The influence of HIV-related knowledge and exposure fears on behavior change and incident STDs

Using a sample of 678 HIV-seronegative women, we measured self-reports of H IV-related cognitions, specifically knowledge, perceived exposure risks, an d outcome expectations. We also ascertained prevalent and incident bacteria l STDs and measured self-reports of behavioral risk reductions. We tested f or associations between (a) cognitions and STD prevalence, (b) cognitions a nd incident STDs, (c) cognitions and behavioral risk reductions, and (d) ri sk reductions and incident STDs. Symptom knowledge was associated with lowe r prevalence, but not incidence. Beliefs in the efficacy of risk reductions showed a protective effect against incident STDs. Perceived exposure risk and symptom knowledge were associated with risk reduction behavior.