ABSTRACT
South Africa has one of the highest HIV-infection rates in the world, yet few studies have examined disclosure of maternal HIV status and its influence on children. This study provides descriptive information about HIV disclosure among South African mothers and explores whether family context variables interact with maternal HIV disclosure to affect children's functioning. A total of 103 mothers, who self-identified as living with HIV and who were the primary caregivers of a child between the ages of 11 and 16, were interviewed. A total of 44% of mothers had disclosed, and those who had most typically perceived children's reactions to disclosure to be sadness and worry. Widows and married mothers were more likely than single mothers to disclose their HIV status. Disclosure to children significantly predicted externalizing, but not internalizing, behaviors. Family variables had direct but not interactive effects on child functioning. This study highlights the complexity of disclosure-related decisions and the importance of addressing the family context.
Subject(s)
Child Behavior Disorders/psychology , HIV Infections/prevention & control , Mothers/psychology , Self Disclosure , Adult , Anxiety/psychology , Child , Family , Female , HIV Infections/diagnosis , Humans , Internal-External Control , Male , Middle Aged , Mother-Child Relations , Social Support , Socioeconomic Factors , South Africa , Stress, Psychological , Surveys and Questionnaires , Young AdultABSTRACT
An ecological model is used to explore the moderating effects of community-level variables on the relation between childhood sexual, physical, and emotional abuse and adult intimate partner violence (IPV) within a sample of 98 African American women from low incomes. Results from hierarchical, binary logistics regressions analyses show that community-level variables (perceived neighborhood disorder and community cohesion) moderated the relation between childhood emotional abuse and adult physical IPV. Findings support the use of an ecological approach in examining the phenomena of revictimization. Clinical implications from a community and ecological perspective are discussed.
Subject(s)
Adult Survivors of Child Abuse/statistics & numerical data , Battered Women/statistics & numerical data , Black or African American/statistics & numerical data , Residence Characteristics , Spouse Abuse/statistics & numerical data , Survivors/statistics & numerical data , Adult , Adult Survivors of Child Abuse/psychology , Black or African American/psychology , Battered Women/psychology , Female , Georgia , Humans , Interpersonal Relations , Middle Aged , Recurrence , Risk Factors , Spouse Abuse/psychology , Survivors/psychology , United States , Women's HealthABSTRACT
OBJECTIVE: To determine whether ultrasound could be used to measure sole horn thickness in dairy cattle after claw trimming with an adaptation of the Dutch method. DESIGN: Case series. ANIMALS: 24 adult Holstein dairy cows. PROCEDURE: Cows were restrained in a standing position, and claws were trimmed with an adaptation of the Dutch trimming method. B-mode ultrasonography was then performed. The transducer was placed on the sole just caudal to the apex of the toe and immediately medial and parallel to the abaxial white zone. The inner margin of the sole was identified as a thin hyperechoic line. Soles were considered to be too thin if sole horn thickness, determined by use of ultrasonography, was < 5 mm. RESULTS: Sole horn, underlying soft tissues, and the distal surface of the third phalanx were imaged in 151 claws. The inner margin of the sole could not be identified in 4 claws, and 37 claws could not be imaged because cows collapsed in the restraining chute. Mean +/- SD sole thickness for all claws was 71 +/- 1.3 mm. Only 1 sole was < 5 mm thick. The lateral front claws were significantly thicker than the medial hind claws. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that ultrasound imaging can be used to determine sole thickness in dairy cattle after routine claw trimming.
