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An Attributional Analysis of Gender and Cancer-Related Stigma

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Abstract

This experiment examined the impact of gender on cancer-related stigma from Weiner’s (An attributional theory of motivation and emotion. Springer, New York, 1986) attributional perspective. Undergraduates (n = 204; 59% female; 71% White) and community members (n = 85; 62% female; 64% White) in the northeastern U.S. were assigned randomly to listen to an audiotaped interview of a target person with lung cancer in which gender and smoking status (nonsmoker, smoker, or unspecified) were manipulated. Participant and target gender predicted participants’ perceptions of disease controllability and anger toward the target person. The target person’s smoking status also predicted participants’ perceptions of disease controllability and emotional responses to the target person. Findings partially support Weiner’s (An attributional theory of motivation and emotion. Springer, New York, 1986) theory and suggest that the relationship between gender and cancer-related stigma deserves further investigation.

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References

  • Alexander, L. A., & Link, B. G. (2003). The impact of contact on stigmatizing attitudes toward people with mental illness. Journal of Mental Health, 12, 271–289.

    Article  Google Scholar 

  • Alonzo, A. A., & Reynolds, N. R. (1995). Stigma, HIV and AIDS: an exploration and elaboration of a stigma trajectory. Social Science and Medicine, 41, 303–315.

    Article  PubMed  CAS  Google Scholar 

  • Ambrosio, A. L., & Sheehan, E. P. (1991). The just world belief and the AIDS epidemic. Journal of Social Behavior and Personality, 6, 163–170.

    Google Scholar 

  • Amir, Y. (1969). Contact hypothesis in ethnic relations. Psychological Bulletin, 71, 319–342.

    Article  PubMed  CAS  Google Scholar 

  • Anderson, V. N. (1992). For whom is the world just? Sexual orientation and AIDS. Journal of Applied Social Psychology, 22, 248–259.

    Article  Google Scholar 

  • Auster, C. J., & Ohm, S. C. (2000). Masculinity and femininity in contemporary American society: a reevaluation using the Bem Sex-Role Inventory. Sex Roles, 43, 499–528.

    Article  Google Scholar 

  • Averill, J. A. (1982). Anger and aggression: an essay on emotion. New York: Springer.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  CAS  Google Scholar 

  • Berrenberg, J. L., Finlay, K. A., Stephan, W. G., & Stephan, C. (2002). Prejudice toward people with cancer or AIDS: applying the integrated threat model. Journal of Applied Biobehavioral Research, 7, 75–86.

    Google Scholar 

  • Bleda, P. R., & Sandman, P. H. (1977). In smoke’s way: socioemotional reactions to another’s smoking. The Journal of Applied Psychology, 62, 452–458.

    Article  PubMed  CAS  Google Scholar 

  • Bloom, J. R., & Kessler, L. (1994). Emotional support following cancer: a test of the stigma and social activity hypotheses. Journal of Health and Social Behavior, 35, 118–133.

    Article  PubMed  CAS  Google Scholar 

  • Borchert, J., & Rickabaugh, C. A. (1995). When illness is perceived as controllable: the effects of gender and mode of transmission on AIDS-related stigma. Sex Roles, 33, 657–668.

    Article  Google Scholar 

  • Bos, A. E. R., Dijker, A. J. M., & Koomen, W. (2007). Sex differences in emotional and behavioral responses to HIV+ individuals’ expression of distress. Psychology & Health, 22, 493–511.

    Article  Google Scholar 

  • Byrne, D., Clore, G. L., & Smeaton, G. (1986). The attraction hypothesis: do similar attitudes affect anything? Journal of Personality and Social Psychology, 51, 1167–1170.

    Article  Google Scholar 

  • Chapple, A., Ziebland, S., & McPherson, A. (2004). Stigma, shame, and blame experienced by patients with lung cancer: qualitative study. British Medical Journal, 328, 1470.

    Article  PubMed  CAS  Google Scholar 

  • Chassin, L., Presson, C. C., Rose, J. S., & Sherman, S. J. (2001). From adolescence to adulthood: age-related changes in beliefs about cigarette smoking in a Midwestern community sample. Health Psychology, 20, 377–386.

    Article  PubMed  CAS  Google Scholar 

  • Chassin, L., Presson, C. C., Sherman, S. J., & Edwards, D. A. (1990). The natural history of cigarette smoking: predicting young-adult smoking outcomes from adolescent smoking patterns. Health Psychology, 9, 701–716.

    Article  PubMed  CAS  Google Scholar 

  • Chassin, L., Presson, C. C., Sherman, S. J., & Kim, K. (2002). Long-term psychological sequelae of smoking cessation and relapse. Health Psychology, 21, 438–443.

    Article  PubMed  Google Scholar 

  • Crandall, C. S. (1991). Multiple stigma and AIDS: illness stigma and attitudes toward homosexuals and IV drug users in AIDS-related stigmatization. Journal of Community & Applied Social Psychology, 1, 165–172.

    Article  Google Scholar 

  • Crandall, C. S., & Coleman, R. (1992). AIDS-related stigmatization and the disruption of social relationships. Journal of Social and Personal Relationships, 9, 163–177.

    Article  Google Scholar 

  • Crawford, A. M. (1996). Stigma associated with AIDS: a meta-analysis. Journal of Applied Social Psychology, 26, 398–416.

    Article  Google Scholar 

  • Dijker, A. J. (2001). The influence of perceived suffering and vulnerability on the experience of pity. European Journal of Social Psychology, 31, 659–676.

    Article  Google Scholar 

  • Dijker, A. J., & Koomen, W. (2003). Extending Weiner’s attribution–emotion model of stigmatization of ill persons. Basic and Applied Social Psychology, 25, 51–68.

    Article  Google Scholar 

  • Eagly, A. H. (1987). Sex differences in social behavior: a social-role interpretation. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Eagly, A. H., & Crowley, M. (1986). Gender and helping behavior: a meta-analytic review of the social psychological literature. Psychological Bulletin, 100, 283–308.

    Article  Google Scholar 

  • Eagly, A. H., & Wood, W. (1991). Explaining sex differences in social behavior: a meta-analytic perspective. Personality and Social Psychology Bulletin, 17, 306–315.

    Article  Google Scholar 

  • Festinger, L. (1957). A theory of cognitive dissonance. Stanford, CA: Stanford University Press.

    Google Scholar 

  • Fife, B. L., & Wright, E. R. (2000). The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer. Journal of Health and Social Behavior, 41, 50–67.

    Article  PubMed  CAS  Google Scholar 

  • French, S. A., & Jeffery, R. W. (1995). Weight concerns and smoking: a literature review. Annals of Behavioral Medicine, 17, 234–244.

    Article  Google Scholar 

  • Gerbert, B., Sumser, J., & Maguire, B. T. (1991). The impact of who you know and where you live on opinions about AIDS and health care. Social Science and Medicine, 32, 677–681.

    Article  PubMed  CAS  Google Scholar 

  • Gilligan, C. (1982). In a different voice: psychological theory and women’s development. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Goldstein, J. (1991). The stigmatization of smokers: an empirical investigation. Journal of Drug Education, 21, 167–182.

    PubMed  CAS  Google Scholar 

  • Hebl, M. R., & Dovidio, J. F. (2005). Promoting the “social” in the examination of social stigmas. Personality and Social Psychology Review, 9, 156–182.

    Article  PubMed  Google Scholar 

  • Herek, G. M., & Capitanio, J. P. (1993). Public reactions to AIDS in the United States: a second decade of stigma. American Journal of Public Health, 83, 574–577.

    Article  PubMed  CAS  Google Scholar 

  • Herek, G. M., & Capitanio, J. P. (1997). AIDS stigma and contact with persons with AIDS: effects of direct and vicarious contact. Journal of Applied Social Psychology, 27, 1–36.

    Article  Google Scholar 

  • Jaffee, S., & Hyde, J. S. (2000). Gender differences in moral orientation: a meta-analysis. Psychological Bulletin, 126, 703–726.

    Article  PubMed  CAS  Google Scholar 

  • Kimmel, M. S., & Levine, M. P. (1992). Men and AIDS. In M. S. Kimmel, & M. A. Messner (Eds.), Men’s lives (pp. 318–329, 2nd ed.). New York: Macmillan.

    Google Scholar 

  • Knauss, F., Martz, D., Parker, A., Curtin, L., & Pai, S. (2005). Women and cigarette smoking: does amount of weight gain following a failed quit attempt affect social disapproval? Addictive Behaviors, 30, 643–651.

    Article  PubMed  Google Scholar 

  • Lee, R. S., Kochman, A., & Sikkema, K. J. (2002). Internalized stigma among people living with HIV–AIDS. AIDS and Behavior, 6, 309–319.

    Article  Google Scholar 

  • Levant, R. F., Hirsch, L., Celentano, E., Cozza, T., Hill, S., MacEachern, M., et al. (1992). The male role: an investigation of norms and stereotypes. Journal of Mental Health Counseling, 14, 325–377.

    Google Scholar 

  • Mellette, S. J. (1985). The cancer patient at work. CA: A Cancer Journal for Clinicians, 35, 360–373.

    Article  CAS  Google Scholar 

  • Menec, V. H., & Perry, R. P. (1998). Reactions to stigmas among Canadian students: testing an attribution-affect-help judgment model. The Journal of Social Psychology, 138, 443–453.

    Google Scholar 

  • Mizes, J. S., Sloan, D. M., Segraves, K., Spring, B., Pingitore, R., & Kristeller, J. (1998). The influence of weight-related variables on smoking cessation. Behavior Therapy, 29, 371–385.

    Article  Google Scholar 

  • Mooney, K. M., Cohn, E. S., & Swift, M. B. (1992). Physical distance and AIDS: too close for comfort? Journal of Applied Social Psychology, 22, 1442–1452.

    Article  Google Scholar 

  • Mosher, C. E., & Danoff-Burg, S. (2004). Effects of gender and employment status on support provided to caregivers. Sex Roles, 51, 589–595.

    Article  Google Scholar 

  • Murphy-Berman, V. A., & Berman, J. J. (1993). Effects of responsibility for illness and social acceptability on reactions to people with AIDS: a cross-cultural comparison. Basic and Applied Social Psychology, 14, 215–229.

    Article  Google Scholar 

  • Nichter, M., Nichter, M., Lloyd-Richardson, E. E., Flaherty, B., Carkoglu, A., & Taylor, N. (2006). Gendered dimensions of smoking among college students. Journal of Adolescent Research, 21, 215–243.

    Article  Google Scholar 

  • Olkin, R., & Howson, L. J. (1994). Attitudes toward and images of physical disability. Journal of Social Behavior and Personality, 9, 81–96.

    Google Scholar 

  • Price, V., & Hsu, M. (1992). Public opinion about AIDS policies. The role of misinformation and attitudes toward homosexuals. Public Opinion Quarterly, 56, 29–52.

    Article  PubMed  CAS  Google Scholar 

  • Richards, H. L., Fortune, D. G., Griffiths, C. E. M., & Main, C. J. (2001). The contribution of perceptions of stigmatisation to disability in patients with psoriasis. Journal of Psychosomatic Research, 50, 11–15.

    Article  PubMed  CAS  Google Scholar 

  • Royce, J. M., Corbett, K., Sorensen, G., & Ockene, J. (1997). Gender, social pressure, and smoking cessations: the community intervention trial for smoking cessation (COMMIT) at baseline. Social Science and Medicine, 44, 359–370.

    Article  PubMed  CAS  Google Scholar 

  • Rudolph, U., Roesch, S. C., Greitemeyer, T., & Weiner, B. (2004). A meta-analytic review of help giving and aggression from an attributional perspective: contributions to a general theory of motivation. Cognition and Emotion, 18, 815–848.

    Article  Google Scholar 

  • Rush, L. L. (1998). Affective reactions to multiple social stigmas. The Journal of Social Psychology, 138, 421–430.

    Article  Google Scholar 

  • Satcher, J., & Hendren, G. R. (1991). Acceptance of the Americans with Disabilities Act of 1990 by persons preparing to enter the business field. Journal of Applied Rehabilitation Counseling, 22, 15–18.

    Google Scholar 

  • Schulte, A. (2002). Consensus versus disagreement in disease-related stigma: a comparison of reactions to AIDS and cancer patients. Sociological Perspectives, 45, 81–104.

    Article  Google Scholar 

  • Silver, R. C., Wortman, C. B., & Crofton, C. (1990). The role of coping in support provision: the self-presentational dilemma of victims of life crises. In B. R. Sarason, I. G. Sarason, & G. R. Pierce (Eds.), Social support: an interactional view (pp. 397–426). New York: Wiley.

    Google Scholar 

  • Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312.

    Article  Google Scholar 

  • Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Snider, P. R., & Kirk, S. B. (1999). Social comparison and adjustment to breast cancer: an experimental examination of upward affiliation and downward evaluation. Health Psychology, 18, 151–158.

    Article  PubMed  CAS  Google Scholar 

  • Strohmer, D. C., Grand, S. A., & Purcell, M. J. (1984). Attitudes toward persons with disability: an examination of demographic factors, social context, and specific disability. Rehabilitation Psychology, 29, 131–145.

    Article  Google Scholar 

  • Thomas, S. P. (2005). Women’s anger, aggression, and violence. Health Care for Women International, 26, 504–522.

    Article  PubMed  Google Scholar 

  • Triplet, R. G. (1992). Discriminatory biases in the perception of illness: the application of availability and representativeness heuristics to the AIDS crisis. Basic and Applied Social Psychology, 13, 303–322.

    Article  Google Scholar 

  • United States Department of Health and Human Services. (2001). Women and smoking: a report from the Surgeon General: David Satcher. [on-line]. Retrieved May 23, 2008 from http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_2001/sgr_women_chapters.htm.

  • Walkey, F. H., Taylor, A. J., & Green, D. E. (1990). Attitudes to AIDS: a comparative analysis of a new and negative stereotype. Social Science and Medicine, 30, 549–552.

    Article  PubMed  CAS  Google Scholar 

  • Weiner, B. (1986). An attributional theory of motivation and emotion. New York: Springer.

    Google Scholar 

  • Weiner, B., Perry, R. P., & Magnusson, J. (1988). An attributional analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55, 738–748.

    Article  PubMed  CAS  Google Scholar 

  • Wilson, K., & Luker, K. A. (2006). At home in hospital? Interaction and stigma in people affected by cancer. Social Science and Medicine, 62, 1616–1627.

    Article  PubMed  Google Scholar 

  • Yuker, H. E. (1988). The effects of contact on attitudes toward disabled persons: some empirical generalizations. In H. E. Yuker (Ed.), Attitudes toward persons with disabilities (pp. 262–274). New York: Springer.

    Google Scholar 

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Correspondence to Catherine E. Mosher.

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This research was supported by grants to Catherine Mosher from Initiatives for Women, the Benevolent Association, the Psychology Graduate Initiative fund, and the Graduate Student Organization at the University at Albany, SUNY. This paper presents findings from the first author’s doctoral dissertation.

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Mosher, C.E., Danoff-Burg, S. An Attributional Analysis of Gender and Cancer-Related Stigma. Sex Roles 59, 827–838 (2008). https://doi.org/10.1007/s11199-008-9487-2

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