Risk behaviors, self-efficacy, and AIDS prevention among adolescents

This study was conducted to investigate risk behaviors and AIDS-preventive variables in high school adolescents. One hundred fifty-two students in Grades 10 through 12 were administered an AIDS-related behavior questionnaire and the Attitudes Toward AIDS Scale-High School Version (ATAS-HS; Goh, 1992). The results indicated that use of alcohol was far more common than other risk behaviors among the respondents. Rates of sexual intercourse and intravenous drug use were significantly lower than those reported in other research. Self-efficacy was significantly related to AIDS-preventive behavioral intentions, perceived knowledge, and measured knowledge about AIDS. Because the AIDS-preventive variables functioned differently in their relationships to sexual practices, the correlations suggest a pattern of co-occurrence between specific behavior intentions and actual AIDS-preventive behaviors (i.e., sexual experience, use of condoms). In addition, significant gender and grade differences were found on selected risk behaviors and AIDS-preventive variables.     

Empirical tests of an information-motivation-behavioral skills model of AIDS-preventive behavior with gay men and heterosexual university students.

This article contains empirical tests of the information-motivation-behavioral skills (IMB) model of AIDS preventive behavior (J. D. Fisher and W. A. Fisher; see PA, Vol 79:28622; W. A. Fisher and J. D. Fisher, 1993), which has been designed to understand and predict the practice of AIDS-preventive acts. The IMB model holds that AIDS-preventive behavior is a function of individuals' information about AIDS prevention, motivation to engage in AIDS prevention, and behavioral skills for performing the specific acts involved in prevention. The model further assumes that AIDS-prevention information and motivation generally work through AIDS-prevention behavioral skills to influence the initiation and maintenance of AIDS-preventive behavior. Supportive tests of the model, using structural equation modeling techniques, are reported with populations of gay male affinity group members (n?=?91) and heterosexual university students (n?=?174). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intention to commit driving violations: An application of the theory of planned behavior.

Assessed the ability of the theory of planned behavior (TPB) to account for drivers' intentions to commit 4 specific driving violations: drinking and driving, speeding, close following, and overtaking in risky circumstances. A stratified sample of drivers (N?=?881) was surveyed with a questionnaire constructed to measure attitudes toward behaviors, subjective norms, perceived behavioral control, and behavioral intentions, the key constructs in TPB. Results showed that the addition of perceived behavioral control led to significant increments in the amount of explained variance in intentions, thereby supporting the theory. The relation between subjective norms and behavioral intentions was consistently stronger than that between attitudes toward behaviors and behavioral intentions. Analyses of variance (ANOVAs) differentiated demographic subgroups of drivers in terms of behavioral beliefs, outcome evaluations, normative beliefs, motivation to comply, and control beliefs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Estimating individual influences of behavioral intentions: An application of random-effects modeling to the theory of reasoned action.

Methods are proposed and described for estimating the degree to which relations among variables vary at the individual level. As an example of the methods, M. Fishbein and I. Ajzen's (1975; I. Ajzen & M. Fishbein, 1980) theory of reasoned action is examined, which posits first that an individual's behavioral intentions are a function of 2 components: the individual's attitudes toward the behavior and the subjective norms as perceived by the individual. A second component of their theory is that individuals may weight these 2 components differently in assessing their behavioral intentions. This article illustrates the use of empirical Bayes methods based on a random-effects regression model to estimate these individual influences, estimating an individual's weighting of both of these components (attitudes toward the behavior and subjective norms) in relation to their behavioral intentions. This method can be used when an individual's behavioral intentions, subjective norms, and attitudes toward the behavior are all repeatedly measured. In this case, the empirical Bayes estimates are derived as a function of the data from the individual, strengthened by the overall sample data. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Molecular alterations of canalicular transport systems in experimental models of cholestasis: possible functional correlations

Ajzen's (1988) theory of planned behavior (TOPB) was used to examine psychological determinants of high-risk UV radiation exposure-related behaviors (sunbathing, tanning salon use, and sunscreen use). Undergraduates at a midsized southeastern university were assessed on their psychological and behavioral tendencies toward high-risk UV radiation exposure-related behaviors. The results generally supported the utility of the TOPB as an explanatory model for high-risk behavior. Attitudes were strongly associated with high-risk intentions (e.g., not utilize sunscreen, use salons), whereas subjective norms were less so. Perceived behavioral control was found to moderate the relationship among attitudes, norms, and intentions to sunbathe and tan at a salon. Implications for intervention strategies and future model building in this area are discussed.     

Changing knowledge and attitudes about skin cancer risk factors in adolescents.

Examined knowledge, attitudes, and behaviors related to skin cancer (SC), sun exposure, sunscreen use, and use of tanning booths in 903 female and 800 male adolescents. The effectiveness of a brief, school-based intervention designed to increase teens' knowledge and preventive attitudes about SC was also evaluated. Females, older students, and those with high-risk skin types were most likely to use sunscreen and to take precautions. However, overall level of protection was low. Intentions to take precautions were associated with levels of perceived susceptibility to SC, attitudes about the benefits of sun exposure, skin type, and sex. Beyond intentions, sunscreen use was associated with perceived susceptibility and skin type. The 1-session, school-based intervention significantly increased knowledge of and perceived susceptibility to SC but not behavioral intentions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Using the theory of planned behavior to predict gambling behavior.

Gambling is an important public health concern. To better understand gambling behavior, we conducted a classroom-based survey that assessed the role of the theory of planned behavior (TPB; i.e., intentions, subjective norms, perceived behavioral control, and attitudes) in past-year gambling and gambling frequency among college students. Results from this research support the utility of the TPB to explain gambling behavior in this population. Specifically, in TPB models to predict gambling behavior, friend and family subjective norms and perceived behavioral control predicted past-year gambling, and friend and family subjective norms, attitudes, and perceived behavioral control predicted gambling frequency. Intention to gamble mediated these relationships. These findings suggest that college-based responsible gambling efforts should consider targeting misperceptions of approval regarding gambling behavior (i.e., subjective norms), personal approval of gambling behavior (i.e., attitudes), and perceived behavioral control to better manage gambling behavior in various situations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Moral obligation and attitudes: Their relation to behavioral intentions.

I. Ajzen and M. Fishbein (1969) have shown that behavioral intention can be viewed as a function of attitudes and subjective norms; however, moral values also may influence behavioral intentions in morally relevant situations. When a component measuring moral obligation was added to Ajzen and Fishbein's model in an experiment with 113 adults (mean age 42 yrs) in Baptist Sunday school classes who were exposed to 2 morally relevant and 2 not morally relevant hypothetical situations, it added significantly to prediction of behavioral intention. In the 2 "moral situations" (as defined independently by 3 criteria—importance, immunity from deliberate change, and form of moral pressure), moral obligation was more highly correlated with intention than attitude or social norms, but in 2 "nonmoral" situations it was not. Hence, moral considerations are necessary to predict behavioral intentions in moral situations. (13 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting Greek adolescents’ intentions to smoke: A focus on normative processes.

Objective: To examine the effects of normative influences on adolescent smoking in Greece, a country with weak social norms against smoking and relatively ineffective tobacco control policies. Design: A cross-sectional survey methodology was employed, and a representative sample of Greek high school students was recruited (N = 1,920, M age = 14 years). Main Outcome Measures: Normative beliefs, attitudes, perceived behavioral control, self-esteem, and intentions to smoke. Results: Multiple-regression and mediation analyses were conducted. The effects of public smoking on intentions to smoke were mediated by beliefs of perceived prevalence of smoking among peers, subjective norms, and situational temptations. Self-esteem significantly moderated the effects of subjective norms on intentions to smoke. Conclusions: Prosmoking norms in one’s environment become internalized into biased normative beliefs about smoking, and increase susceptibility to smoke under social pressure. The effect of subjective norms on intentions to smoke was stronger among adolescents with low self-esteem, suggesting that self-esteem may act as a vulnerability factor in the process of smoking initiation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive moderators of the relationship between behavioral intentions and behavior.

A prospective study associating prior behavioral intentions with subsequent actual behaviors explored whether locus-of-control expectancies and values on the outcome of the behavior would influence the relationship between behavioral intentions and behavior. Survey questionnaires were mailed to 115 15–68 yr old prospective adult female patients at a weight reduction clinic immediately prior to their beginning treatment; 79 respondents completed the 6-wk program. The strength of the relationship between initial behavioral intentions and actual behavior was influenced both by expectancies for control of weight loss and by values relevant to weight reduction. Weight-locus-of-control internals with high outcome values for physical appearance or health were significantly more likely than externals with high outcome values to translate their intentions to lose weight into successful actions. More generally, it may be the case that among individuals who believe that certain behaviors lead to highly valued outcomes, internals are more likely than externals to perform those behaviors. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Today I'll use a condom, but who knows about tomorrow: A daily process study of variability in predictors of condom use.

Objective: Most models of health behavior change applied to condom use behavior have focused on individual differences in theoretical constructs to explain condom use or nonuse, while ignoring the possibility that day-to-day within-person changes in these constructs may contribute to understanding behavior. The goal of the present study was to investigate day-to-day variability in condom use attitudes, self-efficacy, and behavioral intentions and assess the utility of this variability in predicting the likelihood of condom use each day. Design: A 30-day Web-based structured daily diary was used to collect daily reports of sexual behaviors and data on theoretical predictors of condom use behavior from sexually active college students (N = 116). Main Outcome Measures: The authors investigated whether condom use attitudes, self-efficacy, and behavioral intentions vary day to day; whether this within-person variability predicts condom use behavior; and whether negative affective states explain this variability. Results and Conclusions: Within-person variability was found for each of the constructs. Within-person day-to-day changes in behavioral intentions and attitudes predicted the instances in which an individual used a condom and daily negative affect partially explained within-person day-to-day changes in behavioral intentions and self-efficacy. Implications for models of health behavior change and for behavior change interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Theories of reasoned action and planned behavior as models of condom use: A meta-analysis.

To examine how well the theories of reasoned action and planned behavior predict condom use, the authors synthesized 96 data sets (N?=?22,594) containing associations between the models' key variables. Consistent with the theory of reasoned action's predictions, (a) condom use was related to intentions (weighted mean r.?=?.45), (b) intentions were based on attitudes (r.?=?.58) and subjective norms (r.?=?.39), and (c) attitudes were associated with behavioral beliefs (r.?=?.56) and norms were associated with normative beliefs (r.?=?.46). Consistent with the theory of planned behavior's predictions, perceived behavioral control was related to condom use intentions (r.?=?.45) and condom use (r.?=?.25), but in contrast to the theory, it did not contribute significantly to condom use. The strength of these associations, however, was influenced by the consideration of past behavior. Implications of these results for HIV prevention efforts are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting adolescent eating and activity behaviors: The role of social norms and personal agency.

Guided by the theory of planned behavior, this 2-week longitudinal study examined health behaviors in a sample of 279 adolescents. Social norms and perceived behavioral control (PBC) were tested as predictors of self-reported intentions and behaviors in 2 domains, eating and physical activity. Differentiating, as opposed to aggregating, parent and peer norms provided unique information. For PBC, the authors distinguished global causality beliefs from self-related agency beliefs and intraself (effort, ability) from extraself (parents, teachers) means. Intraself agency beliefs strongly predicted healthy intentions, whereas intraself causality beliefs had a negative influence. Patterns differed somewhat across behaviors and gender. Results highlight theoretical issues and provide potential targets for research on health promotion programs for youth. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Australian and South African undergraduates' HIV-related knowledge, attitudes, and behaviors

To understand safe sex behavior in two countries which have been differentially affected by the HIV/AIDS epidemic, the present study compared the AIDS-related knowledge, attitudes, and behaviors of 920 heterosexual undergraduate students in Australia and 228 heterosexual undergraduate students in South Africa. South African students were found to have significantly less knowledge about HIV/AIDS, and significantly less favorable attitudes toward safe sex behavior than their Australian counterparts. They were also more likely to report that they have avoided various groups of people for fear of contracting AIDS. Experience from Australia over the period 1986-1995 suggests that significant improvements in the AIDS-related knowledge, attitudes, and behaviors of South African undergraduates are achievable.     

Personality predictors of the development of elementary school children's intentions to drink alcohol: The mediating effects of attitudes and subjective norms.

The authors tested a mediation model in which childhood hostility and sociability were expected to influence the development of intentions to use alcohol in the future through the mediating mechanisms of developing attitudes and norms. Children in 1st through 5th grades (N=1,049) from a western Oregon community participated in a longitudinal study involving 4 annual assessments. Hostility and sociability were assessed by teachers' ratings at the 1st assessment, and attitudes, subjective norms, and intentions were assessed by self-report at all 4 assessments. For both genders, latent growth modeling demonstrated that sociability predicted an increase in intentions to use alcohol over time, whereas hostility predicted initial levels of these intentions. These personality effects were mediated by the development of attitudes and subjective norms, supporting a model wherein childhood personality traits exert their influence on the development of intentions to use alcohol through the development of these more proximal cognitions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Delayed treatment with aminoguanidine decreases focal cerebral ischemic damage and enhances neurologic recovery in rats

PURPOSE: To assess the state of managed care knowledge and attitudes and to evaluate the effects of a two-day course on participants' knowledge, attitudes, and behavioral intentions. METHOD: In 1996, the University of California, Davis, Medical School invited all medical students, residents, faculty, and administrators to participate in one of two sessions of a two-day course on managed care. Participants in the first session were given both pre- and post-course questionnaires. Participants in the second session were given only post-course questionnaires. The questionnaires measured objective knowledge, attitudes, and behavioral intentions. Participants (other than administrators) who completed the questionnaires also received a follow-up questionnaire six months after the seminar. RESULTS: The two sessions were attended by 818 UC Davis medical students, residents, faculty, and administrators: after excluding 33 non-physician administrators, 428 completed survey packets (55%) were available for full analysis. Before the course, participants in the first session correctly answered on average only 46% of 32 questions about managed care knowledge. Course attendance was associated with significant gains in knowledge (to 67% correct, p < .001) and a marked increase in appreciation for the cost-control effectiveness of managed care (from 3.35 to 3.98 on a five-point scale, p < .001). Knowledge gains were greatest among medical students; changes in attitudes and behavioral intentions were least among residents. Among respondents to a follow-up survey, the changes were partially sustained six months later. CONCLUSION: Within this academic medical center, baseline levels of managed care knowledge were low among faculty as well as among trainees, and attitudes reflected a blend of negativism and wishful thinking. An intensive two-day educational program effectively increased knowledge and changed selected attitudes among critical academic constituencies. Other academic medical centers may wish to consider presenting similar programs in order to orient their faculties and trainees to the economic realities of the foreseeable future.     

Group norms and attitude–behavior consistency: The role of group salience and mood.

This study tested the social identity–self-categorization theory reconceptualization of the role of norms in attitude–behavior relations. Specifically, the study investigated how the effects of in-group norms on the relationship between people's attitudes and their behavior vary as a function of the salience of group membership and mood. Participants' (N?=?131) attitudes toward students being responsible for picking up litter on campus grounds were examined. As expected, the effects of the attitudinal congruency of norms varied as a function of group salience under neutral mood (i.e., deliberative processing) conditions. In-group norms were more influential for high-salience individuals than for low salience individuals in a neutral mood. These findings indicate that in-group norms influence behavioral decision making for individuals high in group salience only when there is an opportunity to carefully process the normative information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)