Psychological factors and demands for breast and cervical cancer screening
Date
2018-06-01Author
Jiang, Tao
Wei, Donghua
Sha, Rui
Zhang, Junqing
Zhang, Xiaopeng
Feng, Rui
Shen, Xingrong
Kadetz, Paul
Wang, Debin
Metadata
Show full item recordCitation
Jiang, T., Wei, D., Sha, R., Zhang, J., Zhang, X., Feng, R., Sheng, X., Kadetz, P. and Wang, D. (2018) 'Psychological factors and demands for breast and cervical cancer screening', Patient Education and Counseling, 101(7), pp. 1270-1275.
Abstract
Objective: The study aims to investigate relationships between demands for breast and cervical cancer
screening (BCS/CCS) and related health beliefs.
Methods: The study used cluster-randomized sampling and collected data about demands for BCS/CCS
and constructs of health beliefs model (HBM). It calculated indices of perceived risk and seriousness of
the cancers and perceived effectiveness, benefits and difficulties of the screening; and performed
descriptive and multivariate regression analysis of the demands and the HBM constructs.
Results: Less than 23.7% of respondents (N = 805) had ever undertaken BCS/CCS but 62.7% reported
willingness to receive the service. Demands for BCS/CCS illustrated negative associations (Beta = 0.11
and 0.10) with age but positive (Beta = 0.15 and 0.11) links with education. The absolute values of
standardized regression coefficients between the demand and the HBM constructs added up to 0.69 for
BCS and 0.64 for CCS respectively, being 4–40 times that of age and education.
Conclusions: Models incorporating all HBM constructs have substantially greater power than commonly
researched single factors in explaining BCS/CCS demands.
Practice implications: Comprehensive BCS/CCS promotion addressing all HBM constructs in a synergetic
way may prove to be more effective.