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.     

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     

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.     

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.     

Book Reviews

Abstract

Human Services at Risk: Administrative Strategies for Survival , edited by Felice Davidson Permutter. Boston, MA: Lexington Books, D.C. Heath and Company, 1984. Reviewed by Mona Struhsaker Schatz

Supervising Student Internships in Human Services , edited by Carlton E. Munson. New York: The Haworth Press, 1984. Reviewed by Harvey Bertcher

Transactional Analysis for Social Workers and Counsellors: An Introduction , by Elizabeth Pitman. London and Boston: Library of Social Work, Routhledge and Kegan Paul, 1984. Reviewed by Edward G. Kuhlmann

Ages in Conflict: A Cross-Cultural Perspective on Inequality Between Old and Young , by Nancy Foner. New York: Columbia University Press, 1984. Reviewed by Bruce A. Thyer

Clinical Social Work in Health Settings , by Thomas Owen Carlton. New York: Springer Publishing Co., 1984. Reviewed by John R. Ball     

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)     

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.     

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.     

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.     

In search of a lost people: Jews in present‐day Ukrainian historiography

A Relationship on Two Levels. Galia Golan, The Soviet Union and the Palestine Liberation Organization. An Uneasy Alliance. New York: Praeger, 1980. vii + 289pp. £15.25.

The Soviet ‘Black Book’ on the Holocaust. Vasily Grossman and Ilya Ehrenburg (comp. and eds.), Chernaya kniga (The Black Book), annotated and indexed by Mark Kipnis and Hayah Lifshits. Jerusalem: Tarbut Publishers, 1980. xx‐vii + 547pp. Illus. Name Index. Place Index.

A Valuable Account of Jewish Heroism. Reuben Ainsztein, The Warsaw Ghetto Revolt. New York: Holocaust Library, 1979. 238pp. Bibl. $4.95.

The Reality of National Bolshevism. Mikhail Agursky, Ideologiya natsional‐bolshevizma (The Ideology of National Bolshevism). Introduction by Leonard Schapiro. Paris: YMCA Press, 1980. 321pp. Notes. Bibliography.

Communist Zionism in the USSR. Baruch Gurevitz, National Communism in the Soviet Union, 1918–28. Pittsburgh: University of Pittsburgh, 1980. xiii+ 121pp.     

Female Collegiate Athletes: Prevalence of Eating Disorders and Disordered Eating Behaviors

Objective: The authors assessed the prevalence of pathogenic eating and weight-control behaviors among female college athletes, using a psychometrically valid measure. Participants: Participants were 204 college athletes (M age = 20.16 years, SD = 1.31 years) from 17 sports at 3 universities. On average, they participated in their sport for 10.88 years (SD = 16.68 years) and on their college team for 2.10 years (SD = 1.03 years). Methods: Participants completed a demographic and weight background questionnaire, Questionnaire for Eating Disorder Diagnoses, and the Bulimia Test-Revised. Results: The authors classified participants as eating disordered (n = 4, 2.0%), symptomatic (n = 52, 25.5%), and asymptomatic (n = 148, 72.5%). Few participants engaged in binge eating; most used exercise, as opposed to vomiting, dieting, laxatives, or diuretics, to control their weight. Conclusions: Female athletes suffer from eating disorders, and most experience symptom levels that are subclinical but problematic.     

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.     

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.     

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.     

Specificity of the Tuberculin Skin Test and the T-SPOT.TB Assay Among Students in a Low–Tuberculosis Incidence Setting

Abstract

Objective: Interferon-γ release assays (IGRAs) are an important tool for detecting latent Mycobacterium tuberculosis infection (LTBI). Insufficient data exist about IGRA specificity in college health centers, most of which screen students for LTBI using the tuberculin skin test (TST). Participants: Students at a low–TB incidence college health center. Methods: TST and T-SPOT.TB were performed on prospectively recruited students. TB exposure risk was assessed using a questionnaire: Those at low risk were assumed to not have LTBI in order to calculate test specificity. Results: Of 184 students enrolled, 143 had results available for both TST and T-SPOT.TB. Agreement of the tests was 97% (kappa statistic 0.717; 95% confidence interval, 0.399–1.00). Among 124 low-risk students, specificity for TST and T-SPOT.TB were 98.4% and 100%, respectively. Conclusions: T-SPOT.TB specificity was high among low-risk students. Additional studies such as cost-effectiveness analyses using T-SPOT.TB as a single or confirmatory test to TST are needed to contribute to LTBI screening policy decisions.     

College Student Smokers' Cognitive Appraisal of High-Risk Activities

Abstract

Objective: Students who smoke are more likely to engage in risky behaviors such as binge drinking and unprotected sex (Schnieder and Morris, Environ Behav. 1999; 23:575–591). The goals of the present study were to determine whether smokers assess these behaviors as lower risk than nonsmokers, and if smoking rate influences risk perceptions. Methods: Participants were 303 college students. Cognitive Appraisal of Risky Activities (Fromme et al., Cognit Ther Res. 1997; 21:421–442) and smoking were assessed August–November, 2006. Results: Smokers reported significantly less risk, more benefit, and more involvement in risky behaviors than nonsmokers (p < .01). In hierarchical linear regression, risk perceptions moderated the association between smoking and (a) expected benefit from risky sexual behaviors (β = ?1.121, p < .05); and (b) expected involvement with illicit drugs (β = ?.313, p < .01). Conclusions: College smokers’ assessment of high-risk behaviors influenced their intended involvement. Risk perception change may therefore alter their involvement in high-risk behaviors.