Social cognitive predictors of sexual risk behavior change among STD clinic patients

Ann O'leary, Edward Maibach, Timothy K. Ambrose, John B. Jemmott, David D Celentano

Research output: Contribution to journalArticle

Abstract

We tested the impact of four social cognitive constructs (multifaceted condom use self-efficacy and hedonic, social, and self-evaluative outcome expectations) on sexual risk behavior change. Each construct was hypothesized to have an independent effect on four indicators of behavior change: consistency of reported condom use, condom use at last intercourse, frequency of unprotected intercourse acts, and stage of condom use behavior change. STD clinic patients (n = 472) were recruited, given baseline interviews, and placed in small-group health education sessions. Three-month follow-up interviews were conducted. Hypotheses were tested with logistic regressions and general linear models. Results showed that baseline self-efficacy and hedonistic expectations regarding condom use predicted sexual behavior and stage of change. In addition, follow-up levels of each of two additional outcome expectation domains, expected partner reaction and self-approval for condom use, were associated with sexual behavior at follow-up, controlling baseline levels of each dependent variable. These latter outcome expectations accounted for the greatest proportion of the variance among the SCT factors. These results support a social cognitive model of condom use behavior change and provide important clues for refining condom promotion interventions.

Original languageEnglish (US)
Pages (from-to)309-316
Number of pages8
JournalAIDS and Behavior
Volume4
Issue number4
DOIs
StatePublished - 2000

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Condoms
Sexually Transmitted Diseases
Risk-Taking
Sexual Behavior
Self Efficacy
Interviews
Pleasure
Health Education
Linear Models
Logistic Models

Keywords

  • HIV prevention
  • Social cognitive theory
  • STD patients

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Social cognitive predictors of sexual risk behavior change among STD clinic patients. / O'leary, Ann; Maibach, Edward; Ambrose, Timothy K.; Jemmott, John B.; Celentano, David D.

In: AIDS and Behavior, Vol. 4, No. 4, 2000, p. 309-316.

Research output: Contribution to journalArticle

O'leary, Ann ; Maibach, Edward ; Ambrose, Timothy K. ; Jemmott, John B. ; Celentano, David D. / Social cognitive predictors of sexual risk behavior change among STD clinic patients. In: AIDS and Behavior. 2000 ; Vol. 4, No. 4. pp. 309-316.
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