We propose to examine the distributions, among U.S. residents, of AIDS- related sexual risk behaviors, distributions of AIDS knowledge, beliefs, other relevant psychosocial factors, and HIV antibody test-seeking. Interviews will be carried out by telephone on a stratified random (dual-frame) probability sample drawn in 1989-90 and containing 8,500 U.S. men and women aged 18-50 years; Black and Hispanic respondents will be oversampled from geographic regions with a high incidence of AIDS. In addition, a sample of 500 nonrespondents will be obtained to examine sampling bias. Data from the proposed research will allow predictors of sexual behavior and beliefs among those engaging in high risk sexual behavior to be examined within the context of an AIDS Risk Reduction Model (ARRM, Appendix C). Hypothesized predictor variables include anxiety, AIDS ethnocentrism, perceptions of susceptibility to developing AIDS, self- efficacy, response efficacy, enjoyment value of sexual behaviors, sexual communication, risk behavior labeling, and commitment to change. Particular attention will be paid to racial/ethnic differences in ARRM predictions. Other social (e.g., sex, age) differences will also be examined. Data from the proposed research will provide needed information on the relationships between high risk behaviors and AIDS-related knowledge, beliefs, and social skills in the U.S. as a whole. It will also suggest directions for preventive campaigns by identifying demographic, geographic, and psychosocial characteristics of groups exhibiting high levels of risk behaviors. The findings will be useful for developing public health approaches to preventing the spread of HIV infection, and will form the basis for proposing subsequent surveys that will monitor the national progress of the epidemic in the years to come.

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National Institute of Mental Health (NIMH)
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MH Acquired Immunodeficiency Syndrome Research Review Committee (MHAZ)
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University of California San Francisco
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Catania, Joseph A; Dolcini, M Margaret (2002) A commentary on Sallis, Owen, and Fotheringham's perspective on ""Behavioral epidemiology: a systematic framework to classify phases of research on health promotion and disease prevention"". Ann Behav Med 24:78; discussion 79
Catania, J A; Canchola, J; Binson, D et al. (2001) National trends in condom use among at-risk heterosexuals in the united states. J Acquir Immune Defic Syndr 27:176-82
Catania, J A; Morin, S F; Canchola, J et al. (2000) Health care policy. U.S. priorities-HIV prevention. Science 290:717
Binson, D; Pollack, L; Catania, J A (1997) AIDS-related risk behaviors and safer sex practices of women in midlife and older in the United States: 1990 to 1992. Health Care Women Int 18:343-54
Grinstead, O A; Peterson, J L; Faigeles, B et al. (1997) Antibody testing and condom use among heterosexual African Americans at risk for HIV infection: the National AIDS Behavioral Surveys. Am J Public Health 87:857-9
Phillips, K A; Coates, T J; Catania, J A (1997) Predictors of follow-through on plans to be tested for HIV. Am J Prev Med 13:193-8
Turner, H A; Catania, J A (1997) Informal caregiving to persons with AIDS in the United States: caregiver burden among central cities residents eighteen to forty-nine years old. Am J Community Psychol 25:35-59
Catania, J A; Moskowitz, J T; Ruiz, M et al. (1996) A review of national AIDS-related behavioral surveys. AIDS 10 Suppl A:S183-90
Choi, K H; Catania, J A (1996) Changes in multiple sexual partnerships, HIV testing, and condom use among US heterosexuals 18 to 49 years of age, 1990 and 1992. Am J Public Health 86:554-6
Catania, J A; Binson, D; Stone, V (1996) Relationship of sexual mixing across age and ethnic groups to herpes simplex virus-2 among unmarried heterosexual adults with multiple sexual partners. Health Psychol 15:362-70

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