@article{worsdale_kosenko_2024, title={Meanings and dilemmas of consent communication for sexual minorities}, ISSN={["1479-5787"]}, DOI={10.1080/03637751.2024.2304239}, abstractNote={Research on consent communication focused on the experiences and perspectives of heterosexual individuals, leaving sexual minority individuals potentially vulnerable in their communication with partners. The current study relied on normative rhetorical theory and semi-structured interviews with individuals who self-identified as lesbian, gay, and bisexual. To participants, consent communication meant engaging in a clear, verbal discussion; showing enthusiasm; coming to an agreement; and, consulting with oneself and one's partner throughout a sexual encounter. Participants also shared consent communication dilemmas that were related to the difficulties of defining “sex” in same-sex sexual encounters, heteronormative consent standards, discomfort voicing one's sexual needs, partners who were resistant to sexual communication, and past sexual assault. The discussion reviews key findings, offers possible explanations with directions for future research.}, journal={COMMUNICATION MONOGRAPHS}, author={Worsdale, Allison and Kosenko, Kami A.}, year={2024}, month={Jan} }
 @article{worsdale_kosenko_2023, title={"How Will That Consent Play Out?": Factors Involved in Lesbian, Gay, and Bisexual Individuals' Understandings of Sexual Consent}, ISSN={["1554-6136"]}, DOI={10.1080/15546128.2023.2212188}, abstractNote={Due to a lack of research on sexual consent in sexual minority communities, we know little about how and what individuals who identify as lesbian, gay, or bisexual (LGB) learn about consent. To this end, a convenience sample of 25 LGB adults (N = 25) was interviewed about the factors that have shaped their perceptions and approaches to sexual consent. Data was analyzed using a constant comparative approach wherein data was collected and analyzed simultaneously. Participants identified interpersonal resources, such as past partners, friends, and family, as influential in their views of consent. They also described the lack of inclusive sexual health resources and inadequacies in school-based sexual education as obstacles in the learning process.}, journal={AMERICAN JOURNAL OF SEXUALITY EDUCATION}, author={Worsdale, Allison and Kosenko, Kami}, year={2023}, month={May} }
 @article{kosenko_2021, title={Foci and Forms of Problematic Integration in the Context of Infertility}, volume={31}, ISSN={["1468-2885"]}, DOI={10.1093/ct/qtz030}, abstractNote={Individuals struggling to conceive or maintain a pregnancy experience considerable stress; however, little is known about its sources. An analysis of 160 infertility narratives, guided by problematic integration (PI) theory, revealed three forms and eight foci of PI or sources of stress specific to the infertility experience. Participant accounts of diverging expectations and desires regarding pregnancy testing and prenatal loss, ambivalence about finances and treatment decisions, and uncertainty about the causes of their infertility and the likelihood of treatment success fit nicely within the PI framework; however, the narrators’ descriptions of relational uncertainty and the various uncertainties involved in adoption did not fit as well, suggesting the need for further theoretical development and refinement.}, number={4}, journal={COMMUNICATION THEORY}, author={Kosenko, Kami A.}, year={2021}, month={Nov}, pages={613–632} }
 @article{rintamaki_kosenko_hogan_scott_dobmeier_tingue_peek_2019, title={The Role of Stigma Management in HIV Treatment Adherence}, volume={16}, ISSN={["1660-4601"]}, DOI={10.3390/ijerph16245003}, abstractNote={Social stigma is linked to improper HIV treatment adherence, but how stigma impairs adherence outcomes is poorly understood. This study included 93 people living with HIV in the United States who participated in focus groups or one-on-one interviews regarding how stigma might affect medication management. Latent content analysis and constant comparative techniques of participant responses that were produced three thematic groupings that described how participants (a) orient to HIV stigma, (b) manage HIV stigma in ways that directly impair treatment adherence, and (c) manage HIV stigma in ways that may indirectly impair adherence. These findings illustrate the need to understand how patients orient to HIV stigma when prescribing medications and the complications that are inherent to such assessments. In addition, these findings provide a simple framework for organizing the different ways in which stigma management strategies may disrupt treatment adherence. Conceptually, these findings also offer a paradigm shift to extent theories on disclosure and concealment, in which only disclosure has been cast as an active process. These findings demonstrate how concealment is far from a passive default, often requiring enormous effort. Ultimately, these findings may guide intervention programs that help to entirely eliminate HIV by promoting optimized counseling and subsequent treatment adherence.}, number={24}, journal={INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH}, author={Rintamaki, Lance and Kosenko, Kami and Hogan, Timothy and Scott, Allison M. and Dobmeier, Christopher and Tingue, Erik and Peek, David}, year={2019}, month={Dec} }
 @article{kosenko_bond_hurley_2018, title={An Exploration Into the Uses and Gratifications of Media for Transgender Individuals}, volume={7}, ISSN={["2160-4142"]}, DOI={10.1037/ppm0000135}, abstractNote={Transgender individuals, those whose gender presentation diverges from their biological sex, encounter unique obstacles to identity development and socialization. The present study examines how transgender individuals use both traditional and emerging media to better understand their own gender identities and their social worlds. A constructivist approach to the uses and gratifications perspective motivated interview questions about the role of media in the lives of transgender individuals. Forty-one transgender individuals participated in semistructured interviews. Results suggested media were instrumental for sensemaking. Participants used media to make sense of feelings, sexual relations, community, and transition options. Participants also used media to meet nonmediated goals or to initiate interpersonal negotiations. The potential impact of media on transgender audiences and the limitations of the uses and gratifications perspective are discussed in light of the findings.}, number={3}, journal={PSYCHOLOGY OF POPULAR MEDIA CULTURE}, author={Kosenko, Kami A. and Bond, Bradley J. and Hurley, Ryan J.}, year={2018}, month={Jul}, pages={274–288} }
 @misc{kosenko_luurs_binder_2017, title={Sexting and Sexual Behavior, 2011-2015: A Critical Review and Meta-Analysis of a Growing Literature}, volume={22}, ISSN={["1083-6101"]}, url={https://publons.com/publon/21063761/}, DOI={10.1111/jcc4.12187}, abstractNote={Sexting and its potential links to sexual behavior, including risky sexual practices, have received scholarly scrutiny, but this literature is marked by divergent perspectives and disparate findings. To assess claims regarding the nature of the relationship between sexting and sexual behavior, we conducted a critical review of the literature and analyzed data from 15 articles via quantitative meta-analytic techniques. Sexting behavior was positively related to sexual activity, unprotected sex, and one's number of sexual partners, but the relationship was weak to moderate. Additional information, gleaned from a critical review of included studies, helped contextualize these findings and point to specific limitations and directions for future research.}, number={3}, journal={JOURNAL OF COMPUTER-MEDIATED COMMUNICATION}, author={Kosenko, Kami and Luurs, Geoffrey and Binder, Andrew R.}, year={2017}, month={May}, pages={141–160} }
 @article{kosenko_binder_hurley_2016, title={Celebrity Influence and Identification: A Test of the Angelina Effect}, volume={21}, ISSN={["1087-0415"]}, url={https://publons.com/publon/21063763/}, DOI={10.1080/10810730.2015.1064498}, abstractNote={Angelina Jolie's announcement that she is a BRCA1 carrier and has had a prophylactic bilateral mastectomy was met with widespread support as well as speculation about its possible impact on the public. These speculations were the subject of a Time magazine cover story titled “The Angelina Effect” (Kluger et al., 2013). Although there is anecdotal evidence to support this hypothesized Angelina effect, empirical tests are lacking. To explore possible links between Angelina's announcement and public health, we surveyed 356 adults immediately after the announcement. Guided by a model of celebrity influence, the survey assessed participants’ demographics and health history, identification and parasocial interaction with Jolie, and genetic testing intentions. Results supported the model's predictions and provided preliminary evidence of an Angelina effect.}, number={3}, journal={JOURNAL OF HEALTH COMMUNICATION}, author={Kosenko, Kami A. and Binder, Andrew R. and Hurley, Ryan}, year={2016}, month={Mar}, pages={318–326} }
 @article{kosenko_applewhite_drury_ash_2016, title={What Facilitates the Wait? Lessons Learned from Successful Sexual Abstainers}, volume={80}, ISSN={["1745-1027"]}, DOI={10.1080/10570314.2016.1196294}, abstractNote={Religious individuals are more likely than their secular counterparts to abstain, but the explanatory mechanisms for religion’s salutary effects on sexual and other health behaviors are poorly understood. Given that social support and other communicative processes are likely explanations for the religion–abstinence connection, this study was designed to determine what communication processes facilitate the wait for religious individuals. Interviews with 23 abstainers revealed that certain communication practices, such as avoiding temptations, creating networks of like-minded individuals, engaging in communal coping, establishing boundaries, finding role models, making social comparisons, and adhering to and enforcing injunctive norms enabled abstinence.}, number={5}, journal={WESTERN JOURNAL OF COMMUNICATION}, author={Kosenko, Kami and Applewhite, Anastasia and Drury, Polina and Ash, Russell}, year={2016}, pages={581–600} }
 @article{kosenko_laboy_2014, title={"I Survived": The Content and Forms of Survival Narratives}, volume={19}, ISSN={["1532-5032"]}, DOI={10.1080/15325024.2013.808948}, abstractNote={Individuals impacted by violent crime are at risk for posttraumatic stress disorder and other comorbid conditions. Screening and early intervention are key to the detection and treatment of these consequences of victimization. A growing literature points to the diagnostic power of narratives; however, little is known about the narratives produced by survivors. This study assessed the content and forms of narratives told by survivors of violent crime. In our sample, narratives of growth and optimism, grief and loss, providence, self-reliance, and justice were common. These narratives also featured common lexical properties. The discussion articulates possible explanations for these findings.}, number={6}, journal={JOURNAL OF LOSS & TRAUMA}, author={Kosenko, Kami and Laboy, Johanne}, year={2014}, pages={497–513} }
 @article{kosenko_harvey-knowles_hurley_2014, title={The Information Management Processes of Women Living With HPV}, volume={19}, ISSN={["1087-0415"]}, DOI={10.1080/10810730.2013.864728}, abstractNote={The human papillomavirus (HPV) represents a significant public health burden because of its widespread prevalence, its links to genital warts and cancers, and the negative psychosocial impact of HPV infection and diagnosis. Scholars have attributed some of these negative effects to insufficient knowledge and information about HPV, prompting research on women's HPV information preferences; however, little is known about how women obtain, avoid, and use this information. To address this lacuna, we designed a study to trace the information management processes of women with HPV. Our analysis of interviews with 25 women living with HPV revealed a common sequence of emotional, cognitive, and behavioral responses to the HPV diagnosis. The authors review these findings and articulate their relevance and importance to research, theory, and practice in the discussion.}, number={7}, journal={JOURNAL OF HEALTH COMMUNICATION}, author={Kosenko, Kami A. and Harvey-Knowles, Jacquelyn and Hurley, Ryan J.}, year={2014}, pages={813–824} }
 @article{kosenko_laboy_2013, title={Crime Victims’ Attributions for Survival}, volume={65}, ISSN={1051-0974 1745-1035}, url={http://dx.doi.org/10.1080/10510974.2013.797483}, DOI={10.1080/10510974.2013.797483}, abstractNote={There is a substantial body of work on attribution theory, which describes the processes by which individuals determine the causes of events and their outcomes; however, little is known about survival attributions. To ascertain the kinds of attributions made by survivors of violent crime, we collected and analyzed televised interviews with survivors. Our analysis of 51 interviews indicated that crime survival attributions took one of two forms: survival because statements and survival for statements. Survival because statements detailed how individuals survived, and survival for statements described why they lived. Interviewees mentioned surviving for their families, justice, and the greater good. Survival because statements emphasized the roles that God, family, emergency workers, and the victims, themselves, played in their survival. The discussion articulates possible explanations for these findings.}, number={1}, journal={Communication Studies}, publisher={Informa UK Limited}, author={Kosenko, Kami and Laboy, Johanne}, year={2013}, month={Dec}, pages={39–55} }
 @article{kosenko_rintamaki_raney_maness_2013, title={Transgender Patient Perceptions of Stigma in Health Care Contexts}, volume={51}, ISSN={["1537-1948"]}, DOI={10.1097/mlr.0b013e31829fa90d}, abstractNote={Objectives:Transgender individuals, or those who cross or transcend sex categories, commonly experience stigma and discrimination. Anecdotal evidence indicates that this transphobia manifests in health care settings, but few studies address the forms of mistreatment experienced in this context. This study was designed to explore transgender patients’ experiences with health care. This brief report focuses on their negative experiences. Methods:A total of 152 transgender adults were recruited to complete an online questionnaire about their health care. Participants were asked if and how they had been mistreated, and responses were analyzed by qualitative content analysis. Results:Participants’ descriptions of mistreatment coalesced around 6 themes: gender insensitivity, displays of discomfort, denied services, substandard care, verbal abuse, and forced care. Conclusions:These findings provide insight into transgender patients’ perceptions of and sensitivity to mistreatment in health care contexts. This information might be used to increase providers’ cultural competency and inform their interactions with transgender patients.}, number={9}, journal={MEDICAL CARE}, author={Kosenko, Kami and Rintamaki, Lance and Raney, Stephanie and Maness, Kathleen}, year={2013}, month={Sep}, pages={819–822} }
 @article{harvey-knowles_kosenko_2012, title={Diagnosing women with HPV: The impact of diagnosis disclosure methods}, volume={88}, ISSN={["0738-3991"]}, DOI={10.1016/j.pec.2012.02.002}, abstractNote={Little data exists on women's HPV diagnosis encounters. This research focuses on impacts of the communicative medium used to inform women of their HPV status. We conducted a qualitative study to identify the mediums used to communicate HPV diagnoses and the impact of each medium on the diagnosis experience.Twenty-five women with HPV completed semi-structured interviews, which we recorded and transcribed. We relied on grounded theory techniques in both data collection and analysis.There are three primary mediums health care providers use to inform women of their HPV diagnosis: phone calls, mailed letters/email, and face-to-face interactions. Implications regarding each medium are identified and discussed.There are drawbacks associated with the use of each medium that healthcare practitioners should be aware of and seek to avoid.Healthcare providers can utilize descriptions of diagnosis encounters and the recommendations accompanying them to understand and modify ways they choose to inform individuals of an HPV diagnosis.}, number={1}, journal={PATIENT EDUCATION AND COUNSELING}, author={Harvey-Knowles, Jacquelyn A. and Kosenko, Kami A.}, year={2012}, month={Jul}, pages={152–156} }
 @article{kosenko_hurley_harvey_2012, title={Sources of the Uncertainty Experienced by Women With HPV}, volume={22}, ISSN={["1552-7557"]}, DOI={10.1177/1049732311424404}, abstractNote={ Women with genital human papillomavirus (HPV) experience considerable stress and uncertainty as a result of the diagnosis; however, little is known about the sources of uncertainty in HPV. Given that uncertainty creates stress, which might be linked to the pathogenesis of cervical cancer, research on these sources of uncertainty is warranted. To this end, we completed semistructured interviews with 25 women living with HPV, and identified seven sources of uncertainty: The meaning of the diagnosis, the potential for disease progression, finances, the source of the infection, disclosure, sex and reproduction, and the HPV vaccine. In the discussion we articulate the relevance and importance of study findings to research, theory, and practice. }, number={4}, journal={QUALITATIVE HEALTH RESEARCH}, author={Kosenko, Kami A. and Hurley, Ryan J. and Harvey, Jacquelyn A.}, year={2012}, month={Apr}, pages={534–545} }
 @article{kosenko_2011, title={Contextual Influences on Sexual Risk-Taking in the Transgender Community}, volume={48}, ISSN={["1559-8519"]}, DOI={10.1080/00224491003721686}, abstractNote={High HIV prevalence and incidence rates and high-risk sexual activity have been documented in certain subgroups of the transgender community; however, less is known about the sexual experiences and risks shared by these subgroups. To identify contextual features influencing the sexual risk-taking of transgender adults, semi-structured interviews conducted with 41 self-identified transgender adults were analyzed via constant comparative analysis, a technique rooted in grounded theory. Seven aspects of the transgender experience, including stigma, financial hardship, sexual objectification, a lack of outreach, hormones, a second puberty, and gender role issues, created a unique context of risk. Findings indicate that traditional HIV prevention efforts might not be suited to the unique needs of transgender adults. Tailoring HIV prevention efforts to this community will warrant further attention to contextual influences on sexual risk and safety.}, number={2-3}, journal={JOURNAL OF SEX RESEARCH}, author={Kosenko, Kami A.}, year={2011}, pages={285–296} }
 @article{kosenko_2011, title={The Safer Sex Communication of Transgender Adults: Processes and Problems}, volume={61}, ISSN={["1460-2466"]}, DOI={10.1111/j.1460-2466.2011.01556.x}, abstractNote={As HIV continues to devastate marginalized communities, organizations have prioritized the development of evidence-based HIV prevention programs. Although the transgender community is disproportionately affected by HIV/AIDS, no effective HIV prevention interventions have been identified for this group. The few published interventions focus on communication skills and community-building efforts, necessitating greater understanding of the sexual communication experiences of a broad segment of the trans-community. To explore the transgender experience with safer sex communication, 41 transgender adults were interviewed. Participants described safer sex communication as a complicated endeavor, involving privacy management, uncertainty reduction, and discussion of various approaches to sexual safety. Understanding the process of (and associated problems with) safer sex communication for transgender adults suggests implications for theory, research, and practice. 
 
 
 
 
 
 
 
Safer-Sex-Kommunikation mit transidentischen Erwachsenen als Zielgruppe: Prozesse und Probleme 
 
 
 
Wahrend HIV weiterhin verheerende Auswirkungen auf marginalisierte Teile der Gesellschaft hat, befassen sich Organisationen vermehrt mit der Entwicklung evidenzbasierter HIV-Praventionsprogramme. Auch wenn die Transgender-Gemeinschaft disproportional haufig von HIV/AIDS betroffen ist, gibt es keine wirkungsvollen HIV-Praventionsprogramme fur diese Zielgruppe. Die wenigen publizierten Interventionen fokussieren auf Kommunikationsfertigkeiten und gemeinschaftsbildenden Masnahmen und bedurfen eines besseren Verstandnisses fur die Erfahrungen zur sexuellen Kommunikation eines Grosteils der Transgender-Gemeinschaft. Um die Erfahrungen transidentischer Personen mit Safer-Sex-Kommunikation zu untersuchen, wurden 41 transidentische Erwachsene befragt. Die Teilnehmer beschreiben Safer-Sex-Kommunikation als schwieriges Unterfangen, das das Management von Privatheit, die Reduzierung von Unsicherheit und die Diskussion verschiedener Ansatze sexueller Sicherheit umfasst. Ein besseres Verstandnis der Prozesse von Safer-Sex-Kommunikation und der damit verbundenen Probleme fur transidentische Erwachsene ermoglichen Schlussfolgerungen fur Theorie, Forschung und Praxis. 
 
 
 
Schlusselbegriffe: Transgender, Kommunikation zu Sexualitat, HIV/AIDS, Gesundheit, Pravention 
 
 
 
 
 
 
 
La Comunicacion sobre el Sexo Mas Seguro de los Adultos Transgenero: Los Procesos y los Problemas 
 
 
 
Resumen 
 
 
 
Mientras que el VIH continua devastando comunidades marginadas, las organizaciones han priorizado el desarrollo de programas de prevencion del VIH basados en la evidencia. Aunque la comunidad de transgenero esta afectada en forma desproporcionada por el SIDA/VIH, no ha habido intervenciones efectivas para el VIH que identificaran a este grupo. Las pocas intervenciones publicadas se focalizaron en los esfuerzos para construir habilidades comunicacionales y de comunidad, necesitando un mayor entendimiento de las experiencias sexuales de un segmento amplio de la trans-comunidad. Para explorar la experiencia de transgenero con la comunicacion de sexo seguro, 41 adultos transgenero fueron entrevistados. Los participantes describieron la comunicacion sobre el sexo seguro como un esfuerzo complicado, que involucra el manejo de privacidad, reduccion de la incertidumbre, y la discusion de varias perspectivas de seguridad sexual. Comprendiendo el proceso de (y los problemas asociados con) la comunicacion de sexo mas seguro para los adultos de transgenero tiene implicancias para la teoria, la investigacion y la practica. 
 
 
 
Palabras Claves: Transgenero, Comunicacion Sexual, VIH/SIDA, Salud, Prevencion 
 
 
 
La communication a propos des rapports sexuels proteges chez les adultes transgenres : mecanismes et problemes 
 
 
 
Resume 
 
 
 
Le VIH continue a ravager les communautes marginalisees et les organisations ont priorise le developpement de programmes eprouves de prevention du VIH. Bien que la communaute transgenre soit touchee de facon disproportionnee par le VIH/sida, aucune intervention efficace de prevention du VIH n’a eteetablie pour ce groupe. Les rares interventions publiees se concentrent sur les aptitudes de communication et sur les efforts de developpement d’une conscience communautaire, ce qui necessite une plus grande comprehension des experiences de communication sexuelle d’un large segment de la communaute trans. Pour explorer l’experience transgenre de la communication sur les rapports proteges, 41 adultes transgenres ont ete interviewes. Les participants ont decrit la communication sur les rapports proteges comme une entreprise compliquee, concernant la gestion de la vie privee, la reduction de l’incertitude et la discussion d’approches variees a la securite sexuelle. Comprendre le mecanisme de la communication portant sur les rapports proteges (et les problemes qui y sont associes) pour les adultes transgenres suggere des implications pour la theorie, la recherche et la pratique. 
 
 
 
Mots-cles : transgenre, communication sexuelle, VIH/sida, sante, prevention}, number={3}, journal={JOURNAL OF COMMUNICATION}, author={Kosenko, Kami A.}, year={2011}, month={Jun} }
 @article{hurley_kosenko_brashers_2011, title={Uncertain Terms: Message Features of Online Cancer News}, volume={78}, ISSN={["1479-5787"]}, DOI={10.1080/03637751.2011.565061}, abstractNote={About 113 million Americans have reported seeking health information online; however, little is known about the quality (or qualities) of the information being retrieved. Users have reported seeking information about health issues in an attempt to reduce negatively appraised uncertainties (Brashers, 2007), but less is known about the ability of the retrieved information to increase or produce unwanted uncertainty. A content analysis of online cancer news was conducted and suggests that 65% of Internet-based cancer news contains message features previously linked to the production of uncertainty (e.g., ambiguous or complex information). Though future research is required regarding uncertainty-related content and its effects, this project provides a foundation for such future endeavors.}, number={3}, journal={COMMUNICATION MONOGRAPHS}, author={Hurley, Ryan J. and Kosenko, Kami A. and Brashers, Dale}, year={2011}, pages={370–390} }
 @article{kosenko_rintamaki_2010, title={Forms, Functions, and Foibles of Humor Used in AIDS Service Organizations}, volume={21}, ISSN={["1055-3290"]}, DOI={10.1016/j.jana.2009.08.001}, abstractNote={Research has indicated that HIV service providers commonly use humor to cope with work-related stress; however, little is known about the forms and functions of humor used by these professionals. In this study, 25 HIV service providers from five AIDS service organizations were interviewed about their use of humor. Participants described five primary types of humor as prevalent within AIDS service organizations and noted that humor served a variety of functions, which were either adaptive or maladaptive. Adaptive functions included boosting morale and reducing tension, whereas maladaptive functions ranged from masking emotions to alienating certain groups. Results emphasized the importance of context in the study of humor use and the need for continued investigations of the stress and coping of HIV service providers.}, number={1}, journal={JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE}, author={Kosenko, Kami A. and Rintamaki, Lance S.}, year={2010}, pages={25–35} }
 @article{kosenko_2010, title={Meanings and Dilemmas of Sexual Safety and Communication for Transgender Individuals}, volume={25}, ISSN={["1041-0236"]}, DOI={10.1080/10410230903544928}, abstractNote={HIV prevention efforts stress interpersonal communication skills and their protective benefits; however, research on sexual communication has lagged behind interventions that emphasize communication. This project was undertaken to determine how sex talk unfolds in a specific relational and sociocultural context--the transgender community—as well as what constitutes effective or satisfying safer sex talk. Goldsmith's normative theory guided semistructured interviews with 41 transgender individuals. Transgender participants held multiple, often competing goals in safer sex conversations, which resulted in communicative dilemmas. Creative management strategies allowed participants to achieve desired outcomes, like safer sex, without threatening identities and relationships. Implications for communication and health behavior theory and practice are discussed in light of these findings.}, number={2}, journal={HEALTH COMMUNICATION}, author={Kosenko, Kami A.}, year={2010}, pages={131–141} }
 @article{caughlin_bute_donovan-kicken_kosenko_ramey_brashers_2009, title={Do Message Features Influence Reactions to HIV Disclosures? A Multiple-Goals Perspective}, volume={24}, ISSN={1041-0236 1532-7027}, url={http://dx.doi.org/10.1080/10410230902806070}, DOI={10.1080/10410230902806070}, abstractNote={People who are HIV-positive must make decisions about disclosing their status to others but do so in the context of stigma and social isolation reported by many with the disease. Disclosing an HIV-positive diagnosis is necessary to seek social support, to manage health care, and to negotiate sexual encounters, but fear of how others will respond is a strong barrier to revealing that information. This investigation focuses on various ways that HIV can be disclosed. Using a multiple-goals perspective, 24 disclosure messages (representing 6 different types) were created. Participants (N = 548) were asked to imagine one of their siblings revealing an HIV-positive diagnosis, using 1 of the 24 messages. Participants' reactions to the disclosures differed substantially across the various message types. The discussion focuses on theoretical explanations for the variations in responses and the utility of these findings for practical interventions concerning HIV disclosures.}, number={3}, journal={Health Communication}, publisher={Informa UK Limited}, author={Caughlin, John P. and Bute, Jennifer J. and Donovan-Kicken, Erin and Kosenko, Kami A. and Ramey, Mary E. and Brashers, Dale E.}, year={2009}, month={May}, pages={270–283} }
 @article{caughlin_brashers_ramey_kosenko_donovan-kicken_bute_2008, title={The Message Design Logics of Responses to HIV Disclosures}, volume={34}, ISSN={["1468-2958"]}, DOI={10.1111/j.1468-2958.2008.00336.x}, abstractNote={This article uses the theory of message design logics to investigate the relative sophistication of responses to disclosure of HIV status. In Study 1, 548 college students imagined a sibling revealing an HIV-positive diagnosis. Their responses to the HIV disclosures were coded as expressive (n= 174), conventional (n= 298), or rhetorical (n= 66). Type of message produced was associated with gender and HIV aversion. In Study 2, 459 individuals living with HIV rated response messages that were taken verbatim from Study 1. Expressive messages were rated lowest in quality, and rhetorical messages were rated highest. The discussion focuses on the utility of message design logics for understanding responses to HIV disclosures and the implications for message design logics. 
 
Resume 
 
La logique de conception des messages en reaction a une revelation de seropositivite 
 
 
 
Ce manuscrit utilise la theorie de la logique de conception des messages (message design logics) pour etudier la relative sophistication des reactions a une revelation de seropositivite. Dans la premiere etude, 548 etudiants universitaires ont imagine qu‘un frere ou une sœur leur revelait sa seropositivite. Leurs reactions ont ete codees comme expressives (n= 174), conventionnelles (n= 298) ou rhetoriques (n= 66). Les types des messages produits ont ete associees au genre et a l’aversion pour le VIH. Dans la deuxieme etude, 459 personnes seropositives ont evalue les messages de reaction tires mot pour mot de la premiere etude. Les messages expressifs furent evalues comme etant de plus basse qualite et les messages rhetoriques avaient la plus haute evaluation. La discussion se concentre sur l’utilite de la logique de conception des messages pour comprendre les reactions aux revelations de seropositivite et sur les implications pour la logique de conception des messages. 
 
Abstract 
 
Logik des Botschaftsdesigns bei Reaktionen auf die Bekanntgabe einer positiven HIV-Diagnose 
 
 
 
Dieses Manuskript nutzt die Theorie der Logik des Botschaftsdesigns, um die relative Gewandtheit von Reaktionen auf die Bekanntgabe einer positiven HIV-Diagnose zu untersuchen. In Studie 1 stellten sich 1.548 Studierende vor, dass ein Geschwister ihnen eine positive HIV-Diagnose offenbart. Ihre Reaktionen auf diese Bekanntgabe wurden als expressiv (n= 174), konventionell (n= 298) oder rhetorisch (n= 66) kodiert. Der Typ der produzierten Botschaft hing mit Geschlecht und Wortwahl der ersten Studie zusammen. Expressive Botschaften wurden als qualitativ am niedrigsten und rhetorische als qualitativ am hochsten eingestuft. Die Diskussion fokussiert erstens auf den Nutzen der Logik des Botschaftsdesigns, um die Reaktionen auf die Bekanntgabe einer HIV-Diagnose zu verstehen und zweitens auf Implikationen fur die Botschaftsdesigns-Logik. 
 
Resumen 
 
Las Logicas del Diseno de Mensaje de las Respuestas a las Revelaciones de VIH 
 
 
 
Este manuscrito usa la teoria de las logicas del diseno de mensaje para investigar la sofisticacion relativa de la revelacion del estado de VIH. En el estudio 1, 548 estudiantes de grado imaginaron un hermano revelando el diagnostico positivo de VIH. Sus respuestas sobre las relevaciones de VIH fueron codificadas como expresiva (n= 174), convencionales (n= 298), o retoricas (n= 66). El tipo de mensaje producido fue asociado con el genero y la aversion al VIH. En el estudio 2, 459 individuos viviendo con VIH clasificaron los mensajes de las respuestas que fueron tomados verbatim del estudio 1. Los mensajes expresivos fueron clasificados como de menor calidad, y los mensajes retoricos fueron clasificados como de mayor calidad. La discusion se enfoca en la utilidad de la logica del diseno de mensaje para entender las respuestas a las relevaciones de VIH y las implicancias para las logicas del diseno de mensaje. 
 
ZhaiYao 
 
 
 
Yo yak}, number={4}, journal={HUMAN COMMUNICATION RESEARCH}, author={Caughlin, John P. and Brashers, Dale E. and Ramey, Mary E. and Kosenko, Kami A. and Donovan-Kicken, Erin and Bute, Jennifer J.}, year={2008}, month={Oct}, pages={655–U194} }