Women may respond to being sexual objectified in different ways, such as confronting the perpetrator, ignoring the action, blaming oneself or considering the action as flattering. However, there has ...been little research looking at what predicts each of these different responses. The present research assessed the role of emotions in promoting and deterring different anticipated responses to sexual objectification. In both Studies 1 (
n
= 189) and 2 (
n
= 187), female participants were asked to imagine themselves in a situation where they received an inappropriate sexual comment. Participants then rated the emotions they believed they would feel and how they thought they would act in the situation. I found that expecting feelings of anger resulted in women thinking they would confront the perpetrator (i.e., undertake an active response) and that expecting disgust negatively predicted the belief that they would view the action as flattering (i.e., anticipate a benign response). By contrast, expecting shame resulted in women believing they would blame themselves (i.e., undertake a self-blame response). Study 2 also found that expecting pride was positively associated with anticipating a benign response. These findings suggest that the emotions that women expect to feel influence their anticipated responses to sexual objectification. It is, therefore, important to consider the emotional reactions that women have to instances of sexual objectification.
Routine, population-wide cervical screening programmes reduce cervical cancer incidence and mortality. However, socioeconomically deprived communities and ethnic minority groups typically have lower ...uptake in comparison to the general population and thus are described as 'underserved.' A systematic qualitative literature review was conducted to identify relevant determinants of participation for these groups.
Online databases were searched for relevant literature from countries with well-established, call-recall screening programmes. Overall, 24 articles were eligible for inclusion. Data was synthesized via Framework synthesis. Dahlgren & Whitehead's social model of health was used as a broad a priori coding framework.
Participation was influenced by determinants at multiple levels. Overall, patient-provider relationships and peer support facilitated engagement. Cultural disparities, past healthcare experience and practical barriers hindered service access and exacerbated negative thoughts, feelings and attitudes towards participation. Complex interrelationships between determinants suggest barriers have a cumulative effect on screening participation.
These findings present a framework of psychosocial determinants of cervical screening uptake in underserved women and emphasise the role of policy makers and practitioners in reducing structural barriers to screening services. Additional work, exploring the experience of those living within socioeconomically disadvantaged areas, is needed to strengthen understanding in this area.
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BFBNIB, NUK, PILJ, SAZU, UL, UM, UPUK
Numerous studies have demonstrated the harmful effects of sexual objectification on well-being. However, despite the rapid growth of the #MeToo movement, which has raised public awareness about ...sexual harassment, there has been much less research investigating the role of sexually objectifying behaviours in motivating people to try to tackle this issue through collective action (e.g., signing petitions, engaging in protests) and the process through which this occurs. Across two studies, we tested whether experiencing sexually objectifying behaviours motivates women to be willing to engage in collective action against sexual objectification via feelings of anger toward women being the target of such actions (i.e., group-based anger). In Studies 1 (
n
= 127) and 2 (
n
= 159), female participants rated the extent to which they had been the target of sexually objectifying behaviours, their feelings of group-based anger, and their willingness to engage in collective action against sexual objectification. We found that sexual objectification positively predicted the willingness to engage in collective action and that this relationship was mediated by feelings of group-based anger. This pattern suggests that experiencing numerous instances of sexual objectification is likely to result in women feeling group-based anger and that this anger, in turn, promotes collective action against sexual objectification. Therefore, our research demonstrates one process through which sexual objectification promotes a willingness to engage in collective action.
Numerous studies have demonstrated the positive impact of mass media coverage of cancer on screening rates. In this online experiment, we assessed the influence of different types of mass media news ...articles (factual vs. emotive narratives) on cervical cancer screening intentions. We also tested the process through which mass media news articles influence screening intention. Participants (N = 141) were randomly allocated to receive either a news article containing factual information about screening, a news article containing an emotive narrative about a nonfamous woman who died after not being screened, or no information about screening. Participants, then, completed measures of stigma, fear, shame, and screening intention. Stigma toward people who had not been screened (i.e., public stigma) was greater when participants received an emotive narrative rather than factual information or no information. Moreover, we found a significant indirect effect of the manipulation on screening intention via public stigma. These results indicated that the emotive news article increased public stigma, which in turn predicted screening intention. Based on this, we argue that it is important to carefully consider the type of narrative that is included in mass media articles to ensure that it does not stigmatize people who have not been screened.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SAZU, SBCE, SBMB, UL, UM, UPUK
Human milk donation is important for improving the development of preterm infants. However, despite the importance of donating the human milk, relatively little research has tested which factors ...predict this form of donation. This study assessed the association between the psychosocial factors and formalized milk donation to a nonprofit milk bank. This study used a cross‐sectional design. Breastfeeding mothers (N = 556) completed measures assessing altruism, pride, instrumental and affective attitudes, subjective norm, perceived behavioral control, self‐efficacy, anxiety, and intention to donate human milk to a nonprofit milk bank. We also assessed whether participants requested additional information about donating the human milk. Instrumental and affective attitude, subjective norm, and self‐efficacy were positively associated with intention to donate milk. Self‐efficacy and intention were also uniquely associated with requesting the additional information. The intention to engage in the formalized milk donation to a nonprofit milk bank appears to be more likely if women view this action as beneficial, believe significant others support the action and think they have the ability to undertake this action. Women who think they have the ability to undertake this action and are willing to donate are more likely to request additional information. These findings might inform future experimental research and campaigns on the human milk donation.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SAZU, SBCE, SBMB, UL, UM, UPUK
While anti-vaccine conspiracy beliefs can reduce vaccine intentions, longitudinal research shows that vaccine hesitancy can increase conspiracy beliefs. In three experiments (N = 949), we examined ...the effect of fear about a vaccine on vaccine hesitancy and anti-vaccine conspiracy beliefs.OBJECTIVESWhile anti-vaccine conspiracy beliefs can reduce vaccine intentions, longitudinal research shows that vaccine hesitancy can increase conspiracy beliefs. In three experiments (N = 949), we examined the effect of fear about a vaccine on vaccine hesitancy and anti-vaccine conspiracy beliefs.In Studies 1a (N = 221) and 1b (N = 508), participants were exposed to high fear (vs low fear) about a (fictional) vaccine before reporting vaccine hesitancy and anti-vaccine conspiracy beliefs. In Study 2, all participants were exposed to high fear before being asked to think about not getting vaccinated (vs vaccinated) against the (fictional) disease. Participants then reported their vaccine hesitancy, anti-vaccine conspiracy beliefs, and closeness to others who distrust official narratives.METHOD AND MEASURESIn Studies 1a (N = 221) and 1b (N = 508), participants were exposed to high fear (vs low fear) about a (fictional) vaccine before reporting vaccine hesitancy and anti-vaccine conspiracy beliefs. In Study 2, all participants were exposed to high fear before being asked to think about not getting vaccinated (vs vaccinated) against the (fictional) disease. Participants then reported their vaccine hesitancy, anti-vaccine conspiracy beliefs, and closeness to others who distrust official narratives.In Studies 1a and 1b, exposure to high fear (vs low fear) increased vaccine hesitancy, which was positively correlated with anti-vaccine conspiracy beliefs. The reverse model's effect was either smaller (Study 1a) or non-significant (Study 1b). In Study 2, fear and not wanting to vaccinate resulted in vaccine hesitancy, which then predicted anti-vaccine conspiracy beliefs and feeling closer to those distrusting official narratives.RESULTSIn Studies 1a and 1b, exposure to high fear (vs low fear) increased vaccine hesitancy, which was positively correlated with anti-vaccine conspiracy beliefs. The reverse model's effect was either smaller (Study 1a) or non-significant (Study 1b). In Study 2, fear and not wanting to vaccinate resulted in vaccine hesitancy, which then predicted anti-vaccine conspiracy beliefs and feeling closer to those distrusting official narratives.Therefore, fear creates a response not to get vaccinated. A conspiracy belief may then justify this response.CONCLUSIONTherefore, fear creates a response not to get vaccinated. A conspiracy belief may then justify this response.
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Throughout the world there is an insufficient supply of donor organs to meet the demand for organ transplantations. This paper presents a protocol for a randomised controlled trial, testing whether a ...simple, theory-based anticipated regret manipulation leads to a significant increase in posthumous organ donor registrations.
We will use a between-groups, prospective randomised controlled design. A random sample of 14,520 members of the adult Scottish general public will be contacted via post. These participants will be randomly allocated into 1 of the 4 conditions. The no questionnaire control (NQC) group will simply receive a letter and donor registration form. The questionnaire control (QC) arm will receive a questionnaire measuring their emotions and non-cognitive affective attitudes towards organ donation. The theory of planned behavior (TPB) group will complete the emotions and affective attitudes questionnaire plus additional items assessing their cognitive attitudes towards organ donation, perceived control over registration and how they think significant others view this action. Finally, the anticipated regret (AR) group will complete the same indices as the TPB group, plus two additional anticipated regret items. These items will assess the extent to which the participant anticipates regret for not registering as an organ donor in the near future. The outcome variable will be NHS Blood and Transplant verified registrations as an organ donor within 6 months of receiving our postal intervention.
This study will assess whether simply asking people to reflect on the extent to which they may anticipate regret for not registering as an organ donor increases organ donor registration 6 months later. If successful, this simple and easy to administer theory-based intervention has the potential to save lives and money for the NHS by reducing the number of people receiving treatments such as dialysis. This intervention may also be incorporated into future organ donor campaigns.
ISRCTN: ISRCTN92204897.
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Family, and sometimes longstanding friends, have considerable influence over organ donation, through agreeing or disagreeing to the donation of a deceased individual's organs. To date, most research ...has been undertaken within opt-in systems.
This study advances on previous research by assessing next-of-kin approval under opt-out legislation. We tested whether next-of-kin approval varies when the deceased is a registered donor (opted-in), registered non-donor (opted-out) or has not registered a decision under an opt-out policy (deemed consent). We also tested if the deceased's wishes influenced next-of-kin approval through relatives anticipating regret for not donating and feelings of uncertainty. Finally, we assessed whether next-of-kin's own beliefs about organ donation influenced whether they followed the deceased's wishes.
Participants (N = 848) living in a country with opt-out legislation (Wales, UK) were asked to imagine a relative had died under an opt-out system and decided if their relatives' organs should be donated. Participants were randomly allocated to imagine the deceased had either (i) opted-in, (ii) opted-out or (iii) not registered a decision (deemed consent). The outcome variable was next-of-kin approval, with uncertainty and anticipated regret as potential mediators and next-of-kin's beliefs about organ donation as moderators.
Next-of-kin approval was lower when the deceased had opted-out than under deemed consent. This was due to next-of-kin anticipating more regret for not donating under deemed consent than opt-out. Further analyses revealed the deceased's wishes influence next-of-kin approval, via anticipated regret, when next-of-kin did not hold negative beliefs about organ donation.
The deceased's wishes were less likely to be followed when next-of-kin had negative beliefs towards donation. Developing large-scale campaigns to improve these beliefs in the general public should make people more likely to follow the deceased's wishes. As a result, these campaigns should improve the availability of donor organs.
•Under opt-out policy, family approval is higher under deemed consent than opt-out.•Under opt-out, policy anticipated regret is higher under deemed consent than opt-out.•Anticipated regret mediates the effect of deceased's wishes on family approval.•Negative donation beliefs weaken the effect of the deceased's wishes on approval.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPUK, ZAGLJ, ZRSKP
This study assessed whether attitudes towards STI screening, visiting a clinic and having an STI (STI stigma) predict STI screening attendance in young adults. Participants (N = 217) rated each of ...these attitudes and completed measures assessing their STI knowledge, past sexual behaviour and sexual health. STI stigma and having favourable attitudes towards STI screening positively predicted screening attendance. People were less likely to attend if they had a negative attitude towards visiting sexual health clinics. Researchers should assess attitudes towards the attitude object (screening), condition (STI stigma) and process (visiting a clinic) to understand the different ways that attitudes predict behaviour.
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DOBA, FSPLJ, IJS, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
Policy decisions about opt-in and opt-out consent for organ donation are based on limited evidence. To fill this gap we investigated the difference between deceased and living organ donation rates in ...opt-in and opt-out consent systems across a 13 year period. We controlled for extensive covariates and estimated the causal effect of consent with instrumental variables analysis.
This panel study used secondary data analysis to compare organ donor and transplant rates in 48 countries that had either opt-in or opt-out consent. Organ donation data were obtained over a 13-year period between 2000 and 2012. The main outcome measures were the number of donors, number of transplants per organ and total number (deceased plus living) of kidneys and livers transplanted. The role of consent on donor and transplant rates was assessed using multilevel modeling and the causal effect estimated with instrumental variables analysis.
Deceased donor rates (per-million population) were higher in opt-out (M = 14.24) than opt-in consent countries (M = 9.98; Β = -4.27, 95% confidence interval (CI) = -8.08, -0.45, P = .029). However, the number of living donors was higher in opt-in (M = 9.36) than opt-out countries (M = 5.49; B = 3.86, 95% CI = 1.16, 6.56, P = .006). Importantly, the total number of kidneys transplanted (deceased plus living) was higher in opt-out (M = 28.32) than opt-in countries (M = 22.43; B = -5.89, 95% CI = -11.60, -0.17, P = .044). Similarly, the total number of livers transplanted was higher in opt-out (M = 11.26) than opt-in countries (M = 7.53; B = -3.73, 95% CI = -7.47, 0.01, P = .051). Instrumental variables analysis suggested that the effect of opt-in versus opt-out consent on the difference between deceased and living donor rates is causal.
While the number of deceased donors is higher than the number of living donors, opt-out consent leads to a relative increase in the total number of livers and kidneys transplanted.
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
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