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Sexuality And Hiv Education: Time For A Paradigm Shift, Nicole Haberland, Deborah Rogow

Poverty, Gender, and Youth

For decades, curriculum-based sexuality education has been a cornerstone of school- and community-based efforts to improve young people’s sexual and reproductive health, and more recently to prevent HIV infection. Unfortunately, public discourse about sex education has been mired in polarizing debates that distract attention from determining how sex and HIV education programs might best achieve the shared goals of many different constituencies. A recent comprehensive review of the impact of school-based sexuality and HIV education programs in developed and developing countries found that two-thirds of the programs reduced the risk associated with one or more reported sexual behaviors. This finding …

Obtaining More Accurate And Reliable Information From Adolescents Regarding Sti/Hiv Risk Behaviors, Barbara Mensch, Paul C. Hewett

Poverty, Gender, and Youth

To investigate the quality of self-reported data on sexual behavior, Population Council researchers conducted a study in a rural district of Malawi. They implemented a randomized experiment to assess whether audio computer-assisted self-interviewing (ACASI) produces more valid data on sexual behavior than face-to-face interviews. The Malawi study builds on an experiment conducted as part of a household-based survey of Kenyan adolescents. In Kenya and Malawi, there is clear evidence that mode of interviewing and probing of various sexual partnerships affect the reporting of sexual activity. According to Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 25, ACASI is …

Physical Activity And Physical Activity Adherence In The Elderly Based On Smoking Status., Theodore Cooper, M. Resor, C. Stoever, P. Dubbert

Departmental Papers (Psych)

No abstract provided.

The Health Insurance Debate In Canada: Lessons For The United States?, Mary Anne Bobinski

Faculty Articles

This Essay begins with an intentionally ambiguous title. Are comparisons to Canada relevant and useful for policy-makers in the United States and, if so, what lessons can we learn? Part II of this Essay highlights some of the risks and benefits of cross-border comparisons between the United States and Canada. In Part III, I analyze some of the key data points often cited in comparing the two health care systems. Part IV explores the current Canadian debate about private health insurance. Finally, in Part V, I focus on the lessons from Canada for the health insurance debate in the United …

Results Of The Chemical Analyses Produced At The Irsst For 2001-2005, Claude Ostiguy, Mathieu Fournier, Thierry Petitjean-Roget, Jacques Lesage, Alain Lajoie

Rapports de recherche scientifique

Cliquez ici pour la version française de ce rapport

Le réseau québécois de prévention compte plusieurs centaines de personnes qui interviennent régulièrement dans les entreprises afin d’y prélever des échantillons permettant d’évaluer la qualité de l’air. Ces échantillons sont analysés à l’IRSST.

De 2001 à 2005, dans le cadre de l’entente de service avec la CSST et son réseau et les ASP, des rapports annuels ont permis d’identifier certaines substances retrouvées en fortes concentrations dans les grands groupes industriels de la Classification des activités économiques du Québec (CAEQ) de 1984 (classification à deux chiffres). Le présent rapport dresse un portrait …

Les Déterminants De L’Incapacité Liés À La Lombalgie, Manon Truchon, Lise Fillion, Ginette Truchon, Clermont Dionne, Bertrand Arsenault, Claude Viau

Rapports de recherche scientifique

Au Québec, comme dans la plupart des pays industrialisés, plusieurs personnes sont affligées d’un mal de dos à la suite d’un accident de travail et doivent conséquemment s’en absenter. Pour la majorité des personnes, l'arrêt de travail est temporaire, mais dans certains cas il se prolonge plusieurs mois, voire des années. En plus d’exclure des individus du marché du travail, ce phénomène d'incapacité chronique engendre des conséquences majeures sur les plans humain et financier. Plusieurs indicateurs psychosociaux liés à l'incapacité chronique ont été identifiés grâce à la recherche. Toutefois, pour mieux aider les individus concernés, il est nécessaire de …

Travailleurs De La Construction Ayant Une Dorso-Lombalgie : Évaluation De L'Implantation D'Un Programme De Collaboration Précoce En Réadaptation, Marie-José Durand, Diane Berthelette, Patrick Loisel, Jocelyne Beaudet, Daniel Imbeau

Rapports de recherche scientifique

Introduction : Les atteintes vertébrales sont une problématique majeure affectant les travailleurs. Un des secteurs associé à un taux particulièrement élevé d’affection vertébrale relié au travail est celui de la construction. Pour faire face à cette problématique de santé auprès de cette population, le Programme de collaboration précoce a été développé. Ce dernier consistait en un programme interdisciplinaire de réadaptation intégrant à la fois le dépistage précoce, le milieu de travail régulier comme modalité d’entraînement contextualisé et la collaboration précoce et continue d’une conseillère en réadaptation lors de la prise en charge des travailleurs blessés. Étant donné la complexité de …

Démarche Stratégique De Prévention Des Problèmes De Santé Mentale Au Travail, Jean-Pierre Brun, Caroline Biron, Hans Ivers

Rapports de recherche scientifique

Click here for the English version of this report

Malgré une quantité impressionnante de données empiriques démontrant les conséquences néfastes du stress au travail sur la santé des individus et des organisations, il existe peu d’évidences scientifiques sur le processus d’implantation et l’efficacité des interventions visant à prévenir le stress au travail. Plusieurs revues de la littérature scientifique sur les programmes de prévention du stress au travail montrent la dominance des programmes de prévention centrés sur l’individu (DeFrank & Cooper, 1987; Van Der Hek & Plomp, 1997). Les effets associés à ce type d’intervention sont généralement limités et de durée …

Éducation Sexuelle Et Vih : Il Est Temps De Changer De Méthodologie, Nicole Haberland, Deborah Rogow

Poverty, Gender, and Youth

Pendant des décennies, l’éducation sexuelle basée sur un curriculum a été la pierre angulaire des efforts en fournis par les écoles et les communautés pour améliorer la santé sexuelle et génésique des jeunes, et plus récemment pour prévenir le VIH. Malheureusement, le discours public sur l'éducation sexuelle s’est égaré dans des débats polarisés qui ont détourné l'attention de la manière dont les programmes d'éducation sexuelle et VIH peuvent atteindre le mieux possible les objectifs partagés par différentes circonscriptions. Une étude exhaustive récente de l'impact des programmes d'éducation sexuelle et VIH dispensés par les écoles dans les pays développés et en …

Educación Sobre Sexualidad Y Vih: Tiempo Para Un Cambio De Paradigma, Nicole Haberland, Deborah Rogow

Poverty, Gender, and Youth

Durante décadas, la educación sexual basada en un programa de estudio fue la piedra angular de los esfuerzos de la escuela y de la comunidad para mejorar la salud sexual y reproductiva de los jóvenes y, en forma más reciente, para prevenir la infección de VIH. Desafortunadamente, el discurso público sobre educación sexual ha estado envuelto en debates contradictorios que sirven para distraer la atención en lugar de determinar en que manera los programas de educación sobre sexualidad y VIH podrían alcanzar mejor los objetivos compartidos de las distintas partes. Una reseña exhaustiva que se realizó recientemente sobre el impacto …

Management Of Complications, Pregnancy, Childbirth And The Postpartum Period In The Presence Of Fgm/C, Kenya Ministry Of Health

Reproductive Health

This reference manual is intended for health-care providers in Kenya working among communities that have a high prevalence of female genital mutilation/cutting (FGM/C) and those who encounter women and/or girls who have undergone the practice. It was designed particularly for use by nonspecialist clinicians, including nurses/midwives, clinical officers, district medical officers, postgraduate medical officers, and medical students. It is also a resource for medical and other health-service providers at primary, secondary, and tertiary levels, particularly those working in areas with a high prevalence of FGM/C. Since the evidence base for effective clinical practice is constantly evolving, readers are encouraged to …

The Resolution Of Unintended Pregnancy Among Female Students At The University Of Ghana, Legon, Angela El-Adas

Reproductive Health

Little has been done to investigate the knowledge, attitudes, and practices of university students regarding unintended pregnancy likely because their middle-class status precludes their being considered a “deprived population.” Female students in tertiary institutions of higher learning are at an age and in a social context that makes them extremely susceptible to unintended pregnancy and the consequences of unsafe abortions. It is necessary to take steps to reduce the incidence of unwanted pregnancy and unsafe abortions among this group of “high risk” women. This study sought to investigate the extent of knowledge that female students at the University of Ghana, …

Kenya: Mobilize Health Care Providers To Advocate Against Fgm/C, Frontiers In Reproductive Health

Reproductive Health

Female genital mutilation/cutting (FGM/C) is illegal in Kenya. The practice has declined slightly, yet it is nearly universal among the Abagusii, a relatively affluent ethnic group residing in the Nyanza province in western Kenya. Half of cut women reported that they had been cut by a health worker, however providers express willingness to advocate against the practice. This study, launched in 2004 by the Population Council’s FRONTIERS Program, examined the role of health providers in FGM/C in Kenya’s Abagusii community. As noted in this brief, the objectives were to understand the motivations behind the medicalization of FGM/C and determine the …

Study Of The Effectiveness Of Training Malian Social And Health Agents In Female Genital Cutting Issues And In Educating Their Clients, Nafissatou J. Diop, Fatoumata Traore, Habibatou Diallo, Ousmane Traore, Aissa Haidara Toure, Youssouf Diallo, Madina Sangare, Fatoumata Tandia, Keita Attaher Toure

Reproductive Health

This report documents findings of a study to assess the education and training of social and healthcare workers in Mali regarding female genital cutting (FGC). After two decades of campaigning against FGC in Mali, the results are not satisfactory when compared to the levels of human and financial investment. The Mali Division of Family and Community Health, with technical support from the Population Council, conducted this research to highlight certain issues related to the practice of FGC in Mali, in particular health consequences and the role health personnel can play in eradicating the practice. The continued prevalence of FGC among …

Contributing Towards Efforts To Abandon Female Genital Mutilation/Cutting In Kenya: A Situation Analysis, Humphres Evelia, Maryam Sheikh Abdi, Carolyne Njue, Ian Askew

Reproductive Health

The Kenyan Ministry of Gender, Sports, Culture and Social Services, with support from UNFPA/Kenya, commissioned the Population Council to conduct a situation analysis of female genital mutilation/cutting (FGM/C) programs in Kenya, with the overall objective of documenting the current status of and trends in FGM/C programming and to help identify crucial elements that need to be prioritized for support. Results show marked declines in prevalence nationally between generations, suggesting a decline in the practice as well as trends toward “medicalization” in recent years. The practice still continues for different reasons, such as rite of passage, for marriageability, controlling sexuality, religious …

Testing The Effectiveness Of The Men As Partners Program (Map) In Soweto, South Africa, Prudence Ditlopo, Saiqa Mullick, Ian Askew, Ricardo Vernon, Edwin Maroga, Sgidi Sibeko, Mokgethi Tshabalala, Rabbuh Raletsemo, Dean Peacock, Andrew Levack

Reproductive Health

This project was conducted to evaluate the effectiveness of the Men as Partners (MAP) program in South Africa in terms of: changing men’s gender attitudes, norms and behaviors; changing aspects of gender dynamics in relationships; reducing the prevalence of unwanted pregnancy risk behaviors at individual and community levels; and increasing male involvement in gender based violence (GBV) and HIV prevention and in HIV care and support activities. The intervention activities implemented were MAP workshops, public demonstrations, and participation in community action teams. The evaluation of the interventions showed that about 30% of the workshop participants had also attended other MAP …

Historical Perspective: The Historical Development Of The Society For Occupational Health Psychology, Leslie B. Hammer, Irvin Sam Schonfeld

Publications and Research

The Society for Occupational Health Psychology (SOHP) is the first professional group of its kind in the United States. The development of the Society can be traced to the development of the field of occupational health psychology (OHP). OHP is an interdisciplinary partnership of the psychological and occupational health sciences. The goals of this partnership include the improvement of the quality of people’s working lives and the enhancement of the safety, health, and well-being of workers. To our knowledge the first time the term occupational health psychology became visible in the research literature is in 1986 in a book chapter …

Free Clinics Of Iowa: An Inside Look At An Alternate Route To Healthcare, Laura Deboer

Honors Program Theses

Forty-seven million uninsured Americans: an all too familiar statistic, peppering television advertisements, newspaper headlines, and most recently - a hot agenda item of political candidates is a sad truth of American health care. Unfortunately, for sixteen percent of Americans and approximately thirteen percent of adult Iowans, this is not just a passing television ad - but the facts of life that are faced every day. These individuals make up families who evaluate that, although it is taking a risk to be without health insurance, the security of insurance is not as important as providing meals on the dinner table. The …

Factors Associated With Sexual Debut And Depression Among Adolescents In Rural Jamaica, Olaniyi J. Ekundayo

All ETDs from UAB

Individual and family factors have been hypothesized to influence adolescent sexual behavior and depression, but the extent to which this is true for adolescents in Jamaica as a whole and for those in rural areas in particular, has not been well studied. The objective of this dissertation was to identify individual and family factors associated with sexual debut and depression among rural Jamaican adolescents. To elucidate these factors and to provide information to guide future interventions, we analyzed data on 748 adolescents attending public high schools in the rural parish of Hanover, Jamaica. Multivariate logistic regression was used to predict …

Sexual Violence And Correlates Among Women In Hiv Discordant Union, Uganda, Donath Emusu

All ETDs from UAB

We sought to estimate the prevalence of sexual violence and sexually transmitted diseases (STDs), identify risk factors for sexual violence and STDs among women in Human Immunodeficiency Virus (HIV) discordant unions, and investigate the lived experiences of sexual violence among women in HIV discordant unions attending post-test club services at AIDS Information Centers (AICs) in Uganda. We carried out a prospective cohort study of women in HIV discordant and HIV negative concordant unions after disclosure of their HIV serostatus. We estimated prevalence of STDs in the two study cohorts and compared them for occurrence of risk factors for sexual violence …

Impact Of Immunosuppression On The Incidence And Clearance Of Human Papillomavirus In Hiv-Infected Women In Alabama, Madhav P. Bhatta

All ETDs from UAB

Persistent infection with certain “high-risk” types of human papillomavirus (HPV) infection is central to the development of cervical cancer. Human immunodeficiency virus (HIV)-infected women are at a higher risk of HPV infection, high grade cervical intraepithelial lesions, and cervical cancer. This study examined type-specific distribution of prevalent and incident HPV infections, clearance rates, and associated factors using novel molecular assays for HPV detection and genotyping in a cohort of 280 HIVinfected women in Alabama. First, we described the cohort’s sociodemographic characteristics and behavioral risk profile for HIV and other sexually transmitted infections, and assessed the factors associated with HIV-1 viral …

Impact Of Combat Stress On Mental Health Outcomes: Brfss Survey Data 2006, Emily Pedneau

Theses and Dissertations

Objectives: This study sought to determine the relationship between combat experience and mental health outcomes. The study sought to determine whether age was a significant factor in poor mental health outcomes. Methods: Multiple logistic regression (n = 195,048) and multiple linear regression (n = 264,154) were performed on the 2006 Behavioral Risk Factor Surveillance System (BRFSS) survey. Veteran status and a host of demographic and health status questions were analyzed in relation to diagnosis of anxiety or depressive disorder (multiple logistic regression) and to number of days poor mental health (multiple linear regression). Results: Diagnosis of anxiety or depression was …

The Latino Caregiver Experience Among Dementia And Non-Dementia Caregivers : Can Community Based Care Management Improve Caregiver Health?, Catherine Oliveros

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: This study provides an analysis of the Latino caregiving community in Southeast Texas and the role community based care management plays in influencing caregiver physical and emotional well-being. Design and Methods: A non-random sample of 63 Latino caregivers was interviewed by phone. Caregiver physical and emotional well-being was studied through burden, depression, perceived health status, and resourcefulness. Regression, correlation, and comparison analysis was performed with key variables. Results: Acculturation was positively correlated with care management use. In comparing dementia and non-dementia caregivers both groups had similar levels of depression and burden, however, the dementia group had significantly lower levels …

Individual Differences In Well-Being In Older Breast Cancer Survivors, Elizabeth A. Perkins, Brent J. Small, Lodovico Balducci, Martine Extermann, Claire Robb, William E. Haley

Epidemiology: Faculty Publications (2002-2018)

Older women who survive breast cancer may differ significantly in their long-term well-being. Using a risk and protective factors model, we studied predictors of well-being in 127 women age 70 and above with a history of at least one year's survival of breast cancer. Mean post-cancer survivorship was 5.1 years. Using life satisfaction, depression and general health perceptions as outcome variables, we assessed whether demographic variables, cancer-related variables, health status and psychosocial resources predicted variability in well-being using correlational and hierarchical regression analyses. Higher age predicted increased depression but was not associated with life satisfaction or general health perceptions. Cancer-related …

Access To Health Information And Health Care Decision-Making Of Women In A Rural Appalachian Community, Tracy L. Legrow

Theses, Dissertations and Capstones

Access to health care is a challenge in rural communities. Higher rates of chronic illness and poor use of preventive health practices combine to increase mortality rates among residents of rural areas. The health status of residents of West Virginia is among the poorest in the United States. The current study utilizes both quantitative and qualitative methodology, including the use of surveys, participant observation and ethnographic interviews, to explore the health status, beliefs and social support of women in a rural Appalachian community. Seven major themes were identified relevant to women’s experiences with health care: Definitions of Health, Barriers and …

Changes In Formal-Informal Caregiving In Elderly Stroke Survivors, Holly Anne Beard

Health Services Research Dissertations

The purpose of this study is to determine the extent to which the Andersen and Aday Model of Health Services Use to predict cross-sectional and longitudinal differences in the caregiving source among stroke survivors (n=477) over a six-year period. This study involves a secondary analysis of a longitudinal panel study focusing upon three waves of interview data from the HAS/AHEAD study spanning 1998 through 2002. Multinomial logistic regression was utilized to examine caregiving source cross-sectionally at each wave. Clustered multinomial logistic regression was used to examine relationships between predictor variables in the model and caregiving source across waves while holding …

Disparities In Health And Well-Being Among Latinos In Washington Heights/Inwood, 2000–2005, Ana Motta-Moss

Center for Latin American, Caribbean, and Latino Studies

Introduction: This report analyzes how well the residents of Washington Heights/Inwood (WH/IN) have fared on selected health indicators set forth by the NYC Department of Health and Mental Hygene between 2000 and 2005.

Methods: Data on Latinos and other racial/ethnic groups were obtained from the U.S. Census Bureau American Community Survey, reorganized for public use by the Minnesota Population Center, University of Minnesota, IPUMSusa. Cases in the dataset were weighted and analyzed to produce population estimates.

Results: Immigrant families in particular face a multitude of health concerns, as well as specific barriers to accessing health care services. The socioeconomic and …

Recruiting New Members, Irvin Sam Schonfeld

Publications and Research

The Annual Convention of the Association for Psychological Science took place in New York City from May 25 to May 28, 2006. We attended the convention and had a number of goals that we wanted to accomplish: assume a position on the graduate student board, present at a poster session, attend various conference events, and recruit conferees for the Society for Occupational Health Psychology. It is the last goal about which we are writing. We hope that this article will help our SOHP colleagues recruit, at some future time, new members for our organization.

Brief Note From The Editor, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

Accident Denominators Relative To Age Groups In Heavy Industries Of The Port Hedland Region Of Western Australia, John R. Bottrell

Theses: Doctorates and Masters

The aim of this research is to investigate characteristics of accident denominators across age groups in mining and associated process industries in the Port Hedland region of Western Australia. Emphasis has been focussed on comparing young, inexperienced groups with older, more experienced groups. A literature review revealed some key contributors to accidents among younger workers, in particular, those who had only recently entered the workforce. The review also revealed contributors impacting accidents regarding other age groups over a wide range of industry types. From these findings an accident construct model and questionnaire were designed to identify contributing and mitigating denominators …