HIV/AIDS in scottish prisons: Attitudes of staff and prisoners

Abstract

Prison is commonly regarded as a high risk environment for the transmission of HIV/AIDS. Five hundred and fifty-nine prisoners and 591 prison staff sampled from 8 Scottish prisons completed questionnaires concerning attitudes towards various issues of HIVIAIDS. A majority of prisoners and prison staff expressed liberal attitudes with respect to HIV/AIDS. For both staff and prisoners, the most liberal responses were to items dealing with personal and social contact with people with HIVIAIDS. A majority of prisoners and prison staff expressed conservative attitudes in relation to screening of individuals for HIV. With regard to differences between prisoners and prison staff, prisoners were more supportive than prison staff of the provision of free condoms to homosexuals and free condoms and syringes to intravenous drug users, and the provision of free medical care to both groups in the case of AIDS. Among the prisoner sample, intravenous drug users, in comparison to non-users, were found to be more positive in their attitudes toward HIVIAIDS on a wide range of issues. The implications of the study for health psychology are discussed with regard to prisoner and prison staff educational needs and prisoner management.     

Motivation to Pursue Genetic Testing in Individuals with a Personal or Family History of Cardiac Events or Sudden Cardiac Death

Genetic testing is becoming increasingly available for cardiac channelopathies, such as long QT syndrome and Brugada syndrome, which can lead to sudden cardiac death. Test results can be used to shape an individual’s medical management and to identify at-risk family members. In our qualitative study, all participants had a personal or family history of a diagnosed cardiac arrhythmia syndrome or sudden cardiac death. Open-ended interviews were conducted individually and in focus groups. Interviews were audio recorded, transcribed verbatim, and analyzed using a qualitative grounded-theory approach. Of 50 participants, 37 described their motivations for pursuing genetic testing for long QT syndrome or another cardiac channelopathy. Participants’ motivations included: to find an explanation for a family member’s sudden death, to relieve uncertainty regarding a diagnosis, to guide future medical management, to allay concern about children or other family members, and to comply with recommendations of physicians or family members. Perceived reasons not to pursue genetic testing included denial, fear, and lack of information. The genetic counseling and informed consent process can be enhanced by understanding and addressing an individual’s internal and external motivations either for or against pursuing genetic testing.     

Obesity, cardiovascular fitness, and physically active adolescents’ motivations for activity: A self-determination theory approach

Objectives

Overweight and obesity pose significant health problems for adolescents. Rates of overweight and obesity in children have increased 45% in the last decade and have increased three-fold since 1980. Because children who are physically active are at lower risk for the development of obesity, it is important to understand some of the factors that influence children’s physical activity patterns. The purpose of this study was to examine the relationship between motivation, cardiorespiratory fitness, and weight status, defined as obese or non-obese. We predicted that the association between motivation and weight status would become non-significant when controlling for cardiorespiratory fitness.

Design

The study employed a correlational, cross-sectional design.

Method

Participants included physically active middle school students (N = 82. 51% female) of aged 12–14 years, who participated in the Teen Eating and Activity Mentoring in Schools (TEAMS) study aimed at improving health and preventing obesity among middle school students. Students completed attitudinal questionnaires about physical activity and self-determination on a computer-based system and participated in a number of fitness performance, health behavior, and anthropometric assessments.

Results

Non-obese adolescents showed higher intrinsic motivation scores than obese adolescents. Mediational analyses showed that cardiorespiratory fitness mediated the relationship between motivation and weight status.

Conclusions

The results of this study demonstrate differences in physical activity motivation as a function of adolescent weight status, but only for intrinsic motivation. As predicted, adolescents who were intrinsically motivated for physical activity were more fit and thereby less likely to be obese. The findings are consistent with self-determination theory.     

Distress and Psychosocial Needs of a Heterogeneous High Risk Familial Cancer Population

In order to assess the levels of distress and psychosocial support needs of a high risk population, we undertook a study to look at both the objective and subjective levels of distress and the wants and needs of individuals from a high familial cancer risk population. Three hundred and eighteen individuals (160 affected, 158 unaffected) completed several distress and psychosocial needs questionnaires (including the Brief Symptom Inventory-18). Sixty key informants were also surveyed about their perspective on the support needs of this population. In the largely female (90%), largely HBOC syndrome group (approximately 90%), 20% had significant levels of generalized distress, with no significant differences between affected and unaffected individuals. Generalized distress was also not significantly different as a function of mutation status. Individuals who received inconclusive test results, however, were more likely to indicate somatic symptoms of distress. Those individuals who did not have social support were more likely to be those who had never had cancer and who either had a mutation, received inconclusive test results, or were not tested. Key informants were most likely to indicate that patients need more support. These results provide evidence for the importance of establishing regular psychosocial distress screening, including a focus on somatic symptoms, in such high risk populations.     

Assessing the Incremental Algorithm: A Response to Krahmer et al.

This response discusses the experiment reported in Krahmer et al.’s Letter to the Editor of Cognitive Science. We observe that their results do not tell us whether the Incremental Algorithm is better or worse than its competitors, and we speculate about implications for reference in complex domains, and for learning from ‘‘normal” (i.e., non‐semantically‐balanced) corpora.