云南省跨境婚姻家庭艾滋病、梅毒和乙肝检测现状分析

目的 了解云南省中-缅、中-老、中-越跨境婚姻家庭艾滋病、梅毒和乙肝检测情况,为完善跨境婚姻家庭预防母婴传播相关服务政策提供科学依据。 方法 对目前居住在云南省边境地区的中国籍和跨境婚姻家庭进行调查和访谈,收集一般人口学特征、最近一次怀孕期间三病检测情况等信息。经整理后,使用构成比和率对指标进行计算,使用卡方检验、秩和检验比较中国籍和跨境婚姻家庭各项检测服务状况。 结果 外籍媳妇主要以农民、文盲/小学、无经济收入的少数民族为主。配偶检测率,老挝籍低于当地中国籍媳妇（〖XC五号.EPS;P〗=7.87,P=0.005）,缅甸籍、越南籍与当地中国籍没有差异;缅甸籍高于老挝籍和越南籍（〖XC五号.EPS;P〗=41.84,P＜0.001）。三病检测点知晓率,缅甸籍媳妇低于当地中国籍媳妇（〖XC五号.EPS;P〗=6.11,P＜0.03）,越南籍、老挝籍与当地中国籍没有差异;老挝籍高于缅甸籍和越南籍（〖XC五号.EPS;P〗=44.03,P＜0.001）。获得预防母婴传播相关知识比例,三个外籍媳妇均低于当地中国籍（〖XC五号.EPS;P〗=19.84,P＜0.001;〖XC五号.EPS;P〗=7.52,P=0.006;〖XC五号.EPS;P〗=4.38,P=0.036）。 结论 边境地区针对跨境婚姻家庭开展艾滋病、梅毒和乙肝预防母婴传播相关工作取得实效,三病检测情况与当地中国籍基本一致,但在其他服务利用上仍存在一定差距,外籍媳妇孕早期三病检测率及其配偶检测率、相关预防母婴传播知识获取还有待提升,需要运用更加有效的服务管理模式来促进三病检测可及性的进一步提高。     

Cooperative extension initiatives in marriage and couples education

Cooperative extension has a long‐term history of delivering family life education. Further, the organization has developed numerous research‐based resources and undertaken statewide initiatives in marriage and couples education. Most promising of all is the work of a group of extension specialists to create a practical, research‐based curriculum that may reach communities in the United States through the established network of extension educators and their collaborators. We review various family relationship models and describe how the design of the new couples' curriculum is based on those models.     

Ajustement psychologique des couples confrontés à un cancer du sein : perceptions des comportements de soutien du conjoint

This cross-sectional study for couples explores the relationship between the perceptions within the couple of the spouse's supportive behaviors and the psychological adjustment of both partners during treatment for breast cancer. Forty-eight women operated on for a non-metastatic breast cancer and their spouses completed questionnaires assessing psychological adjustment (STAI, BDI-SF), and the spouse's support behaviors during discussions about the disease (PSE). Support behaviors are positively valued by both partners, especially non-verbal comfort and concrete actions. Support by minimization is associated with fewer depressive symptoms in patients and spouses. For spouses, the positive perception of support by concrete action is associated with a lower depression score. Moreover, high adjustment difficulties for spouses are linked to greater perception differences between partners on emotional support and minimization. These results highlight the importance of non-verbal comfort and minimization for the perception of social support within the couple, and the usefulness of support by concrete actions proposed by spouses. Advices for professionals are available.     

Subjective well-being in infertile couples

The subjective well-being of infertile couples is affected by numerous variables. One hundred and ten infertile couples were investigated using the von Zerssen symptom checklist. With the exception of sterile women of fertile men (group 1: female infertility), women and men in the overall randomized sample and the diagnostic groups (group 2: subfertility of the man; group 3: sterility of both partners; group 4: idiopathic sterility) report fewer general symptoms than the overall population of patients with somatic and psychiatric diseases. Subfertile men show lower rating in the symptom checklist than the norm. Involuntarily childless women express more symptoms than their partners.     

Assessing infertility-related stress: the factor structure of the Fertility Problem Inventory in Italian couples undergoing infertility treatment

Abstract

The factor structure of the Fertility Problem Inventory (FPI) and its invariance across gender were examined in Italian couples undergoing infertility treatment. About 1000 subjects (both partners of 500 couples) completed two questionnaires prior to commencing infertility treatment at a private Clinic in Palermo, Italy. Confirmatory Factor Analysis demonstrated that the original factor structure of the FPI was partially confirmed. Two correlated factors (Infertility Life Domains and Importance of Parenthood) were obtained via a post hoc Exploratory Factor Analysis. Finally, the invariance of this factor structure across gender was confirmed. The study supported the relevance of two interrelated factors specific to infertility stress which could help clinicians to focus on the core infertility-related stress domains of infertile couples.     

Drawing Upon the Strengths of Couples in the Treatment of Chronic Drug Addiction

This paper examines chronic drug addiction from a systemic perspective, using couples as the major unit of attention to be worked with in therapy. This dyadic relationship is highlighted in that (1) many of the addicts studied were involved with a significant other, in addition to the families of origin; and (2) this relationship is viewed as a source of strength which is available to the therapist, in addressing the addiction. The couple is seen as a system which has joined together in an attempt to individuate from the families of origin and master the launching phase of family development. However, the couple's drug consumption and related problems involve their extended families in their plight. This often distracts and consequently protects the larger ecosystem from the stressful demands of a developmental transition. The structural/strategic perspective (Fisch, et al., 1982; Haley, 1973, 1976; Madanes, 1981; Minuchin, 1981; Selvini-Palazwli et al., 1978; and Stanton, 1981, 1982) is utilized as a means of understanding this contextual dilemma for the couple and their extended families. The model provides a focus for changing dysfunctional sequences between the families of origin and the couple. In addition, it will provide strategies for changing sequences between partners which activate the addict's vulnerability to drug use.     

Rôle du périnato-sexologue dans une équipe interdisciplinaire périnatale au Canada

Interdisciplinary health care teams are models of health care that are the way of the future. In this model, the sexologist has a unique and important role, particularly in perinatal health care where sexuality is a central component of health. Perinatal sexuality is a newly emerging discipline in which the perinatal sexologist has a double role to play: 1) to train other perinatal health professionals in sexuality; and 2) to educate and to intervene with future and new parenting couples by answering their multiple intimate and sexual questions and concerns during the transition to parenthood.     

Product review

Abstract

The purpose of this paper is to review the phenomenon of same-sex attraction in married men. As well as looking at a variety of reasons that gay and bisexual men provide for getting married, the author describes a model that incorporates a variety of possible theoretical explanations. Finally, practical implications for therapists are provided, focusing on identity development and support.     

A Typology of Work‐Family Arrangements Among Dual‐Earner Couples in Norway

A symmetrical family model of two workers or caregivers is a political goal in many western European countries. We explore how common this family type is in Norway, a country with high gender‐equality ambitions, by using a multinomial latent class model to develop a typology of dual‐earner couples with children based on the partners' allocations of paid and unpaid work. Using data on 2,617 respondents from the Norwegian Generations and Gender Survey, we estimate 4 classes, of which 2 are characterized by a fairly equal sharing between the partners and 2 have more traditional arrangements. Equal sharing is practiced by 4 out of 10 couples and is most likely when the partners are well educated and work regular hours and the father is in public‐sector employment. A traditional practice is likely when the partners have less education, the mother has health problems, the father has private‐sector employment, and the partners work irregular hours.