Intimate relationships matter to health and happiness, and the field of relationship science is vast. However, the scope of the field and the abundance of precise micro-theories has presented obstacles to the development of integrative theories with contextual-behavioral science foundations that are oriented towards application of findings in domains of public health significance. Derived from the well-validated Interpersonal Process Model, which described intimacy as a dyadic exchange in which Person A engages in a vulnerable self-disclosure, Person B enacts a response, and Person A perceives the response as responsive, we present an integrative, analytic-abstractive, contextual-behavioral science model of intimate relations. The model describes the intimacy process as a set of functional relations between the behavior of Person A and a response of Person B, languaged as middle-level terms to facilitate cross-disciplinary applications. Three primary relations of the model are non-verbal emotional expression (Person A) and safety (Person B), verbal self-disclosure (Person A) and validation (Person B), and asking (Person A) and giving (Person B). The model also emphasizes the importance of self- and other-awareness and expressions of closeness as additional terms. Future research directions and potential applications are discussed.
The risk of HIV from transfusions in Canada in the period 1980-85 was estimated, using the information from a transfused paediatric cohort. Children who were transfused between January 1980 and November 1985 at a tertiary care paediatric hospital were contacted by letter. With this notification, HIV testing for recipients was recommended. HIV testing histories were obtained. The number tested for HIV was estimated from the questionnaire responses and from data matching with the HIV-testing laboratory. Cases of HIV infection were identified through multiple sources. In this cohort, 11,028 children were transfused a mean of 21 units. Of the 10,220 living recipients, the estimated proportion tested for HIV was 86% to 91%. Thirty-one cases of HIV infection were identified, representing 0.28% of the cohort but 0.34% of those expected to have been tested. The estimated HIV incidence per 1,000 units transfused ranged from 0.028 [95% CI 0.0007, 0.155] in 1980 to 0.445 [95% CI 0.2592, 0.712] in 1985. This suggests that the risk of HIV from transfusions in Canada continued to rise until the implementation of HIV testing of donors in November 1985.
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