An association between bone mineral density and anabolic hormones in middle-aged and elderly men with prediabetes

Introduction: Prediabetes (PD) leads to reduced testosterone (T) in males, but the association between the anabolic hormones and bone mineral density (BMD) remains unknown.

Objectives: We investigated an association between the anabolic hormones and BMD in middle-aged and elderly men with PD.

Methods: We investigated 84 prediabetic and 56 control men. Total T (TT), calculated free T (cFT), and dehydroepiandrosterone sulfate (DHEAS) were measured, and BMD was assessed using DXA methods.

Results: Patients with PD had lower TT (p?p?<?.005), and DHEAS (p?<?.02) than control group. BMD values of the lower lumbar spine (p?<?.02) and total body (p?<?.05) in prediabetic men were lower than in control group. Lumbar spine BMD correlated with TT (r?=?0.376), cFT (r?=?0.235), and HbA1c (r?=??0.368); femoral neck BMD correlated with TT (r?=?0.412) and cFT (r?=?0.421). The high lumbar spine and femur neck BMD was associated with high TT, cFT, and low HbA1c, while the high total body BMD with high TT, cFT, and low HbA1c.

Conclusion: The anabolic hormones significantly affect BMD in male with PD, and screening for low BMD is necessary in these patients.     

Book Reviews

Abstract

Poverty and Health – Working with Families Clare Blackburn (1991) Open University Press, Buckingham, 176pp. $34.95 (paper)

Improving Health and Welfare Work with Families in Poverty Clare Blackburn (1992), Open University Press, Buckingham, 128pp. $45.00 (paper)

The Presence of the Past – Male Violence in the Family Jan Horsfall (1991) Allen and Unwin, Sydney, 167pp. $18.95 (paper)

Working for Change – the Movement Against Domestic Violence Heather McGregor and Andrew Hopkins (1991) Allen and Unwin. Sydney, 150pp. $19.95 (paper)

Family Violence – Everybody's Business, Somebody's Life Family Violence Professional Education Taskforce (1991) Federation Press, Sydney, 268pp. $25.00 (paper)

Tell Me I'm Here Anne Deveson (1991) Penguin Books Australia Ltd, Ringwood, Victoria, 268pp. $14.95 (paper).     

A study exploring factors of decision to text while walking among college students based on Theory of Planned Behavior (TPB)

ABSTRACT

Objective: This study attempted to identify critical predictors of intention to both send and read texts while walking based on Theory of Planned Behavior in order to provide resources for practitioners and campaign designers to inform college students of the perils of texting while walking and dissuade them from such a risky behavior. Participants: Three hundred twenty-nine college students were recruited from a large public university in the Southwest in September 2014. Methods: This study used a cross-sectional survey design. Results: Subjective norm (sending: B = .17, p = .02; reading: B = .17, p = .04), personal norms (sending: B = ?.32, p = .001, reading: B = ?.35, p = .001), and self-efficacy (sending: B = ?.27, p = .001; reading: B = ?.24, p = .001) were significant predictors of intention to both send and read text messages while walking. Conclusions: For students who have greater intention of texting while walking, persuasive communication should utilize normative influence and self-efficacy to discourage texting while walking.     

Knowledge of Suicide Risk Factors,But Not Suicide Ideation Severity,Is Greater Among College Students Who Viewed 13 Reasons Why

Abstract

Objective: To test associations between viewing 13 Reasons Why, Season 1 and past week suicide ideation severity, behavior risk, stigma, and knowledge in college students. To explore whether personal exposure to suicide and depressive symptom severity moderated these associations. Participants: Eight-hundred and eighteen college students, 64% (n?=?522) of whom watched 13 Reasons Why. Methods: Students completed surveys online. Multivariate negative binomial regressions were used to test associations between watching 13 Reasons Why and suicide-related variables, and interaction terms. Results: Suicide ideation severity and suicide behavior risk were not significantly associated with viewing 13 Reasons Why; however, there was limited statistical power to detect associations. The association between watching 13 Reasons Why and greater suicide knowledge was stronger among those who did not have personal exposure to suicide. Conclusions: 13 Reasons Why may be a platform for psychoeducation on suicide, particularly among those who do not have personal exposure.     

Illegal use—a pilot study

Abstract

MOTHERS AND FATHERS SPEAK Norma Tracey (1993), Apollo Books, Sydney. 235pp. $25.00 (paper)

STRUCTURAL SOCIAL WORK Robert Mullaly (1993), McLelland and Stewart Inc., Toronto, Canada. 240pp. $40.00 approx. (paper)

HUMAN SERVICES PRACTICE, EVALUATION AND COMPUTERS Paula Nurius and Walter Hudson (1993), Brooks/Cole Publishing, Pacific Grove, California. $82.95 (paper)

UNDERSTANDING AGEING: IMAGES, ATTITUDES AND PROFESSIONAL PRACTICE Simon Biggs (1993), Open University Press, Buckingham. 195pp, $45.00 (paper)

A GUIDE TO PSYCHOLOGICAL PRACTICE IN GERIATRIC LONG-TERM CARE Peter A. Lichtenberg (1994), The Haworth Press, NY. 209pp, $US34.95 (paper)

OPTIONS FOR THE ELDERLY AND THOSE WHO CARE FOR THEM Glenda Banks (1994), Hale &; Iremonger, Sydney. 175pp, $16.95 (naner)     

Book reviews

Abstract

TO HA VE AND TO HOLD: Marriage, the First Baby and Preparing for Parenthood

CHRISTOPHER F. CLULOW. Aberdeen University Press, 1982. (Reviewed by Jeanne A. Bertrand)

THE STEP FAMILY: A Growing Challenge for Social Work by DIANA BROWN, Social Work Monograph no.4, 1982

RESPONSIBILITY FOR INCEST: A Feminist View by ANNA FAIRTLOUGH, Social Work Monograph no. 16, 1983

THE PERMANENCY PRINCIPLE IN CHILD CARE SOCIAL WORK by CATRIONA MORRIS, Social Work Monograph no. 21, 1984.

SOCIAL WORK AND MENTAL ILLNESS ALAN BUTLER AND COLIN PRITCHARD

SOCIAL WORK WITH THE FAMILIES OF CHILDREN AWAY FROM HOME SYLVIA MASSEY AND MARY PEALEY

RESEARCH HIGHLIGHTS (6) Working with Children Editor: JOYCE LISHMAN

H. KARNAC (BOOKS) LTD.

56/58 GLOUCESTER ROAD, LONDON. SW7 4QY

Specialists in the literature of psychoanalysis, psychotherapy and related fields.

BOOKS POSTED TO ALL PARTS OF THE WORLD     

Sexual Function in Postmenopausal Women and Serum Androgens: A Review Article

Abstract

Objectives: This study aimed to narratively summarize the effects of serum androgens on sexual function of postmenopausal women and the impact of administration of various types of androgens in improving the sexual function of these women. Methods: After searching for articles indexed in various databases, a total of 59 studies were selected. Results: There appears to be a great deal of controversy regarding the relationship between androgens and sexual function and the beneficiary effect of androgens therapy. Conclusions: Androgens may affect sexual function; however, androgen therapy, as an option for improving sexual function in menopause, needs further research.     

Risk in childhood family environments and loneliness in college students: Implications for health

Abstract

Objective: To investigate associations between risk in family environments and health-relevant outcomes in college and the role of loneliness. Participants: College students at a state university (N?=?360). Methods: We utilized linear regression to examine relationships between risk in family environments and loneliness, perceived stress, affect, and self-rated health. We tested for indirect effects of risk in family environments on outcomes through loneliness Results: Analyses showed that risk in family environments associated with loneliness (β?=?0.12 t[358]?=?2.22, p = .03, R² change = .02), perceived social stress (β?=?0.20, t[357]?=?3.88, p?<?0.001, R² change = .04), negative and positive affect (β?=?2.44, t[357]?=?3.95, p < .001, R² change = .04), and (β = –0.18 t[357]= –3.44, p = .001, R² change = .03 respectively), and self-rated health (β?=?0.19, t[359]?=?4.57, p < .001, R² change = .10). Significant indirect effects were observed for risk in early family on all outcomes through loneliness. Conclusion: These findings provide initial evidence that risk in childhood family environments may negatively affect health by increasing loneliness in college students.     

Tanning benefits,seasonal effects,and concerns about sunscreen: Measuring health beliefs about UV among college students

Abstract

Objective: To develop and validate a scale measuring health beliefs about UV in cloudy climates that may impact UV exposure behaviors. Participants: Students at a large university in Oregon completed pilot (N?=?115) and final (N?=?335) scales online March–July, 2016. Five participants underwent cognitive interviews. Methods: Expert feedback, cognitive interviews, and pilot data guided item development and refinement. We conducted factor analysis and invariance testing. Results: The final four-factor model fit well (χ²?=?37.97, df?=?37, RMSEA?=?0.000, CFI?=?1.000). HBAU subscales are Sunscreen Toxicity, Seasonal Effects, Health Benefits of Tanning, and Tanning Through the Winter. Invariance testing supported strong invariance across sex and tanning status. Conclusion: The HBAU measures beliefs that encourage UV exposure and discourage protection (eg, the belief that sunscreen ingredients are toxic). This scale will enable more comprehensive measurement of cognitive predictors of UV exposure for student health, clinical, and research purposes.     

Goal-Directed Supervision of Social Work Students in Field Placement

Abstract

Permanency Planning for Children , by Anthony N. Maluccio, Edith Fein, and Kathleen A. Olmstead. London: Tavistock Publications, 1986. Reviewed by Donald Brieland

Feminist Visions for Social Work , edited by Nancy Van Den Bergh and Lynn B. Cooper. Silver Spring, MD: National Association of Social Workers, 1986. Reviewed by Cleo S. Berkum, DSW

People and Contexts: Social Development from Birth to Old Age , by Henry S. Maas. Englewood Cliffs, NJ: Prentice-Hall, Inc. 1984. Reviewed by Harris Chaiklin

Case Management in Human Service Practice by Marie Weil, James M. Karls, and Associates. San Francisco: Jossey-Bass Publishers, 1985. Reviewed by Doman Lum

Law and the Mental Health System: Civil and Criminal Aspects , by Ralph Reisner. St. Paul, MN: West Publishing Co., 1985. Reviewed by Wynne Sandra Korr

Testing the Social Safety Net , by Martha R. Burt and Karen J. Pittman. Washington, DC: The Urban Institute, 1985. Reviewed by Julia M. Watkins     

An examination of ecological predictors of health literacy in black college students

Objective: Health literacy is a determinant of health, but disparities in health literacy persist. This study examined the influence of ecological factors on college students’ health literacy. Participants: During January 2016 a nonrandom sample of black undergraduate students (n = 298) aged 18–24 were recruited from enrollment lists at two urban universities in the Southeastern United States. Methods: Information on health literacy as well as numerous intrapersonal, social, and cultural-environment factors was obtained using an electronic questionnaire and then statistically modeled. Results: Ecological factors accounted for 28.7% of the variance in health literacy. In particular, reappraisal (B = 0.323, p < .001), suppression (B = ?0.289, p < .001), campus health education (B = 0.192, p < .05), campus tobacco culture (B = ?0.174, p < .05), and perceived norms (B = ?0.153, p < .05) directly predicted health literacy. Conclusions: Although intrapersonal factors influence health literacy, the sociocultural environment of college can also foster or hinder college students’ health literacy.     

Androgen status in non-diabetic elderly men with heart failure

Purpose: We aimed at evaluating androgen status (serum testosterone [TT] and estimated free testosterone [eFT]) and its determinants in non-diabetic elderly men with heart failure (HF). Additionally, we investigated its associations with body composition and long-term survival.

Methods: Seventy three non-diabetic men with HF and 20 healthy men aged over 55?years were studied. Echocardiography, 6-min walk test, grip strength, body composition measurement by DEXA method were performed. TT, sex hormone binding globulin, NT-proBNP, and adipokines (adiponectin and leptin) were measured. All-cause mortality was evaluated at six years of follow-up.

Results: Androgen status (TT, eFT) was similar in elderly men with HF compared to healthy controls (4.79?±?1.65 vs. 4.45?±?1.68?ng/ml and 0.409?±?0.277 vs. 0.350?±?0.204?nmol/l, respectively). In HF patients, TT was positively associated with NT-proBNP (r=?0.371, p?=?0.001) and adiponectin levels (r?=?0.349, p?=?0.002), while inverse association was noted with fat mass (r?=??0.413, p?<?0.001). TT and eFT were independently determined by age, total fat mass and adiponectin levels in elderly men with HF (p?<?0.05 for all). Androgen status was not predictor for all-cause mortality at six years of follow-up.

Conclusions: In non-diabetic men with HF, androgen status is not altered and is not predictive of long-term outcome.     

The effects of a pedometer-based intervention on first-year university students: A randomized control trial

ABSTRACT

Objectives: To assess the effects of a 12-week pedometer-based intervention on the physical activity behavior, health-related quality of life (HRQOL), and psychological well-being of first-year university students. Participants: First-year university students (N = 184) were recruited during September 2012 and randomly assigned to an intervention or a control group. Methods: Intervention participants were provided with a pedometer, monthly tracking logs, and follow-up e-mails. Control participants received no intervention. Physical activity, HRQOL, and psychological well-being were measured at baseline and post intervention. Data were analyzed using multivariate/univariate analysis of variance (MANOVA/ANOVA). Results: All participants experienced an increase in mild physical activity (p < .01) from baseline to follow-up. The intervention failed to produce significant differences between groups for physical activity (p = .28), HRQOL (p = .80), or psychological well-being (p = .72). Psychological well-being (p < .001), vigorous physical activity (p = .04), and mental health status (p < .001) decreased across the duration of the study. Conclusions: More intensive interventions may be required to elicit physical activity behavior change.     

Factors influencing dietary fat intake among black emerging adults

Objective: To determine what factors influenced dietary fat intake (DFI) among black emerging adults. Participants: Sample included 251 black emerging adults, ages 18–25 years, living in the US. Methods: This was a nonexperimental cross-sectional study based on self-report data. Results: The sample had high DFI. Factors related to DFI were gender (r_pb = ?.22, p < .001), perceived barriers for healthy eating (r = .32, p < .001), and perceived self-efficacy (r = ?.33, p < .001). These variables were also significant predictors for DFI. Gender was significantly related to DFI (b = ?5.894, p = .000). Religious commitment moderated the effect of stress on DFI. Conclusions: Gender, perceived barriers for healthy eating, and perceived self-efficacy were significant predictors for DFI. Religious commitment influenced the relationship of perceived stress and DFI. These findings may lead to interventions designed to reduce DFI and cardiovascular risks among black emerging adults.     

Peep show establishments,police activity,public place,and time: A study of secondary effects in San Diego,California

DISORDERS OF SEXUAL DESIRE AND OTHER NEW CONCEPTS AND TECHNIQUES IN SEX THERAPY . (The New Sex Therapy, Volume II.). Helen S. Kaplan. New York: Brunner/Mazel, 1979; 257 pages; $17.50.

CHRISTIANITY, SOCIAL TOLERANCE, AND HOMOSEXUALITY: GAY PEOPLE IN WESTERN EUROPE FROM THE BEGINNING OF THE CHRISTIAN ERA TO THE FOURTEENTH CENTURY . John Boswell. Chicago and London: The University of Chicago Press, 1980; 424 pages; $27.50.

THE UNMENTIONABLE VICE: HOMOSEXUALITY IN THE LATER MEDIEVAL PERIOD . Michael Goodich. Santa Barbara, CA: Ross‐Erikson, 1979; 164 pages; $6.95.

TABU HOMOSEXUALITÄT: DIE GESCHICHTE EINES VORURTEILS . Gisela Bleibtreu‐Ehrenberg. Frankfurt a. M.: S. Fischer, 1978; 443 pages; DM 29.80.

AN ANNOTATED BIBLIOGRAPHY OF HOMOSEXUALITY (in two volumes). Vern L. Bullough, W. Dorr Legg, Barrett W. Elcano, and James Kepner. New York &; London: Garland Publishing, 1976; 405 and 468 pages; $88.

PORNOGRAPHY: THE CONFLICT OVER SEXUALLY EXPLICIT MATERIALS IN THE UNITED STATES . Greg Byerly and Rick Rubin. New York: Garland Publishing, 1980; 188 pages; $20.

SEXUALMEDIZIN IN DER PRAXIS . Wolf Eicher. Stuttgart &; New York: Gustav Fischer Verlag, 1980; 590 pages; DM 178.00.     

College Students' Exposure to Tobacco Marketing in Nightclubs and Bars

Abstract

Objective: To examine whether a college student's exposure to tobacco marketing in nightclubs and bars was affected by the presence of a smoke-free law. Participants: A random sample (N = 478) of students participated in the survey (no smoke-free law, n = 240; smoke-free law, n = 238). The analysis was limited to students who reported being in nightclubs and bars (n = 171). Methods: A nonexperimental, cross-sectional, 2-group design was used. Results: Students in the smoke-free law city were more likely to be approached by tobacco marketers (34.7% versus 20.2%, p = .02), offered free gifts (41.7% versus 24.2%, p = .02), and take free gifts for themselves (34.7% versus 19.2%, p = .02). They were more likely to be exposed to direct marketing strategies (1.83 versus 1.12, p = .02). There was no difference on indirect tobacco marketing by site. Conclusions: Tobacco marketing is pervasive in nightclubs and bars. Smoke-free laws may protect against exposure to secondhand smoke but not the “pro” smoking messages students encounter.     

Meditation Lowers Stress and Supports Forgiveness Among College Students: A Randomized Controlled Trial

Objective and Participants: The authors evaluated the effects on stress, rumination, forgiveness, and hope of two 8-week, 90-min/wk training programs for college undergraduates in meditation-based stress-management tools. Methods: After a pretest, the authors randomly allocated college undergraduates to training in mindfulness-based stress reduction (MBSR; n = 15), Easwaran's Eight-Point Program (EPP; n = 14), or wait-list control (n = 15). The authors gathered pretest, posttest, and 8-week follow-up data on self-report outcome measures. Results: The authors observed no post-treatment differences between MBSR and EPP or between posttest and 8-week follow-up (p > .10). Compared with controls, treated participants (n = 29) demonstrated significant benefits for stress (p < .05, Cohen's d = -.45) and forgiveness (p < .05, d = .34) and marginal benefits for rumination (p < .10, d = -.34). Conclusions: Evidence suggests that meditation-based stress-management practices reduce stress and enhance forgiveness among college undergraduates. Such programs merit further study as potential health-promotion tools for college populations.     

Effectiveness of mindfulness-based coloring for university students’ test anxiety

Abstract

Objective: This study compared the effectiveness of mindfulness coloring (mandala), free drawing/coloring, and a noncoloring control activity for university students’ test anxiety, and assessed the relationship of dispositional mindfulness and response to intervention on mindfulness and test anxiety states. Participants: University students (n?=?167; 81.4% female; M_age = 21.29?years, SD?=?4.46) were randomly assigned to a mandala (n?=?57), free draw/coloring (n?=?58), or noncoloring condition (n?=?52). Methods: Participants completed standardized measures assessing test anxiety and state mindfulness pre–postactivity before completing a test, and two dispositional mindfulness measures. Results: Participants in both coloring conditions reported significant decreases in test anxiety and significant increases in state mindfulness pre–postintervention, and participants in the control condition reported significant increases in test anxiety. Reports of preintervention state mindfulness and test anxiety fully mediated relations between dispositional mindfulness and postintervention state mindfulness and test anxiety. Conclusions: Implications for research and practice on mindfulness coloring and test anxiety are discussed.