Women negotiating heterosex: Implications for AIDS prevention

The AIDS epidemic has made it imperative that sexual behaviour be changed. This paper examines heterosexual negotiation, which will form the focus for behaviour change. The processes involved in such negotiation are little understood.Research was carried out using the method memory work, which generated and theorised data relating to women's past experiences in sexual encounters. The method, originated by Haug, provides a way to examine how sexuality is produced and reproduced through reflection and reconstruction of past experiences. Memories are analysed by examining gaps and absences, cliches and metaphors, in the search for the common understandings and taken-for-granted assumptions which set the boundaries within which encounters take place.The memories obtained can be partly understood in terms of three discourses documented by Hollway. These are the male sex drive discourse, the have/hold discourse, and the permissive discourse. The data may also be understood in relation to three permissible figures for women identified in Irigaray's analysis, namely virgin, wife-mother, and whore. The paper acknowledges that these theoretical perspectives are quite distinct, even contradictory, but nevertheless finds that each in its own way illuminates the data. It is shown that some common understandings underlying sexual encounters render negotiation not only impossible but largely unintelligible. The permissive discourse may possibly provide space for some negotiation, but the paper concludes that it is essential to develop a truly woman-centered discourse of sexuality out of which male sexuality can be problematised.     

The nuclear family,ideology and AIDS in the thatcher years

Thanks to Willem De Haan, Pompe Institute, Utrecht University, for his regular intellectually corrective efforts and to my colleague Gillian Douglas for encouraging the solo rewrite and for her helpful suggestions.     

Sex workers’ responses to the HIV and AIDS epidemic in Aotearoa New Zealand

ABSTRACT

This article engages with the voices of women sex workers during the peak of the HIV and AIDS epidemic in New Zealand. The late-1980s saw the formation of the New Zealand Prostitutes’ Collective, a sex worker led organisation that contracted with the government to provide a community-based national response to HIV and AIDS. The article explores the challenges sex workers faced to sustain and implement the use of condoms in their daily professional and personal lives. These included pressure from clients to forego the use of condoms, the risk of carrying condoms amidst the threat of arrest, and the struggle to manage the use of condoms in their personal sex lives. The paper traces both the widespread support for safe sex and the fractures and tensions that emerged as many sex workers mobilised to establish a community-based response to one of the most devastating health crises of the late-twentieth century.     

Adolescents,young adults and AIDS: A study of actual knowledge vs. perceived need for additional information

Adolescents and young adults today are increasingly knowledgeable about AIDS and HIV transmission. However, in several studies substantial confusion is observed especially concerning how HIV is not transmitted and the prophylaxis against AIDS. Additional efforts to answer specific knowledge lacks are still useful. There is, however, no evidence that the actual knowledge level influences the interest in additional information. The aim of this study was to obtain a detailed investigation of the AIDS- and HIV-related knowledge level and the perceived need for additional information and to assess the (absence of an) association between both. Results of factor analysis and canonical correlation analysis confirmed the hypothesized incongruence between actual knowledge and need for additional information. Although respondents indicated that they had received sufficient information or that they were rather indifferent with regard to additional information, answers on knowledge questions showed important misconceptions. Moreover, associations between a specific knowledge scale and a specific information need factor were weak and not significant. The results contradict the importance of a detailed assessment of specific needs for additional information as an explanation for this incongruence and leave the possible role of an overestimation of one's own knowledge level. This study could not answer the question about the failure of traditional school-based sex education to provide youngsters with the information they need. However, a possible explanation for the overestimation of one's knowledge level could be the use of unreliable information sources—such as peers—in combination with a feeling of indifference towards traditional school-based sex education.Receiveddegree fromuniversity. Research interests: determinants of sexual risk (reduction) behaviors among adolescents and young adults. Current interest lies in interpersonal communication between adolescent lovers.     

Knowledge and attitudes about AIDS: A comparison of public high school students,incarcerated delinquents,and emotionally disturbed adolescents

This study compared AIDS knowledge and attitudes in public high school students (N=167), incarcerated delinquents (N=166), and emotionally disturbed (SED) adolescents (N=151). The response measure was a 50-item Acquired Immunodeficiency Syndrome (AIDS) questionnaire that was previously used by Bell et al., in their 1991 study of learning disabled adolescents. Although AIDS knowledge was moderately high in all three groups, widespread misunderstandings about disease transmission and awareness of high-risk groups and practices were noted. Knowledge scores were significantly higher in the public school sample than in the SED adolescents; moreover, they tended to be slightly higher (p<0.10) than the delinquent group as well. Teenagers with the severest emotional problems were by far the least informed. Age and race were also predictive of AIDS knowledge. Other results showed that delinquents were more permissive in their attitudes about sex, more inclined to disdain safe sex practices, and more likely to feel threatened by high-risk groups as well as powerless to protect themselves against AIDS. Generally speaking, the findings extend the work of other investigators on the needs for AIDS education in adolescents. The need is especially urgent in delinquent and emotionally disturbed youth who may require a more comprehensive intervention because of their greater knowledge deficits, propensity for high-risk practices, and tendency to deny or underestimate their own vulnerability.Received Ph.D. in clinical psychology from the University of Utah in Salt Lake City. Research interests include health behavior change and the treatment of anxiety and habit disorders. To whom correspondence should be addressed.Received M.A. degree in psychology from the University of the Pacific. Research interests include health behavior change and medical epidemiology.Received Ph.D. in psychology from the University of Auckland, Auckland, New Zealand. Research interests are in child and adolescent psychiatry and the delivery of mental health services.Received Ph.D. in biostatistics from the Medical College of Virginia. Research interests are in general linear models.