Sex differences in communication and the construction of HIV/AIDS

This paper reports analyses of sex differences in knowledge, attitudes, and behavior related to HIV/AIDS and communication about HIV I'AIDS in the heterosexual college population. Men and women differed in their assessments of risk to HIV infection for various behaviors; in each case women perceived greater risk. Women were more favorable than men regarding talking about AIDS and attitudes about condom use. Men reported a greater number of sexual partners for the previous five years than did women. Men, more often than women, appear to have changed their behavior in a direction of greater risk. Only two sex differences were found for prevention‐related behaviors. First, men more often reported having purchased a condom. However, no sex differences were found for actual condom use. Second, as reported in previous studies, women were more likely to engage in AIDS‐related talk with a sexual partner. Because of their many differences, men and women need to be targeted as separate audiences for HIV/AIDS prevention. Further, because women have emerged as the most rapidly growing group at risk for HIV infection and because women appear to be more willing than men to implement HIV/AIDS prevention in their relationships, they should be considered a primary audience for HIV/AIDS‐prevention programs designed for influencing the behavior of heterosexual couples.     

“You Have to be Positive.” Social Support Processes of an Online Support Group for Men Living with HIV

Over the past decade, improved treatments have helped people with AIDS enjoy a state of restored health and greater hope for long-term survival. Because of these changes, social support is an even more important resource for those battling HIV/AIDS. One source for social support is a support group, which offers social and emotional resources to meet the needs of its members. The online support group investigated in this study serves gay men with HIV/AIDS and requires that they talk only about positive aspects of life. To understand the implications this rule has for support processes, a thematic analysis was conducted to determine how this group constructs social support. Rules and resources aimed at the group goal of positivity help develop a unique speech community. Implications for social support, support groups, and the Internet are discussed.     

Stigma in the line of face: Self‐disclosure of patients' HIV status to health care providers

Patients who are HIV+ are often faced with the choice of whether or not they should tell their health care providers that they are HIV+. Although appropriate health care and safety require the communication of such information, the stigmatization associated with HIV puts at risk the patients’ pride, dignity, and ultimately the quality of their health. Using Goffman's (1963, 1967) notions of face and stigma, the present study described the major influential factors prompting the act of disclosure of HIV, the act itself, and the effect that act appears to have had on the patient/provider relationship. Phase I of the study gathered pilot data through in‐depth interviews, leading to a quantitative questionnaire used in Phase II. A sample was obtained through AIDS organizations around the U.S. and via electronic mail addresses for AIDS/HIV electronic discussion groups. The interviews and surveys asked respondents to recall a time when they had to make the decision to disclose or not disclose their HIV+ status to a care provider. The results indicated that patients typically did disclose their HIV+ status despite their strong feelings of stigmatization. Three key factors were related to their decisions: 1) perceived necessity of disclosure; 2) subjective feelings of comfort about the disclosure; and 3) perceptions of stigmatization. Patient satisfaction levels were also related to these factors. Implications for face maintenance and health care management as well as the determinants of subjective comfort are discussed.     

Unspeakable PrEP: a qualitative study of sexual communication,problematic integration,and uncertainty management among men who have sex with men in Taiwan

ABSTRACT

This study explored how men who have sex with men (MSM) communicated their use of pre-exposure prophylaxis (PrEP) on smartphone applications. Informed by the theory of problematic integration and uncertainty management, we asked if revealing ‘HIV negative, on PrEP’ status on smartphone applications might increase one's uncertainty in communicating about safe sex with others. We conducted interviews with 31 Taiwanese MSM currently taking PrEP who participated in a national demonstration project. We identified three types of PrEP-related uncertainty: condition, information, and stigma uncertainty. Applied implications of our findings indicate the importance of the feasibility of medical infrastructure in implementing PrEP, the complication in translating scientific and medical jargon into everyday language, and dynamics of negotiating stigmas associated with HIV and AIDS in the context of HIV prevention.     

HIV/AIDS and Subaltern Autonomous Rationality: A Call to Recenter Health Communication in Marginalized Sex Worker Spaces

Sex workers in India constitute a marginalized population. They are considered at high risk of HIV/AIDS and are stigmatized for “selling sex” in a culture that generally censures sex outside marriage. HIV/AIDS initiatives targeted at this population have mostly adhered to promoting condom use, increasing awareness, and encouraging blood tests to screen for HIV/AIDS. Missing from this discourse are voices of sex workers and their autonomous consciousness. Based on an analysis of interview data from an eight-week field project, this paper seeks to centralize sex worker subaltern rationality in a call to reframe expert-led HIV/AIDS communication efforts that cater to sex worker communities.     

HIV and aids: Toward increased awareness and understanding of prevention and education research using meta‐analysis

This essay is a review of four projects that use meta‐analysis to summarize existing research on four behavioral issues for HIV/AIDS education and prevention. The first project considers the importance of behavioral routines to promote safer sex behavior and the need to consider how the gender of the participant impact on those discussions. The second project examines four issues (disclosure, social support, risk behavior, and childbearing) for those testing positive for HIV. The third project examines the impact that the announcement of Earvin “Magic”; Johnson on behaviors and attitudes of adults and children. The final project examines the difference in knowledge for one subgroup of U.S. society (Hispanics) compared to either White European or African Americans. The summaries of ongoing projects illustrate the importance of meta‐analysis as a means to aggregate existing research.     

Knowledge and Attitude of Women to HIV/AIDS in a Farming Community in Southwestern Nigeria: Challenges for Public Libraries

The HIV/AIDS epidemic is one of the major setbacks to the achievement of the 2015 millennium development targets in Africa, generally, and Nigeria, in particular, where it is the leading cause of death. In terms of age and gender distribution, the most severely affected are sexually active females in their most economically reproductive years. A greater percentage of the Nigerian population lives in rural areas where there is low access to health information. This study assesses the knowledge level and attitudes of women in a farming community to HIV/AIDS, and suggests intervention strategies by the public libraries to bridge the knowledge gap on HIV/AIDS. This article suggests that public libraries as custodians of knowledge should play a significant role in transmitting information about how to prevent and control HIV/AIDS.     

Meeting health information needs of people with HIV/AIDS: sources and means of collaboration

Background: Internet‐based applications, in particular those that allow communication, have great potential to meet information needs. Limited research has indicated that people with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS; PHAs) use these technologies, but it has not yet been examined how resources are used collaboratively and in conjunction with offline sources. Objectives: The purpose of this study was to determine in what ways PHAs collaborate to meet treatment information needs and what role Internet‐based computer‐mediated communication (CMC) played in meeting this goal. Methods: This exploratory study was implemented using surveys and focus groups with 23 participants in Toronto, Canada. The purposive sample included men and women. Results: A variety of both off‐ and online resources were used to learn about HIV/AIDS treatment information, including web‐based and print. All participants were communicating with others, primarily in person, and most desired anecdotal treatment information. However, few reported using CMC to accomplish this goal. Harris and Dewdney's Principles of Information Seeking was used to frame the findings. Conclusions: Despite technical proficiency with CMC, few participants in this study reported use of this communication tool. Information professionals need to ensure access to HIV health information including those in remote areas who have fewer resources.     

A critical examination of sex differences in marital communication

Despite the persistence of sex‐typed images of the expressivity of wife and husband, past observational studies have given little indication of sex‐linked differences in marital communication. Thus, we proposed that inter personally negotiated role expectations would be a better predictor of communication about marital conflict than sex. However, we also proposed that there might be sex differences within particular clusters of couples who endorse sex‐differentiated role expectations. Couples were classified into groups using Fitzpatrick's (1983) typology. The results of two studies indicated that couple type was significantly related to communication about marital conflict; however, there were neither any clear overall sex differences in communication nor sex differences within couple types. Rather, the results indicated that conflict styles are so strongly reciprocal that mutual influence within conversations tends to remove individual speaker differences. The research suggests that mutual influence processes and mutually established beliefs and expectations account for conflict styles more adequately than biological sex.     

Communication in the management of uncertainty: The case of persons living with HIV or AIDS

Communication is a means of managing uncertainty. In a state of uncertainty: (a) information seeking can reduce uncertainty by allowing for better discrimination between or among alternatives; (b) information seeking can increase uncertainty by increasing the number of alternatives, or by blurring the distinction between or among alternatives; and (c) information avoidance can maintain uncertainty. Individuals living with HIV or AIDS, like many other chronically‐ill or terminally‐ill individuals, must manage high levels of uncertainty about their illness. Participants in a focus group study of persons with HIV or AIDS reported effective uncertainty management, including managing uncertainty that was challenging, managing uncertainty that was essential for maintaining hope, learning to live with chronic uncertainty, and managing information problems. New information can serve uncertainty management even if it fails to reduce the number or ambiguity of alternatives, because new information can invite a reappraisal of uncertainty. A theory of uncertainty management based on these findings is offered.     

“If I knew then what I know now”: Seropositive individuals' perceptions of partner trust,safety and risk prior to HIV infection

The purpose of this study was to examine personal and relational characteristics of HIV positive individuals. Forty HIV positive heterosexuals, who were infected through heterosexual sex, completed an on‐line questionnaire designed to assess perceived risk of HIV, perceived partner safety and trust, and reasons for these perceptions prior to HIV infection. Results indicated that prior to infection, HIV positive heterosexuals reported having similar sexual attitudes, beliefs, and behaviors to those not infected with the virus. Participants reported moderate to high levels of trust for their partners, low levels of perceived risk of infection, and high levels of perceived partner safety. A moderately strong, negative, linear relationship existed between perceived partner safety and partner trust and perceived risk. In addition, women perceived their partners as “safer”; than did men and those in serious relationships perceived their partners as safer than those in casual relationships. Results from this study shed light on the personal and relational characteristics of heterosexuals living with HIV and the utility of social comparison theory in raising awareness about HIV positive and negative individuals.     

The ecology of academic risk: relationships between communication apprehension,verbal aggression,supportive communication,and students’ academic risk status

Contemporary research exploring at‐risk student populations has generally used the epidemiological model, the constructivist model, or the ecological model to explain processes involved in academic risk. This study applies communication constructs to the ecological model of academic risk, which proposes that academic risk is a function of individual, social, and cultural communication phenomena. A survey of 232 students found that (a) at‐risk students communicated more with friends about school than did regular‐admission students, (b) levels of communication apprehension differed depending on at‐risk status and sex, and (c) levels of verbal aggression differed depending on at‐risk status. These results are discussed in terms of theoretical and applied implications.     

Information and communication: a library’s local response to HIV/AIDS in Zambia

Objective: To document and describe the University of Zambia Medical library’s responses to the fight against HIV/AIDS in Zambia. Methods: The methodology adopted was a case study approach combined with an analysis of the literature such as annual reports and official documents. This was augmented by personal reflections of the author having worked at the Medical Library. Results: The University of Zambia Medical library has over the years instituted and implemented HIV/AIDS information provision programmes that include the provision of information in various formats ‐‐ print or electronic and, in addition, capacity building in HIV/AIDS information literacy skills. Conclusion: A library’s social responsibility calls for it to be part of national responses to crises that arise in society. As HIV/AIDS has affected every aspect of Zambian society prevention, treatment, care and support there is an understanding that the library’s role should be using the cri tical and strategic resource at its disposal – information ‐‐ as part of their contribution to the fight against HIV/AIDS. In this context, libraries should source, collect, organize and disseminate information on HIV/AIDS in a way that is easily accessible to researchers, HIV/AIDS programme implementation agencies and the ordinary public.     

On Communicating Pride,Crying in Movies,and Recruiting Innocent Bystanders: The Effect of Sex on Communication Schemas Activated with Gay and Heterosexual Targets

Invoking social identity theory as an interpretive frame, a previous content analysis of heterosexuals' representations of imagined conversations with gay men revealed a number of communication schemas for talk with the latter (e.g., homonegativity and offense avoidance). This study explores the role of participant sex in determining the prevalence of such schemas, comparatively incorporating representations of conversations with a heterosexual target. Two hundred American undergraduates imagined a conversation with a gay or heterosexual male target. Male participants' imagined conversations with a gay target were rated more negative, indicated less evidence of relational development, and included more gay stereotyping than did females' imagined dialogues.     

Effectiveness of sources of HIV/AIDS awareness in a rural community in Imo State, Nigeria

AIMS AND OBJECTIVES: The effectiveness of each of the 14 sources of acquired immunodeficiency syndrome (AIDS) awareness available to women and adolescent girls dwelling in a rural community in Imo State, Nigeria was measured in order to understand the relative contribution of the sources to the general knowledge about human immunodeficiency virus (HIV)/AIDS possessed by the women and the girls. METHODS: The details of the research methods adopted in this study, which involved 734 in-school and out-of-school adolescents and 434 women, have been described previously [Nwagwu, W. Di Nwanna and the reproductive health of the girl child in Imo State, Nigeria. Final Report (04 83064 000 GSS) submitted to MacArthur Fund for Leadership and Development, Abuja, 2006]. RESULTS: Friends and relatives emerged as the most effective source of AIDS awareness for women (29%), followed by community meetings (26%) and then television (20%), whereas the most effective sources for the girls were television (28%), followed by friends and relatives, and radio (17% and 14.4%, respectively). CONCLUSIONS: Each of the information sources listed made some contribution to the general knowledge about HIV/AIDS possessed by the respondents, although the level of awareness would have been low among women in the absence of friends and relatives, and among the girls in the absence of television. Information awareness programmes should be selected according to the needs of social groups and the most effective information sources concentrated upon.     

HIV/AIDS Outreach: Curriculum Development and Skills Training to Health and Information Professionals

With funding from the National Library of Medicine HIV/AIDS Community Information Outreach Program (ACIOP), librarians at the University of Florida Health Sciences Libraries partnered with university and community groups to facilitate collaboration, develop new information resources, develop information-seeking skills, and raise general awareness surrounding HIV/AIDS risks, prevention, and treatment. This article describes the skills development elements of the project, including development and implementation of an HIV/AIDS information resource curriculum for health care providers, social services professionals, and public librarians within the project’s partner organizations.