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PubMed1990

Efficacy of health education programme on awareness of AIDS among transsexuals.

A study of the awareness of Acquired Immunodeficiency Syndrome (AIDS) among Transsexual prostitutes attending the Middle Road Hospital was made. The present study involved 71 subjects of a cohort of 100 who were interviewed a year earlier and had subsequently been given intensive health education. The results show that there was now an increased awareness of AIDS in virtually all the subjects studied. In contrast, there has been no significant change in the use of safe sex practices as a direct consequence of this knowledge. The reasons for this are discussed. There may be a need for more intensive behaviour modification programme in this group of individuals.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

The AIDS dilemma: worry and concern over AIDS.

Information was collected from 148 homosexual men to examine their current sexual practices, knowledge of acquired immunodeficiency syndrome (AIDS), perception of risk for this disease and change in sexual behaviour. The data were analyzed to investigate the relationship of these variables to the degree of worry and concern about AIDS expressed by most respondents. Overall, a decline in high-risk sexual behaviour was reported. Measures of worry and concern were significantly related to the subjects' perception of risk for AIDS and reduction in risk behaviours. However, the measures of Health Locus of Control, knowledge about AIDS and sociodemographic characteristics did not significantly predict the degree of worry and concern. The data are discussed in light of the current AIDS epidemic.

Acquired Immunodeficiency Syndrome↗
PubMed1990

The social impact of AIDS in Sub-Saharan Africa.

The potential expansion of the HIV epidemic and its cultural impact in sub-Saharan Africa are vast. Projections under conservative assumptions suggest that the toll of AIDS will reach five million annual deaths by 2010, although the net African population will continue to increase significantly. Cultural practices, including large differences in age between men and women at marriage and a long period of postpartum abstinence, have contributed to the frequency of extramarital relations and eased the spread of sexually transmitted diseases. In response to the spread of AIDS, social adaptations will include profound changes in sexual behavior, marriage customs, and childbearing.

Acquired Immunodeficiency Syndrome↗
PubMed1989

AIDS prevention in homosexual and bisexual men: results of a randomized trial evaluating two risk reduction interventions.

This study evaluates two AIDS risk-reduction interventions targeted at homosexual and bisexual men. Participants were randomized into two peer-led interventions: both involved a lecture on 'safer sex', and one provided a skills-training component during which men could discuss and rehearse the negotiation of safer sexual encounters. Follow-up data collection assessed self-reported changes in sexual behavior at 6 and 12 months. Skills training increased condom use for insertive anal intercourse. In sessions providing skills training, condom use increased, on average, by 44% between pre-test and second follow-up compared with only 11% on average in sessions which did not provide such training.

Acquired Immunodeficiency Syndrome↗
PubMed1989

Evaluation of needle exchange in central London: behaviour change and anti-HIV status over one year.

From November 1987 to October 1988, numbers of clients, visits made and syringes dispensed and returned were monitored at the needle exchange of the Middlesex Hospital, London, UK. A sample of clients were interviewed 1 month after entry to the scheme and again 3 months later to evaluate changes in injecting and sexual risk behaviours for HIV infection. Clients were asked to donate saliva for anti-HIV immunoglobulin G (IgG) antibody capture radioimmunoassay (GACRIA). The rate of lending and borrowing used injecting equipment fell, both compared with rates prior to entry to the scheme and during the period of study. Frequency of injecting did not increase and there was reduced incidence of abscesses. There was a highly significant correlation between multiple sexual partners and condom use and a reduction in the proportion of clients with multiple partners. On entry to the study, seven out of 121 (6%) clients were anti-HIV positive; after 3 months, a further two clients tested were found to be anti-HIV positive. Anti-HIV positivity prevalence for the year of study was nine out of 121 (7%). The scheme attracts clients, reduces injecting-related risk for HIV infection and has high equipment return rates. Saliva testing is acceptable to clients. Continued monitoring of anti-HIV in saliva is indicated.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

PHS grants for minority group HIV infection education and prevention efforts.

The Office of Minority Health (OMH) was established in December 1985 in response to recommendations developed by the Secretary's Task Force on Black and Minority Health. Originally, OMH's mission emphasized six health problems identified by the Task Force as priority areas: cancer, cardiovascular disease and stroke; chemical dependency; diabetes; homicide, suicide, and unintentional injuries; and infant mortality and low birth weight. OMH added HIV infection to the six health priority areas after epidemiologic data showed that the representation of blacks and Hispanics was disproportionately high among persons reported with AIDS. Strategies to eliminate or reduce high-risk behaviors associated with HIV infection need to mobilize racial and ethnic minority communities and rebuild social networks in order to foster sustained behavioral changes. OMH created the Minority HIV Education/Prevention Grant Program to demonstrate the effectiveness of strategies to expand the activities of minority community-based and national organizations involved in HIV education and prevention, as well as to encourage innovative approaches to address appropriately the diversities within and among minority populations. In 1988, grants totaling $1.4 million were awarded to four national and 23 community-based minority organizations. Project workers conduct information, education, and prevention interventions directed to specific groups within racial and ethnic minority communities. Interventions include education and prevention training, information activities, developing educational materials, and providing technical assistance. Project innovations include conducting HIV education and prevention training for families at home, presenting a play produced and performed by local teenagers, and developing a workshop and a manual to help minority service organizations to recruit and train volunteer staff members. Working with minority community-based and national organizations is an essential component of effective strategies for preventing HIV infection among racial and ethnic minorities. OMH's Minority HIV Education/Prevention Grant Program encourages minority groups to participate as partners in Federal, State, and local HIV prevention efforts.

Acquired Immunodeficiency Syndrome↗
PubMed1989

The role of the orthopedist in injury prevention.

Injury is an endemic disease process that is a leading cause of death and the leading cause of disability in the United States today. Among physicians, the orthopedic surgeon is most likely to be consulted by injured patients. Traditionally, orthopedists have played an important role in injury prevention as exemplified by the field of sports medicine. Three mechanisms have been demonstrated to be effective means of controlling the injury problem: (1) persuading persons at risk of injury to alter their behavior; (2) requiring individual behavior changes by law or administrative rule; and (3) providing automatic protection by product and environmental design. Specific strategies for implementing injury-prevention programs by the orthopedic surgeon are physician education, patient education, and public education.

Environment Design↗
PubMed1979

Testing for behavioral effects of agents.

In the present state of science no morphological or chemical changes may be detectable at a time when behavior is profoundly disturbed, as in schizophrenia. Until we are reassured to the contrary, we must assume that exogenetic intoxication can produce changes detectable only as behavioral changes. Therefore behavioral toxicology must be studied. In contrast to toxic manifestations such as lethality or carcinogenicity, which tend to be unequivocal and irreversible, behavioral changes are like physiological changes in that they are quantitative, changing in time, and relate to variables with a considerable range of normal variability. An experiment on behavioral teratology in mice is described and the results used to illustrate the limits of the possible in behavioral toxicology. From reported and observed variability it is surmised that changes that occur in as many as 1 per 100 of the population or average as large as a 10% decrement will still be too small to be detected by direct experiment. Such risks are frequently unacceptable. Reasons are given for hoping that epidemiological studies may be able to supplement experimental toxicological studies to provide a better assessment of risk of small impairments or rare susceptibility.

Animals↗
PubMed1988

Using behavior modification in nutrition counseling.

Before initiating behavioral treatment, counselors can assess with clients the influence of environmental factors on eating by examining the components of eating behaviors: the antecedents or cues to eating, the eating behavior itself, and the consequences or rewards of eating. Setting goals for behavioral change and the use of self-monitoring records are recommended. Eating behaviors may be influenced also by modeling after others, by the client's cognitions or thoughts, and by self-perceptions of efficacy. To enhance the maintenance of eating changes, relapse prevention uses intervention strategies to help the client cope with high-risk situations.

Behavior Therapy↗
PubMed1988

The ethics of safe sex.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Theories and models supporting prevention approaches to alcohol problems among youth.

The Alcohol, Drug Abuse, and Mental Health Administration's Office for Substance Abuse Prevention (OSAP) was established to initiate programs to provide prevention and early intervention services for young people, especially high-risk youth. OSAP's starting point was the theories and models that provide the background body of knowledge. The models summarized here guide new prevention efforts and provide a framework for analyzing diverse experiences in the field. The goal has been to develop strategies based on theories and models of prevention that can reverse or prevent adolescent alcohol use. Among the psychosocial models, research in social learning theory is the theoretical basis for prevention efforts using the team approach among individuals, small groups, families, and communities. A prevention technique based on cognitive dissonance theory proposes verbal inoculations to establish or strengthen beliefs and attitudes, helping a young person to resist drinking, which may be in conflict with another, more desirable goal. In the developmental concept adolescence is a period of role confusion out of which the person's identity should emerge. Prevention efforts built on this view seek to help adolescents to form positive identities by achievement as students, athletes, and in community roles. Behavioral intention theory provides a framework for understanding the role of perceived social norms in directing behaviors. In the social development model, prevention programs should create positive peer groups and ensure that the social environment does not give mixed messages. Health behavior theory is the basis for prevention strategies directed toward a person's entire behavior instead of one aspect. The stages of the drug involvement model form the basis for prevention programs providing early intervention directed at the so-called gateway drugs.Among the communications models, the health promotion concept advocates a comprehensive approach in developing health campaigns and attention to the five major elements of the communications process. Mass media campaigns based on the communication-behavior change concept address the steps required to move a target population from initial awareness of interest in a problem to the adoption and maintenance of advocated attitudes or behaviors.Among public policy models, researchers have concluded that higher real prices on alcohol and restricted availability have the effect of lowering alcoholic beverage consumption among young people and the incidence of heavy and frequent drinking.Raising the minimum age for purchase has been found to reduce the rate of automobile accidents involving young persons. Essential components of prevention strategies and approaches are presented.

Adolescent↗
PubMedDate not supplied

Controlled trial of a time-efficient method of health promotion.

Integrating health promotion into daily clinical practice is a challenging undertaking. This project was a prospective trial of a brief physician intervention program, performed as part of routine patient care, that addressed six areas of patients' lifestyle risks (nutrition, exercise, alcohol use, smoking, stress, and seat belt use). The components of the program were lifestyle assessment, physician prescription of lifestyle change, and educational materials. Patients visiting a family practice residency model office for any reason were selected to receive all program components, parts of the program, or no program components. Lifestyle behavior changes over the ensuing four-week period were measured for all groups by a structured phone interview. Patients who received one or more components of the program reported significantly more change at follow-up than those who received no program components (P = .001); the greatest change was seen in the group that received all of the program components. Demographic variables that were significantly related to a higher degree of change were female sex, previous contact with the physician, and being married. In this sample age, income, and education were not related to behavior change. Motivation to change--an expressed desire to work on a given lifestyle area--was a stronger predictor of change than any demographic variable.

Adult↗
PubMed1988

A dynamic family approach for the prevention of cardiovascular disease.

Social and behavioral learning methods, combined with nutrition counseling and innovative education modules, provide a well-rounded approach to eating behavior intervention. Dietitians can apply this multifaceted approach in various settings to maximize eating behavior change.

Adolescent↗
PubMed1988

Methods of message design: experiences from the Stanford Five City Project.

The Stanford Five City Project (FCP) is a long-term field experiment designed to investigate the impact of a comprehensive community-wide educational effort on cardiovascular disease risk factors and on cardiovascular disease, morbidity and mortality. Five theoretical models of individual, organization and community change guide the design, development, implementation and evaluation of educational programs. Data from formative research aid in the selection of target audiences and in development of messages and programs for these audiences. These data also give feedback about the extent to which these educational products accomplished their information and behavior-change goals. Formative research data collection methods include surveys, focus groups, interviews and unobtrusive measures. This paper describes how change theories and formative research are used to the comprehensive community-wide change effort for the Stanford FCP and how examples from the FCP can be used as a model for the successful development of other social change programs.

California↗
PubMed1987

Catheter-associated urinary tract infections.

The two most common indications for long-term catheterization are recalcitrant urinary incontinence and urinary obstruction that is not corrected by surgery. For incontinent patients, if behavioral changes, nursing care, special clothes, special bed clothes, and medications have not been successful, then a device to collect urine must be considered. For men such a device is a condom catheter; for women an analogous external collection device would be very useful. Suprapubic catheterization may offer an alternative but has been inadequately studied in this patient population. Long-term urinary catheterization has salutary effects for selected patients including patient comfort, family satisfaction, and nursing efficiency and effectiveness. To the patient for whom any physical movement is uncomfortable or painful, and indwelling catheter may be preferable to frequent changes of clothes. Similarly, the family of of severely impaired patients may want to accept the risks of urethral catheterization in order to keep the patient dry. Further, to the extent that the indwelling catheter is effective in decubitus ulcer prevention and/or management, long-term catheterization may diminish the risk of bacteremia or death from soft tissue infection. These benefits of long-term urethral catheterization, in addition to its risks, should be examined in future studies. Once a urethral catheter is in place, even with good catheter hygiene, bacterial entry can be postponed only temporarily; eventually all patients become bacteriuric. Indeed, as the catheter remains in place, organisms continue to enter, others leave or die, and the bacteriuria becomes complex, polymicrobial, and dynamic. Some organisms, particularly recognized uropathogens such as E. coli and K. pneumoniae, appear to reside in the urinary tract itself. Others, such as P. mirabilis, P. stuartii, and M. morganii, probably establish a niche within the urinary catheter, thus increasing their ability to cause subsequent bladder bacteriuria. The complications of long-term urinary catheterization include fevers, acute pyelonephritis, and bacteremias (such as seen in short-term catheterized patients), as well as catheter obstructions, urinary stones, chronic renal inflammation, local periurinary infections, vasicoureteral reflux, renal failure, and, for very long-term catheterized patients, bladder cancer. The thrust of catheter care for the long-term catheterized patient is to prevent complications of the omnipresent bacteriuria. Unfortunately, clinical opportunities for preventing complications are limited.(ABSTRACT TRUNCATED AT 400 WORDS)

Aged↗
PubMed1988

Behavioral changes of adolescents in drug abuse intervention programs.

Reduction of problem behaviors (drug and alcohol use, school problems, and legal involvement) by Mexican-American youth (N = 326) during their first 3 months in drug abuse intervention programs was related negatively to peer drug use during the program and was related positively to the amount of family support available during the program, participation in program activities, and a background of religious involvement. These findings support previous research that has shown the importance of peer influences and commitment to conventional structures of family and religion in relation to adolescent problem behaviors. These findings suggest that two goals that adolescent drug abuse programs should stress are working heavily on developing positive peer relations and family support while they encourage disassociation from deviant friends.

Adolescent↗