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961.
African Americans are disproportionately affected by the HIV epidemic inclusive of men who have sex with men, heterosexual men, and women. As part of a community‐based participatory research study we assessed HIV testing experience among sexually active 18–30 year old Black men and women in Durham, NC. Of 508 participants, 173 (74 %) men and 236 (86 %; p = 0.0008) women reported ever being tested. Barriers to testing (e.g., perceived risk and stigma) were the same for men and women, but men fell behind mainly because a primary facilitator of testing—routine screening in clinical settings—was more effective at reaching women. Structural and behavioral risk factors associated with HIV infection were prevalent but did not predict HIV testing experience. Reduced access to health care services for low income Black young adults may exacerbate HIV testing barriers that already exist for men and undermine previous success rates in reaching women.  相似文献   
962.
This study investigated whether insecure attachment is associated with poorer outcomes at 6‐month follow‐up in adolescents who self‐harm. At baseline the Child Attachment Interview was administered to 52 adolescents (13‐17 years) referred to specialist child and adolescent mental health services and with a recent history of self‐harm. Participants also completed self‐report measures of self‐harm, peer attachment, anxiety, and depression and were administered the means end problem‐solving task. Self‐harm behavior and problem‐solving skills were assessed again at 6‐month follow‐up. At baseline, 14 (27%) were securely attached to their mothers. In the 49 (94%) adolescents followed‐up, those with insecure maternal attachment and insecure peer attachment were more likely to have repeated self‐harm. In addition, securely attached adolescents showed greater improvement in problem‐solving skills. These findings indicate that secure maternal and peer attachments may help recovery from self‐harm, possibly by supporting the acquisition of problem‐solving skills, and highlights the importance of social connections and attachments for youth with a history of self‐harm.  相似文献   
963.
964.
The current study examined the individual and joint effects of the Big Five personality traits and acculturation on coping styles. Using the proposed framework of McCrae ( 22 2001), the relations among these variables were evaluated at the intracultural level to exploit previously unexplored within‐culture variability for an unstudied Asian American group (Korean Americans). This approach emphasizes the unique expression of specific personality traits in a single culture. A community sample of Korean Americans completed measures of the Five‐Factor Model of Personality (NEO‐PI‐R; Costa & McCrae, 13 1992), coping (Brief COPE; Carver, 7 1997), and acculturation (SL‐ASIA; Suinn, Ahuna, & Khoo, 40 1992). The results primarily showed statistically significant relations between the Big Five personality traits and coping. Neuroticism was positively related to indices of emotion‐focused coping (emotional support) and avoidance (substance abuse, behavioural disengagement, venting, self‐blame); Extraversion, Conscientiousness, and Openness were positively related to indices of problem‐focused (active coping, planning) and emotion‐focused coping (positive reframing, humour, acceptance); and Agreeableness was positively associated with active coping and humour. Acculturation was only significantly (and positively) associated with venting. Significant Acculturation×Big Five personality traits interactions were found, however. For individuals high in acculturation, both Neuroticism and Openness were positively related to indices of avoidance coping. Moreover, for individuals low in acculturation, a negative relationship was found between Conscientiousness and venting. These results show that there is considerable within‐culture variation for the dimensions of the Five‐Factor Model of Personality, coping styles, and acculturation in this largely bicultural sample. Moreover, the amount of variation and its directionality among the target study variables is similar to that typically found in Caucasian American samples. Finally, the stronger relations found between the dimensions of personality and coping styles (relative to the relations found between acculturation and coping styles) suggests that personality traits rather than acculturation may be more important clinically when profiling patients and developing treatment plans.  相似文献   
965.
This article outlines a stress-vulnerability theory for describing how stress impacts marital quality. Implications for therapy are also discussed based on the stress-vulnerability theory.Appreciation is expressed to Joan Jurich, PhD for her helpful comments during the development of this theory.  相似文献   
966.
When the Veterans Crisis Line (VCL) was implemented, it was uncertain if veterans, and particularly older male veterans, would utilize the service. We examined VCL use by a growing group of veterans at increased risk for suicide: those aged 60 and older. Real‐time clinical data were gathered from a weekly random sampling of calls. Approximately 25% of calls were from veterans aged 60 or older; over 80% reported benefit from the call. Several significant differences in presenting concerns between older and younger callers were found. Targeted outreach to encourage older veterans to use the VCL is suggested.  相似文献   
967.
About two-thirds of a representative sample of kibbutz divorced subjects reached a satisfactory emotional and functioning level of adjustment with a high degree of cooperation between the exspouses by the second postseparation year. This outcome appears to be positively influenced both by a process of habituation and desensitization determined by the continuous physical proximity of the former spouses and by the neutralization of parenting and economic issues as subjects for dispute and litigation.  相似文献   
968.
Transitive-inference tasks play increasing roles in many areas of cognitive science. However, discrepancies between the two competing paradigms (classical-Piagetian and IP-paradigm) imply that one paradigm fails to index its target (deductive) competence. Here, potential flaws of one were addressed using considerations from the other. Children of 5–7 years (N=216) solved 3-term transitive problems, some implying a single largest item, and some not. Findings indicate a discriminative competence (a Transitive-Switch) at least 2 years before competence in actually deducing correct solutions. Interestingly, although the transitive-switch was constant across age with both memory and inference increasing with age, it was nevertheless a much stronger predictor of transitive performance than either memory or age. A predictive relationship between memory and inference held for the 5- and 6-year-olds but not the 7-year-olds; suggesting as it approaches maturity, transitive-inference becomes independent of memory. Coincidental with this latter finding, only the 7-year-olds’ transitive performance approximated a deductive competence. As the initial validation of the IP-paradigm rested on acceptance of its age estimate of 4 years, its claim to index deduction must now be revisited.  相似文献   
969.
This article uses the Theory of Gender and Power to examine women's vulnerability to HIV/AIDS in order to: understand the vulnerability of female sex workers/poor women due to poverty and lack of educational resources; explore women's vulnerability in the context of client/partner violence, alcohol use, male partner's high-risk behaviors, and women's lack of control in their intimate relationships; and explore the role of traditional heterosexual gender norms in the outcomes of sexual negotiation. Ethnographic data were collected from 32 women and 38 men in India as part of an ongoing National Institute of Mental Health study. Results highlighted women's vulnerability to HIV/AIDS stemming from partner violence, alcohol use, poverty, dangers of sex work environments, and tacit acceptance of cultural/gender norms.  相似文献   
970.
For our field to truly understand women's use of IPV, it is crucial that the following three steps be taken by researchers to put context back into the equation: (a) incorporate the effects of multiple oppressions women face within the context of predominantly male offending across different types of violent criminal categories (top level); (b) integrate findings from both objective and subjective IPV research methods that will require elevating subjective approaches to the same status as objective (middle level); and (c) centralize the issue of ongoing patterns of coercion, power, and control within our definitions of IPV (individual level). Without such an embedded approach, our field will continue to divert much-needed resources toward the so-called gender symmetry debate and run the risk of helping to perpetuate further injustices against women.  相似文献   
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