Biomedical subjects

Paul A Toro

Publications and source records attributed to Paul A Toro.

5 recordsLinked to original sources

PubMed2007

Diagnostic and other correlates of HIV risk behaviors in a probability sample of homeless adults.

OBJECTIVES: This study assessed the relationship between psychiatric disorders, including substance abuse and dependence, and risk behaviors for contracting HIV. METHODS: A probability sample of 218 homeless men and women were recruited from food programs and shelters assisting homeless individuals in an urban metropolitan community. Mood disorders, schizophrenia, and substance abuse and dependence diagnoses were assessed with the Diagnostic Interview Schedule (version 3A). Level of sexual activity and HIV risk behaviors (such as history of sexually transmitted diseases, ratio of protected sex, trading sex for money or drugs, sex with a prostitute, and sex under the influence of alcohol or drugs) also were measured. RESULTS: Substance abuse and dependence and the length of the homelessness episode at baseline were associated with the highest risk of engaging in HIV risk behaviors. However, there was no relationship between mood disorders, schizophrenia, and HIV risk behaviors. CONCLUSIONS: This study provides evidence that individuals who are homeless for extended periods and have a diagnosis of substance abuse or dependence may be especially vulnerable to engaging in risky sexual behaviors and contracting HIV. The findings highlight the importance of tailoring treatment programs to the specific needs of homeless individuals.

Adult↗

PubMed2006

Homelessness in the United States: assessing changes in prevalence and public opinion, 1993-2001.

A national survey was administered in 1993-1994 (N = 360) and repeated in 2001 (N = 435) to assess the prevalence of homelessness as well as attitudes, opinions and knowledge regarding homelessness. No significant changes in prevalence were found, despite a strong US economy during most of the 7-8 year period. Respondents in 2001 had less stereotyped views of homeless people and were more supportive of services, but came to see homelessness as a less serious problem that was less often due to economic factors. This "mixed" set of findings may reflect both beliefs on the benefits of a good economy and an increased awareness of the complexity of homelessness. Across the surveys, younger, female, liberal, and less wealthy respondents demonstrated more sympathetic attitudes towards homeless people.

Adult↗

PubMed2005

Community psychology: where do we go from here?

Following a developmental analogy, community psychology may be experiencing a "mid-life crisis" as it enters "middle age." The field needs to determine where to go from here. This paper argues that the field should attempt to expand. Expansion can best be accomplished by celebrating the diversity of orientations within the field (e.g., those emphasizing prevention, empowerment, and the ecological perspective) and the wide range of human problems of interest to community psychologists. To promote expansion of the field, community psychologists need to seek out relationships with diverse groups, such as the international community, those working in applied settings, ethnic minorities, and students and early-career professionals.

Community Mental Health Services↗

PubMed2004

Homelessness among families, children, and adolescents: an ecological-developmental perspective.

This paper reviews and evaluates the literatures on children in families that are homeless and on adolescents who are homeless on their own. After presenting several emerging theoretical approaches, we propose a broad ecological-developmental perspective that recognizes that, although persons in these groups often lack resources and experience negative events that can amplify the risk for poor outcomes, they also have resources and adaptive potential. The perspective also recognizes that homelessness may have different meanings and outcomes at different points in development and that we need to consider interactions between individual development and multiple levels of social organization in order to foster new solutions to homelessness. On the basis of this perspective, we discuss directions for treatment and preventive interventions as well as social policy.

Adolescent↗

PubMed2004

Antisocial behavior and affiliation with deviant peers.

We examined the associations among gender, antisocial behavior, and peer-group affiliation in a high-risk sample of 401 homeless and matched housed adolescents (139 boys and 262 girls). The Diagnostic Interview Schedule for Children (Version 2.3, 1991; Costello, Edelbrock, Kalas, Kessler, & Klaric, 1982) yielded 2 measures of adolescent antisocial behavior: symptoms of conduct disorder and substance abuse or dependence. Various deviant behaviors of friends were assessed based on adolescent self-report. Results indicated that, for both boys and girls, having many deviant peers was associated with more antisocial behavior, regardless of the number of boys in the peer network. Furthermore, findings suggest that the relation between number of deviant peers and antisocial behavior may be stronger for boys and homeless adolescents than for girls and housed adolescents, respectively. The results of prior studies indicating that antisocial behavior is a function of affiliation with male peers may be due to the higher frequencies of maladaptive behaviors evidenced in boys in normative samples.

Adolescent↗