The perceived threat likelihood or vulnerability and severity of the hazard, in the context of overall fear of disease/ill-health, stimulate the individual to take coping strategies in order to protect themselves from the threat. [...] Response efficacy and self-efficacy tend to increase the likelihood of making a behavioural change, while response cost, in terms of the time and effort of mobilizing the resources required to make behavioural change, reduces the probability of reacting to a hazard. [...] For example, in the case of the scales directed at the measurement of self-efficacy, the respective items made reference to the respondent’s own behaviour in the case of men and the respondent’s partner’s behaviour in the case of women. [...] This scale had a high degree of internal reliability on the basis of the Cronbach alpha ( =0.880), perhaps reflecting a perception that the risk of contracting a range of diseases is inter-related and, due to the pervasiveness of cancer, the belief that a wide range of lifestyle factors and health issues cause cancer (Berman and Wandersman, 1990). [...] This reflects the genetic predisposition of respondents towards prostate cancer as well as their experience of prostate cancer through friends and 2 Note that instead of creating a dummy variable where we take the value above and below the median health belief state score to define values of 1 and 0, we use the scores as a continuous variable to capture the range of intensity of health status beli