Reactions to AIDS and other illnesses: reported interactions in the workplace

Previous research on the public's response to AIDS has been concerned with attitudes and knowledge in relation to the disease itself. The present study investigated American students' willingness to interact in the workplace with AIDS patients and compared this with their reactions to cancer and hepatitis patients. The effects of perceived control over the cause of the disease were also examined. Exposure to the diseases was manipulated with written scenarios. Results demonstrated that the type of illness affected a willingness to interact with individuals--AIDS patients were reacted to least positively, followed by hepatitis, and cancer patients. Perceived control over the cause of the disease did not affect reactions.     

Responses to Persons with AIDS: Fear of Contagion or Stigma?1

Recently it has been argued that responses to persons with Acquired Immune Deficiency Syndrome (AIDS) are more a function of the association of AIDS with homosexuality than they are concerns about contagion. This research provided a further test of these arguments using an experimental design in which the target disease's contagiousness and association with homosexuality were manipulated. The results indicated that willingness to interact with a disease victim was strongly related to the contagiousness of the disease but only weakly related to its association with homosexuality. These findings are in line with recent research on lay conceptions of physical illness and argue that avoidance of disease victims, including persons with AIDS, primarily reflects concerns over contracting the disease. The implications of these findings for lay illness conceptions and how lay people respond to disease victims are discussed.     

Attitudes Toward People Living With HIV/AIDS: A Model of Attitudes to Illness1

This study examined attitudes toward people living with HIV/AIDS within a sample of 220 young men and women. As predicted, a multiple regression analysis revealed that the fear of contracting HIV/AIDS through casual contact was a significant predictor of both men's and women's willingness to interact with people living with HIV/AIDS. Attitudes toward homosexuality were also a significant predictor of attitudes toward people living with HIV/AIDS among women, who generally have a low risk of contracting the disease in Western societies. These results indicate that attitudes toward people with a serious illness may be strongly related to the perceived risk of contracting the disease.     

Children’s Thinking about HIV/AIDS Causality,Prevention, and Social Interaction

Guided by both a Piagetian and a naïve theories perspective on disease concepts, this study examined children’s thinking about HIV/AIDS, with special attention to its development, coherence, and sociocultural correlates. It examined age differences among Mexican-American and Euro-American children aged 8 to 13 (N?=?158) in both Piagetian level of causal understanding (independent of correctness) and the causal knowledge central to an intuitive theory of AIDS (knowledge of risk behaviors and of the viral disease agent). It explored theoretical coherence in terms of implications of causal understanding and causal knowledge for knowledge of how to prevent AIDS and willingness to interact with people who have it. As predicted, scores on all measures increased significantly with age, and causal knowledge of risk factors exceeded knowledge of corresponding prevention rules. In multiple regression analyses, causal knowledge of both risk factors and the viral disease agent predicted knowledge of prevention and willingness to interact, even with age and other measures controlled. Prevention knowledge predicted willingness to interact even better, whereas the Piagetian measure of casual understanding did not predict either prevention knowledge or willingness to interact. Ethnic group differences were not evident but parent education was related to greater viral knowledge and willingness to interact. The results suggest a good deal of coherence in children’s thinking about this disease while also suggesting the desirability of making explicit the implications of critical causal information about an unfamiliar disease for preventing the disease without stigmatizing those who have it.     

Perceptions of the Onset Controllability of AIDS and Helping Judgments: An Attributional Analysis1

Weiner's attributional model of helping behavior is used to examine the relationship between the perceived controllability of the onset of AIDS, the affective reactions of pity and anger, and helping judgments. In this model, the effect of the perceived controllability of another person's need on helping is mediated by pity and anger. In the present study, respondents read one of five scenarios describing a friend who had just been diagnosed with AIDS. The cause of the disease was manipulated in the scenarios. Knowledge about HIV transmission measures and respondent's gender were added as control variables to the original model, which was tested by using path analysis. The findings partially support Weiner's model. The effect of the perceived onset controllability of AIDS on helping judgments was mediated by pity, but not by anger. Respondents' anger toward a friend with AIDS did not inhibit help-giving.     

Attribution and helping behavior: testing the attribution-affect-help judgment model in a Saudi sample

A review of the literature on Weiner's attributional theory indicates that the theory has not been tested in Arabic cultures. The present study examined the reactions of Saudi men toward a friend with AIDS, using Weiner's attributional theory of social motivation. A sample of 298 Saudi men read two different vignettes about a friend with AIDS, in which the cause of AIDS was manipulated. Then the assignment of responsibility, reactions of anger and pity, and participants' willingness to provide help were measured.     

Effects of Responsibility for Illness and Social Acceptability on Reactions to People With AIDS: A Cross-Cultural Comparison

In this research, we examined how responsibility for illness (defined as having taken or not taken health precautions prior to becoming ill) and the social acceptability of the situation in which one acquires a disease (defined as being a drug addict or a laboratory worker) affected how German and American students reacted to a person ill with AIDS. Reactions included respondents' emotional responses, their willingness to allocate resources, and their perceptions of the fairness or unfairness of the depicted individual's plight. Results indicated that respondents reacted more positively toward the other with AIDS, were willing to distribute more resources to him, and saw his plight as being more unfair when he was depicted as being less responsible for his illness and when he became HIV infected in a more socially acceptable manner. Respondents from Germany were consistently more positive in their reactions than respondents from the United States. Also, respondents from Germany took differences in the patient's social acceptability less into account in their reactions than did U.S. respondents. The results were interpreted in light of the different health-care structures utilized in the two cultures.     

Psychologists' attitudes toward aids

Abstract

Practicing psychologists in all areas of the country will see an increasing number of persons at risk for AIDS, or with AIDS-related illnesses. Previous research has shown that AIDS elicits negative reactions from the general public and from certain health care professionals. In the current study, a national sample of randomly selected practicing psychologists completed attitude measures after reading vignettes that described a male patient with either AIDS or leukemia who was either homosexual or heterosexual. Respondents evaluated the AIDS patient more negatively and reported less willingness to interact with him in a professional role or in casual social situations. It is important to develop training and continuing education programs to prepare psychologists to deal with persons affected by AIDS.     

Other- versus self-focus and risky health behavior: the case of HIV/AIDS

We examined the relationships of other-focus and self-focus with risky health behaviors among HIV+ individuals. Participants who were recruited by an AIDS advocacy organization completed anonymous questionnaires that included measures of other-focus (i.e. empathic concern and perspective-taking) and self-focus (i.e. personal distress and exaggerated internal control); direct measures of concern about the consequences of HIV/AIDS for the self, close others, and society; and a measure of willingness to engage in HIV/AIDS risk behaviors. As predicted, other-focus measures were generally associated with less, and self-focus measures with greater, willingness to engage in risky behavior. However, concern about the consequences of HIV/AIDS for close others was similar to self-focus and was associated with greater willingness to engage in risky behavior. These results are consistent with the notion that prevention efforts focusing on the consequences of HIV/AIDS – and perhaps other communicable diseases – might be more effective if they highlighted the consequences of the disease for society.     

Responsibility judgments and responses to people living with AIDS in China: testing an attributional perspective

With one in five individuals in the world living in China, there is an urgent need for HIV prevention and understanding HIV/AIDS stigma in China. This study applies an attributional analysis to Chinese students' responses to AIDS, examining effects of attributions of causal controllability for HIV infection on reactions to people living with HIV/AIDS. Students (n = 309) read one of two scenarios describing an AIDS patient and manipulating controllability of AIDS onset. Controllability of AIDS onset contributed to responsibility judgments, less positive affect, and lower desires to personally interact with the patient. Responsibility judgments predicted interaction wishes directly and indirectly through positive affect. Results provide support for Weiner's interpersonal attributional model. Implications for responses to AIDS in China are discussed.     

Magic Johnson and Reactions to People With AIDS: A Natural Experiment1

On November 7, 1991, Earvin (“Magic”) Johnson, Jr., announced that he was HIV positive. At the time of this announcement, the authors had just finished collecting data on subjects’ willingness to help a person with the AIDS virus (PWA). These preannouncement data were compared to data collected 1 week, 2/12 months, and months after the announcement. It was predicted that in the week immediately after the disclosure, helping of the PWA would increase significantly, but, over time, helping would return to the preannouncement level. This hypothesis was confirmed; in the week following the announcement, the percentage of men who offered help and the amount of help offered by men and women increased significantly. Four and one-half months after the announcement, helping was back to preannouncement levels. No consistent pattern of changes in affective reactions to the PWA were found. The results were discussed within the context of Kelman's (1958) theory of the different processes of attitude and behavior change and Petty and Cacioppo's (1986) elaboration likelihood model of persuasion.     

对由不同途径感染的艾滋病患者的区别性反应及中介分析

研究探讨了中国大学生对由不同途径感染的艾滋病患者的区别性反应,涉及的因变量包括对艾滋病患者的总体感受、情绪反应、责任感知、接触意愿等。结果显示：1）和主观不可控途径（输血和母婴）相比,大学生对由可控途径（性和吸毒）感染的艾滋病患者感到更多的生气、讨厌和恐惧,更少地感到同情,表现出更强的负性态度,更少的接触意愿;同时还认为由性和吸毒感染的艾滋病患者应该承担更多的责任,更应该接受强制处理;2）女性比男性表现出对艾滋病患者更低的接触意愿,但是在其它反应上,均没发现性别差异;3)中介分析显示,对由不同途径感染的艾滋病患者的不同的态度反应在一定程度上是由不同的情绪反应导致的,负性情绪会导致负性态度,同情会导致正性态度。这些结果提示,要减少对艾滋病患者的偏见和歧视等负性反应,营造一个有利于艾滋病防治的社会环境,对由不同途径感染的艾滋病患者应该有针对性地采取不同的策略,要尽可能减少负性情绪、唤起同情心     

The Reduction of Human Aggression: A Field Study of the Influence of Incompatible Reactions1

One hundred and twenty passing motorists were delayed for 15 sec at an intersection by a confederate who failed to move his vehicle after the light turned green. Prior to such annoyance, subjects in three groups were exposed to experimental treatments designed to cause them to experience reactions incompatible with anger or overt aggression (i.e., empathy, humor, mild sexual arousal). Results indicated that individuals in these groups were more reluctant to honk their horns at the confederate and showed fewer overt sjgns of irritation than subjects in two control groups not exposed to such treatments. In addition, it appeared that subjects' willingness to honk at the confederate was enhanced by uncomfortably warm ambient temperatures. The implications of these findings for the control of overt aggression, as well as the usefulness of horn-honking as a dependent measure for such behavior in field settings, were discussed.     

How Do U.S. Students Perceive Trans Persons?

This study explored undergraduate students’ interpersonal responses, namely general feelings toward and desire for further social interaction with trans persons in a helping context. Secondarily, this study explored the relationship between participants’ intrinsic empathy, interpersonal curiosity and interest in further interaction. Two hundred fifty-one undergraduates at a moderate sized university in the southeastern United States served as participants. In order to assess baseline levels of empathy and curiosity, participants in session 1 completed the Interpersonal Reactivity Scale (Davis 1983) and the Interpersonal Curiosity Scale (Litman and Pezzo 2007). One week later, during session 2, the same students assumed the role of a peer counselor and read 1 of 4 (male, female, male-to-female, female-to-male) randomly assigned versions of an intake form completed by a fictitious peer client. Each version was identical, with the exception of the gender identity of the peer client. Participants completed various measures of affect and interest in further interaction. Male participants reported less willingness to interact with, and the strongest negative feelings toward the FTM peer client. Men reported highest willingness to interact with the MTF client and showed the lowest negative reactions towards the MTF client. Female participants’ scores on willingness to interact and on negative reactions were similar across all four intake form versions. Contrary to expectations, baseline levels of empathy and curiosity did not impact responses to gender expression. Further investigation is needed to elucidate the factors associated with anti-transgender prejudice particularly in the context of helping relationships.     

Workers With AIDS: Hypothetical Supervisors' Willingness to Make EAP Referrals

This study investigated the willingness of 86 hypothetical supervisors to refer subordinates with five types of problems (AIDS, HIV-positive, alcohol abuse, cocaine abuse, and job impairments) to an Employee Assistance Program (EAP). The overall hypothesis was supported. The more severe the worker's problem, the more likely supervisors were to engage in an EAP referral.     

Lay Disease Representations and Responses to Victims of Disease

This research extends current understanding of lay disease representations by examining the cognitive organization of disease information and the categories used in thinking about disease. In addition, the implications of these categories for people's responses to disease victims are explored. In the first study, subjects were asked to rate 22 diseases on a series of 18 bipolar scales and then to indicate how willing they would be to interact with a person who had one of 12 diseases. The results indicated that the primary dimensions used to categorize diseases were the extent to which the diseases were perceived to be contagious and serious/life threatening. Further, subjects' responses to disease victims were a direct function of the extent to which the disease was perceived to be contagious. Little apparent distinction was made between different types of contagious diseases. A second study then examined people's understanding of the concept of contagious disease. The results indicated that subjects tended to have a relatively simple and straightforward understanding of contagion. Subjects perceived flu, cold, and chicken pox to be the most typical of their concept of contagious disease as a category. These results are discussed in terms of their implications for understanding disease representations as well as understanding the fear of persons with AIDS.     

Commitment to the Relationship,Extradyadic Sex,and AIDS Preventive Behavior1

This study was conducted among 251 heterosexual adults in The Netherlands that included a substantial number of individuals who had had unprotected sex with a new partner. Relationship status and commitment had independent effects upon the willingness to engage in extradyadic sex above and beyond the effects of past extradyadic sex and satisfaction, and commitment was the only psychological predictor of the intention to use condoms in extradyadic sexual contacts. Commitment predicted the willingness to inform the steady partner about one's unsafe extradyadic sex and to protect the steady partner against the possible risk of HIV infection after unsafe extradyadic sex. The implications for AIDS prevention are discussed.