The lack of an effective HIV vaccine or other biomedical intervention means that behavioural change will continue to be critical to the prevention of HIV infection.
Despite near universal knowledge of HIV and sexual safety, and widespread intentions to be safe, rates of unprotected sex and HIV sero-conversion remain high among gay and bisexual men.
Explanatory models that link risk-taking and prevention to rational processes such as knowledge, social norms, behavioural intentions, or perceived vulnerability to infection, cannot fully account for the continued risk behaviours observed in virtually all cohorts of gay men.
We feel that innovative conceptions of risk and risk prevention are needed, that emphasize non-rational, affective processes in risk-taking and decision-making.
Consistent with recent models from social psychology, we propose that for many people sexual risk does not stem from a lack of community norms or personal standards, but from a desire to escape cognitive awareness of very rigorous norms and standards.
Being self-aware of HIV risk arouses anxiety and precludes highly-desired activities : fatigue, fatalism, or other negative affect over HIV may lead people to'cognitively disengage'within the sexual situation, and not to follow their norms or intentions toward safety. (...)
Mots-clés Pascal : Comportement, Santé, Prise risque, SIDA, Virose, Infection, Relation sexuelle, Toxicomanie, Voie intraveineuse, Prévention, Modèle, Article synthèse, Homosexualité, Bisexualité, Mâle, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Behavior, Health, Risk taking, AIDS, Viral disease, Infection, Sexual intercourse, Drug addiction, Intravenous administration, Prevention, Models, Review, Homosexuality, Bisexuality, Male, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0055795
Code Inist : 002A26N03A. Création : 21/05/1997.