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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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slide1
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

slide2
Health Belief Model

COST

Long wait

Breaking up

Embarrassment

BENEFIT

Condoms = safety

Respect for honesty

Last longer

slide4
Theory of Reasoned Action

Beliefs about behavior Attitude toward behavior

Normative beliefs about

BehaviorSubjective Norm

Intention

slide5
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

slide6
Social Cognitive Theory

I know I can do it…!

Harlem Health Promotion Center/Center for Community Health and Education

slide7
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

slide8
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

slide9
Absence of environmental constraints

“I can get condoms at the pharmacy.”

Harlem Health Promotion Center/Center for Community Health and Education

slide10
Skills

“I know how to use a condom.”

Harlem Health Promotion Center/Center for Community Health and Education

slide11
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

slide12
Perceived norms

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

Harlem Health Promotion Center/Center for Community Health and Education

slide13
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

slide14
Self-standards

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

Harlem Health Promotion Center/Center for Community Health and Education

slide15
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

slide16
“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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