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PubMed1993

Macroscopic marital interaction coding systems: are they interchangeable?

The present study sought to determine the convergent validity of two macroscopic marital interaction coding systems: the Marital Interaction Coding System-Global and the Global Couple Interaction Coding System. The sample consisted of 40 couples who completed the Dyadic Adjustment Scale, the Potential Problem Checklist and a 30-min problem solving interactional task. Filmed interactions were coded by separate teams of observers using the Marital Interaction Coding System-Global and the Global Couple Interaction Coding System. Results showed that interobserver agreement, as assessed through intraclass correlations, was satisfactory for both coding systems. Between-system comparisons revealed that convergent validity coefficients were moderate; thus, it seems premature to conclude that macroscopic coding systems are interchangeable. Finally, multiple regression analyses indicated that both systems contained significant non-redundant behavioral predictors of marital adjustment. Implications of these results are discussed.

Adult↗
PubMed2003

Coping and subjective wellbeing in women with multiple roles.

BACKGROUND: Married, working women experience a considerable amount of strain from their multiple roles. At the same time, studies indicate that they enjoy a high level of wellbeing. While the nature of employment and the level of spousal support have been examined in relation to wellbeing, the role of coping styles has not received much attention. AIM: To examine the role of work-related factors, availability of support and coping styles as predictors of wellbeing. METHOD: Sixty married, working women were individually interviewed with regard to reasons for employment and support availability, and administered the Coping Checklist and Subjective Wellbeing Inventory. RESULTS: On stepwise multiple regression analysis, greater use of social support seeking and less use of denial as coping styles, absence of multiple role strain, working to be financially independent, availability of support and refusal of job promotion were significant predictors of wellbeing. CONCLUSION: In working women with multiple roles, enhancing problem and emotion focused coping by strengthening the use of the support network is important for wellbeing.

Adaptation, Psychological↗
PubMed1982

Sib risks for nonspecific mental retardation in British Columbia.

Cases of nonspecific mental retardation (MR) born in British Columbia between 1952 and 1970 ascertained through the British Columbia Health Surveillance Registry were linked by birth registration number to family sibships from computer-linked groupings of birth and marriage records in British Columbia. It was possible to retrieve family information for 97% of the cases by this method. Because of good ascertainment and relatively large sample size, the 1952-1965 birth cohort comprising 2,209 index cases was selected for calculations of overall risks and recurrence risks to sibs categorized by sex, MR level, associated neurological disability, and singleton versus multiple birth. The overall risk of affected individuals among all sibs was 4.4 +/- 0.6%, which was about ten times greater than the minimum population incidence of nonspecific MR. The risk among subsequent sibs of the first affected case in a family was 3.7 +/- 0.8%. These risks varied depending on sex, MR level, and whether the mental retardation was associated with hydrocephalus, microcephalus, cerebral palsy, or epilepsy. The recurrence risk after two affected individuals was 12 +/- 7%--about three times greater than after one affected individual. Even though the frequency of MR is greater among twins than in the overall population, the recurrence risk of nonspecific MR was not significantly different for index cases from either singleton or multiple births.

British Columbia↗
PubMed2005

An efficacious theory-based intervention for stepfamilies.

This article evaluates the efficacy of the Oregon model of Parent Management Training (PMTO) in the stepfamily context. Sixty-seven of 110 participants in the Marriage and Parenting in Stepfamilies (MAPS) program received a PMTO-based intervention. Participants in the randomly assigned experimental group displayed a large effect in benefits to effective parenting practices with resultant decreases in child noncompliance and in home and school problem behaviors. MAPS findings replicate and extend those of the Oregon Divorce Study with single mothers while employing a similar multiple-method, multiple-measure randomized design, with Intent-to-Treat and structural equation modeling analyses. We discuss direct and indirect effects on distal outcomes and the generalizability of PMTO to differing family contexts.

Journal Article↗
PubMed2004

Links between marital and parent-child interactions: moderating role of husband-to-wife aggression.

The present study examined how marital conflict may compromise parenting by identifying interdependencies across marital and parent-child subsystems in a sample of 86 two-parent families with a child aged 9-13. The study used direct observation of three family discussions to examine interdependencies across family subsystems. The study also assessed whether a history of husband-to-wife aggression strengthened interdependencies. Overall, families with husband-to-wife aggression showed a negative tone that pervaded throughout the family. Consistent with theories about physically aggressive men tending to withdraw from conflict, fathers who had engaged in husband-to-wife aggression showed an association between marital hostilities and lower levels of empathy toward their children. Consistent with stress theories, women who had been exposed to husband-to-wife aggression showed a link between marital hostilities and negative affect when interacting with their children. These findings illustrate how a history of exposure to marital aggression can create a family environment of multiple risks for children. For children in families with prior marital aggression, ongoing marital hostilities can be linked to the additional risk of erosions in parental support.

Adolescent↗
PubMed1986

Relationship quality of partners in heterosexual married, heterosexual cohabiting, and gay and lesbian relationships.

The relationship quality of partners in 44 married, 35 heterosexual cohabiting, 50 gay, and 56 lesbian monogamous couples was studied. Each couple lived together and did not have children living with them. Relationship quality was dimensionalized as love for partner, liking of partner, and relationship satisfaction. Cohabiting partners had the lowest Love for Partner and Relationship Satisfaction scores. Differences were also found among partner types on: barriers to leaving the relationship, alternatives to the relationship, a belief that mindreading is expected in the relationship, masculinity, femininity, androgyny, dyadic attachment, shared decision making, and perceived social support from family. The four partner groups did not differ in psychological adjustment. For each type of partner, love for partner was related to many barriers to leaving the relationship and high dyadic attachment; liking of partner was related to few alternatives to the relationship, high dyadic attachment, and high shared decision making; and relationship satisfaction was related to many attractions, few alternatives, few beliefs regarding disagreement is destructive to the relationship, high dyadic attachment, and high shared decision making. Stepwise multiple regression procedures were used to identify the best set of predictors for each partner type. Results are discussed in the context of existing models of relationship quality.

Adaptation, Psychological↗
PubMed2000

The multiple-race population of the United States: issues and estimates.

This paper presents national estimates of the population likely to identify with more than one race in the 2000 census as a result of a new federal policy allowing multiple racial identification. A large number of race-based public policies-including affirmative action and the redistricting provisions of the Voting Rights Act-may be affected by the shift of some 8-18 million people out of traditional single-race statistical groups. The declines in single-race populations resulting from the new classification procedure are likely to be greater in magnitude than the net undercount in the U.S. census at the center of the controversy over using census sampling. Based on ancestry data in the 1990 census and experimental survey results from the 1995 Current Population Survey, we estimate that 3. 1-6.6% of the U.S. population is likely to mark multiple races. Our results are substantially higher than those suggested by previous research and have implications for the coding, reporting, and use of multiple response racial data by government and researchers. The change in racial classification may pose new conundrums for the implementation of race-based public policies, which have faced increasing criticism in recent years.

Censuses↗
PubMed1990

The contributions of income, education and changing marital status to weight change among US men.

The prevalence of overweight in men varies with socioeconomic and marital status. To explore the origin of these associations, we studied the effects of family income, education, and changing marital status on change in body mass index (BMI, kg/m2) over 10 years in a representative sample of US men. The subjects were 1552 white and black US men who entered the Health and Nutrition Examination Survey-I (in 1971-75) at ages 25-44 and were re-evaluated a decade later (in 1982-84). After adjusting for socio-demographic factors, baseline BMI, smoking and physical activity, the mean 10-year change in BMI was greater for men with 12 years of education (difference = 0.31 BMI units (95 percent CI 0.04-0.59) ) or with less than 12 years (difference 0.58 (0.22-0.94) ) compared with men who studied beyond 12th grade. Ten-year weight changes were also defined categorically as major weight gain (BMI change greater than or equal to +4 units) or major weight loss (BMI change less than or equal to -2 units). By multiple logistic regression analysis, the odds of experiencing major weight gain were independently associated with low family income (odds ratio (OR) = 1.8 (95 percent CI, 1.0-3.3) ) compared with favorable income, and with becoming married (OR = 3.3 (1.7-6.3) ) or remaining unmarried (OR = 2.1 (1.1-4.2) ) compared with men who were consistently married. The risk of major weight loss was independently associated with marriage ending (OR = 1.8 (1.0-3.3) ) or with remaining unmarried (OR = 2.5 (1.3-4.7) ). A US public health strategy for the prevention of men's weight gain should focus on men with little education or low family incomes and those who are unmarried. There may also be a benefit to preventive weight-gain counseling for men as they enter marriage.

Adult↗
PubMed1991

The multidimensional impact of chronic pain on the spouse: a pilot study.

Spouses of patients with chronic pain face major challenges in learning to cope with the subsequent changes that occur in family life. This study examined the impact of those changes on the chronic pain patient's spouse, examining the extent and severity of psychosocial adjustment problems and the relationship of social support to the level of adjustment. For the twenty spouses in the study, results indicated that they were adversely impacted in multiple areas of their lives and that high levels of perceived partner support were related to better psychosocial adjustment. A multidimensional assessment instrument is evaluated for clinicians and researchers.

Adaptation, Psychological↗
PubMed2000

Immigration, intermarriage, and the challenges of measuring racial/ethnic identities.

This commentary reviews recent demographic trends in immigration and intermarriage that contribute to the complexity of measuring race and ethnicity. The census question on ancestry is proposed as a possible model for what we might expect with the race question in the 2000 census and beyond. Through the use of ancestry data, changes in ethnic identification by individuals over the course of their lives, by generation, and according to census question directions are documented. It is pointed out that the once-rigid lines that divided European-origin groups from one another have increasingly blurred. All of these changes are posited as becoming more likely for groups we now define as "racial." While it is acknowledged that race and ethnicity will become increasingly difficult to measure as multiple racial identities become more common and more likely to be reported, it is argued that monitoring discrimination is crucial for the continued collection of such data.

Bias↗
PubMed2005

Robinow Syndrome: a case report.

We report a case with Robinow syndrome which has been rarely reported in the literature. A male newborn who had fetal face appearance (broad and prominent forehead, hypertelorism, small saddle nose, anteverted nostrils, glabellar nevus flammeus, malar hypoplasia, down-turned mouth and retrognathia), mesomelic limb shortening, hemivertebra and genital hypoplasia was diagnosed as Robinow syndrome. Elevated levels of both basal and stimulated testosterone and dihydrotestosterone were found along with normal baseline levels of gonadotropins. These endocrinologic studies were suggestive for an androgen insensitivity. Mental and motor development of the infant were normal at 3 and 6 months of age. Because of the high level of consanguineous marriages in Turkey, we may expect a higher incidence of the autosomal recessive form of the syndrome. This gives a high recurrence risk and makes prenatal diagnosis an important option for future pregnancies in the families.

Abnormalities, Multiple↗
PubMed2002

The prevalence and pattern of congenital anomalies of the urinary tract detected by intravenous urography in Kuwait.

We conducted a prospective population-based study in Kuwait to determine the prevalence and pattern of previously undiagnosed congenital anomalies of urinary tract in patients undergoing intravenous urography (IVU) and to examine the demographic factors associated with these anomalies. The study included 2398 consecutive patients undergoing IVU, for various indications, in all the six public hospitals in Kuwait, during the period 1 June 1999-30 September 2000. Patients were also interviewed to obtain selected demographic information. Multiple logistic regression was used to identify factors associated with the anomalies. The average age (+/- SD) of the patients (1623 males, 775 females) was 39.2 +/- 15.1 years. A total of 335 anomalies (12.1% in males, 17.9% in females; p < 0.001) were detected in 300 (12.5%) patients (10.9% males, 15.9% females; p < 0.01). About half (47.2%) of the anomalies involved the kidney, 28.4% renal pelvis, 22.4% ureters, and 2.1% bladder. Multiple regression analysis showed that age < 20 years (odds ratio (OR) = 12.5; 95% confidence interval (95% CI): 7.0-22.3) female gender (OR = 1.5; 95% CI: 1.2-2.0) Kuwaiti nationality (OR = 1.7; 95% CI: 1.2-2.3) and family history of congenital malformation (OR = 3.8; 95% CI: 2.2-6.6) were independently associated with the anomalies of the urinary tract. Overall, 42% of the patients reported a consanguineous marriage between their parents. The frequency of anomalies was higher in individuals who had consanguineous parents (13.8 vs. 11.6%; OR = 1.2) but this positive association did not reach statistical significance. Considering the relatively high prevalence of previously undiagnosed congenital anomalies of the urinary tract, it is important to establish clinical guidelines for early detection and management of these conditions to decrease the associated morbidity and mortality.

Adult↗
PubMed1991

Parents, partners or personality? Risk factors for post-natal depression.

The relevance of three different interpersonal risk factors to post-natal depression was examined. One hundred and forty-nine non-depressed women completed the Parental Bonding Instrument (PBI), the Intimate Bond Measure (IBM) and the Interpersonal Sensitivity Measure (IPSM) antenatally. Post-natal depression was identified using the Edinburgh Post-natal Depression Scale (EPDS) at 1, 3 and 6 months post partum. Significantly increased risks for post-natal depression were found for the women whose spouses provided low care or were overcontrolling and for women with high interpersonal sensitivity. Low maternal care and paternal overprotection were additional predictors when multiple regression analyses were used. Importantly, the different risk factors had their impact at different times post partum. The implication of these findings is discussed.

Adult↗
PubMed1983

Reproductive factors in the aetiology of breast cancer.

An interview study of 1,362 breast cancer cases and 1,250 controls identified through a multi-centre screening project allowed an evaluation of reproductive determinants of breast cancer. Risk increased linearly with age at first livebirth; women with a birth after age 30 showed 4-5-fold excess risks compared to those with a birth prior to 18, while the risk for nulliparous women resembled that for women whose first birth was in their late twenties. The protection conferred by an early first pregnancy prevailed for pregnancies that ended in a livebirth or stillbirth, but not for those that terminated in other outcomes. Among parous women, a first trimester abortion prior to a livebirth was not associated with an elevated risk, except in the event of multiple miscarriages (RR = 2.2, 95% Cl 0.9-5.1). Although numbers were limited, women who reported an induced abortion in the absence of ever having a livebirth showed some elevation in risk. Age at first livebirth explained most associations, but some residual reduction in risk was noted for multiparous women and those with several births at an early age. There was evidence that delays in birth after marriage increased risk, but this did not explain the high risk associated with late age at first birth.

Abortion, Spontaneous↗
PubMed1987

Interstitial radiobrachytherapy of malignant cerebral neoplasms: rationale, methodology, prospects.

The local use of radionuclides in the management of neoplastic processes was initially considered over 80 yr ago and has enjoyed increasing enthusiasm in the treatment of somatic and central nervous system tumours during the past 30 yr. The marriage of complex neuroimaging techniques and modern stereotactic devices has markedly enhanced the technical precision of interstitial radiobrachytherapy of malignant cerebral neoplasms. In applying these techniques, it is imperative to achieve an optimal placement of radionuclide sources in order to develop a geometrically homogenous, controlled distribution of radiation. Critical considerations include determination of tumour volume and contour, and development of a homogenous dose rate (dependent upon multiple sources at varying intensity) that will not only effect tumour cell kill but do this without excessive production of radionecrosis which necessitates craniotomy because of mass. Using the Brown-Roberts-Wells (BRW) stereotactic guidance system and an image-defined, volumetrically determined target, implants of multiple iridium 192(192Ir) sources were used to establish appropriate isodose envelopes. A methodology for achieving the described objectives is detailed as it applies to a variety of malignant intracerebral neoplasms (glioblastoma multiforme, malignant astrocytoma, malignant mixed glioma, primary cerebral lymphoma, metastatic carcinoma and malignant pineal region tumours). Technical realization of precision implantation relying upon imaging data may be acheived with this method with satisfactory responses that are dependent upon histological tumour type and the morphology of the tumour distribution as related to the image. Early and late complications related to the surgical technique and radionuclide applications were less than 5%. Although encouraging, these techniques require further definition and greater data accrual before uniform application outside major medical centres can be justified. It is anticipated that improvement in results with intrinsic gliomas and other invasive neoplasms will be realized with further definition of tumour boundaries by tract biopsy techniques and concurrent utilization of hyperthermia and brain protective methods.

Brachytherapy↗
PubMed1976

Split-hand and split-foot deformity inherited as an autosomal recessive trait.

A intermarried consanguineous family with split-hand and -foot deformity occurring in two sibship is presented. Both the sibship resulted from marriage between first cousins. This report, together with those of Ray (1960) and Freire-Maia (1971), further demonstrates that split-hand and -foot deformity can be inherited as an autosomal recessive trait.

Abnormalities, Multiple↗
PubMed2005

Complementary factors contributing to the rapid spread of HIV-I in sub-Saharan Africa: a review.

OBJECTIVE: To examine and establish complementary factors that contribute to the alarmingly high prevalence of HIV-1 in sub-Saharan Africa (SSA) in order to create awareness and suggest possible measures to avert the spread of the pandemic. DATA SOURCES: Review of literature via Medline, the Internet, articles in refereed journals, and un-refereed features from the East Africa media houses and personal communications. DATA SELECTION: Most published data from 1981 to September 2004 found to have revealed an impact on the spread of HIV-1 in SSA were included in the review. Therefore, all selected articles were read and critically evaluated. Where possible the number of citations articles which had been received were sought to established the degree of impact. DATA EXTRACTION: Abstracts of all articles identified were accessed, read and analysed to determined possible relevance to the spread of HIV-1. When relevance was established from the abstract the entire paper was read and important points were included in the review. DATA SYNTHESIS: A matrix was drawn to include all subtitles (e.g. polygamy, circumcision, poverty, etc). Below each subtitle all published works were included and prioritised. Published works that were found to have impact were included in the review. Finally a percent composite picture of all factors was drawn in an attempt to prioritise the factors, not withstanding the fact that most factors are interrelated and complementary. CONCLUSIONS: There are many reasons why the spread of HIV-1 in SSA has not been declining over the years. Main risk factors for HIV-1 infection and AIDS disease in SSA were found to include poverty, famine, low status of women in society, corruption, naive risk taking perception, resistance to sexual behaviour change, high prevalence of sexually transmitted infections (STI), internal conflicts and refugee status, antiquated beliefs, lack of recreational facilities, ignorance of individual's HIV status, child and adult prostitution, uncertainty of safety of blood intended for transfusion, widow inheritance, circumcision, illiteracy and female genital cutting and polygamy. It is suggested that control programmes both local and donor-driven seeking to mitigate the spread of HIV-1 in SSA should take into account the apparent multiplicity of sub-Saharan African cultures and beliefs, some of which augment the spread of HIV-1.

Africa South of the Sahara↗