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The Reasoned Action Approach in HIV Risk-Reduction Strategies for Adolescents

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  • John B. Jemmott III

Abstract

Adolescents worldwide are at high risk for adverse consequences of sexual activity, including HIV, other sexually transmitted diseases, and unintended pregnancy. Effective intervention strategies are needed to address this risk. This article discusses the advantages of the reasoned action approach for developing such strategies, including the ability to integrate population-specific qualitative information with the approach to develop an intervention that is both theoretically grounded and culturally appropriate. It also describes an application of the approach in developing “Let Us Protect Our Future,†a culturally appropriate HIV risk-reduction intervention for adolescents in South Africa, where sexually transmitted HIV infections are having an especially devastating impact. The results of a randomized controlled trial revealed that grade 6 students in schools that received the intervention were less likely to report having sexual intercourse, unprotected sexual intercourse, and multiple sexual partners during the 12-month follow-up period than their counterparts in control schools.

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  • John B. Jemmott III, 2012. "The Reasoned Action Approach in HIV Risk-Reduction Strategies for Adolescents," The ANNALS of the American Academy of Political and Social Science, , vol. 640(1), pages 150-172, March.
    • Handle: RePEc:sae:anname:v:640:y:2012:i:1:p:150-172
    DOI: 10.1177/0002716211426096
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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Aronson, E. & Fried, C. & Stone, J., 1991. "Overcoming denial and increasing the intention to use condoms through the induction of hypocrisy," American Journal of Public Health, American Public Health Association, vol. 81(12), pages 1636-1638.
    3. Brenda Curtis, 2012. "Understanding Tailored Internet Smoking Cessation Messages," The ANNALS of the American Academy of Political and Social Science, , vol. 640(1), pages 136-149, March.
    4. Jemmott, L.S. & Jemmott III, J.B. & O'Leary, A., 2007. "Effects on sexual risk behavior and STD rate of brief HIV/STD prevention interventions for African American women in primary care settings," American Journal of Public Health, American Public Health Association, vol. 97(6), pages 1034-1040.
    5. Jemmott III, J.B. & Jemmott, L.S. & Fong, G.T., 1992. "Reductions in HIV risk-associated sexual behaviors among Black male adolescents: Effects of an AIDS prevention intervention," American Journal of Public Health, American Public Health Association, vol. 82(3), pages 372-377.
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