Condom use by prostitutes: behavior,factors and considerations

119 female prostitutes were interviewed over the period July 1990-March 1991 about their sex behavior and condom use, their working attitude, and perception of risk in an attempt to combine qualitative and quantitative research methods to gain insight into the determinants of condom use in prostitution by putting high or low risk taking behavior into context. The participants were recruited from different regions of the Netherlands, of mean age 29.8 years, and had been working in the field for an average 6.8 years. Most of the 28% of participants who did not have Dutch nationality were from Germany or Latin America. Health locus of control and attributions concerning an unpleasant proceeding of client contacts were assessed by means of item lists. Prostitutes were identified as either consistent condom users, selective risk takers, or risk takers. Consistent condom users used condoms on all occasions, selective risk takers used condoms for vaginal sex with all but a few selected clients, and risk takers seeing no possibility of consistently getting clients to use a condom for vaginal sex used condoms the least frequently. 78% were consistent users, 11% were selective risk takers, and 11% were risk takers. Protection behavior was found to be linked to working attitude. Condom use is most likely among women with a moderately positive, yet businesslike, working attitude, and least likely among those with a negative working attitude and when there is no positive identification with the professional group. It appears that health locus of control is of no influence on protection style, but risk takers attribute an unpleasant proceeding of client contacts significantly more to powerlessness and helplessness. The authors conclude that the objective situation of women influences condom use at least as strongly as subjective motivations.     

The Men's Adult Life Experiences Inventory: an instrument for assessing developmental concerns of middle age

This article describes the development and testing of a new 97-item self-report instrument assessing the frequency and intensity of 11 developmentally related domains of concerns of middle-aged men. These include relationships (child, parents, wife, friends), job, health, sex, leisure, death, pressures of time, and self-reflection. The psychometric properties of the instrument, as well as potential uses, are discussed.     

Stimulating the demand for dental care: An application of Ajzen and Fishbein's theory of reasoned action

Ajzen and Fishbein's attitude-behaviour model was applied to the problem of stimulating the demand for dental care, Subjects were 329 members of Amsterdam health insurance companies. They had not received regular dental treatment and/or a certificate of dental fitness for at least two and a half years. Applying for treatment and acquiring a dental certificate were the behavioural measures. The effectiveness of the communication based on Ajzen and Fishbein's model was compared with the effectiveness of messages based on the Health-Belief model and the notion that knowledge of Rights and Obligations is a prerequisite for seeking dental care. Results lend support to the validity of the Ajzen and Fishbein model. Relationships between the components of the model are moderate to strong, both before and after subjects were exposed to the message. The message proved effective in changing beliefs about seeking dental treatment. Ajzen and Fishbein's claim that their approach has exclusive merits, however, was refuted. A differential effectiveness of the three messages was absent. In all, 47.4 per cent applied for treatment. No control subjects applied. Fifteen months later 70 per cent of the applicants had obtained a dental certificate. Contrary to our expectations, a condition of no-message application-form- only proved equally effective as the message conditions.     

What happens to information to be suppressed in working-memory tasks? Short and long term effects

The study explored, from an individual differences point of view, what happens to information to be suppressed in a working-memory task at short and long term. In particular, it was examined whether control mechanisms of irrelevant information in working memory imply their complete elimination from working memory or just the modulation of their activation. To this end, we compared the fate of irrelevant information in groups of subjects with high and low reading comprehension (Experiments 1 and 2) and subjects with high and low working memory (Experiments 1, 2, 3, and 4). All the experiments presented a working-memory task devised by De Beni, Palladino, Pazzaglia, and Cornoldi (1998), which required participants to process lists of words, to tap when a word from a particular category was presented, and then to recall only the last items in each list. Results confirmed that participants with high reading comprehension also have higher working memory and make less intrusion errors due to irrelevant items that have to be processed but then discarded. Furthermore, it was found that participants with low working memory have slightly better implicit (Experiment 1) and explicit memory (Experiments 3 and 4) of highly activated irrelevant information. Nevertheless, in a long-term recognition test, participants with high and low reading comprehension/working memory presented a similar pattern of memory for different types of irrelevant information (Experiment 2), whereas in a short-term memory recognition test, low-span participants presented a facilitation effect in the time required for the recognition of highly activated irrelevant information (Experiment 4). It was concluded that efficient working-memory performance is related to the temporary reduction of activation of irrelevant information but does not imply its elimination from memory.     

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Recent Suicidal Ideation Among Patients in an Inner City Emergency Department

The rates and associated features of suicidal ideation among 5,641 patients seeking routine, nonsuicide related care in an inner‐city emergency department were examined. Approximately 8% of patients seeking routine care in the emergency department reported some form of suicidal ideation within the past 2 weeks. Suicidal ideation was common in individuals who were single with poorer mental health, had higher depression, and had received some drug or alcohol treatment in the past 3 months or had used cocaine or marijuana in the past 30 days. Improved screening procedures could help to identify routine care patients who are at risk for suicide.     

Distinguishing between level and impact of rumination as predictors of depressive symptoms: An experience sampling study

Rumination—repetitively thinking about one's emotional state, its causes and consequences—exacerbates negative mood and plays an important role in the aetiology and maintenance of depression. Yet, it is unclear whether increased vulnerability to depression is associated with simply how much a person ruminates, or the short-term impact rumination has on a person's negative mood. In the current study, we distinguish between the level versus the impact of rumination, and we examine how each uniquely predicts changes in depressive symptoms over time in an undergraduate sample. Using experience sampling, we assessed students’ (N = 101) subjective experiences of positive and negative affect and their use of rumination and distraction in daily life for seven days. Participants also reported their depressive symptoms before and after the experience sampling. Increases in depressive symptoms over the week were predicted by how much people ruminated, but not by its impact on negative mood.