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Biomedical subjects

P Messeri

Publications and source records attributed to P Messeri.

26 records · Page 2Linked to original sources
PubMedDate not supplied

The effect of video interventions on improving knowledge and treatment compliance in the sexually transmitted disease clinic setting. Lesson for HIV health education.

Eight intervention studies investigating patient education and treatment adherence in the sexually transmitted disease (STD) clinic setting are reviewed. Across the eight studies selected for analysis, meta-analytic procedures were applied to compare the impact of educational and prevention approaches. The effect of video was compared with that of other modes of health education on: 1) knowledge and attitudes about STDs and condoms and 2) treatment compliance, as measured by return for test of cure, drug compliance, premature resumption of sexual activity, and condom coupon redemption rates. The largest effects were those for video on knowledge and attitudes about STDs and condoms, followed by the effects of other non-video interventions on STD knowledge. Lower effects were found among video and non-video interventions targeting treatment compliance outcomes. These results are consistent with prior prevention studies that have demonstrated difficulty in achieving behavior change.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Causal factors in onset of adolescents' cigarette smoking: a prospective study of urban black youth.

This research is based on a two-wave panel study of 536 urban black adolescents. Six to eight years intervened between measuring the predictors and measurement of subsequent smoking initiation. Separate prediction models were tested for males and females, based on a multivariate causal model which spanned five domains of prior conditions: personal background, school achievement, family-peer orientations, psychogenic orientations, health attitudes and behaviors. Variables from all five domains influenced subsequent smoking but different predictors were implicated for adolescent males vs. females. This lends support to one of the major hypotheses in this research--that the salient experiences which governed the decision to start smoking were different for black males and females. Applying the same prediction model to cigarette smoking and to illicit drug involvement showed no overlap in prediction for males and but two of the same influences to be significantly implicated in females' illicit drug use and cigarette smoking.

Achievement↗
PubMedDate not supplied

Smoking among Asian American and Hawaiian/Pacific Islander youth: data from the 2000 National Youth Tobacco Survey.

OBJECTIVES: One of the first steps to reducing the disproportionate burden of tobacco on racial and ethnic minorities is to understand how tobacco differentially affects these populations. This paper, based on a nationally representative sample of Asian American youth and a smaller sample of Hawaiian/Pacific Islander youth, provides the tobacco control community with important information about the smoking behavior of these youth. METHODS: The National Youth Tobacco Survey conducted during the Spring of 2000 (NYTS 2000) provides recent national estimates of smoking behavior among Asian American youth. The data also permit a limited exploration of possible differences between self-described Asians and Hawaiian/Pacific Islander youth, two groups that have been combined into a single racial/ethnic category in earlier national studies. FINDINGS: This report provides estimates and 95 percent confidence intervals for current smoking, age of smoking initiation, use of menthol cigarettes and tobacco brand preferences. CONCLUSIONS: NYTS 2000 data indicate that during the last year of high school, one third of Asian American youth are smokers. Of these youth, 60% report that their usual brand of cigarettes is a menthol brand. Among female Hawaiian/Pacific Islander youth in middle school, more than 25% report having smoked during the past month.

Adolescent↗
PubMedDate not supplied

Stabilizing the HIV/AIDS workforce: lessons from the New York City experience.

The Ryan White Title I Personnel Needs Study described here is an evaluation of the human resource needs of HIV/AIDS service agencies in New York City. The research presented here was conducted in collaboration with researchers from the Medical and Health Research Association and the New York City Department of Health and the Planning and Evaluation Committee of the New York City HIV Health and Human Services Planning Council. The assessment is divided into two components. The first component is a survey of 100 key informants from HIV/ AIDS service agencies. The second component is a detailed staffing survey of 70 personnel directors of HIV/AIDS service agencies. HIV/AIDS service directors perceived staff recruitment as a more difficult process than staff retention, regardless of agency type. Vacancy rates at the surveyed agencies varied by professional category; they were especially high in the category of nurse practitioners (13%) and outreach/education workers (15%). Agencies stressed that incentives that would positively affect recruitment and retention should be tailored to address the concerns of varied health care and social service professionals. In addition, agencies were not routinely able to provide some incentives deemed effective such as higher salaries, housing subsidies, and smaller caseloads. To reduce recruitment and retention problems, agency informants recommended a variety of incentive programs including malpractice insurance for physicians, flexible hours for full-time employees (including case managers, nurses, physician's assistants), smaller caseloads, and a decrease in the proportion of staff time devoted to direct client contact. Overall health care trends including truncated federal budgets, state Medicaid cutbacks, and the rapid conversion to managed care all affect the quality of patient care and of the work setting for health care and social service providers serving persons with AIDS. Medical Subject Headings (MeSH): AIDS, health personnel, employment supported, employee workload, staff attitude.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

A balancing act: the tension between case-finding and primary prevention strategies in New York State's voluntary HIV counseling and testing program in women's health care settings.

This study sought (1) to identify factors that influence women's willingness to accept voluntary HIV counseling and testing at New York State Family Planning Programs (FPPs) and Prenatal Care Assistance Programs (PCAPs) and (2) to evaluate the effectiveness of such a voluntary counseling and testing program. Telephone interviews elicited organizational-level data from 136 agencies; a combination of telephone and face-to-face interviews was used to gather provider data from 98 HIV counselors; and client data were gathered from 354 women in face-to-face interviews at counseling sites. Slightly fewer than 60% of women agreed to be counseled, and, of those, under half consented to an HIV test at the counseling site. Approximately two thirds of the women who were tested returned for their results and posttest counseling. Clients' recall of pretest counseling content was relatively poor. Bivariate and regression analyses suggest that client, provider, and organizational factors are all associated with rates of pretest counseling and testing. The current voluntary counseling and testing program is achieving only moderate success. Although a substantial number of clients accept HIV counseling, many women remain reluctant to consent to HIV testing, and many who accept testing do not return for their results. Moreover, among those who receive pretest counseling, many do not recall important informational content, which suggests variation may exist in the quality of counseling or that one-time HIV counseling interventions are insufficient to communicate complex information. Medical Subject Headings (MeSH): AIDS, HIV serodiagnosis, women's health, patient education.

AIDS Serodiagnosis↗