The role of risk perception and efficacy cognitions in the prediction of HIV-related preventive behavior and condom use

Based on empirical findings on the central model variables of the Protection Motivation Theory, the influence of perceived susceptibility, perceived severity of the threat of AIDS, communicative and sexual self-efficacy, and outcome expectancy on various aspects of HIV-preventive behavior was examined. The study was based on a sample of 468 heterosexual adults between the ages of 20 and 45 years. The data were obtained by means of questionnaires filled out at various vacation sites that draw mass tourism or in the subjects' home town. The most significant predictor of behavior was found to be self-efficacy expectancy as regards assertiveness and use of HIV-related preventive measures. A high communicative self-efficacy expectancy, on the other hand, is associated with a higher level of risk behavior among certain subgroups and under certain behavioral aspects. This confirms the necessity of acknowledging the different forms of self-efficacy expectancy in sexual interactions. Perceived personal threat is also associated with risk behavior with respect to certain behavioral operationalizations. From this it can be concluded that one's own behavior is used as the basis for appraising one's susceptibility. The results also show that distinctions must be made when analyzing HIV-related risk behavior. In particular, a difference must be made between absolute behavior (degree of the risk behavior) and relative behavior (change - especially reduction - in risk behavior due to the danger of AIDS).