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      The Psychology of AIDS Denialism : Pseudoscience, Conspiracy Thinking, and Medical Mistrust

      research-article
      1
      European Psychologist
      Hogrefe Publishing
      AIDS, AIDS Denialism, denial, pseudoscience, medical misinformation

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          Abstract

          More than 34 million people in the world are living with HIV/AIDS. Each year there are nearly three million new HIV infections and nearly two million AIDS-related deaths. In the face of these staggering statistics, there is a vocal group of individuals who deny reality and claim that HIV is harmless or may not even exist at all. Mirroring the AIDS pandemic itself, AIDS denialism is a threat to public health. AIDS denialism propagates the views of a few rogue scientists through press releases, social media, and a significant presence on the Internet. AIDS Denialists aim to undermine HIV testing, prevention, and treatment. Most tragic has been the adoption of AIDS Denialist views by public officials, perhaps none more infamous than former President of South Africa Thabo Mbeki. This article examines the psychology of AIDS denialism, focusing on its emergence from the earliest days of AIDS and its grounding in conspiracy thinking and medical mistrust. The article also describes the tactics and rhetoric of AIDS denialism and those who are most vulnerable to AIDS Denialist claims. Recommendations are offered for countering AIDS denialism by exposing its fake experts and baseless claims.

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          Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans?

          This study examined endorsement of HIV/AIDS conspiracy beliefs and their relations to consistent condom use and condom attitudes among African Americans. We conducted a telephone survey with a random sample of 500 African Americans aged 15 to 44 years and living in the contiguous United States. A significant proportion of respondents endorsed HIV/AIDS conspiracy beliefs. Among men, stronger conspiracy beliefs were significantly associated with more negative condom attitudes and inconsistent condom use independent of selected sociode-mographic characteristics, partner variables, sexually transmitted disease history, perceived risk, and psychosocial factors. In secondary follow-up analyses, men's attitudes about condom use partially mediated the effects of HIV/AIDS conspiracy beliefs on condom use behavior. HIV/AIDS conspiracy beliefs are a barrier to HIV prevention among African Americans and may represent a facet of negative attitudes about condoms among black men. To counter such beliefs, government and public health entities need to work toward obtaining the trust of black communities by addressing current discrimination within the health care system as well as by acknowledging the origin of conspiracy beliefs in the context of historical discrimination.
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            African Americans' views on research and the Tuskegee Syphilis Study.

            The participation of African Americans in clinical and public health research is essential. However, for a multitude of reasons, participation is low in many research studies. This article reviews the literature that substantiates barriers to participation and the legacy of past abuses of human subjects through research. The article then reports the results of seven focus groups with 60 African Americans in Los Angeles, Chicago, Washington, DC, and Atlanta during the winter of 1997. In order to improve recruitment and retention in research, the focus group study examined knowledge of and attitudes toward medical research, knowledge of the Tuskegee Syphilis Study, and reactions to the Home Box Office production, Miss Evers' Boys, a fictionalized version of the Tuskegee Study, that premiered in February, 1997. The study found that accurate knowledge about research was limited; lack of understanding and trust of informed consent procedures was problematic; and distrust of researchers posed a substantial barrier to recruitment. Additionally, the study found that, in general, participants believed that research was important, but they clearly distinguished between types of research they would be willing to consider participating in and their motivations for doing so.
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              African Americans’ views on research and the Tuskegee Syphilis study

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                Author and article information

                Journal
                epp
                European Psychologist
                Hogrefe Publishing
                1016-9040
                1878-531X
                February 2014
                2014
                : 19
                : 1
                : 13-22
                Affiliations
                [ 1 ] Department of Psychology, University of Connecticut, Storrs, CT, USA
                Author notes
                Seth C. Kalichman, Department of Psychology, University of Connecticut, 406 Babbidge Road, Storrs, CT 06269, USA, +1 860 208-3706, +1 960 486 8706, seth.k@ 123456uconn.edu
                Article
                epp_19_1_13
                10.1027/1016-9040/a000175
                4ca62803-2dad-4d60-b3b6-32e463242ff1
                Copyright @ 2014
                History
                : October 6, 2012
                : July 22, 2013
                Categories
                Original Articles and Reviews

                Psychology,General behavioral science
                medical misinformation,AIDS,AIDS Denialism,denial,pseudoscience
                Psychology, General behavioral science
                medical misinformation, AIDS, AIDS Denialism, denial, pseudoscience

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