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Author: Harry Drasin
Publisher: Universal-Publishers
ISBN: 1581121148
Category : Education
Languages : en
Pages : 250
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Book Description
AIDS has become a ubiquitous disease of catastrophic proportions. In this 'sex study' included as part of the Advocate magazine in 1994, attitudes and sexual activities of 13,000 gay men nationwide were surveyed. A set of research hypotheses were made, these were: that there would be a relationship between various sociodemographic, intepersonal and relational, substance use, sexual, experiential, and health care variables and high-risk sexual behavior. Some of these hypotheses were confirmed, while others were not. The particular value of this study is that it was nationwide, contained large numbers of participants and large numbers of variables, included all sizes of metropolitan areas, and specifically defined high-risk sexual activity. While many of the results confirm previous studies, the constellation and clustering of results perhaps points to issues larger than HIV and high-risk sexual behaviors alone, issues that are fundamentally societal. It is hoped that basic societal changes in attitudes towards gay men and women will reduce the isolation, loneliness, and feelings of being different that may well underlie the high rates of drug use and the meaning of the nature of sexual activity that is often present in gay community. It is at this fundamental societal level that progress against AIDS will need to proceed.
Author: Harry Drasin
Publisher: Universal-Publishers
ISBN: 1581121148
Category : Education
Languages : en
Pages : 250
Get Book Here
Book Description
AIDS has become a ubiquitous disease of catastrophic proportions. In this 'sex study' included as part of the Advocate magazine in 1994, attitudes and sexual activities of 13,000 gay men nationwide were surveyed. A set of research hypotheses were made, these were: that there would be a relationship between various sociodemographic, intepersonal and relational, substance use, sexual, experiential, and health care variables and high-risk sexual behavior. Some of these hypotheses were confirmed, while others were not. The particular value of this study is that it was nationwide, contained large numbers of participants and large numbers of variables, included all sizes of metropolitan areas, and specifically defined high-risk sexual activity. While many of the results confirm previous studies, the constellation and clustering of results perhaps points to issues larger than HIV and high-risk sexual behaviors alone, issues that are fundamentally societal. It is hoped that basic societal changes in attitudes towards gay men and women will reduce the isolation, loneliness, and feelings of being different that may well underlie the high rates of drug use and the meaning of the nature of sexual activity that is often present in gay community. It is at this fundamental societal level that progress against AIDS will need to proceed.
Author: Division of Behavioral and Social Sciences and Education
Publisher: National Academies Press
ISBN: 0309036984
Category : Social Science
Languages : en
Pages : 352
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Book Description
More than 1 million teenage girls in the United States become pregnant each year; nearly half give birth. Why do these young people, who are hardly more than children themselves, become parents? This volume reviews in detail the trends in and consequences of teenage sexual behavior and offers thoughtful insights on the issues of sexual initiation, contraception, pregnancy, abortion, adoption, and the well-being of adolescent families. It provides a systematic assessment of the impact of various programmatic approaches, both preventive and ameliorative, in light of the growing scientific understanding of the topic.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030917547X
Category : Medical
Languages : en
Pages : 446
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Book Description
The United States has the dubious distinction of leading the industrialized world in overall rates of sexually transmitted diseases (STDs), with 12 million new cases annually. About 3 million teenagers contract an STD each year, and many will have long-term health problems as a result. Women and adolescents are particularly vulnerable to these diseases and their health consequences. In addition, STDs increase the risk of HIV transmission. The Hidden Epidemic examines the scope of sexually transmitted infections in the United States and provides a critical assessment of the nation's response to this public health crisis. The book identifies the components of an effective national STD prevention and control strategy and provides direction for an appropriate response to the epidemic. Recommendations for improving public awareness and education, reaching women and adolescents, integrating public health programs, training health care professionals, modifying messages from the mass media, and supporting future research are included. The book documents the epidemiological dimensions and the economic and social costs of STDs, describing them as "a secret epidemic" with tremendous consequences. The committee frankly discusses the confusing and often hypocritical nature of how Americans deal with issues regarding sexualityâ€"the conflicting messages conveyed in the mass media, the reluctance to promote condom use, the controversy over sex education for teenagers, and the issue of personal blame. The Hidden Epidemic identifies key elements of effective, culturally appropriate programs to promote healthy behavior by adolescents and adults. It examines the problem of fragmentation in STD services and provides examples of communities that have formed partnerships between stakeholders to develop integrated approaches. The committee's recommendations provide a practical foundation on which to build an integrated national program to help young people and adults develop habits of healthy sexuality. The Hidden Epidemic was written for both health care professionals and people without a medical background and will be indispensable to anyone concerned about preventing and controlling STDs.
Author: John L. Peterson
Publisher: Springer Science & Business Media
ISBN: 1461541379
Category : Medical
Languages : en
Pages : 368
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Book Description
This Handbook provides a comprehensive overview of the theories, methods and approaches for reducing HIV-associated risk behaviors. It represents the first single source of information about HIV prevention research in developed and developing countries. It will be an important resource for students, researchers and clinicians in the field.
Author: National Research Council (U.S.). Panel on Data and Research Priorities for Arresting AIDS in Sub-Saharan Africa
Publisher: National Academies
ISBN:
Category : Medical
Languages : en
Pages : 36
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Book Description
The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309050936
Category : Medical
Languages : en
Pages : 357
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Book Description
HIV is spreading rapidly, and effective treatments continue to elude science. Preventive interventions are now our best defense against the epidemicâ€"but they require a clear understanding of the behavioral and mental health aspects of HIV infection and AIDS. AIDS and Behavior provides an update of what investigators in the biobehavioral, psychological, and social sciences have discovered recently about those aspects of the disease and offers specific recommendations for research directions and priorities. This volume candidly discusses the sexual and drug-use behaviors that promote transmission of HIV and reports on the latest efforts to monitor the epidemic in its social contexts. The committee reviews new findings on how and why risky behaviors occur and efforts to develop strategies for changing such behaviors. The volume presents findings on the disease's progression and on the psychosocial impacts of HIV and AIDS, with a view toward intervention and improved caregiving. AIDS and Behavior also evaluates the status of behavioral and prevention aspects of AIDS research at the National Institute of Mental Health, the National Institute on Drug Abuse, and the National Institute on Alcohol Abuse and Alcoholism. The volume presents background on the three institutes; their recent reorganization; their research budgets, programs, and priorities; and other important details. The committee offers specific recommendations for the institutes concerning the balance between biomedical and behavioral investigations, adequacy of administrative structures, and other research management issues. Anyone interested in the continuing quest for new knowledge on preventing HIV and AIDS will want to own this book: policymakers, researchers, research administrators, public health professionals, psychologists, AIDS advocates and service providers, faculty, and students.
Author: American Psychiatric Association
Publisher: American Psychiatric Pub
ISBN: 0890426821
Category : Medical
Languages : en
Pages : 226
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Book Description
Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
Author: River Ann Pugsley
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Abstract 1: A multi-level assessment of disproportionate population sex ratios and high-risk sexual behaviors among STD clinic patients Low male-to-female sex ratios in a population may influence high-risk sexual behaviors, such as multiple sex partners and inconsistent condom use, which facilitate the transmission of STDs. This study used multi-level modeling to assess whether population sex ratios were associated with these two individual-level behaviors. All analyses were stratified by gender. Interview data were collected from patients (N = 9,203, 48% male) attending participating STD clinics. Interviews included information on socio-demographics and sexual behavior, including number of sex partners in the previous 3 months and condom use at last sex. The sex ratio per census tract was obtained from the U.S. Census Bureau. There was no association between sex ratio and multiple sex partners or condom use for either men or women. That is, we found no evidence that a shortage of men in census tracts was associated with increased engagement in high-risk sexual behavior. 0́3 Abstract 2: A multi-level assessment of neighborhood vacancy rates and high-risk sexual behaviors among STD clinic patients The "broken windows" theory posits that physical neighborhood deterioration, and its association with reduced social cohesion, can lead to changes in individual behaviors. Thus individuals living in neighborhoods with high levels of deterioration may be more likely to engage in high-risk sexual behaviors. This study used multi-level modeling to evaluate the extent to which high residential vacancy rates increased the likelihood of individuals having multiple sex partners. Interview data, including data on patient demographics and sexual behaviors, were collected from patients (N = 6,347, 52% male) attending participating STD clinics in the Richmond, Virginia area from 2008-2010. Neighborhood vacancy rates were obtained from the U.S. Census Bureau. Fifty-one percent of men and 36% of women reported having 2 or more sex partners in the previous 3 months. Men who lived in census tracts with high vacancy rates were slightly more likely to report multiple sex partners (53.9%) compared to men who lived in low vacancy tracts (49.7%). In multi-level models, there was no association between high vacancy rates and having multiple sex partners among either women (OR = 0.98; 95% CI: 0.79, 1.20) or men (1.18; 95% CI: 0.99, 1.42). That is, we found no evidence that increased neighborhood deterioration, as measured by high residential vacancy rates, was associated with increased risk of having multiple sex partners among STD clinic patients. Abstract 3: Residential segregation and gonorrhea rates in U.S. metropolitan statistical areas The residential segregation of black populations, often in areas of high economic disadvantage and low social status, may play a crucial role in the observed racial inequities in STD rates. An ecological analysis of 2005-2009 average gonorrhea rates was performed across 277 U.S. metropolitan statistical areas (M.S. As). The black isolation index and Gini index of income inequality were used as proxy measures for racial and economic residential segregation respectively, derived from 2005-2009 U.S. Census estimates. We used logistic regression modeling to produce estimates of odds ratios (OR) and 95% confidence intervals (CI) for the association between a high black isolation index and Gini index, both independently and in combination, on gonorrhea rates in MSAs. Effect measure modification was assessed by calculating the relative excess risk due to interaction (RERI) between the two indices. Compared to MSAs with low levels of racial segregation, MSAs with high levels of racial segregation had increased odds of high gonorrhea rates (adjusted OR 5.54; 95% CI: 2.29-13.44). Adjustment for potential confounders did not noticeably impact the relationship between the Gini index and gonorrhea, with higher levels of income inequality predicting higher gonorrhea rates (adjusted OR = 2.47; 95% CI: 1.21-5.03). In combined models, the influence of racial residential segregation on gonorrhea rates was stronger than that of income inequality-based segregation; there was no evidence of additivity or a multiplicative interaction. Residential segregation by race or income equality may be a key component in the perpetuation of high rates of gonorrhea and other STDs among black populations in the U.S.
Author: Richard Jessor
Publisher: Cambridge University Press
ISBN: 9780521467582
Category : Family & Relationships
Languages : en
Pages : 336
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Book Description
Beyond Adolescence traces the lives of adolescents and youth from the late 1960s into the late seventies and early eighties. It is unusual because of the period of time in which the study took place, as well as because of the portion of the lifespan it covers - early adulthood. Concerned with understanding the role of problem behaviour in young adulthood and the factors that influence it, the study also traces outcomes on young adulthood of earlier involvements in problem behaviour, with an emphasis on personality and social environment. The research extends and tests the theoretical framework that guided the study - Problem Behaviour Theory - and shows its usefulness for understanding young adult problem behaviour and development.
Author: Evvie Becker
Publisher: Springer Science & Business Media
ISBN: 1489901078
Category : Medical
Languages : en
Pages : 197
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Book Description
High-risk sexual behavior has been linked to social problems such as substance abuse, domestic violence, homelessness, and deprivation. This volume's unique multidisciplinary biopsychosocial approach combines relevant medical information regarding disease states with the cultural, social, and psychological facets of successful prevention programs. Becker and Rankin outline specific interventions that address the needs of particularly vulnerable populations: women, ethnic minorities, and the gay community. Useful chapter summaries which review the pros and cons of different approaches will aid both the student and the practitioner.
