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Personality and Social Psychology Bulletin, Vol. 26, No. 9, 1046-1058 (2000)
DOI: 10.1177/01461672002611003

Do Messages about Health Risks Threaten the Self? Increasing the Acceptance of Threatening Health Messages Via Self-Affirmation

David A. K. Sherman

Stanford University, sherman{at}psych.ucla.edu

Leif D. Nelson

Stanford University

Claude M. Steele

Stanford University

Two studies demonstrate that self-image maintenance processes affect the acceptance of personally relevant health messages. Participants who completed a self-affirmation were less defensive and more accepting of health information. In Study 1, female participants (high vs. low relevance) read an article linking caffeine consumption to breast cancer. High-relevance women rejected the information more than did low-relevance women; however, affirmed high-relevance women accepted the information and intended to change their behavior accordingly. In Study 2, sexually active participants viewed an AIDS educational video; affirmed participants saw themselves at greater risk for HIV and purchased condoms more often than did nonaffirmed participants. Results suggest that health messages can threaten an individual’s self-image and that self-affirming techniques can increase the effectiveness of health information and lead to positive health behaviors.


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