A qualitative study was undertaken in Pietermaritzburg to unveil the experiences and challenges of WLWHIV as perceived by social workers as well as to explore and describe the experiences of social workers in rendering services to these women. Explorative, descriptive and contextual research designs were employed for the research process. Purposive and snowball sampling techniques were utilised to recruit participants who met the set criteria. Face-to-face semi-structured interviews were conducted with thirteen participants. Data obtained were transcribed and analysed applying Tesch‘s eight steps (Creswell, 2009). Data verification was guided by Guba‘s model (Krefting, 1991). The findings revealed the existence of strained relationships between WLWHIV and their partners and ineffective delivery of social work services to WLWHIV. Based on the findings, it is recommended that specialised training for social workers on issues related to death and dying and services for children of WLWHIV be incorporated in the guidelines for social work practice / Social Work / M.A. (social Work)

The purpose of this study is to explore the EAP environment and provide a better understanding of the related roles of the Employee Assistant Practitioners/Professionals (EAPs) in respect of their treatment of various forms of illnesses in the workplace – particularly HIV and AIDS. The EAP role is not aligned to any individual profession, as it is designed to match employees’ holistic needs. It is in this context that the repertoire of EAP roles would include caring, psycho-social, therapeutic and technical skills. The EAP role is therefore endowed with the potential to meet a range of inter-departmental and multi-disciplinary needs – such as Nursing, Allied Health Professions, and Healthcare Sciences. A generic Assistant Practitioners Performance Management system (scorecard) had to be developed and agreed to with the City of Johannesburg’s (CoJ) Management in order to maintain consistency when developing APE programmes and roles. Notwithstanding the fact that the Employee Assistant Practitioners do also address the growing HIV/AIDS concerns in the workplace – including psycho-social problems of employees and their families – there is minimal acknowledgment of the EAPs’ roles, and little recognition of their welfare and well-being programmes. Drawing eclectically from various inter-related disciplinary terrains, the study centripetally explores the roles of EAPs as well as HIV/AIDS frameworks in the workplace. Quantitative and qualitative descriptive research methods were employed to assess challenges encountered by the City of Johannesburg (C.o.J) employees and their dependants. Questionnaires were used for the data collection of this study. The repertoire of participants in the study (n=55) comprised of doctors, social workers, nurses, HR officers, and other CoJ employees themselves. vi The questionnaire became the pivotal quantitative data analysis reference point ias it focused on numbers or quantities, and less on the qualitative analysis, which focused on differences in quality. The results of the study are based on numeric analysis and statistics to quantify the qualitative analysis. The prevalence of fewer participants was largely influenced by the depth of the data collection process, which did not allow for large numbers of research participants. The findings of the study revealed, amongst other factors, that there was an unsurpassed need to integrate different HIV/AIDS frameworks in order that the roles of EAPs becomes more effectively and efficiently defined and executed. The roles of EAPs were hitherto not well defined, resulting in duplication and confusion of service delivery to some employees utilising the EAP services. However, some of the EAP roles are highly appreciated and increasingly supported by managers and employees. Based on the findings of the study, recommendations were made for clarifying and extending the criticality of EAP roles and functions. / Health Studies / Ph. D. (Health Studies)

Thesis (PhD)--Stellenbosch University, 2015 / ENGLISH ABSTRACT : In 2010, young people aged 15–24 years accounted for 42% of new HIV infections globally. In 2009, about five million (10%) of the total South African population was estimated to be aged 15–19 years. Current South African national sero-prevalence data estimate the prevalence of HIV to be 5.6% and 0.7% among adolescent girls and boys aged 15–19 years, respectively. HIV infections are mainly transmitted via sexual transmission. Adolescent sexuality is multi-faceted and influenced at multiple levels. In preparing to enroll adolescents in future biomedical HIV prevention trials, particularly prophylactic HIV vaccine trials, it is critical to provide counseling services appropriate to their needs. At the time of writing, there was no developed psychosocial intervention in South Africa for use among adolescent vaccine trial participants. Thus, the aim of the present study is to adapt and pilot-test a psychosocial intervention, namely, the Centers for Disease Control and Prevention (CDC) risk reduction counseling intervention of Project Respect, an intervention tasked at being developmentally and contextually appropriate among potential adolescent participants in HIV biomedical trials in the future. To achieve this overall aim, I qualitatively explored adolescent sexuality and risk factors for HIV among a diverse sample of participants aged 16–18 from Soweto. Thereafter, I developed a composite HIV risk scale in order to measure the variance in HIV risk among the sample of adolescents studied. The study followed a two-phased, mixed method research design and was informed by ecological systems theory and integrative model of behavioral prediction. The aim of Phase 1, split into phases 1a and b, was to conduct focus group discussions (FGDs) and to undertake a cross-sectional survey, respectively, to determine psychological (for example, self-esteem and depression), behavioral (specifically, sexual behavior) and social (specifically, social support, parent-adolescent communication) contexts that placed adolescents at risk for HIV infection. Phase 1a was qualitative, with data collected via nine FGDs: three involved parents of adolescents, four involved adolescents aged 16–18 years and two counselors. Nine key themes related to adolescent sexuality and risks for HIV acquisition were identified, namely: (1) dating during adolescence; (2) adolescent girls dating older men; (3) condom use amongst adolescents; (4) teenage pregnancies; (5) views about homosexuality; (6) parent-adolescent communication about sexual health; (7) the role of the media; (8) discipline and perceived government influence; and (9) group sex events. Phase 1b was quantitative and the data were collected via a cross-sectional survey to investigate the variance of risk for HIV. For Phase 1b, the sample consisted of 506 adolescents with a mean age of 17 years (interquartile range [IQR]: 16–18). More than half the participants were female (59%, n = 298). I used a three-step hierarchical multiple regression model to investigate the variance in risk for HIV. In step 3, the only significant predictors were “ever threatened to have sex” and “ever forced to have sex”, the combination of which explained 14% (R2 = 0.14; F (12, 236) = 3.14, p = 0.00). Depression and parentadolescent communication were added to steps 2 and 3, respectively, with both variables insignificant in these models. In Phase 2, I adapted and pilot tested the CDC risk reduction counseling intervention. The intervention was intended to be developmentally and contextually appropriate among adolescents from Soweto aged 16–18 years, viewed as potential participants in future HIV biomedical trials. Participants in Phase 2 were aged 16–18 years; the sample was mainly female (52%, n = 11) and most (91%, n = 19) were secondary school learners in grades 8 to 12. Participants provided feedback about their experiences of the adapted counseling intervention through in-depth interviews. I identified three main themes in this regard, namely: benefits of HIV testing services, reasons for seeking counseling and HIV testing services, and participants’ evaluation of the study visits and counseling sessions. The adapted CDC risk reduction counseling intervention was found to be acceptable with favorable outcomes for those adolescents who participated in the piloting phase. This study adds to the literature on risks for HIV among adolescents in Soweto, South Africa, by considering multiple levels of influence. Reaching a more complete understanding of ecological factors contributing to sexual risk behaviors among adolescents in the pilot-study enabled the development of a tailored counseling intervention. The findings showed the adapted CDC risk reduction counseling intervention to be feasible and acceptable among adolescents likely to be participants and eligible to participate in future HIV biomedical prevention trials. Thus, this study provides a much needed risk reduction counseling intervention that can be used among adolescents, an age group likely to participate in future HIV vaccine prevention research. / AFRIKAANSE OPSOMMING : In 2010 het jongmense tussen die ouderdomme van 15 en 24 jaar 42% van nuwe MIV-infeksies wêreldwyd uitgemaak. In 2009 was omtrent 5 miljoen mense (10%) van die Suid-Afrikaanse bevolking tussen 15 en 19 jaar oud. Volgens data oor die huidige Suid-Afrikaanse nasionale sero-voorkoms, word die voorkoms van MIV onderskeidelik op 5.6% en 0.7% onder tienermeisies en -seuns tussen die ouderdomme van 15 tot 19 jaar beraam. MIV-infeksies word hoofsaaklik deur seks oorgedra. Adolessente seksualiteit het baie fasette en word op verskeie vlakke beïnvloed. Ter voorbereiding van die werwing van adolessente vir toekomstige biomediese proewe, veral proewe oor profilaktiese MIVentstowwe, is dit van kritiese belang dat beradingsdienste verskaf word wat geskik is vir hul behoeftes. Op die tydstip wat hierdie tesis geskryf is, het daar nog geen psigososiale intervensie in Suid-Afrika bestaan vir gebruik onder adolessente deelnemers aan entstofproewe nie. Daarom is die doel van hierdie studie om ʼn psigososiale intervensie ‒ die Centers for Disease Control and Prevention (CDC) se Projek Respek, ʼn beradingsintervensie vir die vermindering van risiko ‒ aan te pas en met ʼn loodsprojek te toets. Hierdie intervensie is geskik vir die ontwikkelings- en kontekstuele vlak van adolessente deelnemers aan toekomstige MIV- biomediese proewe. Ten einde hierdie oorkoepelende doelwit te bereik, het ek adolessente seksualiteit en die risikofaktore vir MIV onder ʼn diverse steekproef deelnemers tussen die ouderdomme van 16 en 18 jaar van Soweto kwalitatief ondersoek. Daarna het ek ʼn saamgestelde MIV-risikoskaal ontwikkel om die variansie van MIV-risiko onder die groep adolessente te meet. Die studie se navorsingsontwerp het uit twee fases en gemengde metodes bestaan, en is gebaseer op ekologiesestelsel-teorie en die integrerende gedragsvoorspellingsmodel. Die doel van fase 1, wat in fases 1a en 1b verdeel is, was om onderskeidelik fokusgroepbesprekings te hou en om ʼn deursnitopname te doen om die sielkundige kontekste (byvoorbeeld elemente van selfbeeld en depressie), gedragskontekste (spesifiek seksuele gedrag) en sosiale kontekste (spesifiek sosiale ondersteuning en ouer-adolessent-kommunikasie) te bepaal waarin adolessente die risiko loop om MIV-infeksie op te doen. Fase 1a was kwalitatief en data is deur middel van nege fokusgroepbesprekings ingesamel: drie met die ouers van adolessente, vier met adolessente tussen 16 en 18 jaar oud en twee met beraders. Nege sleuteltemas is geïdentifiseer wat verband hou met adolessente seksualiteit en risiko’s om MIV op te doen: (1) verhoudings tydens adolessensie, (2) tienermeisies wat verhoudings met ouer mans het, (3) die gebruik van kondome onder adolessente, (4) tienerswangerskappe, (5) sienings oor homoseksualiteit, (6) ouer-adolessent-kommunikasie oor seksuele gesondheid, (7) die rol van die media, (8) dissipline en die ervaarde regeringsinvloed en (9) groepseksgeleenthede. Fase 1b was kwantitatief en data is deur middel van ’n deursnitopname ingesamel om die variansie van risiko vir MIV te ondersoek. Vir Fase 1b het die steekproef bestaan uit 506 adolessente met ’n gemiddelde ouderdom van 17 jaar (interkwartielwydte [IKW]: 16–18). Meer as die helfte van die deelnemers was vroulik (59%, n = 298). Ek het ’n hiërargiese meervoudige regressiemodel met drie stappe gebruik om die variansie van risiko vir MIV te ondersoek. Die enigste beduidende voorspellers in stap 3 was “ooit gedreig om seks te hê” en “ooit geforseer om seks te hê”. Die kombinasie hiervan het 14% (R2 = 0.14; F (12, 236) = 3.14, p = 0.00) verklaar. Depressie en oueradolessent- kommunikasie is onderskeidelik in stappe 2 en 3 bygevoeg, en albei veranderlikes was onbeduidend in hierdie modelle. In Fase 2 het ek die CDC se intervensie vir die verlaging van risiko aangepas en met ’n loodsprojek getoets. Die intervensie was bedoel om geskik te wees vir die ontwikkelings- en kontekstuele vlakke van 16- tot 18-jarige adolessente van Soweto wat beskou is as potensiële deelnemers aan toekomstige MIV- biomediese proewe. Deelnemers in Fase 2 was 16 tot 18 jaar oud, die steekproef was hoofsaaklik vroulik (52%, n = 11) en die meeste van die deelnemers (91%, n = 19) was in grade 8 tot 12 op hoërskool. Deelnemers het tydens indringende onderhoude terugvoering oor hulle ervarings van die aangepaste beradingsintervensie verskaf. Ek het drie hooftemas in hierdie verband geïdentifiseer, wat die volgende insluit: voordele van MIV-toetsingsdienste, redes waarom berading en MIV-toetsingsdienste verlang word, en die deelnemers se evaluering van die studiebesoeke en beradingsessies. Daar is bevind dat die aangepaste beradingsintervensie van die CDC aanvaarbaar was en gunstige uitkomste gelewer het vir die adolessente wat aan die loodsfase deelgeneem het. Hierdie studie dra by tot die literatuur oor MIV-risiko’s vir adolessente in Soweto, Suid-Afrika, deur meervoudige invloedsvlakke te oorweeg. Die feit dat ’n meer volledige begrip tydens die loodsondersoek verkry is van die interaksie van die ekologiese faktore wat tot seksuele risikogedrag onder adolessente bydra, het die ontwikkeling van ʼn doelgemaakte intervensie deur berading moontlik gemaak. Die bevindings het getoon dat die aangepaste beradingsintervensie van die CDC lewensvatbaar en aanvaarbaar is vir gebruik onder adolessente wat waarskynlik geskikte deelnemers aan toekomstige biomediese proewe oor MIV-voorkoming kan wees. Hierdie studie verskaf dus ʼn noodsaaklike beradingsintervensie om die MIV-risiko onder adolessente ‒ ʼn ouderdomsgroep wat waarskynlik aan toekomstige biomediese navorsing oor MIV-voorkoming sal deelneem ‒ te verminder.

Inter-ethnic and intra-ethnic violent conflict created a divide in Cyprus (1950-1974) that still exists to this day. This study explores specifically an effect of violent conflict – Missing Persons – and the ‘process of exhumations,’ which is defined as; the recovery of Missing Persons, identification, and reunification of the Missing with loved ones as a key component of peacebuilding via inter-ethnic reconciliation and restorative justice. This process is important for peacebuilding because it empowers individuals, communities, and nation-states to satisfy basic human psycho-social needs in order to deal with the trauma of past violence, to recognize loss, and to seek closure of uncertainty to prevent the transgenerational transmission of trauma and escalation of violence between and within ethnic societies. By interviewing eight experts on the Cypriot conflict about what the ‘process of exhumations’ does in Cyprus, revealed the challenges and successes that may arise during and after the process for sustainable peace. / February 2016

Titre : Étude des déterminants psychosociaux du poids corporel dans la population québécoise adulte. Objectif : L’objectif principal des travaux effectués était l'étude des déterminants psychosociaux du poids corporel dans quatre groupes d’adultes qui ont participé à l’Enquête sociale et de santé 1998 (ESS 98). Méthodologie : Les microdonnées de l'ESS 98 ont été accédées en utilisant les services de l’Institut de la statistique du Québec. Les groupes étudiés étaient les hommes et les femmes âgés entre 25 et 44 ans ou 45 et 64 ans. Résultats : La pratique d’activités physiques reliées au transport et un niveau de scolarité plus élevé ont été associés à moins de probabilités de rapporter un excès de poids chez les hommes âgés entre 25 et 44 ans. Une meilleure perception des habitudes alimentaires a aussi été associée à moins de probabilités d’avoir un excès de poids dans la plupart des groupes à l’exception des femmes âgées entre 25 et 44 ans. Le niveau d’AP a été associé négativement à l’excès de poids uniquement chez les femmes plus âgées. Une meilleure perception de l’état de santé a été associée à moins de probabilités de rapporter un excès de poids chez les femmes âgées entre 25 et 44 ans et à plus de probabilités chez les hommes âgés entre 45 et 64 ans. Chez les hommes des deux groupes, le tabagisme a été associé à moins de probabilités de rapporter avoir un excès de poids. Chez les femmes, la consommation d’alcool a été associée à moins de probabilités d’avoir un excès de poids. Dans tous les groupes, tenter présentement de perdre du poids a été associé à plus de probabilités de rapporter un excès de poids. Les travaux effectués démontrent que ces déterminants du poids corporel ne sont pas nécessairement associés aux habitudes alimentaires et au niveau d’AP. Conclusion : Les déterminants psychosociaux associés à l’obésité divergent selon le sexe et l’âge. L’identification de ces associations illustre le besoin d’intégrer les spécificités de chacun de ces groupes dans les interventions populationnelles qui visent la problématique du poids corporel. / Title: Psychosocial correlates of body weight in the Quebec Adults Population. Objective: Within the variables available in the 1998 Social and Health survey, identify psycho-social correlates of body mass index (BMI) in the Quebec population. Method: Access to the Social Lifestyles and Health 1998 survey was done at the «Institut de la Statistique du Québec». Groups studied included the 25- to 44-years and the 45- to 64- years old men and women. Results: Higher number of physical activity (PA) related to transport and levels of education were associated with less odds of reporting an excess body weight only in the 25- to 44-years old men. Cigarette smoking was also associated with less odds of reporting an excess weight in both men groups. Regular practice of leisure time PA was associated with less odds of reporting an excess weight only in 45- to 64-years old women. In both women groups, more frequent consumption of alcoholic beverages decreased the odds of reporting an excess weight. Perceived eating habits were also associated with less odds of an excess weight in most groups except in the 25- to 44-yearsold women where the trend was not significant. Opposite associations were observed between perceived health and BMI. In the 45- to 64-year old men, better perceived health increased the odds of reporting an excess weight. On the opposite, the odds of reporting an excess weight decreased with better health in 25- to 44-years-old women. In all groups, currently trying to loose weight increased the odds of reporting an excess weight. Others analyses also indicate that those correlates are not always associated with eating habits and PA level as it would be expected. Conclusion: Many correlates differ between age-group and sex. The identification of these factors illustrates the need to adapt obesity related program toward specific sub-group within the general population.

Made available in DSpace on 2016-03-15T19:48:46Z (GMT). No. of bitstreams: 1 Roberto Silva Fonseca.pdf: 488128 bytes, checksum: 2468cc67904ccd246f43543614d5a03d (MD5) Previous issue date: 2008-02-20 / The aim of his paper is to analyze Martin Luther s life, from the psychoanalytic view-point, by studying Erik Erikson s book Young Man Luther , A Study in Psychoanalysis and History. It is a very challenging bibliographic research, due to the amount of material produced up to now on Luther s life. A psycho-biography that aspires developing a profound and comprehensive study of a person whose magnitude of references is so vast is not an easy task. The first chapter s goal is to set up historical-scientific approach of the two protagonists. An exposition of Martin Luther s personal life is detailed firstly, beginning with his parents, reaching his individuality and his relationships with his wife and children. After that, a section will also be dedicated to Erik Erikson s life and thoughts, since he is taken as the point of theoretical reference to this piece of work. The second chapter consists in A Critical Dialogue With Erikson s Theory About Luther, elaborating a critical analysis of Erikson s book, Young Man Luther. This appreciation will be made on basis of the author of this paper s own thoughts, of ideas expressed by Luther himself, and of what other biographers have exhaustively spoken and written about his life. Finally, a critical appreciation and particular conclusions about the main characters will be expressed. / O objetivo deste trabalho é analisar a vida de Martinho Lutero do ponto de vista psicanalítico, através do estudo do livro de Erik Erikson, Young Man Luther, A Study in Psychoanalysis and History. É uma pesquisa bibliográfica muito difícil, devido a quantidade de material produzido até aqui sobre a vida de Lutero. Uma psicobiografia que aspire desenvolver um estudo profundo e compreensível de uma pessoa cuja magnitude de referências é tão vasta, não é uma tarefa fácil. O primeiro capítulo tem como meta fazer uma Aproximação Histórico-Científica dos Dois Protagonistas. Primeiramente será apresentada uma exposição detalhada da vida pessoal de Martinho Lutero, começando pelos seus pais, chegando na individualidade dele, e seu relacionamento com sua esposa e filhos. Depois disto, haverá também uma parte dedicada à vida e pensamento de Erik Erikson, que é o referencial teórico deste trabalho. O segundo capítulo consiste em um Diálogo Crítico Com A Teoria De Erikson Sobre Lutero, elaborando uma análise crítica do livro de Erikson Young Man Luther. Esta apreciação será feita com base em pensamentos próprios do autor desta dissertação, no que o próprio Lutero disse, e no que outros biógrafos falaram e escreveram exaustivamente a respeito de sua vida. Finalmente, uma apreciação crítica, e conclusões pessoais a respeito dos protagonistas.

Magister Psychologiae - MPsych / This study utilised secondary data from a larger study that looked at individuals that are already infected by HIV which is entitled Implicative personal dilemmas and cognitive conflicts in health decision making in HIV positive adults and adults with AIDS. The primary aim of the larger study was to examine the cognitive construction of the individual and how they utilised their individual resources to construct who they are and how they perceived the difficulties and challenges that they face and the decisions they make regarding their health. HIV and AIDS is a debilitating disease and it affects millions worldwide. South Africa, presently, has the largest burden of this disease with those between the ages of 15 – 49 years of age being most affected. As previously mentioned the decisions that individuals make can impact on their health. Decisions to take necessary precautions such as protected sex during sexual intercourse can decrease the progression of the disease. Decisions made regarding abstinence of risky behaviour as well as being committed to taking medication could also positively impact health. People living with HIV and AIDS find it difficult to adjust to the challenges that this disease presents. Depression is often experienced due to the changes in self image and perception. Studies show that females are twice more likely to experience depression than men. There has however been no conclusive evidence showing the reason for this, however, the perception of stress based on gender could shed some light on this matter and how these perceptions can increase the likelihood of women being more vulnerable to depression. Due to the limitation of this study, it will only look at depression as it relates to HIV and AIDS. Psychological problems such as depression can hamper the adjustment process and the effect of depression is evident in that it can lower the CD 4 + cells. Not only are those living with HIV and AIDS affected by depression, but they also have a lifetime prevalence to depression. It is important to have an effective screening tool for depression so that the detection of this disease can be made and effective treatment can be implemented to enhance health. The sample consisted of 113 adult participants that have already been diagnosed with HIV and AIDS. The primary aim of this study was to compare the Beck’s Depression Inventory II (BDI II) and the Hospital Anxiety and Depression Scale –(the Depression component) (HADS-D) as a screening tool for depression. Exploratory Factor Analysis revealed a 5 factor structure which accounted for 60.14 % of the total variance. The HADS yielded one factor accounting for 14.33% of total variance. The BDI II has proven to be more a reliable measure of depression with 0.89 according to the Cronbach’s Alpha co efficient opposed to 0.375 as per the HADS-D. The secondary aim was to establish the sociodemographic and disease profiles of the participants under study. / South Africa

<p>This study utilised secondary data from a larger study that looked at individuals that are already infected by HIV which is entitled Implicative personal dilemmas and cognitive conflicts in health decision making in HIV positive adults and adults with AIDS. The primary aim of the larger study was to examine the cognitive construction of the individual and how they utilised their individual resources to construct who they are and how they perceived the difficulties and challenges that they face and the decisions they make regarding their health. HIV and AIDS is a debilitating disease and it affects millions worldwide. South Africa, presently, has the largest burden of this disease with those between the ages of 15 &ndash / 49 years of age being most affected. As previously&nbsp / mentioned the decisions that individuals make can impact on their health. Decisions to take necessary precautions such as protected sex during sexual intercourse can decrease the&nbsp / progression of the disease. Decisions made regarding abstinence of risky behaviour as well as being committed to taking medication could also positively impact health. People living with HIV and AIDS find it&nbsp / difficult to adjust to the challenges that this disease presents. Depression is often experienced due to the changes in self image and perception. Studies show that&nbsp / females are twice more likely to experience depression than men. There has however been no conclusive evidence showing the reason for this, however, the perception of stress based on&nbsp / gender could shed some light on this matter and how these perceptions can increase the likelihood of women being more vulnerable to depression. Due to the limitation of this study, it will&nbsp / only look at depression as it relates to HIV and AIDS. Psychological problems such as depression can hamper the adjustment process and the effect of depression is evident in that it can lower the CD 4 + cells. Not only are those&nbsp / living with HIV and AIDS affected by depression, but they also have a lifetime prevalence to depression. It is important to have an effective screening tool for depression so that the detection of this&nbsp / disease can be made and effective treatment can be implemented to enhance health. The sample consisted of 113 adult participants that have already been diagnosed with HIV and AIDS. The&nbsp / primary aim of this study was to compare the Beck&rsquo / s Depression Inventory II (BDI II) and the Hospital Anxiety and Depression Scale &ndash / (the Depression component) (HADS-D) as a screening tool&nbsp / &nbsp / for depression. Exploratory Factor Analysis revealed a 5 factor structure which accounted for 60.14 % of the total variance. The HADS yielded one factor accounting for 14.33% of total variance. The BDI II has proven to be more a reliable measure of depression with 0.89 according to the Cronbach&rsquo / s Alpha co efficient opposed to 0.375 as per the HADS-D. The secondary aim was to establish&nbsp / the sociodemographic and disease profiles of the participants under study. </p>

Titre : Étude des déterminants psychosociaux du poids corporel dans la population québécoise adulte. Objectif : L’objectif principal des travaux effectués était l'étude des déterminants psychosociaux du poids corporel dans quatre groupes d’adultes qui ont participé à l’Enquête sociale et de santé 1998 (ESS 98). Méthodologie : Les microdonnées de l'ESS 98 ont été accédées en utilisant les services de l’Institut de la statistique du Québec. Les groupes étudiés étaient les hommes et les femmes âgés entre 25 et 44 ans ou 45 et 64 ans. Résultats : La pratique d’activités physiques reliées au transport et un niveau de scolarité plus élevé ont été associés à moins de probabilités de rapporter un excès de poids chez les hommes âgés entre 25 et 44 ans. Une meilleure perception des habitudes alimentaires a aussi été associée à moins de probabilités d’avoir un excès de poids dans la plupart des groupes à l’exception des femmes âgées entre 25 et 44 ans. Le niveau d’AP a été associé négativement à l’excès de poids uniquement chez les femmes plus âgées. Une meilleure perception de l’état de santé a été associée à moins de probabilités de rapporter un excès de poids chez les femmes âgées entre 25 et 44 ans et à plus de probabilités chez les hommes âgés entre 45 et 64 ans. Chez les hommes des deux groupes, le tabagisme a été associé à moins de probabilités de rapporter avoir un excès de poids. Chez les femmes, la consommation d’alcool a été associée à moins de probabilités d’avoir un excès de poids. Dans tous les groupes, tenter présentement de perdre du poids a été associé à plus de probabilités de rapporter un excès de poids. Les travaux effectués démontrent que ces déterminants du poids corporel ne sont pas nécessairement associés aux habitudes alimentaires et au niveau d’AP. Conclusion : Les déterminants psychosociaux associés à l’obésité divergent selon le sexe et l’âge. L’identification de ces associations illustre le besoin d’intégrer les spécificités de chacun de ces groupes dans les interventions populationnelles qui visent la problématique du poids corporel. / Title: Psychosocial correlates of body weight in the Quebec Adults Population. Objective: Within the variables available in the 1998 Social and Health survey, identify psycho-social correlates of body mass index (BMI) in the Quebec population. Method: Access to the Social Lifestyles and Health 1998 survey was done at the «Institut de la Statistique du Québec». Groups studied included the 25- to 44-years and the 45- to 64- years old men and women. Results: Higher number of physical activity (PA) related to transport and levels of education were associated with less odds of reporting an excess body weight only in the 25- to 44-years old men. Cigarette smoking was also associated with less odds of reporting an excess weight in both men groups. Regular practice of leisure time PA was associated with less odds of reporting an excess weight only in 45- to 64-years old women. In both women groups, more frequent consumption of alcoholic beverages decreased the odds of reporting an excess weight. Perceived eating habits were also associated with less odds of an excess weight in most groups except in the 25- to 44-yearsold women where the trend was not significant. Opposite associations were observed between perceived health and BMI. In the 45- to 64-year old men, better perceived health increased the odds of reporting an excess weight. On the opposite, the odds of reporting an excess weight decreased with better health in 25- to 44-years-old women. In all groups, currently trying to loose weight increased the odds of reporting an excess weight. Others analyses also indicate that those correlates are not always associated with eating habits and PA level as it would be expected. Conclusion: Many correlates differ between age-group and sex. The identification of these factors illustrates the need to adapt obesity related program toward specific sub-group within the general population.

<p>This study utilised secondary data from a larger study that looked at individuals that are already infected by HIV which is entitled Implicative personal dilemmas and cognitive conflicts in health decision making in HIV positive adults and adults with AIDS. The primary aim of the larger study was to examine the cognitive construction of the individual and how they utilised their individual resources to construct who they are and how they perceived the difficulties and challenges that they face and the decisions they make regarding their health. HIV and AIDS is a debilitating disease and it affects millions worldwide. South Africa, presently, has the largest burden of this disease with those between the ages of 15 &ndash / 49 years of age being most affected. As previously&nbsp / mentioned the decisions that individuals make can impact on their health. Decisions to take necessary precautions such as protected sex during sexual intercourse can decrease the&nbsp / progression of the disease. Decisions made regarding abstinence of risky behaviour as well as being committed to taking medication could also positively impact health. People living with HIV and AIDS find it&nbsp / difficult to adjust to the challenges that this disease presents. Depression is often experienced due to the changes in self image and perception. Studies show that&nbsp / females are twice more likely to experience depression than men. There has however been no conclusive evidence showing the reason for this, however, the perception of stress based on&nbsp / gender could shed some light on this matter and how these perceptions can increase the likelihood of women being more vulnerable to depression. Due to the limitation of this study, it will&nbsp / only look at depression as it relates to HIV and AIDS. Psychological problems such as depression can hamper the adjustment process and the effect of depression is evident in that it can lower the CD 4 + cells. Not only are those&nbsp / living with HIV and AIDS affected by depression, but they also have a lifetime prevalence to depression. It is important to have an effective screening tool for depression so that the detection of this&nbsp / disease can be made and effective treatment can be implemented to enhance health. The sample consisted of 113 adult participants that have already been diagnosed with HIV and AIDS. The&nbsp / primary aim of this study was to compare the Beck&rsquo / s Depression Inventory II (BDI II) and the Hospital Anxiety and Depression Scale &ndash / (the Depression component) (HADS-D) as a screening tool&nbsp / &nbsp / for depression. Exploratory Factor Analysis revealed a 5 factor structure which accounted for 60.14 % of the total variance. The HADS yielded one factor accounting for 14.33% of total variance. The BDI II has proven to be more a reliable measure of depression with 0.89 according to the Cronbach&rsquo / s Alpha co efficient opposed to 0.375 as per the HADS-D. The secondary aim was to establish&nbsp / the sociodemographic and disease profiles of the participants under study. </p>