My place,your place,and no place: Behavior settings as a risk factor for HIV-related injection practices of drug users in Baltimore,Maryland

Information is sparse on the social context of illicit drug injection behaviors and their relationship to HIV infection. This study examined relationships between injection settings, injecting with others, and HIV risk behaviors of sharing needles and not cleaning contaminated needles in a sample of 630 inner-city injecting drug users in Baltimore, MD. Through open-ended interviews, five primary settings of injection behavior were identified. These settings included one's own, friends' and mother's residence, shooting galleries, and semipublic areas. Most participants reported injecting in their own residence (92%) and friends' residence (86%) in the prior 6 months. In a multiple regression analysis, injecting at friends' residence, in shooting galleries, and in semipublic areas and frequency of injecting with others were significantly associated with frequency of sharing uncleaned needles, “slipping” (i.e., failure to disinfect shared needles), and not always cleaning used needles before injecting. Results suggest that interventions may benefit from targeting settings as well as behaviors to reduce the spread of HIV. This research was supported by grants DA04334, DA05911, DA06313, and DA08985 from the National Institute on Drug Abuse.     

Human d-amphetamine drug discrimination: methamphetamine and hydromorphone.

Standard measures of subjective and discriminative effects of drugs were compared in 5 human volunteers. Subjects responded on a second-order color-tracking procedure, where 30 mg of d-amphetamine served as a discriminative stimulus for one response and its absence as the discriminative stimulus for another response. Self-reported subjective effects were assessed concurrently using the single-dose questionnaire, subscales of the Addiction Research Center Inventory, and several analogue rating scales. On different days following discrimination acquisition, varying doses of d-amphetamine, methamphetamine, and hydromorphone were administered. In these test sessions, either response was reinforced. Methamphetamine and d-amphetamine occasioned dose-related increases in d-amphetamine appropriate responding; hydromorphone did not. Methamphetamine and d-amphetamine occasioned dose-related increases in reports of the drug received being most like "speed"; hydromorphone occasioned dose-related increases in reports of the drug received being most like "dope." All three drugs occasioned dose-related increases in reports of drug liking, and increases in the morphine-benzedrine group, amphetamine, and benzedrine group scales of the Addiction Research Center Inventory. This experiment demonstrated that although explicit discriminative control of behavior by a drug may covary with drug identification, it does not necessarily covary with other self-reported subjective effects. Thus, the complementary nature of the data provided by drug discrimination and standard subjective-effects measures provides quantitative and qualitative data useful in studying both relatively novel compounds and the behavioral biology of psychoactive drugs in general.     

Effects of a token reinforcement system on journal reshelving

A token reinforcement program involving two levels of token value and backup reinforcers to increase journal reshelving behavior in a large university library was experimentally evaluated. Results showed that instructions (in which signs asked users to reshelve journals) had no impact. By contrast, token reinforcement contingent on reshelving behavior led to a marked increase in journals reshelved. A return to instructions-only conditions, when data were corrected for library usage, showed an increase in unreshelved journals over the token reinforcement period, though the increase was not to baseline levels. For the next 11 months, library staff maintained a modified token program. Follow-up data collected after that interval showed that number of unreshelved journals remained markedly lower than levels at baseline and the first instructions-only period, though they were slightly higher than at the token reinforcement period. Token reinforcement of the variety employed in this study constitutes an efficient, economical means of changing the behavior of library users who fail to reshelve books and journals.     

Analyzing pedestrian behavior when crossing urban roads by combining RP and SP data

Considering the high crash rates involving pedestrians on urban roads, it is highly relevant to understanding pedestrian crossing behavior. This paper is the first to combine stated preference (SP) and revealed preference (RP) data to evaluate the impact that individual attributes, trip characteristics, built environment, strategies to prevent unauthorized crossing, and traffic flows have on pedestrians crossing decisions in an urban context. SP and RP surveys were designed and collected in Barranquilla (Colombia) near pedestrian bridges or signalized intersections where direct crossings and a high concentration of pedestrian fatalities related to traffic accidents exist. A logit model was estimated using the data enrichment paradigm. Results show that pedestrians weigh risks and costs when choosing how to cross the road. The trajectories observed in the RP component suggest that people prefer direct crossings; nevertheless, pedestrian bridges and signalized intersections can be attractive alternatives if their location matches the origin or destination of the crossing, and no detour is needed to use them. Waiting time; safety; the fine imposed for jaywalking; personal security, and previous decisions are also variables that influence pedestrian behavior when crossing urban roads. These results can be helpful to urban planners and decision-makers interested in proposing appropriate pedestrian infrastructure. The data pooling technique and the inclusion of a cost-related variable (i.e., fine) allowed computing the willingness to pay and marginal substitution rates for attributes of the built environment and other characteristics associated with the crossing decision. Also, the inclusion of several crossing alternatives and situations allowed assessing pedestrian crossing preferences under different scenarios.     

Influences on anger in German urban cyclists

Previous research shows that anger and aggression among road users lead to maladjusted driving and a higher risk of accidents. Especially cyclists as vulnerable road users have a high risk of being injured if they are involved in accidents. This paper examines reasons for cycling anger in two studies. The first study aimed at identifying anger provoking events. Seventy-three cyclists were invited to discuss anger provoking events in a focus group setting. These events were rated regarding their anger intensity, clustered within focus groups, and aggregated across all groups. The first study revealed 208 unique cycling anger provoking events of varying anger intensity that were summarized in six clusters. The second study aimed at validating these anger provoking events, the ratings, and the clusters. Here, 129 participants were asked to complete a four-time point diary study (over the course of ten days), in which they registered all anger provoking events that they experienced while cycling. The results of this study validated most of the anger provoking events of the first study. Both studies show that most anger provoking events are related to conflicts between cyclists with other road users like car drivers and pedestrians. Moreover, conflicts with car drivers seem to cause stronger anger among cyclists than conflicts with other cyclists or pedestrians. Implications for further research and the planning of road infrastructure are discussed.     

exploring drug users' illness representations of hiv,hepatitis b and hepatitis c using repertory grids

Abstract

Hepatitis B and C viruses are more prevalent among injecting drug users than HIV. This study explored drug users' illness representations of hepatitis B and C using repertory grid methodology. Initially, nine drug users were presented with six elements including hepatitis B and C, and HIV. Constructs were elicited via the sequential form variation of the method of triads. Elements were rated on elicited constructs using a five-point scale, and analyzed using “Flexigrid”. In a second quantitative research stage, 52 drug users were presented with six elements and supplied constructs. Results of the first stage indicated participants were able to generate constructs relating to Leventhal et al.'s (1980) features of illness representations. Most constructs, however, were causal in nature. Participants perceived hepatitis B, C and HIV similarly along the causal component. This similarity on the causal component was largely replicated in the second research stage. Participants, however, distinguished HIV from hepatitis B and C along serious, cure and timeline features. Participants did not distinguish hepatitis B from hepatitis C. The implications of these results for health promotion are discussed.     

Psychiatrists and community partners examine religion and spirituality

ABSTRACT

The commentary reflects on the definition of spirituality and religion and further implications for the practice of psychiatry. These include the possibilities to partner with spiritual and religious practitioners to support education and research, provide access to care for people with or at risk of mental ill health, and also consider how to the reduce the risks to the well-being of vulnerable people and families from some practices and settings. The World Psychiatric Association sees the possibilities for collaborating with its member societies and community partners including service users and family carers to develop resources on working with faith groups and spiritual healers in high- and low-income countries.     

基于人际情感性动机的病理性网络用户的冲动控制特性

基于＂大学生互联网使用动机量表＂和＂大学生病理性互联网使用行为量表＂的测量结果,采用匹配法筛选出21名基于人际情感性动机的病理性网络用户和22名非人际情感性动机的健康性网络用户,对其实施延迟折扣任务（DDT）、stop-signal任务和Stroop色词命名任务,探讨了基于人际情感性动机的病理性网络用户的冲动控制特性。结果发现,相对于健康性网络用户,病理性网络用户对延迟强化物的折扣速度更快,但后者的反应抑制失败率、反应抑制潜伏期（SSRT）和冲突抑制功能均与前者无显著差异。这些结果表明,病理性网络用户的冲动控制障碍主要表现为以对即时强化的超敏感性和强化物长远价值的非敏感性为特征的＂短视＂倾向,而非行为抑制功能的缺失。     

242例吸毒女性自尊及背景资料的调查与分析

运用自尊量表和背景资料调查问卷对甘肃省两大戒毒所242例吸毒女性进行测查,结果表明：（1）年龄、婚姻状况、文化程度、经济收入水平等因素与吸毒女性自尊评分无显著相关;（2）回归分析显示,人际关系因子对吸毒女性自尊评分有显著影响,认知、行为因子对其自尊评分的影响没有达到显著性水平;（3）文化程度不高,无固定的经济收入,失恋或离婚等因素是吸毒或吸毒成瘾的重要关联因素。