Factors Affecting AIDS-related Sexual Behavior Change among Flemish Gay Men

Autor: Rudolf P. Mak, Paul J. Jurica, John Vincke, Ralph Bolton
Rok vydání: 1993
Předmět:
Zdroj: Human Organization. 52:260-268
ISSN: 1938-3525
0018-7259
DOI: 10.17730/humo.52.3.yr86618167334v74
Popis: Most studies to date that have attempted to explain the absence of a relationship between AIDS knowledge and behavioral change have used social psychological variables from diverse theoretical frameworks. The study reported in this article builds further on that research by simultaneously considering aspects of the health belief model, the fear reduction model, and the social support model. It is argued that the variables in these models not only complement each other but that they also interact. Using data gathered from a computerized questionnaire self-administered in a sample of Flemish gay men, the investigators employed multiple regression analysis with backward elimination to determine concurrently those factors from the indicated models that contributed to AIDS-related sexual behavior. The results confirm that components of the three models interact and that none alone can explain behavior change. The most important factor in inducing change was belief in the efficacy of safer sex practices. AIDS knowledge also proved to be significant. The combination of high perceived susceptibility and high self-efficacy was associated with safer sexual behaviors. High visibility of AIDS interacting with a high level of denial did not prevent subjects from adopting safer sex practices. Subjects experiencing social isolation were prone to change their behaviors. The authors interpret these findings within the context of the characteristics of the social situation of gay men in Flanders.
Databáze: OpenAIRE