When are AIDS patients to blame for their disease? Effects of patients' sexual orientation and mode of transmission

This study examined three factors affecting college students' attributions of blame for an AIDS patient's disease: sexual orientation of the patient, mode of HIV transmission, and the sex of the subject. 148 subjects read one of six vignettes describing an hypothetical AIDS patient who was described as either an heterosexual or an homosexual man who contracted HIV through one of three avenues: blood transfusion, sexual contact, or IV drug use. The homosexual AIDS patient was considered more to blame for his illness than the heterosexual AIDS patient, but only when mode of transmission was sexual contact. In addition, mode of HIV transmission was a significant factor in attributions of responsibility, as the patient who contracted HIV through a blood transfusion was rated as less responsible than the patient who contracted HIV through sexual behavior or IV drug use. Women consistently rated the AIDS patient as less responsible than did men.     

A Preliminary Examination of Sexual Orientation as a Social Vulnerability for Experiencing HIV/AIDS-related Stigma

This investigation is a preliminary examination of sexual orientation as a social vulnerability for experiencing HIV/AIDS-related stigma, specifically concerns about disclosure and public attitudes. Participants were 36 heterosexual men and 82 gay men with HIV/AIDS. Consistent with prediction, a heterosexual sexual orientation was significantly associated with HIV/AIDS disclosure concerns. This effect was evident after controlling for various demographic variables, CD4 T-cell count, time since HIV diagnosis, self-esteem, and coping styles. Also, as predicted, similar levels of enacted stigma were evident regardless of sexual orientation. Further work is needed to understand the process of HIV/AIDS disclosure for heterosexual men with this illness and to differentiate the experience of HIV/AIDS-related stigma among gay and straight men with HIV/AIDS.     

Information and attitudes about HIV/AIDS in Portuguese adolescents: state of art and changes in a four year period

The incidence of infection with HIV/AIDS among the heterosexual population has been increasing in young adults. The goal of this research was to deepen knowledge of preventive sexual behavior in Portuguese adolescents, including knowledge and attitudes about HIV/AIDS, and assessing whether they changed from 2002 to 2006. Data were collected through a self-administered questionnaire from the Portuguese sample of the Health Behavior in School-aged Children (HBSC), a collaborative WHO study. The study provides national representative data of 7093 Portuguese adolescents, randomly chosen from those attending 8th and 10th grade of high school. Results showed there was an increase in the age of first sexual intercourse and a decrease in the number of teenagers who reported having had sexual intercourse, also in the level of information regarding HIV/AIDS transmission/prevention and in positive attitudes towards people with HIV/AIDS. In general, adolescents have good knowledge about how to protect themselves from becoming infected. However, comparing to 2002, there was a reduction of knowledge and consequent increase in the doubts regarding HIV/AIDS. Given the incipient state of sex education in 2006, the results cannot be attributed to sex education, but they will be relevant for comparison with the 2010 HBSC results.     

Perceived emotional and life change impact of AIDS on homosexual men in two countries

Abstract

A comprehensive self-administered life event inventory examining both general life stress and stress from events specific to the homosexual and bisexual male population was developed in order to assess the impact of AIDS and HIV infection on homo- and bisexual men. Ranking of questions revealed that while general stressors affected homosexuals similarly to heterosexuals, there were critical stressors affecting homosexuals not measured by conventional inventories. Specifically, emotional distress from receiving an HIV antibody positive result was not significantly different to that caused by a diagnosis of AIDS or ARC, the diagnosis of AIDS in a lover or the death of a lover. A sharp discrepancy in emotional distress between current safer sex behaviour and current unsafe sexual behaviour was also found, and the implications for behavioural modification in this area noted. Those who were HIV antibody positive tended to evaluate the anticipated impact of further AIDS related diagnoses as having a greater emotional impact than those who had tested negative. There would appear to be a closer relationship between emotional distress and life change in homosexual men than in heterosexual samples. The relative emotional impacts and life change assessments of AIDS and HIV infection are discussed.     

Gender Roles,Power Strategies,and Precautionary Sexual Self-Efficacy: Implications for Black and Latina Women's HIV/AIDS Protective Behaviors

This cross-sectional study tested a conceptual model of women's HIV/AIDS protective behaviors using gender roles, relationship power strategies, and precautionary sexual self-efficacy as predictors in a predominantly Black and Latina community sample of heterosexual women (N = 125). Results revealed no support for the full model, but partial confirmation for several components of the model. Education significantly predicted gender roles, and gender roles and use of direct power strategies were significant predictors of sexual self-efficacy. Most of the participants were married or partnered and were unconcerned about contracting HIV, suggesting that if women perceive that they are at low or no risk, their gender roles, power strategies, and precautionary sexual self-efficacy will be inconsequential to their HIV/AIDS risk reduction practices.     

Determination of health-care workers' attitudes toward people with AIDS

One hundred and thirty-four health professionals read one of 12 fictional case histories in which the patient was diagnosed as being either HIV- or Hepatitis B-positive. For each diagnosis infection was attributed to sexual contact, IV drug use, or a transfusion of contaminated blood. Within each diagnostic category, and for each source of infection, the patient was identified as either heterosexual or homosexual. Although homophobia has been suggested as a major contributor to negative attitudes toward people with AIDS, the present results remained significant even after homophobia, as measured by Hudson and Ricketts (1980), had been controlled for statistically. Regardless of disease, patients infected through IV drug use or sexual contact were seen as equally culpable and more responsible for their condition than those infected by transfusion. HIV, but not Hepatitis B, patients infected by sex or IV drug use were perceived as having less moral integrity than those infected by transfusion. Source of infection also influenced respondents' desire for close personal interaction. Negativity toward particular patient groups based merely on information about patient lifestyles was clearly demonstrated and it is suggested that negative attitudes toward people with AIDS may be a reflection of negative attitudes toward sexuality generally, rather than homosexuality.     

The impact of feminist stereotypes and sexual identity on feminist self-identification and collective action

ABSTRACT

The present study sought to examine the role of sexual identity and exposure to stereotypes of feminism on women’s self-identification as a feminist, endorsement of feminist attitudes, and intention to engage in collective action. Participants (N = 312; all women) disclosed their sexual identity as either heterosexual or non-heterosexual (sexual minority) and were randomly assigned to one of three conditions: exposure to positive stereotypes of feminists, to negative stereotypes of feminists, control condition (no exposure to stereotypes). Results showed stark differences between heterosexual and sexual minority women, with sexual minority women scoring significantly higher on self-identification as feminist, feminist attitudes, and collective action intentions. Exposure to positive stereotypes of feminists increased feminist self-identification regardless of sexual identity. Exposure to negative stereotypes reduced self-identification with feminism, and lower identification mediated the path between negative stereotyping and collective action. Implications of these findings for the advancement of women’s rights movements are discussed.     

HIV‐related stigma in social interactions: Approach and avoidance behaviour in a virtual environment

People living with HIV are a stigmatized group in our society, especially homosexual people living with HIV. One of the behavioural manifestations of stigmatization is an increased interpersonal distance kept during social interactions. Immersive virtual environment technology enables the experimental study of social interactions in an accurate and relatively unobtrusive manner. Using a virtual hospital room, we measured to what extent diagnosis (HIV, cancer or broken leg) and sexual orientation (homosexual or heterosexual) were related to approach behaviour (based on the interpersonal distance and the speed of approach), and the degree patients were looked at (as was obtained from an additional exploration of our head orientation data). Moreover, implicit and explicit attitudes were predicted to moderate this relationship. Participants (N = 50) were healthy, heterosexual students. A main effect of diagnosis revealed larger interpersonal distances from patients with HIV than from patients with cancer. Also, an interaction effect demonstrated that distances were largest when the HIV patient was homosexual. Furthermore, a main effect of diagnosis showed that HIV and cancer patients were approached more slowly than broken leg patients, an effect that was larger for HIV than for cancer patients. In addition, head orientation analyses revealed that patients with HIV were relatively ‘looked at’ more often as well as relatively ‘looked away from’ less often than patients with cancer and patients with a broken leg. None of these effects however were found to be moderated by implicit and explicit attitudes. These findings provide behavioural evidence for the stigmatization of people living with HIV and homosexuals with HIV in particular. Copyright © 2015 John Wiley & Sons, Ltd.     

The importance of feeling sexually attractive: Can it predict an individual's experience of their sexuality and sexual relationships across gender and sexual orientation?

Limited research exists on the implications of feeling sexually attractive for various aspects of sexuality and sexual relationships. This article examined associations between self‐perceived sexual attractiveness and sexual esteem, sexual satisfaction and amount of sexual experience, among both men and women who identified as heterosexual (n = 1017), gay or lesbian (n = 1225) or bisexual (n = 651). Results of the study demonstrated that positive self‐perceptions of sexual attractiveness predicted greater sexual esteem, greater sexual satisfaction, a higher frequency of sexual activity with others and a larger number of sexual partners among both men and women who identified as heterosexual, gay, lesbian or bisexual. The findings suggest that feeling sexually attractive may have implications for how an individual experiences their sexuality and sexual relationships regardless of their gender or sexual orientation. The importance of considering an individual's self‐perceptions of sexual attractiveness when they present with concerns related to their sexual experiences or relationships, and the potential benefits of educational and therapeutic interventions designed to enhance self‐perceptions of sexual attractiveness are discussed.     

Stress,coping, HIV status,psychosocial resources,and depressive mood in African American gay,bisexual, and heterosexual men

The associations between stress, physical health, psychosocial resources, coping, and depressive mood were examined in a community sample of African American gay, bisexual, and heterosexual men (N=139). Data were collected from physical exams and in-person interviews. In our theoretical framework, depressive mood scores were regressed first on stressors, next on psychosocial resources, and finally on coping strategy variables. Results revealed that psychosocial resources mediate the effects of stressors, including health symptoms, hassles, and life events, on depressive mood. There were no significant differences in depressive mood associated with HIV status or sexual orientation. Results are discussed in terms of community interventions needed to provide social support as a buffer between stress and psychological distress in African American men. The research was completed at the Center for AIDS Prevention Studies, University of California at San Francisco and was supported in part by National Institute of Mental Health Grants MH44045 and MH42459. The authors express their appreciation to the participants in this study.     

Social Representations of AIDS: Pictures in Abnormal Psychology Textbooks, 1984–20051

We identified 129 pictures relating to AIDS/HIV in 94 abnormal psychology textbooks published between 1984 and 2005. Pictures included 189 persons with AIDS/HIV status or risk and 134 AIDS‐related objects; they appeared in chapters on stress, sexual issues, substance abuse, and organic brain disorders. Individuals depicted were overwhelmingly male, White, adult, of unspecified sexual orientation, and undiagnosed with mental disorder. The most frequent AIDS‐related objects were signs and posters, hospital furnishings, and drug paraphernalia. Thematic motifs across pictures included patient, information source, junkie, support group, celebrity, child victim, protesters, memorials, condom dispensary, and viral attack. Images of AIDS continue to invoke concepts of “the Other,” death, victimization, and culpability. It is difficult to discuss AIDS without accessing its stereotypes.     

Social Dominance Orientation Relates to Believing Men Should Dominate Sexually, Sexual Self-Efficacy, and Taking Free Female Condoms Among Undergraduate Women and Men

Gendered-based power affects heterosexual relationships, with beliefs in the U.S. prescribing that men dominate women sexually. We draw on social dominance theory to examine whether women??s and men??s level of support for group-based hierarchy (i.e., social dominance orientation; SDO) helps explain gender-based power beliefs and dynamics in heterosexual relationships. We conducted a laboratory study at a Northeastern U.S. university among 357 women and 126 men undergraduates who reported being heterosexual and sexually active, testing three sets of hypotheses. First, as hypothesized, women endorsed SDO and the belief that men should dominate sexually less than men did. Second, as hypothesized, among women and men, SDO was positively correlated with the belief that men should dominate sexually, and negatively correlated with sexual self-efficacy (confidence in sexual situations) and number of female condoms (a woman-controlled source of protection) taken. Third, structural equation modeling, controlling for age, family income, number of sexual partners in the past month, and perceived HIV/AIDS risk, supported the hypothesis that among women and men, the belief that men should dominate sexually mediates SDO??s association with sexual self-efficacy. The hypothesis that the belief that men should dominate sexually mediates SDO??s association with number of female condoms taken was supported for women only. The hypothesis that sexual self-efficacy mediates SDO??s association with number of female condoms taken was not supported. Results suggest SDO influences power beliefs and dynamics in heterosexual relationships. Although female condoms are an important woman-controlled source of protection, power-related beliefs may pose a challenge to their use.     

The Relationship Between Religious Orientation,Right-Wing Authoritarianism,and Implicit Sexual Prejudice

The relationship between intrinsic, extrinsic, and quest religious orientations, right-wing authoritarianism (RWA), and implicit and explicit attitudes toward homosexual individuals were examined within a sample of predominantly Protestant college students in the United States. Implicit attitudes were measured with the Implicit Association Test, a computer program that recorded reaction times as participants categorized symbols (of heterosexual and homosexual individuals) and adjectives (good or bad words). Participants displayed fairly negative implicit and explicit attitudes toward homosexual individuals (i.e., sexual prejudice). Intrinsic religious orientation uniquely predicted increased explicit sexual prejudice (when extrinsic, quest, and impression management were statistically controlled), and RWA appeared to mediate this effect. In contrast, the positive relationship between intrinsic religion and implicit sexual prejudice did not disappear when controlling for RWA. Although RWA seemed to be related to self-reports of prejudice, intrinsic religious orientation was uniquely related to automatic negative attitudes toward homosexual individuals.     

Mating interest improves women's accuracy in judging male sexual orientation

People can accurately infer others' traits and group memberships across several domains. We examined heterosexual women's accuracy in judging male sexual orientation across the fertility cycle (Study 1) and found that women's accuracy was significantly greater the nearer they were to peak ovulation. In contrast, women's accuracy was not related to their fertility when they judged the sexual orientations of other women (Study 2). Increased sexual interest brought about by the increased likelihood of conception near ovulation may therefore influence women's sensitivity to male sexual orientation. To test this hypothesis, we manipulated women's interest in mating using an unobtrusive priming task (Study 3). Women primed with romantic thoughts showed significantly greater accuracy in their categorizations of male sexual orientation (but not female sexual orientation) compared with women who were not primed. The accuracy of judgments of male sexual orientation therefore appears to be influenced by both natural variations in female perceivers' fertility and experimentally manipulated cognitive frames.     

Perceived responsibility for disease onset affects HIV/AIDS Education

Abstract

Ninety-nine participants were assigned to one of three experimental conditions in which they viewed an AIDS education videotape that systematically manipulated whether or not the educator would be perceived as responsible for HIV infection. Participants were administered pre and post-video affect measures, and an HlV/AIDS knowledge test after watching the video. Participants who viewed the speaker who acquired HIV through a blood transfusion (perceived not responsible) and those who viewed the speaker who did not reveal mode of acquisition (control) performed significantly better on the knowledge test compared to those who viewed the speaker who acquired HIV through unprotected sexual inttrcourse (perceived responsible). In addition. male participants in the perceived responsible condition reported a significant increase in sensation-sceking after viewing the video. Finally, females experienced a significantly greater increase in anxiety as a result of seeing the video than did males. Implications of these tindings for the design and implmentation of AIDS education programs were discussed.     

HIV risk factors,condom use,and HIV antibody testing among heterosexual Hispanics: the National AIDS Behavioral Surveys (NABS)

Although Hispanics comprise only 9% of the US population, they account for 16% of AIDS cases. This study used data from the 4390 heterosexual Hispanics interviewed as part of the 1990-91 National AIDS Behavioral Survey to determine the prevalence and demographic correlates of HIV antibody testing and condom use among Hispanics at risk for HIV. Overall, 16.4% of respondents reported an HIV risk factor, primarily two or more sexual partners in the last 12 months (64%) or a high-risk main sex partner (26%). Those at risk tended to be highly acculturated unmarried males aged 18-29 years of European Spanish, South American, or Caribbean origin, with more than 12 years of education, an annual income under US$10,000, and infrequent church attendance. 35.3% of these high-risk persons had been tested for HIV; male gender and middle-income status were the strongest predictors of testing. Condoms were used at least half the time with a primary partner by 22.4% and with secondary partners by 44.7%, with higher use rates among acculturated Hispanics. The low prevalence of condom use and HIV testing among high-risk Hispanics underscores the need for campaigns that reinforce the acceptability of condom use as a social norm. Because US Hispanics are a heterogeneous group, such campaigns should target specific subgroups, including different national origins and levels of acculturation.     

Sexual Identity,Mental Health,HIV Risk Behaviors,and Internalized Homophobia Among Black Men Who Have Sex With Men

The purpose of this study was to determine the relationships between sexual identity, depression, self‐esteem, HIV risk behaviors, HIV status, and internalized homophobia in Black men who have sex with men. Results demonstrated a positive relationship between depression, HIV risk behaviors, and internalized homophobia; a negative relationship with self‐esteem; and differences in internalized homophobia by HIV status (i.e., positive, negative, or unknown). Counseling recommendations are provided for working with this population.     

Role of Sexual Orientation and Gender-Related Traits in Disordered Eating

This study was designed to examine the role of both sexual orientation and gender-related personality traits in disordered eating attitudes and behavior, including body dissatisfaction. Self-report measures assessing negative and positive gender traits,body dissatisfaction, drive for thinness, dietary restraint, and bulimic symptoms were administered to 266 participants (64 lesbians, 73 heterosexual women, 69 gay men, and 60 heterosexual men; 85% Anglo-Australian Caucasians, 15% Caucasians from Non-English-speaking backgrounds). Consistent with previous research, gay men scored significantly higher than heterosexual men on body dissatisfaction and dietary restraint, whereas lesbians scored significantly lower in comparison to the heterosexual women on body dissatisfaction, drive for thinness, dietary restraint, and bulimia. For men, the additional amount of variance accounted by the gender traits was significantly higher than that accounted for by sexual orientation. For the women, the gender traits also accounted for an additional significant amount of variance; however, overall the amount of variance accounted for by sexual orientation was greater. However, for both men and women, irrespective of their sexual orientation, it was higher scores on negative femininity that predicted higher levels of disordered eating. These results are consistent with previous studies that have found support for the femininity hypothesis in disordered eating.     

Friendship trumps ethnicity (but not sexual orientation): comfort and discomfort in inter-group interactions

An experience sampling study tested the degree to which interactions with out-group members evoked negative affect and behavioural inhibition after controlling for level of friendship between partners. When friendship level was statistically controlled, neither White nor Black participants reported feeling more discomfort interacting with ethnic out-group members compared to ethnic in-group members. When partners differed in sexual orientation, friendship level had a less palliating effect. Controlling for friendship, both gay and straight men - but not women - felt more behaviourally inhibited when interacting with someone who differed in sexual orientation, and heterosexual participants of both genders continued to report more negative affect with gay and lesbian interaction partners. However, gay and lesbian participants reported similar levels of negative affect interacting with in-group (homosexual) and out-group (heterosexual) members after friendship level was controlled. Results suggest that much of the discomfort observed in inter-ethnic interactions may be attributable to lower levels of friendship with out-group partners. The discomfort generated by differences in sexual orientation, however, remains a more stubborn barrier to comfortable inter-group interactions.