A Comprehensive Test of the Health Belief Model in the Prediction of Condom Use among African American College Students

Winfield, Evelyn B.; Whaley, Arthur L.

doi:10.1177/009579802237541

Cited by 45 publications

(40 citation statements)

References 31 publications

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“…Of greater importance, most educational interventions in health domains in general and in HIV prevention specifically fail to address and change people's cognitive barriers for behaviour change. In studies adopting the Health Belief Model, the most important predictor of condom use was perceived barriers for change (Volk & Koopman, 2001;Winfield & Whaley, 2002), pointing at the potential importance of addressing barriers for increasing condom use. Multiple cognitive and social barriers for condom use have been identified including reduced sexual pleasure, trust in (or from) one's partner and fear of male partner's refusal (Bedimo, Bennet, Kissinger, & Clark, 1998;Nuwaha, Faxelid & Höjer, 1999).…”

Section: Introductionmentioning

confidence: 99%

The effects of psychological inoculation on cognitive barriers against condom use in women with HIV: A controlled pilot study

Olley

Abbas

Gidron³

2011

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Journal des Aspects Sociaux du VIH/SIDA 27 Article Original RésuméDes études antérieures ont montré que dans les tentatives pour prévenir le VIH, les efforts d' éducation sanitaire modifiaient peu la fréquence d'utilisation d'un préservatif. C' est peut-être parce que l' éducation ne parvient pas à cibler les obstacles liés au changement de comportement. La présente étude pilote contrôlée a tenté de savoir si l'inoculation psychologique (IP) réduit ou non ces obstacles dans l'utilisation de préservatifs masculins. Vingt-deux femmes nigérianes contaminées par le VIH ont été désignées pour recevoir au hasard un PI ou une éducation sanitaire (témoin). Dans le cas du PI, les femmes ont appris à réfuter des phrases reflétant des barrières contre l'utilisation du préservatif, alors que les témoins ont appris à utiliser des préservatifs et les conséquences de leur non-utilisation. Les obstacles pour l'utilisation du préservatif, le sentiment d' efficacité personnelle à négocier l'utilisation du préservatif avec des partenaires et le réel taux d'utilisation du préservatif ont été auto-déclarés avant et une semaine après les interventions. Les résultats ont révélé que c' est seulement dans le groupe d'IP qu'il y avait eu des augmentations statistiquement significatives dans le sentiment d' efficacité personnelle à négocier l'utilisation du préservatif, et dans la réductions des obstacles concernant la motivation, la satisfaction sexuelle et les partenaires. Les témoins n' ont signalé aucun changement statistiquement significatif. Toutefois, le taux réel d'utilisation du préservatif est resté inchangé dans les deux groupes. Ainsi, il est possible de mener des interventions d'IP dans un échantillon de patients atteints du VIH et originaires d' Afrique. En outre, l'IP peut réduire les obstacles cognitifs pour l'utilisation du préservatif, alors que les efforts de politique sanitaire n'apportent guère de changement au cours du temps dans les résultats. Si les conclusions de cette étude pilote sont les mêmes avec de plus grands échantillons avec davantage de suivis, elles pourraient éventuellement avoir des implications pour la prévention du VIH dans plusieurs régions du monde. Mots clés: Inoculation psychologique, utilisation du préservatif, VIH, obstacles, Afrique. AbstractPast studies have shown that in attempts to prevent HIV, health education yields little change in condom use. The reason may be that education fails to target barriers for changing behaviour. The present controlled pilot study tested whether psychological inoculation (PI) reduces such barriers for using male condoms. Twenty-two Nigerian women with HIV were randomly assigned to receive PI or health education (control). In the PI condition, women learned to refute sentences reflecting barriers against condom use, while controls learned how to use condoms and the consequences of their non-use. Barriers for condom use, self-efficacy to negotiate condom use with partners and actual condom use were self-reported before and one week after interventions. Results ...

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Section: Introductionmentioning

confidence: 99%

The effects of psychological inoculation on cognitive barriers against condom use in women with HIV: A controlled pilot study

Olley

Abbas

Gidron³

2011

SAHARA-J: Journal of Social Aspects of HIV/AIDS

View full text Add to dashboard Cite

show abstract

“…There is ample evidence of gender differences in sexual behaviors (Laumann, Gagnon, Michael, & Michaels, 1994), although the evidence for gender differences in safer sex behaviors is less clear. In some studies examining the rate of condom use among college students, males have reported more consistent condom use than females (e.g., Bazargan, Kelly, Stein, Husaini, & Bazargan, 2000;Winfield & Whaley, 2002), but in other studies no such gender difference has been found (e.g., Hawkins, Gray, & Hawkins, 1995). Some studies have found a greater tendency for women to reduce their number of sexual partners as a risk reduction strategy (e.g., Hawkins, Gray, & Hawkins, 1995), whereas other studies have failed to find this difference (e.g., O'Leary et al, 1996;Turner et al, 1993).…”

mentioning

confidence: 99%

An Evaluation of a Brief HIV/AIDS Prevention Intervention for College Students Using Normative Feedback and Goal Setting

Chernoff¹,

Davison²

2005

AIDS Education and Prevention

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This study evaluated the ability of a 20-minute self-administered intervention to increase HIV/AIDS risk reduction among sexually active college students. The intervention presented normative data on the relatively low prevalence of HIV risk behaviors among college students for the purpose of conveying the idea that risk reduction was the prevailing social norm among their same age peers. The intervention also invited students to select specific risk reduction goals to be implemented over a 30-day follow-up period. Participants (N = 155) were assigned in alternating order to receive either the intervention or a control condition that entailed reading a general AIDS information pamphlet. Results were partially moderated by gender. Compared with controls, men in the intervention group reported significantly higher condom use, whereas women in the intervention group reported significantly fewer sexual partners.

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“…This theory posits that people are motivated to change their behavior when risks feel personal (Mehrotra, et al, 2009). This theory was originally proposed and tested in the 1950’s in response the failure of tuberculosis (TB) prevention efforts to increase screening (Steers et al , 1996; Winfield & Whaley, 2002; Lin et al , 2005). The research found that a person’s decision to be screened for TB was dependent on their belief that 1) personally contracting the infection was a real possibility, 2) they could be living with the disease with no perceivable signs or symptoms, 3) screening would detect TB, and 4) early detection and treatment would improve their health.…”

Section: Effective Hiv Preventionmentioning

confidence: 99%

“…The research found that a person’s decision to be screened for TB was dependent on their belief that 1) personally contracting the infection was a real possibility, 2) they could be living with the disease with no perceivable signs or symptoms, 3) screening would detect TB, and 4) early detection and treatment would improve their health. This theory has since been successfully applied to preventative behaviors of HIV/AIDS (Steers et al , 1996; Winfield & Whaley, 2002; Lin et al , 2005). While general knowledge and awareness of HIV/AIDS increase an individual’s understanding of the threat, prevention efforts will succeed in changing behavior only when the person believes themselves to be at risk of contracting the virus.…”

Section: Effective Hiv Preventionmentioning

confidence: 99%

Effects of an Undergraduate HIV/AIDS Course on Students' HIV Risk

Marsiglia

Jacobs

Nieri

et al. 2013

Journal of HIV/AIDS & Social Services

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This study utilizes a quasi-experimental pre- and post-test survey design to examine the effects of a course, called HIV/AIDS: Science, Behavior, and Society, on undergraduate students’ HIV knowledge, attitudes and risky sexual behaviors. With the assistance of social work faculty the course incorporates experiential learning pedagogy and a transdisciplinary perspective. Although the course was not designed as a prevention program, the theory of health behavior suggests the incorporation of experiential learning will impact crucial HIV/AIDS attitudes and behaviors. When regression models were applied, relative to the comparison group (N = 111), the HIV/AIDS class students (N = 79) reported an increase in post-test HIV knowledge, perceived susceptibility to HIV among females, and a reduction of risky sexual attitudes among sexually active students.

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A Comprehensive Test of the Health Belief Model in the Prediction of Condom Use among African American College Students

Cited by 45 publications

References 31 publications

The effects of psychological inoculation on cognitive barriers against condom use in women with HIV: A controlled pilot study

The effects of psychological inoculation on cognitive barriers against condom use in women with HIV: A controlled pilot study

An Evaluation of a Brief HIV/AIDS Prevention Intervention for College Students Using Normative Feedback and Goal Setting

Effects of an Undergraduate HIV/AIDS Course on Students' HIV Risk

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