HIV Infections Among Older Male Clients of Low-Cost Commercial Sex Venues in Southern China

This study aimed to identify the association of unsafe sex behaviors with HIV infection among the male clients who purchase commercial sex in low-cost sex venues. A cross-sectional study was conduct in a southern province of China among male, low-cost commercial sex clients, who were over 50 years old. Participants were interviewed using a structured questionnaire and had completed HIV testing. Among the 3,485 participants, the prevalence of HIV was 2.96% (95% confidence interval: 2.40–3.52%). The associated risk factors studied for HIV infection included (1) not currently married; (2) use of counterfeit TCMs with sildenafil; (3) noncondom use during commercial purchased sex; and (4) recent engagement of commercial sex within past week. Given the high prevalence of HIV infection among the study group, more political policy intervention and health education should be considered for the identified subpopulation (over 50-year-old men in low-cost commercial venues, counterfeit TCMs with sildenafil and noncondom use).     

Person‐centredness in the community care of older people: A literature‐based concept synthesis

‘Person‐centredness’ is a ubiquitous term, employed in modern care services to signify policies and practices that attend to the uniqueness of each individual user. Despite being highly regarded in older adult community care services, there is much ambiguity over its precise meaning. Existing reviews of person‐centredness and its attributes have tended to focus on the medico‐nursing literature, neglecting other interpretations, such as those relevant to community social care. A new literature‐based concept synthesis reported here identified 12 common attributes within the broad themes of ‘understanding the person’, ‘engagement in decision‐making’ and ‘promoting the care relationship’. The review also contrasts how these attributes are applied across different interpretations of person‐centredness. The article argues that not all attributes necessarily pull in the same direction, and that older adults may require them to be delivered in different ways than they are to younger people. Thus, a ‘one‐size‐fits‐all’ approach should be discouraged in community care. Key Practitioner Message: ? ‘Person‐centredness’ is open to multiple interpretations, causing difficulties for services trying to gauge performance and quality; ? Three themes are central to person‐centred services: ‘understanding the person’, ‘engagement in decision‐making’ and ‘promoting the care relationship’; ? A ‘one‐size‐fits‐all’ approach to applying person‐centredness is to be discouraged.     

New asymptotic inferences about the difference,ratio, and linear combination of two independent proportions

In statistics it is customary to realize asymptotic inferences about the difference d, the ratio R or a linear combination L of two independent proportions. In this article the authors evaluate ten inference methods, and conclude that for α = 1% some of the new procedures behave better than the classical. In cases d, R, or L, the optimal method consists in adding 0.5, 0.5 or 1 to all the data, respectively, and then applying a modification of the arc-sine transformation (d or R) or the likelihood ratio test (L). A free program may be obtained at ULR http://www.ugr.es/local/bioest/Z_LINEAR_K.EXE.     

A Study of Individual‐Level Social Capital and Health Outcomes: Testing for Variance between Rural and Urban Respondents

This study examines associations between social capital and health outcomes with data from the 2010 Brazos Valley Health Survey (Texas) (N = 3,176). Multivariate adjusted logistic regression analysis demonstrated that poor and fair health status was inversely predicted by both high trust (adjusted OR = .67 [CI = .50–.92]) and high informal social ties (adjusted OR = .68 [CI = .49–.94]), as well as being predicted by the interaction of urban‐rural and community participation (adjusted OR = 1.20 [CI = 1.02–1.40]). Mental distress was inversely predicted by high trust (adjusted OR = .51 [CI = .29–.89]) and the interaction of urban/rural and informal social ties (adjusted OR = .77 [CI = .61–.97]). Thus, whereas social capital poses general benefits in regard to improving health status and mental distress, the former benefits are greater for rural respondents, while the latter benefits are greater for urban respondents.     

Variation in the Relationship Between Education and Marriage: Marriage Market Mismatch?

Educational expansion has led to greater diversity in the social backgrounds of college students. We ask how schooling interacts with this diversity to influence marriage formation among men and women. Relying on data from the 1979 National Longitudinal Survey of Youth (N = 3208), we use a propensity score approach to group men and women into social strata and multilevel event history models to test differences in the effects of college attendance across strata. We find a statistically significant, positive trend in the effects of college attendance across strata, with the largest effects of college on first marriage among the more advantaged and the smallest-indeed, negative-effects among the least advantaged men and women. These findings appear consistent with a mismatch in the marriage market between individuals' education and their social backgrounds.