Prevalence of unprotected sex and HIV‐antibody testing among gay,lesbian, and bisexual youth

Prevalence of unprotected sex and HIV‐antibody testing were examined in a sample of Southern gay, lesbian, and bisexual youth (n = 117). In addition, a new measure was tested in terms of its ability to distinguish youth who obtain HIV‐antibody testing from those who do not. Data were collected at a conference for these youth, as well as at a Gay and Lesbian Community Center in a Southeastern metropolitan area. Youth reported engaging in a wide range of risk behaviors, yet less than one half had been tested for HIV. Factor analysis was conducted for the new measure, which assessed beliefs about HIV testing in youth, and each factor was significantly different for youth who had been tested compared to those who had not. Gay, lesbian, and bisexual youth were at high risk for HIV infection and were often untested for HIV antibodies.     

Exploring the relationships among practitioners’ consultation skills,competence to counsel lesbian,gay, and bisexual clients,and attitudes toward transgender people

Abstract

Consultation is an intervention that can diffuse expertise in lesbian, gay, bisexual, transgender, and questioning (LGBTQ) issues throughout systems of care. Practitioners (N?=?145) were surveyed on their lesbian, gay, and bisexual (LGB) counseling competence, attitudes toward transgender people, and consultation skills. Hierarchical multiple regression analysis identified that consultation competence significantly influenced (p?≤?.01) LGB counseling skills over and above LGB knowledge and awareness, attitudes toward transgender people, and participant demographic characteristics. The domains of LGB competence and attitudes toward transgender people were also significantly correlated within the participant sample. Implications for practice, training, and future research are discussed.     

“I'm still raring to go”: Successful aging among lesbian,gay, bisexual,and transgender older adults

While we know that minority status differentiates the experience of aging, little research has been done to examine the ways in which patterns of successful aging may differ in diverse subgroups of older adults. In this exploratory study, we investigated and described experiences of successful aging in a sample of lesbian, gay, bisexual and transgender (LGBT) older adults. Directed by a community-based participatory research process, we conducted semi-structured in-depth interviews with 22 LGBT adults, age 60 and older. We took an inductive, grounded theory approach to analyze the taped and transcribed interviews. We coded respondent experiences in four domains: physical health, mental health, emotional state and social engagement. Four gradations of successful aging emerged. Very few in our sample met the bar for “traditional success” characterized by the absence of problems in all four domains of health. Most of the sample was coping to a degree with problems and was categorized in one of two gradations on a continuum of successful aging: “surviving and thriving” and “working at it.” A small number was “ailing”: not coping well with problems. Some of the experiences that respondents described were related to LGBT status; others were related to more general processes of aging. The research suggests that a successful aging framework that is modified to include coping can better describe the experiences of LGBT older adults. The modified conceptual model outlined here may be useful in future research on this population, as well as more broadly for diverse populations of adults, and may be adapted for use in practice to assess and improve health and well-being.     

A comparison of African American and white college students’ affective and attitudinal reactions to lesbian,gay, and bisexual individuals: An exploratory study

African American (n = 70) university students were compared with White students (n = 140) on their affective (homophobia) and attitudinal (homonegativity) reactions to lesbian, gay, and bisexual individuals. The results initially suggested that African Americans had modestly higher homophobia and homonegativity scores than Whites. However, those ethnic differences vanished after controlling for frequency of church attendance, religious commitment, and socioeconomic status. For both ethnic groups, gender and religiosity variables significantly predicted homophobia and homonegativity. Men in both ethnic groups had significantly higher homophobia and homonegativity scores than their female counterparts. Lastly, additional regression analyses revealed that one aspect of African American culture—family practices—significantly predicted homophobia, but not homonegativity, above the predictive ability of religiosity. Implications of the results are discussed.     

The influence of dual‐identity development on the psychosocial functioning of African‐American gay and bisexual men

To examine the influence of racial‐ethnic and sexual identity development on the psychosocial functioning of African‐American gay and bisexual men (AAGBM), 174 AAGBM completed questionnaire packets designed to assess their levels of racial‐ethnic and sexual identity development, self‐esteem, social support, male gender role stress, HIV prevention self‐efficacy, psychological distress, and life satisfaction. The results indicate that AAGBM who possess more positive (i.e., integrated) seif‐identification as being African American and gay reported higher levels of self‐esteem, HIV prevention self‐efficacy, stronger social support networks, greater levels of life satisfaction, and lower levels of male gender role and psychological distress than their counterparts who reported less positive (i.e., less well integrated) African‐American and gay identity development. Although higher levels of racial‐ethnic identity development were associated with greater levels of life satisfaction, sexual identity development was not.     

Are maternal and community risk factors associated with the presence of asthma among children placed in foster care?

Objective

The occurrence of pediatric asthma has been associated with exposure to chronic stress. This study examined the relationship between maternal and community risk factors and asthma in a sample of maltreated children in foster care.

Method

Interviews were conducted with 365 maltreated children in foster care. Measures included youth/caregiver reports of asthma, an index of maternal risk based on data abstracted from child welfare records and community violence exposure.

Results

After controlling for demographic variables, maternal risk was associated with the presence of asthma (OR = 1.314, 95% CI = 1.09–1.58). Community violence exposure, however, was not related to the presence of asthma.

Conclusion

Maternal risk factors were significantly associated with the presence of asthma in a foster care population. Physicians who care for maltreated children in foster care should be particularly attuned to the presence of these additional risk factors that may place high-risk children at increased risk for chronic health problems.     

Communism and pro‐soviet feeling among the Jews of East London, 1935–45

In the 1945 general election, a Communist was elected to Parliament from Mile End, Stepney, a constituency populated in large part by working‐class Jews of East European origin. Pro‐Soviet feeling in the preceding decade was strong, and was translated into ideological and political activity on behalf of the USSR by various East London branches of trade unions; friendly societies such as the Arbeter Ring (Workers’ Circle); Yiddishist groups, and popular front organizations such as the Jewish Fund for Soviet Russia. In late 1943 two prominent Soviet Jewish emissaries, Itzik Feffer and Shloime Mikhoels, visited England. Among their hosts were the Jewish organizations of Stepney. The effects of their tour, and the emotional intensity with which East London Jews followed the course of the Russo‐German war, were instrumental in creating the climate of opinion enabling the CP to post its 1945 victory.     

Hidden dangers among circuit parties—A systematic review of HIV prevalence,sexual behaviors and drug abuse during the biggest gay events

ABSTRACT

Circuit parties (CP) are extended celebrations, lasting from a day to a week, primarily attended by gay and bisexual men in their thirties and forties. The increasing popularity of circuit parties may play a significant role in the epidemiology of HIV and other sexually transmitted diseases. We performed a systematic literature search in MEDLINE, without any temporal limit, using the term “circuit party”. Only articles reporting cross-sectional studies were analyzed. Ten articles, published in the period from 2001 to 2015 were included in our systematic review and reported data on samples ranging from 173 to 13,883 gay/bisexual men. The HIV prevalence among men who attended the CPs was very high, ranging from 6% to 40.8%. Sexual risk behaviors (e.g. unsafe sex or multiple partners) and drug use were particularly frequent. It wo'uld be useful to promote efficient strategies with the cooperation of party planners, catching the participants before nightlife activities in order to prevent HIV transmission and the use of recreational drugs.     

Engaging with Listening,Silence and Noise: Peering‐into the Analytical/Continental Divide

In this paper I offer, by way of a circuitous route, a journey examining ‘how we know we know’. This examination is significant as it again rehearses the division between ‘Analytical’ and ‘Continental’ knowing. A division in valuing knowing that, when tested in the circumstances of a performance of John Cage's ‘4 minutes and 33 seconds’ and an engagement with Diego Velázquez's painting Las Meninas, exposes the role of the audience in their engagement with any object or event.     

Analysis of cardiovascular risk factors associated with serum testosterone levels according to the US 2011–2012 National Health and Nutrition Examination Survey

Objective: To investigate associations between cardiovascular disease risk factors, including fasting glucose, cholesterol, high density lipoprotein cholesterol (HDL-c), LDL-c, blood pressure, body mass index (BMI), C-peptide, creatinine kinase, smoking, alcohol use, physical activity, C-reactive protein as well as homocysteine levels and cardiovascular events.

Methods: Data from 1545 men aged ≥40?years, with testosterone deficiency (TD) (<300?ng/dL) and non-TD (≥300?ng/dL) which were extracted from the National Health and Nutrition Examination Survey database 2011–2012 and analyzed.

Results: Multivariate logistic regression analysis showed positive associations between TD and BMI (≥35 vs.?p?=?.016), HDL-c (<0.91 vs. ≥0.91: OR?=?1.60, 95% CI: 1.14–2.24, p?=?.006) and diabetes (diabetes vs. non-diabetes: OR?=?1.48, 95% CI: 1.14–1.92, p?=?.004) as well as negative associations between TD and metabolic equivalent scores (≥12 vs. <12: OR?=?0.69, 95% CI: 0.52–0.91, p?=?.009) and smoking (Ever vs. never: OR?=?0.69, 95% CI: 0.51–0.94, p?=?.018). Furthermore, total serum testosterone levels were lower in patients with heart failure (p?=?.04) and angina/angina pectoris (p?=?.001) compared with subjects without these cardiac problems.

Conclusion: Low serum testosterone was associated with multiple risk factors for CHD.     

Working with Violence,the Emotions and the Psycho‐social Dynamics of Child Protection: Reflections on the Victoria Climbié Case

In recent years, attention to the psychological and emotional aspects of doing child protection has been largely ignored in the literature and squeezed out of understandings of welfare practices. This paper argues for the establishment of a coherent psycho‐social perspective at the core of social work education and practice and in inter‐professional child protection work more generally. Central to this must be recognition of the complexities of service users, especially the challenges of working with resistant and often hostile ‘involuntary clients’ and the impact of violence and other health, safety and contamination fears on the capacities of workers and professional networks to protect children. These issues are grounded in a critical analysis of the Victoria Climbié case and the Laming report into her horrific death which, despite its strengths, presents rational and naïve solutions to what must be understood as often irrational and inherently complex psycho‐social processes. A psycho‐social reading of the case permits us to explain the unexplainable in how Victoria's abuse was missed. The general implications of these arguments are drawn out for education, training and practice.     

How do others influence our attitudes? Analysis of the primus inter pares effect and mediating variables associated with this process / ¿Cómo influyen los otros en nuestras actitudes? Análisis del efecto primus inter pares y variables mediadoras asociadas a ese proceso

The study examines whether there is a primus inter pares effect in the domain of prejudiced attitudes, where there is hardly any information on this effect. It also explores the relationship between the prejudiced attitudes perceived in others and one’s own and how this relationship influences our general prejudice. To do so, we compared two opposite hypotheses in two studies. The assimilation hypothesis suggests that attitudes perceived in others influence our own attitudes and our general prejudice. The social projection hypothesis claims that our attitudes influence the attitudes we perceive in others, and consequently our prejudice. A total of 243 students in compulsory secondary education participated in the first study, in which the attitudes towards fat¹1. While ‘fat’ is generally not a socially acceptable term in English, particularly in academic discourse, the authors of this article have suggest that ‘fat’ be used in the English translation for the sake of clarity and accuracy, because in Spanish the word gordo/a (‘fat’) was used precisely because the study was on prejudices.View all notes people were measured. In the second study, 442 psychology students participated, and we measured their attitudes towards Moroccan immigrants. In both studies, participants considered themselves less prejudiced than others, and their own attitudes mediated the relationship between the attitudes perceived in others and their general prejudice.