Understanding African American college students' H1N1 vaccination decisions.

OBJECTIVE: In this study, we examined the effects of cognitive appraisals and individual differences in discomfort with uncertainty, as measured by a short form of Webster and Kruglanski's (1994) Need for Closure (NFC) scale, on African American college students' self-reported H1N1 vaccination decisions during the 2009-2010 H1N1 pandemic. METHOD: Howard University undergraduates, who self-identified as Black or African American and met U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC) H1N1 high-priority group criteria, completed computer-administered surveys that included (a) questions about H1N1 vaccination status; self-efficacy; perceived costs, benefits, and efficaciousness of the H1N1 vaccine; and potential barriers to vaccination, including flu-shot frequency; (b) demographic measures; and (c) a short form of Kruglanski's NFC scale (Orehek et al., 2010). RESULTS: A sequential multinomial logistic regression revealed (a) a significant effect of NFC on vaccination status such that higher NFC was associated with lower odds of being vaccinated or intending to be vaccinated, after controlling for demographic variables, comfort with flu vaccinations more generally, and several other potential vaccination barriers, χ(2)(2, 217) = 10.08, p = .006; and (b) vaccination status was best accounted for by a model that included perceptions of the vaccine's costs, benefits, and efficaciousness, and participants' self-efficacy for being vaccinated, χ(2)(6, 217) = 57.24, p < .001. CONCLUSION: Our data suggest the importance of cognitive appraisals and traits (i.e., comfort with uncertainty) in the process individuals use to make potentially life-saving vaccination decisions.

Will it help? Identifying socialization discourses that promote sexual risk and sexual health among African American youth.

Because much of the existing research examining sexual communication to African American youth focuses on demographic and parental factors predicting sexual risk behaviors, less is known about factors predicting sexual health, and little is understood about the contributions of peer communications. The current study aimed to expand existing approaches by assessing which socialization discourses communicated by parents and peers contribute to sexual risk and health outcomes (sexual assertiveness, positive sexual affect, and condom self-efficacy). Participants were 631 African American undergraduates (73% female) who indicated the extent to which they had received from their parents and peers each of 28 messages representing four cultural discourses: abstinence, relational sex, sex positive, and gendered sexual roles. As expected, parents were perceived to emphasize relational sex and abstinence messages more than peers, and peers were perceived to communicate sex-positive and gendered sex role messages more than parents. Greater exposure to abstinence messages predicted lower levels of sexual experimentation, whereas exposure to sex-positive messages predicted higher levels. In addition, exposure to relational sex and sex-positive messages predicted higher levels of sexual assertiveness and positive sexual affect. Implications are discussed concerning sexual communications that could help Black youth develop healthy sexual perspectives.

Who's asking the important questions? Sexual topics discussed among young pregnant couples.

The aim was to examine gender differences in sexual risk communication among young couples and factors influencing communication. Sample consisted of 296 young pregnant couples. We assessed individual, interpersonal, and community factors on sexual risk communication. The Actor-Partner Independence Model was used to assess actor and partner effects on sexual risk communication. For actor effects, being female, older, not being Hispanic, and higher condom use self-efficacy was associated with sexual risk communication. The significant partner effect was avoidant romantic attachment. Gender interactions were significant for high risk behaviors and family functioning. High risk behaviors and family functioning were associated with sexual risk communication for females but not for males. The study emphasizes the need to promote sexual risk communication among young high risk couples, particularly for males. Family support could serve as a catalyst for sexual risk communication and other sexual protective behaviors among young couples.