Breast Self-Examination in the Personal Health Course

Abstract

Female college students (N = 105) were surveyed regarding their acceptance of instruction concerning breast self-examination (BSE) in a film format and the frequency of personal performance of BSE. Factors which served to explain variation in acceptance scores were related to instruction, performance, conservatism, and perceived threat. Factors related to frequency of BSE performance included conservatism, close friend or relative with breast cancer, confidence, and previous instruction in BSE.

“Effect of Alcohol Intake on High-Density Lipoprotein Cholesterol Levels in Runners and Inactive Men,” G. HARLEY HARTUNG, et al. Plasma high-density lipoprotein cholesterol (HDLC) level was measured before and after alcohol abstinence and after resumption of a controlled alcohol dose in 16 marathon runners, 15 joggers, and 13 inactive men. A three-week period of abstinence resulted in a significant decrease in HDLC concentration in the inactive men (49.8 to 41.8 mg/dL). Three weeks of alcohol consumption (1,065 ml of beer per day) produced a significant increase in HDLC level to 50.9 mg/dL. No change in HDLC level was found for the marathon group or the joggers during abstinence or three weeks of alcohol intake. The consumption of alcohol in moderation seems to be associated with increased HDLC levels in inactive men but not in men who engage in regular running or jogging.     

Toward an Interdisciplinary Dialogue on Youth,Sexualization, and Health

The commentaries in this issue of the Journal of Sex Research by Vanwesenbeeck and Else-Quest and Hyde on “Bad Girls Rule” are connected to two larger conversations concerning (a) the intersections of sexuality, objectification, culture, health, and power; and (b) academics as public scholars. Vanwesenbeeck makes the case for considering both the risks and the rights associated with sexualization. Else-Quest and Hyde argue for the need to use a developmental lens when discussing girlhood and sexuality. This response recognizes the need for a developmental approach; elaborates on previous critiques about over-reliance on epidemiological terms in the American Psychological Association task force report on the sexualization of girls; and rearticulates the value of placing feminist, cross-disciplinary, and cross-national scholarship at the center, rather than the margins, of this dialogue. Were such a dialogue to occur, evidence of cultural and personal variations of childhood and youth should be considered along with evidence of human personality development. Although scholars in psychology have been leaders in public scholarship on sexualization and girlhood, it is an ethical and intellectual obligation for scholars from other disciplines (e.g., public health, women's studies, sociology, cultural studies, and epidemiology) to also contribute to this conversation.     

Motives for coprophilia: Working with individuals who had been institutionalized with developmental handicaps

A condom skills educational program emphasizing how to use a condom was presented to groups of patients waiting to be seen in a public health sexually transmitted disease clinic. Compared to controls, patients exposed to the intervention were approximately half as likely to return within the subsequent 12 months with a new sexually transmitted disease. Other predictors of reinfection included previous infection and age less than 25.     

Sexual Behaviors and Sexually Transmitted Diseases of Lesbians

ABSTRACT

The Boston Lesbian Health Project surveyed 1633 lesbians about their health status, health related behaviors and health problems. This paper reports on those parts of the questionnaire that dealt with sexual behaviors and sexually transmitted diseases. The sample was predominantly monogamous, but few had been in their present relationship for more than five years. Sexual practices were similar to those reported in previous studies of lesbians and to those reported in a study of heterosexual women. Sexually transmitted diseases were rare in women who had never had sex with a male partner. The majority of the sample did report a history of male sexual partners and therefore are at risk for abnormal pap smears and other sexually transmitted diseases.     

Correlates of Correct Condom Use Among High-Risk African American Men Attending an Urban STD Clinic in the South

ABSTRACT

The purpose of this cross-sectional study was to assess prevalence and correlates of correct condom use among high-risk African American men attending a publicly funded sexually transmitted disease (STD) clinic. Men 18 through 29 years of age and newly diagnosed with an STD were further assessed for study eligibility. Of 296 meeting eligibility criteria, 271 agreed to participate, thereby yielding a participation rate of 91.5%. Correct use, assessed by an index, was reported by 38%. Correct use was associated with having sex with three or fewer female sex partners, being in an exclusive relationship, not indicating problems with the fit or feel of condoms, and not being drunk/high while using condoms. The correct use of condoms among young African American men newly diagnosed with an STD may be a function of situational factors. These factors could potentially be addressed in the context of clinic-based behavioral intervention programs.     

Recruitment Strategies and Motivations for Sexually Transmitted Disease Testing Among College Students

Objective The authors evaluated procedures for recruiting college students for sexually transmitted disease (STD) testing as part of a research study examining the impact of HSV serologic testing. Participants A convenience sample of 100 students was drawn from students aged 18 to 35 years enrolled at one university in a mid- Atlantic state between September 2004 and March 2006. Methods: Six strategies were used to recruit students for participation in the study. Upon enrollment, participants were asked where they heard about the study. Students were also asked about their motivations for participation. Results: Findings show that a significant recruitment strategy involves targeting places where students seek health care. Other effective strategies include those where information is directly provided to individuals. Most students were motivated to participate because of a possible past exposure to herpes simplex virus 2. Conclusions: Targeting places where students seek health care and educating students about STDs are important strategies for recruiting students for STD testing.     

Heterosexual Casual Sex and STI Diagnosis: A Latent Class Analysis

Casual sex is common during the emerging adult life course stage, but little research has taken a person-centered approach to investigate if casual sexual behavior influences sexually transmitted infection (STI) rates. Using a nationally representative sample and latent class analysis, results showed three distinctive latent classes. Abstainers were the least likely to have an STI, followed by the casual sex experienced, and then the casual sex risk-takers. Once other covariates were included in the model, there was no significant difference between the abstainers and casual sex experienced classes. These results highlight the need for future research to include diverse samples of emerging adults.     

Attitudes Toward Gay Men and Lesbians and Their Relationship with Gender Role Beliefs in a Sample of Chilean University Students

ABSTRACT. This paper analyzes the relation between gender role beliefs and prejudice toward gay men and lesbians in Chile. Participants were Chilean university students (N = 283). Results indicate that men are more prejudiced than women and religious people are more prejudiced than non-religious people. On the other hand, gender role beliefs mediate sex differences in prejudice. The participants' more traditional gender role beliefs hold more negative attitudes toward gay men and lesbians. Men are more prejudiced than women, particularly in their attitudes toward gay men. In addition, sex differences in attitudes toward lesbians and gay men are mediated by gender role beliefs.     

Assessing Attitudes Toward Lesbians and Gay Men: The Modern Homophobia Scale

The authors developed the Modern Homophobia Scale (MHS), a scale that includes measures of attitudes toward lesbians (MHS-L) and attitudes toward gay men (MHS-G). An initial pool of 97 items was generated by the authors based on a review of the literature on homophobia and feedback from several focus groups. Responses to the initial pool of items were factor analyzed. The final versions of the MHS-L and the MHS-G included items reflecting the following factors: Personal Discomfort with lesbians/gay men, Institutional Homophobia toward lesbians/gay men, and the Deviance/Changeability of female/male homosexuality. Although the Personal Discomfort, Institutional, and Deviance/Changeability factors were separable, they were highly correlated and showed little evidence of divergent validity. Reactions to gay, lesbian, and heterosexual characters in written vignettes provided initial support for the validity of the MHS. Both the MHS-L and MHS-G were significantly correlated with the Index of Homophobia and the Attitudes Toward Women Scale. A greater degree of homophobia on the MHS-L and MHS-G was associated with a greater degree of socially desirable responding as measured by the Balanced Inventory of Desirable Responding. Lower levels of homophobia on the MHS-L and MHS-G were associated with having lesbian and gay acquaintances and friends. On the MHS-L, men and women did not differ in their overall level of homophobia toward lesbians, but significant gender differences on MHS-L factor scores were present. Compared to men, women were more supportive of gay men on all three factors of the MHS-G.     

A pilot test of a self-guided,home-based intervention to improve condom-related sexual experiences,attitudes, and behaviors among young women

Objective: To conduct a pilot test of a brief, self-guided, home-based program designed to improve male condom use attitudes and behaviors among young women. Participants: Women aged 18–24 years from a large Midwestern University reporting having had penile–vaginal sex with two or more partners in the past 3 months. Sixty-seven enrolled; 91.0% completed the study. Methods: A repeated measures design was used, with assessments occurring at baseline, immediately post intervention (T2), and 30 days subsequent (T3). Results: Condom use errors and problems decreased, condom-related attitudes and self-efficacy improved, and experiences of condom-protected sex were rated more positively when comparing baseline with T2 and T3 scores. Further, the proportion of condom-protected episodes more than doubled between T1 and T3 for those in the lowest quartile for condom use at baseline. Conclusion: This low-resource, home-based program improved condom-related attitudes and promoted the correct and consistent use of condoms.     

American College Health Association Annual Pap Test and Sexually Transmitted Infection Survey: 2006

Objective: The authors describe the cervical cytology and sexually transmitted infection (STI) testing patterns of US college health centers. Participants and Methods: A total of 128 self-selected US college health centers—representing more than 2 million college students—completed an online survey during February and March 2007. Results: Almost 13% of cervical cytology results were abnormal; most of these were atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesions. In women, 2.9% of chlamydia tests and 0.4% of gonorrhea tests were positive. Human immunodeficiency virus (HIV) and syphilis tests were positive in 0.1% and 0.3% of students tested, respectively. Herpes simplex virus type 1 (HSV-1) accounted for 59.9% of genital herpes infections. Conclusions: College health centers are important sources for Pap and STI test data. Pap tests frequently yield low-grade abnormalities, and screening tests for chlamydia and especially gonorrhea are infrequently positive. Rates of HIV and syphilis in this population are low, raising concerns about positive predictive value when screening low-risk students. A majority of genital herpes infections are caused by HSV-1.     

Abstracts and reviews

Frank A. Beach (Editor): Sex and Behavior, John Wiley and Sons, Inc. New York, London, Sydney, 1965. 592 + x pages. Price: $8.75.

Richard F. Hettlinger. Living with Sex: The Student's Dilemma. The Seabury Press, New York, 1966.

The Hygienic Principles of Moses Maimonides. J. American Medical Association. Vol. 194, No. 13, page 86, December 27, 1965.

Eleanor Mears (Editor): Handbook on Oral Contraception. J. & A. Churchill Ltd., London, 1965, pp. xv, 107.

Lars Ullerstam: The Erotic Minorities. Introduction by Yves de St. Agnes; translated by Anselm Hollo. Grove Press, New York, 1966.     

Prevalence of Sexually Transmitted Diseases and Risk Behaviors from the NIMH Collaborative HIV/STD Prevention Trial

ABSTRACT

This cross-sectional study describes the baseline prevalence and correlates of common bacterial and viral sexually transmitted diseases (STDs) and risk behaviors among individuals at high risk for HIV recruited in five low- and middle-income countries. Correlations of risk behaviors and demographic factors with prevalent STDs and the association of STDs with HIV prevalence are examined. Between 2,212 and 5,543 participants were recruited in each of five countries (China, India, Peru, Russia, and Zimbabwe). Standard protocols were used to collect behavioral risk information and biological samples for STD testing. Risk factors for HIV/STD prevalence were evaluated using logistic regression models. STD prevalence was significantly higher for women than men in all countries, and the most prevalent STD was Herpes simplex virus-type 2 (HSV-2). HIV prevalence was generally low (below 5%) except in Zimbabwe (30% among women, 11.7% among men). Prevalence of bacterial STDs was generally low (below 5% for gonorrhea and under 7% for syphilis in all sites), with the exception of syphilis among female sex workers in India. Behavioral and demographic risks for STDs varied widely across the five study sites. Common risks for STDs included female gender, increasing number of recent sex partners, and in some sites, older age, particularly for chronic STDs (i.e., HSV-2 and HIV). Prevalence of HIV was not associated with STDs except in Zimbabwe, which showed a modest correlation between HIV and HSV-2 prevalence (Pearson coefficient = .55). These findings underscore the heterogeneity of global STD and HIV epidemics and suggest that local, focused interventions are needed to achieve significant declines in these infections.     

Mate Availability and Women's Sexual Experiences in China

Data from the 1999-2000 Chinese Health and Family Life Survey were merged with community-level data from the 1982, 1990, and 2000 Chinese censuses to examine the relationship between the local sex ratio (number of men per 100 women) and sexual outcomes among women (N = 1,369). Consistent with hypotheses derived from demographic-opportunity theory, multilevel logistic regression analyses showed that women are more likely to be sexually active, to have had premarital sexual intercourse, to have been forced to have sex, and to test positive for a sexually transmitted infection when there is a relative abundance of age-matched men in their local community. Education, birth cohort, and geographic location also emerged as significant predictors of women's sexual experiences.     

Factors Influencing Condom Use and STD Acquisition Among African American College Women

Abstract

To identify factors that influence condom use and the risk of acquiring sexually transmitted diseases (STDs) among African American college women, the authors surveyed a sample of 123 sexually experienced undergraduate women at a state university. The college women who were older, had initiated sex earlier, or had more recent sexual partners were more likely than others in the study to report a history of an STD. The findings have implications for prevention and intervention programs for African American college women.     

F.O.R.E.play: The Utility of Brief Sexual Health Interventions Among College Students

Abstract

Objectives: The authors aimed to determine the most effective brief sexual health intervention for college students, while also evaluating students’ preferences for learning about sexual health, in order to develop a university program. Methods: A total of 302 students enrolled in an introductory college course participated and were randomly assigned to 1 of 3 brief interventions during a regularly scheduled class and completed pre- and postsurveys assessing knowledge, motivation to use condoms, and condom self-efficacy. Results: Findings indicated that having an actual person in charge of the learning process resulted in higher knowledge gains and highlighted a student preference for discussion-based learning, viewing pictures of sexually transmitted infections, and hearing real-life experiences about the consequences of unsafe sex. Conclusions: These findings will be used to tailor a future intervention targeting college students for use with freshmen students at this university.     

Sexual Orientation,Gender, and Gender Identity Microaggressions: Toward an Intersectional Framework for Social Work Research

ABSTRACT

Professional ethics compel social workers to address all forms of discrimination and oppression. Microaggressions can contribute to health disparities for marginalized groups; yet, little is known about the frequency, mechanisms, and impact of microaggressions on sexual minorities, cisgender women, and gender minorities—particularly for those with intersecting marginalized identities. This article extends microaggression literature by exploring interrelated constructs of sexual orientation, gender, and gender identity microaggressions, and offering recommendations for future research using an intersectional lens to foster an integrated and complex understanding of microaggressions. Implications of an intersectional microaggression framework for social work education and practice are discussed.     

Men's and Women's Beliefs About Gender Inequality: Family Ties,Dependence, and Agreement

This paper addresses an often stated but rarefy tested assumption in feminist theory: that women's dependence on men and the high degree of intimate contact between women and men shape women's consciousness of gender stratification, encouraging them to develop interpretations of gender inequality similar to men's. I explore this issue by examining whether women's dependence on men and family ties to men are associated with the degree of similarity in men's and women's gender-related attitudes, using data from a national probability sample of adults in the United States. The analyses presented are not conclusive, but they do suggest that further inquiry into the role of dependence and family ties in drawing women's interpretations of gender inequality toward men's is merited.     

The State of the Union: Sexual Health Disparities in a National Sample of US College Students

Abstract

Objective: To examine sexual health disparities between blacks and whites in a national sample of US college students. Participants and Method Summary: Analyses utilized secondary data from 44,165 nonmarried undergraduates (aged 18–24; M = 20.1) responding to the Spring 2007 American College Health Association–National College Health Assessment; 64% were female and 94.7% were white. Results: Whites reported more experience in oral and anal sex, were less likely to use condoms for oral, anal, and vaginal sex, and less likely to have been tested for HIV (human immunodeficiency virus) compared with blacks. However, blacks reported more sex partners, lower use of hormonal contraceptives, and higher rates of adverse sexual health outcomes, such as sexually transmitted infections (STIs) and unintended pregnancy. Sexual behaviors and outcomes also varied across gender. Conclusions: This study highlights a need to increase access to hormonal contraceptives and early STI screening/treatment among blacks, improve HIV testing among whites, and increase condom use promotion for all students.