AbstractThe goal of the current study was to investigate the contribution of both trait‐like individual differences and dyadic processes to the content of children's conversations. Fifty‐two groups typically consisting of four same‐sex unfamiliar nine‐year‐old children (N = 202) interacted in all possible dyads, resulting in six dyads per group. Each dyad completed a 5‐min frustration task and a 5‐min planning task. Observers coded children's verbalizations into 10 categories and further summed these categories into prosocial (suggest, agree, solicit input, ask, encourage, state personal) and antisocial (command, disagree, discourage, aggress) verbalizations, resulting in 24 variables (12 per task). Across both tasks, Social Relations Model analyses provided evidence of the role of both individual differences [significant effects for actor variance (15 of 24 variables), actor‐actor correlations, and intrapersonal correlations] and dyadic processes [significant effects for partner variance (4 of 24 variables), relationship variance (18 of 24 variables), dyadic reciprocity correlations (10 of 24 variables), and interpersonal correlations] in children's conversations with peers.
AbstractThe general purpose of this study was to examine similarity between friends with respect to behavior. The specific goals were to consider; 1) different sources of evaluation (peer ratings and direct observations); 2) different social contexts (classroom and play group); and 3) different subtypes of aggressive behavior (proactive and reactive aggression). In the first phase of the study, sociometric assessments and peer evaluations of behavior were conducted in the school setting with third‐grade boys and girls (n ‐ 268). In the second phase, a subsample of boys participated in a series of play group sessions (n = 66). Direct observations and peer ratings of children's behavior were conducted in those sessions. Results showed in both social contexts a tendency towards similarity among friends, especially with respect to aggressive behavior. Separate analyses for subtypes of aggressive behavior revealed that the similarity hypothesis applied for proactive aggression but not for reactive aggression.
AbstractThe current study examined parental advice given to fourth‐ and fifth‐grade preadolescents who imagined being bystanders to different forms of bullying (physical, verbal, property attack, social manipulation, exclusion). We assessed the frequency with which parents advised youth to follow specific intervention strategies (stop the bully, help/comfort the victim, tell adults), and we tested whether the frequency by which parents provided each kind of advice varied by the form of bullying described. One hundred and six fourth‐ and fifth‐grade preadolescents completed an interaction in which their parent gave them advice about how to respond if they were bystanders to five hypothetical bullying situations. Each situation described a different form of bullying. Across forms of bullying, parents most frequently told bystander children to intervene by telling an adult. However, advice differed based on the form of bullying presented. Parents most frequently advised children to "tell an adult" in response to physical bullying or property attacks, most frequently advised children to "help/comfort victims" in response to social exclusion and physical attacks, and most frequently advised children to "stop the bully" in response to verbal and social manipulation bullying.
AbstractThe present study investigated bidirectional relations between peer victimization and internalizing symptoms, with a focus on three forms of victimization (physical, verbal, relational) and two types of internalizing symptoms (depressive, anxious). In the fall and spring, children (N = 1,264–1,402 fourth and fifth graders depending on time point and data source) reported on their victimization, and teachers reported on children's depressive and anxious symptoms. In a model including the broad constructs of victimization and internalizing symptoms, bidirectional relations emerged, with earlier victimization predicting increases in later internalizing symptoms and earlier internalizing symptoms predicting increases in later victimization. These bidirectional relations did not hold in two additional models, the first of which included the three forms of victimization and internalizing symptoms and the second of which included victimization and the two types of internalizing symptoms. Rather, results of the first model suggested that earlier internalizing symptoms predicted later physical, verbal, and relational (marginal) victimization, and the second model did not fit the data well. Findings are discussed in terms of implications of bidirectional relations between victimization and internalizing symptoms.
Our primary goal was to examine the correspondence between children's self‐reported use and knowledge of display rules for anger following hypothetical vignettes versus following live peer interactions. Our secondary goal was to investigate whether children's self‐reported experience and self‐reported expression of anger were related their observed anger expression, considered an observational measure of use of display rules for anger. Participants were 274 second‐grade children. Children were first interviewed about their use and knowledge of display rules for anger in game‐playing situations depicted through hypothetical vignettes. Several months later, children interacted with a confederate in standardized games designed to simulate the vignettes and answered the same questions about display rules. Children's responses were moderately related across the two contexts. However, following the live interactions, compared to the hypothetical vignettes, children reported feeling less anger, expressing less anger, intending to hide their anger more, and dissembling their anger more. In addition, there were differences in the quality and quantity of strategies for hiding anger that children generated across the two contexts. Observations of anger expression were not related to self‐reports of either the experience or expression of anger.
AbstractIntroductionHIV self‐testing (HIVST) increases HIV testing uptake among men; however, the linkage to antiretroviral therapy (ART) among HIVST users is low. Innovative strategies for ART initiation are needed, yet little is known about the unique barriers to care experienced by male HIVST users, and what ART‐related interventions men desire.MethodsWe conducted semi‐structured in‐depth interviews with cisgender men (≥15 years) in Malawi who tested HIV positive using HIVST between 2018 and 2020, as well as interviews with their female partners (≥15 years) who distributed the HIVST kits. Medical records from seven facilities were used to identify respondents. We included men who received HIVST from a health facility (primary distribution) and from sexual partners (secondary distribution). Interview guides focused on unique barriers to ART initiation following HIVST and desired interventions to improve linkage and initiation. Interviews were audio recorded, translated and transcribed to English, and analysed using constant comparison methods in Atlas.ti v.8.4. Themes were compared by HIVST distribution strategy. Data were collected between 2019 and 2020.ResultsTwenty‐seven respondents were interviewed: eight male/female dyads (16 respondents), eight men without a female partner and three women who represented men who did not participate in the study. Among the 19 men represented (16 men interviewed in person, three represented by secondary report from female partners), seven received HIVST through primary distribution, 12 through secondary distribution. Six men never initiated ART (all secondary HIVST distribution). Barriers to ART initiation centred on the absence of healthcare workers at the time of diagnosis and included lack of external motivation for linkage to care (men had to motivate themselves) and lack of counselling before and after testing (leaving ART‐related fears and misconceptions unaddressed)––the latter was especially true for secondary HIVST distribution. Desired interventions were similar across distribution strategies and included ongoing peer mentorship for normalizing treatment adherence, counselling messages tailored to men, outside‐facility services for convenience and privacy, and facility navigation to help men understand how to navigate ART clinics.ConclusionsMale HIVST users face unique challenges to ART initiation, especially those receiving HIVST through secondary distribution. Male‐tailored interventions are desired by men and may help overcome barriers to care.
AbstractIntroductionMobility is associated with worse outcomes across the HIV treatment cascade, especially among men. However, little is known about the mechanisms that link mobility and poor HIV outcomes and what types of mobility most increase the risk of treatment interruption among men in southern Africa.MethodsFrom August 2021 to January 2022, we conducted a mixed‐methods study with men living with HIV (MLHIV) but not currently receiving antiretroviral therapy (ART) in Malawi. Data collection was embedded within two larger trials (ENGAGE and IDEaL trials). We analysed baseline survey data of 223 men enrolled in the trials who reported being mobile (defined as spending ≥14 nights away from home in the past 12 months) using descriptive statistics and negative binomial regressions. We then recruited 32 men for in‐depth interviews regarding their travel experiences and ART utilization. We analysed qualitative data using constant comparative methods.ResultsSurvey data showed that 34% of men with treatment interruptions were mobile, with a median of 60 nights away from home in the past 12 months; 69% of trips were for income generation. More nights away from home in the past 12 months and having fewer household assets were associated with longer periods out of care. In interviews, men reported that travel was often unplanned, and men were highly vulnerable to exploitive employer demands, which led to missed appointments and ART interruption. Men made major efforts to stay in care but were often unable to access care on short notice, were denied ART refills at non‐home facilities and/or were treated poorly by providers, creating substantial barriers to remaining in and returning to care. Men desired additional multi‐month dispensing (MMD), the ability to refill treatment at any facility in Malawi, and streamlined pre‐travel refills at home facilities.ConclusionsMen prioritize ART and struggle with the trade‐offs between their own health and providing for their families. Mobility is an essential livelihood strategy for MLHIV in Malawi, but it creates conflict with ART retention, largely due to inflexible health systems. Targeted counselling and peer support, access to ART services anywhere in the country, and MMD may improve outcomes for mobile men.
AbstractIntroductionThere is little HIV counselling that directly meets the needs of men in Eastern and Southern Africa, limiting men's knowledge about the benefits of HIV treatment and how to overcome barriers to engagement, contributing to poorer HIV‐related outcomes than women. Male‐specific approaches are needed to improve men's outcomes but may be difficult for healthcare workers (HCWs) to implement with fidelity and quality in low‐resource settings. We developed a male‐specific counselling curriculum which was implemented by male HCWs and then conducted a mixed‐methods quality assessment.MethodsWe audio‐recorded counselling sessions to assess the quality of implementation (n = 50) by male HCWs from two cadres (nurse, n = 10 and lay cadre, n = 10) and conducted focus group discussions (FGDs) with HCWs at 6 and 9 months after rollout to understand barriers and facilitators to implementation. Counselling sessions and FGDs were translated, transcribed and analysed using thematic analysis adapted from WHO Quality Counselling Guidelines. We assessed if sessions were respectful, informative, interactive, motivating and included tailored action plans for overcoming barriers to care. All data were collected September 2021−June 2022.ResultsAll sessions used respectful, non‐judgemental language. Sessions were highly interactive with most HCWs frequently asking open‐ended questions (n = 46, 92%) and often incorporating motivational explanations of how antiretroviral therapy contributes to life goals (n = 42, 84%). Few sessions included individually tailored action plans for clients to overcome barriers to care (n = 9, 18%). New counselling themes were well covered; however, occasionally themes of self‐compassion and safe sex were not covered during sessions (n = 16 and n = 11). HCWs believed that having male HCWs conduct counselling, ongoing professional development and keeping detailed counselling notes facilitated quality implementation. Perceived barriers included curriculum length and client hesitancy to participate in action plan development. Findings were similar across cadres.ConclusionsImplementing high‐quality male‐specific counselling using male nurses and/or lay cadre is feasible. Efforts to utilize lay cadres should be prioritized, particularly in low‐resource settings. Programmes should provide comprehensive job aids to support HCWs. Ongoing training and professional development are needed to (1) improve HCWs' skills in tailored action plans, and (2) sensitize HCWs to the need for self‐compassion within male clients to promote holistic sexual health.
AbstractOur first goal was to examine the relations among observational, physiological, and self‐report measures of children's anger. Our second goal was to investigate whether these relations varied by reactive or proactive aggression. Children (272 second‐grade boys and girls) participated in a procedure in which they lost a game and prize to a confederate who cheated. Skin conductance reactivity, heart rate reactivity, self‐reports of anger, angry facial expressions, and angry nonverbal behaviors were measured for each turn of the game. We used multi‐level regressions to calculate the relations among the 10 pairs of the five anger variables over the course of the game. Six of the 10 pairs of anger variables were positively related. These findings suggest that measuring children's anger using any one approach may not capture the full complexity of children's overall experience and expression of anger. Furthermore, three of the 10 relations were stronger at higher levels of reactive aggression, although none varied by proactive aggression. These findings suggest that reactive aggression is related to greater cohesiveness in the experience and expression of anger than is proactive aggression.
