child on attributions. Results showed that Japanese mothers and children emphasized effort, particularly for low performance, while American mothers and children emphasized ability. Beliefs of mothers and children were similar within country but not within family, suggesting that transmission is diffuse. Differences in attributions about performance of boys and girls did not appear in Japan and in the U.S. appeared for mothers only. The emphasis placed on attributions to effort seems to offer a highly motivating context for Japanese students.     

Experiences of Newly Married Black Women Staying with the Extended Family in a Township in South Africa

We report the results of a phenomenological study on the experiences of newly married black women staying with extended family in South African townships. Our goals for the study included in-depth interviews on experiences and guidelines to facilitate these women's mental health. We interviewed six newly married women (age range 20 to 30 years; mean period in marriage = 3 years) staying with the extended families in an urban South African township. An open central question was posed to the newly married black women who fitted the inclusion criteria and this was followed by probing questions to explore and describe the experiences of staying with the extended family in an urban township. Newly married black women who do not follow the expected practices from the teachings of the extended family experienced victimisation by the extended family. The mental health of newly married black women staying with the extended family in an urban South African township could be facilitated by empowering these women with communication skills to enable them to express their feelings and concerns effectively.     

Self-confidence of managers in work and social situations: A look at gender differences

This study examined gender differences in self-confidence among working managers in two situations (work and social/family) as well as relationships between self-confidence, personal adjustment, and gender identity. Respondents were 437 women and men managers (208 men and 229 women) in southeast Florida. Although the sample was predominantly non-Hispanic white, an effort was made to include as many as possible Hispanic and black managers of both genders. Meaningful subgroup analysis was not possible, however, due to the small number of minority managers. Results showed that contrary to commonly held beliefs, the women and men managers were not significantly different in self-confidence in either situation, but both were higher in self-confidence at work than the same gender was in the social/family environment. Strong gender identity—either masculine or feminine—was associated with self-confidence at work for both genders, as was high personal adjustment. Implications are discussed.     

Sex Education and Intellectual Disability: Practices and Insight from Pediatric Genetic Counselors

Intellectual disability (ID) with or without other anomalies is a common referral for genetic counseling. Sessions may include discussions of reproductive implications and other issues related to sex education. Patients with ID regularly meet barriers when trying to obtain sex education due to the misperceptions of others as being either asexual or that such education would promote inappropriate sexual behavior. In this pilot study, we surveyed genetic counselors to explore their experiences with being asked to provide sex education counseling and their comfort in doing so for patients with ID ages 9–17. Results were analyzed from 38 respondents. Caregivers and patients most frequently requested information on puberty, sex abuse prevention, and reproductive health. Genetic counselors were most comfortable when they could provide sex education counseling within the context of a particular condition or constellation of features. They were least comfortable when they lacked familiarity with the patient, caregiver, or the family’s culture. The most frequently cited barriers that prevented genetic counselors from providing sex education counseling were lack of time, lack of training, the patient’s ID being too profound, and a belief that genetic counselors should not be responsible for providing sex education counseling. While many respondents reported that providing sex education counseling is not considered within the scope of a genetic counselor’s practice, they also noted that patients’ families initiate discussions for which counselors should be prepared. Respondents indicated that resource guides specifically designed for use by genetic counselors would be beneficial to their practice. Genetic counselors have the opportunity to embrace the role of advocate and broach the issue of sexual health with caregivers and patients by directing them toward educational resources, if not providing sex education directly to effectively serve the needs of patients and caregivers.     

亲子性话题沟通风格对青少年性行为和性态度的预测： 依恋的调节效应

采用问卷法探讨了亲子间性话题沟通风格与青少年性行为、性态度的关系,并考查了亲子依恋的调节效应。结果发现：（1）两个关于性别、父母职业和受教育程度的多元方差分析表明：男生与女生在与父亲和母亲的性话题沟通开放性上均没有显著差异,与父亲和母亲性话题沟通的舒适感上有显著差异。男生与父亲的性话题沟通风格好于与母亲的,而女生与母亲的性话题沟通风格好于与父亲的。父母的职业和受教育程度以及青少年性别、父母职业、受教育程度的交互作用不显著;（2）进一步的结构方程模型分析表明：青少年与父母性话题沟通开放性对性行为具有显著的负向预测作用,对不赞同同伴性行为的态度具有显著的正向预测作用;而青少年与父母性话题沟通舒适感对不赞同同伴性行为的态度具有显著的负向预测作用;（3）依恋对性话题沟通和青少年的性行为的关系有显著的调节作用,与完全安全依恋的家庭相比,在与父母依恋都不安全的家庭中,青少年与父母性话题沟通的开放性对青少年的性行为有更强的预测力     

抑郁性神经症患者精神创伤的临床调查与分析

通过调查与分析。希望进一步了解导致抑郁性神经症的精神创伤的性质和易感人群的年龄、教育程度和性别等方面的特点。为此类疾病的病因分析及其防治提供客观的依据。结果表明：1．不同的年龄、教育程度和性别均有各自敏感的生活事件,部分生活事件在任何年龄阶段、教育程度、性别的人群中都可构成精神创伤;2．家庭矛盾、个人发展、疾病、失去亲人等生活事件容易构成精神创伤,其中家庭矛盾尤为突出;3．不可控的生活事件是构成抑郁性神经症近、远期精神创伤的重要基础。可见,抑郁性神经症的发病与精神创伤关系密切;不同教育程度、年龄、性别对生活事件的体验及其导致精神创伤的程度不同。     

Social Support in Academic Programs and Family Environments: Sex Differences and Role Conflicts for Graduate Students

We hoped to identify the sources and types of social support that are most beneficial for helping graduate students cope with stress. A second purpose of our study was to identify sex differences in stress and the most beneficial types of support. Students living in graduate student housing were surveyed to assess (a) social support in their academic programs and in their family environments, (b) recent stressful life events, and (c) depression and anxiety as psychological symptoms of stress. Women reported significantly more stress, more symptoms of stress, and significantly less support from their academic departments and family environments than did men. Family support had only buffering effects, but no direct effects on stress symptoms for women. Graduate program and family support had direct effects, but no buffering effects on stress symptoms for men. These results may indicate greater role strain for women, perhaps resulting from less support for their multiple roles and greater concerns about balancing academic and family demands.     

“It's a white thing”: An exploration of beliefs about suicide in the African‐American community

Although there has been an increase in black suicides in the past decades the white suicide rate is still nearly double the black suicide rate for men and women. The question asked is, Why is there relatively little black suicide? One persuasive answer proposed in the literature is that major social institutions, particularly religion and family, in the African‐American community provide amelioration or buffering of social forces that would otherwise promote suicide. We report on a qualitative investigation designed to identify the content of beliefs and perceptions of suicide that may act as a buffer against suicide in the African‐American community. From interviews with black pastors in a southern community we identify an intermingling of religious condemnatory beliefs and secular attitudes about suicide that view suicide as unthinkable sin and define it as a “white thing” alien to the black culture.