Longitudinal HIV risk behavior among the Drug Abuse Treatment Outcome Studies (DATOS) adult sample

Longitudinal trajectories for HIV risk were examined over 5 years following treatment among 1,393 patients who participated in the nationwide Drug Abuse Treatment Outcome Studies. Both injection drug use and sexual risk behavior declined over time, with most of the decline occurring between intake and the first-year follow-up. However, results of the application of growth mixture models for both sets of trajectories indicated that a subgroup of individuals reverted to a high-risk behavior over time, with a higher level of risk at the 5-year follow-up than their original risk level at intake. Of clients who were engaged in regular injection drug use at intake, 76% continued to inject drug at a moderate-stable or increased rate during the 5-year follow-up.     

Neighborhood and individual factors in activity in older adults: results from the neighborhood and senior health study

This study examined whether features of the built environment and residents' perceptions of neighborhood walkability, safety, and social cohesion were associated with self-reported physical activity (PA) and community-based activity among a sample of 190 older adults (mean age 74) residing in 8 Denver neighborhoods. Neighborhood walking audits were conducted to assess walkability and social capital. In multilevel analyses, a few walkability variables including curb cuts, crosswalks, and density of retail predicted greater frequency of walking for errands (p < .05), but mean frequency of walking for errands for this sample was low (<1/wk). Contrary to expectations, total PA and community-based activity were highest in neighborhoods with fewer walkability variables but higher respondent perceptions of safety and social cohesion (p < .01). For seniors, the importance of characteristics of the built environment in promoting PA and general activity engagement might be secondary to attributes of the social environment that promote safety and social cohesion.     

Story sharing: restoring the reciprocity of caring in long-term care

Residents in long-term care facilities often experience an interruption in the reciprocity of caring, inadvertently cut off when they enter the unfamiliar surroundings of a residential health care system. This transition from the give and take of caring to being completely cared for often leads to a breakdown of meaning, a loss of identity, and loneliness. This article addresses how an intervention called story sharing can restore the reciprocity of caring. Beginning with a review of the significance and functions of storytelling and listening, a specific story sharing intervention-the mutual sharing of everyday experiences among nurse aides and the nursing home residents for whom they care-is described. The theoretical and practice implications of story sharing are discussed.     

Use of senior centers as a moderator of stress related distress among Latino elders

Little is known about the moderating effects of community services on psychological distress among Latino elders. This study explores the use of senior centers as an intervention strategy to moderate the harmful impact of stress on psychological distress. The study was conducted using data from the 1988 National Survey of Hispanic Elderly People (N=2,299). To examine the direct and moderating effects of the use of senior centers on the relationship between stress and psychological distress we applied multiple regression analysis to an initial model, a direct effect model, and a moderating model. The results indicated that, under stressful life situations, respondents who used senior centers experienced lower levels of psychological distress than those who did not. Implications of the findings for senior centers and for further research are discussed.     

In their Own Right: Translating the Policy of Carer Assessment into Practice

Successive legislation has underscored the importance of assessmentsthat are sensitive to the needs of carers and take into accounttheir ability and willingness to continue caring. This papersynthesizes qualitative and quantitative findings from a continuingprogramme of carer-related research that began in 1993 and hascontinued in parallel with legislative changes. It considersthe process and characteristics of carer assessment from theperspectives of carers for individuals with a range of healthand social care needs, and practitioners. This paper exploresthe assessment of carer need over time and highlights the considerableand enduring gap between policy and practice. It considers practitioners’reluctance to offer separate carer assessments, identifies confusionrelating to the interpretation of eligibility criteria and documentsthe limited contribution of health service staff. The need foran evidence-based framework for good practice, that distinguishesbetween carer needs, service provision and carer outcomes, ishighlighted. The paper concludes by identifying key changesthat are necessary to promote future good practice, such asstaff training and information strategies and the need for practitionersto engage with carers as partners in the care process.     

Violence Against Separated,Divorced, and Married Women in Canada, 2004

ABSTRACT

The purpose of this study was to examine violence against separated, divorced, and married women using Statistics Canada's 2004 Statistics Canada. 2004. Divorces. The Daily, May 4: 1–5.  [Google Scholar] General Social Survey. Based on a subsample of 6,716 heterosexual women (429 separated; 614 divorced; 5,673 married), available risk markers were examined in the context of a nested ecological framework. Consistent with past research, the results indicated that there may be differences in the dynamics of violence across the 3 groups. Separated women reported 7 times the prevalence of violence and divorced women reported twice the prevalence of violence than married women in the year prior to the study. Young age was an important predictor of violence for separated and divorced women. Unemployment and the presence of children of the ex-partner were important predictors for divorced women. Patriarchal domineering and sexually proprietary behaviors were strong predictors of violence for married women. The results suggested the possibility that motives for postseparation violence tend to differ depending on whether one is separated or divorced. Future research is warranted to uncover these potentially differing dynamics of risk.     

Parents’ Decision Making and Their Information Needs Concerning Treatments for Child Anxiety: Implications for Family-Centered Practice

Collaborative decision making is a central feature of family-centered practice and is important to families in treatment planning. This study explored parents’ preferences for decision making involvement and their information needs regarding treatment for child anxiety. Qualitative interviews conducted with 19 parents revealed four main themes: (1) parents regard themselves as protectors, (2) parents desire involvement in decision making, (3) information is key in decision making, and (4) not all treatments are perceived as equal. Parents reported a strong desire to maintain control over the final treatment decision. They preferred a wide range of information about treatment and the health-care provider. Implications for implementing family-centered practice are discussed.