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Stigma Towards Homosexuality and AIDS Among Students of a Large Hispanic-Serving University

  • Soumyadeep Mukherjee
  • Sheila McKinney
  • William Darrow
Original Paper

Abstract

Homosexuality and AIDS-related stigma lead to failures in testing, disclosure of HIV status, and treatment for HIV. This study explored stigma towards AIDS and homosexuality among students of a large Hispanic-serving university in the southeastern United States (US). An online anonymous survey was emailed to 8000 randomly selected students. Two multiple choice questions about attitudes towards a professor with AIDS and a gay classmate were analyzed using Chi-square tests, simple and multivariable logistic regression to examine the association of stigma with other factors. Most (60%) of the 632 respondents were women. Only 7.8% of study participants reported stigmatizing attitudes of wanting to drop a class, sitting further away from, or feeling less comfortable in a class with a professor diagnosed with AIDS. Similarly, 7.8% of respondents would stigmatize a gay classmate by trying to avoid social contact or feeling uncomfortable talking with him. Males (adjusted odds ratio [AOR] 3.71, 95% confidence interval [CI] 1.95, 7.04) and non-Hispanic students (AOR 2.03, 95% CI 1.08, 3.81) had a higher—and those born in the US had a lower (AOR 0.43, 95% CI 0.23, 0.81)—odds of stigmatizing a gay classmate. No variables were significantly associated with stigmatizing attitudes towards a professor with AIDS. Stigmatizing attitudes towards a faculty member with AIDS or a gay classmate do not appear to be a major problem among students at this Hispanic-serving university. Interventions designed to further reduce gay-related stigma might focus on non-Hispanic young men who are born outside of the United States.

Keywords

AIDS Sexual minorities Stigma Students Universities 

Notes

Acknowledgements

The authors thank our student colleagues, Anamika Batra, Kemesha Gabbidon, Kathleen McInvale, Muni Rubens, Elena Sebekos, Hideaki Tanaka, and Meredith Wilcox, who contributed to the conceptualization and implementation of the SBHS-Web. We also extend our appreciation to Dr. Adriana Campa, Dr. Consuelo Boronat, Dr. Oscar Loynaz, and Ms. Dona Walcott for their guidance and support during the course of the study. Finally, we want to acknowledge the essential contribution of 632 study participants, who willingly and without compensation agreed to take a few minutes to tell us about themselves and help create a better learning environment for everyone to enjoy.

References

  1. Almeida, J., Johnson, R. M., Corliss, H. L., Molnar, B. E., & Azrael, D. (2009). Emotional distress among LGBT youth: The influence of perceived discrimination based on sexual orientation. Journal of Youth and Adolescence, 38(7), 1001–1014.CrossRefGoogle Scholar
  2. American College Health Association. (2014). http://www.acha-ncha.org/overview.html. Accessed 21 June 2017.
  3. Andrewin, A., & Chien, L. Y. (2008). Stigmatization of patients with HIV/AIDS among doctors and nurses in Belize. AIDS Patient Care and STDs, 22(11), 897–906.CrossRefGoogle Scholar
  4. Anglewicz, P., & Chintsanya, J. (2011). Disclosure of HIV status between spouses in rural Malawi. AIDS Care, 23(8), 998–1005.CrossRefGoogle Scholar
  5. Bauermeister, J. A., Morales, M., Seda, G., & González-Rivera, M. (2007). Sexual prejudice among Puerto Rican young adults. Journal of Homosexuality, 53(4), 135–161.CrossRefGoogle Scholar
  6. Berghe, W. V., Dewaele, A., Cox, N., & Vincke, J. (2010). Minority-specific determinants of mental well-being among lesbian, gay, and bisexual youth. Journal of Applied Social Psychology, 40(1), 153–166.CrossRefGoogle Scholar
  7. Blendon, R. J., Donelan, K., & Knox, R. A. (1992). Public opinion and AIDS: Lessons for the second decade. JAMA, 267(7), 981–986.CrossRefGoogle Scholar
  8. Bowser, B. P., Quimby, E., & Singer, M. (2007). When communities assess their AIDS epidemics: Results of rapid assessment of HIV/AIDS in eleven US cities. New York, NY: Lexington.Google Scholar
  9. Burn, S. M. (2000). Heterosexuals’ use of “fag” and “queer” to deride one another: A contributor to heterosexism and stigma. Journal of Homosexuality, 40(2), 1–11.CrossRefGoogle Scholar
  10. Centers for Disease Control and Prevention. (2000). HIV-related knowledge and stigma—United States, 2000. MMWR. Morbidity and Mortality Weekly Report, 49(47), 1062.Google Scholar
  11. Centers for Disease Control and Prevention. (2015). State HIV Prevention Progress Report, 2010–2013. www.cdc.gov/hiv/pdf/policies/porgressreports/cdc-hiv-stateprogressreport.pdf. Published December 2015. Accessed 20 June 2017.
  12. Centers for Disease Control and Prevention. (2017). State Health Profiles. https://www.cdc.gov/nchhstp/stateprofiles/default.htm. Accessed 20 June 2017.
  13. Cohall, A., Kassotis, J., Parks, R., Vaughan, R., Bannister, H., & Northridge, M. (2001). Adolescents in the age of AIDS: Myths, misconceptions, and misunderstandings regarding sexually transmitted diseases. Journal of the National Medical Association, 93(2), 64–69.Google Scholar
  14. Crawford, A. M. (1996). Stigma associated with AIDS: A meta-analysis. Journal of Applied Social Psychology, 26(5), 398–416.CrossRefGoogle Scholar
  15. Darrow, W. W., Montanea, J. E., & Gladwin, H. (2009). AIDS-related stigma among Black and Hispanic young adults. AIDS and Behavior, 13(6), 1178–1188.CrossRefGoogle Scholar
  16. Diaz, R. M., & Ayala, G. (2001). Social discrimination and health: The case of Latino gay men and HIV risk. Washigton, DC: Policy Institute of the National Gay and Lesbian Task Force.Google Scholar
  17. Duff, P., Kipp, W., Wild, T. C., Rubaale, T., & Okech-Ojony, J. (2010). Barriers to accessing highly active antiretroviral therapy by HIV-positive women attending an antenatal clinic in a regional hospital in western Uganda. Journal of the International AIDS Society, 13(1), 37–45.CrossRefGoogle Scholar
  18. Emlet, C. A. (2006). A comparison of HIV stigma and disclosure patterns between older and younger adults living with HIV/AIDS. AIDS Patient Care & STDs, 20(5), 350–358.CrossRefGoogle Scholar
  19. Florida Department of Health, HIV/AIDS Section. (2017). AIDS cases. http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalHIVAIDSViewer.aspx?cid=0141. Accessed 20 June 2017.
  20. Goffman, E. (2009). Stigma: Notes on the management of spoiled identity. New York, NY: Simon and Schuster.Google Scholar
  21. Greene, B. (1994). Ethnic-minority lesbians and gay men: Mental health and treatment issues. Journal of Consulting and Clinical Psychology, 62(2), 243–251.CrossRefGoogle Scholar
  22. Herek, G. M. (1999). AIDS and stigma. American Behavioral Scientist, 42(7), 1106–1116.CrossRefGoogle Scholar
  23. Herek, G. M. (2009). Sexual stigma and sexual prejudice in the United States: A conceptual framework. In D. A. Hope (Ed.), Contemporary perspectives on lesbian, gay, and bisexual identities (pp. 65–111). New York, NY: Springer.CrossRefGoogle Scholar
  24. Herek, G. M., & Capitanio, J. P. (1992). A second decade of stigma: Public reactions to AIDS in the United States, 19901991. http://psychology.ucdavis.edu/rainbow/html/aids_stigma_paper.html. Accessed 23 June 2017.
  25. Herek, G. M., & Capitanio, J. P. (1993). Public reactions to AIDS in the United States: A second decade of stigma. American Journal of Public Health, 83(4), 574–577.CrossRefGoogle Scholar
  26. Herek, G. M., & Capitanio, J. P. (1996). “Some of my best friends:” Intergroup contact, concealable stigma, and heterosexuals’ attitudes toward gay men and lesbians. Personality and Social Psychology Bulletin, 22(4), 412–424.CrossRefGoogle Scholar
  27. Herek, G. M., Capitanio, J. P., & Widaman, K. F. (2002). HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991–1999. American Journal of Public Health, 92(3), 371–377.CrossRefGoogle Scholar
  28. Herek, G. M., Capitanio, J. P., & Widaman, K. F. (2003). Stigma, social risk, and health policy: Public attitudes toward HIV surveillance policies and the social construction of illness. Health Psychology, 22(5), 533.CrossRefGoogle Scholar
  29. Herek, G. M., & Gonzalez-Rivera, M. (2006). Attitudes toward homosexuality among US residents of Mexican descent. Journal of Sex Research, 43(2), 122–135.CrossRefGoogle Scholar
  30. Herek, G. M., & McLemore, K. A. (2013). Sexual prejudice. Annual Review of Psychology, 64, 309–333.CrossRefGoogle Scholar
  31. Korhonen, T., Kylmä, J., Houtsonen, J., Välimäki, M., & Suominen, T. (2012). University students’ knowledge of, and attitudes towards, HIV and AIDS, homosexuality and sexual risk behaviour: A questionnaire survey in two Finnish Universities. Journal of Biosocial Science, 44(6), 661–675.CrossRefGoogle Scholar
  32. Lekas, H. M., Siegel, K., & Schrimshaw, E. W. (2006). Continuities and discontinuities in the experiences of felt and enacted stigma among women with HIV/AIDS. Qualitative Health Research, 16(9), 1165–1190.CrossRefGoogle Scholar
  33. Ma, W., Detels, R., Feng, Y., Wu, Z., Shen, L., Li, Y., et al. (2007). Acceptance of and barriers to voluntary HIV counselling and testing among adults in Guizhou province, China. AIDS (London, England), 21(Suppl 8), S129–S135.CrossRefGoogle Scholar
  34. Mishna, F., Newman, P. A., Daley, A., & Solomon, S. (2009). Bullying of lesbian and gay youth: A qualitative investigation. British Journal of Social Work, 39(8), 1598–1614.CrossRefGoogle Scholar
  35. Pew Research Center. (2013). A survey of LGBT Americans. http://www.pewsocialtrends.org/2013/06/13/a-survey-of-lgbt-americans/. Accessed 21 June 2017.
  36. Pickles, D., King, L., & Belan, I. (2012). Undergraduate nursing student’s attitudes towards caring for people with HIV/AIDS. Nurse Education Today, 32(1), 15–20.CrossRefGoogle Scholar
  37. Price, V., & Hsu, M. L. (1992). Public opinion about AIDS policies: The role of misinformation and attitudes toward homosexuals. Public Opinion Quarterly, 56(1), 29–52.CrossRefGoogle Scholar
  38. Pulerwitz, J., Michaelis, A., Weiss, E., Brown, L., & Mahendra, V. (2010). Reducing HIV-related stigma: Lessons learned from Horizons research and programs. Public Health Reports, 125(2), 272–281.CrossRefGoogle Scholar
  39. Rosenburg, N., Taliaferro, D., & Ercole, P. (2012). HIV-related stigma among nursing students in Cameroon. Journal of the Association of Nurses in AIDS Care, 23(2), 170–176.CrossRefGoogle Scholar
  40. Sartorius, N. (2007). Stigmatized illnesses and health care. Croatian Medical Journal, 48(3), 396.Google Scholar
  41. Sigelman, C. K., Howell, J. L., Cornell, D. P., Cutright, J. D., & Dewey, J. C. (1991). Courtesy stigma: The social implications of associating with a gay person. The Journal of Social Psychology, 131(1), 45–56.CrossRefGoogle Scholar
  42. Sohler, N., Li, X., & Cunningham, C. (2007). Perceived discrimination among severely disadvantaged people with HIV infection. Public Health Reports, 122(3), 347–355.CrossRefGoogle Scholar
  43. St. Lawrence, J. S., Husfeldt, B. A., Kelly, J. A., Hood, H. V., & Smith, S., Jr. (1990). The stigma of AIDS: Fear of disease and prejudice toward gay men. Journal of Homosexuality, 19(3), 85–102.CrossRefGoogle Scholar
  44. Valdiserri, R. O. (2002). HIV/AIDS stigma: An impediment to public health. American Journal of Public Health, 92(3), 341–342.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Soumyadeep Mukherjee
    • 1
  • Sheila McKinney
    • 2
  • William Darrow
    • 3
  1. 1.Program in Public HealthStony Brook UniversityStony BrookUSA
  2. 2.Global Health Equity ScholarFlorida International UniversityMiamiUSA
  3. 3.Department of Health Promotion and Disease PreventionFlorida International UniversityMiamiUSA

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