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1.
J Anim Sci ; 94(10): 4307-4314, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27898865

RESUMO

Two experiments were designed to evaluate the effects of monensin, virginiamycin, and flavomycin on growth performance, carcass characteristics, apparent total tract nutrient digestibility, and rumen fermentation of zebu cattle fed a no-roughage finishing diet (whole shelled corn [WSC] based). In Exp. 1, 100 crossbred bulls (; 392 kg [SD 46.8] average initial BW) were blocked by initial BW in a 101-d feedlot trial. Five treatments were evaluated using 4 pens per treatment (5 bulls/pen): monensin at 30 mg/kg DM, virginiamycin at 25 mg/kg DM, monensin at 20 mg/kg DM plus virginiamycin at 25 mg/kg DM, flavomycin at 4.4 mg/kg DM, and monensin at 20 mg/kg DM plus flavomycin at 2.2 mg/kg DM. There were no differences in growth performance (final BW, ADG, DMI, and G:F; ≥ 0.527) and carcass characteristics (HCW, dressing percent, and 12th-rib fat; ≥ 0.235) among treatments. In Exp. 2, 7 ruminally fistulated steers were used in a 7 × 7 Latin square design to evaluate the 5 treatments of Exp. 1 and 2 additional treatments: monensin at 30 mg/kg DM plus virginiamycin at 25 mg/kg DM and monensin at 20 mg/kg DM plus flavomycin at 4.4 mg/kg DM. Experimental periods were 14 d in length (9 d of adaptation and 5 d of measurements). Apparent total tract DM, OM, CP, and NDF digestibilities were similar among treatments ( ≥ 0.224). There was no treatment effect ( ≥ 0.253) in rumen fermentation responses (ruminal pH, rumen ammonia nitrogen, VFA, and number of protozoa). In conclusion, no evidence of benefits to cattle fed a no-roughage WSC-based diet was found to support the use of monensin combined with virginiamycin or flavomycin in the doses tested herein.


Assuntos
Bambermicinas/farmacologia , Bovinos , Dieta/veterinária , Fibras na Dieta , Monensin/farmacologia , Virginiamicina/farmacologia , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal , Animais , Antibacterianos/farmacologia , Composição Corporal/efeitos dos fármacos , Digestão/fisiologia , Fermentação , Trato Gastrointestinal/efeitos dos fármacos , Masculino , Inibidores da Síntese de Proteínas/farmacologia , Ionóforos de Próton/farmacologia , Rúmen/metabolismo
2.
Braz J Microbiol ; 43(3): 1022-5, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24031922

RESUMO

A semi-intensive wildlife boars farm presented a clinical history of high mortality in 70 - 90 days-old pigs (> 50 %). Two 90 days-old animals with weight loss and wasting were necropsied and the samples tested for PCV2 by polymerase chain reaction (PCR). The genetic material of PCV2 was sequenced and classified into the PCV2a genotype together with PCV2 sequences obtained from samples of Poland, Brazil, Slovenia and Greece wild boars.

3.
AIDS Care ; 20(1): 93-100, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18278619

RESUMO

In contrast to previous research on parental drug abuse, the present study examined comorbid drug addiction and HIV infection in the father as related to his adolescent child's psychological distress. Individual structured interviews were administered to 505 HIV-positive and HIV-negative drug-abusing fathers and one of their children, aged 12-20. Structural equation modelling tested an hypothesized model linking paternal latent variables, ecological factors and adolescent substance use to adolescent distress. Results demonstrated a direct pathway between paternal distress and adolescent distress, as well as an indirect pathway; namely, paternal distress was linked with impaired paternal teaching of coping skills to the child, which in turn was related to adolescent substance use and, ultimately, to the adolescent's distress. There was also an association between paternal drug addiction/HIV and adolescent distress, which was mediated by both ecological factors and adolescent substance use. Findings suggest an increased risk of distress in the adolescent children of fathers with comorbid drug addiction and HIV/AIDS, which may be further complicated by paternal distress. Results suggest several opportunities for prevention and treatment programmes for the children of drug-abusing fathers.


Assuntos
Filho de Pais com Deficiência/psicologia , Pai/psicologia , Soronegatividade para HIV , Soropositividade para HIV/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Adulto , Criança , Relações Pai-Filho , Feminino , Humanos , Masculino , Poder Familiar/psicologia , Fatores de Risco , Estresse Psicológico/etiologia
4.
Dev Psychopathol ; 11(4): 805-22, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10624727

RESUMO

Epidemiological research shows some ethnic-group differences in the prevalence of substance use. This approach does not address the question of whether there are ethnic-group differences in the models that are needed to understand the development of substance use. For this question we need to understand the relations between psychological constructs and their trajectories over time. In this paper we describe some approaches to studying ethnic-group differences in the predictors of substance use that illustrate probing for mediators, multisample analyses of structural models, and an experimental trial of a preventive intervention. Our studies found some ethnic-group differences in the structure of constructs and the relations between variables, but many similarities. The challenge for researchers is using appropriate research methods for studying ethnicity, uncovering the basis for ethnic-group differences when they occur, knowing when statistical differences are meaningful, and acknowledging when developmental models are comparable.


Assuntos
Etnicidade/psicologia , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Adolescente , Comportamento do Adolescente/psicologia , Adulto , Idoso , Progressão da Doença , Família/psicologia , Feminino , Humanos , Acontecimentos que Mudam a Vida , Masculino , Pessoa de Meia-Idade , Pais/psicologia , Valor Preditivo dos Testes , Prognóstico , Psicologia do Adolescente , Fatores de Risco , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Transtornos Relacionados ao Uso de Substâncias/psicologia
6.
Am J Prev Med ; 12(6): 467-71, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8955777

RESUMO

BACKGROUND: The Healthy People 2000 report set the objective of increasing the percentage of women 40 or older who had ever received a mammogram and clinical breast examination to 80% by the year 2000. The report used a baseline of 36% for all American women and 20% for Hispanic women. The purpose of this study was to compare baseline estimates with data obtained in five Hispanic communities. METHODS: Common survey measures were administered in five studies participating in a National Cancer Institute Cooperative agreement. The surveys evaluated history of mammography in five Hispanic communities in the southwestern Unites States. RESULTS: Across the five communities, the rates of mammography use were significantly higher than the national baseline. Among women 40-49 years of age, 55% had completed mammography (95% confidence interval [CI] = 52%, 57%). Among women 50 years of age or older, 64% had received a mammogram (95% CI = 62%, 66%). Older women (above age 50) were significantly more likely to have completed the test than younger women (younger than age 50), and mammography was obtained less often among women who were uninsured and those who had lower levels of acculturation. CONCLUSIONS: We conclude that the rate of mammography use among Hispanic women has increased significantly over the last few years and that we are on track to reach the goal of 80% mammography compliance for Hispanic women 40 years and older by the year 2000.


Assuntos
Neoplasias da Mama/prevenção & controle , Hispânico ou Latino , Mamografia/estatística & dados numéricos , Programas de Rastreamento/estatística & dados numéricos , Aculturação , Adulto , Fatores Etários , Neoplasias da Mama/diagnóstico por imagem , Feminino , Hispânico ou Latino/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Sudoeste dos Estados Unidos , Inquéritos e Questionários
7.
Women Health ; 24(3): 37-57, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-9046552

RESUMO

In a community-based sample of Hispanic women, this study examines differences in relation to level of acculturation in knowledge about the Pap examination, fear/fatalism towards cancer, and cervical cancer screening behaviors. Respondents were randomly chosen from 11 churches in the Phoenix metropolitan area (n = 566) and were categorized into three acculturation levels: low (35.2%), bicultural (26.3%), and high (38.5%). Interviews focused on family history of cancer as well as knowledge about cancer and utilization of screening techniques for breast and cervical cancers. OLS regression and probit analyses were conducted to examine the role of acculturation in differentiating. Hispanic subgroups in relation to knowledge, beliefs, and behaviors regarding cervical cancer. Findings of the present study indicate that Hispanic women in the Phoenix metropolitan area are utilizing cervical cancer screening services with over 90 percent of women in all three acculturation groups ever having had a Pap exam and more than 50 percent having had the examination during the past year. However, results also indicate that of the Hispanic subgroups examined, lower acculturated Hispanic women have less knowledge about Pap smears and exhibit lower utilization rates for cervical cancer screening. These results suggest that lower-acculturated Hispanic women comprise the subgroup of Hispanics that is at greatest risk of presenting with advanced stages of cervical cancer. Results have implications for cancer screening and education programs for Hispanic women as well as implications for health care professionals who serve this population.


Assuntos
Atitude Frente a Saúde/etnologia , Conhecimentos, Atitudes e Prática em Saúde , Hispânico ou Latino/psicologia , Teste de Papanicolaou , Neoplasias do Colo do Útero/etnologia , Esfregaço Vaginal/estatística & dados numéricos , Aculturação , Adolescente , Adulto , Análise de Variância , Coleta de Dados , Feminino , Humanos , Pessoa de Meia-Idade , Análise Multivariada , Distribuição Aleatória , Análise de Regressão , Fatores Socioeconômicos , Estados Unidos , Neoplasias do Colo do Útero/diagnóstico , Neoplasias do Colo do Útero/psicologia , Esfregaço Vaginal/psicologia
8.
Health Psychol ; 14(7): 622-31, 1995 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8654340

RESUMO

The health status and health outcomes of many ethnic minorities have remained poor, or have deteriorated, despite massive health promotion campaigns. Multiple factors that encourage ethnic minorities to engage in high-risk behaviors and those that discourage health promotive behaviors must be closely examined before any health interventions are likely to be successful in decreasing substance abuse, high-risk sex, accidental deaths and injuries, and violence. Cultural and contextual factors may put some ethnic minorities in jeopardy and at higher risk for poorer health than their White counterparts (B. W. K. Yee, 1995, in press). This review article identifies contributing factors in high-risk behaviors and highlights research gaps for Americans of African, Indian, Asian and Pacific Islander, and Hispanic descent.


Assuntos
Etnicidade , Grupos Minoritários , Assunção de Riscos , Violência , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Comportamento Sexual , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Estados Unidos/epidemiologia , Violência/prevenção & controle , Violência/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/prevenção & controle
9.
Health Educ Q ; 22(1): 61-84, 1995 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-7721602

RESUMO

This article describes a two-factor schema for the development of culturally appropriate cancer risk reduction interventions for Mexican American women. Regarding this approach, risk factors for two major cancer areas are reviewed: cigarette smoking and obesity/diet. We first describe a schema that facilitates the planning of strategies associated with preferred health interventions and preventive approaches for cancer risk reduction with Mexican American and other Latino/Hispanic persons. This schema examines Acculturation and Education as key factors that should be considered in developing health education messages and interventions that are culturally and educationally appropriate to the identified subpopulations of Hispanics in terms of language and informational content of the message and in terms of psychological factors related to health behavior change. Empirical data from a community sample is presented for the purpose of illustrating the validity of this schema. Then we review studies that examine the effect of acculturation on the distribution of the risk factors, based on studies in the current literature. Here we note the target group of women with the highest risk, based on the available information on Acculturation and other sociodemographic factors. Additionally, an illustration is presented where information and the concepts offered by the two-factor schema facilitate the analysis of (a) health education message needs and (b) needed behavior change, thus pointing to (c) more appropriate health promotion strategies for targeted Hispanic/Latino individuals or groups. The information described in this article aims to help program planners, researchers, and health educators in the design of more effective programs of health intervention for Mexican American and other Hispanic/Latino women.


Assuntos
Aculturação , Conhecimentos, Atitudes e Prática em Saúde , Americanos Mexicanos , Neoplasias/prevenção & controle , Saúde da Mulher , Análise de Variância , Feminino , Promoção da Saúde , Humanos , Neoplasias/etnologia , Obesidade/etnologia , Desenvolvimento de Programas , Fatores de Risco , Fumar/etnologia , Estados Unidos/epidemiologia
11.
J Natl Cancer Inst Monogr ; (18): 127-35, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-8562213

RESUMO

Compañeros en la Salud (Partners in Health) is a 3-year project funded by the National Cancer Institute to conduct a church-based health promotion program whose aim is to reduce the risk of breast, cervical, and diet-related cancers in Latino/Hispanic women by increasing their knowledge of preventive behaviors, motivating healthy behavior change, and increasing their access to and utilization of preventive health services. From a systems perspective, churches serve as miniature, dynamic communities that present an opportunity for developing and implementing a program of health promotion. An analysis of church, Promotora (peer health worker), and participant characteristics from the preintervention base-line data revealed a naturally occurring segmentation of churches by congregation size and denomination. The Catholic churches almost exclusively were larger, whereas the Protestant churches almost exclusively were smaller. An analysis of the psychosocial characteristics of the various Latino women, when stratified by church congregation size, revealed that the women from the smaller, Protestant churches were poorer, had a lower level of acculturation, and had lower lifetime rates of clinical breast examinations. These results suggested greater resource deficits and a relatively higher need for Promotora outreach services for women from the smaller, Protestant churches. Implications are presented for differential approaches to effective health promotion among various types of churches.


Assuntos
Neoplasias da Mama/etnologia , Neoplasias da Mama/prevenção & controle , Cristianismo , Neoplasias Colorretais/etnologia , Neoplasias Colorretais/prevenção & controle , Redes Comunitárias/organização & administração , Dieta , Promoção da Saúde/organização & administração , Hispânico ou Latino , Neoplasias do Colo do Útero/etnologia , Neoplasias do Colo do Útero/prevenção & controle , Saúde da Mulher , Adolescente , Adulto , Idoso , Neoplasias da Mama/epidemiologia , Neoplasias da Mama/psicologia , Neoplasias Colorretais/epidemiologia , Neoplasias Colorretais/psicologia , Redes Comunitárias/economia , Características Culturais , Dieta/efeitos adversos , Feminino , Promoção da Saúde/economia , Hispânico ou Latino/psicologia , Humanos , Pessoa de Meia-Idade , National Institutes of Health (U.S.) , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Grupo Associado , Áreas de Pobreza , Fatores de Risco , Estados Unidos , População Urbana , Neoplasias do Colo do Útero/psicologia
12.
J Community Health ; 19(6): 433-48, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7844248

RESUMO

The breast self-examination (BSE) practices of 1,453 Hispanic women in Phoenix, Arizona and San Diego, California were the focus of this study. Variables proposed as factors that influence the frequency and proficiency of BSE were demographic variables, particularly language and level of acculturation, having been taught BSE by a health professional, and experience with the disease. Results indicate that even though the majority of the women at both the Phoenix (78.1%) and San Diego (83.7%) sites had been taught BSE by a professional and most women in Phoenix (62.5%) and San Diego (63.4%) reported performing BSE within the past month, only 0.7% of the women at both sites were found to be proficient in the technique of BSE. Further, results indicate that language and acculturation were correlated with whether or not a woman performed BSE. These findings suggest that BSE education classes must provide information and techniques that promote proficiency in BSE, and must be designed to meet the unique needs of Hispanic women, particularly those of low acculturation levels.


Assuntos
Neoplasias da Mama/prevenção & controle , Autoexame de Mama , Conhecimentos, Atitudes e Prática em Saúde , Hispânico ou Latino , Aculturação , Adulto , Arizona/epidemiologia , Atitude Frente a Saúde , Neoplasias da Mama/etnologia , California/epidemiologia , Feminino , Educação em Saúde , Humanos , Pessoa de Meia-Idade , Fatores Socioeconômicos
13.
Am Psychol ; 49(9): 797-805, 1994 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7978667

RESUMO

Longitudinal data on the status of training of clinical psychologists for service and research with ethnic minority populations were presented in order to assess progress. Data from an earlier survey by Bernal and Padilla (1982), which were collected in 1979-1980, were compared with similar survey data collected in 1990-1991. Results revealed a mixed picture of progress: Key aspects of minority training have improved, and there is a substantial block of programs committed to minority training. However, two changes are needed: engagement in a change process leading to training for cultural competence rather than minimal exposure to culture, and a significant increase in the numbers of minority faculty, which can occur only by a sharp increase in the numbers of minority students admitted into the educational pipeline.


Assuntos
Atenção à Saúde/organização & administração , Atenção à Saúde/normas , Etnicidade , Psicologia Clínica/educação , Pesquisa , Coleta de Dados , Educação , Humanos , Estados Unidos , Recursos Humanos
14.
Addict Behav ; 19(3): 319-31, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7942249

RESUMO

This study examined the role of attributions in the lapse and relapse process following substance abuse treatment. According to Marlatt and Gordon's theoretical framework, attributions made after a lapse (e.g., the Abstinence Violation Effect [AVE]) determine whether it progresses to a relapse. Also examined were the attributions of recovering drug users who were tempted but remained abstinent (never lapsed). Ninety-seven participants were recruited from an inpatient treatment center for substance abuse and completed an interview 6 months after leaving treatment. Findings partially confirmed predictions made by the AVE. Predictions made by the AVE were not supported in that lapsers and relapsers were similar regarding their internal/external attributions following a return to drug use; predictions were supported as relapsers made more stable and global attributions as compared to lapsers. Also as predicted, abstainers made more internal, stable, and global attributions regarding their abstinence (as compared to lapsers following their slip). Abstainers' attributions for their success in remaining abstinent tended to be similar to the attributions made by relapsers for their failure to remain abstinent (i.e., for their relapse). Combined, these findings highlight the complexity of the attributional process in early recovery from substance abuse. Clinical and research implications of the findings are discussed in relation to substance abuse relapse prevention.


Assuntos
Cocaína , Controle Interno-Externo , Metanfetamina , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adolescente , Adulto , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Admissão do Paciente , Transtornos Relacionados ao Uso de Substâncias/psicologia , Resultado do Tratamento
15.
Prev Med ; 23(1): 48-53, 1994 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8016032

RESUMO

BACKGROUND: Latino youth have been found to have a higher prevalence of tobacco use than do other ethnic groups, possibly due to cultural factors and parental influences. METHODS: Seventh-grade students (N = 589) were surveyed in San Diego, California, and Tijuana, Mexico, to assess parental influences to smoke. These parental influence variables were studied with logistic regression, adjusting for age, sex, and number of parents who smoke. RESULTS: Among those whose parents smoke, Mexican students were asked to strike a match to light their parents' cigarettes significantly more often (57%) than Mexican-American students (37%) and U.S. Others (37%) (P < 0.05). Seventeen percent of the Mexican students reported having lit a cigarette in their own mouth for their parents, compared to 18% of Mexican-Americans and only 3% of U.S. Others (P < 0.01). Mexicans reported buying cigarettes for their parents more often (62%), compared with 36% for Mexican-Americans and 30% for U.S. Others (P < 0.01). Child smoking was only associated with friend offers of tobacco and parental prompts to light cigarettes in their mouths. CONCLUSION: Latino parents are inadvertently prompting their children to smoke. Smoking prevention programs targeting Latino youth may need to include a parental tobacco education component.


Assuntos
Comportamento do Adolescente , Atitude Frente a Saúde/etnologia , Americanos Mexicanos , Pais/psicologia , Fumar/etnologia , Adolescente , California/epidemiologia , Características Culturais , Feminino , Humanos , Modelos Logísticos , Masculino , México/epidemiologia , Razão de Chances , Pais/educação , Prevalência , Prevenção do Hábito de Fumar , Inquéritos e Questionários
17.
AIDS Educ Prev ; 5(1): 54-70, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-8481272

RESUMO

To ascertain the specific AIDS training needs of staff from community-based organizations in the Southwest, a survey of knowledge and attitudes was conducted by the National Coalition of Hispanic Health and Human Services Organizations (COSSMHO) in the 5 Southwestern cities of Albuquerque, El Paso, Phoenix, San Diego, and Tucson. The responses of 1057 staff were examined according to staff position: managerial, direct service, clerical, and volunteer. Staff were 60.3% Hispanic/Latino and 28.4% white non-Hispanic. Staff responses were examined on 3 dimensions of AIDS-related knowledge and on 3 attitudinal dimensions. A multivariate analysis of covariance (MANCOVA) that controlled for 4 sources of group nonequivalence revealed generally that managers and direct service staff had higher knowledge and more favorable attitudes than did clerical and volunteer staff. Of greatest concern, however, was the number of specific knowledge items for which all staff obtained less than 80% correct answers. Disturbing knowledge deficits exist on important AIDS-related information across all levels of staff. Specific content and strategies are presented for corrective interventions by staff type.


Assuntos
Síndrome da Imunodeficiência Adquirida , Serviços de Saúde Comunitária , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/educação , Serviço Social , Síndrome da Imunodeficiência Adquirida/prevenção & controle , Síndrome da Imunodeficiência Adquirida/transmissão , Adulto , Feminino , Inquéritos Epidemiológicos , Hispânico ou Latino , Humanos , Masculino , Sudoeste dos Estados Unidos
18.
Prev Med ; 20(6): 751-63, 1991 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1766946

RESUMO

METHODS. Latino (n = 358) and Anglo (n = 113) adults living in the San Diego area were surveyed on nutrition, smoking, and cancer screening behaviors. The Latino respondents were dichotomized into a low (L-Latino) or high (H-Latino) acculturation group according to a median split of an acculturation index. RESULTS. After controlling for age, years of education, gender, marital status, and income, significant cross-cultural differences were found in saturated fat/cholesterol avoidance, and fiber and high calorie food consumption. L-Latino respondents had the lowest degree of saturated fat/cholesterol avoidance, followed by H-Latinos and Anglos. A pattern of decreasing consumption with increasing acculturation was observed for fiber and high calorie foods. Significant differences were found among women in the prevalence of Pap smear exams, with L-Latinas having the lowest prevalence of ever and in the past year having had a Pap smear, followed by H-Latinas and Anglos. A similar significant pattern was observed among women 50 years of age or older with respect to the prevalence of ever having had a mammogram.


Assuntos
Comportamentos Relacionados com a Saúde/etnologia , Hispânico ou Latino , Neoplasias/prevenção & controle , População Branca , Adulto , California/epidemiologia , Comparação Transcultural , Inquéritos sobre Dietas , Feminino , Humanos , Masculino , Programas de Rastreamento/estatística & dados numéricos , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Neoplasias/etnologia , Fatores de Risco , Fumar/epidemiologia , Inquéritos e Questionários
19.
J Subst Abuse ; 3(4): 457-91, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1668230

RESUMO

The treatment of cocaine abusers is a newly emerging discipline. Many of the strategies that are being developed for this purpose have been adapted from the drug and alcoholism treatment systems. These include use of established programs that are only minimally modified for cocaine abusers, such as the 28-day inpatient hospital, therapeutic community, and 12-step programs. Other approaches have created specific techniques to meet particular clinical needs of cocaine abusers, such as behavioral, pharmacologic, and nontraditional interventions. Finally, several attempts have been made to create integrated outpatient approaches that address the multiple needs of the cocaine abusers. Many of the clinical researchers conducting research on these modalities feel optimistic about the value of treatment for cocaine abusers. Many of the methods appear to have considerable promise. However, only recently have well-controlled research efforts begun to provide the information necessary for empirically based decision-making. During the next several years, outcome studies should provide an excellent set of data to guide treatment efforts. This paper reviews the treatment efforts that have been conducted, overviews the research data available, and describes some of the outcome research in progress.


Assuntos
Cocaína , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Alcoolismo/reabilitação , Assistência Ambulatorial , Terapia Comportamental , Terapia Combinada , Seguimentos , Humanos , Psicotrópicos/uso terapêutico , Centros de Tratamento de Abuso de Substâncias , Comunidade Terapêutica
20.
Health Psychol ; 8(1): 107-29, 1989.
Artigo em Inglês | MEDLINE | ID: mdl-2707220

RESUMO

In this study, we hypothesized that light and moderate-to-heavy cigarette smokers, when compared with nonsmokers, would exhibit significantly less healthy attitudes and behaviors on several dimensions relevant to the risk of coronary heart disease (CHD). A factor analysis of survey items measuring knowledge, attitudes, and behaviors in five CHD risk areas produced four major factors, which we labeled Attitudes (Factor 1), Health Consciousness (Factor 2), Knowledge (Factor 3), and Unhealthy Behaviors (Factor 4). Factor-based scales generated for each of these four factors were used in a one-way multivariate analysis of variance to examine differences between nonsmokers, light smokers, and moderate-to-heavy smokers. Cigarette smokers versus nonsmokers exhibited less positive attitudes toward CHD risk behaviors, whereas moderate-to-heavy cigarette smokers, as compared with the light smokers and the nonsmokers, exhibited lower levels of health consciousness and enacted unhealthy behaviors at a greater frequency. The moderate-to-heavy cigarette smokers also exhibited a lower commitment to enact healthy behavioral changes in the immediate future, even after corrections were introduced for their lower frequency of healthy behaviors during the past week. Overall, these results support our hypothesis that cigarette smokers, particularly as they become more involved with cigarette smoking, do more than just smoke cigarettes; they exhibit a less healthy lifestyle as shown by cognitive, behavioral, and motivational dimensions related to cardiovascular health.


Assuntos
Comportamentos Relacionados com a Saúde , Estilo de Vida , Fumar/psicologia , Adolescente , Adulto , Atitude Frente a Saúde , Doença das Coronárias/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Psicológicos , Fatores de Risco
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