Adams Leah M, Stuewig Jeffrey B, Tangney June P, Kashdan Todd B
Department of Psychology, George Mason University, 4400 University Drive MS 3f5, Fairfax, VA, 22030, USA,
J Behav Med. 2014 Jun;37(3):511-23. doi: 10.1007/s10865-013-9507-8. Epub 2013 Apr 17.
Theories of health behavior change suggest that perceived susceptibility to illness precedes health-protective behavior. We used a cross-lagged panel design to explore the relationship between perceived susceptibility to AIDS, and HIV risk behavior pre-incarceration and post-release in a sample of 499 jail inmates, a group at high risk for HIV. We also explored moderators of this relationship. HIV risk was calculated with a Bernoulli mathematical process model. Controlling for pre-incarceration HIV risk, perceived susceptibility to AIDS predicted less post-release HIV risk; the reverse relationship was not supported. Consistent with health behavior change theories, perceived susceptibility seemed to partially guide behavior. However, this relationship was not true for everyone. African-Americans and individuals high in borderline personality features exhibited no relationship between perceived susceptibility and changes in HIV risk. This suggests that targeted interventions are needed to use information about risk level to prevent HIV contraction.
健康行为改变理论表明,对疾病的易感性认知先于健康保护行为。我们采用交叉滞后面板设计,在499名监狱囚犯(这是一个感染艾滋病毒的高危群体)样本中,探讨了对艾滋病的易感性认知与入狱前和出狱后的艾滋病毒风险行为之间的关系。我们还探讨了这种关系的调节因素。艾滋病毒风险是通过伯努利数学过程模型计算得出的。在控制入狱前的艾滋病毒风险后,对艾滋病的易感性认知预示着出狱后的艾滋病毒风险较低;相反的关系则不成立。与健康行为改变理论一致,易感性认知似乎部分地指导了行为。然而,这种关系并非对所有人都适用。非裔美国人和具有边缘型人格特征的个体,其易感性认知与艾滋病毒风险变化之间没有关系。这表明需要有针对性的干预措施,利用风险水平信息来预防艾滋病毒感染。