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Health Education & Behavior, Vol. 24, No. 3, 313-325 (1997)
DOI: 10.1177/109019819702400305

Rethinking Perceived Risk and Health Behavior: A Critical Review of HIV Prevention Research

Mark R. Kowalewski, PhD

St. Wilfrid of York Episcopal Church

Kevin D. Henson, PhD

Bowdoin College

Douglas Longshore, PhD

University of California, Los Angeles, Drug Abuse Research Center

Perceived risk of infection, one factor influencing HIV-related behavior decisions, has been the focus of expanding research efforts. A body of research now exists examining factors related to risk perceptions and the relationship between risk perceptions and behavioral decision making. This article examines 60 quantitative studies of HIV-related risk perceptions, identifies methodological and theoretical limitations or gaps in current knowledge, and suggests ways future research might better assess the role of risk perceptions and facilitate the adoption and maintenance of HIV-related health protective behaviors. The authors argue that mixed findings in the quantitative literature are due to (1) cross-sectional study designs that constrain or confound the interpretation of findings, (2) construct confusion and measurement inconsistencies, (3) insufficient consideration of specific subgroup or behavioral differences, and (4) inattention to situational norms and other contextual factors that influence risk perceptions and behavior.


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