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At least 19 recordsLinked to original sources
PubMed1997

Exploring partner communication and patterns of sexual networking: qualitative research to improve management of sexually transmitted diseases.

This ethnographic research among rural South African men and women seeking care for STDs explores constraints to communication among partners and defines predominant patterns of sexual networking. A series of fifteen open-ended interviews explored topics related to sexual networking and partner communication. Patterns of sexual networking showed clear gender variation, with men more likely to discuss multiple partners. Both men and women believed they should tell one partner about their STD, most often a steady partner. Strong distinctions were made between regular and casual partners, with an emphasis on the role of trust in a steady relationship. Men and women expressed anxiety about telling their partners of their illness, but women more often expressed fear whereas men felt embarrassed. Multi-partnered sexuality is common and is widely accepted for men. While the importance of regular partnerships is clear for both men and women, sexual relationships appear to be highly unstable. Communication among partners could be facilitated by stronger health promotion messages, such as the importance of telling a partner about an STD. Prevailing patterns of communication and sexual networking have profound implications for the STD epidemic.

Adult↗
PubMed2004

Partner communication and HIV risk behaviors among "at risk" women.

OBJECTIVES: This research focused on communication with one's sexual and dating partners, and addressed two main research questions: First, what is the relationship between partner communication and involvement in HIV risk behaviors? Second, which factors predict women's level of partner communication about key issues salient in their lives? METHODS: Cross-sectional interviews were conducted with 250 adult women living in the Atlanta, Georgia metropolitan area between August 1997 and August 2000. Street outreach was used to identify potential study participants, with further expansion of the sample done via targeted sampling and ethnographic mapping procedures. Path analysis was used to examine the relationships between partner communication and HIV risk taking, and to identify predictors for the extent of women's partner communication. RESULTS: The data revealed an inverse relationship between partner communication and involvement in HIV risk taking. Eight statistically significant predictors of partner communication were identified: age, marital status, length of longest marital-type relationship, level of happiness in longest relationship, knowing anyone who had died from AIDS, number of financial problems experienced, having a sexually transmitted disease during the previous year, and self-esteem level. CONCLUSIONS: Partner communication is an important variable to consider when understanding "at risk" women's HIV risk behavior practices. Finding ways to enhance women's communication with their sexual and dating partners appears to be one promising way of reducing their level of HIV risk.

Adolescent↗
PubMed2002

Communication perceptions of older adults with sensory loss and their communication partners: implications for intervention.

INTRODUCTION: Vision and hearing loss are prevalent disorders in older adults although their effects on communication are not well documented. METHOD: The purpose of this study was to investigate the perceptions of older adults with sensory loss and their communication partners with regard to their communication, situational difficulties and conversational needs. RESULTS: Questionnaire results revealed that the sensory loss group experienced a range of functional vision and hearing difficulties. Over two-thirds of subjects reported frequent conversational difficulty, particularly in background noise and group conversations. Most subjects used clarification requests (mainly non-specific clarification and repetition requests) to overcome misunderstandings. By contrast, the communication partners reported few communication difficulties and claimed that they proactively eliminated or controlled environmental, speaker and listener variables to optimize conversation. The most frequently reported strategy was repetition. CONCLUSION: The findings suggest that older adults with sensory loss experience communication disruptions, which in many instances are not resolved. To optimize communication efficacy in this population, a communication training programme for people with sensory loss and their communication partners is highly recommended.

Adaptation, Psychological↗
PubMed1997

Perspectives on AAC systems by the users and by their communication partners.

The study examined the perspectives of augmentative and alternative communication (AAC) users and their 'formal' and 'informal' communication partners in relation to two areas of relevance to AAC: firstly, communication strategies, and secondly, advantages and disadvantages of AAC systems. With respect to communication strategies, it was found that formal communication partners thought that more vocabulary for communicating social purposes was actually available to AAC users and they were less aware of daily routines within day and residential environments. With respect to advantages and disadvantages, three main areas of concern emerged: the effect of the AAC system on the users' communication; features of AAC systems; and the effect of AAC on the users' quality of life. Both high- and low-technology AAC systems were seen as having advantages and disadvantages. This study demonstrates the important contribution to be made by AAC users in the provision of a new set of priorities based on their user experiences.

Adolescent↗
PubMed1997

Analysing discourse in the traumatic brain injury population: telephone interactions with different communication partners.

A range of discourse analyses are effective in identifying features which are aberrant following traumatic brain injury (TBI). We examined the exchanges of five traumatically brain-injured subjects and five matched controls across four speaking situations which included speaking to a therapist, to the bus timetable information service, to the police, and to their mothers on the telephone. Transcripts were analysed using the exchange structure analysis of systemic functional grammar. This analysis provided an indication of information giving (K1 moves per minute); information requesting and receiving (K2 moves per minute) and the amount of negotiation that was needed for the messages to be conveyed (dynamic moves per minute). Results indicated that the TBI subjects performed differently across the four conditions, and were differentiated from the matched controls on a number of measures. The role of different communication partners is also addressed. Communication partners were noted to interact differently with TBI subjects when compared with controls. This included increased information-giving to control subjects; more requests for information by police from TBI subjects and a greater use of dynamic moves by therapists with controls. The potential of exchange structure analysis is discussed as a useful way of examining the discourse of TBI subjects and their communication partners. Exchange structure analysis highlighted the dynamic nature of information exchange and the subtle ways speakers responded to familiarity and power imbalance in social interaction. This study has implications for family and community education regarding communication with people with TBI.

Adult↗
PubMedDate not supplied

Partner communication about hysterectomy.

Communication between marital partners about a woman's hysterectomy may be difficult and serve as a source of marital conflict. This study was conducted to determine marital partners' usual communication behaviors as well as what they communicated about hysterectomy with each other. Twenty-two educated Caucasian couples participated in the study. Individual, semistructured interviews were conducted with the women in the hospital following their hysterectomies and with their partners at a later time. Couples also completed the Primary Communication Inventory. Results showed that the couples had generally good usual communication. Couples reported that they communicated "everything" about the hysterectomy, but evidence (i.e., further questioning) showed that they communicated little. The authors discuss possible explanations for this apparent contradiction between perceived and actual communication behaviors.

Adult↗
PubMed2005

Using others' words: conversational use of reported speech by individuals with aphasia and their communication partners.

Reported speech, wherein one quotes or paraphrases the speech of another, has been studied extensively as a set of linguistic and discourse practices. Researchers agree that reported speech is pervasive, found across languages, and used in diverse contexts. However, to date, there have been no studies of the use of reported speech among individuals with aphasia. Grounded in an interactional sociolinguistic perspective, the study presented here documents and analyzes the use of reported speech by 7 adults with mild to moderately severe aphasia and their routine communication partners. Each of the 7 pairs was videotaped in 4 everyday activities at home or around the community, yielding over 27 hr of conversational interaction for analysis. A coding scheme was developed that identified 5 types of explicitly marked reported speech: direct, indirect, projected, indexed, and undecided. Analysis of the data documented reported speech as a common discourse practice used successfully by the individuals with aphasia and their communication partners. All participants produced reported speech at least once, and across all observations the target pairs produced 400 reported speech episodes (RSEs), 149 by individuals with aphasia and 251 by their communication partners. For all participants, direct and indirect forms were the most prevalent (70% of RSEs). Situated discourse analysis of specific episodes of reported speech used by 3 of the pairs provides detailed portraits of the diverse interactional, referential, social, and discourse functions of reported speech and explores ways that the pairs used reported speech to successfully frame talk despite their ongoing management of aphasia.

Adolescent↗
PubMedDate not supplied

Teenage partners' communication about sexual risk and condom use: the importance of parent-teenager discussions.

CONTEXT: Teenagers' communication with their partners about sex and their use of condoms may be influenced by the discussions teenagers have with their parents about sex. However, little is known about the process of parent-teenager communication on this topic. Understanding both what parents discuss with their children and how they discuss it may lead to a greater understanding of teenagers' sexual behavior. METHODS: Interviews were conducted with 372 sexually active black and Hispanic youth aged 14-17 from Alabama, New York and Puerto Rico. Regression analyses were used to examine parent-teenager discussions about sexuality and about sexual risk, and parental communication skills as predictors of teenagers' discussions about sexual risk with a partner and teenagers' condom use. RESULTS: Parent-teenager discussions about sexuality and sexual risk were associated with an increased likelihood of teenager-partner discussions about sexual risk and of teenagers' condom use, but only if parents were open, skilled and comfortable in having those discussions. Teenagers' communication with their partner about sexual risk also was associated with greater condom use, but the relationship between parent-teenager communication and teenagers' condom use was independent of this association. CONCLUSIONS: The influence on teenagers of parent-teenager discussions about sexuality and sexual risk depends on both what parents say and how they say it. Programs that foster parent-teenager communication about sexuality and sexual risk must emphasize both of these aspects.

Adolescent↗
PubMed2003

[A comparative study of consistent and inconsistent contraceptive users on partner communication, perceived contraceptive control, and sexual autonomy].

PURPOSE: This study is to investigate the influencing factors in the consistent use of contraception methods by comparing consistent and inconsistent users on partner communication, contraceptive control perception, and sexual autonomy among married Korean women. METHOD: This study consists of 243 married women living in Korea. A convenient sampling technique was used and data were collected by self report questionnaires from September 14, 2000 to October 20, 2000. RESULT: Only 41.6% of women were using contraception methods consistently and the rest of them were using contraception methods inconsistently. Between the two groups, statistical significances were noted in sexual communication(t=-2.5, p=.01), perceived contraceptive control(t=-7.5, p=.00) and sexual autonomy(t=-3.1, p=.00). As for general communication, it was not statistically significant(t=-1.0, p=.31). CONCLUSION: Family planning program advisors should recognize that intervention programs for the promotion of consistent contraceptive behavior should focus on the sexual communication, perceived contraceptive control, and sexual autonomy.

English Abstract↗
PubMed2003

Collaborative referencing between individuals with aphasia and routine communication partners.

H. H. Clark (1992) argues that successful referencing depends on speakers and listeners working together to establish shared perspectives on target objects. In his collaborative referencing model, he identifies 3 phases in the referencing process: initiation, refashioning, and acceptance. For referencing tasks, successful collaboration can be seen in the streamlining of referencing expressions and in the decrease of overt collaborative effort across trials. Although previous studies have shown that speakers with aphasia can be successful on referencing tasks, they have not examined how that success is achieved through the collaborative work of the partners. Using a referencing task adapted from H. H. Clark and D. Wilkes-Gibbs (1986), this study examined how 4 adults with moderate-to-severe aphasia collaborated with routine communication partners (spouses or children). Overall, these pairs completed the referencing task trials with 96% accuracy and displayed referencing processes that generally conformed to Clark's collaborative referencing model. Close analysis of the discourse of these interactions revealed patterns of collaboration that went beyond Clark's model-the pairs used diverse verbal and nonverbal resources, actively negotiated the task across trials, and layered their own personal goals and perspectives onto these interactions. This study highlights the plasticity of functional communication (the diversity of ways the pairs worked together to complete the same task) and points to the importance of understanding processes of tacit learning that take place in social interactions.

Adolescent↗
PubMed1996

Dyadic interactions between deaf children and their communication partners.

This study assesses the quality of communicative interaction in a group of profoundly deaf children, and the nature and efficiency of different modes of communication. Data were video-recorded. Each recording lasted 10 minutes. The situations were of dyadic interactions using materials and tasks that required cooperation and/or information exchange. The participants in the study were deaf and hearing children, some of whom knew each other and some of whom did not; a deaf adult who was unfamiliar to the children; and a hearing adult who was familiar to the children. Interaction variables (initiation, continuation, ending, and complexity) and communicative modalities (sign, actions, conventional gestures, deictics, verbalizations, vocalizations, physical contact, and objects) were analyzed. The findings relate the different modalities used, their communicative efficiency and their relationship to the types of partners, suggesting greater attention to the informal aspects of communication and emphasizing the importance of linguistic adjustments among speakers.

Child, Preschool↗
PubMedDate not supplied

Partner communication skills and condom use among college couples.

The authors examined the effects of (1) communication-skills training, (2) relationship-specific education, or (3) risk information on the condom use of 106 heterosexual college students who were in sexually active relationships. Postintervention assessments of in vivo communication-skills demonstrated that participants in the communication-skills group acquired the skills to use direct requests for condom use and to counter partner refusal statements more effectively than participants in the other conditions (ps < .01). Despite successful skill acquisition, however, students failed to change their subsequent communication or condom-use behavior. This pattern of findings is considered in terms of how the development of sexual partnership in this cohort affects the interplay of motivation and skills for condom use.

Communication↗
PubMedDate not supplied

Factors affecting British teenagers' contraceptive use at first intercourse: the importance of partner communication.

CONTEXT: Despite the growing body of knowledge about teenager's sexual and contraceptive behavior in the United Kingdom, much quantitative work has failed to consider the broader social contexts in which this behavior occurs. METHODS: A 1999 survey of 963 full-time students aged 16-18 gathered information on individual, contextual and background factors. Logistic regression analyses were conducted to investigate how these factors determine use of a modern method at first sex and whether such use is discussed beforehand. RESULTS: Three factors were significantly associated with the odds of contraceptive use at first sex among young men-discussing contraception beforehand (odds ratios, 5.7-13.8), giving an intimate reason for having sex the first time (6.4) and having parents who portrayed sexuality positively during childhood and the early teenage years (1.2). For young women, five factors significantly predicted use-communication (odds ratios, 6.2-15.0), age at first sex (1.8), not having visited a service provider (5.0), feeling comfortable interacting with teenage males (1.2) and "sort of" or not expecting to have sex (0.2 and 0.4, respectively). Among young men, the factors significantly associated with the odds of having discussed contraception were the level of social deprivation, the length of the relationship and parents' openness to talking about sex; among young women, the factors were the number of intimate reasons given for having sex and the warmth and availability of parents. CONCLUSIONS: Efforts to increase young people's ability to negotiate sexual and contraceptive decision-making should be multifaceted. It is essential that parents provide a supportive climate throughout childhood and adolescence, where discussions of sexual issues are acceptable and where families feel comfortable talking openly.

Adolescent↗
PubMed2005

Clear speech for adults with a hearing loss: does intervention with communication partners make a difference?

Spouses of persons with hearing loss served as talkers to examine the benefits of clear speech intervention. One talker received intervention on clear speech. A second talker was simply instructed to speak clearly. Each talker was recorded reading sentences in three conditions: conversational speech, clear speech one week postintervention, and clear speech one month postintervention. Speech acoustic measures were obtained. Then the sentences were presented to subjects with normal hearing and subjects with hearing loss to measure speech recognition. Results showed that simply asking a talker to speak clearly was effective in eliciting clear speech; however, providing intervention yielded changes in more speech parameters, more stable changes, and better speech recognition. When listening to the talker who received intervention, subjects with hearing loss achieved the same performance as subjects with normal hearing. However, they performed worse than subjects with normal hearing when listening to the talker who received clear speech instructions only. Individuals with hearing loss would receive speech recognition benefits if their partners were provided with clear speech intervention.

Adult↗
PubMed2002

Incidence of HIV-1 infection and effects of clinic-based counseling on HIV preventive behaviors among married women in northern Thailand.

To determine the incidence of and risk factors for HIV-1 infection among married women in northern Thailand, we enrolled 779 seronegative women from family planning clinics and a postpartum ward in Chiang Rai, Thailand, from 1998 through 1999. Women were tested for HIV antibodies at 6 and 12 months after enrollment. They received HIV prevention counseling at enrollment and at each follow-up visit. Counseling covered partner communication, partner HIV testing, and condom use by steady partners. Effects of counseling were measured using standardized questionnaires. Follow-up rates were 94% at 6 months and 92% at 12 months. Only 1 woman seroconverted during the follow-up period, yielding an overall HIV incidence of 0.14 per 100 person-years. After receiving counseling, women reported significantly increased communication with husbands concerning HIV risk, HIV testing, and condom use during the first 6 months after enrollment; communication remained high for 6 to 12 months. Women reported a modest increase in HIV testing and consistent condom use by husbands. The risk for HIV transmission to women in steady relationships is low in northern Thailand. Although HIV prevention counseling promoted partner communication, its effects on HIV preventive behaviors were limited.

Adolescent↗
PubMed1995

Effects of talker familiarity on communication breakdown in conversations with adult cochlear-implant users.

This investigation had three objectives: a) to determine the types of repair strategies that cochlear-implant users implement to rectify communication breakdowns during ongoing conversation when talking to either familiar or unfamiliar communication partners, b) to determine how communication partners respond to particular types of repair strategies, and c) to describe the use of conversational behaviors that might circumvent communication difficulties. In Experiment 1, cochlear-implant subjects were videotaped while talking to familiar and then unfamiliar communication partners. In Experiment 2, a second group of cochlear-implant subjects were videotaped while speaking with an unfamiliar partner for 6.5 minutes. Analysis of the videotapes revealed that the cochlear-implant subjects in the two experiments most commonly asked "what?," "huh," or "pardon?" after not recognizing a spoken message (e.g., following a communication breakdown), regardless of whether the communication partner was familiar or unfamiliar. Communication partners' more common response to this repair strategy was to repeat the original message. When cochlear-implant subjects repeated back the segment of a message that they understood, communication partners most often confirmed or corrected them. When they requested information, communication partners usually provided it. The cochlear-implant subjects were more likely to use controlling conversational behaviors when interacting with unfamiliar than familiar communication partners. We conclude that repair strategy-response adjacency pairs may emerge during spontaneous conversations. Use of both specific and nonspecific repair strategies may indicate cochlear-implant users' adherence to a cooperative principle.

Adult↗
PubMed2000

Cadherin repertoire determines partner-specific gap junctional communication during melanoma progression.

Reduced gap junction activity has long been implicated in tumorigenesis. To elucidate the potential role of intercellular communication in melanoma development, we examined gap junctional capability of melanocytic cells from various stages of tumor progression in coculture models using dye transfer assays. Normal melanocytes coupled with keratinocytes by gap junctional formation, whereas melanoma cells did not. Instead, melanoma cells communicated among themselves and with fibroblasts. This switch in communication partners coincided with a shift from E-cadherin to N-cadherin expression during melanoma development. Forced expression of E-cadherin by adenoviral gene transfer in N-cadherin-expressing melanoma cells restored gap junctional compatibility with keratinocytes. Our data suggest that (1) melanocyte transformation is associated with loss of the pre-existing gap junctional activity with keratinocytes but a concomitant gain of communication with a newly juxtaposed cell type, the fibroblasts, (2) the specificity of gap junctional formation during melanoma development is determined by the cadherin profile on the melanocytic cells and (3) the overall gap junctional activity of melanocytic cells is not reduced with transformation.

Adenoviridae↗