Effects of Social Demand on Reports of Self-Monitored Blood Glucose in Adolescents with Type 1 Diabetes Mellitus

The purpose of this study was to test the hypothesis that social demand could substantially affect reports of self-monitored blood glucose (BG) in adolescents with insulin-dependent diabetes mellitus. Of 34 patients initially enrolled in the study, 10 were excluded because they did not bring any BG records with them to an outpatient clinic appointment. The remaining 24 patients were randomly assigned to either a low or high social demand condition that provided instructions for monitoring of BG for the week following the appointment. The subjects' BG records were quantified to provide frequency of measurement and mean reported BG for the week prior to and after the clinic visit. Five subjects did not return their BG records for the week following the intervention. The analyses were therefore based on the 19 subjects from whom complete records were obtained. The 12 subjects in the low social demand group and 7 subjects in the high social demand group were equivalent with regard to age, duration of diabetes, socioeconomic status, and glycosylated hemoglobin. Frequency of BG measurement was similar in both groups during both weeks. The mean BG value reported in the week prior to intervention was similar for the groups. However, analyses of the post-intervention BGs revealed that subjects in the low-demand group reported significantly higher BGs compared to pre-intervention and to subjects in the high-demand group. These findings suggest that self-monitoring and reporting of BG is a social behavior that is affected by the demand characteristics of the interpersonal patient-health provider relationship. Because optimal treatment planning for individuals with diabetes requires accurate BG records, care must be taken to interpret them in light of the social demand characteristics associated with clinical assessment.     

Design and implementation of a program for AIDS prevention in female prostitutes

The Companeros model of HIV infection prevention in Ciudad Juarez, Mexico, is presented as conceived by the National Institute of Drug Abuse (NIDA). 518 women who were IV drug users, sexual partners of drug addicts, or prostitutes were requested to participate, and 232 consented. Initial and follow-up AIDS assessments were utilized along with an assessment of sociodemographic variables, including knowledge, sexual behavior, use and abuse of drugs, and previous health history. Educative sessions about AIDs and sexually transmitted diseases (STDs) included group discussions and interaction, video watching, personal experiences, and sociodramas. 61% of prostitutes were 29, 12.6% were 13-19 years old, 31.1% were aged 30-39, and 8.9% were 40. 11% had no formal education, 58% had 6 years of primary and part of 3 years of secondary education, only 18.6% completed secondary education; and 13% had higher education. 19% lived in a hotel or shelter. Family disintegration reached 44%; these women did not live with their children. Only 5.2% thought they had excellent health, 51% said they had good health, 31% stated they had average health, and 12% admitted having had health problems. 14.6% had genital ulcers, 1.3% had herpes, 15% had gonorrhea, and 10% had syphilis. Since IV drug use among these women was almost nonexistent sexual relations constituted the principal risk factor. Responses to a questionnaire showed that the most frequent sexual behavior was vaginal penetration followed by fellatio; anal penetration was less common. 34.9% of the women practiced fellatio without protection, 16.3% had anal intercourse without protection. The proportion of AIDS cases in Mexico in women of reproductive age was growing at an exponential rate, possible because of misinformation about AIDS, a history of STDs, and a low rate of condom use.     

Inhibitory control and set shifting describe different pathways from behavioral inhibition to socially anxious behavior

Individuals with a behaviorally inhibited (BI) temperament are more likely to develop social anxiety. However, the mechanisms by which socially anxious behavior emerges from BI are unclear. Variation in different forms of top‐down control, specifically executive functions (EF), may play distinct roles and characterize differential pathways to social anxiety. Here 291 children were assessed for BI in toddlerhood (ages 2 and 3), parent‐reported inhibitory control and set shifting during middle childhood (age 7), and multidimensional assessment of socially anxious behavior completed during late childhood and early adolescence (ages 9 and 12). Structural equation modeling revealed that early variation in BI predicted the development of socially anxious behavior through either higher levels of parent‐reported inhibitory control or lower levels of parent‐reported set shifting. These data reinforce the notion that top‐down control does not uniformly influence relations between temperament and socially anxious behavior. These data suggest novel approaches to thinking about the role of EFs and social anxiety outcomes as children approach adolescence.     

The Strategic Practice of “Fiesta” in a Latino Protestant Church: Religious Racialization and the Performance of Ethnic Identity

Founded and led by a U.S.-born white pastor, Amor Poderoso is a nondenominational, evangelical megachurch in El Paso, Texas, almost entirely composed of Mexican-Americans, recent Mexican immigrants, and current Mexican citizens. Ethnographic fieldwork from 2014 to 2017, supplemented with interviews with pastors, worship leaders, and attendees, reveal that much of congregational life orients around intentionally showcasing “Mexican” culture through sounds, images, and artifacts that appropriate an array of idealized ethnic references (e.g., food, dress, mannerisms, clichés) from Northern Mexico. Ongoing ethnic displays do not originate spontaneously or impromptu from membership but rather serve as a form of tactical authenticity derived from U.S. racial schemas mobilized by congregational leaders as a distinctive religious resource. Weekly worship services featuring dialect-inflected Spanish preaching and singing project ethnic signals that elicit connections to both a common ancestral heritage and a common religious identity. In short, church leaders at this southern border Latino church deliberately deploy sounds, images, and artifacts to assert racialized performances of being “Mexican” for distinctly religious purposes, especially evangelization. In the process, the distinctive practices of religious racialization effectively structure church members’ ethnic and religious identities around racial tropes to buttress a cogent corporate identity for enacting institutionalized evangelical narratives and legitimating charismatic authority.     

La Bella Figura: The role of a cultural philosophy on Italian consumerism

The La Bella Figura concept extends to many Italian cultural dimensions including physical appearance, perception of self, and behaviours. La Bella Figura plays an essential role in shaping Italian consumer behaviour and consumerism. The current study sought to understand how women living in Italy conceptualize La Bella Figura and how it affects their day‐to‐day lives, attitudes, and consumption behaviours. This research extracted concepts from Consumer Culture Theory to construct a qualitative codebook and structure thematic data analyses. Semi‐structured interviews were conducted with 30 women aged 18–50 years living in Florence, Italy. Participants were recruited through study flyers, social media, and snowball sampling. Open and axial coding were facilitated by HyperRESEARCH 4.0.1 software to generate key themes. Data were collected and analyzed by trained researchers living in Florence, Italy, who utilized grounded theory techniques to identify emergent themes. Results indicated various components of La Bella Figura contributed to consumer behaviour, namely its influence on identity (i.e., appearance, confidence), lifestyle goals (i.e., health, consumerism), and social norms (i.e., perceptions of others, media). Findings offer practical recommendations for marketers and retailers to appeal to the Italian market through effective and informed mediums.     

Evaluating gene x psychological risk factor effects in the pathogenesis of anxiety: a new model approach

The present study evaluated the singular and interactive effects of a functional polymorphism (variation) in the serotonin transporter (5-HTT) gene and a psychological trait (anxiety sensitivity [AS], i.e., fear of arousal symptoms) in predicting subjective and physiological responses to a 35% carbon dioxide (CO2) challenge in a community sample (N = 72). Genotypes were divided into 2 groups in accord with prior research. Findings were partially supportive of the hypothesized risk model. These indicated that the Group L genotype (homozygous for the 1 allele), compared with the Group S genotype (homozygous for the s allele plus heterozygous individuals), predicted greater fearful response to the biological challenge. There was also an AS x Genotype interaction predicting heart rate variability (HRV) in response to the CO2, suggesting that high AS plus Group L status predicts decreased HRV.     

Preliminary study of police experience of misconduct in their colleagues

A pilot study of 33 male and 2 female municipal police officers, most between 30 and 40 years old, found that those whose colleagues more often engage in misconduct experience more excitement and more stress in their work.     

Teachers' screening for attention deficit/hyperactivity disorder: comparing multinational samples on teacher ratings of ADHD

This study evaluates a measurement model for Attention Deficit/Hyperactivity Disorder (ADHD). The DSM-IV divides 18 symptoms into two groups, inattentive and hyperactive/impulsive. Elementary school teachers rated 21,161 children in 4 locations: Spain, Germany, urban US, and suburban US. Confirmatory factor analysis suggested that the 2-factor model (inattention, hyperactivity/impulsivity) shows the best fit. A third factor, impulsivity, was too slight to stand-alone. Children with academic performance problems were distinguished by inattention, but children with behavior problems typically had elevations in inattention, hyperactivity, and impulsivity. Between-site differences were statistically significant, but so small that we conclude that same measurement model fits all 4 samples in 2 continents.