The impact of a mass media campaign on personal risk perception, perceived self-efficacy and on other behavioural predictors.

To determine whether an AIDS prevention mass media campaign influenced risk perception, self-efficacy and other behavioural predictors. We used household survey data collected from 2,213 sexually experienced male and female Kenyans aged 15-39. Respondents were administered a questionnaire asking them about their exposure to branded and generic mass media messages concerning HIV/AIDS and condom use. They were asked questions concerning their personal risk perception, self-efficacy, condom effectiveness, condom availability, and their embarrassment in obtaining condoms. Logistic regression analysis was used to determine the impact of exposure to mass media messages on these predictors of behaviour change. Those exposed to branded advertising messages were significantly more likely to consider themselves at higher risk of acquiring HIV and to believe in the severity of AIDS. Exposure to branded messages was also associated with a higher level of personal self-efficacy, a greater belief in the efficacy of condoms, a lower level of perceived difficulty in obtaining condoms and reduced embarrassment in purchasing condoms. Moreover, there was a dose-response relationship: a higher intensity of exposure to advertising was associated with more positive outcomes. Exposure to generic advertising messages was less frequently associated with positive health beliefs and these relationships were also weaker. Branded mass media campaigns that promote condom use as an attractive lifestyle choice are likely to contribute to the development of perceptions that are conducive to the adoption of condom use.