"What Will My Friends Think?" Social Consequences for Danish Victims of Sexual Assaults in Peer Groups.

Being exposed to sexual assaults has numerous psychological and social consequences, which may interfere with the adolescent's still-ongoing development. This article focuses on social consequences for adolescents exposed to sexual assault by someone from their peer group. Participants were 148 in number and 15-18 year olds (M = 16.34 years, 90.5% female) from Centre for Victims of Sexual Assault's "Youth Programme." A mixed methods design combined extensive survey data collected from the 148 adolescents and five case stories. Almost half of the assaults (47.4%) were committed by someone from the victim's social circle who was not a family member. Only 30.5% of these victims reported the assault to the police. Fear of social consequences was the main reason for not reporting. The majority of the participants described failure to thrive in school in the aftermath of the assault, for example, because the assailant attended the same school. Result furthermore showed how social relations can be complicated due to an assault and subsequent reactions, which can result in isolation for the victim and exclusion from their peer group. Sexual assaults in peer groups have great impact on the victim's well-being. Understanding and support from peers is of the utmost importance. Implications for practice are discussed.

An examination of the association between premature mortality and life expectancy among men in Europe.

BACKGROUND: A feature of the health of men across Europe is their higher rates of premature mortality and shorter life expectancy at birth than women. Following the publication of the first State of Men's Health in Europe report, we sought to explore possible reasons. METHOD: We analyzed trends in life expectancy at birth in 19 European Union member states (EU19) between 1999 and 2008 using mortality data obtained from Eurostat. We then used Pollard's decomposition method to identify the contribution of deaths from different causes and at different age groups to differences in life expectancy. RESULTS: Between 1999 and 2008, life expectancy at birth in the EU19 increased by 2.74 years for men and by 2.09 years for women. Most of these improvements were due to reductions in mortality at ages >60, with cardiovascular disease accounting for approximately half these improvements for men. In 2008, life expectancy of men in the EU19 was 5.92 years lower than that of women. Deaths from all major groups of causes, and at all ages, contributed to this gap, with external causes contributing 0.96 years, cardiovascular disease 1.80 years and neoplasms 1.61 years. CONCLUSION: Improvements in the life expectancy at birth of men and women have mostly occurred at older ages. There has been little improvement in the high rate of premature death in younger men, suggesting a need for interventions to tackle their high death rate.

Study protocol: Rehabilitation including Social and Physical activity and Education in Children and Teenagers with Cancer (RESPECT).

BACKGROUND: During cancer treatment children have reduced contact with their social network of friends, and have limited participation in education, sports, and leisure activities. During and following cancer treatment, children describe school related problems, reduced physical fitness, and problems related to interaction with peers. METHODS/DESIGN: The RESPECT study is a nationwide population-based prospective, controlled, mixed-methods intervention study looking at children aged 6-18 years newly diagnosed with cancer in eastern Denmark (n=120) and a matched control group in western Denmark (n=120). RESPECT includes Danish-speaking children diagnosed with cancer and treated at pediatric oncology units in Denmark. Primary endpoints are the level of educational achievement one year after the cessation of first-line cancer therapy, and the value of VO2max one year after the cessation of first-line cancer therapy. Secondary endpoints are quality of life measured by validated questionnaires and interviews, and physical performance. RESPECT includes a multimodal intervention program, including ambassador-facilitated educational, physical, and social interventions. The educational intervention includes an educational program aimed at the child with cancer, the child's schoolteachers and classmates, and the child's parents. Children with cancer will each have two ambassadors assigned from their class. The ambassadors visit the child with cancer at the hospital at alternating 2-week intervals and participate in the intervention program. The physical and social intervention examines the effect of early, structured, individualized, and continuous physical activity from diagnosis throughout the treatment period. The patients are tested at diagnosis, at 3 and 6 months after diagnosis, and one year after the cessation of treatment. The study is powered to quantify the impact of the combined educational, physical, and social intervention programs. DISCUSSION: RESPECT is the first population-based study to examine the effect of early rehabilitation for children with cancer, and to use healthy classmates as ambassadors to facilitate the normalization of social life in the hospital. For children with cancer, RESPECT contributes to expanding knowledge on rehabilitation that can also facilitate rehabilitation of other children undergoing hospitalization for long-term illness. TRIAL REGISTRATION: Clinical Trials.gov: file. NCT01772849 and NCT01772862.

Psychological aspects of male fertility treatment.

AIMS: To explore and to identify the possible need for psychological communicative support in men undergoing fertility treatment. BACKGROUND: Male infertility affects many aspects of a man's life and may cause a life crisis. Although infertility treatment is now commonplace in men, they often feel remote and disconnected from the treatment process. DESIGN: A descriptive survey. METHODS: A questionnaire with structured and open-ended questions was completed by 210 Danish men undergoing fertility treatment. The questionnaire covered three issues: individual perception of male infertility, gender equality issues, and communication with health professionals in the clinic. Data were collected during 2008. FINDINGS: Of the participants, 28% believed that their reduced sperm quality affected their perception of masculinity. 46% stated that equal involvement between partners was a very important element of the treatment; however, 63% said that the health professionals communicated primarily with their female partner. Finally, 62% found that there was a need for a deeper dialogue with the nurses concerning male infertility and 72% lacked information about the psychological consequences of male infertility. In general, participants wanted a more open and balanced dialogue about infertility treatment and the role of the male partner during this process. CONCLUSION: Infertile men want health professionals to view them on equal terms with their partner. When treating the infertile man, there is a further need to develop more inclusive communication skills.

[Prevention of obesity among children and adolescents--proposal for a strategy]. / Forebyggelse af overvaegt hos børn og unge--oplaeg til strategi.

The Danish Fitness and Nutrition Council has evaluated the basis for recommending strategies to prevent obesity among children and adolescents. There is limited evidence of a preventive effect from large population based interventions. It is possible, though, to change to a healthier lifestyle. Currently, many different Administrations conduct interventions against obesity, and it is suggested that an independent authority should be established whose primary aim is to reduce the prevalence of obesity and which will be responsible for the effort against obesity.

[Psychological aspects of obesity]. / Psykologiske aspekter ved overvaegt.

Although knowledge of the biological aspects of obesity is increasing very rapidly, psychological approaches are increasingly in demand. Psychological theory and research concerning the emotional and cognitive impacts of being obese, the psychological causes involved in obesity, and the psychological elements of treatment and motivations for treatment are requested. There is no clear separation between the psychological factors that function as causes of obesity and the psychological effects of obesity. Rather, they appear to be related in a circle of interconnectedness. This is important to keep in mind when seeking ways to motivate and support obese patients.