HIV-Related Stigma among African, Caribbean, and Black Youth in Windsor, Ontario

HIV-related stigma has been shown to undermine prevention, care, treatment, and the well-being of people living with HIV. A disproportion burden of HIV infection, as well as elevated levels of HIV-related stigma, is evidenced in sub-Saharan African (SSA) and African-diasporic populations. 

This study explores factors that influence HIV-related stigma among 16- to 25-year-old youth residing in a Canadian city who identify as African, Caribbean, or Black. Stigma, as rooted in cultural norms and beliefs and related social institutions, combined with insights from research on stigma in SSA and African-diasporic populations, guided the development of a path analytic structural equation model predicting levels of HIV-related stigmatizing attitudes. The model was tested using survey responses of 510 youth to estimate the direct and indirect influences of ethno-religious identity, religious service attendance, time in Canada, HIV/AIDS knowledge, HIV-testing history, sexual health service contact, and gender on HIV-related stigma. 

Statistically significant negative associations were found between levels of stigma and knowledge and HIV-testing history. Ethno-religious identity and gender had both direct and indirect effects on stigma. African-Muslim participants had higher levels of stigma, lower knowledge, and were less likely to have been tested for HIV infection than other ethno-religious groups. Male participants had higher levels of stigma and lower knowledge than women. Time in Canada had only indirect effects on stigma, with participants in Canada for longer periods having higher knowledge and less likely to have been tested than more recent arrivals. 

While the strength of the effect of knowledge on stigmatizing attitudes in this research is consistent with other research on stigma and evaluations of stigma-reduction programs, the path analytic results provide additional information about how knowledge and HIV-testing function as mediators of non-modifiable characteristics such as gender, ethnicity, religion, and time in a country.

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By:  Mihan R1, Kerr J1,2, Maticka-Tyndale E1; ACBY Team.

• 1 Department of Sociology, Anthropology, and Criminology , University of Windsor , Windsor , ON , Canada.
• 2 Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences , University of Louisville , Louisville , KY , USA. 
• AIDS Care. 2016 Mar 17:1-6. 

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Has Virginity Lost Its Virtue? Relationship Stigma Associated with Being a Sexually Inexperienced Adult

While virginity prior to marriage has been historically valued, changing sociosexual scripts in the United States have made premarital sexual activity the norm for young adults, with sexual debut generally occurring in late adolescence. 

In the current research, we examined the impact of being developmentally off-time with first coitus (i.e., not yet engaging in coitus when most same-aged peers have done so). Specifically, we investigated stigma toward sexually inexperienced adults and discrimination regarding romantic relationship formation. 

Across three methodologically diverse studies we observed that sexually inexperienced adults perceived themselves to be stigmatized due to their inexperience and that sexually inexperienced adults were not highly desired as relationship partners. 

Even sexually inexperienced adults themselves did not find other inexperienced adults to be attractive relationship partners. 

Although abstaining from sexual activity may bestow some health advantages, our studies show that being a sexual "late bloomer" may result in negative interpersonal consequences such as limited opportunities for romantic relationships.

Below:  Target’s attractiveness as a function of age of target and participant.

Below:  Target’s attractiveness as a function of sexual experience of target and participant

Full article at:  http://goo.gl/lN9B5d

By:  Gesselman AN1, Webster GD2, Garcia JR3.

• 1 The Kinsey Institute , Indiana University , Bloomington.
• 2 Department of Psychology , University of Florida.
• 3 The Kinsey Institute and Department of Gender Studies , Indiana University , Bloomington.
• J Sex Res. 2016 Mar 16:1-12 

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Complex and Conflicting Social Norms: Implications for Implementation of Future HIV Pre-Exposure Prophylaxis (PrEP) Interventions in Vancouver, Canada

BACKGROUND:

HIV Pre-Exposure Prophylaxis (PrEP) has been found to be efficacious in preventing HIV acquisition among seronegative individuals in a variety of risk groups, including men who have sex with men and people who inject drugs. To date, however, it remains unclear how socio-cultural norms (e.g., attitudes towards HIV; social understandings regarding HIV risk practices) may influence the scalability of future PrEP interventions. The objective of this study is to assess how socio-cultural norms may influence the implementation and scalability of future HIV PrEP interventions in Vancouver, Canada.

METHODS:

We conducted 50 interviews with young men (ages 18-24) with a variety of HIV risk behavioural profiles (e.g., young men who inject drugs; MSM). Interviews focused on participants' experiences and perceptions with various HIV interventions and policies, including PrEP.

RESULTS:

While awareness of PrEP was generally low, perceptions about the potential personal and public health gains associated with PrEP were interconnected with expressions of complex and sometimes conflicting social norms. Some accounts characterized PrEP as a convenient form of reliable protection against HIV, likening it to the female birth control pill. Other accounts cast PrEP as a means to facilitate 'socially unacceptable' behaviour (e.g., promiscuity). Stigmatizing rhetoric was used to position PrEP as a tool that could promote some groups' proclivities to take 'risks'.

CONCLUSION:

Stigma regarding 'risky' behaviour and PrEP should not be underestimated as a serious implementation challenge. Pre-implementation strategies that concomitantly aim to improve knowledge about PrEP, while addressing associated social prejudices, may be key to effective implementation and scale-up.

Below:  Socio-demographic characteristics of study sample

Full article at:   http://goo.gl/vBrmsT

By:  Knight R1,2,3, Small W1,2, Carson A3, Shoveller J3.

• 1Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
• 2British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
• 3School of Population and Public Health, University of British Columbia, Vancouver, Canada. 

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"Correcting an Erring Wife Is Normal": Moral Discourses of Spousal Violence in Ghana

This study draws insights from discursive psychology to explore moral discourses of spousal violence in Ghana. In particular, it investigates how sociocultural norms and practices are invoked in talk of perpetrators and victims as moral warrants for husband-to-wife abuse in Ghana. 

Semi-structured focus group and personal interviews were conducted with a total of 40 participants: 16 victims, 16 perpetrators, and eight key informants from rural and urban Ghana. 

Participants' discursive accounts suggest that husbands have implicit moral right and obligation to punish their wives for disobedience and other infractions against male authority in marriage. Both perpetrators and victims build their talk around familiar normative discourses and practices that provide tacit support for spousal violence in Ghana. 

While perpetrators mobilize culturally resonant and normative repertoires to justify abuse, blame their victims, and manage their moral accountability; victims position husband-to-wife abuse as normal, legitimate, disciplinary, and corrective. These moral discourses of spousal violence apparently serve to relieve perpetrators of moral agency; prime battered women to accept abuse; and devastate their agency to leave abusive marital relationships. 

The findings contribute to our understanding of how cultural and social norms of spousal violence are morally constituted, reproduced, and sustained in talk of perpetrators, victims, and other key members of society.

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By:   Adjei SB1.

• 1Aarhus University, Denmark bstephen@psy.au.dk. 

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Moral Parochialism & Contextual Contingency Across Seven Societies

Human moral judgement may have evolved to maximize the individual's welfare given parochial culturally constructed moral systems. If so, then moral condemnation should be more severe when transgressions are recent and local, and should be sensitive to the pronouncements of authority figures (who are often arbiters of moral norms), as the fitness pay-offs of moral disapproval will primarily derive from the ramifications of condemning actions that occur within the immediate social arena. 

Correspondingly, moral transgressions should be viewed as less objectionable if they occur in other places or times, or if local authorities deem them acceptable. These predictions contrast markedly with those derived from prevailing non-evolutionary perspectives on moral judgement. Both classes of theories predict purportedly species-typical patterns, yet to our knowledge, no study to date has investigated moral judgement across a diverse set of societies, including a range of small-scale communities that differ substantially from large highly urbanized nations. 

We tested these predictions in five small-scale societies and two large-scale societies, finding substantial evidence of moral parochialism and contextual contingency in adults' moral judgements. Results reveal an overarching pattern in which moral condemnation reflects a concern with immediate local considerations, a pattern consistent with a variety of evolutionary accounts of moral judgement.

Below:  Reductions in the ranked ‘badness’ of transgressions, aggregated across scenarios, as a function of the consent of an authority figure, temporal distance, or spatial distance, presented as odds ratios and their 97.5% confidence intervals. The odds ratios, computed by exponentiating the beta coefficients (e^β), provide the odds of a badness judgement falling at a given ranked level or below when the factor is present, relative to when it is absent, across all badness levels. Odds ratios above 1 thus indicate reduced judgements of badness.

Full article at:  http://goo.gl/lSBZhu

By:  Daniel M. T. Fessler,1 H. Clark Barrett,1 Martin Kanovsky,2 Stephen Stich,3 Colin Holbrook,1 Joseph Henrich,4,5Alexander H. Bolyanatz,6 Matthew M. Gervais,1,†‡ Michael Gurven,7 Geoff Kushnick,8 Anne C. Pisor,7 Christopher von Rueden,9 and Stephen Laurence10

1Department of Anthropology and Center for Behavior, Evolution, and Culture, University of California, Los Angeles, CA 90095-1553, USA

2Institute of Social Anthropology, FSEV, Comenius University, 820 05 Bratislava 25, Slovakia

3Department of Philosophy and Center for Cognitive Science, Rutgers University, New Brunswick, NJ 08901-1107, USA

4Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada, V6T 1Z4

5Department of Economics, University of British Columbia, Vancouver, British Columbia, Canada, V6T 1Z4

6Social Sciences Subdivision, College of DuPage, Glen Ellyn, IL 60137-6599, USA

7Department of Anthropology, University of California, Santa Barbara, CA 93106-3210, USA

8School of Archaeology and Anthropology, The Australian National University, Canberra, Australian Capital Territory 0200, Australia

9Jepson School of Leadership Studies, University of Richmond, Richmond, VA 23173, USA

10Department of Philosophy and Hang Seng Centre for Cognitive Studies, University of Sheffield, Sheffield S3 7QB, UK

¹Department of Anthropology and Center for Behavior, Evolution, and Culture, University of California, Los Angeles, CA 90095-1553, USA

²Institute of Social Anthropology, FSEV, Comenius University, 820 05 Bratislava 25, Slovakia

³Department of Philosophy and Center for Cognitive Science, Rutgers University, New Brunswick, NJ 08901-1107, USA

⁴Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada, V6T 1Z4

⁵Department of Economics, University of British Columbia, Vancouver, British Columbia, Canada, V6T 1Z4

⁶Social Sciences Subdivision, College of DuPage, Glen Ellyn, IL 60137-6599, USA

⁷Department of Anthropology, University of California, Santa Barbara, CA 93106-3210, USA

⁸School of Archaeology and Anthropology, The Australian National University, Canberra, Australian Capital Territory 0200, Australia

⁹Jepson School of Leadership Studies, University of Richmond, Richmond, VA 23173, USA

¹⁰Department of Philosophy and Hang Seng Centre for Cognitive Studies, University of Sheffield, Sheffield S3 7QB, UK

e-mail: ude.alcu.orhtna@relssefd

^†Present address: Department of Anthropology, Rutgers University, New Brunswick, NJ 08901-1414, USA.

^‡Present address: School of Human Evolution and Social Change, Arizona State University, Tempe, AZ 85287-2402, USA.

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Personality, Parasites, Political Attitudes, and Cooperation: A Model of How Infection Prevalence Influences Openness and Social Group Formation

What is the origin of individual differences in ideology and personality? According to the parasite stress hypothesis, the structure of a society and the values of individuals within it are both influenced by the prevalence of infectious disease within the society's geographical region. High levels of infection threat are associated with more ethnocentric and collectivist social structures and greater adherence to social norms, as well as with socially conservative political ideology and less open but more conscientious personalities. 

Here we use an agent-based model to explore a specific opportunities-parasites trade-off (OPTO) hypothesis, according to which utility-maximizing agents place themselves at an optimal point on a trade-off between (a) the gains that may be achieved through accessing the resources of geographically or socially distant out-group members through openness to out-group interaction, and (b) the losses arising due to consequently increased risks of exotic infection to which immunity has not been developed. 

We examine the evolution of cooperation and the formation of social groups within social networks, and we show that the groups that spontaneously form exhibit greater local rather than global cooperative networks when levels of infection are high. It is suggested that the OPTO model offers a first step toward understanding the specific mechanisms through which environmental conditions may influence cognition, ideology, personality, and social organization.

Below:  Effects of learning on openness for different values of the probability of infection associated with most distant neighbors

Full article at:  http://goo.gl/8IUg6L

By:  Brown GD1, Fincher CL1, Walasek L1.

• 1Department of Psychology, University of Warwick. 

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Social Factors Influencing Russian Male Alcohol Use over the Life Course: A Qualitative Study Investigating Age Based Social Norms, Masculinity, and Workplace Context

The massive fluctuations occurring in Russian alcohol-related mortality since the mid-1980s cannot be seen outside of the context of great social and economic change. There is a dearth of qualitative studies about Russian male drinking and especially needed are those that address social processes and individual changes in drinking. 

Conducted as part of a longitudinal study on men’s alcohol consumption in Izhevsk, this qualitative study uses 25 semi-structured biographical interviews with men aged 33–60 years to explore life course variation in drinking. The dominant pattern was decreasing binge and frequent drinking as men reached middle age which was precipitated by family building, reductions in drinking with work colleagues, and health concerns. 

A minority of men described chaotic drinking histories with periods of abstinence and heavy drinking. The results highlight the importance of the blue-collar work environment for conditioning male heavy drinking in young adulthood through a variety of social, normative and structural mechanisms. Post-Soviet changes had a structural influence on the propensity for workplace drinking but the important social function of male drinking sessions remained. 

Bonding with workmates through heavy drinking was seen as an unavoidable and essential part of young men’s social life. With age peer pressure to drink decreased and the need to perform the role of responsible breadwinner put different behavioural demands on men. For some resisting social pressure to drink became an important site of self-determination and a mark of masculine maturity. Over the lifetime the place where masculine identity was asserted shifted from the workplace to the home, which commonly resulted in a reduction in drinking. 

We contribute to existing theories of Russian male drinking by showing that the performance of age-related social roles influences Russian men’s drinking patterns, drinking contexts and their attitudes. Further research should be conducted investigating drinking trajectories in Russian men.

Full article at:   http://goo.gl/64ONhN

By:   Katherine Keenan,1,* Lyudmila Saburova,2 Natalia Bobrova,3 Diana Elbourne,3 Sarah Ashwin,1 and David A. Leon3

1London School of Economics, Houghton Street, London, United Kingdom

2Izhevsk State Technical University, 7 Studencheskaya Street, Izhevsk, Russia

3London School of Hygiene and Tropical Medicine, Keppel Street, London, United Kingdom

1London School of Economics, Houghton Street, London, United Kingdom

2Izhevsk State Technical University, 7 Studencheskaya Street, Izhevsk, Russia

3London School of Hygiene and Tropical Medicine, Keppel Street, London, United Kingdom

¹London School of Economics, Houghton Street, London, United Kingdom

²Izhevsk State Technical University, 7 Studencheskaya Street, Izhevsk, Russia

³London School of Hygiene and Tropical Medicine, Keppel Street, London, United Kingdom

Harvard Medical School, UNITED STATES 

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The Impact of Homophobia and HIV Stigma on HIV Testing Uptake among Chinese Men Who Have Sex with Men: A Mediation Analysis

Gay and HIV-related stigma and discrimination are major barriers to accessing HIV prevention services among MSM worldwide. We aimed to identify modifiable factors that mediate the relationships between gay and HIV-related stigma and discrimination and HIV testing uptake among Chinese MSM.

We conducted a cross-sectional survey study of 523 HIV-uninfected or unknown MSM in Jiangsu Province, China between November 2013 and January 2014. Multivariable analyses were conducted to examine the associations among experienced homophobia, HIV stigma, and recent HIV testing. Causal mediation parametric analyses were conducted to assess whether depression and social norms mediated hypothesized associations.

Stronger subjective norms toward testing was associated with higher odds of recent HIV testing while increasing levels of depression and HIV stigma were both associated with lower odds of recent testing. There was an indirect relationship (natural indirect effect) of experienced homophobia on recent testing mediated (35.0%) through depression. Furthermore, there was an indirect relationship of HIV stigma on recent testing mediated (19.2%) through subjective norms.

Depression and social norms are important mediators of HIV testing uptake among stigmatized Chinese MSM. Therefore, in addition to advocacy efforts and policies that address social-level stigma and discrimination, HIV prevention programs should also address mental health issues and incorporate community-based approaches to changing social norms toward HIV testing.

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By: Wei C1, Cheung DH, Yan H, Li J, Shi LE, Raymond HF.

• 11Department of Epidemiology and Biostatistics & Global Health Sciences, University of California - San Francisco, San Francisco, CA, USA 2Harvard School of Public Health, Boston, MA, USA 3Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China 4Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA.  

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