Health Belief Model
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Health Belief Model. Perceived Susceptibility. Perceived Severity. I’m safe – I only have “clean” partners. Having an STD might really affect me…. Harlem Health Promotion Center/Center for Community Health and Education. Health Belief Model. COST Long wait Breaking up Embarrassment.

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Health Belief Model

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Health belief model

Health Belief Model

Perceived

Susceptibility

Perceived

Severity

I’m safe – I only have “clean” partners.

Having an STD might really affect me…

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Health Belief Model

COST

Long wait

Breaking up

Embarrassment

BENEFIT

Condoms = safety

Respect for honesty

Last longer


Health belief model

Cue to Action


Health belief model

Theory of Reasoned Action

Beliefs about behavior Attitude toward behavior

Normative beliefs about

BehaviorSubjective Norm

Intention


Health belief model

Normative Pressure

?

“Sex and condoms are immoral!”

You should always use a condom – it’s the only way to be safe!

“Come on baby, we don’t need condoms.”

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Social Cognitive Theory

I know I can do it…!

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Consensus Model: key ingredients of BEHAVIOR CHANGE

  • Intention

  • Absence of environmental constraints

  • Necessary skills

  • Benefits outweigh costs

  • Social support

  • Self-efficacy

  • Consistent with self-standards

  • Positive affect

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Intention

“I will ask my boyfriend to use a condom every time we have sexual intercourse.”

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Absence of environmental constraints

“I can get condoms at the pharmacy.”

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Skills

“I know how to use a condom.”

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Positive Attitude (benefits outweigh costs)

“Using a condom every time I have sex is a good thing to do.”

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Perceived norms

“Most people who are important to me think I should use condoms.”

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Self-efficacy (confidence)

“Even though my boyfriend doesn’t like condoms, I’m confident I can get him to use them every time.”

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Self-standards

“‘Real men’ always uses condoms when they have intercourse.”

Harlem Health Promotion Center/Center for Community Health and Education


Health belief model

Emotional reactions

“When I think of using a condom, I feel anxious…”

How easily the same task becomes difficult because ideas, beliefs, fears all impinge on performance, disrupting even those goals strongly desired.”

--Milton Erickson, MD


Health belief model

“Stages of Change” Model

(change is an ongoing process)

  • Precontemplation

  • Contemplation

  • Preparation

  • Action

  • Maintenance

“Habit is habit, and not to be flung out of the window, but coaxed down the stairs a step at a time” --Mark Twain


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