Predicting Undergraduate Condom Use with the Fishbein and Ajzen and the Triandis Attitude-Behavior Models: Implications for Public Health Interventions1

The present study used two social-psychological theories of attitude-behavior relationships to investigate condom use by college undergraduates. One purpose of the present research is to provide information for public health practitioners to better design theory-based interventions to reduce the incidence of STD's by increasing the use of condoms. Another purpose is to compare the relative usefulness of two attitude-behavior models in predicting condom use. The Fishbein and Ajzen theory of reasoned action (Ajzen, 1988; Fishbein & Ajzen. 1980) was compared with a version of Triandis' theory of attitude-behavior relations (Triandis, 1977). Of major interest was whether variables in this version of the Triandis model increased the explanatory power of the Fishbein and Ajzen model in the prediction of condom use intention and behavior. In addition, specific outcome beliefs and normative beliefs held by subjects were used to predict condom use. One hundred and ninety college undergraduates were given a questionnaire designed to measure the components of the two models. Three months after completing the questionnaire, subjects were contacted by phone to record the subject's frequency of condom use (if the subject reported having had intercourse) during the 3-month period between initial assessment and follow-up. In the prediction of intention to use a condom, results indicate that one variable from the Triandis model, personal normative beliefs, increases the explanatory power offered by the expectancy value and normative belief components of the Fishbein and Ajzen model. In the prediction of reported condom use during the 3-month follow-up period, two variables from the Triandis model—perceived susceptibility and AIDS fear—significantly increased the predictive power of the Fishbein and Ajzen model. Based on these results, the authors propose an alternative model to explain undergraduate condom use. The implications of these findings for public health interventions to encourage the use of condoms is discussed.     

Efficacy of the Health Belief Model for Predicting Intention to Pursue Genetic Testing for Colorectal Cancer

This study examined the Health Belief Model’s efficacy to predict intention to undergo genetic testing for the Colorectal Carcinoma (CRC) gene within a rural/frontier setting. Survey data were collected on 558 Southwest Montanan residents. Regression analysis revealed that perceived benefits, including affordability and satisfying curiosity, were the strongest indicators of intention to undergo genetic testing for CRC. Select consumer barriers and cues to action variables were also found to be significant predictors. Collectively the model explained approximately 36% of the variance. These preliminary findings have implications for genetic counselors, health practitioners and health care providers concerned with genetic counseling and addressing the public health issue of CRC.     

Achieving Higher Seat Belt Usage: The Role of Habit in Bridging the Attitude-Behavior Gap1

The Triandis (1977, 1980) model of habit is applied in an investigation of attitude-behavior discrepancy for seat belt use behavior. Habit is conceptualized as automated response, and the measure employed here is shown to be discriminated from measures of intentions and behavior. A case is also made for a distinction between pro-intentional and counter-intentional habits. Data from a random sample of 197 adult respondents show that the two habits (a) are distinct; (b) operate differently, that is, use habit has a main effect whereas nonuse habit interacts with attitude/intentions; and (c) explain belt use behavior nonredundantly with intention and attitude (e.g., their addition to attitude raises R² from 38.8% to 62.9%). Theoretical implications for understanding habit processes and programmatic directions for increasing the belt usage are discussed.     

Testing Theoretical Explanations of Intention to Seek Care for a Breast Cancer Symptom1

The purpose of this research was to test theoretical explanations of intention to seek care promptly for a breast cancer symptom. Psychosocial variables (affect, expectations, values, and norms), habit, and facilitating conditions (e.g., insurance) regarding care seeking were proposed to influence intention to seek care promptly. Whether psychosocial variables and habit influenced intention directly or in interaction with facilitating conditions remained unclear. Other variables (i.e., clinical and demographic) were proposed to influence intention by mediation through the theoretical variables. Community-dwelling women without history of breast cancer (N= 99) responded to a questionnaire to assess study variables. In a hierarchical set regression, intention was first regressed on psychosocial variables, habit, and full insurance coverage for care, then on terms representing interactions of insurance coverage with psychosocial variables and habit, and lastly on clinical and demographic variables. Findings revealed that (a) anxiety (measure of affect), utility, (the product of expectations and values), and habit were related to intention, (b) having full insurance coverage did not moderate these relationships, and (c) after controlling for theoretical variables, family history of breast cancer was related inversely to intention. Implications for theory, research, and practice are delineated.     

Understanding supplement use: an application of temporal self-regulation theory

Vitamin and mineral supplement use is increasing worldwide. As evidence of the effects of these practices are equivocal at best, it is important to determine why individuals engage in vitamin and mineral supplement use through the application of a theoretical framework. The aim of this study was to employ temporal self-regulation theory (TST) to establish the determinants of supplement use. A cross-sectional design was used with a sample of 121 individuals who consume vitamins or minerals as dietary supplements. Hierarchical regression analyses were conducted to determine the influence of intention, habit, self-control, and the interaction between intention and habit and self-control on the frequency of supplement use. The model accounted for a significant proportion of variance in behaviour (R² = .44) with intention and habit significantly related to supplement use. Self-control moderated the relationship between intention and behaviour indicating that intention was not related to behaviour when self-control was low. The TST model offers a satisfactory account of supplement use and provides avenues for interventions aimed at increasing safe and beneficial supplement use and decreasing potentially harmful supplement use.     

An Examination of the Determinants of Intention and Behavior: A Comparison of Two Models

Two behavioral prediction models were compared. The behavior used was church attendance, and the models used were those proposed by Triandis (1977) and Fishbein (Fishbein & Ajzen, 1975). The results indicated that both models were effective in the prediction of intention and behavior. However, while Triandis' model accounted for a greater percent of the variance in the prediction of intention, Fishbein's model did better in predicting behavior.     

Intention to Participate in Predictive Genetic Testing for Hereditary Cancer: The Role of Attitude toward Uncertainty

This study aimed to identify factors predictive of intentions to participate in genetic testing for hereditary cancer. Measures of the psychosocial influences on intention were based on the theories of reasoned action (TRA) and planned behaviour (TPB) and a new measure of Attitude toward Uncertainty. The participants (the breast cancer sample, n = 124; the colon cancer sample, n = 168) were recruited via a general practitioner's patient database and asked to complete postal questionnaires. The overall response rate was 57.4% (54.7% in the colon cancer sample, 61.4% in the breast cancer sample). In the colon cancer sample, 72% of respondents stated that they would choose to participate in genetic testing for colon cancer susceptibility. In the breast cancer sample, 77% of respondents stated that they would choose to participate in genetic testing for breast cancer susceptibility. The TRA components (attitudes and subjective norms) and Attitude toward Uncertainty emerged as the strongest predictors of intention. The Attitude toward Uncertainty appears to moderate intention in that participants with more negative attitudes toward uncertainty are more likely to undergo the test than those seeking more certainty.     

Factors Explaining the Intention to Use Condoms Among Injecting Drug Users Participating in a Needle‐Exchange Program1

This study identified the psychosocial factors related to condom‐use intention, based on Triandis’ (1980) theory of interpersonal behavior, among 261 injection drug users participating in a needle‐exchange program. With regular partners (n= 139), condom‐use intention was explained by normative beliefs, self‐efficacy, length of relationship with last regular sexual partner, and taking oral contraceptives. Condom‐use intention with casual partners (n= 157) was also associated with self‐efficacy and normative beliefs, on top of cognitive dimension with attitudes and lending used needles. Neither the perception of being HIV‐positive, nor the habit of using a condom was associated with intention. It is thus suggested that interventions aimed at promoting condom use among this clientele be oriented toward the reinforcement of personal convictions as well as toward the development of competencies needed to overcome obstacles, since both relate to the intention to adopt this behavior.     

Robustness and Sufficiency of the Theory of Reasoned Action in Longitudinal Prediction

An examination of the theory of reasoned action (Fishbein & Ajzen, 1975) applied to longitudinal data is reported. Data consist of responses of a national sample of high school sophomores concerning their college plans and subsequent achievements. Subjects initially were queried in 1955 and followed up 15 years later. Measurement robustness of the theory constructs was evidenced by confirmation of the predicted relationships despite novel and crude measures. The predictive utility of the theory was demonstrated in substantial prediction of both college attendance (2-3 years subsequent to the measures) and the ultimate level of education attained in the following 15 years. The sufficiency claims of the theory were challenged by the finding of a direct subjective norm-behavior relationship unmediated by intention. The impact of two exogenous, demographic predictors was mediated by this expanded model.     

Citizenship and withdrawal in the workplace: relationship between organizational citizenship behavior, intention to leave current job and intention to leave the organization

This study investigates the relationship between organizational citizenship behavior (OCB) and employee intention to leave the organization and current job using a sample of French employees. A survey was sent to 1,200 alumni of a business school in France. Participation in the study was voluntary. The participants were 355 working adults with French citizenship. This paper provides several interesting findings. While no relationship was found between altruism and intention to leave both the organization and the current job, sportsmanship, civic virtue and helping others emerged as the strongest predictors of intention to leave the organization and intention to leave the current job. Results are discussed.     

Citizenship and Withdrawal in the Workplace: Relationship Between Organizational Citizenship Behavior,Intention to Leave Current Job and Intention to Leave the Organization

ABSTRACT

This study investigates the relationship between organizational citizenship behavior (OCB) and employee intention to leave the organization and current job using a sample of French employees. A survey was sent to 1,200 alumni of a business school in France. Participation in the study was voluntary. The participants were 355 working adults with French citizenship. This paper provides several interesting findings. While no relationship was found between altruism and intention to leave both the organization and the current job, sportsmanship, civic virtue and helping others emerged as the strongest predictors of intention to leave the organization and intention to leave the current job. Results are discussed.     

Does habit strength moderate the intention–behaviour relationship in the Theory of Planned Behaviour? The case of fruit consumption

The present study examined if habit strength moderated the influence of intention on fruit consumption in a Dutch adult sample (N?=?521, 46.3% males, mean age?=?34.50, SD?=?10.87), using the theoretical relations of the Theory of Planned Behaviour (TPB). TPB variables and habit strength were assessed at baseline. Fruit consumption was assessed with a validated questionnaire five weeks later. Three groups were created: low habit strength (n?=?180), medium habit strength (n?=?185) and high habit strength (n?=?156). Confirmatory factor analyses and multi-group path analyses were performed using AMOS 4.0. A good fit was obtained for the overall measurement model and the structural models. Multi-group path analyses showed that intention was a significant predictor of fruit consumption in the low habit (β?=?0.36, p?<?0.001) and medium habit group (β?=?0.30, p?<?0.001), but a non-significant predictor in the high habit group (β?=?0.05, p?=?0.596). Implications for information-based and motivation-based interventions are discussed.     

Barriers and facilitators of bicycle helmet use among children and their parents

Despite the fact that bicycle helmet use protects against head injuries, helmet use rate is still low even in countries with high concern for traffic safety. Earlier research shows that helmet use declines with age and that helmet use is low especially among teenagers. The aim of the present study was to investigate barriers and facilitators of helmet use among primary and secondary school pupils and their parents. Identical surveys were conducted among school children (n = 235) and their parents (n = 106). Children’s and adults’ responses concerning cycling, helmet use, helmet ownership, risk assessment and barriers and facilitators were compared and separate regression analyses conducted. Helmet use rate was lower among pupils than adults and they scored higher in most of the barrier items. The results of regression analyses showed that among children, age, gender, barriers and facilitators predicted helmet use while among adults only frequency of cycling and barriers were related to helmet use. Among children, the strongest correlates of not using a helmet were the belief of not needing a helmet and wish to use a cap or a hat instead. Having a helmet wearing as a habit and feeling safer were the strongest correlates of using helmet. Among adults, the strongest correlates of not using a helmet were “helmet looks ridiculous”, “just going to short trip” and riding close to home while the strongest correlate of using a helmet was the habit of helmet use. It was concluded that targeting the barriers in helmet wearing campaigns might work better both among children and adults than emphasising the benefits at least among Norwegian child and adult cyclists.     

Health beliefs,optimism, and health‐related decisions: A study with Hong Kong Chinese

T he Health Belief Model (HBM; Rosenstock, 1966) is the most widely used psychological theory of health‐related behaviours but its applicability to non‐Western, especially Asian, populations has not been systematically studied. The main objective of the current study was to examine the effects of components of the HBM and dispositional optimism on preventive intention in two separate samples of 220 Hong Kong Chinese adults and 340 Hong Kong Chinese adolescents. Two HBM variables, benefits and barriers, were experimentally manipulated for an imaginary flu outbreak and a hypothetical vaccine. Optimism in the two samples was assessed using the Chinese revised Life Orientation Test (Lai et al., 1998). Participants indicated their intention to take the hypothetical vaccine after reading information for each of the treatment combinations defined by the two HBM variables. The order of the presentation of each of the six treatment conditions was counterbalanced. Results of ANOVA showed that the effects of the two HBM variables were similar in the two groups. Higher benefits and lower barriers were associated with stronger behavioural intention to take the vaccine. The two HBM variables interacted significantly in the adolescent but not the adult sample. Among the adolescents, the difference in intention scores between low and high barriers became larger when the benefits of taking the vaccine increased. In addition, optimism had significant effect on preventive intention only among the adolescents. These findings suggest that age may be an important factor moderating the effects of HBM components as well as optimism on preventive intention in Hong Kong Chinese. Implications of these findings to future research among Chinese were discussed.     

Migrant mental health: a model for indicators of mental health and health care consumption.

OBJECTIVE: This study explores the relationship between mental health and health care consumption among migrants in the Netherlands. DESIGN: Samples of the Turkish (n = 648), Moroccan (n = 102), and Surinamese (n = 311) populations in Amsterdam were examined. The study tested a hypothesized model of risk factors for psychiatric morbidity, indicators of well-being, and indicators of health care consumption. The model was specified on the basis of information from earlier research on the sample and literature on the topic. The model was tested and refined using structural equation modeling. MAIN OUTCOME MEASURES: Psychiatric morbidity and well-being measures were assessed with the CIDI 1.1 and MOS-sf-36 subscales, respectively. Health care consumption was assessed by the question "Have you ever consulted one or more of these professionals or health care facilities with respect to mental health problems or problems related to alcohol or drugs usage?" RESULTS: The primary result of this study was the confirmation that health care consumption among migrants is predicted by need and predisposition factors, such as health condition and sociodemographic characteristics. In addition, mental health care consumption of migrants is predicted by acculturation characteristics. This result suggests an effect of cultural and migrant-specific factors in help-seeking behavior and barriers to mental health care facilities. CONCLUSIONS: Findings confirm the existence of migrant-specific mechanisms in health care consumption. Mental health care professionals should be aware of these. However, ignoring common ground for interventions unnecessarily creates distance between migrant groups and between migrant and indigenous Dutch groups.     

Cross-cultural model testing: toward a solution of the etic-emic dilemma

A model for the prediction of behavior from attitudinal components, developed by Triandis, was tested with samples of U.S. and Mexican women, and with fertility relevant behaviors. The elements of the model are etic, but the operationalizations of the various variables were done emically. Results support the model in both cultures. While the predictive utility of the model is equivalent in two cultures, there are social class differences on which component of the model is most emphasized. The U.S. upper-middle-class sample and the Mexican upper-middle-class sample emphasized the person's attitude toward the act, while the Mexican lower SES (socio-economic status) sample emphasized the person's normative beliefs (moral obligations).     

Young driving learners’ intention to use a handheld or hands-free mobile phone when driving

This paper presents a survey investigating young driving learners’ intention to use a handheld or hands-free mobile phone when driving. A sample of 164 young driving learners completed a questionnaire based on the theory of planned behavior (TPB), which measured people’s intentions to use mobile phone while driving in handheld condition or hands-free condition, along with their attitudes towards the behavior, subjective norms, perceived behavioral control. The regression analysis models revealed that the TPB was able to explain 43% and 48% variance in hands-free mobile phone use intention and handheld mobile phone use intention, respectively, with perceived behavioral control emerging as the strongest predictor. In addition, TPB components, usage frequency and perceived risk were more dependent on gender than age. These results have several theoretical and practical implications. In particular, interventions should emphasize on the risk of hands-free mobile phone use when driving for young drivers, especially for young male drivers.     

Application of an Integrated Behavioral Model to Predict Condom Use: A Prospective Study Among High HIV Risk Groups1

An integrated theoretical model using constructs from multiple behavioral models was applied to understand and predict condom use among a sample of injecting drug users, commercial sex workers, men who have sex with men, and multipartnered heterosexuals. Elicitation interviews were conducted to develop a questionnaire to measure model constructs that may be predictive of condom use for sex with vaginal, anal, and oral regular and casual partners. A prospective survey design was used, with 993 participants interviewed at Time 1, and 686 returning for Time 2 interviews 3 months later. Regression analyses were conducted using Time 1 measures to predict intention and Time 2 behavior. Strong support was found for a model that includes attitude, social norm, and facilitators/constraints as predictors of behavior, with multiple correlations in the 0.20 to 0.40 range. Findings also indicate perceived control and facilitators/constraints are distinct constructs and both, along with attitude and social norm, contribute to explaining behavioral intention. Implications for intervention development are discussed.     

The relationship between automatic thoughts and negative emotions in children and adolescents: a test of the cognitive content-specificity hypothesis

The aim of this study was to test the cognitive content-specificity hypothesis in children and adolescents aged 7-16 years. Participants consisted of a community sample of 200 youth and a clinical sample of 160 youth with anxiety, depressive, or disruptive behavior disorders. Participants completed several self-report measures assessing a wide range of negative beliefs and symptoms of internalizing and externalizing problems. Multivariate analyses examining the interrelationships between beliefs and noncognitive symptoms revealed that thoughts on loss or personal failure were the strongest predictors of depressive symptoms, thoughts on social threat were the strongest predictors of anxiety symptoms, and thoughts on hostility or revenge were the strongest predictors of aggression. Results showed clear evidence of cognitive-affective specificity across both internalizing and externalizing problems in youth.