Psychosocial predictors of gay men's AIDS risk-reduction behavior

Health Psychol. 1991;10(6):432-44. doi: 10.1037//0278-6133.10.6.432.


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.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acquired Immunodeficiency Syndrome / prevention & control*
  • Acquired Immunodeficiency Syndrome / psychology
  • Acquired Immunodeficiency Syndrome / transmission
  • Adolescent
  • Adult
  • Attitude to Health*
  • Bisexuality / psychology
  • HIV Seropositivity / psychology
  • Health Behavior*
  • Homosexuality / psychology*
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Risk-Taking*
  • Self Concept
  • Sexual Behavior
  • Sexual Partners / psychology