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This study examined the relationship between perceived stress and sexual risk behavior in undergraduate college students. Alcohol use was also studied as a mediator of the relationship between perceived stress and sexual risk behavior, and social support was studied as a moderator of the relationship between perceived stress and alcohol use. Hypothesis one of this study was that there would be a significant relationship between perceived stress and sexual risk behavior. More specifically, it was predicted that individuals who have higher perceived stress would engage in more sexual risk behaviors. Hypothesis two of this study was that alcohol use would significantly mediate the relationship between perceived stress and sexual risk behavior. Hypothesis three was that social support would moderate the relationship between perceived stress and alcohol use. Results were obtained through four brief questionnaires which were administered online; The Sexual Risk Survey (Turchik & Garske, 2009), the Perceived Stress Scale, (Cohen & Williamson, 1988) The Multidimensional Scale of Perceived Social Support (Zimet, Dahlem, Zimet, & Farley, 1988), and the Alcohol Use Disorders Identification Test (AUDIT) (Saunders, Aasland, Babor, de la Fuente, & Grant, 1993). The main hypotheses of this study were not supported; a positive association between perceived stress and sexual risk behavior was found, but the finding was not statistically significant. A significant main effect of alcohol use on sexual risk behavior was found, but the hypothesized mediation analysis was not statistically significant. Hypothesis three was also not supported; results showed that there was not a significant interaction effect of perceived stress and perceived social support on alcohol use. In addition, results of an exploratory analysis which examined social support as a moderator of the relationship between perceived stress and sexual risk behavior were not statistically significant. Results of this study did show a strong, positive correlation between alcohol use and sexual risk behavior. There was a significant difference in sexual risk behavior and alcohol use for white and non-white participants; white participants reported engaging in more sexual risk behaviors compared to non-white participants, which supports findings from other studies. A significant difference in alcohol use for males and females was also found; males scored higher on the alcohol use measure compared to females, which also supports findings from other studies. In addition, findings indicated a moderate, positive correlation between perceived stress and perceived social support, which was measured as the degree of social support received. Conclusions of this study indicate that further research needs to be conducted on perceived stress (appraisal of stress) and sexual risk behavior, since most of the previous research has examined the relationship using other conceptions of stress, such as Posttraumatic Stress Disorder (PTSD) and negative life events. Further research should also be conducted on race, alcohol use, and sexual risk behavior, as well as gender and alcohol use.
Transition to Parenthood moves beyond a one-study focus and captures multidisciplinary work on all families making the transition to parenthood. The book covers societal trends, changes, and most importantly expectations. Focus is also placed on how families are impacted by their surroundings and their individual members. Strengths and limitations of current theories are discussed, as well as how the phenomenon of parenthood requires a combination of both macro- and micro-level theories.
AIDS and the virus that causes it have challenged the world's scientists, health care systems, and public health policies as much or more than any medical problem in recorded history. Perhaps this is so because this particular infirmity constitutes more than a merely medical problem: it is enmeshed in psychological, social, cultural, political, and economic contexts. This book examines the need for pragmatic and research-based suggestions on how to address some important problems related to these contexts. Although much basic research in virology and immunology can be accomplished within the biomedical domain, biobehavioral disciplines such as behavioral medicine offer more opportunities for the comprehensive approach necessary to confront the AIDS/HIV problem. The editors of this groundbreaking volume suggest that the very nature of this constantly evolving problem encourages an approach to research and intervention/prevention efforts that emphasizes flexibility of response to changing knowledge, patterns of the pandemic, new treatments, and shifts in public opinion and behavior. A major triumph in dealing with this phenomenon would include a bridging of the gap between research and applied efforts, which has been the largest obstacle for progress to date. In this book, such previously uncharted territory is explored, opening a host of new possibilities for dealing with the very real threat of AIDS.
Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
Covering social morbidities and mortalities of adolescents, including suicide, smoking, high risk sexual activity, eating disorders, mental health problems and interpersonal violence, this volume consolidates multiple theoretical perspectives.
One in five people in the United States had a sexually transmitted infection (STI) on any given day in 2018, totaling nearly 68 million estimated infections. STIs are often asymptomatic (especially in women) and are therefore often undiagnosed and unreported. Untreated STIs can have severe health consequences, including chronic pelvic pain, infertility, miscarriage or newborn death, and increased risk of HIV infection, genital and oral cancers, neurological and rheumatological effects. In light of this, the Centers for Disease Control and Prevention, through the National Association of County and City Health Officials, commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee to examine the prevention and control of sexually transmitted infections in the United States and provide recommendations for action. In 1997, the Institute of Medicine released a report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Although significant scientific advances have been made since that time, many of the problems and barriers described in that report persist today; STIs remain an underfunded and comparatively neglected field of public health practice and research. The committee reviewed the current state of STIs in the United States, and the resulting report, Sexually Transmitted Infections: Advancing a Sexual Health Paradigm, provides advice on future public health programs, policy, and research.
In order to gain a clearer understanding of stress and its physical and psychological consequences, reversal theory takes into account the fact that many people need stress in their lives in order to operate. This text organizes stress and health research that has been undertaken within the reversal theory framework. The first two chapters outline and provide a focus about reversal theory, thus acting as a bridge to the rest of the text. For those new to reversal theory, tables and figures are included Which Summarize Some Of The Characteristics Of The Metamotivational states identified in the theory, and show how they can be applied systematically. The following section deals with the effects of stress, including: stressful events; academic stress; and back pain and work stress. It then tackles the subjects of the physiology and psychology of smoking and attempts to quit this sort of addiction, and the risk-taking behaviours of parachuting and unsafe sexual practice. Finally the book Examines Health-Promoting Behaviours And The Factors Which Facilitate Or inhibit them.
Adolescents obviously do not always act in ways that serve their own best interests, even as defined by them. Sometimes their perception of their own risks, even of survival to adulthood, is larger than the reality; in other cases, they underestimate the risks of particular actions or behaviors. It is possible, indeed likely, that some adolescents engage in risky behaviors because of a perception of invulnerabilityâ€"the current conventional wisdom of adults' views of adolescent behavior. Others, however, take risks because they feel vulnerable to a point approaching hopelessness. In either case, these perceptions can prompt adolescents to make poor decisions that can put them at risk and leave them vulnerable to physical or psychological harm that may have a negative impact on their long-term health and viability. A small planning group was formed to develop a workshop on reconceptualizing adolescent risk and vulnerability. With funding from Carnegie Corporation of New York, the Workshop on Adolescent Risk and Vulnerability: Setting Priorities took place on March 13, 2001, in Washington, DC. The workshop's goal was to put into perspective the total burden of vulnerability that adolescents face, taking advantage of the growing societal concern for adolescents, the need to set priorities for meeting adolescents' needs, and the opportunity to apply decision-making perspectives to this critical area. This report summarizes the workshop.
Adolescence is a time when youth make decisions, both good and bad, that have consequences for the rest of their lives. Some of these decisions put them at risk of lifelong health problems, injury, or death. The Institute of Medicine held three public workshops between 2008 and 2009 to provide a venue for researchers, health care providers, and community leaders to discuss strategies to improve adolescent health.