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  • 1
    Online Resource
    Online Resource
    SAGE Publications ; 2011
    In:  Journal of Interpersonal Violence Vol. 26, No. 14 ( 2011-09), p. 2790-2810
    In: Journal of Interpersonal Violence, SAGE Publications, Vol. 26, No. 14 ( 2011-09), p. 2790-2810
    Abstract: Purpose: We examined the potential association between African couples’ concordance on attitudes toward violence (ATV) and risk for intimate partner violence (IPV). Method: Analyses included 13,837 couples from Demographic and Health Surveys conducted between 2003 and 2007, from six African countries. Concordance on ATV was defined as both spouses justifying physical abuse, and IPV was defined as incidence of a physically violent act against the wife. We constructed a concordance measure from the surveys to assess overall and country-level differences in couple’s ATV concordance rates and assessed the association between concordance in ATV and IPV using hierarchical regression modeling that adjusted for multilevel influences on risk estimates. Negative concordance (perfect agreement in negative ATV) was used as referent category in all analyses. Findings: Overall, spousal ATV concordance was associated with higher likelihood for IPV (adjusted odds ratio [AOR] = 2.27, 95% confidence interval [CI] = [2.01, 2.56]). The level of wealth, educational attainment, rural/urban residence, presence of a cowife, religion, maternal age, and parity were characteristics that predicted the occurrence of IPV within couples. Spousal ATV concordance was significantly associated with violence in every African nation included in the analysis except Rwanda. Conclusions: African couples with high rates of ATV concor- dance experience higher risks for IPV, with some variation in magnitude of risk across countries. In African settings, ATV positive concordance could serve as a supplemental screening tool to detect spousal violence. Understanding ATV could potentially enhance our ability to formulate public health intervention to detect and prevent spousal abuse.
    Type of Medium: Online Resource
    ISSN: 0886-2605 , 1552-6518
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
    detail.hit.zdb_id: 2028900-5
    SSG: 2
    SSG: 2,1
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2020
    In:  Journal of Black Studies Vol. 51, No. 5 ( 2020-07), p. 481-500
    In: Journal of Black Studies, SAGE Publications, Vol. 51, No. 5 ( 2020-07), p. 481-500
    Abstract: Racial discrimination in the United States continues to adversely affect health outcomes to the detriment of African Americans. To assess the experiences of residents of a metropolitan community with high rates of racial health disparities in upstate New York, we conducted a survey to measure the primary reasons for discrimination and their experiences with daily and lifetime discrimination, reactions to these experiences, and coping mechanisms. Of the 739 individuals who completed the survey in 2012, 71.5% self-reported as Black or African American. This article focuses on the experiences of Blacks or African Americans, among whom 76.2% reported having experienced racial discrimination at some point in their life. Respondents with higher levels of education and higher income were more likely to report experiencing racial discrimination at work, while for those with a high school education or less it was on the street or public spaces. The burden of these experiences affected individuals by making life more difficult and interfering with a productive life. In light of the known impact of racial discrimination on individual and population health and well-being, it is crucial that efforts to address social and health disparities take into account the high rates of experiences of racism.
    Type of Medium: Online Resource
    ISSN: 0021-9347 , 1552-4566
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 1499073-8
    SSG: 7,26
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  • 3
    In: American Journal of Men's Health, SAGE Publications, Vol. 9, No. 1 ( 2015-01), p. 6-14
    Abstract: Prior research indicates that infants with absent fathers are vulnerable to unfavorable fetal birth outcomes. HIV is a recognized risk factor for adverse birth outcomes. However, the influence of paternal involvement on fetal morbidity outcomes in women with HIV remains poorly understood. Using linked hospital discharge data and vital statistics records for the state of Florida (1998-2007), the authors assessed the association between paternal involvement and fetal growth outcomes (i.e., low birth weight [LBW], very low birth weight [VLBW] , preterm birth [PTB], very preterm birth [VPTB] , and small for gestational age [SGA]) among HIV-positive mothers ( N = 4,719). Propensity score matching was used to match cases (absent fathers) to controls (fathers involved). Conditional logistic regression was employed to generate adjusted odds ratios (OR). Mothers of infants with absent fathers were more likely to be Black, younger ( 〈 35 years old), and unmarried with at least a high school education ( p 〈 .01). They were also more likely to have a history of drug ( p 〈 .01) and alcohol ( p = .02) abuse. These differences disappeared after propensity score matching. Infants of HIV-positive mothers with absent paternal involvement during pregnancy had elevated risks for adverse fetal outcomes (LBW: OR = 1.30, 95% confidence interval [CI] = 1.05-1.60; VLBW: OR = 1.72, 95% CI = 1.05-2.82; PTB: OR = 1.38, 95% CI = 1.13-1.69; VPTB: OR = 1.81, 95% CI = 1.13-2.90). Absence of fathers increases the likelihood of adverse fetal morbidity outcomes in women with HIV infection. These findings underscore the importance of paternal involvement during pregnancy, especially as an important component of programs for prevention of mother-to-child transmission of HIV.
    Type of Medium: Online Resource
    ISSN: 1557-9883 , 1557-9891
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2275106-3
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2012
    In:  American Journal of Men's Health Vol. 6, No. 5 ( 2012-09), p. 427-435
    In: American Journal of Men's Health, SAGE Publications, Vol. 6, No. 5 ( 2012-09), p. 427-435
    Abstract: Research investigating the role of paternal age in adverse birth outcomes is limited. This population-based retrospective cohort study used the Missouri maternally linked data set from 1989 to 2005 to assess whether paternal age affects fetal birth outcomes: low birth weight (LBW), preterm birth (PTB), stillbirth, and small size for gestational age (SGA). We examined these outcomes among infants across seven paternal age-groups ( 〈 20, 20-24, 25-29, 30-34, 35-39, 40-45, and 〉 45 years) using the generalized estimating equation framework. Compared with infants born to younger fathers (25-29 years), infants born to fathers aged 40 to 45 years had a 24% increased risk of stillbirth but a reduced risk of SGA. A 48% increased risk of late stillbirth was observed in infants born to advanced paternal age ( 〉 45 years). Moreover, advanced paternal age ( 〉 45 years) was observed to result in a 19%, 13%, and 29% greater risk for LBW, PTB, and VPTB (very preterm birth) infants, respectively. Infants born to fathers aged 30 to 39 years had a lower risk of LBW, PTB, and SGA, whereas those born to fathers aged 24 years or younger had an elevated likelihood of experiencing these same adverse outcomes. These findings demonstrate that paternal age influences birth outcomes and warrants further investigation.
    Type of Medium: Online Resource
    ISSN: 1557-9883 , 1557-9891
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
    detail.hit.zdb_id: 2275106-3
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2019
    In:  Substance Abuse: Research and Treatment Vol. 13 ( 2019-01), p. 117822181881884-
    In: Substance Abuse: Research and Treatment, SAGE Publications, Vol. 13 ( 2019-01), p. 117822181881884-
    Abstract: Women with substance use disorders (SUDs) often experience inadequate health care, mental and physical health problems, trauma, lack of social support, and undermining of support for psychological needs of autonomy, competence, and relatedness needed for motivation and well-being. For women with SUD trying to reclaim sobriety and a healthy life, family can present both barriers and support. The aim of this study is to gain a deeper understanding of the intersection of family relationships with motivation of women in Drug Treatment Court (DTC) to attain their health goals. Data consist of transcribed intervention sessions between trained peer interventionists and 15 DTC participants from The Women’s Initiative Supporting Health DTC Intervention Study. This analysis uses a qualitative framework approach to analyze the data. The Self-determination Theory of human motivation and Family Systems Theory provide the conceptual framework to understand how participants’ expressions of motivation-related basic needs of autonomy, competence, and relatedness and change-related behaviors interfaced with family support. Analysis revealed more mentions of family in motivation-supportive contexts than in motivation-thwarting contexts, but highlighted complex roles families can play in health of women in recovery from SUD. Providers may be able to incorporate this knowledge to address the needs of this challenging population.
    Type of Medium: Online Resource
    ISSN: 1178-2218 , 1178-2218
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2517768-0
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