Asking Only “Did You Use a Condom?” Underestimates the Prevalence of Unprotected Sex Among Perinatally HIV Infected and Perinatally Exposed But Uninfected Youth

Among young adults who use condoms, incomplete condom use (putting a condom on after beginning or taking a condom off before finishing sex) and condom failure (condom breaking or slipping off during sex) are common. Therefore, sexual behavior surveys that ask only if a condom was used are likely to underestimate the actual prevalence of unprotected sex. This study examined data from 135 sexually active perinatally HIV-infected (PHIV+) youth and perinatally exposed but uninfected (PHIV?) youth, ages 13 to 24. Participants were asked whether they used a condom on their first and their most recent occasion of vaginal sex. Youth who reported using a condom were asked a follow-up question about whether there was any time during that occasion when sex was not protected by a condom. This follow-up question identified additional participants— almost double the proportions who initially said they did not use a condom—who had unprotected sex. Incomplete condom use was similar among PHIV+ and PHIV?youth, boys and girls, Latinos and African Americans, and younger and older youth. These findings illustrate the importance of asking specifically about whether any unprotected behavior occurred from start to finish of sex to achieve more valid estimates of sexual risk behavior.     

The feeling of tiredness among Swedish parents: a longitudinal cohort comparison

Nilsson K. The feeling of tiredness among Swedish parents: a longitudinal cohort comparison Int J Soc Welfare 2010: 19: 424–432 © 2009 The Author, Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. In Europe, there is an ongoing debate on how to combine work and family life, a problem many women face today. Implicit in this debate is that women are more affected by having children compared with women in earlier generations. This article presents a cohort study on how Swedish women and men's reported feelings of tiredness is affected by having children. Longitudinal results representing three cohorts show that both men and women in general report more feelings of tiredness in the early 2000s compared with the 1980s. Being a first‐time mother or father is connected with more feelings of tiredness among the latest cohort studied. However, when control variables are included, the effect of becoming a first‐time parent weakens, especially for men. Finally, the effect of becoming a first‐time mother is no longer significant when controlling for age.     

Measurement of attitudes toward bisexual men and women among South African university students: the validation of an instrument

Research was conducted investigating university students' prejudicial attitudes toward bisexual men and women in South Africa. The combined male and female Attitudes Regarding Bisexuality Scale (ARBS) showed unacceptable internal consistency reliabilities, especially for the Black-African participants. An expert focus group was convened in order to elaborate on and clarify the low reliability coefficients. The ARBS was then adapted for the South African population and resulted in two separate instruments designed to measure attitudes regarding bisexual men and bisexual women separately. Five hundred eighty seven university students completed these scales. The results indicated that the attitudes of heterosexual, homosexual, and asexual students toward bisexual men and women are more negative than the attitudes of bisexual students.     

Intergenerational persistence of family formation trajectories among teenage-mothers and -fathers in Sweden

Journal of Population Research - In this paper, we address the questions of whether early family trajectories of parents are reflected in childbearing teenagers, and how socio-economic and family...     

Can job insecurity be managed? Evaluating an organizational-level intervention addressing the negative effects of restructuring

Although downsizing and reorganisation are recognised as serious threats to the psychological well-being of employees, intervention strategies for addressing these events are limited. This study evaluated the effects of a participatory organisational-level intervention in which employees and managers chose to address the psychosocial consequences, specifically job insecurity, of restructuring. The intervention was conducted among postal service letter carriers in Denmark and was evaluated based on quantitative and qualitative data. Using interviews (N?=?24) and observations, the programme theory of the intervention and to what extent the intervention had been implemented were assessed. Using survey data (N?=?238), repeated measures ANOVAs were conducted to test for differences in the development of job insecurity between the intervention group and a comparison group. The results indicate that the intervention group had a significantly smaller increase in one dimension of job insecurity as compared to the comparison group. Therefore, we conclude that employees’ experiencing of job insecurity, which typically follows in the wake of restructuring, can be addressed by planned efforts at the workplace level.     

Out of sight and out of mind? A literature review of occupational safety and health leadership and management of distributed workers

Distributed workers – those who work autonomously and remotely from their organisation’s main locations for at least some of their work-time – are an important and growing proportion of the workforce that share common characteristics of temporal and spatial distance. Yet, many leadership styles and management practices assume face-to-face interaction, potentially rendering them less helpful in trying to ensure good occupational safety and health (OSH) outcomes for distributed workers. We conducted a systematic literature review to examine the leadership and management of OSH for distributed workers. Twenty-three papers were identified. Eleven papers identified established leadership styles, including leader-member exchange, (safety specific) transformational and considerate leadership. Twenty papers examined management. Findings from these 20 papers were interpreted as representing resources, deployed through management and utilised by managers to ensure OSH for distributed workers, including communication technologies, social support and a good safety climate. Despite limited research in this area, findings indicate the importance of both leadership and management in ensuring OSH for distributed workers. Findings suggest a fertile area for future enquiry.     

Interventions to improve patient safety in transitional care--a review of the evidence

When a patient's transition from the hospital to home is less than optimal, the repercussions can be far-reaching - hospital readmission, adverse medical events, and even mortality. Elderly, especially frail older patients with complex health care problems appear to be a group particularly at risk for adverse events in general, and during transitions across health providers in particular. We undertook a systematic review to identify interventions designed to improve patient safety during transitional care of the elderly, with a particular focus on discharge interventions. We searched the literature for qualitative and quantitative studies on the subject published over the past ten years. The review revealed a set of potential intervention types aimed at the improvement of communication that contribute to safe transitional care. Intervention types included profession-oriented interventions (e.g. education and training), organisational/culture interventions (e.g. transfer nurse, discharge protocol, discharge planning, medication reconciliation, standardized discharge letter, electronic tools), or patient and next of kin oriented interventions (e.g. patient awareness and empowerment, discharge support). Results strongly indicate that elderly discharged from hospital to the community will benefit from targeted interventions aimed to improve transfer across healthcare settings. Future interventions should take into account multi-component and multi-disciplinary interventions incorporating several single interventions combined.     

Ethnicity at the Individual and Neighborhood Level as an Explanation for Moving Out of the Neighborhood

We address the influence of both the ethnic composition of the neighborhood and the ethnicity of individual residents on moving out of neighborhoods in the Netherlands. Using the Housing Research Netherlands survey and multinomial logistic regression analyses of moving out versus not moving or moving within the neighborhood, we found that ethnicity at the individual level was not of much importance for moving out. The combination of ethnicity at the individual level and the neighborhood level, however, appeared to be a rather important explanation of geographical mobility. Ethnic minorities are more likely than native Dutch to move within neighborhoods, and less likely to move away from them, as the share of non-western minorities in those neighborhoods increases. Native Dutch move away more frequently than ethnic minorities as the share of non-western ethnic minorities in neighborhoods is greater. These results suggest ethnic enclave formation or place stratification in the Netherlands.     

"My spirit in my heart": identity experiences and challenges among American Indian two-spirit women

Many Native women embrace the term two-spirit to capture their sexuality and gender expression. By analyzing the narratives of five two-spirit women who are Native activists, we explored contemporary understandings of the concept and what it means for Native communities. The incorporation of the identity within indigenous worldviews, its manifestation in terms of (be)coming out, and the triple stressors of heterosexism, racism, and sexism emerged as key themes.     

Leading well: Challenges to researching leadership in occupational health psychology – and some ways forward

ABSTRACT

Studies on the effects of leadership in occupational health psychology build on the assumption that leaders influence their followers’ health and well-being. Although this assumption has received support, this introductory paper to a special issue of Work & Stress on leadership argues that a number of questions regarding leadership and follower health and well-being remain unanswered. We identify four issues that we argue warrant further attention. First, what is “good” leadership? Particular leadership types are associated with increases in employee performance, but since this will involve higher effort expenditure, adverse outcomes for employee health are to be expected. Although many types of leadership are associated with favourable outcomes, we still need to identify the leadership characteristics can be identified that account for these positive outcomes. Second, how can good leadership be promoted? There is a need to develop interventions that are effective in promoting desirable leadership styles. Third, what are the inter-mediate and long-term effects of leadership on follower health? Finally, we need to understand the boundary conditions for good leadership, including the resources available to leaders. Based on these considerations, we conclude that further research is needed to fully understand the effects of leadership on employee health and well-being.