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Adolescent females with a substance use disorder: affiliations with adult male sexual partners.

OBJECTIVE: To test the hypothesis that low socioeconomic status (SES), a disturbed parent-daughter relationship, early sexual development, and antisocial behavior are risk factors in adolescent females affiliating with adult male sexual partners. To determine whether the relation between these risk factors and affiliating with adult male sexual partners is stronger in females with greater, rather than fewer, substance use disorders (SUD). METHOD: Subjects were 180 adolescent females with SUD and 87 normal controls (14-18 years of age). RESULTS: The SUD group had a lower SES and more negative parent-daughter interactions, and exhibited greater antisocial tendencies. Also, the SUD group showed a more frequent affiliation with adult male sexual partners. Chronological age, age of menarche (sexual development), antisocial behavior, and quality of the parent-daughter relationship were significantly associated with affiliation with adult male sexual partners. Moreover, the number of SUD diagnoses enhanced the relation between the quality of the parent-daughter relationship and antisocial behavior with affiliation with adult male sexual partners. CONCLUSIONS: From a prevention perspective, interventions directed at enhancing child rearing practices, communication skills, and involvement in children's needs and activities might result in improved parent-child attachments that may attentuate young women's propensities to become involved in antisocial behavior and affiliate with adult sexual partners. Also, the risk imposed by an early sexual maturation may be offset by enhancing the female adolescent's social skills to select non-deviant and supportive male partners.

Adolescent↗

Factors predicting safe-sex talk and condom use in early sexual relationships.

This study explored some of the antecedents and consequences of young adults' beliefs about safe-sex communication in their early couple relationships. The sample consisted of 237 unmarried, heterosexual Australian university students, 16 to 19 years of age, approximately evenly divided between virgins and those with sexual experience. Drawing on a model of couple sexual communication as the product of prior experiences with communication, assertion, and conflict resolution in the family of origin, we examined links between these variables and respondents' attitudes and practices of safe-sex discussion and condom use with their dating partners. The results showed that women and nonvirgin men had more positive attitudes toward safe-sex communication than male virgins had. Difficulties with self-assertion outside of the sexual context and mothers' and fathers' use of avoidance as a conflict resolution strategy were negatively correlated with willingness to discuss safe sex, whereas mothers' more frequent safe-sex education was a positive predictor. The results of a hierarchical multiple regression analysis indicated that assertion, paternal conflict avoidance, and male gender were independent predictors of reluctance to negotiate for safer sex. At a behavioral level, positive attitudes to safe-sex discussion predicted having talked about AIDS and condoms with a dating partner as well as actual condom use by the subsample of daters who had experienced sexual intercourse. Implications for improving family and couple communication and for sex education were considered.

Adolescent↗

Verbal intercourse and sexual communication: impediments to STD prevention.

This article explores the problems of risky sexual behavior by examining the ways people verbally negotiate sexual interaction regarding sexually transmitted diseases. Based on in-depth interviews with 124 adults (ages 21-63) who are infected with genital herpes, the article shows that knowledge about sexually transmitted diseases is not necessarily related to the action needed for their prevention. People are more afraid of being rejected by a partner than they are of contracting an STD (except, of course, AIDS). By examining difficulties people have with sexual health discourse and showing how these difficulties are related to both the problem of communicating politeness and the problem of representing the self and the sexual other, this article demonstrates that STD prevention programs overlook a very important emotional and communicative issue: the lack of a culturally sanctioned language with which to discuss sexual health with partners.

Adult↗

Formation of the gap junction nexus: binding partners for connexins.

Gap junctions are the morphological correlates of direct cell-cell communication and are formed of hexameric assemblies of gap junction proteins (connexins) into hemichannels (or connexons) provided by each coupled cell. Gap junction channels formed by each of the connexin subtypes (of which there are as many as 20) display different properties, which have been attributed to differences in amino acid sequences of gating domains of the connexins. Recent studies additionally indicate that connexin proteins interact with other cellular components to form a protein complex termed the Nexus. This review summarizes current knowledge regarding the protein-protein interactions involving of connexin proteins and proposes hypothesized functions for these interactions.

Amino Acid Sequence↗

Sexual communication.

Sexual communication refers to the use of signals to promote or modulate sexual interaction. We suggest that these signals operate at three levels: (a) a primary level at which signals are used to increase the likelihood of sexual interaction between two individuals; (b) a secondary level at which signals inhibit inbreeding or facilitate outbreeding; and (c) a tertiary level at which signals allow selection among potential mates. Evidence is cited that the selective advantage of the primary, secondary and tertiary levels are, respectively, repair of DNA damage, masking of mutation, and selection for fitness in the mating partner. We illustrate how these advantageous processes are facilitated by sexual communication in bacteria, fungi, protozoa, insects, plants and vertebrates.

Adaptation, Physiological↗

Couple communication and female problem drinking: a behavioral observation study.

Couples with alcohol and relationship problems often report poor communication, yet little is known about the communication of maritally distressed couples in which the woman abuses alcohol (MDWA couples). Compared with maritally distressed couples without alcohol problems (MDNA) and couples with neither problem (NDNA), MDWA couples showed a distinctive pattern of negative communication. Similar to MDNA men, MDWA men spoke negatively to their partners but listened positively to their partners much like NDNA men. MDWA women listened negatively, much as MDNA women did, but spoke positively, like NDNA women did. The interactions of MDWA couples can be characterized as a male-demand-female-withdraw pattern, which is a gender reversal of the female-demand-male-withdraw pattern often observed in MDNA couples.

Adult↗

Social interactions, communications, and the coronary-prone behavior pattern: a psychophysiological study.

Sixty subjects classified as either Type A or Type B interacted in pairs by pressing buttons which transmitted messages through a television screen while the heart rate and digital blood volume pulse were computer-monitored. Partners could cooperate, compete, punish, reward, or withdraw on each interaction and could send 1 of 55 messages communicating feelings, requests, and behavioral intentions between interactions. Interactions and communications between Type A subjects were strikingly different from Type B subjects. Type A's were noticeably more aggressive competitive. Type A dyads also exhibited larger digital vasomotor responses than Type B dyads. When Type A subjects and Type B subjects interacted with each other, rather than with a same-type partner, the differences between them in behavior and vasomotor response largely disappeared.

Aggression↗

Interpersonal communication and sexual adjustment: the roles of understanding and agreement.

The influence of interpersonal communication on sexual adjustment in cohabiting heterosexual couples was investigated. Male and female partners from 76 heterosexual couples independently completed measures of their own and their partners' sexual preferences, as well as measures of sexual and general relationship adjustment, sexual difficulties, marital role preferences, depression, and social desirability. Results indicated that sexual satisfaction in both partners was associated with men's understanding of their partner's preferences and agreement between their preferences. The influential role of men's understanding was supported by hierarchical regression, convergent and discriminant evidence, and multiple regression models that accounted for 51% and 63% of variance in men's and women's sexual satisfaction. General relationship adjustment of both partners was associated with women's understanding of men's marital role preferences. An explanation of understanding's function is proposed, accounting for gender differences within and across sexual and general realms of relating.

Adaptation, Psychological↗

Special Populations Networks: themes and lessons learned.

The Special Populations Networks (SPN) Program was a 5-year, nationwide project funded by the National Cancer Institute to reduce cancer-related health disparities in minority and other underserved communities by building community health infrastructure, improving cancer awareness and use of cancer screening services, and increasing the cadre of minority junior scientists studying disparities issues. Through collaborations with a wide range of community and academic partners, the 18 grantee organizations: 1) developed culturally sensitive cancer communications approaches and materials; 2) conducted outreach and educational activities appropriate to their communities' needs and diverse cultures; and 3) trained and mentored young minority investigators who succeeded in winning support for pilot projects addressing local cancer health disparities issues, trained and deployed lay health workers, and worked with community and health provider organizations to improve understanding of cancer risk in these populations and encourage participation in appropriate clinical trials. SPN activities were grounded in community-based participatory research principles and practice. This overview highlights major project themes, provides examples of differing individual grantee approaches to similar issues, and describes key lessons learned, as reported by the SPN projects, that may guide future programmatic and research efforts to eliminate cancer health disparities in the United States. Cancer 2006. Published 2006 by the American Cancer Society.

Community Networks↗

An Australian perspective of fatherhood and sexuality.

OBJECTIVE: to describe and explore the effect that pregnancy, childbirth and adjustment to a new baby have on the sexual relationship of fathers. DESIGN: a content analysis, using a qualitative approach, was undertaken on the written comments provided by fathers on a 6-week postpartum postal survey. The survey was undertaken to provide information relating to fathers' adaptation to fatherhood. The father's functional status was measured using, the Inventory of Functional Status-fathers (IFS-F) Tool. SETTING: a regional location within New South Wales, Australia. Participants (fathers) were recruited through postnatal services within hospital and community settings. PARTICIPANTS: volunteer study participants consisting of 204 fathers were sent a questionnaire at 6 weeks postpartum. The questionnaire was returned by 128 study participants (fathers). The participants were men experiencing fatherhood for the first time or who were adding to their existing families. FINDINGS: comments by the study participants revealed that sexual relationships during pregnancy and the postnatal period undergo a variety of changes that may affect the couple's relationship. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: it is important for health-care professionals, particularly midwives, to recognise that variance in sexual activity during the childbearing period does occur, and that there is a need for the midwife to be open to individual discussion of sexual activity with the woman and her partner during pregnancy and postnatal periods. Holistic care of women and their partners in the childbearing period requires health professionals to effectively communicate current information and education on sexuality.

Adult↗