Human immunodeficiency virus risk: is it possible to dissuade people from having unsafe sex?

Summary. The cumulative number of human immunodeficiency virus (HIV) infections worldwide has reached 60 million in little over 30 years. HIV continues to spread despite a detailed understanding of the manner in which it spreads and measures which can prevent spread. Some governments have been highly successful in containing the spread of HIV through blood products and from mother to child and among injecting drug users. Lack of political will, lack of resources or challenges to widely accepted scientific evidence have held back similar interventions in other countries. It has proved much more difficult to reduce the sexual transmission of HIV in both high and low income countries. A wide range of strategies has been identified but it remains unclear which strategies deserve priority and what methods of promoting them have the greatest effect. There is ample evidence that awareness of HIV and changes in sexual behaviour have occurred widely but the penetration of information remains poor in some vulnerable groups especially adolescents and women in poorer countries. Further obstacles face those who have information about the risk. The subordinate position of women and a desire for large families are important obstacles to condom negotiation and use. Urbanization, poverty, conflict and declining public services all exacerbate unsafe sexual behaviour. We argue that so-called 'structural' interventions directed at these wider contexts of unsafe behaviour merit greater attention. Such approaches have the added benefit of being less susceptible to 'risk compensation' which has the potential to undermine strategies directed at reducing the transmission efficiency of HIV.     

Profile of Some Patients Who Prematurely Terminate Analysis

This paper is concerned with cases in which patients who have been well established in treatment decide to end it prematurely. In examining the issue among my patients who left against my advice, I isolated in some of them a number of common traits, of which the existence of a long-standing idealizing transference was central. Four of these cases are presented, including two in which the resistance was successfully penetrated and two in which it was not and the patient left treatment. The definition of premature termination is seen in the context of that of a complete analysis.     

Research project on advocacy and autism

This article presents the findings of a qualitative research project about the difficulties in accessing advocacy faced by adults labelled as having autism and Asperger's Syndrome in the Northwest of England. It is also an example of partnership working between three organisations. The article examines both the process of team-led (emancipatory) research and the project findings. Seven main themes emerged throughout the research: late diagnosis and lack of service support; bad experiences with systems of care; feelings of 'not belonging' (identity issues); barriers around communication and sensitivity towards individuals; lack of awareness and access to advocacy and rights; difficulties of 'fitting into' what is already available; and interest in developing knowledge around advocacy. Examination of the main themes pointed to a disturbing link between poor service response, episodes of crisis and mental ill health. The Carlisle People First Research Team is made up of 6 researchers who are labelled as having 'learning difficulties' who work in partnership with one other researcher.     

Trait Expressiveness and Marital Satisfaction: The Role of Idealization Processes

This study examined the processes that underlie the association between trait expressiveness and marital satisfaction. A total of 168 newlywed couples participated in a four‐wave, 13‐year longitudinal study of marriage. Cross‐sectional and longitudinal path analyses suggested that expressiveness promotes satisfaction by leading spouses to engage in affectionate behavior and by leading them to idealize their partner. Expressive people formed idealized images of their partner because they brought out the best in their partner's behavior and because they interpreted their partner's behavior in a favorable light. The study extends previous research by showing that the benefits of trait expressiveness extend into the second decade of marriage and by providing a plausible explanation of the connections between trait expressiveness and marital satisfaction.     

A Quantitative Assessment of the Risks from Illegally Imported Meat Contaminated with Foot and Mouth Disease Virus to Great Britain

Foot and mouth disease (FMD) is considered by many as the most important animal disease in the world. FMD is highly contagious and outbreaks incur significant costs as affected countries are severely limited in their ability to trade. A number of trade commodities may be contaminated with FMD virus (FMDV) including animal products, for example, meat. As a member of the European Union, Great Britain (GB) has put in place a number of regulations to prevent the importation of pathogens in imported meat products. However, the illegal importation of meat provides a route by which safety controls may be circumvented and meat from FMD affected areas may be imported. This study assesses the FMD infection risk posed to the livestock population of GB from the illegal importation of meat, and estimates the major contributors to this overall risk, through the development of a quantitative risk assessment model. From model results, the total amount of illegal meat entering GB each year is estimated on average to be 11,875 tonnes. with 90% certainty that this is between 4,398 and 28,626 tonnes per year; of which between 64.5 and 565 kg are contaminated with FMDV. This flow of illegal meat results in an estimate of a frequency of FMD infection in GB livestock of 0.015 cases of infected animals per year, with 90% certainty it is between 0.0017 and 0.053. Imports from the region Near and Middle East account for 47% of this risk, and 68% of the risk is attributed to bone-in and dried de-boned products.     

The use of GIS in informal settlement upgrading: its role and impact on the community and on local government

The Urban Geographical Information Systems (GIS) Group within the Department of Civil Engineering at the University of Cape Town has been coordinating a pilot informal settlement upgrading in Cape Town since 1998. The project objective has been the evolution of a model-based approach to informal settlement upgrading that is both structured and replicable. It was felt that the only way this could be achieved was through the use of a spatial data management system operated through a GIS system. The spatial database has been used for all facets of data collection and data process and forms the basis for all decision-making. Thus it covers all physical data pertaining to the site, cadastral and shack data, demographic and socio-economic data (with an in-depth review of every household) economic opportunities and physical planning and design data. The result is a comprehensive, integrated, settlement upgrading methodology that is built upon a GIS-based spatial data management framework. Such a framework is seen as the basic building block for large-scale informal settlement upgrading.     

Race and gender as bases of class fractions and their effects on earnings

Maints auteurs ont affirmé que la race et le sexe repreésentent des bases de fractions de classe en ce sens que leur construction sociale permet à des segments d'une classe de se constituer à partir de caractéristiques liées à la race et au sexe. Cependant, les études ernpiriques antérieures tendent à considérer seulernent la race et le sexe comme des facteurs de fractionnernent au sein de la classe ouvrière seulement. À l'aide des données du recensement de 1986, cette communication analyse lea effets interactifs de la race et du sexe sur le revenu considéré comme facteur de fractionnement des classes. Les recherches de l'auteur indiquent que les effets produits par le groupement par race et par sexe sont inégaux en ce qui trait au revenu, les hommes gagnant davantage que les femmes tout en étant davantage ‘fractionnés’ par le revenu que les femmes. Lorsqu'on fait abstraction des différences de revenu entre classes, la race et le sexe demeurent des facteurs explicatifs importants du niveau de revenu, bien que leurs effets soient plus marqués chez les cadres, les professionnels et les ouvriers. L'écart entre les sexes est plus prononcé, mais la race demeure importante comme facteur de fractionnement au niveau des revenus des homrnes, měme après correction pour tenir cornpte d'autres variables. L'auteur affirme que l'assimilation des relations de sexe et de race aux relations entre classes est insatisfaisante et qu'il existe de sérieuses considérations théoriques pour considérer que les causes des inégalités entre les sexes et les races se trouvent non seulement à l'intérieur du domaine de la production, mais également à l'extérieur de celui-ci. The literature has argued that race and gender are bases of class fractions in that their social construction enables segments of a class to be constituted on racialized and gender-linked characteristics. However, previous empirical works tend to consider race or gender as fractionalizing the working class only. Using the 1986 Census data, this paper analyses the interactive effects of race and gender on earnings as grounds of fractionalizing classes. The findings indicate that race and gender groupings produce unequal effects on earnings: males have an income advantage over females, but race fractionalizes the earnings of men to a greater extent than for women. When inter-class differences in earnings are removed, race and gender remain important in explaining earnings, although their effects are stronger among the managerial, the professsional, and the working class. The gender gap is more pronounced, but race remains important in fractionalizing the earnings of men even after controlling for other variables. The paper argues that it is insufficient to subsume gender and race relations under class relations, and that there are compelling theoretical grounds to consider gender and race inequality as having roots both within and outside the sphere of production.