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Marketing communications are designed to influence attitude and behavior. The fear appeal, a message that attempts to influence behavior through the threat of some danger, is one such type of marketing communication. The power of such appeals seems obvious; all that should be required to influence an individual''s behavior is to make that person aware of the danger or dangerous behavior. Marketers have attempted to take advantage of this relationship by using the threat of danger to evoke the emotional response of fear and thus influence behavior.To date, research has not given marketers much help in understanding the effect of fear on behavior. Research to provide communication guidelineshas produced conflicting results. Past research efforts have been unable to provide sound theory for the process of influencing behavior through fear.Then, Tanner et al. (1991) suggested that fear arousal in response to a threat message would be necessary for changes in attitude and behavior.Besides, Bandura (1977) in related work on self-efficacy, theorized that effective coping defenses prohibit fear arousal. Self-efficacy is the perception of one''s ability to perform a specific behavior. In addition, Rogers (1983) supported the effects of self-efficacy information in influencing behaviors. Therefore, in this study, using the two variables to provide effective suggestions that can be used by health care practitioners to promote responsible sexual practices.The study involved the topic of sexually transmitted diseases (STDs).The experimental treatments were administered in a 2X2X2X2 between-subjects factorial experimental design as follows: 1. Severity of threat (low/high). 2. Self-efficacy (low/high). 3. Perceived social costs (low/high). 4. Gender (male/female) The different degrees of threat and self-efficacy were selected by pretest.Subjects were 240 students of Tatung Institute of Technology, approximately equal in number by gender. According to the experiment results, we obtained the following conclusions: 1. Faced with high threat ad, subjects have higher fear emotional response, better attitude toward the ad, and higher behavior intentions than low threat ad. 2. Fear emotional response can affect behavioral intentions positively. 3. Subjects with high self-efficacy, have better attitude toward the ad and higher behavioral intentions than those with self-efficacy. 4. When subjects'' perceived social costs are high, they may be reluctant to use the recommended behavior. Consequently, lower attitude toward the ad and behavioral intentions will be occur. 5. In the topic of sexually transmitted diseases (STD), since females are physically unable to be solely responsible for adopting the recommended behavior (i.e., using condoms), they have less control over implementation.Therefore, females have worse attitude toward the ad and lower behavioral intentions than males.
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