Psychosocial predictors of gay men's AIDS risk-reduction behavior.
Used psychosocial variables derived from the health belief model (Rosenstock, 1974), Bandura's (1986) self-efficacy framework, and protection motivation theory (Rogers, 1984) to predict self-reported AIDS risk-reduction behaviors in a sample of 389 homosexual men who participated in the Multicenter AIDS Cohort Study in Los Angeles and who knew their HIV antibody status. Hierarchical multiple regression analyses showed that self-efficacy, perceived risk, response efficacy, and prior sexual behavior accounted for approximately 70% of the variance in the total number of sexual partners and the number of anonymous partners over a 6-month interval, controlling for demographic variables, HIV antibody status, and presence of a primary partner. A logistic regression analysis showed that barriers to change predicted increased unprotected anal receptive intercourse over a 6-month interval, controlling for prior behavior. The relation of health beliefs to risk-reduction behavior was substantially different for HIV-seropositive men without primary partners than for other groups of gay men. Implications for interventions are discussed.
Aspinwall
L G
LG
University of California, Los Angeles 90024.
Kemeny
M E
ME
Taylor
S E
SE
Schneider
S G
SG
Dudley
J P
JP
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D001727:Bisexuality / Q000523:psychology; D006679:HIV Seropositivity / Q000523:psychology; D015438:Health Behavior; D006716:Homosexuality / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012309:Risk-Taking; D012649:Self Concept; D012725:Sexual Behavior; D012747:Sexual Partners / Q000523:psychology