PubMed Health⌕ Search

Biomedical subjects

Brian Dodge

Publications and source records attributed to Brian Dodge.

8 recordsLinked to original sources

Depressive symptomatology among HIV-positive women in the era of HAART: a stress and coping model.

OBJECTIVE: An enhanced stress and coping model was used to explain depression among HIV-positive women in healthcare and community settings where highly active anti-retroviral treatment (HAART) was commonplace. METHOD: HIV-infected women in four cities (N=978) were assessed, cross-sectionally, for mental and physical health, stress, social support, and other background factors. RESULTS: Self-reported level of depressive symptomatology was high. Number of physical symptoms, illness intrusiveness, and perceived stress were positively associated with depressed mood, while coping self-efficacy and social support were negatively associated. Stress mediated the effect of health status on depression and coping self-efficacy mediated the effect of psychosocial resources on depression. Our enhanced stress and coping model accounted for 52% of variance in depressive symtpomatology. CONCLUSIONS: Interventions focused on improving coping self-efficacy, bolstering social supports, and decreasing stress in the lives of HIV-positive women may help to reduce the negative effects of HIV disease on mood.

Adaptation, Psychological↗

Health and health care among male-to-female transgender persons who are HIV positive.

Recent studies have reported high rates of HIV infection among male-to-female transgender persons, but little research has examined how male-to-female transgender persons manage living with HIV. We compared demographic and health characteristics of 59 male-to-female transgender persons who were HIV positive with 300 nontransgender control subjects who were HIV positive. We found several demographic differences between the groups but no significant differences in HIV-related health status. Male-to-female transgender persons were less likely than the control group to take highly active antiretroviral therapy.

Adolescent↗

A study in sexual health applying the principles of community-based participatory research.

The principles of community-based participatory research were applied to an exploratory sexual health study that examined "cruising for sex" among men on a college campus. In the context of a study seeking a broad interpretation of the health implications of cruising, and when faced with methodological challenges, the researchers found these principles to provide invaluable guidance. A review of the research process is offered and the manner in which the principles of community-based participatory research were operationalized for this study is described.

Adult↗

Sexual compulsivity among heterosexual college students.

A growing body of literature suggests that an association exists between sexual compulsivity and participation in sexual behaviors that are high risk in terms of HIV/STD infection. In most of these studies, sexual compulsivity has been measured using the Sexual Compulsivity Scale. As yet, sexual compulsivity has only been assessed with this scale among individuals who are members of high risk groups for HIV infection or who are HIV-positive. In this study, we found support for reliability and construct validity of the SCS in a sample of 876 heterosexual college students, a group not yet examined in the sexual addiction and compulsivity literature. Construct validity was substantiated by the presence of significant relationships of sexual compulsivity with frequencies of sexual behaviors and numbers of sexual partners. The scale was also related to gender and age. Sexual compulsivity scores were associated with frequency of risky sexual behaviors. The relationships between sexual compulsivity and solo, partner, public, and risky sexual behaviors remained significant when we controlled for demographic variables. Although we found support for construct validity of the SCS in our sample, it is not clear whether the scale distinctly measures sexual compulsivity or taps into other constructs, such as sexual desire and sexual exploration.

Adult↗

Exploring the physical, mental and social well-being of gay and bisexual men who cruise for sex on a college campus.

A mixed methods design was used to collect data from 30 men who were currently, or had a history of, participating in anonymous public sex in college campus venues. Data were analyzed to assess the extent to which participation in these behaviors was associated with both positive and negative outcomes across the areas of physical health, mental health and social well-being. Findings indicated that cruising for sex on a college campus simultaneously presents challenges to, and supports, the health of gay and bisexual men. Recommendations for interfacing with these men by campus and community health providers are given.

Adolescent↗

Condom use errors and problems among college men.

BACKGROUND: An essential yet understudied aspect of condom use is whether they are used correctly. GOAL: The goal of the study was to comprehensively evaluate condom use errors and problems reported by heterosexual college men (N = 158). STUDY DESIGN: A cross-sectional survey, involving a 3-month recall period, was conducted. RESULTS: Of the 158 participants, 60% did not discuss condom use with their partner before sex; 42% reported they wanted to use condoms but did not have any available; 43% put condoms on after starting sex; 15% removed condoms before ending sex; 40% did not leave space at the tip; 30% placed the condom upside down on the penis and had to flip it over; and 32% reported losing erections in association with condom use. Nearly one-third reported breakage or slippage during sex. Few participants reported errors related to lubrication, storage, and reusing condoms. Higher error scores were associated with breakage/slippage rather than with consistency of condom use. CONCLUSION: Condom use errors were common, and error scores were associated with breakage and slippage. Increasing the focus on correcting potential user failures may be an important public health strategy.

Condoms↗

Women who put condoms on male partners: correlates of condom application.

OBJECTIVE: To identify correlates of women applying condoms. METHODS: Cross-sectional survey of 533 sexually-active women; questionnaire. RESULTS: Of the condom users (n = 322), 31.7% reported applying condoms at least once--an average on 59.7% of the occasions. Compared to nonappliers, appliers had more positive affect toward sexually related situations (erotophilia, P = .004) and a higher frequency of sex (P = .003). Condom users, compared to nonusers, were significantly younger (P = .001), were less likely to be in sexually exclusive relationships (P = .001) or married (P = .01), and reported more partners in the past 3 months (P = .001). CONCLUSIONS: Condom-applying women may have more positive attitudes toward sexuality and engage in a higher frequency of sexual activity.

Adolescent↗

Sexual health among male college students in the United States and the Netherlands.

OBJECTIVES: To assess differences in sexual health behaviors, outcomes, and potential sociocultural determinants among male college students in the United States and the Netherlands. METHODS: Survey data were collected from random samples of students from both national cultures. RESULTS: American men were more likely to report inadequate contraception, HIV/STD infection, and unintended pregnancy than were Dutch men. Religiosity and sexuality education were able to explain national differences in these sexual health outcomes. CONCLUSIONS: Findings suggest that sexuality education seems to decrease, rather than increase, sexual risk in heterosexually active male college students.

Abortion, Induced↗