PSYCHOSOCIAL PREDICTORS OF GAY MENS AIDS RISK-REDUCTION BEHAVIOR

被引:118
作者
ASPINWALL, LG
KEMENY, ME
TAYLOR, SE
SCHNEIDER, SG
DUDLEY, JP
机构
[1] UNIV CALIF LOS ANGELES,SCH MED,DEPT PSYCHIAT & BIOBEHAV SCI,CHS A7-060,LOS ANGELES,CA 90024
[2] UNIV CALIF LOS ANGELES,SCH PUBL HLTH,MULTICTR AIDS COHORT STUDY,LOS ANGELES,CA 90024
关键词
AIDS; GAY MEN; HEALTH BELIEF MODEL; RISK BEHAVIOR; SELF-EFFICACY; SEXUAL BEHAVIOR;
D O I
10.1037/0278-6133.10.6.432
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
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.
引用
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页码:432 / 444
页数:13
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