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Natural ecosystems such as forests, coral reefs, mangroves and grasslands provide essential goods and services that support human health and food security. Examples of these ecosystem services include crop pollination [...]

To study risk factors for perpetration of spousal violence among men in Bangladesh, self-reported Demographic and Health Surveys data from 2,780 married men using bivariate and multivariate techniques are analyzed. Of the respondents, 74% report having ever been violent toward their wives; 37% report violence in the past year. Nonnormative behaviors increase the risk for violence: Men who marry more than once, men who use drugs, and men who are unfaithful to their wives are all significantly more likely to report violence against their spouses. Egalitarian attitudes toward women do not decrease the risk for violence. However, attitudes explicitly about wife-beating are the strongest predictor of violence: Men who believe wife-beating is acceptable are more than 4 times as likely to report recent violence against their wives. While men's self-reports of spousal violence indicate that wife-beating is prevalent in Bangladesh, the results indicate opportunities for programmatic intervention. (Contains 3 tables and 4 notes.)

Data from the cross-sectional, population-based 2003 Kenya Demographic and Health Survey is used to assess the demographic, social, behavioral and biological variables as risk factors for HIV infection among men and women in Kenya. The results have indicated that differences in biological factors such as circumcision and sexually transmitted infections are important in assessing risk for HIV than differences in sexual behavior.

This study uses recent Demographic and Health Survey (DHS) data to examine levels, trends, and differentials in orphan prevalence in sub-Saharan Africa. The first part of the analysis presents direct estimates of orphan prevalence in 17 countries during the period 1995-2000. We find a strong correlation between orphanhood prevalence and national adult HIV prevalence estimates lending support to the interpretation of the orphan crisis as, in large part, AIDS-related. The second part of the analysis consists of an in-depth study of trends and age-patterns in orphan prevalence and welfare in the 1990s for five countries that have had widely divergent HIV prevalence levels (Zimbabwe, Kenya, Tanzania, Ghana, and Niger). The vulnerability of orphans with respect to their situation in households and educational opportunities is evaluated in relation to non-orphans' experience. The results of the analysis indicate that losing one or both parents is significantly associated with diminished chances of being at the appropriate grade level for age. Our results are interpreted in the context of societal responses to the crisis, and potential recommendations for intervention. Keywords: AIDS; HIV; Orphans; Mortality; Education; Children; Sub-Saharan Africa

This study is concerned with two risk factors that have been independently associated with poor behavioral health: (a) lifetime suicide-related behavior (SRB) and (b) interpersonal violence victimization experiences. The purpose of this article was to assess whether the combination of SRB (ideation, attempt) and violent victimization exacerbates behavioral health symptom risk. This pattern is examined across three vulnerable population samples: community-based adults, college students, and bondage and sadomasochism (BDSM) community members. Data from a community health and sexuality survey (n = 2,175) were collected as a health needs assessment in partnership with the National Coalition for Sexual Freedom; latent class analysis (LCA) was then employed to identify intersectionality. This paper builds on prior findings yielding two distinct violence-related classes: (a) SRB only and (b) violent victimization + SRB. Controlling for demographic covariates, analyses revealed a consistent pattern in which the violent victimization + SRB subgroup displayed significantly worse behavioral health outcomes, including symptoms of depression, anxiety, general distress, and posttraumatic stress. Membership in any of the three available samples did not moderate the latent class-behavioral health associations, suggesting the additive impact of lifetime victimization + SRB is equitable across samples. Results are consistent with social-ecological framing of shared suicide–interpersonal violence falling under the same category of public health concerns sharing risk factors and health outcomes. [ABSTRACT FROM AUTHOR]

Risk assessment instruments are increasingly used in mental health jail diversion programs. This study examined the reliability and validity of Short-Term Assessment of Risk and Treatability (START) and Level of Service Inventory–Revised (LSI-R) assessments overall and by client race. Research assistants completed START and LSI-R assessments for 95 diversion clients. Arrests and jail days were collected via official records and self-report 3, 6, 9, 12, and 18 months after baseline. Assessments demonstrated good interrater reliability and convergent validity. START strength total scores and LSI-R risk estimates were the strongest predictors of recidivism. Total scores and risk estimates did not differ as a function of client race, but there were some differences in accuracy of START vulnerability and LSI-R total scores and risk estimates in predicting jail days (but not arrests), over shorter follow-ups. No such differences were found for START strength total scores across any follow-up period or recidivism measure. [ABSTRACT FROM AUTHOR]