Contraceptive attitude-behavior consistency in adolescence

Thornburg (1973) suggests that adolescents experience a high level of value-behavior inconsistency compared to individuals in other stages of the lifespan due to engaging in peer-oriented behavioral realms that are contrary to values shared with the parental family. Extending Thornburg's value-behavior inconsistency model to encompass contraceptive attitudes and behavior, it is predicted that contraceptive attitude-behavior inconsistency is prevalent among sexually-active adolescents, and that inconsistency would be greatest when parental and peer contraceptive attitudes are perceived to be incongruent. Analysis of a sample of 167 sexually-active adolescent females ages 13-to-18 indicates that general contraceptive attitudes are consistent with contraceptive use, whereas attitudes toward specific contraceptive methods are unrelated to contraceptive behavior. The data lend support to the predictions of Thornburg's model in that contraceptive attitude-behavior inconsistency is greatest under peer favorable/parent unfavorable and peer unfavorable/parent favorable contraceptive attitude conditions.This research was supported by a grant from the United States Department of Agriculture, Agricultural Experiment Station, University of Arizona. The data for the study were gathered in 1978 and 1979.     

The fallacy of the five million women: A re-estimate

Explicit policy to control fertility in the United States to date has focussed on the “unmet need” for contraceptive services in 1966 among an estimated five million poor and near-poor women. This paper reestimates the number of women in need of contraceptive services by disaggregating (on the basis of tabulations from the Current Population Surveys for 1966 and 1967, and the 1965 National Fertility Study) all poor and near-poor women into 54 subgroups differentiated by age, marital status, religion, and color. Data from the 1965 National Fertility Study, and from other studies, are then used to estimate for each subgroup deductions for sterility, pregnancy, waiting time for conception, and negative attitudes toward and current use of contraception. The residual number of women who both want and require contraceptive services, but do not have them, is estimated to be 1.2 million, rather than 4.6 million. The fact that the re-estimate takes into account both existing contraceptive practice and negative attitudes toward family limitation accounts for much of the difference between it and the original figure.     

Natural family planning: A comparison of continuers and discontinuers

Little research has been done on social-psychological variables related to the use of natural family planning. The objective of this study was to analyze variables that differentiated between continuers and discontinuers of natural family planning (NFP). Questionnaires were obtained from couples who had received instruction in the sympto-thermal method of natural family planning at a large urban hospital. Subjects who were attempting to become pregnant or who were using other methods of contraception in conjunction with NFP were deleted from the analysis, leaving N of 74. With Pearson correlation, variables significantly related (p<.05) to NFP continuance were: religiosity, planning more children, perceived severity of pregnancy, support from spouse and relatives, dissatisfaction with other contraceptive methods, attitudes toward NFP, perceived effectiveness of NFP, attitudes toward abstinence, and importance of intercourse.     

Stereotypes,Emotions, and Behaviors Toward Lesbians,Gay Men,Bisexual Women,and Bisexual Men

The utility of the Stereotype Content Model (Fiske, Cuddy, Glick, & Xu, 2002) and the Behaviors from Intergroup Affect and Stereotypes map (Cuddy, Fiske, & Glick, 2007) were examined in the context of heterosexuals’ attitudes toward sexual minorities. Heterosexual adults completed a survey measuring stereotypes, emotions, and behavioral tendencies toward lesbians, gay men, bisexual women, and bisexual men. Stereotype content differed across groups and showed “gendered” and “valenced” effects on emotions and behavioral tendencies. Competence predicted behaviors for men, whereas warmth and competence predicted behaviors for women, and, for the most part, more was better. Admiration and contempt mediated most of these relationships across most subgroups, but pity and envy played smaller roles for some subgroups. Across all groups, competence played a more predictive role than warmth.     

Multivariate relationships between modernity value orientations and family planning indicators

Using canonical correlation techniques in the analysis of data collected from interviews with 1,737 married women of three Indian states, this paper evaluated three modernity value orientations—subjective efficacy, openness to change, and propensity to plan—as predictors of a set of four family planning indicators. The analysis revealed that, in Haryana, both subjective efficacy and openness to change were related to family planning knowledge and attitudes as well as to favorability toward small family size. Propensity to plan was related to adoption. In rural Tamil Nadu, subjective efficacy and openness to change were related essentially to family planning attitudes, whereas in urban Tamil Nadu they were strongly related to adoption. In the latter area, the best linear association between the modernity variables (predictor set) and the family planning variables (criterion set) resulted when the criterion set was so weighted that it involved a large amount of adoption and a moderate amount of contraceptive knowledge and attitudes. Thus, in urban Tamil Nadu, the four family planning variables seemed to cohere, reflecting cognitive, attitudinal, and behavioral consistency. Except in Meghalaya, it appears that married women with higher subjective efficacy, openness to change, and planning tendency may be more likely than others to translate their family planning knowledge and favorability toward small family size into action, under suitable conditions. Some of the implications of the findings are discussed.The author is affiliated with the Council for Social Development, 53 Lodi Estate, New Delhi, 110003, India.     

A meta-analysis of research on adolescent contraceptive use

Meta-analysis was used to summarize the results of 134 studies of adolescent contraceptive use in relation to two major explanatory models, the career model and the decision model. There was evidence in support of both models, although there has been less research conducted on variables related to the decision model. The major variables found to affect young women's contraceptive use were partner influence to use contraception, acceptance of one's sexuality, future orientation, positive attitudes toward contraception, an exclusive sexual relationship, and frequency of intercourse. The major variables affecting young men's contraceptive use were partner influence, frequency of intercourse, and positive attitudes toward contraception; however, there was relatively little research on young men compared to young women. A number of possible future directions for research are noted.We would like to thank Nancy Adler and Catherine Chilman for their comments on an earlier version of this article. Portions of this research were presented at the 1984 meeting of the American Psychological Association.Requests for reprints should be addressed to Bernard E. Whitley, Jr., Department of Psychological Science, Ball State University, Muncie, Indiana, 47306.     

The influence of psychological and situational factors on the contraceptive behavior of single men: A review of the literature

The study of contraceptive behavior has focused on women with relatively few studies examining the psychological and situational factors that influence male contraceptive behavior. A review of empirical studies indicates the importance of the personality variable of sexual anxiety and the cognitive variables of attitudes toward contraception and sex roles in influencing the contraceptive behavior of single males. However, the situational variable of having an established sexual relationship is the best predictor of whether contraception is used. Although the contributions of attitude and utility theorists have been of substantial assistance in understanding the contraceptive behavior of married couples, the affect-reinforcement theory appears to be more applicable to contraceptive behavior in general. An analysis of the socialization of males and females in terms of utility theory also helps explain the relative failure of adolescent couples in contraception.This research was funded by team grants from Health and Welfare, Family Planning Division, Canada and from Ministère des Affaires Sociales, Quebec. In addition, the second author was supported by a Bourse de I'Enseignement Superieur from the Quebec Government. Address reprint requests to Dolores Gold, Psychology Department, Concordia University, 1455 de Maisonneuve Boulevard West, Montréal, Québec, H3G 1M8.     

Heteronegativism? The attitudes of gay men and lesbians toward heterosexuals

Although many studies have been conducted on homophobia, little information exists about the attitudes of homosexuals toward heterosexuals. In order to compare the attitudes of both groups, a well-known homophobia questionnaire (Hudson & Ricketts, 1980) was reworded to assess the attitudes of homosexuals toward heterosexuals, forming a "heterophobia" questionnaire. The less clinical term "heteronegativism" is introduced here to refer to the range of negative feelings that gay individuals could possess regarding heterosexuals. Sixty homosexual students were matched with 60 heterosexual psychology students on sex, age, race, and education. Each group was given its respective "phobia" questionnaire. Hypotheses that homosexual participants would report less phobia and more negative experience than heterosexuals and that gay women would report more phobia than gay men were supported. Hypotheses that level of abuse in closeted homosexuals would be positively correlated with phobia scores and that being "out of the closet" would be negatively correlated with phobia scores were not supported.     

Positive Affect Between Adult Women and Their Mothers and Mothers-in-Law

This study investigated and compared the influence of selected factors on the affective aualities of mother-daughter and mother-in-lawldaughter-in-law relaAonships. The sample ionsisted of 229 nonorofessional and 250 orofessional women from two uni- - - - ~ . versity campuses; they were selected with a stratified, random sampling procedure. Filial responsibility attitudes, health of older dyad members, and social support influenced positive affect in both relationships. Contrary to expectations, geographic distance, adult women's age, race, nonprofessional/professional work status, and older dyad member's marital status were not predictors. Contact and health of the adult women were predictors of positive affect toward mothers but not mothers-in-law. This study underscores the importance of focusing on specific dyadic relationships when conducting intergenerational family research.     

Development and Validation of the ADAS Scale and Prediction of Attitudes Toward Affective-Sexual Diversity Among Spanish Secondary Students

Violence against non-heterosexual adolescents in educational contexts remains a worrying reality, but no adequate attitudes toward affective-sexual diversity (AtASD) measure exists for Spanish adolescent students. We developed a 27-item scale including cognitive, affective, and behavioral aspects, which was completed by 696 secondary school students from the Madrid area. Factor analyses suggested a unidimensional model, Cronbach’s alpha indicated excellent scale scores reliability, and item calibration under the item response theory framework showed that the scale is especially informative for homophobic attitudes. A hierarchical multiple regression analysis showed that variables traditionally related to AtASD (gender, age, religion, nationality, perceived parental/peer attitudes, direct contact with LGB people) also were so in our sample. Moreover, interest in sexuality topics and perceived center’s efforts to provide AtASD education were related to better AtASD. Our scale was reliable and valid, and it may also prove useful in efforts to detect those students with homophobic attitudes and to guide interventions.     

Sexual prejudice among Puerto Rican young adults

Sexual prejudice is linked to hate crimes, mental health, risk behaviors, and stigma. Few studies have examined sexual prejudice among Latinos. We surveyed 382 college students in Puerto Rico. A structural model tested whether contact and positive experiences with homosexuals, perceived similarities with peers' attitudes toward homosexuality, and religiosity were predictive of sexual prejudice among Puerto Rican young adults. Sex differences in the structural model were explored. With the exception of peers' attitudes toward homosexuality, all study variables predict sexual prejudice. No sex differences were found. Implications for decreasing sexual prejudice among Puerto Rican youth in a college setting are discussed.     

Attitudes toward abortion among catholic Mexican-American women: The effects of religiosity and education

Contrary to observed trends in religious fertility and contraceptive use differentials, Catholic/non-Catholic differentials in attitudes toward abortion have not been converging. This study suggests that this may be due to an interaction between religiosity and education. In a sample of Catholic Mexican-American women in Los Angeles County, the authors found that among respondents brought up in Mexico, education had a liberalizing effect on their attitudes. With the exception of the most devout, the same trend was observed among U.S.-reared respondents. Among the most religious group, however, education had the opposite effect, suggesting that convergence will be delayed.     

Sexual Prejudice Among Puerto Rican Young Adults

Abstract

Sexual prejudice is linked to hate crimes, mental health, risk behaviors, and stigma. Few studies have examined sexual prejudice among Latinos. We surveyed 382 college students in Puerto Rico. A structural model tested whether contact and positive experiences with homosexuals, perceived similarities with peers' attitudes toward homosexuality, and religiosity were predictive of sexual prejudice among Puerto Rican young adults. Sex differences in the structural model were explored. With the exception of peers' attitudes toward homosexuality, all study variables predict sexual prejudice. No sex differences were found. Implications for decreasing sexual prejudice among Puerto Rican youth in a college setting are discussed.     

Assessing the impact of a family planning nurse training program in Egypt

In 1991 the Egyptian Ministry of Health introduced a new training program for family planning nurses. The training program stressed the development of nurses' counseling skills. As part of the Operations Research Program, sponsored by Family Health International in collaboration with the Egypt National Family Planning Board, managerial staff from family planning agencies designed and implemented a study to evaluate the impact of the new training program. The study objective was to assess the impact of nurse training on nurse performance in the clinic and on clients' family planning knowledge, attitudes and contraceptive use. The study was designed to provide usable information to family planning managers in the field within a time period of less than one year. The study results indicate that there is an association between improved family planning training for nurses and positive changes in family planning knowledge, attitudes and behavior among women attending MoH clinics in this study. The greatest relative change occurred in knowledge. Women in the experimental group, relative to the control group, displayed increased knowledge about contraceptives, particularly the pill and the IUD. Attitudinal change was less pronounced. Favorable attitudes toward oral contraceptives and condoms became more prevalent, and reports of husband-wife communication about family planning also increased. Finally, although contraceptive use was already high prior to the nurse training, IUD use increased significantly among women in one governorate.     

Sex preference and fertility: what is the link?

It is argued that investment in programs for changing attitudes toward sex preference may not have the greatest impact on reducing fertility or increasing fertility control. Arnold's new method of analysis of determining sex preference was applied to data from a 1977 Egyptian survey of 36,000 rural households in Menoufia Governorate. Findings indicated that couples increased their use of modern contraceptives in direct proportion to an increase in the number of sons. Arnold determined that a large majority of all couples would have at least one boy early in their childbearing years. Thus sex preference would not have a large effect on fertility. Arnold's analysis among 27 countries found that without any sex preference, contraceptive usage would increase by an average of less than 3.7 percentage points. Arnold found that sex preference was strongest in Asia, particularly in South Korea and Taiwan that already have reduced fertility levels. In Africa, where fertility is high, the total elimination of sex preference would have only a 2.9 percentage point difference in contraceptive use. Sex preference had small effects on the percent of women who practice contraception, the percent who desire no more children, and the average number of additional children wanted. For example, in Bangladesh having no sex preference would show a percentage difference of 1.6 percentage points for contraceptive use, 4.7 percentage points difference for women desiring no more children, and -0.1 percentage point difference for the average number of additional children wanted. The effect of having no sex preference was strongest in India compared with Bangladesh, Indonesia, Nepal, the Philippines, Thailand, Ghana, Kenya, Costa Rica, Haiti, Paraguay, and Peru. The effect of no sex preference in India would have the respective percentage point effect of 3.7, 8.9, and -0.2. Public policy should be directed to information, education, and communication with other social goals.     

Black masculinity matters in attitudes toward gay males

Recent work on attitudes toward homosexuals promotes the view that males typically have more negative attitudes than females; and African Americans have more negative attitudes than their white counterparts. However, among African Americans, women are thought to have the greatest negative attitudes because they perceive themselves as competing for a limited pool of black male partners. This study uses the National Black Politics Study to examine African American gender differences in attitudes toward homosexual men. Multivariate findings show that of the variables analyzed: (1) Among African American females, age, income, education, and urban residence are statistically significant; and (2) among African American males, frequency of religious attendance was the only statistically significant variable. It is, therefore, argued that black masculinity explains the gendered differences and that negative attitudes within the African American community toward gay men contribute to debilitating both the physical and mental health of the entire black community.     

Industrialization,family and fertility: A structural-psychological analysis of the Brazilian case

This paper addresses itself to some linkages between macro-social structure (industrialization, social class), social psychological variables (husband-wife decision making), psychological variables (attitudes), and fertility. A total of 726 currently mated women with proven fertility in five Brazilian communities were interviewed to determine various attitudes, their work experience, their participation in family decisions, their fertility ideals, and actual fertility. The five communities were selected along a rural-urban-industrialization continuum to include a village, two non-industrial cities, and two industrial cities (one of which was Sao Paulo). Family size in the industrial cities was small in all social strata, while in the non-industrial cities family size was large in the lower strata and declined in the upper strata. Further analysis revealed that smaller family size is associated with generally higher levels of status among women—higher educational levels, greater social contacts and more skilled employment, and equality in family decision making. Our analysis supports the hypotheses that industrialization influences fertility through shifts in the social status of women, both in their work and at home. New education and work opportunities facilitate the emergence of modern conceptions of the role of women in society and egalitarian decision making in the family. These attitudes and patterns of husband-wife interaction are related to smaller family size ideals and lower fertility.     

Racial differences in contraceptive choice: Complexity and implications

Previous research has failed to generate consensus about why black fertility has persistently exceeded that of whites in the United States. In an effort to shed light on this question, this article examines black/white differences in sociodemographic factors affecting contraceptive choice. Using data from the 1976 and 1982 National Surveys of Family Growth, we find a complex pattern of black/white differences. Not only does contraceptive choice vary by race, but the effects of such variables as age, marital status, and education also differ between blacks and whites. For example, compared with whites, black married women avoid coital methods, and compared with blacks, white women shift contraceptive behavior more as they change marital status. The complex nature of the racial differences in contraceptive choice are interpreted as reflecting differences in marriage patterns and trends.     

An evaluation of the population and development program in Egypt

Previous rural surveys analyzing the impact of the Egyptian Population and Development Program on KAP variables (knowledge, attitudes, and practices of contraception) have produced mixed results. In 1982 a survey specifically designed to measure program impact contained refinements in questionnaire measurement, sampling, and analysis. Each refinement intensified the apparent program impact. Fertility itself still appears unresponsive, and attitudes toward family size have changed little, but marked differences between program and nonprogram areas in contraceptive knowledge, attitudes, and practice suggest imminent fertility declines in program areas.     

Violence as Mediating Variable in Mental Health Disparities Associated to Sexual Orientation Among Mexican Youths

ABSTRACT

In this study, we explored the role of sex as an effect-modifying variable in the association between sexual orientation and mental health in Mexican youth. In addition, we tested if violent experiences in the family and the school and attitudes toward homosexuality could act as mediating variables in such association. Data from three representative surveys performed in 2007, 2009, and 2013 among Mexican high school students were analyzed. Two dimensions of sexual orientation were evaluated: romantic partnership and sexual behavior. The outcomes were negative and positive mood, suicidal ideation and intent, self-concept, and self-esteem. There were differences by gender because in males, there were more disparities in mental health associated with sexual orientation (suicidal ideation and attempt, negative and positive mood, negative self-concept, and family-related self-esteem) than in females (suicidal ideation and negative mood). Experiences of school violence were mediators in the relationship between sexual orientation and most health outcomes in males.