Assessment of andropause awareness and erectile dysfunction among married men in Ile-Ife,Nigeria

Andropause (also known as androgen decline in aging males) has implications for the reproductive health and quality of life of older males. Very few studies have, however, been reported among the Nigerian population on andropause-related issues. This study assesses the perspective and level of awareness of married men in Ile-Ife, South-west Nigeria, of andropause. We also assessed their experience of erectile dysfunction, using a questionnaire based on the review of the International Index of Erectile Dysfunction. The study involved 355 married men, aged between 30 and 70 years. Our result shows a high level of misconception about andropause among our respondents, with 38.9% indicating that it is a myth, and another 23.6% attributing it to various causes other than being a natural aging process. We recorded a prevalence of erectile dysfunction of 43.8% (8.0% severe dysfunction and 35.8% moderate dysfunction). The prevalence of erectile dysfunction increased significantly with age, varying from 38.5% for age 31-40 years to 63.9% for the older age group of 61-70 years. The trend in prevalence of erectile dysfunction with age was significant (p < 0.05). An odds ratio of 2.82 (95% confidence interval 1.19-6.76) was recorded for the prevalence of erectile dysfunction at age 61-70 years compared with age 31-40 years. Our findings indicate a need for health education about andropause in Nigeria, and increased attention to the reproductive health concerns of males, and the older population.     

Voluntary Organizations and Attitudes Toward the Community*

Voluntary organizations have long been believed to have important effects on the attitudes of their members, but the relatively few attempts to investigate such effects have produced inconsistent results. This paper uses a statewide proportional sample to investigate relationships between (a) membership and participation in ten types of voluntary organizations and (b) two types of attitudes about the community. After individual and community characteristics were controlled, experience with voluntary organizations was found to explain about five percent of the variance in respondents' perceptions of their ability to influence community affairs, but relationships with willingness to leave the community were considerably weaker. Somewhat stronger relationships were found when the analysis was confined to respondents for whom voluntary organizations or community participation was particularly salient. Overall, this paper indicates that the impact of voluntary organizations on community attitudes is weaker than earlier theoretical statements have suggested. However, it also shows that the relationship varies according to type of organization, salience of participation for the respondent, respondents' sociodemographic characteristics, and the specific community attitude being investigated.     

Permissive attitudes toward sexual behaviors: A clarification of theoretical explanations

Theory and research regarding permissive or nonpermissive attitudes toward sexual behaviors have contained apparent contradictions: Those maintaining that men and women differ in permissiveness rely on differential socialization theory; those maintaining that men and women share a common level of permissiveness suggest new cohort‐wide values as the explanation; and, discounting male/female differences, permissiveness has been held to vary by degree of involvement in familial or courtship processes. Questionnaire responses of 138 college students' attitudes toward seven sexual situations were analyzed by respondents' sex, class standing, attitude toward divorce, courtship status, and perception of parents' marital happiness. Results provided support for each of the theoretical explanations. Permissiveness varied by each of the independent variables and by specific sexual behaviors (e.g., premarital sexual intercourse, cohabitation, communal living, the nexus between pre‐ and extramarital sex and marital happiness, and the connection between each spouse's infidelity and divorce). Thus, simple theoretical explanations of permissiveness or its absence appear to be unwarranted. Behaviors must be specified and background variables must be taken into account.     

Perception of Substance Use Problems in Asian American Communities by Chinese,Indian, and Vietnamese American Youth

SUMMARY

The study was a cross-sectional survey using a convenience sample of 87 Asian American youth respondents to examine their perceptions of substance use problems in the Asian American community. The authors examined respondents' perceptions of the severity of substance use problems in the Asian American community, perceived characteristics of persons with problems of substance use, perceived etiology of substance use problems, beliefs about treatment, perceived help-seeking preferences and helpful services. The youth demonstrated an increased awareness of the severity of substance use problems in the community, although such awareness was more prominent for drinking problems than drug use problems. Respondents showed a positive attitude toward treatment, although such an attitudinal change was not yet accompanied by a change in their behavioral preferences. Findings suggested a tendency for Asian American youth respondents to utilize personal resources rather than professional help or formal treatment programs in response to substance use problems. In addition, respondents shared similar “myths” of Asian problem drinkers and drug users. Implications for developing culturally relevant interventions for prevention and treatment as well as future research are discussed.     

The Impact of Wives' Employment on Attitude Toward Divorce

Previous studies indicated a relationship between wives' employment and marital instability. Although there are several notable exceptions, the theoretically predicted positive link between wives' employment and marital instability/divorce remains popular. This paper explores the extent to which wives' employment affects their attitudes toward divorce, once religious and other sociodemographic variables are statistically controlled. The data are taken from the 1983-1984 Canadian Fertility Survey of 5,315 women aged 18 to 49. The overall effect of wives' employment on divorce attitude is substantial, indicating that employed women are more likely to favour marriage as a permanent union. Many popular notions about the influence of demographic and socioeconomic factors such as age, age at marriage, children and occupational prestige on divorce attitude, are not supported by this research. At the same time, religious factors significantly predict divorce attitudes. The results suggest that the less educated, employed, highly religious and heterogeneous are more likely to agree that marriage is a permanent union which should only be broken for very serious reasons.     

Environmental Concern and Situational Communication Theory: Implications for Communicating With Environmental Publics

Public relations practitioners will find Grunig's situational communication theory to be a useful tool for identifying environmental publics and their orientations toward specific environmental issues. The research reported here explores the utility of Van Liere and Dunlap's (1981) measure of environmental concern in differentiating situational publics. The data were collected by telephone survey from 1,002 adult respondents. Members of the routine public did not perceive environmental issues to be a problem because they favored economic development over concern for the environment. The fatalistic public reported watching television news about pollution and held a pro-environmental attitude. Problem recognition provided a cognitive measure of environmental awareness and was consistently associated with communication behavior. Level of involvement and environmental concern provided attitudinal measures of the respondent's orientation toward environmental issues; however, these variables were not consistently associated with communication behavior. Public relations objectives designed to increase awareness and knowledge of an organization's environmental position may be far more effective than attitudinal objectives designed to create a more favorable image for the organization in view of the fact that the relationship between cognition and communication is much stronger than that between affect and communication.     

Health Care Professionals' Experience,Knowledge, and Attitudes Concerning Homosexuality

The purpose of this study was to examine the experience with attitudes towards, and knowledge about homosexuality of three groups of health care professionals. Subjects were 97 registeres nurses, social workers, and psychologists who responded to a six-page mailed questionnaire. Professional discipline of the subject, gender of the client, and gender of the client's lover in a fictitious scenario did not significantly affect ratings or suggested diagnoses of the client. Most subjects felt that they needed moer training in working with homosexual clients, which was consistent with their high but not perfect scores on a knowledge test. Subject's mean scores of the Attitudes Toward Lesbians (ATL) and Gay Men (ATGM) scales of Herek (1998) reflected significantly less prejudice than his college samples. More knowledgeable respondents were less prejudiced and had more positive attitudes about working with gay and lesbian clients; those with more positive attitudes toward clients also showed less prejudice on the ATL and ATGM scales. The authors argue that training health care professionals to be more knowledgeable about gay and lesbian issues would lead to more positive attitudes and better services for gay and lesbian clients.     

Intensity of Case Management Services

ABSTRACT

In a systematic sample of Florida-licensed clinical social workers (N = 273), this study investigated the correlates of perceived adequacy to work with elders with Alzheimer's disease and other types of dementia. Five predictor variables were identified from a standard regression analysis that account for 35.7% of the model's adjusted variance: (a) employment with elders (Beta = .225, p = .000), (b) years of experience (Beta = -.125, p = .018), (c) attitude toward working with elders with Alzheimer's disease (Beta = .351, p = .000), (d) perceived sufficiency of professional education to work with elders with Alzheimer's disease (Beta = .178, p = .002), and (e) attitude toward the delivery of nonclinical services to elders with Alzheimer's disease (Beta = .192, p = .000). Overall, respondents perceived their abilities to work with elders as slightly less than adequate. Implications are discussed.     

The Philippine Male Aging Survey

The aging male is fast becoming a global concern. The problem is predicted to become a major health issue that should be addressed immediately in order to prevent disability, morbidity, and, more importantly, mortality. As part of its commitment to increase awareness and create interest in the care of Filipino aging males, The Philippine Society for the Study of the Aging Male Foundation, Inc. (PhiSSAM), a multi-specialty society established in 2000, embarked on a survey among Filipino physicians to determine their knowledge, attitudes, and practices regarding male aging. Results showed that the majority of doctors (about 87%) thought that men may experience andropause. Most would diagnose patients based on symptoms alone, while only 20–30% used testosterone levels to make a diagnosis of andropause. Decreased libido and less strong erections were the symptoms very closely associated with low testosterone. Of those doctors responding, 89% agreed that andropause can affect the quality of a man's life as much as menopause can affect a female; only 38% had already prescribed/instituted treatment for andropause. Of the 62% non-prescribers, 58% said they were either very likely or fairly likely to institute treatment in the future if there were more clinical trials, more medical information, and more information on drugs. Major concerns on testosterone replacement therapy included prostate cancer, benign prostatic hypertrophy, and heart disease. The findings in this pilot survey indicate a need among the doctors in the Philippines for education about andropause and the available treatments.     

Understanding E-Mental Health Resources: Personality,Awareness, Utilization,and Effectiveness of E-Mental Health Resources Amongst Youth

The focus of this study is to replicate portions of the study by Neal, Campbell, Williams, Liu, and Nussbaumer (2011) to determine if their findings translate to Australian adolescents. Specifically, this study aims to: determine personality types as predictors of knowledge and utilization of e-mental health resources; identify subject usage rates of specific e-mental health resources; and identify subject views on the efficacy of these resources. Participants were an opportunistic sample of 1st-year university students (N = 176) between the ages of 18 and 25. A single session online survey was administered. The hypotheses that extroverted adolescents are less likely to have an awareness of e-mental health resources when compared to neurotic adolescents; and extroverted adolescents are less likely to engage in seeking help from e-mental health resources when compared to neurotic adolescents, were not supported. This study was unable to discern the efficacy of e-mental health resources or the sample's awareness of e-mental health resources. However, it was found that the sample was likely to engage in online help seeking behaviour for mental health concerns. Despite the limited findings, this study suggests several ideas that could be further explored.     

Ambivalence Toward Integration: the Sequence of Response to Six Interracial Situations*

White liberals (N=204) believing in integration and living in Los Angeles County expressed their attitudes toward six interracial situations: (1) busing in the schools for the purpose of ending de facto segregation; (2) the entrance of blacks into the respondents' occupational fields; (3) blacks moving into the respondents' neighborhoods; (4) the quota system as the basis for college admission for minorities; (5) rentals to blacks in white-occupied apartment buildings; and (6) hiring of blacks. A scalogram analysis indicates that the attitudes common to white liberals as a group form a systematic ordering of adherence to or retreat from anti-discriminatory principles, with the underlying dimension being the degree of attitudinal favorableness toward the situations and integration in general. We found a predictable pattern of complexity of attitudes toward the situations, with progression from the most difficult to the least difficult situation as follows: quota, busing, residence, apartment, hiring, and occupation. We reject a situational, direct threat hypothesis in favor of a general attitude hypothesis since retreats from anti-discriminatory beliefs follow a cumulative sequence, irrespective of the respondents' particular life circumstances or the nature of the specific situation. We conclude that the cultural definitions of the situations and the degree of clarity of emergent norms are primary factors determining attitudinal expressions which are consistent or inconsistent with a general belief in integration.     

Intergenerational Life Courses of Teenage Pregnancy in Ogbomosho South‐Western Nigeria

Concern that the teenage pregnancy rate in an urban community in Southwest Nigeria has doubled within the last decade prompted an intergenerational survey of a sample of 277 respondents (163 pregnant teenagers, 91 teen parents and 23 adult parents who were once teen parents) selected through snowballing and then interviewed in four group discussions in Ogbomosho, Nigeria. Findings revealed that 43.5 per cent of the female and 48.5 per cent of the male teenagers informed their parents first when they became pregnant or made someone pregnant respectively. They also showed that lack of knowledge about puberty (21.3%) was a major factor that influenced teenage pregnancy. The majority (53.4%) of the respondents believed that their parents perceived teenage pregnancy as God's blessing, while it was perceived as sign of poverty by their school teachers (36.5%). Blame for unwanted pregnancy was put on the girls by 49.5 per cent of the respondents. Focused educational enlightenment for teenagers on sexual reproductive health is needed for reshaping teenagers' risky behaviours. This is in line with 25.6 per cent of the respondents who felt that community youth forum on sex education could reduce teenage pregnancy.     

Grandparents' Education and Infant Health: Pathways Across Generations

Using data from the Fragile Families and Child Wellbeing survey linked to respondents' medical records (N = 2,870), this study examines the association between grandparents' education and birth outcomes and explores potential pathways underlying this relationship. Results show that having a grandfather with less than a high school education was associated with a 93 gram reduction in birth weight, a 59% increase in the odds of low birth weight, and a 136% increase in the odds of a neonatal health condition when compared with having a grandfather with a high school education or more. These associations were partially accounted for by mother's educational attainment and marital status as well as by prenatal history of depression, hypertension, and prenatal health behaviors, depending on the specific outcome. The findings from this study call for heightened attention to the multigenerational influences of educational attainment for infant health.     

Conundrum of Sexual Decision Making in Marital Relationships: Safer-Sex Knowledge,Behavior, and Attitudes of Married Women in Zambia

Recent research suggests that Zambian women face an increasing risk of contracting human immunodeficiency virus (HIV) within marital relationships. Married women's perceived ability to negotiate safer sex or adopt self-efficacy practices is recognized as critical in preventing new infections within marriage. Yet women's self-efficacy practices, such as requesting condom use or refusing sex within marriage, are influenced by individual and context-specific factors. Using the 2007 Zambia Demographic and Health Survey data from 4,306 married women, this article examines the association between married women's perceived ability to negotiate safer sex and a range of attitudinal, knowledge, and sociodemographic variables. Results from complementary log-log regression models reveal that married women who have factual knowledge about HIV transmission and prevention, as well as those who have been tested for their HIV serostatus, were more likely to report they can request that their husbands use a condom. Rural married women were more likely to report they can refuse their husbands sex compared to woman in urban areas. Likewise, married women who agree that a wife is justified in refusing her husband sex if he sleeps with other women were more likely to report they can negotiate safer sex compared to women who disagree. These findings suggest that married women are able to negotiate safer sex if they have correct factual knowledge about HIV transmission and are aware of their rights within marital relations.     

From Bad to Worse? Pornography Consumption,Spousal Religiosity,Gender, and Marital Quality

Pornography consumption is consistently associated with lower marital quality. Scholars have theorized that embeddedness within a religious community may exacerbate the negative association between pornography use and marital quality because of greater social or psychic costs to porn viewing. As a test and extension of this theory, I examine how being married to a religiously devout spouse potentially moderates the link between respondents' reported pornography consumption and their marital satisfaction. Data are taken from the 2006 Portraits of American Life Study. In the main effects, porn consumption is negatively related to marital satisfaction, while spousal religiosity is positively related to marital satisfaction. Interaction effects reveal, however, that spousal religiosity intensifies the negative effect of porn viewing on marital satisfaction. These effects are robust whether marital satisfaction is operationalized as a scale or with individual measures and whether spousal religiosity is measured with respondents' evaluations their spouses' religiosity or spouses' self‐reported religiosity measures. The effects are also similar for both husbands and wives. I argue that for married Americans, having a religiously committed spouse increases the social and psychic costs of porn consumption such that marital satisfaction decreases more drastically as a result.     

Role of Marital Quality in Explaining Depressive Symptoms After Marital Termination Among Older Adults

This study assesses whether prior marital quality moderates the impact of divorce or widowhood on subsequent depression. Poor marital quality may buffer depression associated with divorce/widowhood; conversely, the effect of divorce/widowhood on depression could be exacerbated by previous marital quality. Three waves from the National Survey of Families and Households based on respondents, ages 50 and older, (N?=?2,570) included eight marital quality measures. We find limited evidence suggesting higher marital quality elevates, while lower marital quality decreases, depression after divorce. No moderating effects were found for widowhood. Additionally, health condition is more important than current marital status for elders’ well-being after divorce or widowhood. Heterogeneity in the context of the marriage before divorce should be considered when examining marital termination effects on elders’ depression.     

Religiosity as a predictor of students' political attitudes

This paper analyzes the relationship between students' level of actual religiosity and their sociodemographic characteristics, political orientation, and political attitudes. The paper is based on an online survey conducted at the University of Rijeka (N = 624) in 2021. The vast majority of our respondents (90%) received the three holy sacraments of initiation in their early childhood and attended Catholic religious education at school. The explanation of the significantly less actual religiosity of students is approached from the position of Pickel's contextualized theory of secularization. Relying on Voas and Day, a composite variable distinguishes highly religious students, moderately religious students, weakly religious students, and non-religious students on the basis of the respondents' positioning toward religious self-identification, beliefs, Church attendance, and the importance of religion in one's life. Statistically significant correlations between actual religiosity and political orientation were established. Very religious Catholic students, who are the least numerous and the least homogenous category, are more inclined to right-wing political orientation and reject ethno-nationalism/anti-multiculturalism less and accept clericalism more than other categories of students. In a broader sense, this study reveals that a large number of respondents distance themselves from religion and the Church at student age despite their experience of formal religious socialization at school age. Furthermore, the results suggest that the synergy of the liberalizing effect of education and the tolerant sociocultural atmosphere of an area reduces the influence of religiosity on the political attitudes and orientation of students.