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PubMed1995

Help-seeking for AIDS high-risk sexual behavior among gay and bisexual African-American men.

Help-seeking for AIDS high-risk sexual behavior and its association with HIV status were examined among 318 gay and bisexual men in the San Francisco Bay Area who participated in the African American Men's Health Project, a longitudinal survey of gay and bisexual African-American men. A third (36%) of the sample reported seeking help regarding their concerns about HIV high-risk sexual behavior. Peers and professionals were the most widely sought sources of help and the sources perceived to be the most helpful. Men (39%) who had received the HIV antibody test and who were HIV seropositive were more likely to seek help than men who were HIV seronegative or did not know their HIV status (25%). Furthermore, gay men who were HIV seropositive or who knew their serostatus were more likely to seek help from professionals and peers. Explanations for the differences in help-seeking by HIV-seropositive men are discussed with implications for the development of social support for HIV risk reduction among gay and bisexual African-American men.

Acquired Immunodeficiency Syndrome↗
PubMed1997

Social categorization and the formation of intergroup attitudes in children.

The study was designed to test several hypotheses derived from intergroup theory concerning the effects of the presence of a novel social category on the formation of intergroup attitudes. Elementary school children (N = 61; aged 6-9) were given measures of classification skill and self-esteem and assigned to 1 of 3 types of school classrooms in which teachers made: (1) functional use of "blue" and "yellow" groups assigned on the basis of a biological attribute, (2) functional use of "blue" and "yellow" groups assigned on the basis of a random drawing, or (3) no explicit groups (despite the presence of blue and yellow groups). After 4 weeks, children completed measures of intergroup attitudes and behavior. As predicted, the functional use of color groups affected children's attitudes toward group members, with children showing consistent biases favoring their own group. Children with higher levels of self-esteem showed higher levels of intergroup stereotyping.

Child↗
PubMed2000

Sexual aggression against women by men acquaintances: attitudes and experiences among Spanish University students.

Extensive prior research has indicated that sexual assault is highly prevalent among American college students. The purpose of this study was to assess Spanish students' attitudes about forced sex and actual experiences with male-against-female sexual aggression (SA) at a major university campus. A date-rape story was presented whereupon students (N = 412) indicated the extent to which they thought forced sex was acceptable or unacceptable in ten hypothetical situations (Giarusso, Johnson, Goodchilds, & Zellman, 1979). A second section examined whether a female or male Spanish student had experienced or engaged in a broad range of coercive sexual activities (Koss & Oros, 1982). A third section elicited help-seeking behavior in those cases where a female student had experienced unwanted sexual activity (Ogletree, 1993). It was hypothesized that students would differ in their acceptance of forced sex as a function of sex, branch and year of study, and actual experience with SA. Results showed that acceptance of forced sex was significantly related to sex, year of study and experience with SA. Results also revealed that 17.5% of all male students (n = 189) accepted forced sex and 33.2% of all female students (n = 223) had experienced some form of unwanted sexual activity; 7.7% of the women had experienced attempted or completed rape. Only 39% of those women victimized sought any form of help. The implications of these findings for rape-prevention programs are discussed.

Adult↗
PubMed2006

Mexican American women in a rural area and barriers to their ability to enact protective behaviors against breast cancer.

Mexican American women in rural areas have less chance of surviving breast cancer than women in other ethnic populations (Boughton, 2000; Herman, 1996). This research sought to determine why such women do or do not enact behaviors to help them protect themselves from breast cancer. The extended parallel process model (Witte, 1994) provided a guiding theoretical basis for understanding perceptions, and 48 women, in discussion groups and surveys, were asked about self-exams, physician exams, and mammograms. Findings demonstrated that the women had high perceived self-efficacy and susceptibility regarding breast cancer but did not perceive it as severe (i.e., that it could cause death). These perceptions were positively and negatively related to behaviors that protect against breast cancer. Also, several barriers, such as lack of transportation, lack of access to health care, and lack of knowledge regarding breast self-exams, were found.

Adolescent↗
PubMed1996

A study of the characteristics of the dementia patients and caregivers in dementia-nonspecific adult day care programs.

OBJECTIVE: To determine if basic differences exist between the patients and caregivers of a representative group of dementia-nonspecific medical versus social adult day care centers with specific programs for dementia patients. DESIGN: A telephone interview questionnaire survey. SETTING: North Central North Carolina. PARTICIPANTS: A total of 242 adult day care dementia patients and caregivers from three medical and three social nondementia-specific adult day care centers. MEASUREMENTS: Dementia patient variables: Day care subtype (medical or social); length of stay; number of days attended; age; sex; race; educational level; marital status; religious affiliation; income; living status; number of medical conditions; number of prescription medications; function; ADL status (walking, eating, bathing, dressing, grooming, toileting); continence status; number and type of abnormal behaviors; formal help status (hospitalization during day care, part or full-time nursing home attendance, or home healthcare assistance); transportation; and financial assistance. Caregiver variables: day care subtype; age; sex; race; educational level; marital status; religious affiliation; income; number of medical conditions; number of prescription medications; informal help (family friends or other non-paid help); paid help (friend, other, home health, or nursing home); relationship to patient; employment status; and level of caregiver burden. MAIN RESULTS: There were 144 medical and 62 social adult day care dementia patients and caregivers who agreed to participate. The average age of the patient was 77.9 years (SD +/- 8.4), and that of the caregiver was 57.7 years (SD +/- 13.9); 68.4% of the patients and 75.4% of the caregivers were females. Dementia patients in the medical subtype day care had a shorter length of stay than social day care patients; this did not reach statistical significance. There were significantly more white patients and caregivers in the medical than in the social subtype day care, 83.1% versus 50% and 83.3% versus 50.8%, respectively. Dementia patients of the medical subtype also had significantly more education, income, less function, and more symptoms of depression than dementia patients in the social subtype. Dementia patients of the medical subtype also had more abnormal psychological behaviors than their social subtype counterparts, with borderline significance (P = .071). There were more married caregivers in the medical subtype than in the social subtype day care. Caregivers of dementia patients in the medical subtype had significantly more paid help and caregiver burden than did caregivers of dementia patients in the social subtype. CONCLUSIONS: In this study, there appear to be key differences between the dementia patients and caregivers of medical versus social adult day care centers as to demographic and health-related variables. The differences in demographic variables appear to be associated with socioeconomic factors, whereas the decreased function and greater number of depressive symptoms of the medical dementia patients may reflect poorer health as reflected by the greater amount of paid help and increased caregiver burden experienced by the caregivers of medical dementia patients. These findings should be verified in prospective studies.

Adult↗
PubMed2004

Rapid divergent evolution of sexual morphology: comparative tests of antagonistic coevolution and traditional female choice.

Male structures specialized to contact females during sexual interactions often diverge relatively rapidly over evolutionary time. Previous explanations for this pattern invoked sexual selection by female choice, but new ideas emphasize possible sexually antagonistic coevolution resulting from male-female conflict over control of fertilization. The two types of selection have often not been carefully distinguished. They do not theoretically exclude one another, but they have not necessarily had equally important roles in producing rapid evolutionary divergence. To date, most recent empirical studies of antagonistic coevolution have emphasized only a few taxa. This study uses the abundant but little-used data in the taxonomic literature on morphology to evaluate the roles of antagonistic coevolution and traditional female choice over a wide taxonomic spectrum (61 families of arthropods, mostly insects and spiders). Groups with species-specific male structures that contact females were checked for coevolution of species-specific female structures that are contacted by the male and that have mechanical properties that could potentially defend her against the male. Facultatively deployable, species-specific female defensive structures, a design that would seem likely to evolve frequently under the sexually antagonistic coevolution hypothesis, were completely absent (0% of 106 structures in 84 taxonomic groups). Although likely cases of sexually antagonistic coevolution exist, using conservative criteria, 79.2% of the 106 structures lacked even potentially defensive female coevolution. A common pattern (53.8% of 106) was a nearly complete absence of female change in areas contacted by species-specific male structures. Post-hoc arguments invoking possible coevolution of defensive female behavior instead of morphology, or of female sensitivities and responses to male sensory traps, could enable the sexually antagonistic coevolution hypothesis to explain these data. No case of such coevolution of female behavior or sensitivities has been demonstrated, and there are additional reasons to doubt that they are general explanations for the data presented here. Detailed studies of female resistance behavior could help illuminate several issues. The possibility of a greater role for antagonistic coevolution in reproductive physiology than in morphology and the possibility that female choice and sexually antagonistic coevolution have both been important in some lineages are discussed.

Animals↗
PubMedDate not supplied

Empowerment, effective helpgiving practices and family-centered care.

Improving practices with families of pediatric patients is most likely to occur when nurses and other health care professionals more fully understand the characteristics and consequences of different approaches to their work. A review of relevant literature in the empowerment, helpgiving, and family-centered care fields suggests the kinds of beliefs, attitudes, and behaviors that will optimize benefits to families in different domains of functioning. Family-centered care is a special case of effective helpgiving, and effective helpgiving is a special case of an empowerment approach to working with people seeking professional advice and expertise.

Child↗
PubMed2002

Public support for ecosystem restoration in the Hudson River Valley, USA.

We applied the Theory of Planned Behavior to help understand the relationships between environmental beliefs, support for ecosystem restoration actions, and willingness to pay (WTP) for restoration and protection goals in the Hudson River estuary, New York State, USA. We conducted a mail survey with 3,000 randomly-chosen local residents of the Hudson River estuary in the fall of 1999. As hypothesized, the broad ecosystem restoration goals of the Hudson River Estuary Action Plan were more strongly supported than the corresponding specific implementation actions. We found that beliefs and past behavior were better explanatory variables than sociodemographic characteristics for explaining people's support for ecosystem restoration actions and WTP for restoration and protection goals. Because ecosystem restoration goals appear to be more generally acceptable than specific restoration actions, proponents of restoration programs should not become complacent about the need for active public outreach and involvement even if initial restoration program discussions have been low in controversy. Efforts to assess and foster support for ecosystem restoration should be targeted toward audiences identified on the basis of beliefs and past behaviors rather than on sociodemographic characteristics.

Adult↗
PubMed2005

Assessment of stuttering in a familiar versus an unfamiliar language.

UNLABELLED: The present study investigated how well individuals knowledgeable about stuttering are able to make disfluency judgments in clients who speak another language than their own. Fourteen native speakers of Brazilian Portuguese identified and judged stuttering in Dutch speakers and in Portuguese speakers. Fourteen native speakers of Dutch identified and judged stuttering in Brazilian Portuguese speakers and in Dutch speakers. It was found that judges can make similar level of judgment in a native and a foreign language, and that native and foreign judges can make similar level of judgment irrespective of native/foreign differences. It was also found, however, that the Dutch judges performed significantly better in identifying native stutterers than foreign stutterers. And for the identification of nonstutterers, both panels performed better in their native language than in the foreign language, and in their native language they both performed better than the other panel. Both the Brazilian Portuguese and the Dutch speaking panel were generally also less confident, and found identification of stuttering more difficult in the foreign language than in the native language. In addition, when asked for the characteristics that helped them identify stutterers, they provided more detail in the native language than in the foreign language. Also a number of differences were found between the two panels which may be due to differences in training or cultural background. The implications of the findings for clinical practice and for future research in this area are discussed. EDUCATIONAL OBJECTIVES: The reader will be able to: (1) describe how language influences the identification of a speech disorder such as stuttering, and (2) list, and (3) define behaviors that help to identify stuttering in a foreign language.

Adolescent↗
PubMedDate not supplied

Paternal perspectives of the childbirth experience.

This study examined the responses given by first-time fathers who were asked to describe their feelings about their childbirth experience. The fathers answered three open-ended questions about their feelings concerning labor and childbirth, and the paternal behaviors believed to be most useful to their wives during labor and delivery. Data from fathers who attended prenatal childbirth education classes were examined separately from fathers who did not attend. The findings indicated that for all fathers, regardless of prenatal preparation, the labor experience evoked generally positive responses in addition to a significant number of negative responses, while perceptions of the birth experience were primarily characterized by positive or very positive feelings. The results also indicated that the fathers perceived that they were most helpful to their partner during labor.

Adult↗
PubMed2006

Dimensions of professional labor support for intrapartum practice.

PURPOSE: To define and describe the dimensions of Professional Labor Support (PLS). DESIGN AND METHODS: A factor-analytic study was conducted with a random sample of 146 intrapartum nurses in Texas. Nurses' responses to the Labor Support Questionnaire (LSQ) were subjected to principal components analysis and descriptive analysis. FINDINGS: A six-factor solution indicated the dimensions of PLS: Tangible Support, Advocacy, Emotional Support-Reassurance, Emotional Support-Creating Control, Security and Comfort, Emotional Support-Nurse Caring Behavior, and Informational Support. CONCLUSIONS: Although the presence of four dimensions was theorized, six dimensions were found. The emotional support dimension was identified by nurses as being an important component of labor support as indicated by the identification of three separate emotional support dimensions.

Attitude of Health Personnel↗
PubMedDate not supplied

Homotopic, but not heterotopic, fetal cortical transplants can result in functional sparing following neonatal damage to the frontal cortex in rats.

Experiments involving the heterotopic transplantation of neocortex during development have indicated that the efferent connections maintained by the transplant as well as other organizational features are appropriate to the transplant's regional locale within the host cortex, rather than to its site of origin within the donor cortex. These findings would seem to be consistent with the idea that developing cortical neurons lack any rigid regional specification. To examine this further, we made lesions in the rostral cortex of newborn rats and placed pieces of either rostral or occipital fetal cortex into the lesion site. Additional cases with similar lesions, but with no transplants, were also prepared. When the animals matured, behavioral testing was done to identify any residual deficits. Compared with lesioned animals that had received no transplants, animals with homotopic transplants show a substantial sparing in certain forelimb placing and somatosensory tasks. In marked contrast, animals with heterotopic transplants did not show any sparing. Indeed, when placing reactions were elicited by vibrissal stimulation (vibrissae-->forelimb placing; extinction-placing) the animals with heterotopic transplants showed a greater impairment than the lesioned animals that received no transplants. These results indicate that while homotopic fetal cortical transplants may help ameliorate behavioral deficits that normally follow neonatal lesions of the rostral cortex, heterotopic transplants do not, and may in fact exacerbate the deficits, despite the fact that such heterotopic transplants have been shown to maintain projections that seemingly are appropriate to their locale.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1985

The development of children's strategies for the social control of emotion.

It has been shown that young children can recognize emotional states in their peers, that they understand many of the antecedents of emotion, and they are motivated to change negative emotional states in others. The present study examined children's ability to nominate strategic social action that would alter the ongoing emotional state of a peer. Children of 3 ages--5, 8, and 12 years of age--viewed a picture of a young child actually experiencing happiness, sadness, anger, or in a neutral state. In a portion of instances, information was also provided about the social or nonsocial experience that led to the target child's state. The strategies children nominated fell into a small set of agonistic (nurturant) and antagonistic (aggressive) behaviors intended to change positive or negative states. With increasing age, children tended to nominate a greater proportion of verbal strategies, social strategies (with the exception of strategies nominated to change anger), and strategies that directly addressed the cause of another's emotional state.

Aggression↗
PubMed1993

Peer group interactions and the student-perceived climate for caring.

Using the descriptive mode of qualitative inquiry, this study was conducted with 10 junior nursing students at five baccalaureate schools of nursing to describe a climate for caring as it is experienced within the context of peer group interactions. The findings from this study indicate that a climate for caring is experienced through peer group behaviors that are perceived as caring, and during peer group interactional episodes that are characterized by giving assistance. Based on the data from these participants, student vulnerability and personal knowledge of peers are suggested as factors that mediate the ability of junior nursing students to experience a climate for caring during peer group interactions.

Education, Nursing, Baccalaureate↗
PubMed1996

'Booboos': the study of everyday pain among young children.

Three- to 7-year olds were observed in their day cares to determine the prevalence and nature of incidents of everyday pain (e.g. bumps, cuts, and scrapes). An observational checklist was used to record information on the behavioral responses of child and caregiver. The checklist showed excellent interrater reliability and supported the validity of the pain measure used. No age or sex differences in the incidence or severity of everyday pain were found. However, girls engaged more often in distress responses and received more physical comfort from adult caregivers. It was concluded that girls have a vocal response style which elicits responses from adult caregivers. No significant effect of age was found on intensity or duration of distress or on adult response, but frequency of help-seeking behaviors was found to decrease with age. Limited effects of age may be due to the age range restriction of 28-81 months. Analyses of temperment indicated that less adaptive children were more agitated prior to a pain incident. Analysis of behavioral context demonstrated that larger groups of children display a higher level of activity and individuals in the group display higher levels of agitation. Personal control of the child during a pain incident decreased within larger groups and increased with a high level of activity. Finally, it was found that children who experienced 'booboos' most often also responded to them most strongly, suggesting that increased exposure to this type of pain may lead to sensitization, rather than desensitization.

Chi-Square Distribution↗
PubMed1991

The importance of nurse caring behaviors as perceived by Swedish hospital patients and nursing staff.

The present study identified patient (n = 81) and nursing staff (n = 105) perceptions of the most and least important nurse caring behaviors. Using a Swedish version of the CARE-Q instrument, patients ranked as most important competent clinical know-how, while the nursing staff ranked expressive/affective behaviors as most important to make patients feel cared for. The results show significant differences (p less than 0.05) between the two groups in the rating of 29 of the instrument's 50 specific behaviors and in five out of six subscales combining individual items. Thus, patient perceptions of important nurse caring behaviors differ from staff perceptions. These results are similar to those from other studies of hospitalized patients' perceptions of caring. The staff's results are in accordance with studies of professional nurses' perceptions of caring. The findings support conclusions by other authors.

Adult↗
PubMedDate not supplied

Caring Behaviors Inventory: a reduction of the 42-item instrument.

BACKGROUND: Caring traditionally has been at the center of nursing. Effectively measuring the process of nurse caring is vital in nursing research. A short, less burdensome dimensional instrument for patients' use is needed for this purpose. OBJECTIVES: To derive and validate a shorter Caring Behaviors Inventory (CBI) within the context of the 42-item CBI. METHODS: The responses to the 42-item CBI from 362 hospitalized patients were used to develop a short form using factor analysis. A test-retest reliability study was conducted by administering the shortened CBI to new samples of patients (n = 64) and nurses (n = 42). RESULTS: Factor analysis yielded a 24-item short form (CBI-24) that (a) covers the four major dimensions assessed by the 42-item CBI, (b) has internal consistency (alpha =.96) and convergent validity (r =.62) similar to the 42-item CBI, (c) reproduces at least 97% of the variance of the 42 items in patients and nurses, (d) provides statistical conclusions similar to the 42-item CBI on scoring for caring behaviors by patients and nurses, (e) has similar sensitivity in detecting between-patient difference in perceptions, (f) obtains good test-retest reliability (r = .88 for patients and r=.82 for nurses), and (g) confirms high internal consistency (alpha >.95) as a stand-alone instrument administered to the new samples. CONCLUSION: CBI-24 appears to be equivalent to the 42-item CBI in psychometric properties, validity, reliability, and scoring for caring behaviors among patients and nurses. These results recommend the use of CBI-24 to reduce response burden and research costs.

Academic Medical Centers↗