scholarly journals Risk and protective factors associated with BV chronicity among women in Rakai, Uganda

2019 ◽  
Vol 96 (5) ◽  
pp. 380-386
Author(s):  
Marie E Thoma ◽  
Rebecca M Brotman ◽  
Ronald H Gray ◽  
Nelson K Sewankambo ◽  
Maria J Wawer
Keyword(s):  
Protective Factors ◽  
Risk And Protective Factors ◽  
Consistent Condom ◽  
Nugent Score ◽  
Factors Associated ◽  
Vaginal Swabs ◽  
Adjustment Factors ◽  
Microbial Agents

ObjectivesTo assess risk and protective factors associated with bacterial vaginosis (BV) chronicity ascertained by Nugent score criteria.MethodsA longitudinal cohort study included 255 sexually experienced, postmenarcheal women who provided weekly self-collected vaginal swabs for up to 2 years. Vaginal swabs were scored using Nugent criteria and classified as normal (≤3), intermediate (4–6) and Nugent-BV (≥7). Detailed behavioural/health information were assessed every 6 months. A per-woman longitudinal summary measure of BV chronicity was defined as the percentage of each woman’s weekly vaginal assessments scored as Nugent-BV over a 6-month interval. Risk and protective factors associated with BV chronicity were assessed using multiple linear regression with generalised estimating equations.ResultsAverage BV chronicity was 39% across all follow-up periods. After adjustment, factors associated with BV chronicity included baseline Nugent-BV (β=35.3, 95% CI 28.6 to 42.0) compared with normal baseline Nugent scores and use of unprotected water for bathing (ie, rainwater, pond, lake/stream) (β=12.0, 95% CI 3.4 to 20.5) compared with protected water sources (ie, well, tap, borehole). Women had fewer BV occurrences if they were currently pregnant (β=−6.6, 95% CI −12.1 to 1.1), reported consistent condom use (β=−7.7, 95% CI −14.2 to 1.3) or their partner was circumcised (β=−5.8, 95% CI −11.3 to 0.3).ConclusionsFactors associated with higher and lower values of BV chronicity were multifactorial. Notably, higher values of BV chronicity were associated with potentially contaminated bathing water. Future studies should examine the role of waterborne microbial agents in the pathogenesis of BV.

scholarly journals Developmental approaches to substance use and abuse

1999 ◽  
Vol 11 (4) ◽  
pp. 655-656 ◽  
Author(s):  
DANTE CICCHETTI ◽  
SUNIYA S. LUTHAR
Keyword(s):  
Drug Use ◽  
Protective Factors ◽  
Developmental Psychopathology ◽  
Developmental Stages ◽  
Risk And Protective Factors ◽  
Institute Of Medicine ◽  
Drug Use Disorders ◽  
Adolescents And Adults

In 1996 the Institute of Medicine (IOM, 1996) issued a report on pathways to addiction. Although focused on the use of illegal drugs, the recommendations of the committee are equally applicable to more socially condoned, but still addictive, substances such as alcohol. The IOM (1996) report articulated the types of research that would be needed to expand the understanding of the etiology of drug use disorders, including the following: (a) multidisciplinary research to investigate the combined effects of biological, psychosocial, and contextual factors as they relate to the development of drug use, abuse, and dependence; (b) studies of sufficient duration to enable follow-up of participants in determining the role of risk and protective factors related to the transition from drug use to abuse to dependence; (c) research investigating the role of family factors in the etiology of drug use and abuse; (d) examination of psychopathology as a precursor to drug use and abuse in adolescents and adults; (e) studies of risk and protective factors related to drug use and abuse, especially during discrete developmental stages; and (f) investigation of childhood risk and protective factors that are associated with drug abuse and dependence. In reflecting on these comprehensive goals, striking similarities emerge with respect to these research foci and the field of developmental psychopathology (Cicchetti & Cohen, 1995; Cicchetti & Toth, 1991). Specifically, the principles that guide inquiries conceptualized within a developmental psychopathology framework can be applied toward the conduct of studies designed to address the agenda generated by the IOM (1996) report on substance abuse.

scholarly journals Purpose in Life and Conscientiousness Protect Against the Development of Suicidal Ideation in U.S. Military Veterans With PTSD and MDD: Results From the National Health and Resilience in Veterans Study

2019 ◽  
Vol 3 ◽  
pp. 247054701987217 ◽  
Author(s):  
Elizabeth Straus ◽  
Sonya B. Norman ◽  
Jessica C. Tripp ◽  
Michelle Pitts ◽  
Robert H. Pietrzak
Keyword(s):  
Suicidal Ideation ◽  
High Risk ◽  
Protective Factors ◽  
National Health ◽  
Purpose In Life ◽  
Risk And Protective Factors ◽  
Self Report ◽  
High Risk Population ◽  
Factors Associated

Background Although several studies have examined risk factors for suicidal ideation among veterans, little is known about risk and protective factors for suicidal ideation in high-risk veteran samples. Thus, this study examined a broad range of risk and protective factors associated with the development of suicidal ideation in a high-risk sample of U.S. veterans who screened positive for current posttraumatic stress disorder (PTSD) and/or major depressive disorder (MDD) . Methods Data were analyzed from the National Health and Resilience in Veterans Study, a nationally representative, prospective cohort study of U.S. veterans. Veterans completed self-report measures to screen for PTSD and MDD and to assess for risk and protective factors. The sample included 222 veterans with PTSD and/or MDD who did not endorse suicidal ideation at baseline and completed at least one assessment over a seven-year follow-up period. A multivariable binary logistic regression analysis was conducted to examine baseline factors associated with incident suicidal ideation. Results Nearly one in three (27.1%) of veterans with PTSD and/or MDD developed suicidal ideation over the seven-year follow-up period. Non-Caucasian race and lower scores on measures of purpose in life, conscientiousness, and frequency of religious service attendance were independently associated with incident suicidal ideation. Lower purpose in life (52.3%) and conscientiousness (33.2%) explained the vast majority of variance in incident suicidal ideation. Conclusion Nearly 30% of veterans with PTSD and/or MDD who did not endorse suicidal ideation at baseline developed suicidal ideation over a seven-year period. Prevention and treatment efforts designed to bolster purpose in life and conscientiousness may help mitigate risk for suicidal ideation in this high-risk population.

scholarly journals Pacific Islands Families Study: Risk and Protective Factors Associated with Delinquent Behaviour in Pacific 11-Year-Olds

Psychology ◽  
2016 ◽  
Vol 07 (07) ◽  
pp. 953-964
Author(s):  
Janis Paterson ◽  
El-Shadan Tautolo ◽  
Leon Iusitini ◽  
Steve Taylor ◽  
Richard Siegert
Keyword(s):  
Protective Factors ◽  
Pacific Islands ◽  
Risk And Protective Factors ◽  
Delinquent Behaviour ◽  
Factors Associated

scholarly journals Risk and Protective Factors for Suicide Attempt Among Indigenous Māori Youth in New Zealand: The Role of Family Connection

2013 ◽  
Vol 7 (1) ◽  
pp. 16 ◽  
Author(s):  
Terryann C. Clark ◽  
Elizabeth Robinson ◽  
Sue Crengle ◽  
Theresa Fleming ◽  
Shanthi Ameratunga ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Depressive Symptoms ◽  
New Zealand ◽  
Suicide Attempt ◽  
Protective Factors ◽  
Suicide Attempts ◽  
Risk And Protective Factors ◽  
Factors Associated ◽  
The Relationship ◽  
Family Connection

The purpose of this study was to (1) describe risk and protective factors associated with a suicide attempt for Māori youth and (2) explore whether family connection moderates the relationship between depressive symptoms and suicide attempts for Māori youth. Secondary analysis was conducted with 1702 Māori young people aged 12–18 years from an anonymous representative national school-based survey of New Zealand (NZ) youth in 2001. A logistic regression and a multivariable model were developed to identify risk and protective factors associated with suicide attempt. An interaction term was used to identify whether family connection acts as a moderator between depressive symptoms and a suicide attempt. Risk factors from the logistic regression for a suicide attempt in the past year were depressive symptoms (OR = 4.3, p < 0.0001), having a close friend or family member commit suicide (OR = 4.2, p < 0.0001), being 12–15 years old (reference group: 16–18 years) (OR = 2.7, p < 0.0001), having anxiety symptoms (OR = 2.3, p = 0.0073), witnessing an adult hit another adult or a child in the home (OR = 1.8, p = 0.001), and being uncomfortable in NZ European social surroundings (OR = 1.7, p = 0.0040). Family connection was associated with fewer suicide attempts (OR = 0.9, p = 0.0002), but this factor did not moderate the relationship between depressive symptoms and suicide attempt (χ2 = 2.84, df = 1, p = 0.09). Family connection acts as a compensatory mechanism to reduce the risk of suicide attempts for Māori students with depressive symptoms, not as a moderating variable.

Risk and protective factors associated with suicidal ideation in veterans of Operations Enduring Freedom and Iraqi Freedom

2010 ◽  
Vol 123 (1-3) ◽  
pp. 102-107 ◽  
Author(s):  
Robert H. Pietrzak ◽  
Marc B. Goldstein ◽  
James C. Malley ◽  
Alison J. Rivers ◽  
Douglas C. Johnson ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Protective Factors ◽  
Risk And Protective Factors ◽  
Factors Associated ◽  
Iraqi Freedom

Gender Differences in the Risk and Protective Factors Associated With PTSD: A Prospective Study of National Guard Troops Deployed to Iraq

Psychiatry ◽  
2013 ◽  
Vol 76 (3) ◽  
pp. 256-272 ◽  
Author(s):  
Anna Kline ◽  
Donald S. Ciccone ◽  
Marc Weiner ◽  
Alejandro Interian ◽  
Lauren St. Hill ◽  
...  
Keyword(s):  
Gender Differences ◽  
Protective Factors ◽  
Prospective Study ◽  
National Guard ◽  
Risk And Protective Factors ◽  
Factors Associated ◽  
A Prospective Study
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