Empathy and attitudes: Can feeling for a member of a stigmatized group improve feelings toward the group?

Results of 3 experiments with 202 undergraduates suggest that feeling empathy for a member of a stigmatized group can improve attitudes toward the group as a whole. In Exps 1 and 2, inducing empathy for a young woman with AIDS (Exp 1) or a homeless man (Exp 2) led to more positive attitudes toward people with AIDS or toward the homeless, respectively. Exp 3 tested possible limits of the empathy–attitude effect by inducing empathy toward a member of a highly stigmatized group, convicted murderers, and measuring attitudes toward this group immediately and then 1–2 wks later. Results provided only weak evidence of improved attitudes toward murderers immediately but strong evidence of improved attitudes 1–2 wks later. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Compliance with infection-control procedures and attitudes of oral health care providers toward patients with HIV/AIDS: a synthesis of the literature

Many publications on the knowledge, practice, and attitudes of oral health care providers can be found in the literature. This paper is a synthesis of literature on their compliance with infection-control procedures and their attitudes toward patients with HIV/AIDS. The literature indicates increased compliance with infection-control procedures. While some oral health care providers report negative attitudes toward treating patients with HIV/AIDS, their fear is decreasing, possibly due to their increased compliance with infection-control procedures and increased access to care for those with HIV/AIDS.     

Managing HIV at the workplace: An empirical study of HIV and HR managers in Singapore.

Drawing from previous research on individual differences, AIDS, and concerns for face, the author developed and tested a model examining the predictors (knowledge of AIDS transmission, level of homophobia, and concern for face) of AIDS fear and its organizational outcomes (perceived organizational consequences of hiring people living with HIV and attitudes toward disclosure of HIV-related information at the workplace). Data were collected using mail survey. Structural equation modeling was used to examine the relationships among these variables for 160 human resource managers. All of the hypothesized relationships were empirically supported. Implications of the research findings for human resource practices are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlation between history of contact with people living with HIV/AIDS (PWAs) and tolerant attitudes toward HIV/AIDS and PWAs in rural Thailand

This study examines the hypothesis that people who have more contact with PWAs (people living with AIDS) are more tolerant than those who have no contact with them. Four provinces with different incidence of AIDS in 4 different regions of Thailand were selected. Structured questionnaire interviews were conducted with village people, asking about their history of contact with PWAs, and knowledge and attitudes toward HIV/AIDS and PWAs (n = 434). An 'Attitude Score', which indicates an accepting attitude (or tolerance) toward HIV/AIDS and PWAs, was developed using the results of the questionnaire on attitudes. Six factors: sex, education, age, province, knowledge, and history of contact with PWAs were positively correlated with the Attitude Score. After a multiple regression analysis, contact with PWAs was significantly associated with Attitude Score. This study is one of the first analytical studies conducted in a non-Western country to show that people's tolerant attitudes towards HIV/AIDS and PWAs are positively related to their history of contact with HIV/AIDS and PWAs. This findings should have important implications for future educational programmes and preventative intervention.     

A study on disclosure by HIV positives by use of simulation using case vignettes

AIDS patients/HIV positives have been increasing in Japan, but a large proportion of university students, who have high risk sexual behavior, are not aware of the danger of HIV infection. Because of little disclosure by AIDS patients/HIV positives in Japan, the students have a poor chance of knowing of their risk in sexual behavior situations. Discrimination or prejudice toward AIDS patients/HIV positives has suppressed disclosure. However, as the real risk changes of disclosure is unknown, a simulation study, using case vignettes, was carried out to measure risks. A total of 1,128 university students (487 male and 641 female) were asked to read one of six vignettes describing HIV positives, that consisted of three infection routes (one by blood preparation and two by sexual intercourse) with disclosure or without disclosure. After reading a vignette, they answered questions about the images of HIV positives and their attitudes to him or her. As a result of reading these vignettes, friendly images were enhanced and the disagreeable images were decreased, but students' attitudes were unchanged. Significant differences were recognized in attitudes concerning responsibility for the infection and sympathy toward HIV positives, depending on the infection routes (blood preparation or sexual intercourse). Female students had a tendency to be more favorable to HIV positives than the male students. This simulation study showed the difficulty of changing students' attitudes regardless of the image of HIV positives, and demonstrated the need for effective action toward reducing discrimination or prejudice.     

AIDS/HIV and university students in Delhi, India: knowledge, beliefs, attitudes and behaviors

Eight hundred eighty-seven students in social work, nursing, and humanities from two major universities in Delhi were compared regarding their knowledge about AIDS/HIV and attitudes toward PWAs and homosexuals. Their scores on the 20-item knowledge test indicate fair degree of knowledge; however, they lacked information in crucial areas of AIDS prevention and human sexual anatomy. Unmarried, female and older students and those in social work and nursing disciplines scored significantly higher on correct answers. Social work students were likely to be more positive in their attitudes toward AIDS victims than those in nursing or humanities. Knowledge was positively related to attitudes and perception of risk. Despite their awareness of personal risks only four in ten used condoms sometimes during intercourse. Educational strategies to increase cognitive and affective understanding of AIDS and its victims are discussed.     

Attitudes of psychologists in training toward persons with AIDS.

Clinical and counseling graduate students (N?=?266) from 8 different universities read a vignette that described a hypothetical patient as having either AIDS or leukemia. These psychologists in training then completed a scale that measured attitudes toward the hypothetical patient. Results indicated that psychologists in training had some attitudes toward AIDS patients that were less positive than their attitudes toward identically described leukemia patients. However, psychologists in training were more willing to interact with AIDS patients and to accept them as psychotherapy clients than were psychologists studied in earlier research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

HIV prevention interventions: The effects of role-play and behavioural commitment on knowledge and attitudes.

Investigated the effects of active versus passive participation, as well as behavioral commitment, on the knowledge and attitudes of adolescents in an HIV-prevention intervention. Following completion of an HIV attitudes and knowledge test, a group of 144 9th grade students were randomly assigned to 1 of 4 treatment conditions that included either role-play, video, lecture, or no treatment. Half the participants in each condition were required to commit to attend to HIV-prevention information and educate another student about such issues. A post-test conducted at 4-wk follow-up indicated that students in the active participation condition (i.e., role-play) demonstrated increased knowledge about AIDS and HIV. Behavioral commitment to further HIV-prevention information did not moderate (i.e., enhance) the effects of active participation; however, commitment did lead to more positive attitudes toward HIV-prevention. The findings suggest that a role-play intervention may be a viable alternative to traditional lecture and video methods for enhancing knowledge towards HIV-prevention in adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stigma, social risk, and health policy: Public attitudes toward HIV surveillance policies and the social construction of illness.

Data from a 1999 national telephone survey with a probability sample of English-speaking US adults (N=1,335) were used to assess how support for HIV surveillance policies is related to AIDS stigma and negative attitudes toward groups disproportionately affected by the epidemic. Anonymous reporting of HIV results to the government was supported by a margin of approximately 2-to-l, but name-based reporting was opposed 3-to-l. Compared with other respondents, supporters of name-based surveillance expressed significantly more negative feelings toward people with AIDS, gay men, lesbians, and injecting drug users. More than one third of all respondents reported that concerns about AIDS stigma would affect their own decision to be tested for HIV in the future. Implications for understanding the social construction of illness and for implementing effective HIV surveillance programs are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

AIDS education in Tanzania: promoting risk reduction among primary school children

OBJECTIVES: The purpose of this study was to test the effects of an education program in Tanzania designed to reduce children's risk of human immunodeficiency virus (HIV) infection and to improve their tolerance of and care for people with acquired immunodeficiency syndrome (AIDS). METHODS: A randomized controlled community trial including baseline and 12-month follow-up surveys was employed. Public primary schools in the Arusha and Kilimanjaro regions of Tanzania were stratified according to location and randomly assigned to intervention (n = 6) or comparison (n = 12) conditions. Of the 1063 sixth-grade students (average age: 13.6 years) who participated at baseline, 814 participated in the follow-up survey. RESULTS: At follow-up, statistically significant effects favoring the intervention group were observed for exposure to AIDS information and communication, AIDS knowledge, attitudes toward people with AIDS, and subjective norms and behavioral intentions toward having sexual intercourse. A consistent positive but nonsignificant trend was seen for attitudes toward having sexual intercourse and for initiation of sexual intercourse during the previous year (7% vs 17%). CONCLUSIONS: It is feasible and effective to train local teachers and health workers to provide HIV/AIDS education to Tanzanian primary school children.     

Changes in knowledge of HIV/AIDS and attitudes for PWA in Tokyo: 1992-1995

In order to assess changes in knowledge of HIV/AIDS and attitude for People With HIV/AIDS (PWA), interview surveys (Dec. 1992, Jan. 1994, Jan. 1995) were carried out annually on random samples of the general public in Tokyo, age between 15-69 years. In total, 4,270 individuals were sampled, with an average response rate of 63.2%. Answers were scored and classified in 12 sex and age sub-groups. Additionally, correlations between scores of questions and social indices were analyzed. The results of the study are as follows: 1) The 15-19, 20-29 and 30-39 age groups showed higher scores on knowledge about HIV transmission modes. During the entire study period, the score increased in 7 groups, but decreased in 5 groups. 2) The 30-39 and 40-49 age groups showed higher scores on knowledge about HIV antibody test. During the period, the score increased in 11 groups, and among them 6 groups showed statistically significant (p < 0.05) increases. However, the score decreased in 9 groups at the third survey. 3) The 15-19, 20-29 and 30-39 age groups showed higher scores on acceptable attitudes for PWA. During the period, the score increased in all groups, and among them 3 groups showed statistically significant (p < 0.05) increases. 4) Rank correlations between two scores-knowledge quantity about the transmission modes and acceptable attitudes for PWA-were positive (0.2 < R) and statistically significant (p < 0.05) in 11 groups at the first survey, 9 groups at the second, and 6 groups at the third. 5) During the entire study period, 6 groups showed positive correlations (0.7 < R) between two changes: (1) score of knowledge about the transmission modes and (2) score of acceptable attitudes. 6) During the entire study period, 10 groups showed positive correlations (0.7 < R) between two changes: (1) score of acceptable attitudes and (2) number of newspaper articles regarding acceptance or discrimination of the PWA. 7) Knowledge about HIV/AIDS in the general public in Tokyo showed increase in younger generation, but there is concern of decrease in the older generation. These result indicate that acceptable attitude forward PWA are affected by related knowledge about the transmission modes and mass-media information, and must be considered in HIV/AIDS programs.     

Meeting a person with AIDS in the classroom: an evaluation

Meeting a person with AIDS in the classroom was evaluated to determine if it had an impact on students' perceived susceptibility to HIV infection and attitudes toward persons with AIDS. The meeting was incorporated into the Grade 9 AIDS education program of a school district in Nova Scotia. Four schools participated in this study. Two schools were randomly assigned to the treatment group, which met the person with AIDS, and the remaining two schools formed the comparison group. Measures of the two attitudinal variables were collected using a self-report questionnaire that was administered both prior to and two weeks after the educational intervention. Meeting a person with AIDS in the classroom had no measurable impact on students perceived susceptibility to HIV infection nor on their attitudes toward persons with AIDS. Suggestions for using the educational intervention more effectively and for further research are made.     

African-American adolescents' knowledge, health-related attitudes, sexual behavior, and contraceptive decisions: Implications for the prevention of adolescent HIV infection.

195 African-American adolescents completed measures of knowledge related to AIDS, attitudes toward condoms, health locus of control, vulnerability to HIV infection, peer sexual norms, personal sexual behavior for the past 6 mo, and contraceptive preferences. Hotelling's T–2 tests revealed that girls were more knowledgeable about AIDS, reported fewer sexual partners, held more positive attitudes toward precautionary sexual behavior, and perceived themselves to have greater control than boys. Five variables accounted for 44% of the variance in condom use: condom use from the 1st intercourse occasion, earlier grade in school, lower belief in an external locus of control, and higher scores on the Effect on Sexual Experience and Self-Control subscales of the Condom Attitude Scale. Implications for the content, format, and timing of HIV prevention with African-American adolescents are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitudes of medical students to HIV and AIDS

OBJECTIVE--To assess the knowledge and attitudes of medical students to HIV/AIDS and whether attitudes correlate with knowledge and clinical experience. To determine if students felt adequately prepared to deal with medical and psychological aspects of HIV/AIDS. SUBJECTS AND METHODS--The subjects consisted of 190 London and 99 Cambridge medical students at the end of their genitourinary medicine attachment, plus 230 Cambridge medical students at the end of their second pre-clinical year. Between March 1991 and February 1992 all were asked to complete an anonymous questionnaire, covering factual knowledge and attitudes towards HIV/AIDS. MAIN RESULTS--Cambridge genitourinary medicine students, despite spending less time studying HIV infection than their London counterparts gave more correct answers to the factual questions, although this difference did not reach significance (52.4% vs. 47.5%, p = 0.14). One third of students believed that many health care workers were at high risk of acquiring HIV at work and one fifth thought doctors should have the right to refuse to treat people with HIV. Fourteen percent of Cambridge genitourinary medicine students indicated that most British people with HIV have only themselves to blame, by comparison with 4% of London students (p = 0.003). Thirty-nine per cent of Cambridge genitourinary medicine students expressed reluctance to care for someone with AIDS by comparison with 10% of London students (p = 0.0001). CONCLUSIONS--It is important that medical educators convey accurate information about HIV, including the actual risks posed by occupational exposure and try to ensure that medical students spend sufficient time seeing patients with HIV/AIDS during their training.     

The role of reactive nitrogen intermediates in modulation of gametocyte infectivity of rodent malaria parasites

Two hundred and fourteen young women received acquired immunodeficiency syndrome (AIDS) prevention interventions at an inner-city family health center serving minority patients predominantly. The community in which the health center is located has a high incidence of intravenous (IV) drug abuse. Either a peer or a health care provider delivered the intervention. In the peer-delivered intervention, a trained peer educator reviewed with patients an AIDS "Rap" videotape and several AIDS brochures, which imparted information about human immunodeficiency virus (HIV), its transmission, and prevention. In the provider-delivered intervention, family practice residents, attending physicians, and nurse practitioners used a patient-centered counseling approach to convey the same information. Questionnaires administered immediately before and after the intervention and at one month follow-up evaluated changes in knowledge, attitudes, and behavior. Analyses of data from both combined intervention groups revealed significant improvements in several areas of knowledge, including the effectiveness of using a condom and cleaning IV drug implements with bleach to prevent transmission of HIV. Many improvements were retained at the one-month follow-up. In addition, subjects in both groups who were sexually active stated immediately after the intervention that asking a sexual partner about past sexual experience would now be less difficult, and at one-month follow-up they reported a significant decrease in the frequency of vaginal sex. Our findings suggest that counseling by physicians can achieve more changes in knowledge of sexual risks, whereas peer education can achieve greater changes in knowledge about IV drug use. Results show that both approaches to AIDS prevention used in this study can significantly affect knowledge, attitudes, and sexual behavior.     

A federal agency perspective on AIDS.

AIDS prevention depends on changing behaviors to lessen the risk of infection. Given that about 25% of persons with AIDS in the United States are intravenous drug abusers, the National Institute on Drug Abuse has initiated a wide variety of research and demonstration outreach projects and training and public information programs focused on reducing the spread of AIDS among intravenous drug abusers, their sexual partners, and their children. Helping addicts discontinue their drug use is a high priority. Psychologists can contribute research, behavior change strategies, improved counseling, and outreach and can help to change negative public attitudes toward AIDS patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral and psychosocial consequences of HIV antibody counseling and testing with African American women

This study compared a sample of low-income African American women in the southeastern United States who had and had not yet undergone HIV counseling and testing on risk-related cognitive mediating variables and self-reported sexual behaviors. Four hundred sixty (N = 460) African American women were recruited from health clinics and community settings in a southern city. Forty-five percent of the women (n = 207) had undergone HIV counseling and testing, whereas 55% (n = 253) had never been tested. Women who were seropositive were excluded from the analyses. After providing informed consent, the women completed a battery of cognitive mediating measures assessing AIDS knowledge, attitudes theoretically relevant to risk reduction, and self-reported sexual behavior. In addition, each participant demonstrated condom application skills using a penile model. Women who had undergone testing were younger, rated HIV disease as more serious, considered AIDS a greater health concern, had more positive attitudes toward HIV prevention, expressed greater intentions to use condoms, and evidenced a greater commitment to self-protective behavior than women who were not yet tested. Women who had undergone HIV antibody testing, however, showed no differences in sexual behavior from women who were never tested. Sexual behavior, including numbers of partners, frequency of unprotected intercourse, and inconsistent condom use, left women in both groups at significant and comparable risk for HIV and sexually transmitted disease infection. HIV counseling and testing alone may not be effective primary prevention strategies for promoting risk reduction among African American women.     

The effect of a course in psychology on the attitudes of research and development supervisors.

In comparing lecture and nondirective approaches to changing group attitudes, 72 corporation supervisors taking a psychology course were subjected to pre and posttest comparisons of attitudes toward the supervisory role using a sentence completion test with both experimental and control groups. Negative findings involving a worsening of attitudes in the control group was attributed to group solidarity stimulated by threat of competition being forced upon them from without. The lecture method and emphasis on research findings produced improved attitudes toward supervisory work. (19 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

HIV/AIDS related knowledge, attitudes, and preventive behavior of pregnant Korean women

OBJECTIVE: To assess HIV-AIDS-related knowledge, attitudes, and preventive behavior of pregnant Korean women before designing patient and public education programs. DESIGN: Pre-experimental cross-sectional survey. POPULATION, SAMPLE, SETTING, YEARS: Convenience sample of 409 women at six prenatal clinics in Seoul, Korea, in 1993. OUTCOME MEASURES: HIV-AIDS-related knowledge, attitudes, and preventive behavior. METHODS: Self-administered questionnaires. FINDINGS: The women described high levels of knowledge about HIV and AIDS risk factors but less knowledge about transmission of the virus, as well as attitudes of rejection toward unrelated people with HIV/AIDS; 16% provided condoms for their husband's use in extramarital sex, the primary risk behavior. CONCLUSIONS: Korean women are at risk for heterosexual transmission of HIV despite knowledge of risk factors. CLINICAL IMPLICATIONS: Korean education programs for women should focus on modes of heterosexual transmission, care of individuals with HIV or AIDS, self-assessment of HIV-AIDS risk, and self protection.     

The efficacy of supportive learning environments for returning women: An empirical evaluation.

Conducted 2 studies of 103 women to evaluate the efficacy of programs designed to meet the needs of today's changing women. The studies sought to determine whether changes that would influence women's life styles could occur by providing a supportive learning environment, rather than through traditional individual or group counseling. Pre–post, experimental–control group designs were employed for both studies. One experiment examined the effects of the treatment in a university setting, with the outcome measures being vocational decision-making attitudes, learning attitudes, attitudes toward women, and receptivity to new information. The 2nd study examined treatment effects in a community setting, with the measures being vocational decision-making, self-concept, and attitudes toward women. Results suggest that the 2 programs did affect certain vocational and psychological attitudes. Specifically, in Exp I Ss exhibited greater maturity in vocational decision making, while in Exp II self-concept was enhanced. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)