Health beliefs and breast examination behaviors: Analyses of linear structural relations

Abstract

A survey of 619 Detroit-area women was conducted in order to understand why women do or do not perform breast self-examination and obtain or not obtain professional breast examinations. The survey assessed these behaviors and women's beliefs about (a) their susceptibility to breast cancer, (b) the seventy or seriousness of breast cancer, (c) the benefits of breast examinations and (d) the costs or disadvantages of the examinations. Separate sets of questions measured seventy of breast cancer when it is treated (a) late (seventy-late) and (b) promptly (seventy-early). Predictions were derived by combining the health belief model with the theory of subjective expected utility. Path analysis supported most predictions of the combined theory. As predicted, high severity-late increased perceived benefit, high seventy-early decreased benefit, and perceived benefit mediated the effects of seventy on behavior. Implications for understanding health decisions, measuring health beliefs, and modifying health behaviors are discussed.     

Predicting uptake of a routine cervical smear test: A comparison of the health belief model and the theory of planned behaviour

Abstract

This paper reports on a study carried out to identify predictors of uptake of cervical screening among 142 women (59% response rate) in inner London. Two social cognition models were used: The Health Belief Model (HBM; Becker, 1974) and the Theory of Planned Behaviour (TPB; Ajzen, 1991) and in addition anticipated affect following non-attendance for screening was assessed. The TPB emerged as by far the superior model for predicting screening intentions, explaining 51% of the variance in comparison with only 4% explained by the HBM variables. However, neither model was able to predict a significant amount of variance in uptake of screening three months later. Possible reasons for the poor prediction of this type of behaviour are discussed.     

Ab initio investigation of electron-phonon interaction in LaSn3 and CaSn3

ABSTRACT

We present results for the structural, electronic, vibrational, and electron-phonon coupling properties of LaSn₃ and CaSn₃ adopting the simple cubic AuCu₃-type structure obtained using the the generalised gradient approximation of the density functional theory and plane wave ab initio pseudopotential method. Our electronic results show that both materials display metallic character with several bands, which have mainly Sn 5p character, crossing the Fermi level. The calculated phonon spectrum of LaSn₃ accords very well with reported experimental measurements. The weights of the peaks in the Eliashberg spectral function of both compounds are enhanced with the use of experimental lattice constant in our electron-phonon calculation, increasing the value of average electron phonon coupling parameter from 0.876 to 0.937 for LaSn₃ (by 7%) and from 0.642 to 0.725 for CaSn₃ (by 13%). The use of experimental lattice constant also improves the agreement between theoretical and experimental values of the superconducting temperature for both compounds.     

Secondary ageing in Al-Cu-Mg

Secondary ageing, that is microstructural evolution occurring at room temperature after short heating at temperatures above the metastable phase boundary of Guinier-Preston zones, has been studied for an Al-Cu-Mg alloy with a high Cu-to-Mg ratio. Combined data from positron annihilation spectroscopy, Vickers microhardness measurements and differential scanning calorimetry show that, on secondary ageing after 5 or 7min at 190°C, firstly, hardening takes place at a rate nine to 16 times slower than natural age hardening; secondly, vacancies slowly released by Cu-rich aggregates formed during the heat treatment at 190°C promote further formation of solute aggregates, with a time-dependent chemical composition; thirdly, the thermal stability of the structures formed during secondary ageing increases with increasing dwell time at room temperature; and, fourthly, solute aggregates formed at 190°C undergo a structural reorganization and possibly a change in the composition, leading to species with a different thermal stability. The slow release of vacancies from Cu-rich aggregates is proposed as one of the limiting factors of the hardening rate.     

Electron irradiation damage in SnO

In a study of radiation effects in SnO we have found that electron-beam damage is observable from changes in a high-resolution electron microscopy image or electron diffraction pattern. The early stage of the damage is not accompanied by a change in composition or a loss of crystallinity. The dose required for this damage (about 600 C cm^?2) is approximately independent of electron energy (between 100 and 400 keV) and specimen temperature (between 100 and 300 K). The damage is believed to start with displacement of oxygen atoms from their lattice position through a radiolytic mechanism with an efficiency of approximately 10^?4.     

The Feasibility OF Collectives' Actions

Orthodox decision theory gives no advice to agents who hold two goods to be incommensurate in value because such agents will have incomplete preferences. According to standard treatments, rationality requires complete preferences, so such agents are irrational. Experience shows, however, that incomplete preferences are ubiquitous in ordinary life. In this paper, we aim to do two things: (1) show that there is a good case for revising decision theory so as to allow it to apply non-vacuously to agents with incomplete preferences, and (2) to identify one substantive criterion that any such non-standard decision theory must obey. Our criterion, Competitiveness, is a weaker version of a dominance principle. Despite its modesty, Competitiveness is incompatible with prospectism, a recently developed decision theory for agents with incomplete preferences. We spend the final part of the paper showing why Competitiveness should be retained, and prospectism rejected.     

Well Children Living with Diabetic Siblings

Abstract

This article examines the psychological adjustment of well children who live with diabetic siblings. A sample of 28 well siblings between the ages of 8 and 12 were studied, utilizing standard tests and a semi-structured interview. Standard tests demonstrated that well siblings had adjustment difficulties manifested by internal stressors that originated from anxiety and low self-concept. This report emphasized the qualitative results of well siblings living with diabetic siblings. The findings conclude that well siblings have difficulties negotiating emotions, communications, and activities with their diabetic siblings. The report interprets sibling issues from a psychodynamic orientation, suggesting that many of the healthy psychological functions performed by the sibling relationship are interrupted by the introduction of a chronic illness. Recommendations based on the findings are offered to professionals who work with diabetic children and their families.     

The effects of safety behavior availability versus utilization on inhibitory learning during exposure

ABSTRACT

This study re-analyzes data from Sy and colleagues (2011; Behaviour Research and Therapy, 49, 305–314) comparing safety behavior availability (SBA) to safety behavior utilization (SBU) during exposure therapy for claustrophobic concerns. The present investigation assessed differential rates of inhibitory learning (i.e. change in danger expectancy and coping self-efficacy) between SBA and SBU before, during, and after a single-session treatment. Thirty-nine participants with marked claustrophobic fear completed six consecutive 5-minute exposure trials in a claustrophobia chamber. Participants in the SBA condition exhibited more interference with inhibitory learning relative to the SBU condition. Danger expectancy was significantly higher in the SBA group and decreased at a markedly slower rate across exposure trials relative to SBU. Coping self-efficacy was also significantly lower among participants in the SBA condition, although groups demonstrated similar rates of change across trials. Limitations, clinical implications, and future directions are discussed.