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The present study examined how perceived HIV-related stigma (how much HIV-infected persons believe that the public stigmatizes someone with HIV) influences both reasons for and against HIV disclosure and self-reports of HIV disclosure to a friend, intimate partner and a parent. The research participants were 145 men and women living with HIV. They were asked to recall when they first learned about their HIV diagnosis. Then they indicated how much specific reasons might have influenced disclosing or not disclosing about the HIV diagnosis to a friend, intimate partner and a parent. Findings, based on the total sample, indicated that perceived HIV-related stigma was associated with the endorsement of various reasons against disclosing to a friend and a parent, including concerns about self-blame, fear of rejection, communication difficulties and a desire to protect the other person. Perceived HIV-related stigma was not associated with the endorsement of any reasons for disclosing to a friend, intimate partner or a parent, including catharsis, test other's reactions, duty to inform/educate, similarity and a close/supportive relationship with the other. In addition, perceived HIV-related stigma predicted self-reports of disclosure to a parent but not to a friend or intimate partner. Specific reasons for and against self-disclosure predicted HIV disclosure based on the type of relationship with the potential disclosure recipient. The data analyses were also stratified by gender; these results were, with some exceptions, consistent with the findings with the total sample. The research introduces scales that quantify individuals' reasons for HIV disclosure and/or nondisclosure.

Understanding the effect of messages and other influences on health decision-making has the potential to decrease risky behavior such as tanning bed use. This study explores the effect of type of evidence, self-assessments of risk for skin cancer, and personality factors on intention to use and use of tanning beds among Caucasian female college students. Specifically, it targeted the perceived susceptibility component of the Health Belief Model and its impact on intention to tan as well as changes in actual tanning behavior. College students (N=141) in the southeast United States read randomly assigned messages and self-assessments, filled out surveys, and were later contacted for a follow-up telephone survey. The statistical message was rated higher on information value and also resulted in decreased intention to tan, decreased tanning behavior, and increased perceived susceptibility to skin cancer. The narrative message, in contrast, increased perceptions of realism and also worked to decrease intentions to tan. Additionally, the self-assessment manipulation resulted in increased susceptibility and decreased intention to tan and post tanning behavior. Personality factors explained small portions of variance. Key limitations and directions for future research are also addressed.

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This study was focused on the extent to which sex, gender, and attitudes toward sexuality influenced the amount and quality of sexual communication within 698 heterosexual dating couples. Women reported more dyadic sexual negotiation but less sexual negotiation efficacy than their male partners, and individuals with less traditional attitudes toward gender roles and sexuality indicated that they discussed more sexual issues and disclosed more sexual information with their partners. Couples with more dyadic sexual communication and sexual assertiveness (but lesser negotiation efficacy) reported increased relational satisfaction. We frame the findings from a script perspective, and our results suggest that individuals who selfdisclose important information about sexual issues contribute to the effectiveness of sexual communication in a dating relationship.Notions about gender influence individuals' discussions about sex in personal relationships. North American mainstream culture, among others, socializes individuals to advocate for a pleasure-centered or recreational focus on sexuality for men and a person-centered or relational orientation toward sexuality for women (DeLamater, 1987). This socialization still predominates, although women's and men's sexual activity actually appears to be more similar than different (cf. Oliver & Hyde, 1993).