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Women's Decision-Making And Factors Affecting Their Choice Of ...

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1979), is a second approach to understanding decision-making. Prospect theory<br />

posits that biases, rather than rational judgements, characterise decision-making.<br />

It has been used to demonstrate that people show systematic biases when making<br />

decisions by overestimating the probability of rare, serious events, and<br />

underestimating the probability of common, less serious events (Kahneman and<br />

Tversky 1979). According to prospect theory, most people perceive their chances<br />

of avoiding risk as being high (Weinstein 1982), and therefore are reluctant to<br />

take precautions, such as wearing seat belts. They also under weigh probable<br />

outcomes, in contrast to those that are certain (Slovic, Fischhoff, and Lichtenstein<br />

1978).<br />

The third approach to the study of decision-making is the precaution<br />

adoption process (Weinstein 1980; Weinstein 1988), which is divided into stages.<br />

In the first stage, people must recognise that a hazard exists; a failure to protect<br />

oneself is a reflection of ignorance of the threat rather than an underestimation of<br />

the threat. Next, additional hazard messages and hazard experience must<br />

convince them that the risk is significant, and that any precautions would be<br />

effective. In the third stage, the belief that the precautions would be personally<br />

effective is emphasised (Weinstein 1988). The second and third stages are often<br />

characterised by denials that one is personally at risk, and this happens especially<br />

in rarely encountered occurrences (Crawford 1987). After the necessary<br />

requirements, perceived risk is a function of the individual's perceived severity of<br />

the consequences for one's health and the efficacy and cost of preventive<br />

behaviour (van der Plight 1998).<br />

The precaution adoption process attempts to merge a number of theoretical<br />

approaches within health education. The approaches are the health belief model<br />

(HBM), theory of reasoned action (TRA), and social learning theory (SLT). The<br />

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