Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-23T16:44:59.359Z Has data issue: false hasContentIssue false

Factors influencing perception of risk of HIV acquisition among male heterosexual STD clinic attenders

Published online by Cambridge University Press:  13 June 2014

Ian T. Bownes
Affiliation:
Department of Mental Health, Queen's University, Belfast BT9 7AB, Northern Ireland
Ethna C. O'Gorman
Affiliation:
Belfast City Hospital, and Senior Lecturer, Department of Mental Health, Queen's University of Belfast, Northern Ireland
Wallace W. Dinsmore
Affiliation:
Department of Genito-Urinary Medicine, Royal Victoria Hospital, Belfast, Northern Ireland.

Abstract

A variety of demographic, psychosocial, intrapersonal and behavioural factors have been shown to influence behavioural change in response to AIDS education. The study investigated perceived risk of HIV acquisition amongst 50 male heterosexual STD clinic attenders and its relationship to knowledge regarding the nature and prevention of transmission of HIV, current sexual practices, relationship difficulties, sexual dysfunction, alcohol abuse and psychiatric morbidity.

The sample demonstrated a good general knowledge about AIDS but there was little evidence of the practice of ‘safer sex’. The overall incidence of psychiatric morbidity was 38%, of problem drinking 52%, of sexual dysfunction 32% and marital/relationship dysfunction 42%. Only 22% felt that their life-style put them at risk of HIV acquisition. It was felt that a narrow emphasis on information in AIDS prevention programmes ignores the powerful effect other factors may have on an individual's motivation to change his behaviour. Evaluation of the cognitions of this at risk group with particular reference to the role of cognitive distortions in perception of risk could provide a means of enhancing the efficacy of future health education campaigns.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Becker, MH, Joseph, JG. AIDS and behavioural change to reduce risk: a review. Amer J Publ Health 1988; 78: 394410.CrossRefGoogle ScholarPubMed
2.Evans, BA, McClean, KA, Dawson, SG, et al.Trends in sexual behaviour and risk factors for HIV infection among homosexual men 1984-87. Br Med J, 1989; 298: 215–8.CrossRefGoogle Scholar
3.Carne, CA, Johnson, AM, Pearce, F, et al.Prevalence of Antibodies to Human Immunodeficiency Virus, gonorrhoea rates and changed sexual behaviour in homosexual men in London. Lancet 1987; 1: 656–8.CrossRefGoogle Scholar
4.Wellings, K. Tracking public views on AIDS. Health Education Journal 1988; 47: 34–6.CrossRefGoogle Scholar
5.Joseph, JG, Kessler, RC, Wortman, CB, et al.Two year longitudinal study of behavioural risk reduction in a cohort of homosexual men. Proceedings of the III International AIDS Conference Washington DC 1987: 60.Google Scholar
6.Joseph, JG, Montgomery, B, Emmons, CA, et al.Magnitude and determinants of behavioural risk reduction: Longitudinal analysis of a cohort at risk for AIDS. Psychol Hlth 1987; 1: 7396.Google Scholar
7. AIDS – U.K. PHLS Communicable Disease Surveillance Centre (Scotland) Unit PHLS 1989.Google Scholar
8.Piot, P, Plummer, FA, Mhalu, FS, et al.AIDS: an international perspective. Science 1988; 239: 573–9.CrossRefGoogle ScholarPubMed
9.Skegg, DCG. Heterosexually acquired HIV infection. Br Med J 1989; 298: 401–2.CrossRefGoogle ScholarPubMed
10.O'Gorman, EC, Bownes, IT, Dinesmore, WW. Sexual and marital dysfunction and polypartnerism in STD clinic attenders. Irish Journal of Psychological Medicine 1990; 7: 32–5.CrossRefGoogle Scholar
11.Charlwood, GP, Kerr, S, Maw, RD. Sexual attitudes and practices of selected groups in Northern Ireland since the emergence of AIDS. Ulster Medical Journal 1989; 58: 145152.Google ScholarPubMed
12.Goldberg, DP. Manual of the General Health Questionnaire. Windsor: NFER Publishing Co, 1979.Google Scholar
13.Selzer, ML. The Michigan Alcoholism Screening Test: the quest for a new diagnostic instrument. Am J Psychiatry 1979; 127: 8994.Google Scholar
14.Rust, J, Golombok, S. The Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Windsor, Berkshire, UK: NFER/Nelson Publishing Company, 1986.Google Scholar
15.Golombok, S, Rust, J. The Golombok-Rust Inventory of Marital Satisfaction (GRIMS) Windsor, Berkshire, UK: NFER/Nelson Publishing Company, 1988.Google Scholar
16.Donovan, J. We don't buy sickness, it just comes. Aldershot: Gower, 1986.Google Scholar
17.Alcorn, K.Illness, metaphor and AIDS. In: Aggleton, PJ, Homans, H, eds. Social aspects of AIDS. Basingstoke: Falmer Press, 1988.Google Scholar
18.Wellings, K. Perceptions of risk – media treatment of AIDS. In: Aggleton, PJ, Homans, H, eds. Social aspects of AIDS. Basingstoke: Falmer Press, 1988.Google Scholar
19.Morton, AD, McMAnus, IC. Attitudes to and knowledge about AIDS: lack of a correlation. Br Med J 1986; 293: 121–2.CrossRefGoogle ScholarPubMed
20.Brown, JS, Irwin, WG, Steele, K, Harland, RW. Students awareness of and attitudes to AIDS. J Roy Coll Gen Pract 1987; 37: 457–8.Google ScholarPubMed
21.Fitzpatrick, R. Lay concepts of illness In: Fitzpatrick, R, Hinton, J, Newman, S, Scambler, G, Thompson, J, eds. The experience of illness. London: Tavistock, 1984.Google Scholar
22. The Northern Ireland Census 1981. HMSO.Google Scholar
23.Jones, CC, Waskin, H, Gerety, B, et al.Persistence of high-risk sexual activity among homosexual men in an area of low incidence of the acquired immunodeficiency syndrome. Sexually Transmitted Diseases 1987; 14: 7982.CrossRefGoogle Scholar
24.Ross, MW, Herbert, F. Responses of homosexual men to AIDS. Med J Aust 1987; 146: 280.CrossRefGoogle ScholarPubMed
25.Catalan, J, Bradley, M. Sexual dysfunction and psychiatric morbidity in patients attending a clinic for sexually transmitted disease. Br J Psychiatry 1981; 138: 292296.CrossRefGoogle Scholar
26.Blumhagen, D. Hypertension: a folk illness with a medical name. Culture, Medicine and Psychiatry 1980; 4: 197227.CrossRefGoogle ScholarPubMed
27.Hill, D, Boreland, R. Public reactions to the QUIT Campaign in 1987. In: Victorian Smoking and Health Program. QUIT: evaluation studies no 3. Melbourne: VSHP, 1989.Google Scholar
28.Sensky, T. Patient's reactions to illness. Br Med J 1990; 300: 622–23.CrossRefGoogle ScholarPubMed
29.Ostfow, DG. Psychiatry and AIDS: an overview. Int Rev Neurosci 1987; 32: 647–59.Google Scholar
30.Levine, J, Warrenburg, S, Kerns, R, et al.The role of denial in recovery from coronary heart disease. Psychosom Med 1987; 49: 109117.CrossRefGoogle ScholarPubMed
31.Warwick, I, Aggleton, P, Homans, H. Constructing commonsense – young people's beliefs about AIDS. Sociology of Health & Illness 1988; 10: 213231.CrossRefGoogle Scholar