Vaginal Dryness and Beyond: The Sexual Health Needs of Women Diagnosed With Metastatic Breast Cancer

While research on the sexual health of women with early stage cancer has grown extensively over the past decade, markedly less information is available to support the sexual health needs of women diagnosed with advanced breast cancer. Semistructured interviews were conducted with 32 women diagnosed with metastatic breast cancer (ages 35 to 77) about questions they had concerning their sexual health and intimate relationships. All participants were recruited from a comprehensive cancer center at a large Midwestern university. Three themes were examined: the role of sexual activity and intimate touch in participants' lives, unmet information needs about sexual health, and communication with medical providers about sexual concerns. Findings indicated that sexual activities with partners were important; however, participants worried about their own physical limitations and reported frequent physical (e.g., bone pains) and vaginal pain associated with intercourse. When women raised concerns about these issues in clinical settings, medical providers often focused exclusively on vaginal lubricants, which did not address the entirety of women's problems or concerns. In addition, women diagnosed with metastatic breast cancer reported needing additional resources about specialized vaginal lubricants, nonpenetrative and nongenitally focused sex, and sexual positions that did not compromise their physical health yet still provided pleasure.     

Stepfamily childbearing in Sweden: quantum and tempo effects, 1950-99

Several studies have demonstrated that stepfamily couples have a higher risk of childbearing than couples in a stable union with the same total number of children. Analysing retrospective data from a nationally representative sample of Swedish adults, we find that the risk of a second or third birth is higher when it is the first or second child in a new union. We also find a faster pace of childbearing after stepfamily formation than after a shared birth. The risk of a second birth (in total) is only a little higher in the first two years after stepfamily formation than in the first two years after a shared birth, and thereafter the risk is lower for stepfamilies. The risk of a third birth (in total) is particularly high early in the stepfamily union and remains higher than that of couples with two shared children for at least five years. The stepfamily difference was lower after than before 1980, when the Swedish government introduced parental leave incentives for short birth intervals.     

Open access family centres and their users: positive results,some doubts and new departures

This article reports findings from a research study of two open access, multi-use, community-based family centres. Structured, qualitative interviews were conducted with 40 adult users and 40 local adult non-users of the two centres. Additionally, a profile of user characteristics was derived from a survey of users attending over a one-week period at both centres. The vast majority of users were women in their twenties, just over half of whom attended with their children. The benefits and limitations of the current functioning of open access centres are discussed, with a potential shift in emphasis along a social development model proposed. Copyright © 1999 John Wiley & Sons, Ltd.     

Examination of the relationship between social support and treatment outcomes in mothers referred by Child Protective Services utilizing the Significant Other Support Scale

ABSTRACT

Supportive social networks may play an important role in recovery for mothers within the umbrella of Child Protective Services (CPS). However, investigators have yet to develop methods of measuring how significant others contribute to the treatment and recovery process. In this study, the influence of significant others was examined in the family-based treatment of 38 mothers who were referred for Family Behavior Therapy by CPS. The Significant Other Support Scale (SOSS) was empirically developed and subsequently utilized to assess the extent to which participants’ significant others were perceived by treatment providers to support the participants’ goals during treatment sessions. Results indicated that SOSS scores (but not participant and significant other session attendance) were associated with lower participant child abuse potential and drug use frequency at the conclusion of treatment. There was no relationship found between SOSS scores and participant session attendance. However, there was a positive correlation between SOSS scores and significant other session attendance (r = .489, p < .01). The results of this study suggest the quality of significant other support during treatment sessions in this population of mothers may be more important to improving treatment outcomes than session attendance per se. Future directions are discussed in light of the results, including methods of using SOSS scores to assist family-based treatments.     

Listening to Children in Care: A Review of Methodological and Theoretical Approaches to Understanding Looked after Children’s Perspectives

This article reviews 44 refereed journal articles published between 2003 and 2008. All of the articles attempt to directly uncover the experiences or perspectives of young people cared for by the state in foster, residential or kinship care homes. The review reveals that this field is developing a rich body of evidence derived from a broad range of methodological and theoretical frameworks. In this sample, research designs appeared to be influenced by placement settings, as well as theoretical orientations, but comparative and longitudinal designs were used in both quantitative and qualitative studies. Participative research designs were only present in qualitative designs within a broadly interpretive theoretical orientation. It is suggested in this article that researchers should critically reflect on the use of constructs that may negatively label young people in care. It is also suggested that there could be fuller reporting of ethical issues. Despite some identified gaps, such as the participation of young people in quantitative research designs and research with younger age groups, the article concludes that there appears to be an encouraging emergence of theoretical and methodological diversity in this research area.     

Tipping as risk sharing

Tipping is often dismissed as an exception to the assumption of rational economic agents. This paper describes situations where tipping is, in fact, an effective mechanism for risk sharing and welfare improvement. When risk-averse customers purchase a service with uncertain quality, tipping can reduce the customer's exposure to risk by making part of the price of the service discretionary. These findings help explain why we tend to tip restaurant workers but not retail workers and why some high-risk service providers, such as lawyers and automobile mechanics, are not typically tipped.     

Condom negotiation strategy use and effectiveness among college students

College students may engage in risky sexual behaviors, such as inconsistent condom use, which increase their risk of sexually transmitted infections. This study examined the association between six condom influence strategies (CIS) and reported condom use among a diverse group of college students. Differences in CIS and condom use were examined by gender, race or ethnicity, and relationship status (casual, monogamous, or no current relationship). The study also used a cluster analysis to investigate how the CIS were used relative to one another, and how patterns of CIS use were related to condom use. Results showed interesting differences in CIS use by gender, race or ethnicity, and relationship status. Four patterns of CIS usage emerged, and results suggested that using all CIS frequently and using more assertive CIS may be particularly important for increased condom use. Men reported more condom use than women overall, but results indicated that using CIS were especially vital for increasing condom use for women. Surprisingly, there were no differences in condom use found for race or ethnicity and relationship type. Programs aimed at increasing students' condom use could benefit from promoting and practicing CIS, and recognizing potential differences among demographic groups.     

Navigating the Road to College: Race and Class Variation in the College Application Process

College attendance brings significant financial gain in lifetime earnings, and in order to reap those benefits more students are attending college than ever before. At the same time as more students have been applying to college, the application process itself has changed dramatically in the last few decades. As the last hurdle on the road to college, the application process is a critical step in the overall college‐choice process. However, until recently much of the research on college choice gave little attention to the actual steps of college application and did not always attend to variations by race and class. Considering the increasing importance of a college education and the consistent inequalities by race and class in who attends college, research examining how social background affects the ways in which students navigate the college application process is crucial. This review examines what we do know about race and class variation in college application, drawing from literature across sociology, economics, and higher education. This review addresses three questions: how does the admissions and application process affect race and class inequalities in college attendance? How have scholars modeled this process and do these models capture the experiences of students across race and class? And finally, how do students from different social backgrounds vary in their approach to applying to college?     

Robust regression using iteratively reweighted least-squares

The rapid development of the theory of robust estimation (Huber, 1973) has created a need for computational procedures to produce robust estimates. We will review a number of different computational approaches for robust linear regression but focus on one—iteratively reweighted least-squares (IRLS). The weight functions that we discuss are a part of a semi-portable subroutine library called ROSEPACK (RObust Statistical Estimation PACKage) that has been developed by the authors and Virginia Klema at the Computer Research Center of the National Bureau of Economic Research, Inc. in Cambridge, Mass. with the support of the National Science Foundation. This library (Klema, 1976) makes it relatively simple to implement an IRLS regression package.