TY - JOUR
T1 - HIV risk behavior and the health belief model
T2 - An empirical test in an African American community sample
AU - Brunswick, Ann F.
AU - Banaszak-Holl, Jane
PY - 1996/1/1
Y1 - 1996/1/1
N2 - The increasing prominence of minority groups, particularly African Americans, in the growing rates of HIV infection and AIDS underscores the urgency for developing ethno-gender specific models for changing behaviors that are placing those groups at risk. To this end, HIV-related knowledge, attitudes, and perceptions reported by an urban community sample of African Americans (N = 364) and formulated as components of the Health Belief Model (HBM) have been tested against HIV avoidance practices, using both structural equation and OLS regression analysis. Both multivariate approaches identified perceived vulnerability as a significant negative predictor and, additionally for women, a positive relationship with generalized sense of personal efficacy. The results suggest an inverted causal sequence from what the HBM assumes: risk behavior leading to or predicting perceptions. Some implications of this critical reversed ordering are suggested.
AB - The increasing prominence of minority groups, particularly African Americans, in the growing rates of HIV infection and AIDS underscores the urgency for developing ethno-gender specific models for changing behaviors that are placing those groups at risk. To this end, HIV-related knowledge, attitudes, and perceptions reported by an urban community sample of African Americans (N = 364) and formulated as components of the Health Belief Model (HBM) have been tested against HIV avoidance practices, using both structural equation and OLS regression analysis. Both multivariate approaches identified perceived vulnerability as a significant negative predictor and, additionally for women, a positive relationship with generalized sense of personal efficacy. The results suggest an inverted causal sequence from what the HBM assumes: risk behavior leading to or predicting perceptions. Some implications of this critical reversed ordering are suggested.
UR - http://www.scopus.com/inward/record.url?scp=0029665894&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0029665894
VL - 24
SP - 44
EP - 65
JO - Journal of Community Psychology
JF - Journal of Community Psychology
SN - 0090-4392
IS - 1
ER -