Noar S M
Department of Communication, University of Kentucky, Lexington, Kentucky 40506-0042, USA.
AIDS Care. 2007 Mar;19(3):392-402. doi: 10.1080/09540120600708469.
Although numerous individual-level AIDS behavioral theories (ABTs) exist in the literature, there is currently no consensus as to which theory is most precise in explaining or predicting HIV risk behavior. In the absence of empirical evidence favoring one ABT over another, how should an interventionist go about choosing a theory for one's particular prevention efforts? The current article provides an overview of and conceptually compares 13 ABTs in an attempt to provide guidance regarding this critical decision. A variety of criteria upon which one might judge ABTs are proposed and discussed, including empirical support for variables that make up the theory, whether or not theories are belief-based, AIDS-specific, message-based, intervention-based and behavior or behavioral-change focused. While all of the theories have strengths and weaknesses, the task for an interventionist is to choose the theory of best fit for one's particular prevention efforts. The suggestions provided in the current article may help with such a choice.
尽管文献中存在众多个体层面的艾滋病行为理论（ABTs），但目前对于哪种理论在解释或预测艾滋病毒风险行为方面最为精确尚无共识。在缺乏支持一种ABT优于另一种ABT的实证证据的情况下，干预者应如何为自己的特定预防工作选择一种理论呢？本文对13种ABT进行了概述并在概念上进行了比较，试图为这一关键决策提供指导。提出并讨论了人们用以评判ABT的各种标准，包括对构成该理论的变量的实证支持、理论是否基于信念、是否针对艾滋病、是否基于信息、是否基于干预以及是否聚焦于行为或行为改变。虽然所有这些理论都有优缺点，但干预者的任务是选择最适合自己特定预防工作的理论。本文提供的建议可能有助于做出这样的选择。
