HIV seroprevalence and risk behaviors among clients attending a clinic for the homeless in Miami/Dade County,Florida, 1990–1996

In the early 1990s, HIV seroprevalence was highest at the Miami homeless clinic among 16 homeless sites participating in a nationwide sentinel survey. To examine dynamic seroprevalence patterns in Miami's homeless clients in relation to demographics and risk behaviors over six years, we analyzed data from an unlinked (blinded) serosurvey of clients attending the principal primary care clinic serving Miami's homeless. Data were from 3,797 medical encounters with homeless persons who, on their initial clinic visit within an annual survey period, received routine serologic testing and a risk behavior survey. Overall HIV seroprevalence was 15.9% and infection rates for men (16.4%) and women (14.5%) did not differ. Seroprevalence for blacks (19.9%) was significantly higher than for Hispanics (9.1%) or whites (8.3%) (p < 0.0001). Seroprevalence was 12.6% (35 times the national rate) for clients reporting heterosexual contact as their only risk. Significant increases in seroprevalence, above this heterosexual-contact-only 'baseline', were found for clients disclosing high-risk behaviors: male-to-male sex, drug injection, receiving or giving money/drugs for sex, and sexual contact with a drug injector or HIV-infected partner (p < 0.0001). Seroprevalence declined over six years from 23.2 to 7.2% (p < 0.0001). Significant downward trends were observed for men and women, blacks and Hispanics, men who have sex with men, and clients reporting heterosexual contact. The proportion of clients reporting high-risk behaviors decreased sharply (p < 0.0001). Elevated HIV seroprevalence in Miami's homeless clients was strongly associated with high-risk behaviors. Expansion of HIV prevention and HIV/drug treatment services for homeless persons is strongly recommended.     

Prevalence and reasons for Juul use among college students

Abstract

Objective: Examine Juul use patterns, sociodemographic and personal factors associated with Juul use, and reasons for Juul initiation and current use, among college students. Participants: Convenience sample of 371 undergraduates at a large university in the southeast; recruited April 2018. Methods: Cross-sectional design using an online survey. Logistic regression identified the personal risk factors for current use. Results: Over 80% of participants recognized Juul; 36% reported ever use and 21% past 30-day use. Significant risk factors for current Juul use were: male, White/non-Hispanic, lower undergraduate, and current cigarette smoker. Current Juul users chose ease of use and lack of a bad smell as reasons for use. Ever Juul users most commonly endorsed curiosity and use by friends as reasons for trying Juul. Conclusions: Given the propensity for nicotine addiction among youth and young adults, rates of Juul use are alarming and warrant immediate intervention.     

The development of gaze following in monolingual and bilingual infants: A multi-laboratory study

Determining the meanings of words requires language learners to attend to what other people say. However, it behooves a young language learner to simultaneously encode relevant non-verbal cues, for example, by following the direction of their eye gaze. Sensitivity to cues such as eye gaze might be particularly important for bilingual infants, as they encounter less consistency between words and objects than monolingual infants, and do not always have access to the same word-learning heuristics (e.g., mutual exclusivity). In a preregistered study, we tested the hypothesis that bilingual experience would lead to a more pronounced ability to follow another's gaze. We used a gaze-following paradigm developed by Senju and Csibra (Current Biology, 18, 2008, 668) to test a total of 93 6- to 9-month-old and 229 12- to 15-month-old monolingual and bilingual infants, in 11 laboratories located in 8 countries. Monolingual and bilingual infants showed similar gaze-following abilities, and both groups showed age-related improvements in speed, accuracy, frequency, and duration of fixations to congruent objects. Unexpectedly, bilinguals tended to make more frequent fixations to on-screen objects, whether or not they were cued by the actor. These results suggest that gaze sensitivity is a fundamental aspect of development that is robust to variation in language exposure.     

No strings attached: the nature of casual sex in college students

The purpose of this paper was to identify the circumstances associated with casual sex encounters, as well as to identify the link between casual sex, depressive symptoms, and infidelity among college students. We found that casual sex was a fairly common occurrence that was related to early sexual transition, engaging in first sex with a casual sex partner, drug use and alcohol consumption. Casual sex occurred more often between "friends" rather than with strangers. Depressive symptoms were associated with engaging in casual sex differently for males and females. Males who engaging in casual sex reported the fewest symptoms of depression and females who had a history of casual sex reported the most depressive symptoms. Frequencies of affectionate and genital behaviors were associated with expectations of the relationship, the relationship to the partner, infidelity, and the individual's relationship style. Results are discussed in light of evolutionary and socio-cultural theories of sexuality.     

Religion and bullying: Perspectives from sexual and gender minority youth (SGMY) in Michigan

Abstract

This paper explored whether SGM (sexual and gender minority) young adults in Michigan thought religion played a role in the bullying they had witnessed or experienced. Twenty-four self-identified SGM young adults ages 20–29 participated in this study. Semi-structured in-depth interviews were conducted with participants following protocols approved by an institutional review board. The majority of participants (23/24) stated that religion had played a role in the bullying they witnessed or experienced. Additionally, several participants noted that the worst bullying they experienced based upon religion came from their families.     

Analysing US State Legislative Resolutions on Immigrants and Immigration: The Role of Immigration Federalism***

Immigration in the United States is traditionally thought of as a federal‐level policy, but in recent years, states have been exceedingly active in this domain. We analyse the context and discourse of immigration‐related legislative resolutions from Southern border‐states, recipients of the heaviest immigration flows, and find that states do not respond in the same way to immigration challenges, and these differences occur over time and space. Some states seek to federalize the issue and push Congress to take action, while others are slowly incorporating immigrants into domestic politics and have begun to treat them as yet another state constituency. These findings have significant implications both for federal‐state relations in the immigration realm, and for immigrants themselves.     

The Biodemography of Fertility: A Review and Future Research Frontiers

The social sciences have been reticent to integrate a biodemographic approach to the study of fertility choice and behaviour, resulting in theories and findings that are largely socially-deterministic. The aim of this paper is to first reflect on reasons for this lack of integration, provide a review of previous examinations, take stock of what we have learned until now and propose future research frontiers. We review the early foundations of proximate determinants followed by behavioural genetic (family and twin) studies that isolated the extent of genetic influence on fertility traits. We then discuss research that considers gene and environment interaction and the importance of cohort and country-specific estimates, followed by multivariate models that explore motivational precursors to fertility and education. The next section on molecular genetics reviews fertility-related candidate gene studies and their shortcomings and on-going work on genome wide association studies. Work in evolutionary anthropology and biology is then briefly examined, focusing on evidence for natural selection. Biological and genetic factors are relevant in explaining and predicting fertility traits, with socio-environmental factors and their interaction still key in understanding outcomes. Studying the interplay between genes and the environment, new data sources and integration of new methods will be central to understanding and predicting future fertility trends.     

Pairwise comparisons for proportions estimated by pooled testing

When estimating the prevalence of a rare trait, pooled testing can confer substantial benefits when compared to individual testing. In addition to screening experiments for infectious diseases in humans, pooled testing has also been exploited in other applications such as drug testing, epidemiological studies involving animal disease, plant disease assessment, and screening for rare genetic mutations. Within a pooled-testing context, we consider situations wherein different strata or treatments are to be compared with the goals of assessing significant and practical differences between strata and ranking strata in terms of prevalence. To achieve these goals, we first present two simultaneous pairwise interval estimation procedures for use with pooled data. Our procedures rely on asymptotic results, so we investigate small-sample behavior and compare the two procedures in terms of simultaneous coverage probability and mean interval length. We then present a unified approach to determine pool sizes which deliver desired coverage properties while taking testing costs and interval precision into account. We illustrate our methods using data from an observational HIV study involving heterosexual males who use intravenous drugs.     

Civic Culture Meets the Digital Divide: The Role of Community Electronic Networks

The concept of social capital reflects the norms and social relations embedded in the social structure of societies that enable people to coordinate community action to achieve desired goals. Our research focuses on the role that norms of cooperation and civic and political culture play in addressing the "digital divide" in computer use and Internet access. We review evidence from mail surveys of randomly selected respondents in two rural Minnesota communities as well as qualitative focus group and archival evidence suggesting that the communities have adopted different approaches to technology diffusion. Whether information technology is viewed as a public or private good depends in part on the civic culture of a community.