Risk perceptions, worry, and attitudes about genetic testing for breast cancer susceptibility

This study assessed the unique associations of risk perceptions and worry with attitudes about genetic testing for breast cancer susceptibility. Women (general practitioner clinic attenders, university students, and first-degree relatives of breast cancer survivors; N?=?303) read information about genetic testing and completed measures assessing perceived cancer risk, cancer worry, and genetic testing attitudes and beliefs. Worry was associated with greater interest in genetic testing, stronger beliefs that testing has detrimental emotional consequences, and positive beliefs about benefits of testing and risk-reducing surgeries. Perceived risk was unrelated to interest and associated with more skeptical beliefs about emotional consequences and benefits of testing and risk-reducing surgeries. At low worry levels, testing interest increased with more positive beliefs about testing benefits; at high worry levels, interest was high regardless of benefits beliefs. The findings support Leventhal's Common-Sense Model of self-regulation delineating interactive influences of risk-related cognitions and emotions on information processing and behavior.     

Risk perceptions,worry, and attitudes about genetic testing for breast cancer susceptibility

This study assessed the unique associations of risk perceptions and worry with attitudes about genetic testing for breast cancer susceptibility. Women (general practitioner clinic attenders, university students, and first-degree relatives of breast cancer survivors; N?=?303) read information about genetic testing and completed measures assessing perceived cancer risk, cancer worry, and genetic testing attitudes and beliefs. Worry was associated with greater interest in genetic testing, stronger beliefs that testing has detrimental emotional consequences, and positive beliefs about benefits of testing and risk-reducing surgeries. Perceived risk was unrelated to interest and associated with more skeptical beliefs about emotional consequences and benefits of testing and risk-reducing surgeries. At low worry levels, testing interest increased with more positive beliefs about testing benefits; at high worry levels, interest was high regardless of benefits beliefs. The findings support Leventhal's Common-Sense Model of self-regulation delineating interactive influences of risk-related cognitions and emotions on information processing and behavior.     

Family history and gender roles: Critical factors in practitioners' views of family interactions

This study examined practitioners' perceptions of family and individual family member functioning in relationship to family roles, gender of family leadership, beliefs about the consequences of maternal employment, and paternal division of responsibility in practitioner family of origin. Practicing counselors and mental health therapists rated two videotaped family interviews, one demonstrating a matriarchal style of family interaction and the second a patriarchal style. Findings indicated that practitioners were vulnerable to view a patriarchal style of family interaction as more healthy in comparison to a matriarchal style and that their perceptions of family members were related to personal beliefs about the consequences of maternal employment and to personal family history. These and other findings suggest that practitioners may be prone to errant perceptions and misguided intervention related to personal history and attitudes.     

Effects of a prosocial television soap opera in promoting women's status

The effects of exposure to "Hum Log," India's first long-running television soap opera, on viewers' beliefs about women's status, freedom of choice, and family planning were assessed in a survey of 1170 respondents from three geographic areas. The soap opera is intended to promote prosocial beliefs about the role of women in India. A structural equation model was developed to measure the impact of awareness, involvement, and television dependency on personal beliefs. Viewers who were most exposed to "Hum Log" were more involved with its characters and more dependent on Indian television for education and entertainment, but were no more aware than their less exposed counterparts of the prosocial beliefs promoted by the soap opera. There was no significant association between viewers' involvement with the characters and their beliefs about women's equality, freedom of choice, or family planning. Moreover, viewers who were more dependent on television did not exhibit significantly stronger beliefs about these issues. There was a significant association between awareness of the prosocial messages promoted in "Hum Log" and viewer beliefs in freedom of choice and family planning. Overall, it appears that, while "Hum Log" enjoys a large and dedicated audience, its messages regarding women's equality are not being assimilated on a large scale. An analysis of the female characters in the soap opera reveals that, in many cases, the self-sufficient, career-oriented women experienced negative social consequences, while characters who pursued more traditional female roles were rewarded. Thus, while there is no evidence that "Hum Log" is making a significant contribution toward changing the way women are viewed in India, its popularity paves the way for future prosocial programming     

Religion and Attitudes Toward Family Planning Issues Among US Adults

Although religion is an important influence on a variety of social attitudes, the relationship between religion and views on family planning remains underexplored, especially in terms of attitudes relating to public policy. Using data from a nationally-representative survey (N = 1,500) fielded in 1998, we examine the influence of religious affiliation, subcultural identification, and attendance on three aspects of attitudes toward contraception in the public sphere. Specifically, we explore opinions regarding the public consequences of contraception and the responsibility for making contraception available as part of health care services in the United States. More frequent religious attendance is linked to less-approving opinions about contraception and less support for its provision by the US government and health insurers. Catholic affiliation is not consistently associated with the examined opinions, and we find mixed results for conservative Protestants. Including religious subcultural identities yields additional information, with born-again Christians reporting less positive opinions about the consequences of contraceptive availability, while evangelical identity is linked to negative views on policy aimed at increasing access to family planning services. These findings contribute to knowledge about the relationship between religion and attitudes toward policy-relevant aspects of contraception, as well as the broader social influences of religious subcultural identification.     

Attitude of the two religious groups towards family planning

40 Muslim and 50 Hindu male high school teachers, working in the interior parts of the districts of Gaya and Shahabad in India, filled out questionnaires designed to determine attitudes toward family planning. All were married and had more than 1 child. They were ages 26-48. The Hindus were found to have significantly more favorable (p less than .05) attitudes toward family planning than the Muslims. If the statistics reflect reality, it is no wonder the birth rate among Muslims is much higher in India. Both Muslim and Hindu teachers were grouped according to age (below 35 years or above 35 years). While the younger Hindus had significantly more favorable (p less than .05) attitudes toward family planning than the older Hindus, the younger Muslims had only slightly more favorable attitudes (nonsignificant) toward family planning than the older Muslims.     

Family planning needs and behavior of Mexican American women: a study of health care professionals and their clientele

"A random sample of Mexican American women and a sample of family planning health care professionals, both from two major southwestern cities in the United States, were compared in terms of their reports of birth control methods used, problems in obtaining family planning services, and values involved in making fertility-related decisions, within the Mexican American population.... While there were points of agreement between the two samples, discrepancies were found in reports of problems in obtaining family planning services, fertility-related values, and in the acceptability of female sterilization as a birth control method. It was concluded that family planning professionals in these service areas tend to stereotype Mexican American women, and may not yet realize that the family planning attitudes and behavior of these women are probably changing in significant ways." (SUMMARY IN SPA)     

Birth control practices and conservatism

This study examined the relationship of conservatism to reports of contraceptive usage, reasons for nonusage of a particular birth control method, and knowledge of birth control information. The never married high conservative subjects who were sexually experienced revealed that they had (a) a lower frequency of usage as well as a lower variety of contraceptive methods; (b) endorsed the beliefs that it was morally wrong and that it was unnatural to use a given birth control method significantly more often as reasons for not using contraceptive techniques; and (c) less knowledge of birth control methods than did low conservative subjects who were sexually experienced. Results were interpreted to support the notion that the fear of loss of control of one's impulses and hence the basis for conservative attitudes are determinants of contraceptive usage.     

Birth Control Practices and Conservatism

This study examined the relationship of conservatism to reports of contraceptive usage, reasons for nonusage of a particular birth control method, and knowledge of birth control information. The never married high conservative subjects who were sexually experienced revealed that they had (a) a lower frequency of usage as well as a lower variety of contraceptive methods; (b) endorsed the beliefs that it was morally wrong and that it was unnatural to use a given birth control method significantly more often as reasons for not using contraceptive techniques; and (c) less knowledge of birth control methods than did low conservative subjects who were sexually experienced. Results were interpreted to support the notion that the fear of loss of control of one's impulses and hence the basis for conservative attitudes are determinants of contraceptive usage.     

Cultural Differences in Attitudes Toward Smoking: Developing Messages Using the Theory of Reasoned Action1

The theory of reasoned action was used to identify the culturally appropriate beliefs of Hispanic smokers that might be targeted in an anti-smoking campaign. In-depth interviews were conducted with 263 Hispanics and 150 non-Hispanic whites. Intentions to quit smoking were predicted most strongly by the attitudinal rather than the normative component of the model. A pattern of cultural differences between the two ethnic groups was identified. Family-related consequences and concerns about bad smell contributed more to Hispanic attitudes toward quitting than to those of non-Hispanic whites, while the effects of withdrawal from cigarettes contributed more to non-Hispanic whites'attitudes than to Hispanics'. The bad smell of cigarettes, improving relationships with the family, weight gain, breathing more easily, and having a better taste in the mouth were the consequences of smoking and quitting that most strongly discriminated between those Hispanics intending and not intending to quit. These results should be used in the creation of culturally appropriate anti-smoking messages for this group.     

Motivations for childbearing and fertility behavior among urban and rural families of Iran

A sample of 384 husbands and wives were randomly selected and interviewed to investigate the implication of fertility norms and motivations for childbearing on fertility and family planning behavior among Iranian families in urban and rural areas of Iran, after the Islamic Revolution of 1979. The term "fertility behavior" refers to actual family size, which is defined as number of children the respondent has living at the time of the interview. "Family planning behavior" refers to the duration of time that the subject has used any birth control method(s). Rural families demonstrated larger actual and ideal family sizes than urban families. The rural sample had a median actual family size of 3.5 children and a median ideal family size of 4.7 children. For the urban sample these figures were 2.2 and 2.3, respectively. The median number of years married was 12.33 for rural and 13.91 for urban respondents. Urban respondents tended to emphasize the psychological and emotional benefits and liabilities associated with having children while rural respondents tended to emphasize both economic and security related motivations. Both groups endorsed infant mortality as a motivation for having more children. Male and female respondents were remarkably similar in their endorsed motivations. There was a significant positive correlation between desired and ideal family size. The correlations among ideal/desired family size and practicing birth control methods were the same and significant at the .001 level. The relationship between motivations for childbearing and years of practicing birth control methods was also significant at the .001 level. Stepwise regression analyses were performed to examine the important predictors of fertility and family planning behavior. For both actual family size and years on birth control, males and females were very similar in terms of predictor importance. Those respondents with less education and large ideal family size tended to have larger actual family size. Location (urban/rural) and parents, family size was weighted much more heavily for males than for females. Those respondents with greater education and who lived in an urban areas tended to have used birth control for longer periods of time. Ideal family size did not contribute significantly to this regression. Parents' family size and motivations for childbearing made marginal contributions to regressions on either dependent variable.     

Promiscuous or Confident? Attitudinal Ambivalence Toward Condom Purchase1

This research examined attitudes toward condom purchase. Recent evidence is mixed. While some studies show attitudes have become more positive, other studies suggest that negative attitudes still dominate. Our own research examined the possibility that such attitudes may be ambivalent, meaning that the same individuals may simultaneously hold both positive and negative beliefs about condom purchase. The results confirmed this prediction. Study 1 showed that condom purchase evoked a combination of both negative beliefs about lifestyles and positive beliefs concerning the personal confidence of the consumer. These beliefs had competing effects on more global attitudes toward condom purchase. Specific beliefs about condoms were shown to provide the best indication of. whether participants actually used condoms. Study 2 employed standard measures of attitudinal ambivalence. The results conceptually replicated the finding that ambivalence was greater for those who purchased condoms compared to controls.     

The relationship between family history,gender role attitudes,and susceptibility to gender inequitable perceptions of family and family member functioning

This research examined how family roles, gender of family leadership, beliefs about the consequences of maternal employment, and family history of parental division of responsibility related to young adults' perceptions of family and individual family member functioning. One hundred seven (107), predominantly Anglo American undergraduate students completing courses in educational psychology at a large midwestern university rated two videotaped family interviews. One interview demonstrated a matriarchal style of family interaction and the second demonstrated a patriarchal style. It was found in perceptions of family functioning that a personal family history characterized by elevated paternal involvement in family tasks and child care in combination with traditional gender-related attitudes was associated with views favoring male family leadership. In ratings of individual family member functioning, it was found that individuals whose family history was characterized by elevated paternal involvement and whose gender attitudes were more traditional held more favorable views of the matriarchal mother than the mother in the patriarchal interview in comparison to adults whose fathers were less involved and whose attitudes were less traditional regarding gender roles. It was also found that individuals whose family history was characterized by elevated paternal involvement and whose gender attitudes were more traditional held more favorable views of the father in the patriarchal interview than the matriarchal father in comparison to adults whose fathers were less involved and whose attitudes were less traditional regarding gender roles. These findings suggest that adults may be vulnerable to biased views of families and individuals within family settings related to gender roles, personal history, and attitudes.     

Attitudes Toward Pornography and the Characteristics Attributed to Pornography Actors

Proponents and opponents of pornography often use the assumed characteristics and motivations of female pornography actors to justify their position. The purpose of this study was to examine the relations among attitudes toward pornography, gender, and beliefs about both female and male pornography actors. University students (N = 165) completed measures assessing their attitudes toward pornography and their beliefs about male and female pornography actors. Attitudes toward pornography were significantly related to beliefs about both male and female pornography actors, as was gender. A larger discrepancy between beliefs about female pornography actors and women in general than between male pornography actors and men in general was found. Male participants rated female pornography actors similar to male pornography actors, whereas female participants rated female pornography actors more negatively than male pornography actors. Across participant gender, female pornography actors were believed to come from more dysfunctional families than male pornography actors. In general, male pornography actors were attributed more positive motivations for their work than female pornography actors.     

Men's Motivation to Perform the Testicle Self-Exam: Effects of Prior Knowledge and an Educational Brochure

College men reported their attitude and intention to perform the testicle self-exam (TSE) and they rated the likelihood of various consequences of performing the TSE, as well as the likelihood that several other people approved of this behavior. Half of these men had read a brochure about the TSE before completing the questionnaire, and half had not. Also, about half had heard about the TSE prior to the experiment and the others had not. Men's beliefs about the consequences of doing the TSE clustered into two factors: Beliefs about practical consequences and beliefs about health consequences. Men with (vs. without) prior knowledge about the exam and men who read (vs. did not read) the brochure endorsed more positive beliefs about practical and health consequences and more positive TSE attitude and intention. However, the effect of the brochure was far stronger for men without than with prior knowledge. In addition, factors influencing TSE attitude and intention differed for men without versus with prior TSE knowledge. Although the findings were generally consistent with the theory of reasoned action, some findings supported elements of protection motivation theory. Implications for promoting the TSE are discussed.     

Evaluating the effectiveness of workshop interventions on contraceptive use among first-year college students

This study tested the effectiveness of 4 interventions designed to affect contraceptive knowledge, attitudes, and use among first-year Syracuse University students in New York State in the US. Pre- and post-tests obtained data on demographic characteristics, sexual behavior, contraceptive knowledge, sexual opinions, contraceptive attitudes, and contraceptive progress on a 5-step scale. Group 1 (79 students) received contraceptive information (CI) only. Group 2 (76) received CI and a cognitively oriented intervention. Group 3 (73) received CI and an experience-oriented intervention. Group 4 (77) received a combined cognitively and experience-oriented intervention with CI. The control group included 57 people. 78% on the pretest, and 84% on the post-test, had engaged in sexual intercourse for the first time in high school. 200 indicated previous intercourse in the past 3 months. Groups varied significantly in their knowledge, beliefs, and practices. All groups had greater contraceptive knowledge than control groups. Greater behavior beliefs about contraceptive use occurred in Groups 1 and 2. Groups 3 and 4 showed greater increases in positive attitudes toward use. All intervention students showed greater increases in positive attitudes toward a contraceptive process. Greater increases in the intention to use birth control occurred in Groups 3 and 4. Groups 2, 3, and 4 showed greater increases in reported use of birth control. Group 4 intervention was the most effective for males. Females were influenced by all interventions. Findings affirm the importance of including attitudinal components in sexuality and contraception workshops.     

Historical changes in cigarette smoking and smoking-related beliefs after 2 decades in a midwestern community.

Rates of cigarette smoking and smoking-related beliefs in 1980 and 2001 among 7th-11th graders in a midwestern community were compared. Smoking was less prevalent in 2001 than in 1980, with the greatest declines in experimental smoking and a smaller drop in regular smoking. Beliefs about smoking generally became more negative. Adolescents (particularly nonsmokers) viewed smoking as more addictive and as having more negative social consequences in 2001 than in 1980 and had more negative attitudes toward smoking in 2001. These results were replicated among parent-child pairs in which parents were measured when they were adolescents between 1980 and 1983 and their children were measured in 2001. These beliefs and attitudes partially mediated the effects of time on smoking.     

Belief Importance in Expectancy-Value Models of Attitudes1

In this study, 312 respondents were asked to indicate their attitude toward smoking and their smoking behavior. Attitudes were assessed by a direct attitude measure (4 items) and a series of 15 belief statements about the possible consequences of smoking. Next, respondents were asked to select the 3 consequences they found most important. Attitude scores derived from these important beliefs were more predictive of behavior than those based on all 15 beliefs, and far superior to attitude scores based on the remaining 12 beliefs. Differences between the 2 groups (smokers vs. nonsmokers) were more pronounced when attitude scores were based on important beliefs, and disappeared for scores based on nonselected, less important beliefs. It is argued that incorporating belief importance in expectancy-value models helps to assess the structure of attitudes and could improve our insight in the determinants of behavioral preference.     

Fertility Related Attitudes of Minority Mothers with Large and Small Families1

The relationship between certain attitudes and levels of fertility in five cultural groups–Blacks, Cubans, American Indians, migrant Chicanos, and white Protestants–was explored. Mothers, aged 35–45, with one or two children (small family, N= 253) or five children (large family, N= 196) were compared. Subjects responded to semantic differentials measuring attitudes toward pregnancy, family, abortion, sex, birth control, and parent. Large family mothers were generally more negative toward birth control, sex, and family. Cultures differed significantly on all six attitudes, with those toward abortion and pregnancy being the best discriminators. Significant interactions between cub ture and size were found on attitudes toward birth control and pregnancy. In general, large families wanted fewer children than they had and their negative attitudes toward birth control might be associated with their ineffective experiences; however, the trend was reversed in the migrant group where small family mothers were more negative toward birth control. Since small family mothers among migrant Chicanos were difficult to find and their estimates of ideal family size was large, it is likely that their negative attitudes toward birth mntrol reflected an aversion to its use.     

Birth control and low-income Mexican-American women: the impact of three values

This study examines how 3 particular sociocultural values affect Mexican-American women's attitude, knowledge, and use of birth control. Researchers interviewed 99 low-income married Mexican-American women, 48 of whom had a low level of acculturation and 51 of whom had a high level, focusing on the values of motherhood, male dominance, and sexual expression. While the low acculturation group showed a significant linear relationship between attitudes towards birth control and the 3 values, the high acculturation group failed to exhibit a similar relationship. The study also found that no significant relationship exists between knowledge of birth control and the aforementioned values. The sociocultural values, however, do explain a 30% variability in attitudes towards birth control among the women with low acculturation, as well as a 22% variability in birth control use. Although significant, the results do not fully account for the variability. The study suggests several possible explanations for the unaccounted variance: considering the complexity of the values involved, the instruments involved may have failed to fully uncover their effects; because they were normed on Anglo-Americans, the instruments may not have sensitive enough of Mexican-American attitudes; and finally, the study may have overlooked other important values. Nonetheless, the study points out definite differences in attitudes between high and low acculturation groups. Considering that Hispanic women -- particularly Mexican-American women -- experience a very high birthrate (double that of non-Hispanics), examining sociocultural values may give insights into better family planning methods for this group.