APNs-influencing practice through research.
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Biomedical subjects
Publications and source records attributed to A E Norris.
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BACKGROUND AND OBJECTIVES: To describe (a) demographic characteristics, (b) sexual history, (c) perceived HIV susceptibility, and (d) current sexual behavior, condom use, and alcohol and marijuana use of heterosexual, low-income African American and Hispanic youth categorized as relatively monogamous (n = 577), serial monogamous (n = 171), or nonmonogamous (n = 278). STUDY DESIGN: Data were drawn from personal interviews with a probability sample of low-income youth, age 15 to 24 years, conducted in Detroit in 1991. RESULTS: Many group differences were found. For example, relatively monogamous youth were most likely to be female and Hispanic and to have engaged in unprotected intercourse. Serial monogamous youth were younger and most likely to have used condoms at last intercourse. Nonmonogamous youth initiated intercourse earlier and were most likely to have experienced oral and anal intercourse and to have used alcohol and marijuana. CONCLUSION: Risk reduction programs may need to be tailored differently to accommodate the needs of these three distinct subgroups of youth.
This study investigated the prevalence of pure and overlapping forms of somatization and depression in a sample of former Soviet immigrants and whether pure somatization or pure depression could be differentiated using the study variables. Study respondents completed a demographic questionnaire, the Demands of Immigration Scale, and the Symptom Checklist 90R. Respondents were classified as (a) neither depressed nor somatic, (b) only somatic, (c) only depressed, or (d) both depressed and somatic. Univariate analyses and logistical regression were used to compare these four groups and to predict the likelihood of being only depressed or only somatic. The four groups differed in terms of immigration demands, age, education, employment, and years in the U.S. A logistic regression analysis was able to classify 75% of the participants as only somatic or only depressed on the basis of certain demographic characteristics. Age, being unemployed and not looking for work, and not having a college education increased the risk of being somatic rather than depressed.
This study examined the relations between alcohol use, perceived effects of alcohol use, and condom use in three different types of sexual partners in African American and Hispanic youth. Data were drawn from a household probability sample of minority youth (N = 1435) living in Detroit. Relationships were examined among three types of sexual partners: "married/lived with" partners, "knew well" partners, and "casual" partners. The effects of alcohol on condom use and perceived effects of alcohol on condom use were investigated using multiple regression with controls for demographic variables and sexual history. The quantity of alcohol consumed with partners was negatively related to condom use in all types of partners. The quantity of alcohol use was also negatively related to the perceived effect of alcohol use on condom use only with "knew well" partners.
This study investigated whether age, gender, marital status, education, employment, length of time in the U.S. and immigration demands (novelty, occupation, language, discrimination, loss, and not feeling at home) were predictors of psychological distress in a sample of 1,647 former Soviet immigrants. Multiple regression analysis indicated that the combined model of demographic and demand of immigration variables was significant. Results indicated that women, older immigrants, those with less than a college education, and those with greater immigration demands related to novelty, language, discrimination, loss, and not feeling at home were most distressed.
The Demands of Immigration Scale (DI) measures demands associated with immigration, including loss, novelty, occupational adjustment, language accommodation, discrimination, and not feeling at home in the resettlement country. The DI scale was evaluated in a sample of 1,647 immigrants from the former Soviet Union who had resided in the United States from a few months to 20 years. Confirmatory factor analysis supported the proposed factor model. The DI subscales were internally consistent and had good test-retest reliability. Support for concurrent validity was demonstrated by correlations in the expected direction between the DI total and subscale scores and measures of depression and somatization. Support for discriminant validity was demonstrated by mean group differences in some or all of the DI dimensions according to age and years in the United States.
We have used data from a probability sample of African-American and Hispanic youth living in low-income urban household to describe their heterosexual experiences and the influence of relationships with different kinds of sexual partners (married/lived with, well known, casual) on types of intercourse (oral, anal, vaginal), condom use, and use of other birth control methods. The Generalized Estimating Equation method for data sets with multiple observations on the same subject was used to examine whether an individual's behavior differs with different kinds of partners and how behavior with a given partner is affected by experience with other relationships. Results indicate that (a) with the exception of African-American men, sexual and contraceptive behavior varied considerably with different kinds of partners; (b) heterosexual oral and anal intercourse is more common among Hispanic than African- American youth; and (c) regardless of experience with other relationships, consistent condom use as well as use of any type of contraceptive method tend to be less likely with a casual sex partner. Data regarding percentages of consistent condom use (20%-45%) and increased involvement in risky behavior associated with multiple partners further emphasize the need for interventions that enhance condom use and discourage involvement with multiple partners.
OBJECTIVES: The objectives of this study were to assess: (1) ethnic and gender differences in reporting of diagnoses of sexually transmitted diseases (STDs), symptoms related to STDs and sexual behavior and (2) behavioral risk factors for STDs in a probability sample of low income African American and Hispanic youth. METHODS: Data were analyzed from a household probability sample of youth. The study collected data on self reported STDs, symptoms of STDs and sexual behavior. The sample was drawn from households in low income areas of urban Detroit: 1435 African American and Hispanic low income youth age 15-24 living in Detroit were interviewed face to face in 1991. RESULTS: Patterns of sexual activity as well as experience with STDs differ by ethnicity and gender. Within ethnic groups, women report more symptoms of STDs. Risk factors for diagnosed STDs included age, a young age at first intercourse, numbers of sexual partners, oral intercourse and anal intercourse. CONCLUSIONS: The data underscore the importance of development of effective safer sex intervention programs for these youth as well as careful assessment of STD risks in medical clinics serving these youth.
Constructs from the Health Belief Model and the Theory of Reasoned Action were tested for their relationship to condom use with casual partners in a probability sample of urban African-American and Hispanic males aged 15-24. The results indicate the importance of 1) promoting a sense of male responsibility regarding condom use; 2) promoting the belief that condoms should be used with all partners; 3) developing skills for condom use and partner communication; and 4) increasing perceived susceptibility to HIV infection in design of intervention programs.
This article focuses on the condom beliefs of low income, urban African American and Hispanic youth living in the Midwest. The condom beliefs under investigation were derived from prior research with members of this population and through consultation with African American and Hispanic youth and service providers. Significant gender, ethnic, and acculturation differences were found among beliefs related to frequency of condom use in the past year (p < .05). These differences indicated that women, African American respondents, and Hispanic respondents high in acculturation tended to have more neutral or more positive views about condoms than other types of respondents.
This paper discusses negative experiences with using condoms reported by the condom user subsample of (n = 975) of a household probability sample of low income, urban, African-American and Hispanic youth. Condom users were asked about 12 specific experiences with condoms. Although the pattern of the association varied with the particular belief and experience, it appeared that, overall, having had a negative experience increased the likelihood that the user would agree with a negative belief about condoms (p < or = .005). In addition, users who had experienced a condom making it hard to move in and out of the vagina or anus were less likely both to intend to use a condom and to have used a condom at last intercourse (p < or = .005). Condom use was also less likely if the user had experienced condoms interrupting love-making or reducing feeling or sensation.
Research suggests that the rate of HIV infection is increasing dramatically in African-American and Hispanic youths who live in low-income, urban areas. Nurses need information about these youths' negative experiences with condoms to intervene effectively in the spread of acquired immune deficiency syndrome. This article discusses negative experiences with using condoms that were reported by a subsample of condom users (n = 975) from a household probability sample of low-income, urban, African-American and Hispanic youths. Condom users were asked about 12 different negative experiences with condoms. Results from this household survey highlight a need for nurses to provide clients with specific directions about how to use condoms correctly and to encourage clients to practice putting on condoms.
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1. The antiseizure medication carbamazepine, when used to treat psychosis, does not produce the same side effects that appear as problematic in neuroleptic treatment, most notably tardive dyskinesia. 2. Carbamazepine has useful sedating, antianxiety, and antidepressant properties that make it an effective treatment for manic psychosis. 3. Nursing actions include assisting psychiatry in establishing and maintaining effective carbamazepine treatment, ensuring safe treatment, enhancing the patient's self-care agency, and facilitating research regarding the effects of carbamazepine treatment.