FACTORS INFLUENCING CHANGE BEHAVIOR: RISK REDUCTION FOR HIV INFECTION

2004 ◽  
Vol 32 (6) ◽  
pp. 511-534 ◽  
Author(s):  
Beverly L. Stiles ◽  
Howard B. Kaplan

Theoretically informed models are estimated that specify main and interaction effects of a general change to safer/healthier behavior. The subjects of this study are participants in an ongoing longitudinal panel study of adaptations to stress. The sample consists of a portion of those identified in their mid-twenties (Time 4) as at high risk for HIV infection and successfully reinterviewed. A matched group of those at Time 4 who were at low risk for HIV infection were also reinterviewed as part of this analysis. One Ordinary Least Square regression model was estimated in which five independent variables, six control variables, and ten interaction terms are regressed on the dependent variable. In general, the results support many of the factors of the Health Belief Model (HBM), but provide other factors, including interaction effects, which are also relevant to a general change in behavior.

1994 ◽  
Vol 15 (2) ◽  
pp. 145-163 ◽  
Author(s):  
Kathleen M. Lux ◽  
Rick Petosa

The purpose of this study was to use an enhanced version of the Health Belief Model as a conceptual framework to describe health beliefs and safer sex intentions for HIV prevention educational needs of juvenile delinquents between the ages of thirteen to eighteen years incarcerated in state supported training schools in Ohio. An accessible sample ( n = 452) of juvenile delinquents from four of nine institutions was the study population. Juvenile delinquents in this study were at high risk for HIV infection. They reported low rates of safer sex intentions. Rates of perceived barriers to condom use and perceived social barriers to safer sex were high and consistent with low rates of safer sex intention. Rates of self-efficacy for condom use were high but inconsistent with intentions. While a majority of subjects reported self-efficacy for discussion of sexual histories, a larger majority reported low efficacy for disclosing previous high-risk behavior. This suggests that discussion of sexual history with a partner may not be effective in reducing risk among this population. The primary source of information about HIV was the mass media. HIV prevention programs for juvenile delinquents should consider the current health beliefs of this high-risk, hard-to-reach population.


2021 ◽  
Author(s):  
Howard Litwin ◽  
Michal Levinsky

Abstract Background and Objectives To clarify whether awareness of the extent and severity of exposure to the coronavirus disease 2019 (COVID-19) virus in the social networks of older adults is related to the engagement by the latter in self-protective behaviors. The inquiry is guided by the Health Belief Model and by concepts from the domain of social networks. Research Design and Methods Data from the Survey of Health, Ageing and Retirement in Europe (SHARE) were used, including the SHARE COVID-19 Survey executed in the summer of 2020. The study sample numbered 33,053 persons aged 50 and older in 25 countries. We regressed a logged count of self-protective behaviors on network-exposure severity, controlling for sociodemographic background, country, personality traits, and self-exposure severity. Age and network-exposure interaction terms were examined, as were "close-family" and "other" network ties. Results Network-exposure severity was positively associated with the extent of engagement in self-protective behaviors among older adults, but mainly among the oldest group, aged 70 and older. Awareness of exposure severity in "close-family" and "other" networks were similarly associated with self-protection. Respondents from countries with the lowest rates of COVID-19 infection at the time (Latvia, Finland, and Denmark) engaged in fewer self-protective behaviors, while those from countries with high infection rates (Spain, Italy, and Portugal), self-protected to a greater degree. Discussion and Implications The study findings point to the role of the social network, even if indirect, in promoting self-protective behaviors among the oldest segment of society. Policymakers should collaborate with the social networks of older adults in order to promote the adoption of self-protective behaviors. Such intervention might help to reduce the threat of infection among the most vulnerable age group.


Sexual Health ◽  
2009 ◽  
Vol 6 (4) ◽  
pp. 293 ◽  
Author(s):  
Edward Maswanya ◽  
Graham Brown ◽  
Gareth Merriman

Background: Tanzania faced with an increasing problem from HIV sexual infection and vulnerability of students is a key concern. This paper explores beliefs, attitudes and behavioural perspectives on HIV/AIDS education among students in Tanzania as there has been few qualitative information on the subject. Methods: A total of 20 college students of both sexes were interviewed in a qualitative study. Health Belief Model and Social Cognitive Theory were used to guide the interview and constant comparative analysis on their attitudes, beliefs, behaviour and education towards HIV infection risks were utilised. Results: During the interview, the following topics emerged: misinformation and desire for HIV/AIDS education program in school curricula; perceptions of one’s own and peer’s susceptibility to HIV infection; social norms regarding sexual behaviour and perceptions regarding access to education and health services. Lack of accurate information and lack of education at home and at school further contributed to risk behaviour. Conclusion: The study highlighted important perspectives of students towards HIV infection, risk behaviours which are important for HIV prevention programs for students. Based on the findings, recommendations for improvement in prevention programs among college students within Tanzanian schools context are discussed.


2019 ◽  
Vol 2 (1) ◽  
pp. 72-80
Author(s):  
Sardaniah Sardaniah ◽  
Rosita Erawati ◽  
Ririn Zuhriati Oktavia

Kepatuhan pada jadwal pemberian imunisasi dasar merupakan salah satu faktor untuk mencapai UCI (Universal Child Immunization). Selain itu, apabila ibu tidak mematuhi jadwal pemberian imunisasi dasar, maka akan berpengaruh terhadap kekebalan dan kerentanan bayi dari suatu penyakit. Faktor penentu yang mempengaruhi pemberian imunisasi di masyarakat adalah perilaku masyarakat tersebut. Salah satu teori perilaku dalam pelayanan kesehatan adalah HBM (Health Belief Model). HBM terdiri dari 3 kategori utama yaitu persepsi individu, faktor modifikasi (terdiri dari usia, pendidikan, sosial-budaya-agama, dan cues to action), dan kemungkinan tindakan (terdiri dari manfaat dan hambatan). HBM masuk dalam salah satu faktor konseptual pengambilan keputusan orang tua dalam pemberian imunisasi pada anaknya. Tujuannya adalah Untuk mengetahui Gambaran Kepatuhan Ibu Membawa Anak Imunisasi Diwilayah Kerja UPTD Puskesmas Sidumulyo Kota Bengkulu. Desain Penelitian yang digunakan yaitu deskriptif analitik dengan menggunakan rancangan cross sectional. Subjek dalam penelitian yang dilakukan adalah accidental sampling. Populasinya ibu yang mempunyai bayi usia 1-12 bulan di Wilayah Kerja Puskesmas Sidomulyo yang datang untuk imunisasi pada bulan Mei Tahun 2018. sebanyak 20 ibu. Pengambilan sampel dilakukan dengan total sampling yang memenuhi kriteria inklusi sebanyak 20 ibu dan yang tereksklusi adalah 3, sehingga tersisa sampel 17 ibu. Instrumen penelitian menggunakan kuesioner lembar observasi. Hasil penelitian ini, terdapat sebanyak 3 dari 17 (17.6%) ibu tidak patuh dalam pemberian imunisasi dasar pada bayinya. Faktor yang mempengaruhi kepatuhan ibu dalam pemberian imunisasi dasar pada bayi yaitu kondisi bayi karena 1 bayi sakit dan 2 jarak tempat tinggal dan tempat pelayanan imunisasi jauh (lagi ada acara keluarga) sejalan dengan penelitian yang telah dilakukan oleh Rachmawati (2016), tentang Faktor – faktor yang mempengaruhi Kepatuhan ibu dalam pemberian imunisasi Dasar pada Balita di dukuh Pilangbangau Desa sepat masaran Sragen, antara lain pengaruh oleh usia ibu, Pendidikan dan Keputusan orang tua dan jarak ketempat pelayanan Kesehatan. Dari penelitian ini dapat disimpulkan bahwa kepatuhan ibu membawa bayinya untuk imunisasi dipengaruhi oleh Usia ibu, pendidikan orang tua dan Keputusan orang tua untuk itu perlu kerjasam yang baik antara orang tua dan petugas Imunisasi Pusat kesehatan masyarakat (PKM) Sidomulyo Bengkulu. 


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