Determinants of intentions to practise safe sex among 16–25 year-olds

This study aimed at predicting intentions to avoid casual sex and to use condoms, through self-efficacy, attitudes, optimistic bias in perceived risk, knowledge and past sexual risk behaviour. To this end, a mixed-sex sample of high school and university students between 16 and 25 years completed questionnaires at two points in time. Intentions to avoid casual sex were predicted positively by the attitude towards avoiding casual sex and assertiveness in sexual relationships, and negatively by communication about sex. The intention to use condoms was predicted positively by the perceived benefits of condom use, and negatively by past sexual risk behaviour and fatalism. Gender and sexual experience were found to have a moderating influence, implying that AIDS education should use different messages for these target groups. Since the results show that condom use is quite a powerful habit and that sexually non-active subjects had more positive intentions towards safe sex, AIDS education should start at a young age in order to establish safe sex habits from the beginning. © 1997 John Wiley & Sons, Ltd.     

Changing AIDS-risk behavior.

This article contains a comprehensive, critical review of the acquired immunodeficiency syndrome (AIDS)-risk-reduction literature on interventions that have targeted risky sexual behavior and intravenous drug use practices. A conceptually based, highly generalizable model for promoting and evaluating AIDS-risk behavior change in any population of interest is then proposed. The model holds that AIDS-risk reduction is a function of people's information about AIDS transmission and prevention, their motivation to reduce AIDS risk, and their behavioral skills for performing the specific acts involved in risk reduction. Supportive tests of this model, using structural equation modeling techniques, are then reported for populations of university students and gay male affinity group members.     

High school students' perceptions of AIDS risk: realistic appraisal or motivated denial?

We examined perceptions of risk for acquired immunodeficiency syndrome (AIDS) in 296 high school students living in or near a major urban center. We hypothesized that students with a dispositional tendency to deny threat would be more likely to misperceive their risk of contracting AIDS. Results indicated that study participants, overall, used their behaviors as a basis for assessing personal risk in the sense that they perceived higher risk when their behavior was in fact riskier. However, this relation did not hold for those students classified as repressors on a repression-sensitization scale; repressors' perceptions of absolute (but not comparative) risk were negatively correlated with degree of behavioral risk. In a secondary analysis, perceived absolute risk was found to be a significant predictor of intention to change AIDS-risk behaviors. This study provides support for a motivational interpretation of perceived invulnerability and has implications for the development of models of health behavior change.     

Adolescents' perceptions of friends' and parents' attitudes to sex and sexual risk-taking

This study investigated the association between adolescents' perceptions of parental and peer attitudes towards sexuality and AIDS precautions, and the risky sexual behaviours of 1008 sexually active, heterosexual undergraduate students aged 17-20 years. Students were asked to rate the extent to which their mothers, fathers and friends would agree or disagree with 16 statements reflecting support of the adolescent engaging in sexual behaviour and using sexual precautions, including precautions against AIDS. The adolescents also indicated whether they were sexually active and their level of condom use in both ‘regular’ (or steady) and ‘casual’ relationships. Results indicated that adolescents perceived their parents as non-liberal in their sexual attitudes and relatively unlikely to discuss sex or precautions with them. Parents were viewed as more accepting of their sons' sexual behaviours than of their daughters'. Adolescents believed that peers were more likely to discuss sexuality and precautions than parents, and were more liberal in their sexual attitudes. Adolescent sexual risk-taking was related to the perceived attitudes of significant others in ways which varied across gender and type of relationship. Implications for interventions are discussed.     

AIDS, FRAIDS, and Quarantine: Student Responses to Pro-Quarantine Initiatives in California

In the literature on AIDS, only a few empirical social reactivist studies of heterosexuals have been done, probably due to the preoccupation with explaining the incidence of AIDS among high-risk groups. The following study of 563 students enrolled in a large Southern California university adds to the heterosexual student literature by operationalizing an important research variable, FRAIDS, and by embarking on explanatory analysis of attitude and self-reported behavior. FRAIDS, which we will define as the fear of getting AIDS from casual contact sources, may be helpful in explaining both high-risk sexual behavior among heterosexuals and pro-quarantine sentiment. However, only the subsets of the FRAIDS variable (FRAIDS-dry and FRAIDS-wet) proved explanatory. FRAIDS-dry (fear of HIV infection from dry sources) proved significant in explaining sexual activity, while FRAIDS-wet (fear of HIV infection from wet casual contact sources) was found significant in explaining pro-quarantine sentiment. The converse was not true. Using homophobia as a control variable, homophobia was found to overshadow FRAIDS-wet for males but FRAIDS-wet rivaled homophobia in predicting pro-quarantine sentiment for females. Growing quarantine sentiment was noted among the students, as the survey took place during two different time periods (Fall of 1986 ( N = 375) and Spring of 1988 ( N = 188)), essentially before and after the actual vote in November 1986 on a pro-quarantine initiative (Proposition 64) that appeared on the California ballot. This apparent increase in pro-quarantine sentiment among students (and voters) highlights the need for attention to homophobia as well as detailed discussion of the fear of wet casual contact in AIDS education.     

Aids-risk behavior among homosexual males: The role of attitudes and substance abuse

Abstract

This paper reports the results of a broad survey of homosexual males regarding AIDS-risk behavior. A very high proportion reported both anxiety over possible HIV infection, and a high probability of exposure to HIV. Although over 80% of respondents reported changes in sexual behavior, the frequency of monogamous, stable relationships is unchanged from that found 16 years ago, and 19% reported continued frequent sexual partners. Consistent with “health belief” models, fear of future exposure and perceived control over behavior were strongly related to behavioral change. However, those who felt they had already been exposed were not substantially more likely to decrease current AIDS-risk behavior, which may have important public health ramifications. Alcohol and drug abuse were related to “high risk” behavior, particularly among respondents who are generally motivated to use substances to decrease “tension” or self-monitoring. Thus, using substances to decrease stress may not only relate to substance abuse itself, but to the role of substances in increasing AIDS-risk behavior.     

Gender Relations and HIV Transmission in North-Central Nigeria

Nigeria’s most recent National HIV/AIDS and Reproductive Health Survey of 2012 shows a decline in the national prevalence rate from 3.6% in 2007 to 3.0% in 2012. Despite this moderate decrease, the rate for the North-central geopolitical zone: (5.7 and 3.4%, respectively) remained higher than the national average for both years. Besides, virtually all of the HIV and AIDS surveys conducted in Nigeria from 1999 till date have consistently shown higher rates among females than males. For instance, it was 4.0 and 3.5% among females; and 3.5 and 3.3% in males in 2007 and 2012 respectively. UNAIDS reported that studies on the mode of transmission in 2008 found the bulk of new infections among cohabiting and married sexual partners who are not engaged in high risk sex (42.2%) compared to casual heterosexual sex (9.1%) and sex workers (3.4%). Higher vulnerability among married females implies higher risk of parent to child transmission, yet married women are perceived as a “low risk” group. Against this backdrop, I studied some gender related socio-cultural factors that influence HIV transmission among married women in two ethnic groups in North-central Nigeria. Results of the qualitative study conducted through 24 in-depth interviews and 36 focus group discussions in six communities indicate that marital consent; women’s poor access to safe sex; double standards in marital sexual practices; gender based violence against women; among others influence the spread of HIV infection in married heterosexual couples. In conclusion, marriage does not necessarily reduce HIV vulnerability in women.     

College Students Use Implicit Personality Theory Instead of Safer Sex1

Many college students engage in high levels of unsafe sexual behavior that puts them at risk for HIV infection. To better understand the dynamics underlying college students' unsafe behavior, focus group discussions were conducted with 308 students (146 men and 162 women). The results showed that, instead of consistently using condoms, many college students use implicit personality theories to judge the riskiness of potential sexual partners. Specifically, partners whom college students know and like are not perceived to be risky, even if what students know about these individuals is irrelevant to HIV status. The students determine the riskiness of partners they do not know well based on superficial characteristics that are also generally unrelated to HIV status. Therefore, AIDS prevention interventions for college students must expose the ineffectiveness of the students' use of implicit personality theories to determine potential partners' riskiness, and the “know your partner” safer sex guideline should be abandoned.     

Integrated learning communities as a peer support initiative for first year university students

Peer Mentoring schemes tend to be developed as retention strategies, however, they can also serve other purposes (psychosocial or career-related). However, evidence of the effectiveness of these presents mixed results and less is known about the horizontal peer support schemes which may help students capitalize on existing peer relationships. We developed an integrated learning communities (ILC) peer support scheme, building on the theoretical principles of social identity theory, which we embedded within our existing teaching framework and designed functional activities. Collective activities were undertaken to promote the processes of social identity with the intention that these may foster social and academic integration experiences. This intervention was undertaken with an entire cohort of first year undergraduate psychology students. We conducted semi-structured interviews with a self-selected sample of these students (N = 17). Thematic analysis revealed two main themes, each with two sub-themes. These were: “Divergent Experiences” with the sub-themes of “dependent on people” and “types of support”, and “Good idea in principle” with the sub-themes of “Theory ≠ Practice” and “Dependent on student engagement”. Although identifying with a peer group was not transparent in the interviews, the existence of a peer support scheme was perceived positively by students which might explain the success of the newly developed student-led Psychology Society. Indeed, this Psychology Society can provide a lasting framework for further amplification of the student voice. We conclude that our embedded ILC was both feasible and potentially valuable, but it is crucial for the peer support approach to have transactional significance.     

High risk behaviors in a sample of Mexican-American college students

This study explored different types of high risk behaviors of Mexican-American college students attending a small university in south Texas. High risk behaviors for contracting HIV/AIDS examined in this study included unprotected sex, drug use, and alcohol abuse. In 1995 in the United States, HIV/AIDS is the leading cause of death in people between the ages of 25 and 44. Because use of alcohol and certain recreational drugs lowers inhibitions, their use could increase the possibility of having unprotected and unplanned sex with multiple partners. Thus, it was expected that Mexican-American college students who use drugs and alcohol would be more likely to engage in unprotected sex. Data were from 105 men and 211 women between the ages of 18 and 30 years. Drug use and alcohol abuse were significantly associated with high risk sexual behavior. Individuals in monogamous relationships were more likely to not use condoms than those involved in casual relationships. Self-reported religiosity was not correlated with high risk behaviors, although there were implications that stronger religious affiliation did alter sexual beliefs and practices. Lastly, parental communication was not significantly associated with high risk behaviors, but family unity did seem related to some risky sexual practices.     

Adolescent Bullying,Relationships, Psychological Well-Being,and Gender-Atypical Behavior: A Gender Diagnosticity Approach

In this study we used a gender diagnostic (GD) approach to examine the associations between gender-atypical behavior and gender role (masculinity—M and femininity—F), bullying, peer relationships, and psychological well-being in a large community sample of 15-year-olds. GD showed little relationship with gender role. Irrespective of sex, M was positively, and F negatively associated with being a bully. “Gender atypical” boys reported more victimization, more loneliness, fewer male friends, and greater distress than their “gender typical” peers. After accounting for M and F, “femaleness” (“gender atypical” boys and “extremely gender-typed” girls) was associated with psychological distress. GD is an effective and unobtrusive method to identify a group whose vulnerability should be recognized by psychology, health, and education professionals.     

Blurring Emotional Safety With Physical Safety in AIDS and STD Risk Estimations: The Casual/Regular Partner Distinction1

Research on the sexual behavior of young adults has documented a casual/regular partner distinction in terms of condom use and perceived risk of contracting sexually transmitted diseases (STDs). How this population distinguishes between the 2 partner types has not been known, making it impossible to assess the rationality of this strategy. In the present study, college students' conceptions of casual vs. regular partners were explored and used to create 3 sexual partner scenarios: casual, regular with insufficient risk information (regular emotionally safe), and regular with sufficient risk information (regular objectively safe). Participants rated the target partner in terms of emotional safety, AIDS/STD risk, and likelihood of condom use. Results showed participants to be blurring emotional with physical safety; i. e., employing an emotionally based strategy in rating perceived risk.     

Aggression and social status: the moderating roles of sex and peer‐valued characteristics

Research on peer rejection has long emphasized links between aggressive behavior and peer liking, with aggressive children and adolescents being more rejected by peers. However, recent research shows that at least some aggressive students enjoy considerable power and influence and are perceived as “popular” within the peer group. To understand the processes underlying links between aggression and social status, the present research considered three distinct indices of social status (social preference, perceived popularity, and power) and investigated the degree to which the possession of peer‐valued characteristics moderated the links between status and aggression and whether these links varied by sex. A sample of 585 adolescents (grades 6–10) completed peer evaluation measures assessing social status, aggression (overt/physical, indirect/relational), and the degree to which peers possessed eight different peer‐valued characteristics (e.g., attractiveness, athleticism, etc.). Although sociometric indices of status were significantly related to perceived popularity, especially for boys, perceptions of power were more strongly linked to perceived popularity than to sociometric likeability. Moreover, the three indices of social status were differentially related to peers' assessments of aggression and to peer‐valued characteristics, with notable sex differences. As predicted, regression analyses demonstrated that the observed relationships between social status and aggression were moderated by the possession of peer‐valued characteristics; aggressive students who possessed peer‐valued characteristics enjoyed higher levels of perceived popularity and power and less disliking than those who did not. This relationship varied as a function of sex, the type of aggression considered, and the status construct predicted. Aggr. Behav. 32:396–408, 2006. © 2006 Wiley‐Liss, Inc.     

HIV/AIDS prevention support resourcing with family and peers: University student perspectives

This study explored how students construct family and peers as resources for their HIV prevention. The participants were 20 education students from a South African technology education university (female = 60%, black = 85%; age range = 18 to 24). They completed a semi-structured interview on their access to family and peers talking about HIV/AIDS prevention in the context of perceived cultural influences. The data was thematically analysed using open-coding. Findings suggest that students shared information about HIV/AIDS prevention with peers, and less so with family. They perceived cultural taboos around sex talk to be a barrier to open discussion of HIV/ADS. Students may need to acquire strategies to negotiate HIV/AIDS prevention approaches with family in the context of culture.     

College student risk-taking from three perspectives

This study addressed college student risk-taking from three perspectives: dispositional trait, decision-making, and environmental. One hundred ninety-six college students provided information on sensation-seeking, locus of control, perceived risks, perceived benefits, risk involvement, peer influence, perceived peer participation, and social desirability, and responded to risky behavior scenarios. Results showed that sensation-seeking, perceived peer participation, and perceived benefits were associated with risk involvement. In the risk-taking decision-making process, the certainty of the decision was related to participation. In addition, the likelihood of consequences occurring influenced students' responses regarding participation in unprotected sex. Further, students most frequently considered consequences that affect them personally when considering risk-taking.     

Predictors of Intention to Take Precautions Against AIDS Among Black College Students1

This research explored the relationship between behavioral intentions to engage in AIDS-risky sexual practices and a variety of variables that are theoretically and/or popularly assumed to be important factors in AIDS prevention. These variables included beliefs and knowledge about AIDS, fear of AIDS, perceived vulnerability of self and others, as well as probability that self and others on one's campus would contract AIDS, perceived efficacy to control exposure to AIDS, self-esteem, general locus of control, and past behavioral reaction to the threat of AIDS. General intention to “do something to protect oneself against AIDS,” and specific behavioral intention to use condoms in vaginal sex were measured and considered as possible proxies for future behavior. Data were collected from 124 black respondents in a southeastern university. In a series of multiple regression analyses, each of these measures of behavioral intentions was “predicted” from the other variables. Results showed that situational efficacy (to protect oneself from AIDS) was the best predictor of general intention, followed by reports of past behavioral changes as a result of the AIDS epidemic, and by knowledge. Proximal fear of AIDS was a negative predictor. For specific intentions, a specific belief about inconvenience in condom use was the best predictor, followed by past behavioral change, followed by knowledge. Normative beliefs, a belief that condoms would prevent disease, and distant threat of AIDS were also significant predictors. Theoretical and policy implications of the findings are discussed.     

Application of a modified health belief model to hiv preventive behavioral intentions among gay and bisexual men

Abstract

The utility of a modified health belief model (Janz and Becker, 1984) for predicting the intention to use condoms was tested in a study among gay and bisexual men. The model explained a reasonable amount of variance. It was found that younger men's decision to have safe sex was guided by factors other than those that influenced older men. Among younger men, the intention to use a condom was positively related to the relative number of persons with AIDS in their social environment (cues to action) and to the perceived benefits of HIV preventive behavior. Among older men, this behavioral intention was much more determined by their perception of the prevalence of HIV and by their perception of their vulnerability to HIV infection. These findings are important because they may partly explain the recent increase in AIDS-risk behavior among young gay and bisexual men. The discussion focuses on these findings and on the implications for interventions aimed at promoting safe sex.     

Under what conditions do U.S. and Taiwanese late adolescents feel victimized by their peers?

This study investigates whether cultural differences exist between the ways U.S. and Taiwanese college students perceive peer victimization using both an experimental vignette method and an open‐ended question format. A total of 1,125 college students (53% female) from the United States (n = 535) and Taiwan (n = 590) read and responded to vignettes which depicted peer interactions in the college context. The peer interactions varied along three factors expected to be associated with differentiating victimization from affiliative teasing: hostility, playfulness, and relationship closeness. Controlling for individual factors of sex, prior victimization, prior teasing, and emphasis on interpersonal harmony, students perceived more victimization when both hostility and a lack of playfulness were present. Culture interacted with the situational factors such that both hostility and lack of playfulness were stronger predictors of perceived victimization for Taiwanese than for U.S. college students. In open‐ended responses about sensitive topics, “Ability and academic performance” and “Self/thoughts/characters/habits” were more indicative of victimization for Taiwanese college students. “Health and disability” was more salient as indicative of victimization for U.S. college students. Findings from this study are among the first to evaluate signals of peer victimization with a cultural comparison; they can be used to inform victimization intervention programs or socioemotional curriculums in late adolescence to be culturally relevant.     

A six-month follow-up of adolescents' sexual risk-taking,HIV/AIDS knowledge,and attitudes to condoms

A follow-up study was conducted to investigate change in sexual behaviour, knowledge about HIV/AIDS transmission, and attitudes to condoms over a 6-month period in a sample of late-adolescent students. The study also obtained subjective reports of HIV/AIDS-relevant change. Overall there was a decrease in sexual risk-taking behaviour with casual partners but no change occurred in sexual behaviour with regular partners, knowledge about HIV/AIDS, attitude towards condoms, or intention to use a condom on next sexual encounter. Examination of individual data revealed that, for some adolescents where behavioural change had occurred, this was in the direction of less safe sex. There were few self-reports of change in sexual behaviour, intention to take precautions against HIV/AIDS, or concern about HIV/AIDS over the preceding 6 months. Subjective reports of behaviour change did not correspond with reports of actual behaviour. Low rates of behaviour change are attributed to the failure of adolescents to personalize the threat of AIDS and to their trust in the safety of sex with a regular partner as well as to the lack of relevance of HIV/AIDS education campaigns to this group.     

Educational needs relative to human sexuality and AIDS among secondary school students and teachers in Lima

Between November 1989 and January 1990, a pilot study was conducted among state secondary school students and teachers in Lima Peru by questionnaires with the objective of determining their knowledge about human sexuality, sexual behavior, pregnancy, sexually transmitted diseases (STDs), AIDS, drug abuse, and sexual activity. 110 students (64 boys and 46 women) aged 13-18 of low and medium-low socioeconomic background from metropolitan Lima participated. 40 teachers (70% females) aged 40.1 + or - 9.3 years also took part. THe adolescent focus groups were anxious to talk openly about sexuality to dispel their doubts. The levels of knowledge reached 46% for human sexuality, 50% for physiology and pregnancy, 35% for STDs and preventive sexual behavior, 50-60% for AIDS (transmission and risk groups), and only 35% for prevention. 21 had heterosexual experiences: 19 males and 2 females. 6 youngsters had homosexual experiences: 4 males and 2 females, 3 of these also had heterosexual sex. 20 of students without sexual experience expressed on interest, in engaging in sexual behavior if they fell in love. 33 adolescents reported using alcohol, 1/4 of these had consumed more than 6 bottles the previous week. The report on drug use was low, because 32% failed to answer this question. 60-70% of the teachers knew about human sexuality, while 72% knew about AIDS. 76.5% of them considered sex education in schools inadequate. 88.2% thought that adolescents need an explicit preventive program which should start in primary school and continue through all grades. This would require additional school resources. The teachers deemed daily life more educational about sexuality than information from schools and universities. 52% said that AIDS education messages had to be clear about preventive sexual behavior. 32% believed that correct use of the condom had to be demonstrated in class. 78% identified the mass media for dissemination of AIDS information, and only 15% judged their knowledge about AIDS sufficient for imparting it to students.