Opinion on AIDS prevention and education among rural secondary school pupils in the northern province of South Africa

The study investigated perceptions of AIDS prevention and education among 308 Grade 11 pupils (132 boys and 176 girls), secondary school pupils (mainly Northern Sotho and Tsonga) in the Northern Province of South Africa. They were chosen randomly from three rural schools in Mankweng district and were ages 17 to 25 years (M age = 19.1 yr., SD = 2.8). Analysis of ratings given on items of a questionnaire on AIDS prevention and education indicated that 'Isolating people who are HIV positive' and 'How to protect yourself from getting HIV/AIDS' received the highest ratings. Factor analysis extracted three factors on AIDS education explaining 48% of the variance. The items loading strongly on the first factor were use of condoms (.54), giving information (.53), finding a cure (.52), and no sex outside marriage (.42). On AIDS education two factors were extracted accounting for 52% of the variance. The first factor had significant item loadings for 'sexual behaviour and HIV/AIDS' (.75), 'knowledge of self-protection' (.68), 'how AIDS/HIV affects the body' (.66), and 'alcohol and sexual behaviour'. These findings should contribute to the development of health promotion initiatives directed at AIDS/HIV.     

Reading About AIDS and Cognitive Coping Style: Their Effects on Fear of AIDS and Homophobia

An experiment was conducted to investigate the effects of reading about AIDS on fear of AIDS, knowledge of AIDS, and homophobia. Introductory psychology students read one of three magazine articles: one stressing the low likelihood of contracting AIDS through casual contact (reassuring article), one stressing the high likelihood of contracting AIDS through casual contact (alarming article), or a control article that did not mention AIDS. Compared to the control group, subjects who read the reassuring article were lower in fear of AIDS, whereas subjects who read the alarming article were higher; the articles had no effect on knowledge of AIDS or homophobia. In addition, subjects were classified on the basis of their cognitive coping style (high vs. low monitors) and sex. High monitors tended to be more fearful of AIDS but were neither better informed about AIDS nor more homophobic than low monitors. Men were more fearful of AIDS and more homophobic than women.     

A problem-posing educational methodology for the prevention of HIV / AIDS

The problem-posing methodology of Brazilian educator Paulo Freire, using the reading circle approach previously deployed in successful literacy campaigns in developing countries, is introduced for application in AIDS information programs. The basis of this educational process is the dialogue where those to be educated resolve their problems by evaluating information critically, capturing concepts by codification and decodification, and transmitting information by creating relevant educational materials. Health circles are organized with women as educators to impart knowledge about AIDS and HIV: definitions, epidemiological components (sex, age, and risk behavior), means of transmission, stages of the progression of AIDS, prevention of HIV infection, and tests for detecting HIV antibodies. The dialogue explores knowledge and feelings about AIDS and how it affects life in the community reveals personal experiences and accounts of knowing someone who was HIV-positive, and develops action plans to minimize AIDS cases in the community. The Latin population of California, mainly of Mexican origin, with low levels of education, income, and acculturation and a high incidence of AIDS, is an appropriate target of such intervention. In 1980, there were 12.3 million people of Hispanic origin in the US. In August 1990, there were 143,280 persons diagnoses with AIDS according to the Centers for Disease Control. 78,878 of these (55%) were Anglos, and 21,752 (15%) were Hispanics. Among the Anglos, the incidence was 300/million inhabitants, while among Hispanics, it was 1059/million, a 3-field higher rate.     

AIDS on Campus: A Preliminary Study of College Students' Knowledge and Behaviors

This preliminary study examined the possible relationship between knowledge about AIDS, subjective perception of the risk of contracting AIDS, and sexual behavior in a sample of undergraduate college students (N = 459). The majority of the students indicated that AIDS was not an issue of personal concern. Students were generally informed about AIDS, although one-third of the students were unclear about the transmission of the disease through casual contact. Data analysis indicated that no relationship existed between accurate knowledge about AIDS and sexual behavior. The relationship between self-assessment of personal risk for AIDS and reduced sexual contacts was found to be significant at the .01 level. Recommendations are made regarding AIDS educational and counseling approaches among college students. Please note that the term AIDS is used to represent the presence of HIV antibodies, AIDS-related complex (ARC), and diagnosed AIDS.     

Psychological Correlates of the Transmission and Acceptance of Rumors About AIDS1

The present investigation was intended to identify the emotional and cognitive factors associated with the transmission and acceptance of widely disseminated misconceptions about AIDS. A rumor questionnaire listing 10 prevalent misconceptions about AIDS was completed by 229 college students. Consistent with predictions derived from current rumor theory (Rosnow, 1980, 1988), anxiety elicited by AIDS rumors was found to be the factor most strongly related to rumor transmission. The subjects who reported having changed their behavior as a result of the AIDS crisis also were likely to transmit AIDS rumors. Regression analysis revealed that, together, personal anxiety elicited by specific rumors and behavior change represented the strongest predictors of AIDS rumor transmission (R²= .24, p < .0001). Anxiety-provoking rumors perceived as important and personally consequential were most likely to be believed (R²= .56, p < .0001). A minority of subjects (12%) reported behavior changes that actually reduce the risk of AIDS. Implications of this research for AIDS public education campaigns are discussed.     

Mapping an HIV/STD prevention curriculum for Zambian in-school settings

HIV/AIDS poses grave risk to human development in sub-Saharan Africa. Evidence-based interventions that are rooted in local culture could help efforts to prevent threats to human development from HIV/AIDS. We used concept mapping (Concept System, 2006 ) to construct the components and content of a locally developed HIV/AIDS curriculum for use by secondary schools in Lusaka, Zambia. Participants were school counsellors (n = 14), youth health program officers (n = 7), and regular education teachers (n = 3) from the education, health, and youth development agencies in Lusaka, Zambia (males = 11; females = 13; mean age 38; SD = 15 years). Concept mapping yielded six statement clusters defining preliminary components of a locally grounded in-school HIV/AIDS prevention curriculum and the content items that define these components: (1) life skills education (18 items), (2) sexuality and reproductive health (10 items), (3) treatment, care and support (13 items), (4) counselling (12 items), (5) basic facts about HIV/AIDS (11 items), and (6) dissemination of information about HIV/AIDS (11 items). Zambian locally constructed constructs for an HIV/STD prevention curriculum overlap those promoted by public health programs in the country and internationally.     

The Perceived Influence of AIDS Advertising: Third-Person Effects in the Context of Positive Media Content

Although there is consistent evidence indicating that people perceive themselves to be less influenced than others by negative media content and persuasive communications with negative intent (viz., a third-person effect), much less is known about the perceived impact of positive media content and public service advertisements. This study investigated the perceived impact of 11 AIDS advertisements promoting a common message for safe sex, in an attempt to clarify the conditions in which people might judge themselves as more, rather than less, influenced than others. Results indicated that student respondents perceived themselves as less vulnerable than others to low-quality AIDS advertisements, but as more influenced than others by high-quality AIDS advertisements. Respondents who believed strongly that it is good to be influenced by AIDS campaigns saw themselves as relatively vulnerable to such messages, whereas other respondents did not distinguish between the level of impact on self and other. Results are consistent with motivational accounts that emphasize the ego-enhancing function of social comparisons.     

The Effects of Information About AIDS Risk and Self-Efficacy on Women's Intentions to Engage in AIDS Preventive Behavior1

Female college students' perceived vulnerability to AIDS and their perceived self-efficacy regarding AIDS preventive behavior (APB), were manipulated in a 2 × 2 design. Consistent with protection motivation theory (e. g., Rogers. 1983), the results showed that intention to engage in APB was highest among subjects who received information that their risk of getting infected with HIV was high, and who experienced relatively high feelings of self-efficacy. These subjects also seemed least likely to engage in denial of their AIDS risk. The implications of these findings for AIDS education programs are discussed.     

AIDS in Uganda as a gender issue

This qualitative evaluation is based on data gathered during field trips to Uganda between 1981 and 1988. The first part of the paper describes the official view on prevalence (in 1988 Uganda, with 5455 reported cases, had the third highest prevalence of AIDS in Africa with the disease transmitted largely through heterosexual relations), the official view on the disease origin (the index case of AIDS occurred in 1983 in Kasensero village in the Rakai district), and the official control efforts (acknowledgement and publication of the magnitude of the epidemic and a 5-year prevention and control program with educational, medical, and epidemiological measures). The second part of the paper discusses public perceptions towards AIDS and its victims and highlights beliefs that assign a supernatural etiology to AIDS, social discrimination of AIDS victims, the consequences of the disease on the family and on sexuality and nuptiality. The next section looks at the impact of AIDS on health seeking behavior and the delivery of health care and notes that the private health delivery system has probably contributed to the spread of AIDS because of the use of unsterilized instruments, that unscrupulous practitioners are claiming cures, and that some people avoid health facilities for fear of infection. The fourth topic considered is the risk of HIV transmission because of sexual harassment perpetrated against women. This is followed by an assessment of 1) the affect of AIDS on women's reproductive rights and the controversy about transmission of the virus in breast milk, 2) the situation faced by women in high-risk professions, and 3) the acceptability of the condom. The paper ends by summarizing the policy and research implications revealed by this qualitative study.     

Mortality Salience and Perceptions of People with AIDS: Understanding the Role of Prejudice

Study 1 examined the perceived association of AIDS and death by showing that thinking about AIDS increased participants'; death-thought accessibility. Hypotheses about the consequences of this association for perceptions of people with AIDS were derived from terror management theory, which proposes that mortality salience increases derogation of those who threaten people's worldviews unless those worldviews oppose prejudice, in which case mortality salience can increase acceptance of people who are otherwise threatening. Consistent with these hypotheses, conservative participants had less favorable impressions (Study 2) and liberal participants had more favorable impressions (Study 3) of a target with AIDS following a death reminder. Study 4 suggested that the decrease in prejudice among liberals following mortality salience was a genuine decrease in prejudice (as indicated by responses to an unobtrusive attitude measure), not just an increase in the desire to appear nonprejudiced. Theoretical and practical implications of these findings are discussed.     

The Development and Validation of the Multicomponent AIDS Phobia Scale

The development, reliability, and validity of a new instrument, the Multicomponent AIDS Phobia Scale (MAPS), is described. Based on a sample of 181 university students, the results indicate that the MAPS has strong internal consistency and moderate test-retest reliability. In addition, an assessment of concurrent and discriminant validity indicates statistically significant correlations with other self-report measures of anxiety, hypochondriasis, obsessive-compulsive disorder, and fear of AIDS. The results of a factor analysis indicate that the scale consists of two factors: Fear of Infection and Fear of Others/Avoidance. Although further research with the MAPS in a clinical population is warranted to investigate the generalizability of this study's results, the instrument appears to be a reliable and valid measure of AIDS Phobia and may prove useful for improving clinical assessment and documenting treatment outcome.     

The role of risk perception and efficacy cognitions in the prediction of HIV-related preventive behavior and condom use

The salience of the Protection Motivation Theory to HIV preventive behavior was investigated in a sample of 468 heterosexual men 20-45 years of age recruited in Germany and at vacation spots in Spain. This theory conceptualizes self-protective behaviors as a function of the severity of the threat, perceived personal vulnerability to this threat, the availability of coping responses, and the effectiveness of these responses. Cognitive variables measured included perceived severity of the threat of AIDS, sexual self-efficacy expectancy, self-efficacy expectations in terms of sexual communication skills, response efficacy, and attitude toward condom use. On a scale of 1 (low) to 6 (high), perceived severity of the AIDS threat averaged 5.3, individual susceptibility ratings averaged 3.5, and susceptibility of peers had a mean of 4.9. Although 33% of respondents had made behavioral changes in response to the AIDS epidemic, only 15% always used condoms while 12% used them occasionally. Self-efficacy expectancy with regard to assertiveness and use of preventive measures emerged as the most significant predictor of HIV-related behaviors. The causal analyses indicated that high communicative self-efficacy expectancy is associated with high-risk sexual behaviors, while self-efficacy expectancy regarding assertiveness and the use of preventive measures promotes risk reduction. These associations were strongest in men over 26 years of age, singles, and tourists. These findings suggest a need for interventions for couples such as assertiveness training and guidance on communicating about sex and AIDS. Also demonstrated was the need for AIDS education programs to identify where participants are in terms of perceiving the threat of and coping with the AIDS epidemic and promote conditions that will help people advance to the next stage.     

Magical Contagion Beliefs and Fear of AIDS1

Extreme overreaction to nonrisky contact with persons with AIDS is considered to be a case of the operation of the sympathetic magical law of contagion. Prior work has shown that this principle (once in contact, always in contact) holds in the belief systems of American adults. In this paper, we show that four characteristics of this law correspond to the attitudes of college students toward AIDS: (a) actual physical contact is a critical factor in determining negative reactions, (b) even very brief contact is capable of transmitting substantial negative properties (dose insensitivity), (c) the effects of even brief contact are long lasting (permanence), and (d) the effects of contact can occur in a direction opposite to that of the normal causal arrow (backward contagion). We conclude that the magical law of contagion provides a useful way of formulating overconcern about the transmission of AIDS.     

An Evaluation of an HIV/AIDS Prevention Program in a Nigerian Setting

The study examined the success of a group based behavioural intervention with Nigerian youths aimed at reducing the risk of contracting and spreading HIV/AIDS and other sexually transmitted illness (STI). Participants were 147 youths (males=75, females=72, age range 5 to 24 years). The study explored the influence of motivational factors (self efficacy), attitudinal factors (perceived personal risk), knowledge (instrumental knowledge of AIDS) and behavioural factors (refusal of high-risk behaviour) in predicting condom use amongst youth participating in a group-based HIV prevention intervention. Findings indicated that the intervention program reliably predicted participants' attitudinal dispositions to high risk heterosexual behaviour. Instrumental knowledge of HIV/AIDS, perceived self-efficacy, perceived personal risk of HIV/AIDS and refusal of risk behaviour were significant predictors of condom use.     

Psychosocial Responses of Hospital Workers to Acquired Immune Deficiency Syndrome (AIDS)1

To assess the psychosocial responses of hospital workers to acquired immune deficiency syndrome (AIDS), 237 hospital employees were interviewed. Information was obtained on frequency and nature of contact with AIDS patients; knowledge about AIDS; attitudes about AIDS and about homosexuality; and stresses related to AIDS care. Four indices were developed: AIDS-Contact, AIDS-Phobia, Homophobia, and AIDS-Stress. Misperceptions and fears about AIDS, as well as negative attitudes about individuals with the disease, were common. AIDS-Phobia was positively correlated with Homophobia and AIDS-Stress. AIDS-Phobia and AIDS-Stress were negatively correlated with AIDS-Contact. More patient contact was associated with lower levels of perceived stress, except for those with frequent but impersonal patient contact. Strategies for educational programs based on results are proposed.     

Optimism, coping, psychological distress, and high-risk sexual behavior among men at risk for acquired immunodeficiency syndrome (AIDS).

In a cohort of gay men responding to the threat of acquired immunodeficiency syndrome (AIDS), dispositional optimism was associated with less distress, less avoidant coping, positive attitudes as a coping strategy, and fewer AIDS-related concerns. Men who knew they were seropositive for human immunodeficiency virus (HIV) were significantly more optimistic about not developing AIDS than men who knew they were seronegative for HIV. This AIDS-specific optimism was related to higher perceived control over AIDS and to active coping among seropositive men only and to health behaviors in both serostatus groups. There was no relation of optimism to risk-related sexual behavior. It is concluded that optimism is psychologically adaptive without necessarily compromising health behavior. It is also concluded that it is useful to distinguish between event-based optimistic expectations and dispositional optimism.     

A Psychoneuroimmunologic Perspective on AIDS Research: Questions,Preliminary Findings,and Suggestions1

Starting with the premise that research questions emanating from the fields of psychoneuroimmunology and behavioral medicine may provide critical information for understanding and treating acquired immune deficiency syndrome (AIDS), we provide brief backgrounds on psychoneuroimmunology and on AIDS. Previously, Solomon had generated 25 hypotheses based on the thesis that the immune and central nervous systems are intimately linked. Eight hypotheses from his list are presented as particularly relevant to AIDS. From these hypotheses, we derived a set of 12 new questions to be addressed in research on AIDS. Evidence and illustrations from studies in the literature, from our own research on psychoimmunologic relationships and psychosocial factors related to outcome, and from clinical examples is discussed for each question. Finally, suggestions are offered to address some of the problems in conducting psychoneurologic research.     

艾滋病人的临终关怀

中国已经面临艾滋病人发病和死亡的高峰期.对艾滋病人开展临终关怀,长期以来并没有得到学术界应有的重视.强调在宽容原则的指导下,在理解和尊重的社会环境中,从生理、心理和心灵三个方面关怀艾滋病人,并指出对艾滋病人开展临终关怀具有重大的意义.     

Predictors of the International HIV–AIDS INGO Network Over Time

The HIV–AIDS epidemic is one of the most challenging and significant health crises facing the world today. In order to cope with its complexities, the United Nations and World Health Organization have increasingly relied upon the resources offered by networks of HIV–AIDS nongovernmental organizations (NGOs). The research reported here uses evolutionary theory to predict the patterns of alliances and collaborations within the HIV–AIDS International Nongovernmental Organizations (INGO) network. The hypotheses are tested using 8 years of data from the Yearbook of International Organizations. The results showed that geographic proximity and common ties with intergovernmental organizations (IGOs) predict the pattern of alliances among HIV–AIDS INGOs. The best predictor of such alliances, however, is past relationships among these organizations.     

Victim-blaming tendency toward people with AIDS among college students.

The victim-blaming tendency toward people with AIDS was examined in relation to gender, fraternity-sorority affiliation, classification (freshmen vs. others), religion (Catholic vs. others), and academic major (business college vs. others) in a survey of 818 students at a midwestern state university in the United States. Desired social distance from gay men and lesbians, the intervening variable in these relations, significantly mediated the indirect effect of fraternity-sorority affiliation, classification, and gender on the victim-blaming tendency. Gender and desired social distance were found to be significant direct determinants of the victim-blaming tendency toward people with AIDS. The study suggests that attitudes toward gay men and lesbians must change if attitudes toward people with AIDS are to change.