The Effect of Comprehensive Sexual Education Program on Sexual Health Knowledge and Sexual Attitude Among College Students in Southwest China

Based on data from a probability sample of 912 Latino gay men in 3 U.S. cities, a multivariate model of sexual risk was tested, including experiences of homophobia, racism, and poverty as predictors. Participants reported multiple instances of verbal and physical abuse, rude mistreatment, and discrimination on account of their sexual orientation and their race or ethnicity. Many reported experiences of poverty, such as inability to pay for basic necessities of food or shelter. Men who reported more instances of social discrimination and financial hardship were more psychologically distressed and more likely to participate in "difficult" sexual situations, as predicted. Participation in difficult sexual situations mediates the effects of social oppression and psychological distress on sexual risk behavior. (c) 2004 APA

The measurement of sexual attitudes is important, and ease of scale usability is one key aspect of measurement. This paper details three studies conducted to develop a briefer and thus more efficient version of the multidimensional Sexual Attitudes Scale (43 items). The first two studies (I and II) employed existing data sets to develop a 23-item version of the Sexual Attitudes Scale, using exploratory factor analysis in Study I and confirmatory factor analysis in Study II. The same four subscales of Permissiveness, Birth Control (formerly called Sexual Practices), Communion, and Instrumentality were retained in the 23-item measure, called the Brief Sexual Attitudes Scale. Study III was a prospective data collection using only the 23 items composing the Brief Sexual Attitudes Scale. The four subscales were hypothesized to correlate with a number of relationship measures in predictable ways. Results indicated that the Brief Sexual Attitudes Scale is a reliable and valid measure of the four sexual attitudes, and has strong psychometric properties. It should be effective and efficient for both research and clinical uses.

In China, men who have sex with men (MSM) are at increasingly high risk for HIV. However, prevention efforts targeting this population may be hindered because of the stigma associated with homosexuality in traditional Chinese culture. We conducted qualitative interviews with 30 MSM in Shanghai to better understand the types and sources of stigma and discrimination and how MSM respond to them. The stigma associated with homosexuality can be traced back to four culturally based factors: social status and relationships, the value of family, perceptions of immorality and abnormality, and gender stereotypes of masculinity. In particular, the centrality of the family and the importance of maintaining key relationships caused stress and anxiety, contributing to more frequent encounters with felt stigma. In response, MSM often evaded the scrutiny of family members through various tactics, even prompting some to leave their rural homes. Implications of these findings on HIV/AIDS prevention are discussed.