Not so private lives

Not So Private Lives is the first national study to examine same-sex attracted Australians’ preferences for various forms of relationship recognition since the introduction of de facto status for same-sex couples at a federal level. It is also the first major study to investigate preferences for relationship recognition while taking into account the current legal status (in Australia or overseas) of an individual’s same-sex relationship. Findings from the relationship recognition measures of this survey demonstrate that same-sex attracted individuals, like other Australians, differ in the way they prefer their relationships to be formally recognised. However, the results show that the majority of same-sex attracted participants in this survey selected marriage as their personal choice. A federally recognised relationship documented at a registry other than marriage was the second most popular option, and de facto status was the third. The preference for a relationship without any legal status was selected by only 3% of the overall sample. Interestingly, marriage was still the majority choice irrespective of the current legal status of participants’ same-sex relationships (including no legal status). For example, of those currently in a de facto relationship, 55.4% stated they preferred marriage for themselves, 25.6% stated that they preferred a federally recognised relationship other than marriage, 17.7% selected de facto and 1.3% chose no legal status. Participants were also given the opportunity to select which forms of legal relationship recognition they would like to see remain and/or become available in this country for same-sex couples in general. Responses to this measure (which allowed for multiple selections) show that 77.4% would like to see marriage become available as an option, 59.9% would like to see a federally recognised relationship other than marriage be made available and 48% would like to see de facto recognition remain. These numbers indicate that many participants selected multiple options, suggesting that simply having a choice was an important factor. Although the data from this survey indicate that marriage is not for everyone, the majority of same- sex attracted participants in this national survey selected this type of relationship recognition as their personal choice and as a choice to be made available for their fellow same-sex attracted Australians

Deferred and deterred: a review of literature on the impact of deferrals on blood donors

Background: Potential blood donors can be deferred due to concerns about the impact of the donation on their health or the safety of the blood supply. To date, we lack a comprehensive review of the impact of deferrals on donors and how to mitigate adverse effects. Aims: The aim of this review was to describe the available literature on deferrals, with a focus on the impact of deferrals on donors’ subsequent behaviour, potential reasons for impact and the effectiveness of strategies to improve deferral processes and facilitate donor return. Method: A narrative review of the literature on blood donation deferrals was undertaken. Results: Deferral rates vary widely across different contexts, with female, younger, first time and minority donors more likely to be ineligible to donate. There is clear evidence that deferrals impact on future donation behaviour, particularly for those deferred at their first donation attempt. Deferral has a negative emotional impact if the deferral is permanent or related to positive test results, while emotions experienced at the time of a temporary deferral are related to donors’ willingness to return. Conclusion: An understanding of the impact of deferrals from the donor perspective provides key information to improve the blood centre practices. There is preliminary evidence of the effectiveness of strategies to retain donors, including enabling the ineligible donor to make an alternative contribution, providing clear information about the deferral, notifying the donor when they can return to donate and addressing practical barriers to return

Beyond Description: The Predictive Role of Affect, Memory, and Context in the Decision to Donate or Not Donate Blood

Research on the recruitment and retention of blood donors has typically drawn on a homogeneous set of descriptive theories, viewing the decision to become and remain a donor as the outcome of affectively cold, planned, and rational decision-making by the individual. While this approach provides insight into how our donors think about blood donation, it is limited and has not translated into a suite of effective interventions. In this review, we set out to explore how a broader consideration of the influences on donor decision-making, in terms of affect, memory, and the context in which donation takes place may yield benefit in the way we approach donor recruitment and retention. Drawing on emerging research, we argue for the importance of considering the implications of both the positive and negative emotions that donors experience and argue for the importance of directly targeting affect in interventions to recruit non-donors. Next, we focus on the reconstructed nature of memory and the factors that influence what we remember about an event. We discuss how these processes may impact the retention of donors and the potential to intervene to enhance donors’ recollections of their experiences. Finally, we discuss how our focus on the individual has led us to neglect the influence of the context in which donation takes place on donor behaviour. We argue that the amassing of comprehensive large data sets detailing both the characteristics of the individuals and the context of their giving will ultimately allow for the more effective deployment of resources to improve recruitment and retention. In suggesting these directions for future research, our want is to move beyond the ways we have traditionally described blood donation behaviour with the aim of improving our theorizing about donors while improving the translational value of our research

Judgments of sexual assault: the impact of complainant emotional demeanor, gender and victim stereotypes

The sexual assault victim "who comes to the attention of the authorities has her victimization measured against the current rape mythologies" (R v. Seaboyer, 1991). This is particularly troubling given that lay beliefs regarding the crime of sexual assault are at odds with the data documenting the circumstances surrounding actual rape. Research has consistently demonstrated that lay people (hence, jurors) will question the validity of a sexual assault claim and judge the victim more harshly, if the circumstances surrounding the assault and/or the characteristics and actions of the sexual assault complainant do not comport with people's expectations about the event. In this paper we report the results of a juror simulation that examines the impact of victim's postassault emotional demeanor on judgments, in the context of independent manipulations of gender stereotypicality and victim stereotypicality. Results revealed that the complainant's emotional display had a powerful impact on participants' judgments, with the claim viewed as more valid when the complainant was portrayed as tearful/upset as opposed to calm/controlled, but only when the complainant was portrayed as gender stereotypic

Simple Reciprocal Fairness Message to Enhance Non-Donor’s Willingness to Donate Blood

Background: Against a background of declining blood donor numbers, recruiting new donors is critical for the effective operations of healthcare providers. Thus, interventions are needed to recruit new blood donors. Purpose: We provide initial evidence for Voluntary Reciprocal Altruism (VRA) to enhance non-donors’ willingness to become blood donors. VRA interventions involve asking two questions: one on accepting a blood transfusion if needed and one on willingness to donate. As early trials often use self-reports of willingness to perform blood donation behavior, we derive a correction factor to better estimate actual behavior. Finally, we explore the effect of VRA interventions on two prosocial emotions: gratitude and guilt.Methods: Across three experiments (two in the UK and one in Australia: Total N = 1,214 non-donors) we manipulate VRA messages and explore how they affect both reported willingness to make a one-off or repeat blood donation and influence click through to blood donation, organ donation and volunteering registration sites (behavioral proxies). We report data from a longitudinal cohort that enables us to derive a correction for self-reported behavioral willingness.Results: Across the three experiments we show that exposure to a question that askes about accepting a transfusion if needed increased willingness to donate blood with some spillover to organ donor registration. We also show that gratitude has an independent effect on donation and report a behavioral correction factor of .10.Conclusions: Asking non-donors about accepting a transfusion if needed is likely to be an effective strategy to increase new donor numbers

The impact of blood donation deferral strategies on the eligibility of men who have sex with men and other sexual risk behavior in Australia

Background In Australia, a man cannot donate blood if he has had sex with another man within the past 3 months. However, this policy has been criticized as being discriminatory as it does not consider lower risk subgroups, and led to calls for modifications to the policy that more accurately distinguish risk among gay, bisexual, and other men who have sex with men (GBM). Study Design and Methods We used data from a nationally representative survey to estimate the proportion of GBM aged 18–74 years old who would be eligible to donate under current criteria and other scenarios. Results Among the 5178 survey participants, 155 (3.0%) were classified as GBM based on survey responses, Among the GBM, 40.2% (95% CI 28.0%–53.7%) were eligible to donate based on current criteria, and 21.0% (95% CI 14.5%–29.5%) were ineligible due to the 3 months deferral alone. Eligibility among GBM, all men, and the population increased as criteria were removed. Under the new Australian plasma donation criteria, 73.6% (95% CI 64.4%–81.1%) of GBM, 68.4% (95% CI 65.5%–71.2%) of all men, and 60.8% (95% CI 58.8%–62.8%) of the full population were estimated to be eligible. Only 16.1% (95% CI 8.6%–28.1%) of GBM knew that the male-to-male sex deferral period is 3 months. Discussion Changing the deferral criteria and sexual risk evaluation would lead to a higher proportion of GBM being eligible to donate blood. Knowledge of the current GBM deferral period is very low. Improved education about the current criteria and any future changes are required to improve blood donation rates

Australian Perspectives on Opt-In and Opt-Out Consent Systems for Deceased Organ Donation

Introduction: As many countries change to opt-out systems to address organ shortages, calls for similar reform in Australia persist. Community perspectives on consent systems for donation remain under-researched, therefore Australian perspectives on consent systems and their effectiveness in increasing donation rates were explored. Design: In this descriptive cross-sectional study, participants completed a survey presenting opt-in, soft opt-out, and hard opt-out systems, with corresponding descriptions. Participants chose the system they perceived as most effective and described their reasoning. Results: Participants (N = 509) designated soft opt-out as the most effective system (52.3%; hard opt-out 33.7%; opt-in 13.7%). Those who identified with an ethnic/cultural group or were not registered had greater odds of choosing opt-out. Six themes identified in thematic analysis reflected their reasoning: 1) who decides (individual, shared decision with family); 2) right to choose; 3) acceptability (ethics, fairness); and utility in overcoming barriers for 4) individuals (apathy, awareness, ease of donating, fear/avoidance of death); 5) family (easier family experience, family veto); 6) society (normalising donation, donation as default, expanding donor pool). Choice and overcoming individual barriers were more frequently endorsed themes for opt-in and opt-out, respectively. Discussion: Results suggested the following insights regarding system effectiveness: uphold/prioritise individual’s recorded donation decision above family wishes; involve family in decision-making if no donation preference is recorded; retain a register enabling opt-in and opt-out for unequivocal decisions and promoting individual control; and maximise ease of registering. Future research should establish whether systems considered effective are also acceptable to the community to address organ shortages

The ambivalent sexism inventory : a social psychological evaluation

The aim of the thesis is to establish the (statistical) validity and predictive utility of the Hostile Sexism (HS) and Benevolent Sexism (BS) subscales of the Ambivalent Sexism Inventory (ASI). The thesis investigates whether scores on the HS and BS scales can tell us who will discriminate against women. An analysis of the literature suggests that, as in racism research, there is now a discrepancy between attitudes towards women (gauged on traditional measures) and discriminatory behaviour. Specifically, attitudes appear more egalitarian whilst behavioural measures still indicate discrimination. One explanation given for this discrepancy focuses on the attitude measures used. The literature suggests that if ‘contemporary’ attitudes are assessed then an attitude-behaviour link should be observed. One measure designed to assess these ‘contemporary attitudes’ is the ASI, consisting of the HS and BS scales. The empirical work begins (Study 1, 3 samples, N=1325) with an assessment of the psychometric properties and the appropriateness of the ASI for use in a British context and establishes the construct validity of the measures. Studies Two (N=61) and Three (N=47) investigate hostile and benevolent sexism using experimental designs and a social cognition approach (reaction time measures). The results of these suggest that hostile and benevolent sexism may be directed towards a particular ‘type’ of women and that hostile sexists may engage in stereotype suppression. The fourth study (N=58) investigates the ‘stereotype suppression’ proposition within an experimental design. Studies Five to Eight (N’s=86, 85, 57 and 71) focus on the subtyping hypothesis suggested by the results of Studies Two to Four and evaluate the implications of HS and BS scale scores for more overt responses. These establish that under specific conditions the scores on the HS scale do predict who will engage in discriminatory behaviour towards women. In addition the results suggest that high hostile sexists may apply different norms to their behaviour than to other people’s. Scores on the BS scale are related to more positive attitudes towards women who fit the ‘traditional’ subtype. It is concluded that whilst both the HS and BS scales of the ASI are statistically valid, the HS scale has, at present, the superior predictive utility. Under specific conditions scores on the HS scale relate to a number of indices of discrimination against women. In contrast, scores on the BS scale only relate to more positive evaluations of ‘traditional’ women. Directions for future research are outlined

Beliefs underlying blood donors' intentions to donate during two phases of an avian influenza outbreak

Using a Theory of Planned Behavior (TPB) framework the current study explored the beliefs of current blood donors (N=172) about donating during a low and high-risk phase of a potential avian influenza outbreak. While the majority of behavioral, normative, and control beliefs identified in preliminary research differed as a function of donors’ intentions to donate during both phases of an avian influenza outbreak, regression analyses suggested that the targeting of different specific beliefs during each phase of an outbreak would yield most benefit in bolstering donors’ intentions to remain donating. The findings provide insight in how to best motivate donors in different phases of an avian influenza outbreak