Positioning theory as a discursive approach to understanding same‐sex intimate violence

This study focuses on same‐sex intimate violence, recognizing that violence in gay and lesbian relationships is as severe and prevalent as in heterosexual relationships. Positioning theory as a relational approach is used as an alternative to the dominant individual and structural accounts. Intimate violence is seen as produced through the assignment of rights and duties or positioning in couples' conversations. Two gay and two lesbian couples were interviewed. A basic discursive pattern was found from 25 accounts of episodes involving physical violence. Violence ensued only after the initiator of violence had claimed innocence or blamelessness and attributed guilt or blame on the receiver of violence. The findings are discussed in relation to the discursive production of power and violence.     

PERCEIVED FREQUENCY OF ROLE CONFLICT AND RELATIONSHIP QUALITY FOR CAREGIVING DAUGHTERS

A role-conflict approach was employed to explore the impact of perceived frequency of conflict between caregiving and other obligations on the quality of relationships between daughters and their care-receiving mothers. Frequency of conflict between caregiving and responsibilities as a wife, mother, and paid and unpaid worker was assessed. Daughters reported relatively infrequent conflict between caregiving and other obligations. A multiple regression analysis revealed that daughters who reported frequent conflict between their obligations as caregivers and their obligations as wives had poorer relationships with their mothers. The findings emphasize the importance of a supportive spouse for married caregivers.     

Faith-Based Sex Education Programs: What They Look Like and Who Uses Them

The purpose of this study was to explore the kinds of sex education programs for youth available in mainline churches. This research project sought to identify the kinds of programs developed, the ages of the youth involved, the reasons for implementing the programs, the goals of the programs, the topics covered, and the perceived youth response to these programs as identified by youth ministers and leaders. The sample included 92 churches/synagogues with memberships over 300 that were within a 25-mile radius of our small, urban area in southeast Michigan. Findings from this study lay the groundwork for exploring whether these programs have an impact on adolescents’ sexual behaviors.     

Severity and cost of unsafe abortion complications treated in Nigerian hospitals

CONTEXT: Each year, thousands of Nigerian women have unintended pregnancies that end in illegal abortion. Many such procedures occur under unsafe conditions, contributing to maternal morbidity and mortality. METHODS: In a 2002-2003 survey of women and their providers in 33 hospitals in eight states across Nigeria, 2,093 patients were identified as being treated for complications of abortion or miscarriage or seeking an abortion. Women's abortion experiences and the health consequences and associated costs were examined through bivariate analysis. Multivariate analysis was used to examine the characteristics of women by type of pregnancy loss and to compare characteristics among three groups of women who had induced abortions in differing circumstances. RESULTS: Among women admitted for abortion-related reasons, 36% had attempted to end the pregnancy before coming to the hospital (including 24% with and 12% without serious complications), 33% obtained an induced abortion at the facility (not withstanding the country's restrictive law) without having made a prior abortion attempt and 32% were treated for complications from a miscarriage. Of women with serious complications, 24% had sepsis, 21% pelvic infection and 11% instrumental injury; 22% required blood transfusion and 10% needed abdominal surgery. The women in this group were poorer and later in gestation than those who sought abortions directly from hospitals. They paid more for treatment (about 13,900 naira) than those who went directly to the hospital for an abortion (3,800 naira) or those treated for miscarriage (5,100 naira). CONCLUSIONS: Policy and program interventions are needed to improve access to contraceptive services and postabortion care in order to reduce abortion-related morbidity and mortality.     

Actigraph data are reliable, with functional reliability increasing with aggregation

Motion sensor devices such as actigraphs are increasingly used in studies that seek to obtain an objective assessment of activity level. They have many advantages, and are useful additions to research in fields such as sleep assessment, drug efficacy, behavior genetics, and obesity. However, questions still remain over the reliability of data collected using actigraphic assessment. We aimed to apply generalizability theory to actigraph data collected on a large, general-population sample in middle childhood, during 8 cognitive tasks across two body loci, and to examine reliability coefficients on actigraph data aggregated across different numbers of tasks and different numbers of attachment loci. Our analyses show that aggregation greatly increases actigraph data reliability, with reliability coefficients on data collected at one body locus during 1 task (.29) being much lower than that aggregated across data collected on two body loci and during 8 tasks (.66). Further increases in reliability coefficients by aggregating across four loci and 12 tasks were estimated to be modest in prospective analyses, indicating an optimum trade-off between data collection and reliability estimates. We also examined possible instrumental effects on actigraph data and found these to be nonsignificant, further supporting the reliability and validity of actigraph data as a method of activity level assessment.     

Beyond “Survivor”: How Childhood Sexual Abuse Informs the Identity of Adult Women at the End of the Therapeutic Process

A qualitative method was used to explore how adult women experienced their identity after extensive therapy to deal with childhood sexual abuse. Seven women shared their healing journeys and their perceptions of the role of the abuse in their current life and self‐perceptions. Phenomenological analysis of the interview data revealed 5 common themes related to participants' self‐definition and self‐acceptance, sense of visibility and connection to others, current worldview, and residual losses. These findings are discussed in terms of their implications for trauma counselors.     

Reducing Disparities in Cancer Screening and Prevention through Community‐Based Participatory Research Partnerships with Local Libraries: A Comprehensive Dynamic Trial

Reduction of cancer‐related disparities requires strategies that link medically underserved communities to preventive care. In this community‐based participatory research project, a public library system brought together stakeholders to plan and undertake programs to address cancer screening and risk behavior. This study was implemented over 48 months in 20 large urban neighborhoods, selected to reach diverse communities disconnected from care. In each neighborhood, Cancer Action Councils were organized to conduct a comprehensive dynamic trial, an iterative process of program planning, implementation and evaluation. This process was phased into neighborhoods in random, stepped‐wedge sequence. Population‐level outcomes included self‐reported screening adherence and smoking cessation, based on street intercept interviews. Event‐history regressions (n = 9374) demonstrated that adherence outcomes were associated with program implementation, as were mediators such as awareness of screening programs and cancer information seeking. Findings varied by ethnicity, and were strongest among respondents born outside the U.S. or least engaged in care. This intervention impacted health behavior in diverse, underserved and vulnerable neighborhoods. It has been sustained as a routine library system program for several years after conclusion of grant support. In sum, participatory research with the public library system offers a flexible, scalable approach to reduce cancer health disparities.     

The Cognitive Underpinnings of Continuous Identity: Higher Episodic Memory Recall and Lower Heuristic Usage Predicts Highest Levels of Self-Continuity

Continuous identity (CI) is a sense of persistent identity wherein the present self is seen as overlapping with the past and future selves. This study addressed the hypothesis that judgments of CI require successful retrieval of information by examining the relationship between varying levels of CI and two forms of memory recall. The pattern of findings indicated that high levels of cued memory recall combined with low levels of heuristic usage were associated with higher levels of CI, and this occurred for both past-to-present CI and present-to-future CI. We propose that to achieve high levels of CI, individuals need to access and analyze a fund of stored autobiographical information.     

Mind-operated devices: mental control of a computer using biofeedback.

This study investigated whether people could learn to control a computer using a biofeedback interface that integrated their galvanic skin response (GSR), heart rate, and temperature. Twenty participants played a computer game using the biofeedback device, both individually and in pairs. Results indicated that most people learned to control the game after a single training session. The GSR measure was the most sensitive means of control. Pairs of participants controlled the device more effectively than single individuals did.     

Spirituality and transformation in a community-based group in the Bahamas

Understanding the specific contexts where spirituality may or may not be helpful has been identified as a priority in spirituality and health research. The study aims were to clarify the helpfulness of spirituality and the interrelationships among transformation, spirituality, and forgiveness in this community-based group offered in a societal context of violence. Sixteen group participants from the Bahamas were selected and interviewed. Nine participants were female (56%); 75% identified as Black and 25% identified as White/Caucasian. NVivo 11 software was used. Transformation and spirituality themes were prevalent: themes related to prayer, group connection, and compassion were prominent. Selected spirituality themes were proximal to transformation themes, particularly forgiving others. The group process themes were closely linked to transformation themes. Participants noted that modelling by the group provided support for them to forgive and change. These findings may inform future efforts to intervene in communities experiencing violence and societal fragmentation.