ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2011
Sorting through chickens and eggs: a longitudinal examination of the associations between attitudes, norms, and sexual risk behavior.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 46 citations in OpenAlex.
- Role of Social Network Sexual Norms and Behaviors on the HIV Sexual Risk Behaviors of People Who Inject Drugs in HPTN 037.AIDS and behavior · 2019Trial
- Minority stress and stimulant use among US adult sexual minority men: A systematic review.Drug and alcohol dependence reports · 2025Review
- Let's Talk About Condoms: Social Engagement in a Sexual Health Intervention Targeting Young Adults in Denmark.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- Stigma, discrimination, and substance use among an urban sample men who have sex with men in Massachusetts.AIDS care · 2020Article
- Seroadaptive Strategies of Vancouver Gay and Bisexual Men in a Treatment as Prevention Environment.Journal of homosexuality · 2018Article
- Perception of partner sexual history: Effects on safe-sex intentions.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2017Article
- Predictive Validity of an Empirical Approach for Selecting Promising Message Topics: A Randomized-Controlled Study.The Journal of communication · 2016Article
- A neuroscience perspective on sexual risk behavior in adolescence and emerging adulthood.Development and psychopathology · 2016Article
- When parsimony is not enough: considering dual processes and dual levels of influence in sexual decision making.Archives of sexual behavior · 2015Article
- Differences between men and women in self-reported body mass index and its relation to drug use.Substance abuse treatment, prevention, and policy · 2014Article
- Underestimating protection and overestimating risk: examining descriptive normative perceptions and their association with drinking and sexual behaviors.Journal of sex research · 2014Article
- Social network composition and sexual risk-taking among gay and bisexual men in Atlanta, GA.AIDS and behavior · 2014Article
- Article
- Sexual partner accumulation from adolescence through early adulthood: the role of family, peer, and school social norms.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2013Article
- Behavioral health and social normative influence: correlates of concurrent sexual partnering among heterosexually-active homeless men.AIDS and behavior · 2012Article
- Proximate context of gender-unequal norms and women's HIV risk in sub-Saharan Africa.AIDS (London, England) · 2012Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveHealth behavior theories posit that health-relevant attitudes, beliefs, and behavioral skills drive subsequent actions people take to protect themselves from health threats. Within the realm of HIV-related sexual risk behavior, much of the research in support of this notion is cross-sectional, rather than longitudinal, particularly in studies of gay and bisexual men. Other psychological theories (e.g., self-perception or cognitive dissonance theories) suggest that the opposite could be true--that health-relevant attitudes and beliefs might change as a function of previous risk or precautionary behavior. Appreciating the complex nature of these associations is essential for modifying theory and developing appropriate interventions.
designUsing longitudinal data from gay and bisexual men (n = 1465), we used structural equation modeling to examine three possibilities--that perceived norms and attitudes about sexual risk would be (a) related to unprotected anal intercourse cross-sectionally, (b) related to unprotected anal intercourse at a subsequent time point, and/or (c) predicted from previous instances of unprotected anal intercourse.
resultsSafe-sex norms and attitudes were related to unprotected anal intercourse cross-sectionally, but did not predict unprotected sex longitudinally. Rather, perceived norms and attitudes changed as a function of previous risk behavior.
conclusionsThese results raise the possibility that modified theoretical models might be necessary to adequately describe sexual risk behavior among gay and bisexual men.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.