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OBJECTIVE The behavioral model of utilization, developed by Andersen, Aday, and others, is one of the most frequently used frameworks for analyzing the factors that are associated with patient utilization of healthcare services. However, the use of the model for examining the context within which utilization occurs-the role of the environment and(More)
Although previous research has demonstrated increased relationship distress and separation for cohabiting couples, little is known about specific problems cohabiting individuals encounter in comparison to dating and married individuals. This study examines open-ended reports of 1,252 individuals' (220 dating, 231 cohabiting, and 801 married) relationship(More)
This study describes primary care providers' beliefs and self-reported practices regarding HIV counseling and testing of pregnant women and women of childbearing age. The Centers for Disease Control and Prevention (CDC) recommends that providers counsel and encourage all pregnant women and women of childbearing age to be voluntarily tested, and California(More)
Despite the numerous challenges facing U.S. veterans and their relationships, there have been no examinations of the effectiveness of couple therapy for relationship distress provided to veterans. In the present study, 177 couples presenting for couple therapy at two Veteran Administration Medical Centers completed assessments of relationship satisfaction(More)
The transition to parenthood has been repeatedly identified as a stressful period, with couples reporting difficulties in domains of individual, coparenting, and relationship functioning. Moreover, these difficulties have been shown to impact children's development. To buffer against these difficulties, numerous effective parenting, couple, and combined(More)
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