Attitudinal and Normative Factors as Determinants of Gay Men's Intentions to Perform AIDS-Related Sexual Behaviors: A Multisite Analysis1

The purpose of this study was to test the applicability of the theory of reasoned action as a basis for understanding and predicting gay men's intentions to perform AIDS-related sexual behaviors. A total of 314 self-identified gay or bisexual men from Seattle, Denver, and Albany participated in the study. They were asked to indicate their intentions to perform 15 specific sexual behaviors chosen to represent different degrees of risk of contracting AIDS or other sexually transmitted diseases. In addition, they were asked to respond to items measuring the attitudinal and normative considerations regarding each behavior. As expected, the results showed that the gay men's intentions were significantly predicted by the two factors. More interesting, it was found that, although attitudes are consistently the more important determinants of intentions for all the respondents, the importance of normative considerations varies across cities. This difference in normative considerations is interpreted in light of the differences in the structure of the three gay communities. Implications for designing sample-specific intervention programs are discussed.     

‘Coming out’ and sexual debut: understanding the social context of HIV risk-related behaviour

This paper explores HIV risk-related behaviour in the context of men's entry into the gay community. It is an exploratory study which employed a qualitative approach to describe men's accounts of the process of acculturation. Twenty in-depth interviews were conducted with working-class gay men from Barnsley, UK. These were translated and analysed, using interpretative phenomenological analysis, for recurrent themes which reflect the way gay men thought about HIV risk-related behaviour, ‘coming out’ and their sexual debut. As men began to socialize with other gay men in their local community they had much to learn with regard to local gay culture, e.g. a distinct new vocabulary and local sexual mores. By virtue of their lack of experience and the personal impact of first sexual experiences, some men reported feelings of disempowerment with their initial sexual partners. Theoretical accounts relating to gay men's sexual health would benefit from a consideration of the way gay men report the process of acculturation. Sexual debut and the particular vulnerabilities of entry into the gay community highlight a temporal context in which affective experiences are privileged above considerations of sexual health. © 1998 John Wiley & Sons, Ltd.     

Determinants of College Women's Intentions to Tell Their Partners to Use Condoms1

In assessing college women's intentions to tell their partners to use condoms every time they have sexual intercourse, the present study examined the applicability of the theory of reasoned action (TORA, Fishbein & Ajzen, 1975), and the additional prediction contributed by Ajzen's (1985) perceived behavioral control and Triandis’(1977) emotional reaction variables. Three hundred and twelve female college students completed a questionnaire designed to measure the aforementioned constructs. Consistent with TORA, the results suggested that these women's intentions were significantly predicted from attitudes and subjective norms. Regarding the effects of the two additional variables, only emotional reaction increased the prediction of intentions beyond that explained by TORA, whereas perceived behavioral control did not improve the prediction. Both conceptual and applied implications of these findings for health interventions to increase condom use were discussed.     

Relations among media influence,body image,eating concerns,and sexual orientation in men: A preliminary investigation

The current study explored the relation between sexual orientation, media persuasion, and eating and body image concerns among 78 college men (39 gay; 39 straight). Participants completed measures of sexual orientation, eating disorder symptoms, appearance-related anxiety, perceived importance of physical attractiveness, perceptions of media influence, and media exposure. Gay men scored significantly higher on drive for thinness, body dissatisfaction, and body image-related anxiety than their straight counterparts. Additionally, perceptions of media influence were higher for gay men, and significantly mediated the relation between sexual orientation and eating and body image concerns. Sexual orientation also moderated the relation between perceived media influence and beliefs regarding the importance of physical attractiveness, as this relation was significant for gay men, but not straight men. The current findings suggest that gay men's increased vulnerability to media influence partially accounts for the relatively high rate of eating pathology observed in this population.     

An Analysis of the Effects of Occupational Variables on Child bearing Intentions

Recent studies have indicated that the relationship between family size and occupational variables (e.g., work status, occupation, total number of years worked, career decisions) may be influenced by a number of different variables. The present study uses Fishbein's Theory of Reasoned Action to analyze the effects of different occupational variables on the beliefs, attitudes, and subjective norms that underlie intentions to have a child (within the next 3 years). Consistent with the theory, occupational variables were significantly related to childbearing intentions only if they were related to attitudes toward having a child and subjective norms. Furthermore, these latter relationships were themselves dependent upon relations between the occupational variables and underlying beliefs, evaluations, and motivations to comply. As expected, different occupational variables influenced intentions in different ways. Thus, Fishbein's theory allows a means for identifying the loci of effects of occupational variables on childbearing intentions. Finally, the two components of the model were sufficient to predict childbearing intentions; in general, occupational variables did not contribute to prediction of childbearing intentions over and above childbearing attitudes and subjective norms.     

Gay Asian Australians’ Safer-Sex Behavior and Behavioral Skills: The Predictive Utility of the Theory of Planned Behavior and Cultural Factors1

United States reports highlight that Asian Americans’ increasing HIV-infection rate results primarily from male-to-male sexual contact. Cultural factors, such as strength of identification with the Asian community, have been implicated. The ability of these and the theory of planned behavior (Ajzen, 1985) and information-motivation-behavioral skills model (Fisher & Fisher, 1992) to predict safe sex intentions and behavior were investigated among gay Asian Australians. Consistent with the theory of planned behavior, attitudes, subjective norms, and behavioral skills predicted intentions, while behavioral skills predicted current behavior. Cultural factors were related to components of the model. Notably, strength of identification with the gay community moderated the norm-intention link and was related to behavioral skills. The results suggest it is important to examine the predictors of safe sex behavior for different cultural groups.     

The Importance of Attitudes in the Prediction of College Students' Intentions to Drink

Fishbein's (1967, 1980) theory of reasoned action was used to test the relative importance of attitudes and subjective norms in predicting undergraduate students' intentions to perform 3 different types of social drinking actions: avoiding drinking, drinking enough to get a slight buzz, and drinking enough to get drunk. A multiple regression paradigm was used to determine the relative effectiveness of attitudes and subjective norms in predicting intentions to perform each of the 3 drinking behaviors. Although attitudes were consistently found to be better predictors of intentions than were subjective norms, the strength of the attitude-intention relation varied widely across the 3 actions. In particular, the attitude-intention correlation was strongest for "drinking enough to get drunk." Findings also suggest that subjective norms, previous behavior, and perceived behavioral control are not important variables for predicting this behavior.     

Predicting Intentions to Use Condoms: A Meta-Analysis and Comparison of the Theories of Reasoned Action and Planned Behavior1

A meta-analysis was conducted on 23 psychosocial predictors of intentions to use condoms. Data from 67 independent samples were included in the review. Findings demonstrated that demographic, sexual experience, and personality variables had small average correlations with intentions. Knowledge about HIV/AIDS and perceptions of the threat of disease were also weakly related to decisions about using condoms. Attitudes and subjective norms from the theory of reasoned action, on the other hand, demonstrated medium to strong effect sizes. Two components of social influence not specified by the theory of reasoned action also received support. Evidence suggested that perceived behavioral control from the theory of planned behavior was a reliable predictor of behavioral intentions and explained variance over and above the effects of attitudes and subjective norms.     

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.     

Studying, Practicing, and Mastering: A Test of the Model of Goal-Directed Behavior (MGB) in the Software Learning Domain

The present study tested the model of goal-directed behavior (MGB). The model proposes that behavioral intentions to perform instrumental behaviors are primarily motivated by desires to perform the acts. In turn, desires mediate the effects of attitudes, subjective norms, perceived control, and anticipated emotions on intentions. Construct validity for MGB variables is assessed, and the predictive utility of the MGB is compared with that of the theory of planned behavior (TPB). College students ( N = 102) provided measures for MGB and TPB variables while participating in a training program to use statistical software. We focused on two goal-related instrumental behaviors: studying handbooks and practicing with the package. The results show that the MGB accounts for a greater proportion of variance in intentions and instrumental behaviors than does TPB. Although desires mediate most of the effects of other predictors on intentions to perform the instrumental behaviors, it is proposed that when the behavior is normatively relevant, or when self-efficacy appraisals play a major role, subjective norms and perceived behavioral control may directly affect intentions.     

The Theory of Reasoned Action and the Role of External Factors on Heterosexual Men's Monogamy and Condom Use1

Although the majority of prevention efforts have focused on women, reduction of heterosexual transmission of STDs also requires interventions for men, necessitating understanding of men's safer sex decision making. In a random sample of 486 heterosexually active men, the theory of reasoned action (TRA) was used to predict intentions to use condoms with casual partners, as well as 2 steady‐partner safer sex behaviors: mutual monogamy and condom use. The basic TRA model fit the data well. Expanded models identified the mediated (via attitudes, social norms, and self‐efficacy) and, for some, direct effects on intentions and behavior of selected intrapersonal, interpersonal, and sociocultural variables. Results suggest that the role of external variables might vary depending on the behaviors in question.     

The influence of significant others on attitudes, subjective norms and intentions regarding dietary supplement use among adolescent athletes

Dietary supplement use has increased significantly over the past decade. The use of supplements among adolescents seems to be influenced by their beliefs and attitudes. The influence of coaches, parents, and athletic trainers also may be important. The purpose of this study was (1) to determine whether attitudes are a better predictor of adolescents' intentions to use dietary supplements than are subjective norms, and (2) to assess the influence of significant others (coaches, parents, and trainers) on attitudes, subjective norms, and intentions among adolescent athletes. Adolescents (N = 1,626) who were enrolled in grades six through twelve in nine public schools completed a self-report questionnaire that measured attitudes, subjective norms, and intentions regarding dietary supplement use. Results indicated that attitudes were a better predictor of intentions to use dietary supplements than were subjective norms. It was also found that trainers had more influence on the attitudes, subjective norms, and intentions of adolescents regarding supplement use than did parents and coaches. Implications for prevention are addressed.     

Predicting Exercise and Health Behavioral Intentions: Attitudes,Subjective Norms,and Other Behavioral Determinants1

By comparing exercise and health domains, the current experiment extends recent findings that within‐participant analyses of attitudes and subjective norms predict behavioral intentions well (Finlay, Trafimow, & Moroi, 1999). Within‐participant analyses show that health behaviors are particularly likely to be influenced by subjective norms, and those that are relatively normatively influenced are intended to be performed more than those that are not. However, neither was true of exercise behaviors. Additionally, other potential predictors for exercise (e.g., indirect attitudinal measures and goal‐oriented attitudes and intentions) correlated more strongly with exercise behavioral intentions than did general health attitudes and intentions.     

Using the Theory of Planned Behavior to Predict Intention to Use Condoms Among Male and Female Injecting Drug Users

This study tested the utility of the theory of planned behavior (TPB) for understanding and predicting condom use intentions among male and female injecting drug users (IDUs). Interviews were conducted with 405 male and 315 female sexually active IDUs. Participants indicated their intentions to use condoms with main and nonmain sexual partners as well as attitudes, social norms, partner norms, and perceived behavioral control relevant to condom use with each partner type. The TPB accounted for 36 to 48% of the variance in intentions to use condoms. Intentions were related to attitudes, regardless of partner type. Partner norms were related to intentions to use condoms with main partners (men and women) and nonmain partners (men only). Social norms did not predict intentions, regardless of partner type. Perceived behavioral control was related to intentions to use condoms with main partners (men and women) and nonmain partners (women only). The findings are interpreted in light of the roles of cooperation, intimacy, and concern about self-protection.     

The Relation Between Perceived Risk and Preventive Action: A Within-Subject Analysis of Perceived Driving Risk and Intentions to Wear Seatbelts

Intentions to wear seatbelts in 12 different driving situations were predicted from attitudes toward wearing seatbelts, subjective norms concerning seatbelt uses, and perceived driving risk. In a given driving situation, appropriate measures of attitudes and subjective norms both had significant effects on intentions to wear a seatbelt, whereas there was little relation between risk and intentions. Intentions across the 12 driving situations were significantly related to perceived driving risk, both for aggregate data and for a substantial portion of individual subjects. However, further analyses indicated that risk seemed to affect intentions indirectly through subjective norms and attitudes associated with seat-belt use. The results suggest that attempts to increase seatbelt use should target all relevant beliefs important in determining people's attitudes toward and subjective norms concerning seatbelt use, rather than just focusing upon making people aware of the risks associated with driving.     

Heteronormativity,Disgust Sensitivity,and Hostile Attitudes toward Gay Men: Potential Mechanisms to Maintain Social Hierarchies

Within a social hierarchy based on sexual orientation, heteronormative ideology serves as a social force that maintains dominant group members’ status (e.g., heterosexual men). Disgust may be an emotional reaction to gay men’s violation of heteronormativity (i.e., same-sex sexual behavior) and motivate hostile attitudes toward gay men to promote interpersonal and intergroup boundaries. Based on this theoretical framework, we hypothesized that sexual disgust—compared to pathogen or moral disgust—would be most strongly associated with antigay hostility and would statistically mediate its relationship with heteronormativity. Heterosexual men in the United States (n?=?409) completed an online questionnaire assessing heteronormative ideology, disgust sensitivity, and hostile attitudes toward gay men. Results support the hypotheses and suggest that gay men’s sexual behavior is the most likely elicitor of disgust and antigay hostility, as opposed to a perceived pathogen threat or moral transgression. The findings indicate that heteronormative attitudes and sexual disgust are likely contributors to antigay hostility. Thus, intervention efforts should seek to improve tolerance of same-sex sexual behavior among heterosexual men, which may mitigate emotional reactions and hostile attitudes toward gay men.

     

Intention, perceived control, and weight loss: an application of the theory of planned behavior

Success at attempted weight reduction among college women was predicted on the basis of a theory of planned behavior. At the beginning of a 6-week period, participants expressed their attitudes, subjective norms, perceived control, and intentions with respect to losing weight. In addition, the extent to which they had made detailed weight reduction plans was assessed, as were a number of general attitudes and personality factors. In support of the theory, intentions to lose weight were accurately predicted on the basis of attitudes, subjective norms, and perceived control; perceived control and intentions were together moderately successful in predicting the amount of weight that participants actually lost over the 6-week period. Actual weight loss was also found to increase with development of a plan and with ego strength, factors that were assumed to increase control over goal attainment. Other factors, such as health locus of control, perceived competence, and action control, were found to be unrelated to weight reduction.     

Self-Control and the Self-Regulation of Dieting Decisions: The Role of Prefactual Attitudes,Subjective Norms,and Resistance to Temptation

This article investigates cognitive and motivational decision processes in the pursuit of dieting goals and implements the theory of trying in a field study. The theory of trying is an extension of the theory of planned behavior and investigates the effects on intentions of (a) 3 prefactual attitudes (attitudes toward success, failure, and the process of goal striving), (b) subjective norms, and (c) perceived behavioral control (i.e., resistance to temptation). Dieting decisions of 609 adult women were studied. Perceived behavioral control in the form of resistance to temptation was found to interact with subjective norms to influence intentions, and the 3 forms of prefactual attitudes had additive effects on intentions.     

The prediction of safe sex behaviour: The role of intentions,attitudes, norms and control beliefs

Abstract

The present study was designed to examine the utility of the theory of reasoned action (Fishbein and Azjen, 1975) in relation to people's propensity to engage in a range of different safe sex strategies, including engaging in an exclusive sexual relationship, avoiding casual sex, and asking sexual partners about their previous sexual and IV drug use history. It was proposed that the intention to engage in a particular safe sex practice would be influenced by the person's attitude towards engaging in the practice, as well as his or her perception of the extent to which others thought they should do so (subjective norm), while behavioural intentions were proposed to predict actual behaviour. The study was also designed to examine whether, after control of the effects of the components of the theory of reasoned action, the person's generalised control beliefs would explain any additional variance in either behavioural intentions or actual behaviour. One hundred and two sexually active heterosexual students participated in the study. At the first wave of data collection, subjects completed measures of intentions, attitudes, and norms appropriate to each of the different behaviours. Measures of actual behaviour were obtained at follow-tip (three months after first period of data collection). The results of the study indicated that attitudes and norms predicted intentions for avoiding casual sex and asking sexual partners about their previous sexual and IV drug use history, while intentions predicted actual behaviour for all three safe sex strategies. Although there were no significant main effects of control beliefs on intentions or behaviour, subjects with internal control beliefs were more likely than their counterparts with external control beliefs to behave in accordance with their intentions to engage in an exclusive sexual relationship and ask sexual partners about their previous sexual and IV drug use history. Additional analyses revealed that the levels and determinants of intentions and actual behaviour were, in general, similar for males and females.     

Group processes in food choices: The role of ethnic identity and perceived ethnic norms upon intentions to purchase ethnical food products

A study tested an extended Theory of Planned Behaviour (TPB) model, inclusive of measures of ethnical identification and perceived ethnic group norms, in the ethnical food purchasing domain. One hundred and thirty‐five Jamaicans, living in the Brixton neighbourhood, London, were administered a self‐reported questionnaire measuring the classical TPB components (attitudes, subjective norms, perceived behavioural control, behavioural intentions) plus three additional components: identification with the Jamaican group, perceived norms of the Jamaican group and past behaviour. Results of hierarchical multiple regressions showed that past behaviour, ethnical identification and perceived group norms explain an additional proportion of variance in intentions, independently of attitudes, subjective norms and perceived control. A two‐way interaction, between ethnical identification and perceived group norms, was detected. A stronger relation between group norms and intentions emerged among high ethnical identifiers. Theoretical and practical implications are discussed. Copyright © 2008 John Wiley & Sons, Ltd.