When culture and health collide: feminine honor endorsement and attitudes toward catch-up HPV vaccinations in college women.

Sexual promiscuity stigma constitutes a significant barrier which prevents young women from receiving catch-up human papillomavirus (HPV) vaccinations. Our objective was to explore how this stigma may be particularly detrimental to women in cultures of honor, where women are expected to maintain a reputation of sexual purity.Participants were a sample of 182 young women who had not previously received an HPV vaccination.We measured feminine honor endorsement, HPV sexual promiscuity stigma, HPV vaccination shame, HPV vaccination intentions, and a set of covariates.Analyses revealed that the significant association between feminine honor endorsement and HPV vaccination intentions is fully explained by HPV sexual purity stigma and HPV vaccination shame.These findings indicate that honor-endorsing women are significantly impacted by sexual purity stigma, minimizing intentions to receive HPV vaccinations. These findings also highlight the need for the inclusion of cultural factors in the study of HPV vaccine uptake.

Damaged Masculinity: How Honor Endorsement Can Influence Prostate Cancer Screening Decision-Making and Prostate Cancer Mortality Rates.

Prior research has established factors that contribute to the likelihood that men seek out prostate cancer screenings. The current study addresses how endorsing the ideology found in cultures of honor may serve as a barrier to prostate cancer screenings. Two studies were conducted which analyzed the impact of stigma on men's decisions to seek out prostate cancer screenings (Study 1) as well as how prostate cancer deaths may be higher in the culture of honor regions due to men's reticence to seek out screenings (Study 2). Results suggest that older, honor-endorsing men are less likely to have ever sought out a prostate cancer screening due to screening stigma and that an honor-oriented region (southern and western United States) displays higher rates of prostate cancer death than a non-honor-oriented region (northern United States). These findings suggest that honor may be a cultural framework to consider when practitioners address patients' screening-related concerns.

The impact of snapchat usage on drunkorexia behaviors in college women.

ObjectiveResearch has shown the deleterious effects of drunkorexia behaviors. The goal of this project was to examine the impact of college women's Snapchat usage on drunkorexia behavior frequencies and motives, through comparing one's body to others and internal drives for thinness.Participants636 college women (Study 1 N = 109, Study 2 N = 527) were recruited from a large research institution in the Southwestern U.S.MethodsParticipants completed an online survey regarding Snapchat usage, body comparison indices, drive for thinness, and drunkorexia behaviors and motives.ResultsFindings support the hypotheses that Snapchat usage impacts drunkorexia behaviors in general (Study 1), and specific drunkorexia motives (Study 2). These effects were mediated by an index of body comparisons and drive for thinness.ConclusionsCollege women may be at risk for drunkorexia due to their experiences on social media. Aspects of the platform may be pushing women toward disturbed eating habits.

Feminine honor endorsement and young women's STI screenings.

Research has identified stigma as a significant barrier to seeking out STI screenings. Such stigma for women typically includes perceptions of sexual promiscuity or lack of loyalty to one's partner, which may ultimately lead women to be reluctant to receive an actual screening. The current study analyzed whether feminine honor endorsement, which is centered around maintaining a reputation of sexual chastity, might decrease women's likelihood to seek out an STI screening. Using a sample of 228 college women in the Southern United States, the researchers assessed levels of feminine honor endorsement, likelihood to seek out an STI screening, STI screening stigma, and STI screening shame. Results indicate that feminine honor endorsement does decrease the likelihood to seek out STI screenings for young women, and that this association is mediated by sexual purity stigma and shame (Mediated Effect-ME = -.02, SE = .01, 95% CI [-.045, -.003], p < .05). These findings reveal a culturally specific barrier for women who are soon to be in an age group where STIs occur most frequently, perhaps making this cultural mindset particularly problematic for this population. Implications for programs to increase STI screening rates in higher-risk populations are discussed.

Affective and Cognitive Attitudes on Cervical Health Behaviors Among Asian American Women.

Cervical cancer is a major cause of death for Vietnamese and Korean American women, yet their screening rates remain low. This study explored factors influencing cervical health behaviors of these populations, using a 2-dimensional model (ie, affect and cognition) of attitude structure approach. Semistructured interviews were conducted with 33 participants. A semantic content analysis was used to identify major codes and themes across the transcripts. Multiple aspects of both negative and positive affect and cognition, which led to 3 different cervical health behaviors (avoidance, ambivalence, and acceptance), emerged from the interviews. The clinical implications of these findings are discussed.

Searching for God: Illness-Related Mortality Threats and Religious Search Volume in Google in 16 Nations.

We tested predictions about religiosity and terror management processes in 16 nations. Specifically, we examined weekly variation in Google search volume in each nation for 12 years (all weeks for which data were available). In all 16 nations, higher than usual weekly Google search volume for life-threatening illnesses (cancer, diabetes, and hypertension) predicted increases in search volume for religious content (e.g., God, Jesus, prayer) in the following week. This effect held up after controlling for (a) recent past and annual variation in religious search volume, (b) increases in search volume associated with religious holidays, and (c) variation in searches for a non-life-threatening illness ("sore throat"). Terror management threat reduction processes appear to occur across the globe. Furthermore, they may occur over much longer periods than those studied in the laboratory. Managing fears of death via religious belief regulation appears to be culturally pervasive.

Culture, Masculine Honor, and Violence Toward Women.

Prior research has connected the cultural ideology of honor to intrasexual violence between men and to attitudes supporting intersexual aggression in response to perceived honor violations by female romantic partners. We extend this research to show that honor ideology is also associated with an increased likelihood of men actually engaging in violent and sexually coercive behaviors toward women. Extending previous research on honor-based schemas and scripts linked to relationship violence, comparisons between honor states and non-honor states in the United States show that official rape and domestic homicide rates by White male perpetrators (Study 1) and experiences of rape and violence in relationships anonymously reported by White female teenagers (Study 2) were higher in honor states, controlling for a variety of potential confounds. These results extend prior laboratory research on honor-based schemas and scripts into the realm of extreme, real-world behaviors.

Psychometric Properties of a Measure Assessing Attitudes and Norms as Determinants of Intention to Use Oral Contraceptives.

PURPOSE: Asian immigrant and Asian American women are less likely to use oral contraceptives (OCs) and tend to rely on low-efficacy methods of contraception. This contraceptive pattern remains poorly understood, in part, because no theory-driven measurement exists to assess psychosocial determinants essential in explaining behaviors related to OC use in this population. The current study aimed to evaluate the psychometric properties of a measure of attitudes and subjective norms toward OC use among Korean American women as a first step to determine whether the measure can be used in this population and, potentially, in other Asian ethnic groups. METHODS: The sample consisted of 329 Korean immigrant women living in New York City. The theory of reasoned action guided the development of the measure assessing attitudes and norms. Psychometric evaluation included item analysis, internal consistency estimates of reliability, and construct validity (i.e., factorial, discriminant, and predictive). RESULTS: All item-total correlations were above the recommendation of .30. The Cronbach's alpha for the attitudes and subjective norms measure was .88 and .86, respectively. Exploratory factor analyses revealed four interpretable factors, and confirmatory factor analyses confirmed that the factor structures derived from the exploratory factor analyses fit the data well. Discriminant and predictive validity of the measure were also established. CONCLUSIONS: The study provides support for the validity and reliability of the measure and its use for determining the degree to which Korean immigrant women intend to use OCs.

Feasibility of Utilizing Ethnic Beauty Salons for Cervical Cancer Screening Education.

The purpose of this study was to assess the feasibility of using ethnic beauty salons to reach out to Vietnamese and Korean American women for cervical cancer screening education. Participants (N = 62) were conveniently recruited from ethnic beauty salons located in Albuquerque, New Mexico. Two feasibility questionnaires were separately administered to cosmetologists and their customers. Findings support the view that ethnic beauty salons can be used as a gateway to reach out to these populations, and cosmetologists have the potential to operate as community lay health workers to deliver cervical cancer screening education aimed at reducing disparities in cervical cancer and screening to their ethnic customers.

Socioecological perspectives on cervical cancer and cervical cancer screening among Asian American women.

Although cervical cancer is one of the most commonly diagnosed cancers among Vietnamese American women (VAW) and Korean American women (KAW), both groups consistently report much lower rates of cervical cancer screening compared with other Asian ethnic subgroups and non-Hispanic Whites. This study aimed to explore multilevel factors that may underlie low screening rates among VAW and KAW living in a city where their ethnic communities are relatively small. The socioecological model was used as a conceptual framework. Thirty participants were conveniently recruited from ethnic beauty salons run by VA and KA cosmetologists in Albuquerque, New Mexico. The participants' average age was 44.6 years (SD = .50; range = 21-60). Most participants were married (80 %) and employed (73.3 %), and had health insurance (83.3 %). A qualitative interview was conducted in Vietnamese or Korean and transcribed verbatim. A thematic content analysis was used to identify major codes, categories, and patterns across the transcripts. The study identified several factors at the individual (e.g., pregnancy, poverty, personality), interpersonal (e.g., family responsibility, mother as influential referent), and community (e.g., lack of availability, community size) levels. The study sheds light on four major areas that must be taken into consideration in the development of culturally appropriate, community-based interventions aimed to reduce disparities in cervical cancer screening among ethnic minority women in the United States: (1) ethnic community size and geographic location; (2) cross-cultural similarities and dissimilarities; (3) targeting of not only unmarried young women, but also close referents; and (4) utilization of trusted resources within social networks.

Naming patterns reveal cultural values: patronyms, matronyms, and the U.S. culture of honor.

Four studies examined the hypothesis that honor norms would be associated with a pronounced use of patronyms, but not matronyms, for naming children. Study 1 shows that men who endorse honor values expressed a stronger desire to use patronyms (but not matronyms) for future children, an association that was mediated by patriarchal attitudes. Study 2 presents an indirect method for assessing state patronym and matronym levels. As expected, patronym scores were significantly higher in honor states and were associated with a wide range of variables linked previously to honor-related dynamics. Study 3a shows that following the terrorist attacks of 9/11, patronyms increased in honor states, but not in non-honor states. Likewise, priming men with a fictitious terrorist attack (Study 3b) increased the association between honor ideology and patronym preferences. Together, these studies reveal a subtle social signal that reflects the masculine values of an honor culture.

The surprising potency of implicit egotism: A reply to Simonsohn.

This article addresses Simonsohn's (2011) critique of field studies of implicit egotism. We argue that Simonsohn provides no compelling theoretical reason to believe that implicit egotism should be valid only in the laboratory. In addition, we argue that a careful analysis of most of Simonsohn's studies of implicit egotism shows that they provide little or no power to reveal real effects of implicit egotism. We conclude that it is more constructive to try to identify theoretically derived moderators of implicit egotism than to try to document that it is always spurious in the field.

The relationship between acculturation and oral contraceptive use among Korean immigrant women.

We explored the relationship between acculturation and beliefs, attitudes, norms, and intention regarding oral contraceptive use among Korean immigrant women using acculturation and the theory of reasoned action (TRA) as the frameworks. A total of 1,494 Korean surname-based telephone numbers were sampled in New York City. One hundred forty-five Korean immigrant women completed a telephone survey. The findings support the assumption that acculturation affects intention to use oral contraceptives indirectly only through one or more of the TRA components. Acculturation could function as an antecedent to changes in beliefs, attitudes, norms, and intention in this population. Acculturation assessment tools could provide health professionals insight into how to better approach this population on such culturally sensitive health issues as contraceptive use.

Forgiveness and the need to belong.

People who experience a strong need to belong might be particularly inclined to forgive wrongdoings to preserve social bonds. Three studies that utilized different methods and measures of forgiveness consistently demonstrated this is not the case. The authors found that individuals high in the need to belong report practicing forgiveness with less frequency and value it no more than those low in the need to belong (Study 1). In Study 2, they found that satisfying the need to belong led participants to express greater willingness to forgive hypothetical offenses compared to participants in a control group. Finally, in Study 3, the authors linked the need to belong to forgiveness of specific transgressions and found that this negative relationship was mediated by offense-related anger and perceptions of offense severity. These findings suggest that needing to belong paradoxically interferes with forgiveness, even though forgiving could promote the satisfaction of belongingness needs following transgressions.

No man is an island: the need to belong and dismissing avoidant attachment style.

The need to belong theory proposes that all human beings need social connections. However, dismissive avoidant individuals claim to be comfortable without close relationships and appear to be indifferent to how other people think of them. The current studies examined the association between dismissing avoidant attachment and the desire to feel accepted by others. In Study 1, high-dismissive participants reported experiencing higher than average levels of positive affect and state self-esteem after learning that other participants accepted them. In Study 2, high-dismissive participants felt better about themselves and experienced higher levels of positive affect after learning that in the future they would be successful in interpersonal relative to independent domains or controls. The results of these studies suggest that dismissive avoidants do not represent a counterexample to the hypothesis that all human beings have a fundamental need and desire to belong.

When fiends become friends: the need to belong and perceptions of personal and group discrimination.

The present article examines the role that the need to belong (NTB) plays in people's judgments of personal and group discrimination and in the attributions people make for potentially discriminatory evaluations. The authors hypothesized that the NTB motivates people to conclude that (a) whereas they rarely experience personal discrimination, (b) their fellow in-group members do experience discrimination. In Study 1, people high in the NTB reported experiencing lower than average levels of personal and higher than average levels of group discrimination. In Study 2, an experimental manipulation of the NTB yielded similar results. In Study 3, women who were motivated to be accepted by a bogus male participant were less likely to attribute his negative evaluations of their work to prejudice.

How I see me depends on how I see we: the role of attachment style in social comparison.

The self-concept is a social, flexible construct that shifts in response to the salience of a relationship partner. Three related experiments found that the tendency to pursue closeness in relationships (as measured by attachment style) served as a moderator of the shift. Specifically, individuals who avoid closeness in relationships became less similar to salient friends via contrast effects, whereas those who pursued closeness in relationships became more similar to salient friends via assimilation effects. Results are discussed in terms of their implications for the nature of the self-concept and the importance of friendships.

How do I love thee? Let me count the Js: implicit egotism and interpersonal attraction.

From the perspective of implicit egotism people should gravitate toward others who resemble them because similar others activate people's positive, automatic associations about themselves. Four archival studies and 3 experiments supported this hypothesis. Studies 1-4 showed that people are disproportionately likely to marry others whose first or last names resemble their own. Studies 5-7 provided experimental support for implicit egotism. Participants were more attracted than usual to people (a) whose arbitrary experimental code numbers resembled their own birthday numbers, (b) whose surnames shared letters with their own surnames, and (c) whose jersey number had been paired, subliminally, with their own names. Discussion focuses on implications for implicit egotism, similarity, and interpersonal attraction.

Assessing the validity of implicit egotism: a reply to Gallucci (2003).

B. W. Pelham, M. C. Mirenberg, and J. T. Jones (2002) argued that most people prefer stimuli that are associated with the self, a preference they called implicit egotism. In support of implicit egotism, Pelham et al presented evidence from 10 archival studies showing that people gravitate toward careers and places of residence that resemble their names or birthday numbers. M. Gallucci (2003) argued that alternate analyses of the same data provide strong evidence against implicit egotism. Whereas Gallucci was correct that Pelham et al's original analyses were flawed, their results remain significant even when more conservative tests are used. The authors also present new data in support of implicit egotism, including exhaustive studies of (a) common surnames and US city names and (b) common surnames and street names. The new studies also revealed that as sample sizes grow larger, studies are more likely to produce evidence of implicit egotism.