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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
161

An exploration of the level of HIV risky behaviours and the sources of information on HIV for the youth in Johannesburg : is loveLife one of their sources of information?

Letsela, Lebohang V. 21 June 2010 (has links)
The aim of this research was to investigate the HIV knowledge and risk behaviours of students as well as to deteremine whether the youth are aware of and utilising loveLife services. This was demonstrated with the HIV knowledge and risky behaviours of respondents using loveLife as their source of HIV information. Data was gathered by administering open-ended and close-ended questionnaires to 152 South African students aged 18—25 years old studying at Johannesburg, Braamfontein tertiary institutions. These questionnaires were structured to include the following information: the demography , condom attitude scale, the current and previous sexual behaviours, socio-sexual orientation index (SOI), self-efficacy for protective sexual behaviours scale, HIV and AIDS knowledge and understanding questionnaire,as well as the loveLife exposure, participation and response questionnaire. The data analysis techniques included statistical techniques of frequency counts, cross tabulations, Chi Square tests of associations, Point Biserial correlations, two independent t-test and Mann-Whitney U test, which were applied to all quantitative data; whereas thematic content analysis was applied to the open-ended questionnaire (qualitative data). Results revealed that young people are aware of loveLife services but are not utilising them. Respondents generally had good but biased HIV knowledge and increased HIV sexual risk behaviours. However, insignificant associations were found between awareness and utilisation of loveLife services and HIV knowledge and understanding, and sexual risk behaviours. The implications of the current study and recommendations for future studies are discussed.
162

A AGRESSIVIDADE E OS CONFLITOS NAS BRINCADEIRAS ENTRE CRIANÇAS EM SITUAÇÃO DE RISCO SOCIAL

Pinho, Luiz Fernando Sempionato Vieira 17 December 2004 (has links)
Made available in DSpace on 2016-07-27T14:20:46Z (GMT). No. of bitstreams: 1 Luiz Fernando Sempionato Vieira Pinho.pdf: 334627 bytes, checksum: a8591a667a5781432caa30a63ec2fb35 (MD5) Previous issue date: 2004-12-17 / Children in social and personal risky conditions are exposed to a number of stressful factors that theoretically increase their predisposition to aggressive behavior. This study focused a group of such children, from five to eight years of age, in a daily care center located in the periphery of Goiânia, and was conducted between April and December of 2003. Sixteen subcategories of physical aggression, eight of threat, seven of submission, and one of stealing were identified during a pilot study. The all occurrences sampling method was used for the systematic data collection, conducted from September to November of 2003. For each episode of agonistic interaction it was noted the identity of parties, the first subcategory emitted by the initiator of the episode, and the last subcategory emitted by the receptor. Biometrics measurements and questionnaires about the socioeconomic situation of each subject were conducted in December of 2003. Four hundred and ninety nine agonistic interactions were registered during 38 sessions of systematic data collection (1740 minutes of sampling). Some patterns were similar to those found in previous studies with children living in better socioeconomic context, such as a higher frequency of occurrence and a larger proportion of physical aggression in episodes involving male subjects, and a larger proportion of verbal threat in episodes involving older female subjects. On the other hand, some data suggest specific strategies that result from stressful factors, such as the very high frequency of episodes involving physical aggression, and a high frequency of episodes on Monday. Subjects with additional problems at home (hunger, alcoholism, aggression) initiated more episodes than other subjects, although the proportion of physical aggression were not significantly higher. We discuss the importance of specific strategies to the preparation of children in social and personal risky conditions for their micro and macroculture. / Crianças em situação de risco são expostas diariamente a uma série de fatores estressantes que teoricamente aumentam sua pré-disposição para comportamentos agressivos, inclusive durante atividades lúdicas. Este estudo focou um grupo de crianças em situação de risco social e pessoal, de seis a oito anos de idade, de uma creche na periferia de Goiânia, e foi realizado entre abril e dezembro de 2003. Dezesseis subcategorias de agressão física, oito de ameaças, sete de submissão e uma de tomar objeto foram identificadas durante um estudo piloto. Para coleta sistemática dos dados, realizada entre setembro e novembro de 2003, utilizou-se o método de todas as ocorrências. Para cada episódio de interação agonística observada registrava-se a identidade dos envolvidos, a primeira subcategoria emitida pelo iniciador do episódio, e a última subcategoria emitida pelo receptor. Quatrocentas e noventa e uma interações agonísticas foram registradas durante 38 sessões de coleta sistemática (1740 minutos de amostragem). Medições biométricas, e questionários sobre as condições sócio-econômicas de cada sujeito foram realizados em dezembro de 2003. Alguns padrões encontrados são semelhantes aos de crianças que não se encontram em situação de risco, como uma maior freqüência de ocorrência e uma maior proporção de subcategorias de agressão física em episódios envolvendo sujeitos do sexo masculino, e uma proporção maior de subcategorias de ameaça verbal envolvendo meninas mais velhas. Por outro lado, alguns dados parecem indicar estratégias diferenciadas resultantes de fatores estressantes, como por exemplo uma altíssima freqüência de episódios envolvendo agressão física, e uma alta freqüência de episódios nas segundas-feiras. Sujeitos com problemas adicionais em casa (fome, álcool, agressividade) iniciaram mais episódios do que os demais sujeitos, embora as proporções de agressões físicas não fossem significativamente diferentes. Discutese a importância destas estratégias diferenciadas para a preparação de crianças em situação de risco para sua micro e macrocultura.
163

Sócio-sexualidade e desconto do futuro: mecanismo de alocação de investimentos e tomada de decisão / Sociosexuality and Discount of the Future: decision making and investment allocation mechanism

Ferreira, Jose Henrique Benedetti Piccoli 16 June 2009 (has links)
Seriam as estratégias de Desconto do Futuro e as Estratégias Sexuais resultante de um mecanismo cognitivo comum de alocação de investimento? O Desconto do Futuro referese ao fato das pessoas (e outros organismos) normalmente preferirem consumir e adquirir recursos de maneira mais iminente do que esperar por um futuro incerto, envolvendo comportamentos impulsivos e de risco (Daly & Wilson, 2001). As estratégias sexuais são um sistema integrado de adaptações que organizam e guiam a alocação dos esforços reprodutivos dos indivíduos. Influenciando como os indivíduos selecionam parceiros, no quanto investem nas esferas de acasalamento e parental, etc (Buss & Schmitt, 1993). As variações encontradas entre os sexos e os indivíduos nessas duas estratégias comportamentais são resultado da alocação diferencial de investimento parental. A existência comum de variação entre os sexos e individuais, assim como a correlação direta das duas estratégias apoiaria a existência de um mecanismo comum. No presente trabalho foram realizados dois estudos. No primeiro estudo foram encontradas somente para as mulheres, relações diretas entre as estratégias, em que mulheres mais descontadoras eram sexualmente mais irrestritas, além de variações comuns entre as estratégias e fatores ontogenéticos e comportamentais. No segundo estudo foram confirmadas a relação direta feminina e foi encontrada a mesma relação para os homens, além de variações comuns entre as estratégias e fatores comportamentais. Os resultados apóiam a hipótese de mecanismo cognitivo comum de alocação de investimento, mostrando diferentes especificidades e sensibilidade entre os sexos. / Could Future Discounting and Sexual Strategies result of a common cognitive mechanism of investment allocation? Future Discounting refers to the fact that people (and other organism) usually prefer to consume and acquire resources in a more imminent way than wait for a uncertain future, involving impulsivity and risky behavior (Daly & Wilson, 2001). Sexual Strategies are a integrated system of adaptations that organize and guide individual allocation of reproductive efforts, influencing how individuals select partners, how much they invest in the mating and parental spheres, etc (Buss & Schmitt, 1993). Variations found between sexes and individuals in this behavioral strategies are resultant of differential parental investment allocation. The existence of common variation between sexes and individuals, such as correlations of the two strategies, support the existence of a common mechanism. In the present work were realized two studies. In the first study was found, only for women, direct relationship between the strategies, where the more discounting women are more sexually unrestricted, and were found common variation between the strategies and ontogenetic and environmental factors. In the second study was conformed the direct relationship to women and was found the same relationship to men, and common variations between the strategies and behavioral factors. The results support the hypotheses of common cognitive mechanism of investment allocation, showing different specificities and sensibilities between sexes.
164

Les choix de portefeuille des ménages au cours du cycle de vie / Households’ Investment in Equities over the Life Cycle

Yayi, Adémola Eric 26 November 2015 (has links)
La complexité grandissante des produits financiers proposés aux ménages et les innovations financières récentes ont révélé la vulnérabilité et la difficulté des ménages `à prendre des décisions appropriées. Afin de mieux comprendre leur comportement, cette thèse se concentre sur les choix de portefeuille des ménages au cours de leur cycle de vie. Quatre chapitres ont ´été d´développés dans ce but. Les conseillers en patrimoine suggèrent aux ménages de de s’investir en actifs risqués à l’approche de la retraite. Le chapitre 1 apporte un éclairage sur cette recommandation. Nous montrons que le profil d’investissement fondé sur cette recommandation n’est pas préférable à un profil d’investissement constant en raison de la sensibilité de leur performance aux marchés et période d’investissement. Cela nous a amené à analyser la relation entre les choix financiers et l’inertie de portefeuille dans le chapitre 2. Il ressort que la part d’actifs risqués est sensible à la conjoncture boursière mais essentiellement à la date d’ouverture du contrat. Les ménages maintiennent le plus souvent leur décision d’investissement tout au long de la durée du contrat. En revanche, en cas de fortes variations boursières, ils réajustent leurs portefeuilles. Ils sont plus sensibles aux baisses qu’aux hausses boursières. L’inertie de portefeuille est influencée par l’ˆâge de l’´épargnant et la date d’ouverture du contrat. Nous approfondissons le résultat de l’effet de l’âge sur l’inertie. Le chapitre 3 étudie donc comment varie la part d’actifs risqués avec l’âge. Nous montrons que cette part décline de façon régulière. Enfin le chapitre 4 analyse la participation des ménages au marché financier ainsi que les incidences de l’environnement économique sur les choix de portefeuille. Nous montrons que les facteurs institutionnels encouragent l’investissement dans l’immobilier au détriment des actifs risqués. Les choix de portefeuille des ménages sont aussi influencés par des facteurs d´démographiques et sociaux. / The increasing complexity of financial products offered to households and the recent financial inno-vations have revealed households’ vulnerability and their difficulty in making appropriate decisions. Tounderstand their behaviour, this thesis deals with household portfolio choice over their life cycle. It consistsof four chapters. Professional financial planners often advise savers that the fraction of wealth held in riskyassets should decline with age or the distance to retirement. Chapter 1 sheds light on this recommendation.We show that the investment profile based on this recommendation is not preferable to an investment profilewhose share invested in risky assets remains constant over time, due to the sensitivity of their performance tomarket and investment length. This led us to analyse the relationship between financial decisions and portfolioinertia in Chapter 2. It appears that the risky share is sensitive to market conditions, but mainly at the dateof subscription. Once the initial share has been selected, inertia of portfolio choice is observed as investorsrarely revise their position subsequently. However, in case of large swings in financial markets, portfolio inertiafalls, and even more so when market go down. The propensity to inertia is influenced by savers’ age, the time,and the subscription date of the contract. Chapter 3 examines how household risky share vary with age. Weshow that the share of capital invested in unit-linked funds chosen by the investor declines steadily. Chapter 4analyses household participation in financial markets and the impact of the economic environment on portfoliochoice. We show that institutional factors encourage investment in real estate at the expense of risky assets.In addition to their economic environment, household portfolio choices are influenced by demographic andsocial factors.
165

A empatia na prática interacional: o caso da relação médico/a e gestantes de médio e alto risco no Sistema Único de Saúde (SUS)

Mossmann, Carina Maria Hilgert 27 March 2015 (has links)
Submitted by Maicon Juliano Schmidt (maicons) on 2015-07-17T16:58:02Z No. of bitstreams: 1 Carina Maria Hilgert Mossmann.pdf: 1622825 bytes, checksum: b1123c243aa65678f19c4a71c0ccdf58 (MD5) / Made available in DSpace on 2015-07-17T16:58:02Z (GMT). No. of bitstreams: 1 Carina Maria Hilgert Mossmann.pdf: 1622825 bytes, checksum: b1123c243aa65678f19c4a71c0ccdf58 (MD5) Previous issue date: 2015-03-27 / Nenhuma / O presente trabalho faz parte de um projeto maior (OSTERMANN, 2013) e procura descrever e sistematizar a empatia por meio da perspectiva interacional. Tendo sido objeto de estudo de várias áreas (filosofia, sociologia, antropologia, psicologia, psicanálise e, mais recentemente, neurofisiologia), há algumas definições para a empatia. Essas definições, no entanto, tendem a possuir caráter teórico e subjetivo, impossibilitando a compreensão de como a empatia se concretiza de fato na prática interacional. Neste estudo, quer-se avançar na descrição de empatia de modo a descobrir as maneiras com que ela se manifesta na prática por meio de análises empíricas realizadas com base nos princípios da Análise da Conversa (SACKS, 1992; SACKS, SCHEGLOFF, JEFFERSON, 1974). Os dados utilizados na realização deste estudo são provenientes de um hospital materno-infantil do Sistema único de Saúde (SUS), localizado no sul do país. Trata-se de exames de ultrassom obstétricos e morfológicos, além de ecocardiografias fetais. Esses atendimentos acontecem no setor responsável por gestações de médio e alto risco gestacional. Os resultados deste estudo demonstram que a escuta ativa costuma ser um elemento-chave nas sequências interacionais em que há empatia. A ação de escuta ativa, por sua vez, está atrelada à agentividade (CLAYMAN, 2012) do/a interagente. Dessa forma, pode-se afirmar que as ações interacionais da paciente durante os atendimentos médicos constituem-se também em elementos fundamentais para que o médico ou a médica tenham a possibilidade de empreender ações empáticas. Percebeu-se que é na sequência de ações interacionais, ou seja, na coconstrução de uma interação, que pode ser estabelecida uma relação empática socialmente efetivada, de modo que a empatia não emerge atrelada a um único formato de turno. Foram encontradas várias recorrências, conforme análise de dados deste trabalho, em que emergem ações potencialmente empáticas, de tal modo que a empatia mostrou-se como um elemento constitutivo ou ausente das diversas camadas que formam uma ação interacional. Desse modo, uma ação interacional pode ser orientada por um “algo a mais” que, dentro de determinado contexto sequencial e interacional, a tornará empática ou não empática. Com base neste estudo, define-se a empatia como um fenômeno subjetivo que se manifesta na interação por meio de diferentes práticas e de forma a permear ações altruístas ou não. / This study is part of a larger project (OSTERMANN, 2013) and aims to describe and systematize empathy by means of an interactional perspective. Having been the subject of several fields of study (Philosophy, Sociology, Anthropology, Psychology, Psychiatry and, more recently, Neurophysiology), there are some definitions to empathy. Such definitions, however, tend to be theoretical and subjective in character, hindering the comprehension of how empathy is realized in interactional practice. In this study, we aim to advance towards the description of empathy so as to reveal the ways it is manifested in practice. Such investigation is carried out by means of empirical analysis and by following the principles of Conversation Analysis (SACKS, 1992; SACKS, SCHEGLOFF, JEFFERSON, 1974). The data used in this study come from a public health system hospital (Sistema Único de Saúde (SUS)), located in the southern Brazil. The data consist of interactions that took place during obstetric and morphological ultrasound exams and fetal echocardiography exams. These exams were carried out at the department of the hospital that is responsible for moderate and high-risk pregnancies. The study reveals that active-listening tends to be a key-element in the interactional sequences in which empathy is observed. The action of active-listening, on its turn, is tied to the interactant’s agentiviy (CLAYMAN, 2012). As a result, we can claim that the patient’s interactional actions during the medical consultations are fundamental elements so as the doctor may have the possibility of undertaking emphatic actions. It is in the sequence of interactional actions, that is, in the co-construction of an interaction, that a socially accomplished empathic relationship may be established. In this sense, it becomes evident that empathy does not emerge tied to a single type of turn design. The data also reveal recurrences in which actions potentially empathic emerge, so that empathy becomes apparent as either a constitutive or an absent element of the several layers that form an interaction action. As a result, an interactional action might be oriented by “something else” which, inside of certain sequential and interaction context, will make it empathic or not. Based on this study, empathy has been defined as a subjective phenomenon that emerges in the interaction by means of different practices and as a way to permeate altruistic or non-altruistic actions.
166

Psicopatologia e comportamento de risco em motoristas no Brasil

Faller, Sibele January 2010 (has links)
Objetivo: A principal finalidade desse estudo foi verificar a diferença entre dois grupos de motoristas – aqueles que apresentaram alcoolemia positiva medida através de etilômetro e/ou uso prévio de outras SPAs, averiguado através de exame de saliva, e aqueles que não apresentaram – em relação a comportamentos de risco, transtorno depressivo maior, mania e hipomania, TEPT, e TPAS, assim como abuso ou dependência de SPAs. Método: Em um estudo transversal, 1.134 motoristas que dirigiam em rodovias federais brasileiras foram avaliados através de etilômetro para verificar alcoolemia e teste de saliva para verificar a presença de drogas. Posteriormente, por meio de entrevistas telefônicas, foram avaliados em relação a transtornos psiquiátricos e comportamentos de risco. Os participantes foram divididos em dois grupos (motoristas com resultados positivos para uso de substâncias (n=82) e motoristas com resultados negativos (n=1052)). Os resultados foram comparados com o teste qui-quadrado e com análise de regressão logística. Em relação aos comportamentos de risco, não foram encontradas diferenças significativas entre os grupos de motoristas. Resultados: Motoristas que apresentaram uso de SPAs apresentaram maior prevalência de diagnósticos psiquiátricos como depressão (21,8%), mania/hipomania (20,8%), TEPT (10,7%), TPAS (9,0%), abuso de substâncias (24,5%) quando comparados com outros motoristas (5,8%, 7,1%, 0,4%, 1,2% e 2,8%, respectivamente). Participantes com algum diagnóstico psiquiátrico tinham 4,47 mais chance de apresentar o desfecho. Aqueles com dependência/abuso de alguma SPA tinham 5,47 mais chance de dirigir sob influência de álcool ou drogas. Conclusões: Indivíduos que dirigem sob influência de álcool e/ou outras drogas podem precisar de avaliações e intervenções destinadas para transtornos psiquiátricos específicos. Esses resultados poderão servir como base ao desenvolvimento e implementação de políticas públicas no Brasil. Palavras-chave: Transtornos psiquiátricos, comportamentos de risco, álcool, substâncias psicoativas, dirigir sob influência de substâncias. / Aim: The purpose of this study was to examine the difference between two groups of drivers – drivers who, on recruitment of the sample, showed blood alcohol content recorded by breathalyzer and previous use of other psychoactive substances examined through saliva test and those who didn’t drive under the influence – regarding risky behaviors, major depression disorder, mania and hypomania, PTSD and antisocial personality disorder (ASPD), as well as substances abuse or dependence. Methods: A cross-sectional sample of 1,134 individuals driving on federal highways in Brazilian cities took alcohol breathalyzer tests and drug saliva tests and were evaluated, thru telephonic interview, regarding psychiatric disorders and risky behaviors. Participants were divided into two groups (drivers who tested positive for substances (n=82) and those who did not (n=1052)). Data were compared by the Chisquare test and with a logistic regression model. Results: Substance positive drivers reported a significantly higher prevalence of psychiatric diagnoses like depression (21.8%), mania/hypomania (20.8%), post traumatic stress disorder (10.7%), antisocial personality (9.0%), substance use (24.5%) when compared to other drivers (5.8%, 7.1%, 0.4%, 1.2% and 2.8%, respectively). Participants with a psychiatric symptom were 4.47 times more likely to test positive for substance use. Similarly, participants with a substance use disorder were 5.47 times more likely to test positive for substance use. There were no significant differences between the groups of drivers, related to risky behaviors. Conclusion: Individuals who drive under the influence of drugs and alcohol may need assessments and interventions targeted to specific psychiatric disorders. These results will inform the development of public policies in Brazil.
167

Sócio-sexualidade e desconto do futuro: mecanismo de alocação de investimentos e tomada de decisão / Sociosexuality and Discount of the Future: decision making and investment allocation mechanism

Jose Henrique Benedetti Piccoli Ferreira 16 June 2009 (has links)
Seriam as estratégias de Desconto do Futuro e as Estratégias Sexuais resultante de um mecanismo cognitivo comum de alocação de investimento? O Desconto do Futuro referese ao fato das pessoas (e outros organismos) normalmente preferirem consumir e adquirir recursos de maneira mais iminente do que esperar por um futuro incerto, envolvendo comportamentos impulsivos e de risco (Daly & Wilson, 2001). As estratégias sexuais são um sistema integrado de adaptações que organizam e guiam a alocação dos esforços reprodutivos dos indivíduos. Influenciando como os indivíduos selecionam parceiros, no quanto investem nas esferas de acasalamento e parental, etc (Buss & Schmitt, 1993). As variações encontradas entre os sexos e os indivíduos nessas duas estratégias comportamentais são resultado da alocação diferencial de investimento parental. A existência comum de variação entre os sexos e individuais, assim como a correlação direta das duas estratégias apoiaria a existência de um mecanismo comum. No presente trabalho foram realizados dois estudos. No primeiro estudo foram encontradas somente para as mulheres, relações diretas entre as estratégias, em que mulheres mais descontadoras eram sexualmente mais irrestritas, além de variações comuns entre as estratégias e fatores ontogenéticos e comportamentais. No segundo estudo foram confirmadas a relação direta feminina e foi encontrada a mesma relação para os homens, além de variações comuns entre as estratégias e fatores comportamentais. Os resultados apóiam a hipótese de mecanismo cognitivo comum de alocação de investimento, mostrando diferentes especificidades e sensibilidade entre os sexos. / Could Future Discounting and Sexual Strategies result of a common cognitive mechanism of investment allocation? Future Discounting refers to the fact that people (and other organism) usually prefer to consume and acquire resources in a more imminent way than wait for a uncertain future, involving impulsivity and risky behavior (Daly & Wilson, 2001). Sexual Strategies are a integrated system of adaptations that organize and guide individual allocation of reproductive efforts, influencing how individuals select partners, how much they invest in the mating and parental spheres, etc (Buss & Schmitt, 1993). Variations found between sexes and individuals in this behavioral strategies are resultant of differential parental investment allocation. The existence of common variation between sexes and individuals, such as correlations of the two strategies, support the existence of a common mechanism. In the present work were realized two studies. In the first study was found, only for women, direct relationship between the strategies, where the more discounting women are more sexually unrestricted, and were found common variation between the strategies and ontogenetic and environmental factors. In the second study was conformed the direct relationship to women and was found the same relationship to men, and common variations between the strategies and behavioral factors. The results support the hypotheses of common cognitive mechanism of investment allocation, showing different specificities and sensibilities between sexes.
168

USING PRESCRIPTION DRUG MONITORING DATA TO INFORM POPULATION LEVEL ANALYSIS OF OPIOID ANALGESIC UTILIZATION

Luu, Huong T. T. 01 January 2018 (has links)
Increased opioid analgesic (OA) prescribing has been associated with increased risk of prescription opioid diversion, misuse, and abuse. States established prescription drug monitoring programs (PDMPs) to collect and analyze electronic records for dispensed controlled substances to reduce prescription drug abuse and diversion. PDMP data can be used by prescribers for tracking patient’s history of controlled substance prescribing to inform clinical decisions. The studies in this dissertation are focused on the less utilized potential of the PDMP data to enhance public health surveillance to monitor OA prescribing and co-prescribing and association with opioid overdose mortality and morbidity. Longitudinal analysis of OA prescribing and evaluation of the effect of recent policies and opioid prescribing guidelines require consensus measures for OA utilization and computational tools for uniform operationalization by researchers and agencies. Statistical macros and computational tools for OA utilization measures were developed and tested with Kentucky PDMP data. A set of covariate measures using mortality and morbidity surveillance data were also developed as proxy measures for prevalence of painful conditions justifying OA utilization, and availability of heroin and medication treatment for opioid use disorder. A series of epidemiological studies used the developed OA measures as outcomes, and adjusted for time-varying socio-demographic and health care utilization covariates in population-averaged statistical models to assess longitudinal trend and pattern changes in OA utilization in Kentucky in recent years. The first study, “Trends and Patterns of OA Prescribing: Regional and Rural-Urban Variations in Kentucky from 2012 to 2015,” shows significant downward trends in rates of residents with OA prescriptions. Despite the significant decline over time, and after accounting for prevalence of injuries and cancer, the rate of dispensed OA prescriptions among residents in Kentucky Appalachian counties remained significantly higher than the rest of the state. The second study, “Population-Level Measures for High-Risk OA Prescribing: Longitudinal Trends and Relationships with Pain-Associated Conditions,” shows significant reduction in high-risk OA prescribing (e.g., high daily dosage, long-term use, concurrent prescriptions for OA and benzodiazepines) from 2012 to 2016, significantly positive associations between high-risk OA prescribing and cancer mortality rates with no substantial change in the association magnitude over time, and declining strengths of positive associations between high-risk OA prescribing and acute traumatic injuries or chronic non-cancer pain over the study period. The third study, “A Reciprocal Association between Longitudinal Trends of Buprenorphine/Naloxone Prescribing and High-Dose OA Prescribing,” indicates a significant reciprocal relationship between high-dose OA prescribing and buprenorphine/ naloxone prescribing, and a clinically meaningful effect of buprenorphine/naloxone prescribing on reducing OA utilization. The results from the studies advanced the understanding of the epidemiology of opioid use and misuse in Kentucky, and identified actionable risk and protective factors that can inform policy, education, and drug overdose prevention interventions. The developed operational definition inventory and computational tools could stimulate further research in Kentucky and comparative studies in other states.
169

HIV Knowledge, Intoxication, Risky Behaviors, and Sexual Communication among Nigeria University Students

Ezeonyido, JohnPaul Chukwuemeka 01 January 2016 (has links)
Poor sexual communication among Nigerian youth can create problems for health workers, medical practitioners, and the government in determining what is and is not working in their attempts to reduce sexually-related diseases. This quantitative study used self-administered questionnaires among 107 Nigerian university students, aged 18 to 35, to determine if a statistically significant predictive relationship existed between: (a) beliefs about alcohol, (b) HIV knowledge, (c) risk behaviors, (d) age, (e) religion, (f) gender, (g) sexual activity status, (h) dating status, (i) language, (j) sexual orientation, and (k) tribes of Nigerian university students and their sexual communication with partners. Previous studies did not use the AIDS risk reduction model (ARRM) as a theoretical framework to identify frequent risk factors in this population. This study was guided by the ARRM and used the Sexual Risk Survey (SRS), the HIV-KQ-18, the Revised Alcohol Expectancy Questionnaire (AEQ-3), and the Dyadic Sexual Communication Scale (DSC) to assess the participants. Independent-sample t tests were used to analyze the correlation of study variables and the results showed statistically significant differences only in tribal affiliation (p = .022), gender (p < .001; p =.016), dating status (p = .017), age (p = .006), and sexual activity status (p = .001). Linear regression analyses results showed no statistically significant predictive relationship, R = .322, R2 = .103, F (12, 94) = 0.904, p = .546, between HIV knowledge, beliefs about alcohol and risk behaviors of Nigerian students, and their ability to communicate sexually. These findings justify the need for more culturally sensitive studies and gender/age appropriate HIV intervention strategies in Nigeria.
170

Actor-observer effekten och bilkörning : Hur attribuerar människor beteenden vid riskabel bilkörning?

Kunkel, Jennifer, Chen, Kristina January 2008 (has links)
<p>Actor-observer bias är tendensen där människan som aktörer tillskriver sitt beteende till yttre omständigheter medan observatörer tenderar till att tillskriva aktörens beteende till personliga faktorer. Syftet med denna studie var att få en klarare bild av hur människor i sin roll som aktör eller observatör attribuerar ett riskabelt bilkörningsbeteende. Deltagarna bestod av 101 svenska studenter från en högskola i Mellansverige varav 77 stycken var kvinnor och 24 stycken var män. Deltagarna fick svara på en enkät angående actor-observer bias och riskfullt bilkörningsbeteende. Resultaten visade att andras beteende förklaras mer av personliga egenskaper än då personen själv kör riskfullt medan yttre omständigheter inte gav skillnad för vare sig andra eller en själv. Betydelsen av detta och implikationer för framtida forskning diskuterades.</p>

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