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41.
Objectives: We examined the social, relational and network determinants of condom use and HIV testing among men who have sex with men (MSM) in Beirut. Methods: Two-hundred thirteen men were recruited via respondent driven sampling and administered a survey. Results: Sixty-four percent reported unprotected anal intercourse (UAI), including 23% who had UAI with unknown HIV status partners (UAIU); 62% of participants had tested for HIV. In multivariate analysis, being in a relationship was associated with UAI and HIV testing; lower condom self-efficacy was associated with UAIU and HIV testing; gay discrimination was associated with UAIU; MSM disclosure was associated with UAI, UAIU and HIV testing; and network centralization was associated with HIV testing. Conclusions: Multi-level social factors influence sexual health in MSM.  相似文献   
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Abstract

An outbreak of Mycoplasma pneumoniae infection affected up to 110 students and employees at a college for deaf students (Gallaudet). After the introduction of M. pneumoniae onto the campus in late August 1977, the disease spread slowly among the students; the last documented case occurred in mid-December. A thorough review of chart records, mail surveys, a dormitory survey, and a three-month surveillance of the student health service provided an intensive look at the epidemiology and clinical spectrum of a mild to moderately severe disease in the epidemic setting. A matched-pair analysis demonstrated a more serious clinical illness among patients with M. pneumoniae than other patients presenting with febrile respiratory illness. Appropriate antimicrobial therapy appeared to suppress a high antibody response to M. pnuemoniae. A follow-up serosurvey one year after this outbreak demonstrated diagnostic titers to M. pneumoniae in 11 of 30 patients with confirmed infection in the original epidemic.  相似文献   
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Survey data collected from a southwestern metropolitan area indicate that self-defined politically conservative individuals are less inclined to commit criminal or deviant acts than their liberal or moderate counterparts; however, results from multivariate analyses indicate that measures of self-control and pressure to conform all reduce the effects of political conservatism to nonsignificance. In general, the relationship between political ideology and misbehavior appears to be partly spurious and partly indirectly attributable to the effects of other social and situational factors. Moreover, responsiveness to pressures to conform is not due to self-control. The results provide some challenge to traditional interpretations of misbehavior but they also confirm an important part played by structural/contextual variables.  相似文献   
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We investigate the question whether problem gambling (PG) in a recent South African sample, as measured by the Problem Gambling Severity Index (PGSI), is dimensional or categorical. We use two taxometric procedures, Mean Above Minus Below A Cut (MAMBAC) and Maxim Covariance (MAXCOV), to investigate the taxonic structure of PG as constructed by the PGSI. Data are from the 2010 South African National Urban Prevalence Study of Gambling Behavior. A representative sample of the urban adult population in South Africa (N = 3,000). Responses are to the 9 item PGSI. MAMBAC provided positive but modest evidence that PG as measured by the PGSI was taxonic. MAXCOV pointed more strongly to the same conclusion. These analyses also provide evidence that a PGSI cutoff score of 10 rather than the standard 8 may be called for. PG as constructed by the PGSI may best be thought of as categorical, but further studies with more theory based measurements are needed to determine whether this holds in a wider range of samples and for other screens. A higher cutoff score may be called for on the PGSI when it is used for research purposes to avoid false positives.  相似文献   
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This paper provides a retrospective analysis of our course:“Hamelessness in the United States: An Interdisciplinary Approach.” It analyzes how such a course reveals social distress on two distinct levels: course content and course process. We deploy the concepts, tenets and insights of social distress theory to provide a retrospective analytical framework for the course. In addition, we extend the theory by presenting two corollaries to it and show how the literature on homelessness provides alternative connections among the major elements ofsocial distress theory. Thus, we raise new questions for the theory to consider. We also make recommendations for potential teachers of courses on homelessness.  相似文献   
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Children who are more proficient in cooperation with peers tend to be more preferred. To date, the development of peer cooperation has been studied mainly in two research traditions, one focusing on action coordination and the other focusing on interaction quality. Both aspects of cooperation are relevant for children's peer relations, but it is unclear whether both aspects of children's earliest cooperation skills predict their later preference by peers after the transition into organized social groups in school. In this study, we assessed coordination proficiency and interaction quality of 181 Dutch children longitudinally from 2 to 4 years of age. No relation between early action coordination and later preference by peers at school was found. However, especially in girls more affiliative and fewer antagonistic behaviors at the age of two predicted likeability among classmates at school at the age of four. The findings shine new light on the earliest foundations of children's peer evaluations.  相似文献   
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In this paper, the authors critically examine the plight of single parent families with young children. Next, they lay out in detail the contributions of the behavioral perspective to practice model development research with single-parent families of children under the age of 12. The authors discuss implications for future theory driven practice model development research with cultural specific single parent families. They believe that future model development research efforts with culturally diverse single parent families will aid in advancing the state of cultural competence research in social work while assisting single parents relieve suffering and enhance child and family well-being.  相似文献   
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