Effects of changes in perceived self-efficacy on HIV risk behaviors over time

Kang, Sung Yeon; Deren, Sherry; Andia, Jonny; Colón, Héctor M.; Robles, Rafaela R.

doi:10.1016/j.addbeh.2003.08.026

Cited by 39 publications

(32 citation statements)

References 4 publications

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“…However, as has been found for HIV infection (Celentano, Cohn, Davis, & Vlahov, 2002;Kang, Deren, Andia, Colon, & Robles, 2004;Longshore, Stein, & Anglin, 1997;Longshore, Stein, & Conner, 2004), hepatitis C knowledge may be less important than one's commitment to safer injection, which can be influenced by the perceived benefits of risk reduction and one's self-efficacy to inject drugs more safely. We noted that several drug use characteristics (cocaine injecting, injecting in public, polydrug use) and health status variables (poor physical health, HIV testing history) were also important determinants of sharing syringe and drug preparation equipment.…”

Section: Discussionmentioning

confidence: 99%

Low perceived benefits and self-efficacy are associated with hepatitis C virus (HCV) infection-related risk among injection drug users

Cox

Morissette³

et al. 2008

Social Science & Medicine

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Hepatitis C prevention counselling and education are intended to increase knowledge of disease, clarify perceptions about vulnerability to infection, and increase personal capacity for undertaking safer behaviours. This study examined the association of drug equipment sharing with psychosocial constructs of the AIDS Risk Reduction Model, specifically, knowledge and perceptions related to hepatitis C virus (HCV) among injection drug users (IDUs). Active IDUs were recruited between April 2004 and January 2005 from syringe exchange and methadone maintenance treatment programs in Montreal, Canada. A structured, interviewer-administered questionnaire elicited information on drug preparation and injection practices, self-reported hepatitis C testing and infection status, and AIDS Risk Reduction Model constructs. Separate logistic regression models were developed to examine variables in relation to: (1) the sharing of syringes, and (2) the sharing of drug preparation equipment (drug containers, filters, and water). Among the 321 participants, the mean age was 33 years, 70% were male, 80% were single, and 91% self-identified as Caucasian. In the multivariable analyses, psychosocial factors linked to syringe sharing were lower perceived benefits of safer injecting and greater difficulty to inject safely. As with syringe sharing, the sharing of drug preparation equipment was associated with lower perceived benefits of safer injecting but also with low self-efficacy to convince others to inject more safely. Interventions should aim to heighten awareness of the benefits of risk reduction and provide IDUs with the skills necessary to negotiate safer injecting with their peers.

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Section: Discussionmentioning

confidence: 99%

Low perceived benefits and self-efficacy are associated with hepatitis C virus (HCV) infection-related risk among injection drug users

Cox

Morissette³

et al. 2008

Social Science & Medicine

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“…The HCV Behavioral Skills scale (Cronbach's α = .87) consisted of five Likert-type items on perceived behavioral control of personal injection practices adapted from Kang, Deren, Andia, Colon, and Robles (2004). Example questions included "I am sure that I could always use a clean needle to inject with."…”

Section: Instrumentsmentioning

confidence: 99%

Adaptation of the Information-Motivation-Behavioral Skills Model to Needle Sharing Behaviors and Hepatitis C Risk

Robinson

2017

Sage Open

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The current study adapts the Information-Motivation-Behavioral Skills (IMB) model of health behavior to injection drug using risk behaviors and risk for Hepatitis C (HCV). Briefly, this model postulates that prevention behaviors are directly influenced by an individual's knowledge about a disease, their motivation to avoid the disease and their skills and capacity to engage in prevention behaviors, while information and motivation also directly influence behavioral skills. Scales for HCV information, motivation and behavioral skills were included in the New Orleans arm of the National HIV Behavioral Surveillance (NHBS) of Injection Drug Use study. A structural equation model was tested on a sample of 108 current injection drug users recruited in December 2012. Results showed good fit of the IMB model. Although participants had high levels of information and knowledge about HCV transmission, information was not found to relate to either behavioral skills or needle sharing. Higher levels of skills were directly related to lower levels of needle sharing. In addition, motivation had an indirect effect on needle sharing that was mediated through skills. Many approaches to HIV and HCV prevention focus on increasing awareness and information about HIV and risk behaviors. This model, however, appears to indicate that increasing awareness may not be as effective as interventions or programs that increase behavioral skills or motivation coupled with skills building. Although some HIV/STD prevention interventions, such as motivational interviews do attempt to capitalize on this relationship, more efforts should be made to incorporate this important link into high impact prevention programs.

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“…This also reduces the need to maintain relationships for sustainment or those that are harmful because of the likelihood that being employed encourages financial independence (Kang, Deren, Andia, Colón, & Robles, 2004).…”

Section: Employmentmentioning

confidence: 99%

“…These cognitive processes play a significant role in self-regulating behaviors (Bandura 1990). Persons who exercise these behaviors are likely to be better equipped to resist engaging in HIV risk behaviors because of increased self-efficacy in those self-regulating behaviors (Kang et al, 2004). Persons who are employed are likely to have more protective factors against participating HIV risk behaviors.…”

Section: Employmentmentioning

confidence: 99%

“…Having lower income can present economic and social exposures that are associated with participating in HIV risk behaviors because it is likely that those who cannot afford basic necessities in life will be exposed or participate in risk situations such as maintaining unhealthy relationships or participate in behaviors for competing survival needs (Dworkin & Blankenship, 2009). Having lower income has been linked to poorer health and fewer resources for daily living which can influence behaviors related to survival (IOM, 2001;Kang et al, 2004). Those with higher incomes have increased access to resources which contribute to their over wellbeing and functioning (Killien et al, 2000).…”

Section: Personal Doctormentioning

confidence: 99%

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Predictors of HIV risk behaviors among older adults : a multilevel analysis.

McCord¹

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Effects of changes in perceived self-efficacy on HIV risk behaviors over time

Cited by 39 publications

References 4 publications

Low perceived benefits and self-efficacy are associated with hepatitis C virus (HCV) infection-related risk among injection drug users

Low perceived benefits and self-efficacy are associated with hepatitis C virus (HCV) infection-related risk among injection drug users

Adaptation of the Information-Motivation-Behavioral Skills Model to Needle Sharing Behaviors and Hepatitis C Risk

Predictors of HIV risk behaviors among older adults : a multilevel analysis.

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