Similar to same-age peers, perinatally HIV-infected (PHIV+) youth in the US are engaging in sex, including condomless sex. Understanding decisions about serostatus disclosure to sexual partners is important to domestic and global HIV prevention efforts, since large numbers of PHIV+ children are entering adolescence and becoming sexually active. Using Social Action Theory (SAT) to inform variable selection, we examined correlates of disclosure among 98 PHIV+ adolescents/young adults in New York City. Over half of these youth reported not disclosing to any casual partners (59%) and to any partners when using condoms (55%). In simple regression analyses, increased disclosure was associated with older age; being female; earlier age of learning one’s serostatus; and increased STD knowledge, disclosure intentions, and parent-child communication. Multiple regression analyses revealed a strong fit with the SAT model. As with adults, disclosure to sexual partners is difficult for PHIV+ youth and challenges prevention efforts. Effective interventions that help youth with disclosure decisions are needed to curb the epidemic.
Relatively few empirical investigations of the intersection of HIV biomedical and traditional medicine have been undertaken. As part of preliminary work for a longitudinal study investigating health-seeking behaviours among newly diagnosed individuals living with HIV, we conducted semi-structured interviews with 24 urban South Africans presenting for HIV testing or newly enrolled in HIV care; here we explored participants' views on African traditional medicine (TM) and biomedical HIV treatment. Notions of acceptance/non-acceptance were more nuanced than dichotomous, with participants expressing views ranging from favourable to reproachful, often referring to stories they had heard from others rather than drawing from personal experience. Respect for antiretrovirals and biomedicine was evident, but indigenous beliefs, particularly about the role of ancestors in healing, were common. Many endorsed the use of herbal remedies, which often were not considered TM. Given people's diverse health-seeking practices, biomedical providers need to recognise the cultural importance of traditional health practices and routinely initiate respectful discussion of TM use with patients.
There is a growing body of literature citing Yoga as an effective intervention for decreasing symptoms of depression. This naturalistic pilot study investigated the efficacy of the LifeForce Yoga Program in decreasing reported symptoms of depression and other mood symptoms. The sample consisted of 94 individuals who completed self-report questionnaire before participating in a five-day LifeForce Yoga training. 54 of these individuals completed the same questionnaire after two weeks of home practice following the training, and 33 participants completed these questionnaires two months after the initial training. Repeated measures ANOVA tests demonstrated a main effect for time, indicating that mean symptom scores decreased significantly across the assessment time points on nearly all of the outcome measures of interest. Post hoc t-tests showed that the statistically significant change occurred between Time 1 and Time 2, and was then largely maintained from Time 2 to Time 3. These results suggest that participation in a comprehensive Yoga program, designed specifically to address mood, can lead to decreased symptoms of depression and associated physical or mood states.
A great number of so-called ‘rheumatic’ pains are of psychosomatic nature, generally known as ‘psychogenic rheumatism’ or ‘‘fibrositis’. The author prefers the nomenclature appropriate to localisation and species of pains. Therefore the following division is proposed: (1) Psychosomatic cervicalgia; it is to be taken as a sign of persistence with which a man saves his face in a difficult situation. (2) Psychosomatic dorsalgia; equivalent to sorrow and discouragement or a compensating upright compulsory attitude. (3) Psychosomatic lumbago; corresponding to psychical overstress or sexual frustration. (4) Psychosomatic brachialgia, especially Epicondylitis expressing a concealed aggression in the sense of a clenched fist on which increased chronic muscle tension stereotyped movements are grafted. The physician must know these psychosomatic facts and his therapy should be adapted accordingly. Besides a muscle relaxing physical and medical treatment a therapeutical dialogue is also indicated.
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