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Left-behind children are likely to experience peer victimization, which can have detrimental consequences in their developmental outcomes. Yet, limited longitudinal research have examined peer victimization trajectories over time or the factors associated with left-behind children in China. The purpose of the present study was to examine what, if any, distinct trajectories of peer victimization exist among left-behind children and whether these trajectories are related to school climate, left-behind status, and their interactions. Participants were 853 Chinese left-behind children (Mage = 14.25, SD = 2.39; 43.4% girls) who participated in a four-wave longitudinal study conducted in rural China. Participants reported school climate (indexed by safety and order, acceptance and support, equality and fairness, autonomy and cooperation) at T1 and peer victimization across T1 to T4 spanning 2 years. Latent class growth analyses identified four peer victimization trajectories, including a stably low-decreasing group, a moderate-decreasing group, a high-decreasing group, and an increasing group. Multinomial logistic regression analyses revealed that children who perceived more positive school climate were more likely to exhibit a stably low-decreasing trajectory compared to the other three groups. In addition, among left-behind children who perceived more positive school climate, children with single-parent migrating were more likely to be members of the stably low-decreasing group as compared to those with both-parent migrating. Peer victimization among left-behind children is a concern especially for those who were left behind by both parents and perceived less positive school climate. Targeted school-based interventions and services focused on reducing peer victimization and improving school climate are needed for left-behind children, especially those with both-parent migrating.
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Bullying , Vítimas de Crime , Grupo Associado , População Rural , Instituições Acadêmicas , Humanos , Feminino , Masculino , China/epidemiologia , Bullying/psicologia , Bullying/estatística & dados numéricos , Estudos Longitudinais , População Rural/estatística & dados numéricos , Vítimas de Crime/psicologia , Vítimas de Crime/estatística & dados numéricos , Adolescente , Migrantes/psicologia , Migrantes/estatística & dados numéricos , CriançaRESUMO
INTRODUCTION: Positive character is an integral component of positive youth development that relates to psychological well-being among adolescents, yet the literature has largely overlooked its within-group variation. This study examined the latent profiles of positive character and explored their variation in psychological well-being across four adolescent groups (i.e., migrant, left-behind, rural local, and urban local adolescents) within each profile. METHODS: A diverse sample of 15,895 adolescents from 10 provinces of China (Meanage = 13.16, SD = 2.53; 47.5% girls) completed a cross-sectional survey on positive character and psychological well-being in 2017. Latent profile analysis (LPA) was conducted based on four positive characters. We investigated the distribution of each positive character profile across subgroups, as well as if and how the psychological well-being varied across different adolescent groups within each profile. RESULTS: LPA revealed three subgroups, including "Thriving" (53.6%), "Moderate" (39.1%), and "Lagging" (7.4%) positive character profiles. The "Thriving" profile was more prevalent among the urban local (58.5%) and migrant (55.8%) adolescent groups, while the "Lagging" profile was most prevalent among the left-behind adolescent group (11.6%). Urban local and migrant adolescents tended to show better psychological well-being compared to rural local and left-behind adolescents, and the disparities were generally more pronounced under the "Thriving" profile as compared to the "Moderate" and "Lagging" profiles. CONCLUSIONS: Three positive character profiles were captured among four groups of Chinese adolescents varied in parental migration status and rural-urban residency. Tailored youth development programs are needed for different groups of adolescents varying in positive character profiles.
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BACKGROUND: The present study examined the associations among ethnic identity, perceived discrimination and multiple indicators of positive youth development (PYD; i.e., intrapersonal-oriented competence, interpersonal-oriented competence, confidence, caring, character, family connection, peer connection, school and community connection, positive attitudes towards diversity and cultural pride) that were specifically identified among second-generation Chinese-American youth. METHODS: Participants were 196 second-generation Chinese-American youth (N girl = 93; M age = 14.56, SD age = 1.75) primarily from the greater Boston area in MA, United States. Multivariate regression models were estimated to examine the associations between ethnic identity, perceived discrimination, and each potential indicator of PYD, as well as the moderating role of ethnic identity, controlling for key demographics. RESULTS: (1) Ethnic identity was positively related to all PYD indicators, ßs = .32 to .72, ps < .01; (2) perceived discrimination was negatively associated with all indicators of PYD (ßs = -.15 to -.32, ps < .05), except for interpersonal-oriented competence and caring; and (3) ethnic identity significantly moderated the relationship between perceived discrimination and family connection (ß = .23, p < .01). CONCLUSIONS: Findings indicate that whereas discrimination has potential negative effects on the positive development of second-generation Chinese-American youth, ethnic identity may be a key strength that should be considered in PYD promotion practices for these youth.
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Racismo , Feminino , Humanos , Adolescente , Estados Unidos , Lactente , Identificação Social , Discriminação Percebida , Emoções , ChinaRESUMO
Measures that are applicable to assess the positive youth development (PYD) of racially diverse college students are needed. The present study tested if a revised version of the very short form of the PYD measure (PYD-VSF) was applicable to college students from five racial groups in the U. S. (White, Black, Latinx, Asian, and other) across three measurement occasions. Participants were 5,735 college students who completed the PYD-VSF at least once across the three waves of a longitudinal study. Confirmatory factor analyses (CFA) indicated that a first-order Five Cs structure, a higher-order structure, and a bifactor structure all provided good fit to the data. Multi-group CFA across racial groups found that the first-order structure fit the data better than the higher-order and the bifactor models, and it showed configural-, factor loading-, intercept-, and residual-invariance. Longitudinal CFA models of the first-order structure supported configural-, factor loading-, intercept-, and residual-invariance. The revised PYD-VSF measure has shown the potential to assess PYD among college students of diverse racial-ethnic backgrounds.
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Etnicidade , Estudantes , Adolescente , Humanos , Estados Unidos , Estudos Longitudinais , Estudos Transversais , Grupos Raciais , PsicometriaRESUMO
BACKGROUND: Former child soldiers are at elevated risk for mental health problems (e.g., traumatic stress, emotion dysregulation, and internalizing and externalizing problems). To examine which groups of former child soldiers are more likely to have difficulties with emotion regulation, interpersonal relationships, and mental health postconflict, we explored patterns of war trauma exposure and their effects on subsequent mental health problems among former child soldiers in Sierra Leone. METHODS: Participants were 415 (23.86% female) Sierra Leonean former child soldiers participating in a 15-year, four-wave longitudinal study. At T1 (2002), 282 former child soldiers (aged 10-17) were recruited. T2 (2004) included 186 participants from T1 and an additional cohort of self-reintegrated former child soldiers (NT2 = 132). T3 (2008) and T4 (2016/2017) participants were youth enrolled in previous waves (NT3 = 315; NT4 = 364). Latent profile analysis (LPA) was used to classify participants based on the first-time reports of eight forms of war exposure (separation and loss of assets, parental loss, loss of loved ones, witnessing violence, victimization, perpetrating violence, noncombat activities, and deprivation). ANOVA examined whether patterns of war exposure were associated with sociodemographic characteristics and mental health outcomes between T1 and T4. RESULTS: LPA identified two profiles: higher exposure versus lower exposure, using cumulative scores of eight forms of war-related trauma exposure. The 'higher war exposure' group comprised 226 (54.5%) former child soldiers and the 'lower war exposure' group included 189 (45.5%). Significantly higher levels of violence-related and combat experiences characterized the group exposed to more traumatic events. The 'higher war exposure' group reported more PTSD symptoms at T2, more hyperarousal symptoms across all waves, and more difficulties in emotion regulation at T4. CONCLUSIONS: Former child soldiers exposed to higher levels of war-related traumatic events and loss should be prioritized for mental health services immediately postconflict and as they transition into adulthood.
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Militares , Transtornos de Estresse Pós-Traumáticos , Adolescente , Adulto , Criança , Família , Feminino , Humanos , Estudos Longitudinais , Masculino , Serra Leoa/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , GuerraRESUMO
Youth sport is a key developmental context for many reasons, including the opportunities it provides for building relationships with peers and its potential to support character development. Peers can influence adolescent sport experiences and shape their motivations, and different peer motivational climates may differentially support athlete character. Established models identify different dimensions of peer motivational climate, yet these models do not describe how aspects of peer climate may align with character. We therefore assess profiles of peer motivational climate in relation to a multi-dimensional practitioner-developed theoretical model for character development through sport. Participants were 655 adolescent athletes from the greater Boston area, in the United States. Athletes perceiving a mastery-involved peer climate, even with high intra-team competition, were most likely to exhibit positive character attributes at the three levels of character assessed: themselves, their teammates, and the game. This study also demonstrates the utility of practitioner-developed models for adolescent research.
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Atletas/psicologia , Influência dos Pares , Desenvolvimento da Personalidade , Esportes Juvenis/psicologia , Logro , Adolescente , Boston , Estudos Transversais , Feminino , Humanos , Masculino , Modelos Teóricos , Motivação , PercepçãoRESUMO
Scientific evidence has suggested that genetic factors accounted for more than half of the vulnerability of developing alcohol use problems. However, collecting genetic data poses a significant challenge for most population-based behavioral studies. The aim of this study was to assess the utilities of a pedigree-based proxy measure of genetic predisposition of drinking (GPD) and its effect on alcohol use behaviors as well as its interactions with personal and environmental factors. In the current study, cross-sectional data were collected from 700 female sex workers (FSW) in Guangxi, China. Participants provided information on a pedigree-based proxy measure of GPD and their alcohol use behaviors. Chi-square and independent t-test was applied for examining the bivariate associations between GPD and alcohol use behaviors; multivariate and ordinal regression models were used to examine the effect of GPD on alcohol use. This study found that women with a higher composite score of GPD tended to have a higher risk of alcohol use problem compared to their counterparts (p < .05). GPD was a significant predictor of alcohol use problems (p < .05), especially among women who had mental health issues or lack of health cares. The pedigree-based measure provided a useful proxy of GPD among participants. Both FSW's mental health and health care access interact with GPD and affect their drinking patterns. By understanding the genetic basis of alcohol use, we can develop scalable and efficacious interventions that will take into consideration the individual risk profile and environmental influences.
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Consumo de Bebidas Alcoólicas/epidemiologia , Alcoolismo/epidemiologia , Predisposição Genética para Doença/epidemiologia , Linhagem , Profissionais do Sexo , Consumo de Bebidas Alcoólicas/genética , Alcoolismo/genética , China/epidemiologia , Estudos Transversais , Feminino , Interação Gene-Ambiente , HumanosRESUMO
Youth development programs represent key tools in the work of youth-serving practitioners and researchers who strive to promote character development and other attributes of youth thriving, particularly among youth who may confront structural and social challenges related to their racial, ethnic, and/or economic backgrounds. This article conducts secondary analyses of two previously reported studies of a relatively recent innovation in Boy Scouts of America (BSA) developed for youth from low-income communities, Scoutreach. Our goal is to provide descriptive and admittedly preliminary exploratory information about whether these data sets-one involving a sample of 266 youth of color from socioeconomically impoverished communities in Philadelphia (M age = 10.54 years, SD = 1.58 years) and the other involving a pilot investigation of 32 youth of color from similar socioeconomic backgrounds in Boston (M age = 9.97 years, SD = 2.46 years)-provide evidence for a link between program participation and a key indicator of positive development; that is, character development. Across the two data sets, quantitative and qualitative evidence suggested the presence of character development among Scoutreach participants. Limitations of both studies are discussed and implications for future longitudinal research are presented. We suggest that future longitudinal research should test the hypothesis that emotional engagement is key to creating the conditions wherein Scoutreach participation is linked to character development.
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Caráter , Comportamento Infantil/psicologia , Participação da Comunidade/psicologia , Etnicidade/estatística & dados numéricos , Desenvolvimento da Personalidade , Criança , Desenvolvimento Infantil , Humanos , Masculino , Organizações sem Fins Lucrativos , Estados UnidosRESUMO
Although many researchers found that drug use behaviors significantly increased HIV risk, few of them investigated the association between HIV risk and different drug use behaviors among female sex workers (FSWs) in China. The current study examines demographic and behavioral risk factors as well as the infections of HIV, syphilis, and among a subgroup of FSWs who are injection drug users (IDU) or noninjection drug users (NIDU) in comparison to Hepatitis C Virus (HCV) nondrug users (non-DU). We conducted secondary analysis of the 2010 National Sentinel Surveillance (NSS) data from Guangxi China. A self-administered, standard behavioral surveillance survey was completed by a total of 12,622 FSWs recruited from Guangxi, China. The Guangxi 2010 NSS sample included 2.6% NIDU and 0.5% IDU. Compared to non-DU, IDU were more likely to report no condom use in the last sex act (aOR = 3.25, 95%CI = 1.65, 6.40), inconsistent condom use in the past month (aOR = 4.88, 95%CI = 2.66, 8.96), having an HIV testing (aOR = 2.48, 95%CI = 1.34, 4.58), infections of HIV (aOR = 42.60, 95%CI = 9.45, 192.06), syphilis (aOR = 4.13, 95%CI = 1.86, 9.16), and HCV (aOR = 74.54, 95%CI = 30.26, 183.61). NIDU had 2.89 times higher than non-DU to report a history of sexually transmitted disease and 26% less likely to report inconsistent condom use in the past month (p < 0.05). We called for tailored, accessible, and nonjudgmental drug treatments coupled with effective sexual risk reduction interventions to help FSWs with various drug use problems to reduce their vulnerability and susceptibility of HIV risk in China as well as other cultural settings.
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Preservativos/estatística & dados numéricos , Infecções por HIV/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Profissionais do Sexo/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Sexo sem Proteção/estatística & dados numéricos , Adolescente , Adulto , Idoso , China/epidemiologia , Feminino , Infecções por HIV/prevenção & controle , Inquéritos Epidemiológicos , Humanos , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Assunção de Riscos , Parceiros Sexuais , Infecções Sexualmente Transmissíveis/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Inquéritos e QuestionáriosRESUMO
Excessive alcohol use is considered as a health-risk behavior that may produce negative health outcomes. Examining predictors of alcohol use in social and individual contexts can advance understanding of why people indulge in alcohol use. Our research on female sex workers (FSWs) examined associations among several social context factors (alcohol use by family members, alcohol use by peers, and client-perpetrated pressure or violence), refusal self-efficacy, and alcohol use. Seven hundred FSWs were recruited from two cities in southern China. Structural equation modeling (SEM) was used to analyze the direct effects of alcohol use by family members, alcohol use by peers, and client-perpetrated pressure or violence on FSWs' alcohol use. In addition, the mediation effects of refusal self-efficacy were also examined in the SEM model. Results showed that alcohol use by family members and alcohol use by peers significantly predicted FSWs' alcohol use; the prediction effect of alcohol use by peers on FSWs' alcohol use was stronger than that of alcohol use by family members; client-perpetrated pressure or violence directly predicted FSWs' alcohol use and indirectly influenced FSWs' alcohol use through refusal self-efficacy; refusal self-efficacy directly predicted FSWs' alcohol use. Administrators of effective intervention programs focused on alcohol use in China should adopt a multilevel approach to reduce negative social influences, particularly the influence from peer and sex work establishments on FSWs' alcohol use. Meanwhile, training to improve refusal self-efficacy should also be included in the intervention programs to reduce FSWs' alcohol use.
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Consumo de Bebidas Alcoólicas/epidemiologia , Autoeficácia , Trabalho Sexual/estatística & dados numéricos , Profissionais do Sexo/estatística & dados numéricos , Meio Social , Adolescente , Adulto , China , Feminino , Humanos , Adulto JovemRESUMO
Because of the illegality and stigma associated with female sex workers (FSWs) in China, data were limited regarding their psychological stressors examined through the lens of occupational health. Analyzing qualitative data from 16 gatekeepers and 38 FSWs, we explored these stressors in the context of commercial sex in China. We found that FSWs faced a continuum of stressors that resulted from poverty, limited employment, lack of social protection, violence perpetrated by clients, and limited social support from peers and stable partners. We call for empowerment and a structural approach to address the needs of FSWs to improve their psychological well-being.
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Saúde Ocupacional , Trabalho Sexual/psicologia , Profissionais do Sexo/psicologia , Estresse Psicológico/psicologia , Adulto , China , Estudos Transversais , Feminino , Infecções por HIV/psicologia , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Pesquisa Qualitativa , Fatores de Risco , Parceiros Sexuais/psicologia , Estigma Social , Fatores Socioeconômicos , Inquéritos e Questionários , ViolênciaRESUMO
We utilized Protection Motivation Theory to assess predictors of intention and behavior of consistent condom use among Chinese female sex workers (FSWs). A self-administered questionnaire was used in a cross-sectional survey among 700 FSWs in Guangxi, China. Multivariate logistic regression analysis indicated that extrinsic and intrinsic rewards, self-efficacy, and response costs predicted consistent condom use intention and behavior among FSWs. Sexually transmitted infection/ HIV prevention programs need to reduce FSWs' perceptions of positive extrinsic rewards and intrinsic rewards for engaging in consistent condom use, reduce FSWs' perception of response costs for using a condom, and increase condom use self-efficacy among FSWs.
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Preservativos/estatística & dados numéricos , Intenção , Trabalho Sexual/psicologia , Profissionais do Sexo/psicologia , Parceiros Sexuais , Adulto , China , Estudos Transversais , Feminino , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Motivação , Sexo Seguro/psicologia , Sexo Seguro/estatística & dados numéricos , Autoeficácia , Profissionais do Sexo/estatística & dados numéricos , Infecções Sexualmente Transmissíveis/prevenção & controle , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto JovemRESUMO
Limited data are available regarding risk factors that are related to intimate partner violence (IPV) against female sex workers (FSWs) in the context of stable partnerships. Out of the 1,022 FSWs, 743 reported ever having a stable partnership and 430 (more than half) of those reported experiencing IPV. Hierarchical multivariate regression revealed that some characteristics of stable partners (e.g., low education, alcohol use) and relationship stressors (e.g., frequent friction, concurrent partnerships) were independently predictive of IPV against FSWs. Public health professionals who design future violence prevention interventions targeting FSWs need to consider the influence of their stable partners.
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Delitos Sexuais/estatística & dados numéricos , Profissionais do Sexo/estatística & dados numéricos , Parceiros Sexuais/psicologia , Fatores Socioeconômicos , Maus-Tratos Conjugais/psicologia , Violência/estatística & dados numéricos , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/efeitos adversos , Consumo de Bebidas Alcoólicas/epidemiologia , China/epidemiologia , Preservativos/estatística & dados numéricos , Feminino , Humanos , Relações Interpessoais , Masculino , Análise de Regressão , Fatores de Risco , Delitos Sexuais/etnologia , Delitos Sexuais/prevenção & controle , Maus-Tratos Conjugais/prevenção & controle , Inquéritos e Questionários , Violência/etnologia , Violência/prevenção & controleRESUMO
BACKGROUND: The purpose of this study was to examine prevalence of HIV, syphilis and hepatitis C virus (HCV) infection as well as related risk factors among a group of male clients of low-paying female sex workers (FSW) (eg, women who usually encounter their clients on the street or small establishments in rural or less developed areas, or who charge low fees for each sexual service) in a rural county of China. METHOD: Cross-sectional study conducted in 2011 in a rural county of Guangxi in China. A total of 102 clients who reported information on demographics and HIV risks (eg, inconsistent condom use) and provided blood sample to test for HIV, HCV and syphilis were included in the data analysis. Both bivariate and multivariate analyses were employed to explore risk factors of HIV, HCV and syphilis infection. RESULTS: Most of participants were of Han ethnicity with a mean age of 61.8 years. The majority of them lived in rural areas and worked as farmers with limited disposable cash incomes. The sample reported a high rate of unprotected sex with FSW in the last sex episode (83.7%) and inconsistent condom use in the last 6 months (95.9%). The overall prevalence of HIV, HCV and syphilis was 1.9%, 1.0% and 18.4%, respectively. CONCLUSIONS: Findings suggest that male clients, especially the elderly ones, are at a high risk of HIV infection given prevalent unprotected sex and high prevalence of syphilis. Culturally-appropriate, age-specific interventions are urgently needed to curb the HIV/sexually transmitted infection epidemic among this at-risk population in China.
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Preservativos/estatística & dados numéricos , Infecções por HIV/epidemiologia , Hepatite C/epidemiologia , Profissionais do Sexo , Comportamento Sexual , Sífilis/epidemiologia , Adulto , Fatores Etários , China/epidemiologia , Estudos Transversais , Feminino , Infecções por HIV/diagnóstico , Infecções por HIV/prevenção & controle , Hepatite C/diagnóstico , Hepatite C/prevenção & controle , Humanos , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto , Prevalência , Fatores de Risco , População Rural , Fatores Socioeconômicos , Sífilis/diagnóstico , Sífilis/prevenção & controleRESUMO
HIV risk and mental health problems are prevalent among female sex workers (FSWs) in China. The purpose of this research was to study age group differences in HIV risk and mental health problems in this population. In the current study, we divided a sample of 1022 FSWs into three age groups (≤ 20 years, 21-34 years, and ≥ 35 years). Results showed that among the three groups (1) older FSWs (≥ 35 years) were likely to be socioeconomically disadvantaged (e.g., rural residency, little education, employment in low-paying venues, and low monthly income); (2) older FSWs reported the highest rates of inconsistent, ineffective condom use, and sexually transmitted diseases history; (3) younger FSWs (≤ 20 years) reported the highest level of depression, suicidal thoughts and suicide attempts, regular-partner violence, and substance use; (4) all health-related risks except casual-partner violence were more prevalent among older and younger FSWs than among FSWs aged 21-34 years; and (5) age had a significant effect on all health indicators except suicide attempts after controlling for several key demographic factors. These findings indicate the need for intervention efforts to address varying needs among FSWs in different age groups. Specific interventional efforts are needed to reduce older FSWs' exposure to HIV risk; meanwhile, more attention should be given to improve FSWs' mental health status, especially among younger FSWs.
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Infecções por HIV/epidemiologia , Transtornos Mentais/epidemiologia , Saúde Mental , Profissionais do Sexo/psicologia , Adolescente , Adulto , Fatores Etários , China/epidemiologia , Preservativos/estatística & dados numéricos , Estudos Transversais , Feminino , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Transtornos Mentais/prevenção & controle , Prevalência , Fatores de Risco , Infecções Sexualmente Transmissíveis/epidemiologia , Infecções Sexualmente Transmissíveis/prevenção & controle , Violência , Adulto JovemRESUMO
Previous literature suggests a high rate of HIV infections among older female sex workers (FSWs) in China. However, limited data are available regarding HIV- related behavioral risk factors among this population. In the current study, we aim to examine the demographic and behavioral factors that place older FSWs at a high risk of HIV infection. We conducted secondary analysis of the 2010 National Sentinel Surveillance (NSS) data from Guangxi, China. A self-administered, standard behavioral surveillance survey was completed by a total of 12,622 FSWs in Guangxi, China. The Guangxi 2010 NSS sample included 19.4% FSWs aged 35 years or older ("older FSWs"). The overall HIV prevalence was 1.0% for the entire sample with 2.0% among older FSWs and 0.8% among younger ones. Older age was an independent predictor of unprotected sex, injection drug use, and a self-reported history of syphilis infection. Future HIV prevention interventions targeting FSWs should consider older FSWs' vulnerable status. Efforts are needed to address their financial needs and invest in skills for socio-economic empowerment.
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Preservativos/estatística & dados numéricos , Infecções por HIV/epidemiologia , Trabalho Sexual , Profissionais do Sexo/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , China/epidemiologia , Estudos Transversais , Feminino , Infecções por HIV/diagnóstico , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Autorrelato , Vigilância de Evento Sentinela , Fatores Socioeconômicos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Sexo sem Proteção/estatística & dados numéricosRESUMO
Global literature suggests that gatekeepers exert enormous influences on lives of female sex workers (FSWs). However, virtually no available studies have examined the FSW-gatekeeper relationship (F-G relationship) and its impact on FSW's mental health. The current study was conducted in 2008-2009 in two cities of southwest China. A total of 1022 FSW were recruited through community outreach from nine different types of commercial sex establishments. Both bivariate and multivariate analyses were employed to depict the association between F-G relationship and measures of FSW's mental health. Findings of the current study revealed that FSW with a close relationship with their gatekeepers reported a better mental health status. After adjusting for demographics and potential confounders of mental health, F-G relationship was positively associated with hopefulness (âß = .09, 95% CI = .01, .16), but negatively associated with perceived stigma (âß = -.25, 95% CI = -.44, -.07), suicidal intention or attempt (aOR = .90, 95% CI = .83, .99), and loneliness (âß = -.29, 95% CI = -.47, -.12). F-G relationship is an independent predictor of mental health of FSW over and above potential confounders including partner violence and substance use. Future health promotion programs targeting FSW need to recognize the role of gatekeepers in the life of FSW and engage them in a socially and legally acceptable way in safeguarding or improving mental health status of FSW in China.
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Emprego/psicologia , Relações Interpessoais , Trabalho Sexual/psicologia , Profissionais do Sexo/psicologia , Adolescente , Adulto , China , Depressão/psicologia , Feminino , Esperança , Humanos , Solidão , Pessoa de Meia-Idade , Estigma Social , Suicídio , Adulto JovemRESUMO
OBJECTIVE: Conflict-affected youth are at risk for poor psychological and social outcomes, yet few receive mental health services. Strategies to expand access and sustain evidence-based interventions (EBIs) across novel delivery platforms must be tested. The present study was a hybrid type II implementation-effectiveness trial using a cluster randomized design. The primary goal was to evaluate feasibility and impact of using the collaborative team approach to deliver the Youth Readiness Intervention (YRI), an EBI, integrated into a youth entrepreneurship program (ENTR) with quality control in post-conflict Sierra Leone. METHOD: Youth were screened and randomly assigned to control, ENTR, or combined YRI and ENTR (YRI+ENTR). Implementation outcomes were dissemination and implementation indicators, competence, and fidelity. Effectiveness outcomes were emotion regulation, psychological distress, and interpersonal functioning. Secondary outcomes were third-party reporter assessments of youth functioning and behavior. RESULTS: Data were collected and analyzed from 1,151 youth participants and 528 third-party reporters. Scores on implementation constructs, competence, and fidelity demonstrated acceptable intervention response and quality. YRI+ENTR participants showed overall improvements in depression (ß = -.081, 95% CI -0.124 to -0.038, d = -0.154) and anxiety (ß = -.043, 95% CI -0.091 to -0.005, d = 0.082) symptoms compared with control participants. Community leaders indicated that YRI+ENTR participants demonstrated improvements in overall work or training performance compared with control participants (ß = -.114, 95% CI 0.004 to 0.232, d = 0.374). CONCLUSION: Integration of EBIs such as the YRI into youth employment programs has the potential to address limited reach of EBIs in conflict and post-conflict settings. A collaborative team implementation approach can facilitate integration and fidelity. PLAIN LANGUAGE SUMMARY: In a Hybrid Type-II Implementation-Effectiveness trial conducted in Sierra Leone, researchers tested a Collaborative Team Approach (CTA) for delivering an evidence-based mental health intervention, the Youth Readiness Intervention (YRI), within a youth entrepreneurship program. A total of 1,151 youth participated in the study, with outcomes measured on youth mental health indicators of emotional regulation, psychological distress, and interpersonal functioning, as well as implementation indicators, competence, and fidelity. Results demonstrated that the integrated YRI and entrepreneurship program led to significant improvements in depression and anxiety symptoms compared to the control group. Community leaders also noted enhanced overall performance in YRI participants, suggesting that integrating evidence-based interventions into youth employment programs can effectively address mental health challenges in low-resource regions. DIVERSITY & INCLUSION STATEMENT: We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science. We actively worked to promote sex and gender balance in our author group. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work. One or more of the authors of this paper received support from a program designed to increase minority representation in science. CLINICAL TRIAL REGISTRATION INFORMATION: Youth FORWARD Phase 2 YRI and EPP Study; https://clinicaltrials.gov/; NCT03542500. STUDY PREREGISTRATION INFORMATION: Youth Functioning and Organizational Success for West African Regional Development (Youth FORWARD): Study Protocol; https://doi.org/10.1176/appi.ps.202000009.
Assuntos
Empreendedorismo , Humanos , Serra Leoa , Feminino , Masculino , Adolescente , Criança , Serviços de Saúde Mental/organização & administraçãoRESUMO
Peer victimization is detrimental to child mental health. Research has indicated a reciprocal relationship between peer victimization and mental health problems. Yet limited evidence was from children and adolescents in China. The present study used the random intercepts cross-lagged panel model (RI-CLPM) to examine both between-person and within-person associations between peer victimization and depressive symptoms among Chinese children and adolescents. Participants were 1205 Chinese students (Mage = 11.27 years; ranged from 9 to 15 years; SD = 1.75; 55% boys) who completed four surveys (Time 1 to Time 4) between 2017 and 2019 on demographics, peer victimization, and depressive symptoms. At the between-person level, peer victimization was positively associated with depressive symptoms. Controlling for between-person effects, RI-CLPM suggested positive within-person effects from peer victimization to depressive symptoms across adjacent waves. The model also suggested a positive within-person effect from Time 2 depressive symptoms to Time 3 peer victimization. The multi-group analysis showed that these effects did not differ by gender, age, or subjective socioeconomic status. Peer victimization and depression appear to be reciprocally related at the transitioning period between late childhood and early adolescence in Chinese students. Mental health interventions should attend to peer victimization for children and adolescents in China.
Assuntos
Bullying , Depressão , Adolescente , Criança , Feminino , Humanos , Masculino , Vítimas de Crime/psicologia , Depressão/epidemiologia , Depressão/etiologia , Depressão/psicologia , População do Leste Asiático , Estudos Longitudinais , Grupo Associado , Agressão/psicologia , Bullying/psicologiaRESUMO
The present study examined what, if any, patterns of parental control are associated with multiple indicators of psychosocial well-being and whether changes in these patterns over time predict subsequent psychosocial well-being. Latent profile analyses and latent transition analyses were applied to identify subgroups of parental control and transitions of these patterns over time among rural-to-urban migrant adolescents who participated in two waves of surveys with 6-month interval in 2014 (NT1 = 660, NT2 = 553). Multivariate logistic regression was conducted to explore their relationship with psychosocial well-being. Four latent profiles were identified based on levels of parental control at wave 1 and wave 2, respectively. The high psychological and behavioral control (HPHB) group was associated with worse psychosocial well-being whereas the low psychological control and high behavioral control (LPHB) group exhibited opposite relationships. Six transitioning groups were identified: "stably low-risk" (14.92%), "stably medium-risk" (7.37%), "stably high-risk" (24.49%), "floating LPHB" (26.52%), "high-decreasing" (15.10%), and "low-increasing" (11.60%) groups. The "stably high-risk" and "low-increasing" groups showed a higher risk in psychosocial well-being. Youth exhibiting higher risks of parental control (i.e. individuals in HPHB groups and higher-risk transition patterns over time) should prioritize for interventions and services.