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Biomedical subjects

L J Severy

Publications and source records attributed to L J Severy.

13 recordsLinked to original sources

Measuring women's psychological well-being in Indonesia.

This paper describes the development of a set of measures of women's psychological well-being in Indonesia, identifies meaningful clusters of women based on the well-being measures, and explores the sociodemographic factors associated with these well-being clusters. This is the first published study to measure psychological well-being among a large sample of Indonesians and the first to focus on women in that country. Rather than use standard measures of psychological well-being developed in Western nations and untested among Asian women, focus groups were conducted to develop an understanding of Indonesian women's perceptions of their own well-being. The focus group findings were used to develop 41 questionnaire items to measure psychological well-being, and the questionnaire was administered to 796 women in Sumatra and Lampung. Factor analysis reduced the well-being variables into five factors accounting for 45% of the total variance: (1) general negative feelings; (2) satisfaction with relationships and ability to control fertility; (3) satisfaction with economic, family and personal conditions; (4) negative feelings regarding marital and domestic issues; and (5) ability to pursue activities outside the home. We constructed five scales based on these factors. Based on their scores on these scales, women grouped into three clusters differentiated by their scores on four of the five scales. Low levels of psychological well-being were associated in bivariate analyses with: (1) rural residence; (2) young age (under age 30); (3) marriage before age 20; (4) low socioeconomic status; and (5) lower educational attainment.

Adult↗

Two reasonable people: joint decisionmaking in contraceptive choice and use.

The authors discuss "the way in which married couples make choices from among contraceptive alternatives, and the way in which these choices lead to use.... Three predominant themes structure this chapter. First, can currently popular decision-making theories be satisfactorily applied to joint contraceptive decision-making? Second, do spouse's perceptions (and misperceptions) of the other's beliefs, attitudes, etc. influence the decision outcome? And, third, do demographic considerations (such as a couple's stage in the life-cycle or ethnicity) alter the utility of decision theories?" Data are from a study of 453 couples interviewed in Gainesville, Florida.

Americas↗

Frequency of intercourse and contraceptive choice.

The effects of frequency of intercourse on perceptions of two of the most widely used contraceptive methods, the pill and condom, were assessed in 128 female college students currently involved in a sexual relationship. Intercourse frequency was found to be strongly associated with knowledge of both methods. People experiencing more frequent sexual intercourse were more favourably disposed towards the pill and less towards the condom than people experiencing intercourse less frequently. Implications of these results are discussed.

Adult↗

Individual differences in helping dispositions.

The intent of this report is to present research relevant to developing an instrument to assess helping dispositions (HDS). In its final form, 55 items can be dimensionalized into 20 component scales and 14 composite indicators of predispositions to help. Discriminations included in HDS include: psychological versus task help; helping in group settings versus helping in individual settings; and wanting to help, having the ability to help, being able to recognize when help is needed, having reasons for not helping, and actually helping. Evidence of both high internal consistency and different types of validity have been generated through four administrations of HDS involving a total of 611 college and noncollege subjects. The most robust scales appeared to be the motivation to help scales and the helping in group situations scale. Implications for further research are noted.

Helping Behavior↗

Low-income women's perceptions of family planning service alternatives.

A sample of 665 low-income women from a predominantly rural area of north central Florida rated the value of 25 features of family planning providers and reported their perceptions of how characteristic each feature was of different types of providers. A well-trained, trustworthy and friendly staff, the presence of a doctor if you need one and a staff that is gentle with the examination were the most desirable features of family planning services. The respondents' perceptions of public health clinics suggest that the strongest qualities of such facilities are that they treat people from different backgrounds, accept Medicaid, are easy to find and teach you how to avoid pregnancy and how to take care of yourself and stay healthy. Features thought most characteristic of private physician services were a well-trained staff, privacy and the presence of a doctor if you need one. Voluntary organizations were seen as providing services for people of different backgrounds, having a friendly staff, serving as a referral agency and teaching about staying healthy and avoiding pregnancy. However, voluntary organizations were rated lower than public health clinics or private physicians on nearly all features. The total scores for public health clinics and private physicians were not significantly different from each other, but both were noticeably higher than the score for voluntary organizations. Ethnicity affected ratings dramatically, with black respondents clearly more favorable toward public health clinics and private physicians than white respondents; conversely, whites were more positive toward voluntary organizations than were blacks. For many of these low-income respondents, the high ratings of private physicians may have represented their expectations rather than their actual experience.

Adolescent↗

Physicians' views of periodic abstinence methods: a study in four countries.

A study of the knowledge, perceptions, and behavioral intentions of physicians regarding periodic abstinence (PA) methods was undertaken in Mauritius, Peru, the Philippines, and Sri Lanka. Most respondents considered PA to be useful, although even the PA providers prescribed mainly non-PA methods. Detailed knowledge of PA methods was not evident, but most physicians were willing to initiate general discussion about PA with patients. Physicians favored methods perceived as "scientific" and "modern," which primarily prevent pregnancy and secondarily avoid other health risks. When carefully presented as "scientific" and "modern," methods presented to medical audiences may find acceptance and be more likely to result in referral.

Adult↗

A comprehensive community-based youth diversion program.

The authors describe a community-based program to divert youths from the juvenile justice system. The program's special features and (1) data collection that permits evaluation and accountability, and (2) liaison with justice personnel, service agencies, and the community.

Adolescent↗