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AIDS and Behavior
Published in: AIDS and Behavior 4/2012

Open Access 01-05-2012 | Original Paper

Development of the Perceived Risk of HIV Scale

Authors: Lucy E. Napper, Dennis G. Fisher, Grace L. Reynolds

Published in: AIDS and Behavior | Issue 4/2012

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Abstract

Past studies have used various methods to assess perceived risk of HIV infection; however, few have included multiple items covering different dimensions of risk perception or have examined the characteristics of individual items. This study describes the use of Item Response Theory (IRT) to develop a short measure of perceived risk of HIV infection scale (PRHS). An item pool was administered by trained interviewers to 771 participants. Participants also completed the risk behavior assessment (RBA) which includes items measuring risky sexual behaviors, and 652 participants completed HIV testing. The final measure consisted of 8 items, including items assessing likelihood estimates, intuitive judgments and salience of risk. Higher scores on the PRHS were positively associated with a greater number of sex partners, episodes of unprotected sex and having sex while high. Participants who tested positive for HIV reported higher perceived risk. The PRHS demonstrated good reliability and concurrent criterion-related validity. Compared to single item measures of risk perception, the PRHS is more robust by examining multiple dimensions of perceived risk. Possible uses of the measure and directions for future research are discussed.
Literature
1.
Centers for Disease Control and Prevention. Revised guidelines for HIV counseling, testing, and referral. MMWR. 2001;50:1–57.
2.
Kowalewski MR, Henson KD, Longshore D. Rethinking perceived risk and health behavior: a critical review of HIV prevention research. Health Educ Behav. 1997;24(3):313–25.PubMedCrossRef
3.
Prohaska TR, Albrecht G, Levy JA, Sugrue N, Kim JH. Determinants of self-perceived risk for AIDS. J Health Soc Behav. 1990;31(4):384–94.PubMedCrossRef
4.
Henson KD, Longshore D, Kowalewski MR, Anglin MD, Annon K. Perceived AIDS risk among adult arrestee injection drug users in Los Angeles County. AIDS Educ Prev. 1998;10(5):447–64.PubMed
5.
Klein H, Elifson KW, Sterk CE. “At risk” women who think that they have no chance of getting HIV: self-assessed perceived risks. Women Health. 2003;38(2):47–63.PubMedCrossRef
6.
Rogers RW. A protection motivation theory of fear appeals and attitude change. J Psychol. 1975;91(1):93–114.CrossRef
7.
Becker MH. The health belief model and personal health behavior. Health Educ Monogr. 1974;2:324–473.
8.
Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37:122–47.CrossRef
9.
Witte K. Putting the fear back into fear appeals: the extended parallel process model. Commun Monogr. 1992;59:329–49.CrossRef
10.
Catania JA, Kegeles SM, Coates TJ. Towards an understanding of risk behavior: an AIDS risk reduction model (ARRM). Health Educ Q. 1990;17(1):53–72.PubMedCrossRef
11.
Darbes L, Crepaz N, Lyles C, Kennedy G, Rutherford G. The efficacy of behavioral interventions in reducing HIV risk behaviors and incident sexually transmitted diseases in heterosexual African Americans. AIDS. 2008;22(10):1177–94.PubMedCrossRef
12.
Janssen E, van Osch L, de Vries H, Lechner L. Measuring risk perceptions of skin cancer: reliability and validity of different operationalizations. Br J Health Psychol. 2011;16(1):92–112.PubMedCrossRef
13.
Gurmankin Levy A, Shea J, Williams SV, Quistberg A, Armstrong K. Measuring perceptions of breast cancer risk. Cancer Epidemiol Biomark Prev. 2006;15(10):1893–8.CrossRef
14.
Reynolds GL, Fisher DG, Latimore A, Edwards AS, Napper LE. Racial/ethnic differences in HIV/AIDS vulnerability and risk perception among illicit drug users in Los Angeles County. International Conference on AIDS, Toronto, Canada, 2006.
15.
Tenkorang EY, Rajulton F, Maticka-Tyndale E. Perceived risks of HIV/AIDS and first sexual intercourse among youth in Cape Town, South Africa. AIDS Behav. 2009;13(2):234–45.PubMedCrossRef
16.
Johnston L, O’Bra H, Chopra M, et al. The associations of voluntary counseling and testing acceptance and the perceived likelihood of being HIV-infected among men with multiple sex partners in a South African township. AIDS Behav. 2010;14(4):922–31.PubMedCrossRef
17.
Napper LE, Reynolds GL, Fisher DG. Measuring perceived susceptibility, perceived vulnerability and perceived risk of HIV infection. In: Lavino JG, Neumann RB, editors. Psychology of risk perception. Hauppauge: Nova Science Publishers, Inc.; 2010.
18.
19.
Slovic P, Finucane ML, Peters E, MacGregor D. Risk as analysis and risk as feelings: Some thoughts about affect, reason, risk, and rationality. National Cancer Institute’s “Workshop on Conceptualizing (and Measuring) Perceived Risk”, Washington, DC; 2003.
20.
Windschitl PD. Measuring and conceptualizing perceptions of vulnerability/likelihood. National Cancer Institute’s “Workshop on Conceptualizing (and Measuring) Perceived Risk”, Washington, DC; 2003.
21.
Weinstein N. Conceptualizing and measuring risk perceptions. National Cancer Institute’s “Workshop on Conceptualizing (and Measuring) Perceived Risk”, Washington, DC; 2003.
22.
Epstein S. Integration of the cognitive and the psychodynamic unconscious. Am Psychol. 1994;49(8):709–24.PubMedCrossRef
23.
Crosby R, DiClemente RJ, Wingood GM, et al. Psychosocial correlates of adolescents’ worry about STD versus HIV infection: similarities and differences. Sex Transm Dis. 2001;28(4):208–13.PubMedCrossRef
24.
Gerrard M, Gibbons FX, Bushman BJ. Relation between perceived vulnerability to HIV and precautionary sexual behavior. Psychol Bull. 1996;119(3):390–409.PubMedCrossRef
25.
Cameron LD. Conceptualizing and assessing risk perceptions: a self-regulatory perspective. National Cancer Institute’s “Workshop on Conceptualizing (and Measuring) Perceived Risk”, Washington, DC; 2003.
26.
Kengeya-Kayondo JF, Carpenter LM, Kintu PM, Nabaitu J, Pool R, Whitworth JA. Risk perception and HIV-1 prevalence in 15,000 adults in rural south-west Uganda. AIDS. 1999;13(16):2295–302.PubMedCrossRef
27.
Weinstein ND, Kwitel A, McCaul KD, Magnan RE, Gerrard M, Gibbons FX. Risk perceptions: assessment and relationship to influenza vaccination. Health Psychol. 2007;26(2):146–51.PubMedCrossRef
28.
Embretson SE, Reise SP. Item response theory for psychologists. Mahwah: Lawrence Erlbaum Associates; 2000.
29.
Brown EJ, Outlaw FH, Simpson EM. Theoretical antecedents to HIV risk perception. J Am Psychiatr Nurses Assoc. 2000;6(6):177–82.CrossRef
30.
Weinhardt LS, Carey KB, Carey MP. HIV risk sensitization following a detailed sexual behavior interview: a preliminary investigation. J Behav Med. 2000;23(4):393–8.PubMedCrossRef
31.
Dowling-Guyer S, Johnson ME, Fisher DG, et al. Reliability of drug users’ self-reported HIV risk behaviors and validity of self-reported recent drug use. Assessment. 1994;1(4):383–92.
32.
Fisher DG, Reynolds GL, Jaffe A, Johnson ME. Reliability, sensitivity and specificity of self-report of HIV test results. AIDS Care. 2007;19(5):692–6.PubMedCrossRef
33.
Needle R, Fisher DG, Weatherby N, et al. Reliability of self-reported HIV risk behaviors of drug users. Psychol Addict Behav. 1995;9(4):242–50.CrossRef
34.
SAS Institute Inc. SAS/STAT User’s Guide, Version. Cary: SAS Institute Inc; 1999.
35.
Cook KF, Teal CR, Bjorner JB, et al. IRT health outcomes data analysis project: an overview and summary. Qual Life Res. 2007;16(Suppl 1):121–32.PubMedCrossRef
36.
Samejima F. Estimation of latent ability using a response pattern of graded scores. Psychom Monogr. 17. 1969.
37.
Thissen D, Chen W-H, Bock RD. Multilog (version 7) [computer software]. Lincolnwood: Scientific Software International; 2003.
38.
Stark S. MODFIT: a computer program for model-data fit. Urbana-Champaign: University of Illinois, Urbana-Champaign; 2001.
39.
Tabachnick BG, Fidell LS. Computer-assisted research design and analysis. Boston: Allyn and Bacon; 2001.
40.
Johnson RA, Wichern DW. Applied multivariate statistical analysis. Upper Saddle River: Prentice Hall; 1988.
41.
Macintyre K, Rutenberg N, Brown L, Karim A. Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal. AIDS Behav. 2004;8(3):237–50.PubMedCrossRef
42.
Boone TL, Lefkowitz ES, Romo L, Corona R, Sigman M, Au T. Mothers’ and adolescents’ perceptions of AIDS vulnerability. Int J Behav Dev. 2003;27(4):347–54.CrossRef
43.
Mitchell CM, Kaufman CE, Beals J. Identifying diverse HIV risk groups among American Indian young adults: the utility of cluster analysis. AIDS Behav. 2004;8(3):263–75.PubMedCrossRef
44.
Lauby JL, Bond L, Eroglu D, Batson H. Decisional balance, perceived risk and HIV testing practices. AIDS Behav. 2006;10(1):83–92.PubMedCrossRef
45.
Dolcini MM, Catania JA, Choi KH, Fullilove MT, Coates TJ. Cognitive and emotional assessments of perceived risk for HIV among unmarried heterosexuals. AIDS Educ Prev. 1996;8(4):294–307.PubMed
46.
Weinhardt LS, Forsyth AD, Carey MP, Jaworski BC, Durant LE. Reliability and validity of self-report measures of HIV-related sexual behavior: progress since 1990 and recommendations for research and practice. Arch Sex Behav. 1998;27(2):155–80.PubMedCrossRef
47.
Metadata
Title
Development of the Perceived Risk of HIV Scale
Authors
Lucy E. Napper
Dennis G. Fisher
Grace L. Reynolds
Publication date
01-05-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-0003-2

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