Reducing HIV risk-associated sexual behavior among african american adolescents: Testing the generality of intervention effects

This randomized controlled trial tested the effects of a theory-based culture-sensitive HIV risk-reduction intervention among 496 inner-city African American adolescents (mean age = 13 years) and examined the generality of its effects as a function of the facilitator's race and gender and the gender composition of the intervention group. Adolescents who received the HIV risk-reduction intervention expressed more favorable behavioral beliefs about condoms, greater self-efficacy, and stronger condom-use intentions postintervention than did those who received a control intervention on other health issues. Six-month follow-up data collected on 93% of the adolescents revealed that those who received the HIV risk-reduction intervention reported less HIV risk-associated sexual behavior, including unprotected coitus, than did their counterparts in the control condition. Self-reported sexual behavior and changes in self-reported behavior were unrelated to scores on a standard measure of social desirability response bias. There was strong evidence for the generality of intervention effects. Moderator analyses testing eight specific interaction hypotheses and correlational analyses indicated that the effects of the HIV risk-reduction intervention did not vary as a function of the facilitator's race or gender, participant's gender, or the gender composition of the intervention group. This research was supported in part by grants from the National Institute of Child Health and Human Development (R01-HD24921), the National Institute of Mental Health (R01-MH45668), and the Social Science and Humanities Research Council of Canada. The authors gratefully acknowledge the contributions to this research of Margaret Bleier, Daria Boccher-Lattimore, Nancy L. Moore, Tatiana Perrino, Paul Pintella, and Fran Rosenfeld and the helpful suggestions of Isabel Fernandez, Caryn Lerman, and Ann O'Leary regarding an earlier version of this article.     

Échelle du fatalisme en santé version française (EFS-VF) : une validation de l’échelle du fatalisme en santé

IntroductionFatalistic beliefs have a deleterious effect on the adoption of healthy behaviours and well-being of individuals. In health domain, there are tools in the literature to measure those beliefs in several cultures, but none are suitable for an African context, precisely in Cameroon.ObjectiveThis study aimed to validate the French-cultural version of the 20-item health fatalism scale of Shen et al. in a Cameroonian population.MethodIn a sample of 652 participants (331 women and 321 men) aged from 15 to 61 years, this scale was translated, adapted and its psychometric qualities assessed.ResultsExploratory and confirmatory factor analyses showed that in the Cameroonian context, a four-dimensional model with 18 items was more adjusted. The extracted factors were: luck, ineluctability of disease, pessimism and pre-determination.ConclusionThe health fatalism scale French version can be used effectively to evaluate fatalistic beliefs in the African context precisely in Cameroon, in order to adapt community health interventions aimed at eradicating risky behaviours.     

Participant Retention in the Parents Matter! Program: Strategies and Outcome

We present a discussion of the literature addressing retention of ethnic minority samples in longitudinal studies. In addition, we describe the retention procedures implemented in the Parents Matter! Program (PMP), a community-based sexual risk reduction intervention for African American families. Finally, the results of PMP's retention strategies are presented.     

Poverty and Depressed Mood Among Urban African-American Adolescents: A Family Stress Perspective

We examined the role of family stress as a mediator of the relationship between poverty and depressed mood among 1,704 low-income, inner-city African- American adolescents. Nearly half of participants (47%) reported clinically significant levels of depressive symptoms. Being female, reporting higher levels of family stress, and scoring higher on a poverty index were significantly associated with increased reports of depressed mood. Family stress significantly mediated the relationship between poverty and adolescent depressed mood, explaining 50% of the total effect. Sex-specific analyses revealed that this relationship only held for females, and there was no direct relationship between poverty and depressed mood for males. Results lend further support to family stress theory, although they suggest that the model may be more relevant for females than males. Implications for community-based preventive intervention and social policy are discussed.     

Who Will Volunteer? Religiosity, Everyday Racism, and Social Participation Among African American Men

This study explores the relative importance of everyday racism, empathic concern, communalism, and religiosity as predictors of pro-social involvement (i.e., volunteerism and membership in political/social justice organizations) among a sample of African American men (N = 151). Church involvement emerged as a positive predictor of the likelihood that these men were involved in volunteer work as well as the number of hours that men dedicated to volunteer work. Communalism positively predicted the amount of time (in hours per year) that men were involved in volunteer work. Subjective religiosity and the stress of everyday racism were associated with a greater likelihood of being a member of a political–social justice organization. Implications of these findings are discussed.     

Racial Perceptions and Evaluative Responses to Welfare: Does Education Attenuate Race‐of‐Target Effects?

A growing body of research indicates that welfare attitudes may be strongly shaped by negative perceptions of Blacks. This raises questions about what might inhibit the racialization of welfare attitudes. In this vein, a long line of work indicating that education leads to increased tolerance suggests that the relationship between negative racial perceptions and welfare attitudes may be weaker among the highly educated. However, recent studies suggest that the role of education may be more complex: While negative racial perceptions may be less prevalent among the highly educated, the relationship between these perceptions and policy attitudes appears to be stronger among highly educated individuals. The present study attempts to extend this finding by examining the hypothesis that the presence of a racial cue would be more (rather than less) likely to strengthen the relationship between negative racial perceptions and evaluative responses to welfare among college-educated Whites. Data from a survey-based experiment included in the 1991 National Race and Politics Study provided a clear pattern of support for this hypothesis.     

Caregiver Expressed Emotion and Psychiatric Symptoms in African‐Americans with Schizophrenia: An Attempt to Understand the Paradoxical Relationship

Expressed emotion (EE) is a family environmental construct that assesses how much criticism, hostility, and/or emotional over‐involvement a family member expresses about a patient (Hooley, Annual Review of Clinical Psychology, 2007, 3, 329). Having high levels of EE within the family environment has generally been associated with poorer patient outcomes for schizophrenia and a range of other disorders. Paradoxically, for African‐American patients, high‐EE may be associated with a better symptom course (Rosenfarb, Bellack, & Aziz, Journal of Abnormal Psychology, 2006, 115, 112). However, this finding is in need of additional support and, if confirmed, clarification. In line with previous research, using a sample of 30 patients with schizophrenia and their primary caregivers, we hypothesized that having a caregiver classified as low‐EE would be associated with greater patient symptom severity. We also aimed to better understand why this pattern may exist by examining the content of interviews taken from the Five‐Minute Speech Sample. Results supported study hypotheses. In line with Rosenfarb et al. (2006), having a low‐EE caregiver was associated with greater symptom severity in African‐American patients. A content analysis uncovered some interesting patterns that may help elucidate this finding. Results of this study suggest that attempts to lower high‐EE in African Americans may, in fact, be counterproductive.     

Things Old and New: Tradition and Innovation in Constructing Reformation Theology

In respect of the Reformation this study considers the interaction between the retrieval of ancient Christian texts, humanist methods and scholasticism in their various forms, citing illustrative examples. It argues that Reformation interpreters have traditionally tended to privilege the impact of the first two on the new religious developments. As a corrective to this common perception, the essay recalls and highlights the continuing and increasing positive influence of modified scholastic methodological norms and forms on evolving Reformation theology in order to meet both pedagogical and apologetical requirements. It is also pointed out that the specific humanist programme for the revamping of biblical study along linguistic and literary lines and facilitating access to the Church Fathers, accompanied with notions of tackling abuses in the Church, predated the Reformation.     

Researching Grief: Cultural,Relational, and Individual Possibilities

This review of the author’s writings on grief focuses on cross-cultural research, research with 19th-century diaries, and qualitative interview studies of couples and families. The cross-cultural studies show that there are strong cultural differences in how people grieve. The diary data show that some people cycle into and out of intense grieving, even for years after a death, and the cycling is governed partly by what they do to control emotions and what they encounter that reminds them of their loss. The interview studies make clear that grieving is, for many people, relational, so looking only at individual grieving we miss much of the relational dynamics that are central to the experience of grieving for many people.     

On some philosophical foundations of the disappointing performances of the African soccer teams in world competitions

For decades, African senior club and national soccer teams, involved in world competitions (FIFA World Cup and FIFA Club World Cup), have failed to perform beyond mere honorable appearances. In this paper, we explore two of the fundamental causes underlying these disappointing performances. First, we examine the dilemma which forces almost all the African federations to overlook the Africa-based players in favor of those based outside the continent. Second, we show that the roots of the poor performances of the African teams go far beyond this crippling dilemma. Indeed, we argue, the persistent underperformances of African teams appear to be rather consistent with the fate of postcolonial Africa itself, a continent marred in an acute identity crisis. In fact, this crisis essentially stems from the relentless brain drain inflicted on the African soccer world which has so far dispersed its best talents all across Europe and beyond through the naturalization of its soccer diaspora. In addition, Africa has shown no ability to offer any type of attractive alternatives to the talented sons and daughters of its diaspora as well as to any other world class players. This ineptitude, coupled with Africa’s inability to leave behind its nostalgic Senghorian soccer essentialism, condemns the continent to perpetual poor performances. Therefore, we suggest that the African national federations and their respective governments move away from their deeply held soccer essentialism in order to begin to move toward some kind of soccer existentialism alongside such European countries as France, Germany, Switzerland, and The Netherlands which appear to acknowledge, perhaps reluctantly, the invaluable contributions made by the African (and other world) diaspora to the success of not only their local and national leagues but also their national teams.