Predictors of safer sex on the college campus: a social cognitive theory analysis.

In April and May 1989, the authors surveyed a sample of students enrolled on four college campuses in New Jersey (N = 923) concerning their HIV transmission-related behavior, knowledge, and a variety of conceptual variables taken primarily from social cognitive theory that were thought to be potentially predictive of safer sexual behavior. Analyses of sexually active, unmarried students' responses indicated that men expected more negative outcomes of condom use and were more likely to have sexual intercourse while under the influence of alcohol or other drugs, whereas women reported higher perceived self-efficacy to practice safer sex. Regression analyses indicated that, among the factors assessed, stronger perceptions of self-efficacy to engage in safer behavior, expecting fewer negative outcomes of condom use, and less frequency of sex in conjunction with alcohol or other drug use significantly predicted safer sexual behavior. Enhanced self-efficacy to discuss personal history with a new partner was associated with a greater number of risky encounters. Implications of these findings for intervention efforts with students are discussed.

[1]  J. Rice,et al.  College students' knowledge and health beliefs about AIDS: implications for education and prevention. , 1989, Journal of American college health : J of ACH.

[2]  A. O'Leary,et al.  Self-efficacy and health. , 1985, Behaviour research and therapy.

[3]  C. Hoff,et al.  Longitudinal predictors of reductions in unprotected anal intercourse among gay men in San Francisco: the AIDS Behavioral Research Project. , 1990, American journal of public health.

[4]  R. Kessler,et al.  Psychosocial Predictors of Reported Behavior Change in Homosexual Men at Risk for AIDS , 1986, Health education quarterly.

[5]  R. Keeling AIDS on the College Campus. , 1986 .

[6]  A. Bandura Social Foundations of Thought and Action , 1986 .

[7]  T. M. Moore,et al.  Susceptibility to AIDS: what college students do and don't believe. , 1989, Journal of American college health : J of ACH.

[8]  J. Wiley,et al.  Alcohol and Drug Use During Sexual Activity and Compliance with Safe Sex Guidelines for AIDS: The AIDS Behavioral Research Project , 1986, Health education quarterly.

[9]  S. Mickler,et al.  College students' knowledge and attitudes about AIDS and changes in HIV-preventive behaviors. , 1990 .

[10]  R. Mayon-White,et al.  Sexual behaviour, contraceptive practice and knowledge of AIDS of Oxford University students , 1988, Journal of Biosocial Science.

[11]  T. Heeren,et al.  Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents. , 1990, American journal of public health.

[12]  S. Cochran,et al.  Sex, lies, and HIV. , 1990, The New England journal of medicine.

[13]  Q. Thurman,et al.  AIDS and college health: knowledge, threat, and prevention at a northeastern university. , 1990, Journal of American college health : J of ACH.

[14]  Robert E. Kraut,et al.  Humans as Lie Detectors , 1980 .

[15]  J. Catania,et al.  Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. , 1990, Psychological bulletin.

[16]  J. Martin,et al.  Drug use and unprotected anal intercourse among gay men. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  H. Gayle,et al.  Prevalence of the human immunodeficiency virus among university students. , 1990, The New England journal of medicine.