Depression among Latinos in the United States: A meta-analytic review.

The authors conducted a meta-analytic review to assess the prevalence of major depressive disorder and depressive symptoms among Latinos compared with non-Latino Whites in the United States using community-based data. Random-effects estimates were calculated for 8 studies meeting inclusion criteria that reported lifetime prevalence of major depressive disorder (combined N = 76,270) and for 23 studies meeting inclusion criteria that reported current prevalence of depressive symptoms (combined N = 38,997). Findings did not indicate a group difference in lifetime prevalence of major depressive disorder (odds ratio = 0.89, 95% confidence interval = 0.72, 1.10). Latinos reported more depressive symptoms than non-Latino Whites (standardized mean difference = 0.19, 95% confidence interval = 0.12, 0.25); however, this effect was small and does not appear to suggest a clinically meaningful preponderance of depressive symptoms among Latinos. Findings are examined in the context of theories on vulnerability and resilience, and recommendations for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clusters of marijuana use in the United States

In this study, the authors test for and estimate the clustering of marijuana use within United States neighborhoods, making use of data from annual nationally representative household sample surveys conducted during the period 1990-1995. A recently developed statistical method, alternating logistic regression, was used to quantify the clustering of marijuana users in neighborhoods. The resulting estimates of pairwise odds ratios ranged from 1.3 (95% confidence interval 1.22-1.42) for the lifetime history of marijuana use to 2.0 (95% confidence interval 1.6-2.6) for recent sharing of marijuana from one person to another. Exploratory analysis showed a slight decrease of clustering effects after adjustment for individual-level covariates: age, sex, race, education, annual family income, and history of tobacco use. Nevertheless, the main factors that account for clustering remain to be determined. Alternating logistic regression provided useful estimates of marijuana use clustering and can be used to estimate clustering of the other drug-related behavior, including sharing of needle injection equipment and other human immunodeficiency virus risk behaviors. As a form of multilevel analysis, the alternating logistic regression can accommodate shared, community-level characteristics that might influence drug taking (e.g., collective efficacy), as well as individual-level covariates, such as age and sex.     

Declining sperm counts in the United States? A critical review

PURPOSE: Recent reports suggest declining sperm counts in the United States. These reports did not include all available data and did not account for geographic variations noted in prior studies. We examined all available data on U.S. sperm counts and evaluated whether geographic variations account for the decline suggested. MATERIALS AND METHODS: We reviewed all 29 U.S. studies from 1938 to 1996 reporting manually counted semen analyses of 9,612 fertile or presumably fertile men. We determined mean sperm concentrations by geographic location with weighted analysis of variance, and assessed any changes with time by linear regression analysis. RESULTS: Mean sperm concentrations from New York were significantly higher than from all other U.S. cities (98.6 versus 71.6 x 10(6) sperm per cc, respectively, p = 0.006). There has been no statistically significant change with time for mean sperm concentrations reported from New York (p = 0.49) or from U.S. cities other than New York (p = 0.62). Analysis without separating by location revealed a decline (p = 0.047). CONCLUSIONS: Sperm concentrations are highest in New York compared to other U.S. cities. When accounting for this geographic difference and examining all available data, there appears to be no significant change in sperm counts in the U.S. during the last 60 years. Further studies addressing the causes of geographic variations are needed.     

Illegal use of beta-adrenergic agonists in the United States

Clenbuterol (CBL) is a member of the class of drugs called beta-agonists, which have powerful desirable and undesirable effects. Clenbuterol has the ability to increase muscle mass and residues in tissue of treated animals but can cause symptoms of acute poisoning in people. Symptoms, but no deaths, from CBL residue-induced food poisoning have been reported from investigations of separate events in Spain and France. In 1991, FDA sent letters to all states and USDA/FSIS advising them of the possibility of illegal CBL use in domestic animals and of our concern about adverse effects on public health if residue was present in food. The FDA asked U.S. Customs to be alert to attempts at illegal importation and to advise that we were prepared to investigate distribution, sale, or use of the drug. Analytical methods are available to assay for CBL residue in edible tissues and in the retinal tissues of the eye. Methods are being developed for assay of noninvasive samples such as hair. Residues of CBL have been found in one sample of edible tissue and several samples of retinal tissues from show animals and in some classes of commercial meat-producing animals. Several individuals have been found guilty of distributing CBL, cases are pending, and investigations are continuing. It is possible that CBL will be approved for safe conditions of use. The scenario of ultimately one or more beta-agonist drugs approved for legal use in food-producing animals and the probable continued availability of several illegal analogs will be a challenging containment task for regulators and the leaders of the meat-producing livestock industries.     

Lyme borreliosis in the southern United States: a review

OBJECTIVES: To evaluate the efficacy and morbidity of surgical treatment of carcinoma of the penis. This series of patients was derived from a retrospective multicentre study (1959-1989), initially concerning 506 patients, all treatments combined. METHODS: One hundred and sixty-eight patients treated by surgery or surgery followed by external radiotherapy between 1959 to 1989 were included. The mean follow-up is 14.4 years and the mean participation is 4.7 years. Total or partial amputation was performed as first-line treatment in 89 patients (53%) and as second-line treatment in 11 patients (7%). Thirty-two patients received external radiotherapy as a complement to surgery. Inguinal lymph node dissection was performed as first-line treatment in 68 patients (41%) and secondarily in 19 patients (11%). Postoperative inguinal radiotherapy was performed in 52 patients. Monofactorial statistical analysis of prognostic factors is proposed. RESULTS: The 5-year local control rate was 84%; it was independent of the stage of the tumour; the survival of the patients dying from any cause was 53%, the progression-free survival was 69% and the survival of patients dying from cancer of the penis was 75%. The vital prognosis is statistically significant related to the lymph node status. No significant relationship was observed between lymph node status and tumour stage. 61 complications involving the penis were observed in 40 patients (24%). Thirty-seven patients developed complications secondary to the lymph node dissection (24 cases of oedema of the lower limbs and 13 cases of inguinal sclerosis). CONCLUSION: Surgical treatment ensured a local control globally comparable to that obtained with brachytherapy, but unlike this technique, the local control is independent of the stage. Brachytherapy should not always be performed in favour of mutilation for advanced tumours because the iatrogenic effects of brachytherapy are increased in these cases. An approach to the treatment of lymph nodes is proposed based on the authors' experience and the data of the literature.     

Structure and practice of institutional review boards in the United States

OBJECTIVE: The institutional review board (IRB) is a critical element in the protection of patients' and subjects' rights with regard to their participation in research protocols. The purpose of this study was to describe the structure and current practices of IRBs in the United States. METHODS: A self-administered questionnaire was mailed to the IRB chair of each U.S. hospital with a capacity of at least 400 beds (n = 907). The survey contained 21 questions outlining committee size and structure, review of research proposals, and policies concerning scientific misconduct. Chairs also were asked what advice they would offer a young investigator preparing a proposal for submission. RESULTS: A total of 488 surveys (54%) were returned; 447 of the responding institutions had an IRB committee. Committees had an average of 14 members, representing 27 medical specialties. Orthopedics had the least IRB representation (10% of committees), followed by emergency medicine (12%) and ophthalmology (15%). The majority of research proposals go through 5 specific steps once submitted for review. Common reasons for proposal rejection were improperly designed consent form (54%), poor study design (44%), unacceptable risk to subjects (34%), ethical or legal reasons (24%), and scientific merit (14%). When a research proposal is rejected, 86% of the responding IRBs assist the investigator in making appropriate revisions. Although a number of IRBs (17%) have dealt with scientific misconduct allegations, only 58% have a written policy regarding research integrity. CONCLUSION: Despite variations in committee structure and representation, IRBs have similar procedures for governing research. Investigators should be familiar with these procedures and are encouraged to discuss their proposal with an IRB representative prior to formal review.     

Psychological organizations in the United States.

The organizations to which psychologists belonged at the turn of the 20th century were identified. The attributes of the meetings and the membership of those organizations were compared and discussed. In addition to the American Psychological Association, psychologists belonged to the American Philosophical Association and the American Association for the Advancement of Science as well as to local and regional organizations. In addition, some psychologists belonged to the Society of Experimental Psychology, but membership in that organization was by invitation only. The topics presented at the meetings of the psychological and philosophical associations often were identical or very similar, and the clear disciplinary separation that is typical in 2000 was rare in 1900. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Engineering psychology in the United States.

Describes the origins and history of engineering psychology noting the successes: (1) Explosive expansion and growth, (2) a wide range of research efforts and engineering applications, (3) interest and acceptance by engineering associates, (4) an increasing number of graduate training programs in departments of psychology as well as schools of engineering, and (5) general benefits to psychology as a science and profession. The deficiencies in engineering psychology are attributed to too great an involvement between art and science. (20 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A review of the practice and science of child custody and access assessment in the United States and Canada.

Many psychologists in the United States and Canada provide child custody and access (C&A) assessments as part of their clinical services. There are guidelines based on ethical standards that inform this specialization, which include the recommendation that providers be familiar with the empirical bases of their work. This article provides an overview of guidelines, the assessment process, and the empirical basis for C&A assessment. Although there is limited evidence of traditional standards of direct empirical utility of such assessments, there are relevant research areas that include the impacts of separation and divorce on children, family relationships, and coparenting processes. Each is critical to understanding children's welfare, a parent's capacity to act in the best interests of a child, and the coparenting environment that may follow separation and divorce. Given the importance of minimizing postdivorce conflict within a coparenting environment, the indirect scientific evidence that supports C&A assessment can also be used to pursue more amicable solutions through mediation and parent education. Although research is growing supporting these alternative practices as well as C&A assessment itself, much more is needed. Psychologists who offer these services will find this article to be a useful overview of current practice and science, and for those contemplating involvement in these services, the article highlights issues to be considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists in industry in the United States.

There are "at least 1,000 psychologists today, as compared with less than two dozen some 30 years ago, who devote full time to employment in industry." Their activities are diverse and are discussed under the following major headings: Personnel Selection (Employee selection and assignment, Executive selection, Criterion research); Personnel Development (Appraisal, Employee training, Management development, Counselling); Human Factors in Design (Equipment design, Product design); Productivity; Management; and Miscellaneous. "Psychologists are performing a variety of functions for industry. No one person is engaged in all of these activties." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Trends in contraceptive use in the United States: 1982-1995

CONTEXT: Trends in contraceptive use have implications for shifts in pregnancy rates and birthrates and can inform clinical practice of changes in needs for contraceptive methods and services. METHODS: Information on current contraceptive use was collected from a representative sample of women of reproductive age in the 1995 National Survey of Family Growth (NSFG). This information is compared with similar data from 1982 and 1988 to examine trends in use, both overall and in social and demographic subgroups. RESULTS: The proportion of U.S. women using a contraceptive method rose from 56% in 1982 to 60% in 1988 and 64% in 1995. As in 1982 and 1988, female sterilization, the pill and the male condom were the most widely used methods in 1995. Between 1988 and 1995, the proportion of users relying on the pill decreased from 31% to 27%, while condom use rose from 15% to 20%. The largest decreases in pill use and the largest increases in condom use occurred among never-married women and among black women younger than 25. Reliance on the IUD dropped sharply among Hispanic women, while use of the diaphragm fell among college-educated white women. CONCLUSIONS: The decline in pill and diaphragm use and the increase in reliance on condoms suggest that concerns about HIV and other sexually transmitted diseases are changing patterns of method use among unmarried women.     

Production of psychology doctorates in the United States.

Presents an analysis of data provided by Rechtenwald (1961) on psychology doctorates. His data, taken from "Statistical Abstract of the United States, originated with the U.S. Office of Education, as a portion of its "Earned Degrees Conferred" series. Disparities in data are examined, including discrepancies between the USOE data and the OSP data for the period 1949-56. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The state of psychotherapy in the United States.

This article stems from the 2003 Society for the Exploration of Psychotherapy Integration (SEPI) international panel on the state of psychotherapy. I am pleased to be included in the printed version of this discussion. The state of psychotherapy in the United States is a huge topic. Does psychotherapy reach enough people and meet enough needs? What changes have occurred in response to political, financial, or cultural influences? Many of the subheadings deserve entire conference meetings to thoroughly consider the issues. However, in a time of significant transition for psychotherapy, a broad look at trends and influences may help keep the field of psychotherapy on a desired course. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Military psychology in the United States of America.

"Between World War I and World War II, there was almost no interest of American psychologists in military problems, perhaps because there was almost no interest of the military in gaining the assistance of psychologists." The 1948 APA Directory identifies 98 psychologists as working for the Departments of Defense, Army, Air Force, or Navy. "This represents about 2% of the 5,047 members of the APA at that time. In the 1957 APA Directory, I have counted 729 psychologists who are listed as working for agencies of the military departments." This represents "almost 5% of the 15,000 members listed in the 1957 APA Directory." Various branches of military psychology within the Army, the Navy, and the Air Forces are indicated "to give appropriate emphasis to the great diversity of uses to which psychologists are put and to the consequently great variety of projects these agencies must, by their very titles and associations, engender." It also provides a statement "about how military psychology is organized within the Armed Forces in the States." The roles of the psychologist in military personnel management and in weapons development are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Death Penalty in the United States: A Crisis of Conscience.

The articles in this issue discuss many appellate court decisions that turned on due process problems in the guilt and penalty phases of capital murder trials and the troubling role of race in capital prosecutions. Governor Ryan of Illinois cited many of these issues when he declared a moratorium on the death penalty and appointed a blue-ribbon panel to study the prosecution of capital murder in 2000. Governor Ryan commuted the sentences of all Illinois death row inmates in January 2003, in part, because the legislature was unable to address these issues that again appeared in the panel's report. These issues raise serious questions about the reliability of the capital murder system and recommend a continued public debate about its fairness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlates of postmenopausal female hormone use among black women in the United States

BACKGROUND: A number of studies have reported associations between indoor biofuel air pollution in developing countries and chronic obstructive lung disease (COLD) in adults and acute lower respiratory infection (ALRI) in children. Most of these studies have used indirect measures of exposure and generally dealt inadequately with confounding. More reliable, quantified information about this presumed effect is an important pre-requisite for prevention, not least because of the technical, economic and cultural barriers to achieving substantial exposure reductions in the world's poorest households, where ambient pollution levels are typically between ten and a hundred times higher than recommended standards. This study was carried out as part of a programme of research designed to inform the development of intervention studies capable of providing quantified estimates of health benefits. METHODS: The association between respiratory symptoms and the use of open fires and chimney woodstoves ('planchas'), and the distribution of confounding factors, were examined in a cross-sectional study of 340 women aged 15-45 years, living in a poor rural area in the western highlands of Guatemala. RESULTS: The prevalence of reported cough and phlegm was significantly higher for three of six symptom measures among women using open fires. Although this finding is consistent with a number of other studies, none has systematically examined the extent to which strong associations with confounding variables in these settings limit the ability of observational studies to define the effect of indoor air pollution adequately. Very strong associations (P < 0.0001) were found between the type of fire and a number of household and socioeconomic factors including the arrangement of rooms, floor type, and possession of a radio and television. The spouse's economic activity type was also significantly associated (P < 0.05). Thus, while 82% of open fire users had dirt floors and only 18% cement or tile floors, the situation was reversed for plancha users, only 16% of whom had dirt floors. CONCLUSIONS: Confounding presents a substantial problem for observational studies of indoor air pollution and health, although there is a reasonable case for believing that the observed association is causal. Intervention studies are required for stronger evidence of this association, and more importantly, to determine the size of health benefit achievable through feasible exposure reductions.     

Tobacco use and the United States military: a longstanding problem

Early gastric cancer recurrence is sometimes difficult to diagnose even by protocols using imaging techniques and tumor markers. We report a gastric cancer recurrence diagnosed by the appearance of a Sister Mary Joseph's nodule that illustrates the lack of sensitivity of these methods. We also discuss the protocol we currently follow for these patients.     

Drug treatment evaluation research in the United States.

Describes the Drug Abuse Reporting Program, the 1st national evaluation study of community-based treatment programs, implemented in the early 1970s. It evolved into a 20-yr longitudinal research program that included during-treatment assessments of client performance, evaluations of treatment effectiveness based on outcomes in the years immediately following treatment, and long-term studies of addiction careers. The Treatment Outcome Prospective Study began in the early 1980s and is now being followed by the Drug Abuse Treatment Outcome Study in the 1990s. These multisite and multimodality studies have helped establish broad-based evidence for treatment efficacy and directions for new studies in the US. The AIDS crisis has had the effect of sharply increasing federal research funds, including grants allocated to enhance and evaluate psychosocial intervention programs for drug users. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Declining effect of latitude on melanoma mortality rates in the United States. A preliminary study

This article explores the complex barriers which may have prevented the formal integration of the spiritual dimension within programmes of nurse education in the UK. These barriers have been termed intrinsic (arising from within the educational institutions themselves) and extrinsic (reflecting society's and individuals' values, beliefs and cultural norms). It is argued that these barriers have slowed down curriculum innovation and change, preventing the spiritual dimension from receiving due recognition within programmes of nurse education.