Graduate Nursing Students' Attitudes Toward Gay and Hemophiliac Men with AIDS

Abstract

Subjects were 180 registered nurses enrolled in a master's nursing program. By random assignment, each read one of six versions of a vignette about a male patient. Vignettes differed in terms of patient's diagnosis (AIDS of unspecified origin, AIDS in a hemophiliac infected by blood transfusion, and leukemia) and sexual preference (gay or heterosexual). Nurses evaluated the patient on two scales, one involving judgments of patients and the other concerning willingness to interact socially with them. The hemophiliac/AIDS and leukemia patients were judged significantly less responsible for and less deserving of their illnesses than was the patient with AIDS of unspecified origin (p < .001). However, all three diagnostic categories were considered equally deserving of the best possible care. Both categories of AIDS patients were stigmatized in terms of certain social interactions. There was also some weak evidence of antigay bias. Implications for theory and practice are discussed.

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References

Alexander, C. , & Becker, H. (1978). The use of vignettes in survey research. Public Opinion Quarterly, 42, 93-104.

Batchelor, W. (1984). AIDS: A public health and psychological emergency. American Psychologist, 39, 1279-1284.

Damrosch, S. (1984). Graduate nursing students' attitudes toward sexually active older persons. Gerontologist 24, 299-302.

Fowler, M. (1988). Acquired immunodeficiency syndrome and refusal to provide care. Heart and Lung, 17, 213-215.

Herek, G. , & Glunt, E. (1988). An epidemic of stigma. American Psychologist, 43, 886-891.

Jones, T. V. , Gerrity, M. , & Earp, J. (1990). Written case simulations: Do they predict physicians' behavior? Journal of Clinical Epidemiology, 43, 805-815.

Kelly, J. , St. Lawrence, J. , Hood, H. , Smith, S. , & Cook, D. (1988). Nurses' attitudes toward AIDS. The Journal of Continuing Education in Nursing, 19, 78-83.

Kelly, J. , St. Lawrence, J. , Smith, S. , Hood, H. , & Cook, D. (1987a). Medical students' attitudes toward AIDS and homosexual patients. Journal of Medical Education, 62, 549-556.

Kelly, J. , St. Lawrence, J. , Smith, S. , Hood, H. , & Cook, D. (1987b). Stigmatization of AIDS patients by physicians. American Journal of Public Health, 77, 789-791.

10.

Kogan, N. (1979). Beliefs, attitudes, and stereotypes about old people. Research on Aging, 1, 11-36.

11.

Kolata, G. (1991, June 18). Experts debate if AIDS epidemic has at last crested in the U.S. The New York Times, p. C1-C1.

12.

Landers, S. (1989, November). AIDS stigma reaches epidemic proportions. APA Monitor, p. 5-5.

13.

Lawrence, S. , & Lawrence, R. (1989). Knowledge and attitudes about acquired immunodeficiency syndrome in nursing and nonnursing groups. Journal of Professional Nursing, 5, 92-101.

14.

Nie, N. , Hull, C. , Jenkins, J. , Steinbrenner, K. , & Bent, D. (1975). Statistical package for the social sciences (2nd ed.). New York: McGraw-Hill.

15.

Polit, D. , & Hungler, B. (1983). Nursing research (2nd ed.). Philadelphia: Lippincott.

16.

Rosenthal, E. (1990, November 11). Practice of medicine is changing under specter of the AIDS virus. The New York Times, pp. 1-1, 32-32.

17.

van Servellen, G. , Lewis, C. , & Leake, B. (1988). Nurses' responses to the AIDS crisis: Implications for continuing education programs. The Journal of Continuing Education in Nursing, 19, 4-8.

18.

Vital statistics . (1989, January 10). The Washington Post, p. 5-5.

19.

Weiner, B. , Perry, R. , & Magnusson, J. (1988). An attributional analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55, 738-748.