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Understanding the barriers to antiretroviral adherence is a critical step in improving the effectiveness of HIV treatment and saving lives. We sought to assess, qualitatively, the experiences of HIV-positive persons taking antiretroviral therapy (ART) in North Carolina. Twenty-four people participated in one of six focus groups. A structured interview script included three questions (two open-ended) and eight probes. Each discussion was taped, transcribed, and content-analyzed. Three distinct themes emerged. First, many participants believed that taking ART was lifesaving but missed doses because they feared that taking them in public would reveal their HIV status. Second, as a result, participants often found it difficult to integrate their regimens into the most basic daily activities. Finally, participants stressed the importance of having open, ongoing dialogues about their treatment plans and privacy needs with a wide range of health care workers. Multidimensional, tailored interventions may help persons living with HIV overcome the stigma and other complex barriers they face in taking antiretroviral therapy.

OBJECTIVE: The purpose of the study was to determine if sexual behaviors, orgasm, tampon use, and douching during menstruation modify the risk of endometriosis., METHODS: A case-control study was conducted. Subjects (n = 2,012) consisted of members of the Endometriosis Association and friends not affiliated with the organization who completed mailed surveys. Data were analyzed using chi(2), Fisher's exact test, t test, and regression analyses., RESULTS: There was no difference between study groups concerning douching practices. However, cases were less likely than controls to report sometimes or often engaging in sexual behaviors during menstruation (p = 0.002, OR = 1.5), and sexual behaviors during menstruation that included orgasm (p = 0.001, OR = 1.5). Cases were also less likely than controls to report using only tampons (p < 0.0001, OR = 2.6)., CONCLUSION: Sexual activity, orgasm, and tampon use during menstruation may confer protection against endometriosis. Copyright 2002 S. Karger AG, Basel

The Enhancing Data Utilization Skills through Information Technology (EDUSIT) project trained Maternal and Child Health professionals to collect, analyze and interpret data via a year-long web-based course. The overall goal of the project was to strengthen the technology and analytic skills of the public health workforce. This article describes and analyzes a web-based module for training public health professionals to use qualitative research and evaluation methods that was one of six offered within the EDUSIT project. The qualitative module consisted of six units: overview of qualitative methods, planning qualitative studies, conducting field observations, qualitative interviewing, analyzing qualitative data and presenting qualitative findings. Evaluation results found no statistically significant changes in specific knowledge or beliefs about qualitative methods. However, the change in participants' self-efficacy was statistically significant. Participants' self-reports also showed significant changes in perceived skill levels in `collecting qualitative data through an interview' and `analyzing and interpreting qualitative data'. Most participants rated each lesson within the qualitative methods module as valuable, and most found the teaching methods used satisfactory, emphasizing the value of both the didactic teaching and the practical exercises and team project. The most common difficulty reported was finding the time to complete the module requirements while also working full-time. Implications of these findings for web-based teaching of public health professionals are discussed.

Correlates of sexual satisfaction were identified in a sample of older married women. A 70-item questionnaire was mailed to an age-stratified sample of 5,000 married persons, including 1,000 married women over the age of 50. Usable questionnaires were received from 148 participants (14.8% return rate). Hierarchical multiple regression analysis, using sexual satisfaction as the dependent variable, yield ed five predictor variables that accounted for a significant portion of the variation in sexual satisfaction (Cumulative R-2 = .73). These results serve as a reminder that sexual interactions cannot be compartmentalized but must be considered within the context of the overall marriage relationship. Given the low return rate, interpretations should be limited until replication with an adequate sample has been completed.

Occupational segregation by race and gender, though less common now than in the past, continues to be the norm rather than the exception in the sport industry. The purpose of this study was twofold. First, occupational segregation on the baseball playing field, often referred to as stacking, was discussed in light of human capital and social closure theories. Second, an attempt was made to replicate and extend a multivariate analysis of stacking by Margolis and Piliavin (1999) that challenges the dominant social science paradigm for explaining stacking. The present study uses more recent data than the Margolis and Piliavin study, as well as multinomial logistic regression analysis. The results reveal that stacking persists in Major League Baseball. They also reveal that the effect of race/ethnicity on assignments to playing positions is reduced when one controls for skills and physical characteristics such as speed and power hitting. The implications of this finding for sport management are examined.

This study examined whether maternal ratings of the Five-Factor Model (FFM) obtained when children were 3.5 years would show theoretically coherent patterns of relations with a variety of behavioral referents in the laboratory at 5 years as well as with maternal and self-ratings of psychological functioning in adolescence. As expected, Agreeableness and Conscientiousness were associated with measures of self-regulation at both ages as well as with an internal locus of control, but only Conscientiousness was associated with high academic performance. By contrast, Neuroticism was associated with measures of anxiety and Extraversion was associated with difficulty inhibiting behaviors at both ages. Openness to Experience was associated with sophisticated play behavior at 5 years and self-confidence in adolescence. Overall, this study yielded strong support for the predictive validity of the FFM with preschool age children and provided further evidence that there are striking continuities in personality from early childhood to adolescence. (c) 2004 Elsevier Inc. All rights reserved.

The McGurk effect, where an incongruent visual syllable influences identification of an auditory syllable, does not always occur, suggesting that perceivers sometimes fail to use relevant visual phonetic information. We tested whether another visual phonetic effect, which involves the influence of visual speaking rate on perceived voicing (Green & Miller, 1985), would occur in instances when the McGurk effect does not. In Experiment 1, we established this visual rate effect using auditory and visual stimuli matching in place of articulation, finding a shift in the voicing boundary along an auditory voice-onset-time continuum with fast versus slow visual speech tokens. In Experiment 2, we used auditory and visual stimuli differing in place of articulation and found a shift in the voicing boundary due to visual rate when the McGurk effect occurred and, more critically, when it did not. The latter finding indicates that phonetically relevant visual information is used in speech perception even when the McGurk effect does not occur, suggesting that the incidence of the McGurk effect underestimates the extent of audio-visual integration.

In Experiment 1 with rats, a left lever press led to a 5-s delay and then a possible reinforcer. A right lever press led to an adjusting delay and then a certain reinforcer. This delay was adjusted over trials to estimate an indifference point, or a delay at which the two alternatives were chosen about equally often. Indifference points increased as the probability of reinforcement for the left lever decreased. In some conditions with a 20% chance of food, a light above the left lever was lit during the 5-s delay on all trials, but in other conditions, the light was only lit on those trials that ended with food. Unlike previous results with pigeons, the presence or absence of the delay light on no-food trials had no effect on the rats' indifference points. In other conditions, the rats showed less preference for the 20% alternative when the time between trials was longer. In Experiment 2 with rats, fixed-interval schedules were used instead of simple delays, and the presence or absence of the fixed-interval requirement on no-food trials had no effect on the indifference points. In Experiment 3 with rats and Experiment 4 with pigeons, the animals chose between a fixed-ratio 8 schedule that led to food on 33% of the trials and an adjusting-ratio schedule with food on 100% of the trials. Surprisingly, the rats showed less preference for the 33% alternative in conditions in which the ratio requirement was omitted on no-food trials. For the pigeons, the presence or absence of the ratio requirement on no-food trials had little effect. The results suggest that there may be differences between rats and pigeons in how they respond in choice situations involving delayed and probabilistic reinforcers.

Experiments with pigeons and rats on concurrent-chains schedules examined a paradoxical effect reported by R. A. Preston and E. Fantino (1991). One schedule in the concurrent chain had a variable-interval (VI) 60-s initial link, and its terminal link was a 10-s delay to food. The other schedule had an initial link that ranged from VI 60 s to VI 2 s, and its terminal link was a 20-s delay to food. The paradoxical effect--a decrease in preference for the 20-s delay as its initial link was shortened--was found in some conditions but not in others. An analysis of response-reinforcer delays suggested that the paradoxical effect occurred in conditions in which responding on the short VI schedule almost always led to the 20-s delay, eliminating the possibility of switching to the alternative with the shorter delay. Copyright 2005 APA.

This study examined concept maps produced by personality psychology students as a function of different types of concept map instruction. The results indicated the number of quantitative items in the students' concept maps significantly increased from the pretest to the posttest, as would be expected over the course of an academic semester. More importantly, the type of instructions the students received at the pretest played a significant role in the number of cross links depicted in the maps at the posttest. I discuss the results in term of the utility of instruction type when using concept maps in social science courses.

This research on decision-making heuristics is similar to research on animal learning in at least two ways. First, optimality modeling has not proven to be very useful for either research area. Second, both of these research areas seek to find general principles (or heuristics) that are applicable to different species in different settings. However, the basic principles of classical and operant conditioning seem to be more uniform across species and situations, whereas decision-making heuristics can vary for different species and different situations, even for tasks with very similar characteristics.

In Experiment 1, pigeons responded on concurrent-chains schedules with equal variable-interval schedules as initial links and fixed delays to food as terminal links. One terminal-link delay was always three times as long as the other. As terminal-link delays increased, response percentages on the key with the shorter terminal link increased according to a curvilinear function. This result supported the predictions of the hyperbolic value-added model and the contextual-choice theory but not delay-reduction theory. In Experiment 2, the terminal links were always delays of 2 s and 12 s, followed by food, and the durations of the initial links varied across conditions. As initial-link durations increased, pigeons' response percentages on the key with the shorter terminal link decreased, but toward an asymptote greater than 50%, indicating a continued preference for the shorter terminal link with very long initial links. This result was more consistent with the predictions of the hyperbolic-value added model than with those of the contextual-choice model or of delay-reduction theory. (C) 2004 Elsevier B.V. All rights reserved.

This study examined the relative importance of self-esteem, family cohesion, and support from friends in predicting depressed mood and anxiety in Japanese and American college students. Contrary to expectations, self-esteem was the strongest predictor of emotional distress in both groups of students. Nevertheless, consistent with predictions derived from Markus and Kitayama's theory of self-construals, family cohesion accounted for a significantly larger percentage of the variance in predicting emotional distress in Japan than in the United States. In both countries, the relations between support from friends and the measures of emotional distress were entirely mediated by self-esteem. However, among Japanese students, family cohesion accounted for additional significant variance in predicting the measures of emotional distress, even after controlling for self-esteem.

Phoneme identification with audiovisually discrepant stimuli is influenced by information in the visual signal (the McGurk effect). Additionally, lexical status affects identification of auditorily presented phonemes. The present study tested for lexical influences on the McGurk effect. Participants identified phonemes in audiovisually discrepant stimuli in which lexical status of the auditory component and of a visually influenced percept was independently varied. Visually influenced (McGurk) responses were more frequent when they formed a word and when the auditory signal was a nonword (Experiment 1). Lexical effects were larger for slow than for fast responses (Experiment 2), as with auditory speech, and were replicated with stimuli matched on physical properties (Experiment 3). These results are consistent with models in which lexical processing of speech is modality independent.

The purpose of this study was to shed further light on the intrapersonal and interpersonal correlates of shame- and guilt-proneness by examining their relations with self- and peer-ratings of the five-factor model (FFM) of personality. Shame- and guilt-proneness were assessed using a scenario-based and a checklist measure. Consistent with findings from previous research, the self-rating data yielded support for the view that shame-proneness may be associated with more maladaptive patterns than guilt-proneness. However, peer-ratings of personality failed to corroborate these findings. Both scenario-based and checklist measures of shame-proneness were associated with a tendency to underestimate one's Agreeableness relative to peer-ratings. Several possible interpretations of these findings are discussed in light of the extant research on personality judgment. (C) 2003 Elsevier Science (USA). All rights reserved.

The current study examined gender and identity status differences in late adolescents' possible selves. The intent of the study was to clarify conflicts between theory and research on gender differences in identity by investigating the content of participants' possible selves. Participants completed measures of identity and possible selves. The results indicated that there was a relationship between gender and the mean number of both feared and balanced interpersonally themed possible selves. The pattern of results is discussed in terms of prior findings regarding gender differences in both identity and possible selves. Suggestions for future research are also provided. (C) 2003 The Association for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

Infants' expressions of discrete emotions were coded during the more stressful episodes (4 through 8) of the Strange Situation at 13 and 18 months. The data showed a significant decrease in full-face expressions (more complex configurations of movements) and a significant increase in component expressions (simpler and more constrained patterns of movements). The authors interpreted this trend as a developmental change toward more regulated and less intense emotions. Consistent with this view, the aggregate index of infants' full-face negative emotion expressions, interpreted as reflecting relatively unregulated intense emotions, correlated significantly with maternal ratings of difficult temperament. The authors discuss alternative interpretations of the findings in terms of changes in reactivity/arousability and the emerging capacity for self-regulation.