Coerced Condomless Sex: A Scoping Review of Qualitative Studies.

Coerced condomless sex is a prevalent form of sexual coercion that is associated with severe negative health consequences. This scoping review addresses the current lack of synthesized qualitative evidence on coerced condomless sex. Our systematic literature search yielded 21 articles that met review eligibility criteria. Themes of coerced condomless sex were organized into three categories (tactics, motives, and sequelae) and presented separately for studies based on whether researchers stipulated pregnancy promotion intent as underlying the behavior. Coerced condomless sex perpetration tactics ranged from verbal pressure to physical assault. Besides pregnancy promotion, perpetration motives included control, dominance, entrapment, enhancing sexual experiences, and avoiding conflict. Following coerced condomless sex, victims reported developing protective strategies. They also reported experiencing various negative emotional, relational, and physical health effects. Interventions that specifically address coerced condomless sex perpetration and provide supportive programs for those who have experienced coercive condomless sex may be beneficial.

Receipt of Coercive Condom Use Resistance: A Scoping Review.

Condom use resistance (CUR) refers to practices used to obtain unprotected sex with a partner who wishes to use a condom. Coercive CUR is a manipulative and aggressive form of CUR, which is associated with detrimental mental, physical, and sexual health consequences. This review synthesizes quantitative evidence on the prevalence and correlates of experiencing coercive CUR. A systematic approach, including title, abstract, and full-text review, was used to identify relevant empirical studies. Thirty-seven articles met the inclusion criteria. Prevalence of experiencing coercive CUR ranged from 0.1% to 59.5%. Significant correlates of receiving coercive CUR included interpersonal violence, sexually transmitted infection (STI) diagnosis, emotional stress, and drug use. Importantly, vulnerable populations (e.g., racial/ethnic minorities, men who have sex with men, sex workers) and people with low perceived control and resistive efficacy (i.e., the ability to say "no") had an increased likelihood of experiencing coercive CUR. Methodological weaknesses in the current literature include a lack of longitudinal studies and studies that examine the effectiveness of interventions, as well as failure to use consistent measures and include samples of men and sexual minorities. Future research should address these limitations. Intervention and prevention strategies should prioritize populations that are at greater risk for experiencing coercive CUR to achieve better health equity outcomes.

A Scoping Review of Nonconsensual Condom Removal ("Stealthing") Research.

Nonconsensual condom removal (NCCR; also known as "stealthing") involves the removal of a condom before or during sexual intercourse without a partner's sexual consent. Within the past several years, nations across the globe have codified NCCR as a form of sexual violence penalized by civil and/or criminal penalties. Given the recent legal attention to this behavior, we performed a scoping review of the peer-reviewed, empirical, English-language studies conducted on NCCR in order to summarize the current state of this field of research. Our scoping review yielded 27 articles meeting study inclusion criteria. Data on NCCR victimization and perpetration prevalence rates and correlates, as well as perceptions of NCCR, were extracted. The majority of the reviewed studies were conducted within the past 5 years and pertained to NCCR victimization. Rates of NCCR victimization ranged from 7.9% to 43.0% for women and 5.0% to 19.0% for men who have sex with men; rates of NCCR perpetration ranged from 5.1% to 9.8% for men and 0% for women. NCCR correlates included sociodemographic variables, relationship type, psychological factors, and sexual health concerns. Perceptions of NCCR were largely negative. The nascent field of NCCR research provides empirical evidence from several countries regarding concerning rates of NCCR. Building upon this foundation, continued research regarding NCCR is imperative. Studies that further delineate NCCR prevalence, risk factors, and outcomes would provide critical information beneficial to the development of evidence-based prevention and intervention programs targeting reductions in NCCR.

Sexual Compulsivity Mediates the Association Between Childhood Sexual Abuse and Condom Use Resistance Among Men Who Have Sex with Men and Women.

Despite the continued prevalence of HIV and condoms' proven effectiveness in HIV prevention, many young men continue to engage in condom use resistance (CUR). Research shows that sexual compulsivity and childhood sexual abuse (CSA) victimization are risk factors for CUR. Given that sexual activity between men is the most common method through which HIV is transmitted, and that men who have sex with men and women (MSMW) are up to five times as likely to contract or transmit HIV as men who have sex with women only (MSWO), understanding the CUR behaviors of MSMW is uniquely important. Young, single men who had had sex with a woman in the past year (N = 623) completed questionnaires assessing their previous sexual experiences with men and women, history of CSA, sexual compulsivity, and CUR to determine how MSMW classification may moderate the associations between these variables. Results revealed full, moderated mediation, such that CSA was significantly associated with sexual compulsivity among MSMW, but not MSWO. Furthermore, sexual compulsivity was subsequently associated with CUR, in a model accounting for 5.35% of CUR variance. Such findings suggest that exposure to CSA may render MSMW especially susceptible to maladaptive, sexually compulsive desires and behaviors. As a result, MSMW may be more likely to disregard the inherent risks associated with condomless sexual activity and engage in CUR. Thus, intervention programs seeking to reduce the transmission of HIV and other STIs should prioritize targeting MSMW who experienced CSA to reduce sexual compulsivity and increase condom use.

Coercive Condom Use Resistance: A Scoping Review.

Objective: Sexual aggression research has recently expanded to include empirical investigations of coercion during condom negotiation and use. This scoping review presents and discusses peer-reviewed, quantitative, English-language studies conducted on coercive condom use resistance (CUR) behavior and intentions. Method: Our systematic literature search yielded 20 articles that assessed coercive CUR perpetration behaviors or intentions and met other inclusion criteria. Data on rates and correlates of coercive CUR behavior and intentions were extracted. Results: Identified studies used varied methods including cross-sectional surveys, 3-month longitudinal studies, and alcohol administration experiments, primarily with young adult samples. Overall, results indicated that a substantial minority (up to 42.6%) of sampled individuals endorsed lifetime perpetration of coercive CUR, with men reporting higher prevalence of coercive CUR perpetration than women. The majority of studies (70%) assessed coercive CUR through the Condom Use Resistance Tactics Scale (Davis et al., 2014). Although correlates largely differed by gender, alcohol-related variables emerged as risk factors for both men and women. Conclusions: Burgeoning evidence indicates that coercive CUR is relatively common, and, particularly for men, risk factors are similar to those associated with sexual aggression more generally. Review findings demonstrate that continued research in this area is warranted and should expand to include more diverse populations, to consider other risk factors and sequelae, and to utilize novel methodological approaches.

Inflammatory Bowel Disease: Are Symptoms and Diet Linked?

New Zealand (NZ) has one of the world's highest incidence rates of Inflammatory Bowel Disease (IBD), a group of chronic inflammatory conditions that affect the gastrointestinal tract. Patients with IBD often believe certain foods influence their disease symptoms and consequently may alter their diet considerably. The objective of this study was to determine foods, additives, and cooking methods (dietary elements) that NZ IBD patients identify in the onset, exacerbation, or reduction of their symptoms. A total of 233 participants completed a self-administered questionnaire concerning symptom behaviour in association with 142 dietary elements. Symptom onset and symptom exacerbation were associated with dietary elements by 55% (128) and 70% (164) of all IBD participants, respectively. Fruit and vegetables were most frequently identified, with dairy products, gluten-containing bread, and foods with a high fat content also considered deleterious. Of all IBD participants, 35% (82) associated symptom reduction with dietary elements. The identified foods were typically low in fibre, saturated fatty acids, and easily digestible. No statistically significant differences were seen between the type or number of dietary elements and disease subtype or recent disease activity. The association between diet and symptoms in patients with IBD and the mechanism(s) involved warrant further research and may lead to the development of IBD specific dietary guidelines.

Vitamin D concentrations in New Zealanders with and without inflammatory bowel disease: do they differ?

AIM: Patients with inflammatory bowel disease (IBD), Crohn's disease (CD) or ulcerative colitis (UC) are at risk of low vitamin D owing to reduced absorption, medication-associated sunlight exposure restrictions and/or increased requirements due to inflammation. This study aimed to determine if the serum vitamin D concentration of New Zealand IBD patients relates to disease activity and differs from controls. METHOD: Data concerning demographics, sunlight exposure, vitamin D supplementation and disease activity were collected using a retrospective questionnaire. Serum vitamin D concentrations were measured in dried blood spots and validated against blood samples in a participant sub-group. RESULTS: Vitamin D concentration was significantly increased by supplementation (82.8 v 66.4nmol/L, p<0.001) and sunlight exposure while on holiday (75.2 v 63.7nmol/L, p<0.001). Patients with CD who reported active disease in the last year had significantly lower vitamin D concentrations (68.6 v 84.6nmol/L, p=0.008) than those who reported remaining in remission. CONCLUSION: In this cohort of New Zealand residents, mean vitamin D of patients with IBD was not different from controls. In patients with CD, recent disease activity was significantly associated with lower vitamin D. The use of vitamin D supplementation may have implications for reducing disease activity occurrence in patients with CD.

Acute Neuromuscular and Endocrine Responses to Two Different Compound Exercises: Squat vs. Deadlift.

Barnes, MJ, Miller, A, Reeve, D, and Stewart, RJ. Acute neuromuscular and endocrine responses to two different compound exercises: squat vs. deadlift. J Strength Cond Res 33(9): 2381-2387, 2019-Anecdotally, it is believed that the deadlift exercise brings about greater levels of central fatigue than other exercises; however, no empirical evidence exists to support this view. In addition, little is known about the acute endocrine response to heavy deadlift exercise and how this may differ from other similar compound exercises. Therefore, the aim of this study was to identify and compare the acute, neuromuscular and endocrine responses to squat and deadlift exercises. Ten resistance-trained males completed 8 sets of 2 repetitions at 95% of 1 repetition maximum. Maximum voluntary isometric contraction (MVIC) force of the quadriceps, along with measures of central (voluntary activation [VA] and surface electromyography) and peripheral (electrically evoked control stimulus) fatigue were made before and 5 and 30 minutes after exercise. In addition, salivary testosterone and cortisol were measured at these same time points. MVIC was reduced after the completion of both exercises (p = 0.007); however, no difference between exercises was evident. Similarly, although VA changed over time (p = 0.0001), no difference was observed between exercises. As a measure of peripheral fatigue, force from the control stimulus changed over time (p = 0.003) with a greater decrease evident after the squat (p = 0.034). Electromyography was reduced over time (p = 0.048) but no difference was seen between exercises. No change was seen in testosterone and cortisol. Although a greater absolute load and larger volume load were completed for the deadlift, no difference in central fatigue was evident between the 2 compound exercises. The greater peripheral fatigue observed after squat exercise may be due to the greater work completed by the quadriceps with this exercise. These results suggest that separate periodization, tapering, and programming considerations may be unnecessary when using the squat and deadlift to develop muscular strength.

In vitro digestion for assessing micronutrient bioavailability: the importance of digestion duration.

Static digestion in vitro is a commonly used technique for investigating micronutrient availability which allows the nutrients or foods of interest to be exposed to conditions that simulate those found within the stomach and small intestine. The activity of these digestive enzymes throughout their respective simulated digestion phases has been reported to decline due to the autolytic activity of the proteases and therefore incomplete digestion may result. The degree of protease inactivation under commonly simulated digestion conditions requires further quantification. Pepsin and pancreatic protease activities were assessed throughout a simulated digestion protocol in vitro over multiple time points using stop-rate spectroscopy. The protease activity of both pepsin and pancreatin decreased significantly during their respective digestion phases. Results suggest that gastric and intestinal proteases are destroyed or inactivated during their respective digestive phase. For this reason, prolonged digestion protocols may require protease supplementation throughout digestion to correctly simulate physiological conditions.

Higher- Versus Lower-Intensity Strength-Training Taper: Effects on Neuromuscular Performance.

PURPOSE: To investigate the effects of strength-training tapers of different intensities but equal volume reductions on neuromuscular performance. METHODS: Eleven strength-trained men (21.3 [3.3] y, 92.3 [17.6] kg, relative 1-repetition-maximum deadlift 1.9 [0.2] times bodyweight) completed a crossover study. Specifically, two 4-wk strength-training blocks were followed by a taper week with reduced volume (∼70%) involving either increased (5.9%) or decreased (-8.5%) intensity. Testing occurred pretraining (T1), posttraining (T2), and posttaper (T3). Salivary testosterone and cortisol, plasma creatine kinase, a Daily Analysis of Life Demands in Athletes questionnaire, countermovement jump (CMJ), isometric midthigh pull, and isometric bench press were measured. RESULTS: CMJ height improved significantly over time (P < .001), with significant increases from T1 (38.0 [5.5] cm) to both T2 (39.3 [5.3] cm; P = .010) and T3 (40.0 [5.3] cm; P = .001) and from T2 to T3 (P = .002). CMJ flight time:contraction time increased significantly over time (P = .004), with significant increases from T1 (0.747 [0.162]) to T2 (0.791 [0.163]; P = .012). Isometric midthigh-pull relative peak force improved significantly over time (P = .033), with significant increases from T1 (34.7 [5.0] N/kg) to T2 (35.9 [4.8] N/kg; P = .013). No significant changes were found between tapers. However, the higher-intensity taper produced small effect-size increases at T3 vs T1 for isometric midthigh-pull relative peak force, CMJ height, and flight time:contraction time, while the lower-intensity taper only produced small effect-size improvements at T3 vs T1 for CMJ height. CONCLUSIONS: A strength-training taper with volume reductions had a positive effect on power, with a tendency for the higher-intensity taper to produce more favorable changes in strength and power.

Short-Term Training Cessation as a Method of Tapering to Improve Maximal Strength.

Pritchard, HJ, Barnes, MJ, Stewart, RJC, Keogh, JWL, and McGuigan, MR. Short-term training cessation as a method of tapering to improve maximal strength. J Strength Cond Res 32(2): 458-465, 2018-The aim of this study was to determine the effects of 2 different durations of training cessation on upper- and lower-body maximal strength performance and to investigate the mechanisms underlying performance changes following short-term training cessation. Eight resistance trained males (23.8 ± 5.4 years, 79.6 ± 10.2 kg, 1.80 ± 0.06 m, relative deadlift 1 repetition maximum of 1.90 ± 0.30 times bodyweight [BW]) each completed two 4-week strength training periods followed by either 3.5 days (3.68 ± 0.12 days) or 5.5 days (5.71 ± 0.13 days) of training cessation. Testing occurred pretraining (T1), on the final day of training (T2), and after each respective period of training cessation (T3). Participants were tested for salivary testosterone and cortisol, plasma creatine kinase, psychological profiles, and performance tests (countermovement jump [CMJ], isometric midthigh pull, and isometric bench press [IBP]) on a force plate. Participants' BW increased significantly over time (p = 0.022). The CMJ height and IBP peak force showed significant increases over time (p = 0.013, 0.048, and 0.004, respectively). Post hoc testing showed a significant increase between T1 and T3 for both CMJ height and IBP peak force (p = 0.022 and 0.008 with effect sizes of 0.30 and 0.21, respectively). No other significant differences were seen for any other measures. These results suggest that a short period of strength training cessation can have positive effects on maximal strength expression, perhaps because of decreases in neuromuscular fatigue.

New Zealand green-lipped mussels (Perna canaliculus) enhance non-haem iron absorption in vitro.

Fe bioavailability can be manipulated by the nutritional composition of a meal. Ascorbic acid and unidentified components of meat, fish and poultry, but particularly beef, all appear to enhance the absorption of non-haem Fe. The aim of the present study is to identify whether extracts of green-lipped mussels (GLM; Perna canaliculus) enhance non-haem Fe absorption in Caco-2 cells and to compare the effect with that of beef. Raw GLM and raw beef homogenates were digested in vitro with pepsin at pH 2, and pancreatin and bile salts at pH 7. Tracer 55Fe was used to measure cellular Fe uptake. Ascorbic acid was used as a positive control and egg albumin, exposed to the same in vitro digestion process, was used as a negative control. Caco-2 cell monolayers were incubated with treatments for 60 min. All values were standardised per µg of GLM, egg albumin, beef or ascorbic acid. The results showed that ascorbic acid enhanced non-haem Fe absorption to the highest degree. Beef and GLM digestates both significantly enhanced Fe absorption compared with egg albumin. In conclusion, GLM digestate significantly enhances non-haem Fe uptake in Caco-2 cells with a similar magnitude to that of beef.

Explaining differences between bioaccumulation measurements in laboratory and field data through use of a probabilistic modeling approach.

In the regulatory context, bioaccumulation assessment is often hampered by substantial data uncertainty as well as by the poorly understood differences often observed between results from laboratory and field bioaccumulation studies. Bioaccumulation is a complex, multifaceted process, which calls for accurate error analysis. Yet, attempts to quantify and compare propagation of error in bioaccumulation metrics across species and chemicals are rare. Here, we quantitatively assessed the combined influence of physicochemical, physiological, ecological, and environmental parameters known to affect bioaccumulation for 4 species and 2 chemicals, to assess whether uncertainty in these factors can explain the observed differences among laboratory and field studies. The organisms evaluated in simulations including mayfly larvae, deposit-feeding polychaetes, yellow perch, and little owl represented a range of ecological conditions and biotransformation capacity. The chemicals, pyrene and the polychlorinated biphenyl congener PCB-153, represented medium and highly hydrophobic chemicals with different susceptibilities to biotransformation. An existing state of the art probabilistic bioaccumulation model was improved by accounting for bioavailability and absorption efficiency limitations, due to the presence of black carbon in sediment, and was used for probabilistic modeling of variability and propagation of error. Results showed that at lower trophic levels (mayfly and polychaete), variability in bioaccumulation was mainly driven by sediment exposure, sediment composition and chemical partitioning to sediment components, which was in turn dominated by the influence of black carbon. At higher trophic levels (yellow perch and the little owl), food web structure (i.e., diet composition and abundance) and chemical concentration in the diet became more important particularly for the most persistent compound, PCB-153. These results suggest that variation in bioaccumulation assessment is reduced most by improved identification of food sources as well as by accounting for the chemical bioavailability in food components. Improvements in the accuracy of aqueous exposure appear to be less relevant when applied to moderate to highly hydrophobic compounds, because this route contributes only marginally to total uptake. The determination of chemical bioavailability and the increase in understanding and qualifying the role of sediment components (black carbon, labile organic matter, and the like) on chemical absorption efficiencies has been identified as a key next steps.

Field efficacy and baseline toxicities of pyriproxifen, acetamiprid, and diafenthiuron against Bemisia tabaci Gennadius (Homoptera: Aleyrodidae) in Burkina Faso (West Africa).

Bioassays were conducted in 2001 and 2002 to estimate toxicities and dose-response relationships of 24 Bemisica tabaci Gennadius populations to pyriproxifen, acemitaprid, and diafenthiuron. LC50s ranging from 0.014 to 0.096 mgL(-1), 0.60 to 1.3 mgL(-1), and 3.5 to 6.7 mgL(-1) were observed respectively for pyriproxifen, acemitaprid, and diafenthiuron. These LC50s much lower than the field doses recommended for each compound. A fast increase in rates of mortality within a narrow range of lethal concentrations was observed for each compound. indicating that all three compounds were highly effective at killing whiteflies. In a separate experiment, pyriproxifen, acemitaprid, and diafenthiuron were tested in 2001 and 2002 to compare their effectiveness and assess their impact on parasitism in the field. In both years all three compounds significantly prevented B. tabaci populations from reaching economic injury levels in cotton and minimized adverse effects on parasitism. Our results provide for the first time baseline toxicological, field efficacy, and effect on parasitism data for pyriproxifen, acemitaprid, and diafenthiuron against B. tabaci in West Africa. These compounds should be included in a resistance management program of the cotton pest complex and their use should be restricted to prevent the building of resistance in B. tabaci populations.

Susceptibility of field populations of adult Bemisia tabaci Gennadius (Homoptera: Aleyrodidae) and Eretmocerus sp (Hymenoptera: Aphelinidae) to cotton insecticides in Burkina Faso (West Africa).

Research was conducted in 14 cotton fields (3-10 ha) selected in seven localities (two fields per locality) in Burkina Faso, with the objectives of: (1) estimating Bemisia tabaci Gennadius (Homoptera: Aleyrodidae) population abundance, (2) assessing the levels of parasitism by Encarsia spp and Eretmocerus spp (Hymenoptera: Aphelinidae) and (3) estimating the susceptibilities of the pest and of an Eretmocerus sp to the insecticides currently sprayed on cotton. Yellow sticky cards and a leaf-turning technique were used to estimate adult B. tabaci population densities. Yellow sticky cards were also used to estimate the densities of adult Eretmocerus sp and the susceptibilities of B. tabaci to insecticides. Leaf disk techniques were used to estimate B. tabaci red eye nymph populations and parasitism by Encarsia spp and Eretmoceus spp was evaluated using stereo-microscopy. A leaf cage technique was used to estimate the susceptibilities of Eretmocerus sp to insecticides. A mean of 6.5-27.4 adult B. tabaci were trapped per yellow sticky card and 5.5 to > 34.9 were counted per leaf using the leaf turning technique. There were 0.14-13 Eretmocerus sp trapped per yellow sticky card. The levels of parasitism varied between 36 and 87% by the end of the season and parasitism by Eretmocerus sp predominated in most of the fields. The susceptibilities of B. tabaci and Eretmocerus sp varied from field to field and with the insecticide tested.