Cognitive predictors of cervical cancer screening’s stages of change among sample of Iranian women health volunteers: A path analysis

Miri, Mohammad Reza; Moodi, Mitra; Sharif-Zadeh, Gholam-Reza; Moghadam, Hakimeh Malaki; Miri, Maryam; Norozi, Ensiyeh

doi:10.1371/journal.pone.0193638

Cited by 23 publications

(36 citation statements)

References 25 publications

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“…The significant mediation effect by perceived seriousness of cervical cancer on the link between cervical cancer knowledge and screening practices has been reported by some researchers [19, 21]. This finding is however, inconsistent with previous works which found most of the health belief model constructs to be significant mediators of the link between cervical cancer knowledge and screening practices [20] The inconsistency may be due to the composition of the sample size as the current study was among female university students as against a community-based sample.…”

Section: Discussionmentioning

confidence: 67%

“…Evidence abound in health promotion and education literature on the impact of health belief constructs on screening behaviours among different populations. For examples, studies have found perceived susceptibility, perceived seriousness and perceived benefits of cervical cancer screening to be key determinants of cervical cancer screening practices [13, 18, 20, 21].…”

Section: Discussionmentioning

confidence: 99%

“…Evidence also suggests that knowledge about cervical cancer also influence individual’s perception about the disease [19]. It is clear in the literature that cervical cancer knowledge and perceptions as informed by the health belief model are significant predictors of cervical cancer screening practices [20, 21].…”

Section: Introductionmentioning

confidence: 99%

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Perceived seriousness mediates the influence of cervical cancer knowledge on screening practices among female university students in Ghana

2019

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BackgroundCervical cancer knowledge and awareness, as well as an individual’s perceptions about cervical cancer have been shown to significantly influence the screening practices of female students. Despite these studies, the mechanisms linking cervical cancer knowledge to screening practices among female students remain unexplored in the literature. Thus, this study examined the direct and indirect influences of cervical cancer knowledge on screening practices through perceptions about cervical cancer as informed by the health belief model.MethodsA cross-sectional survey design with a purposive sample of 200 female students were used in the study. Standardized questionnaires were used to measure cervical cancer knowledge, perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers and cervical cancer screening behaviours. The Pearson product-moment correlation co-efficient and mediation analyses were used to analyse the data.ResultsOur findings showed that cervical cancer knowledge, perceived susceptibility, perceived seriousness and perceived benefits were significant and positively correlated with increased screening behaviours. However, only perceived seriousness significantly mediated the relationship between cervical cancer knowledge and screening behaviour. Cervical cancer knowledge remained a significant direct predictor of screening behaviour in all the models.ConclusionThese findings underscore the need for increased awareness with emphasis on the seriousness of cervical cancer among female university students as it plays a key role in influencing their screening behaviours.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

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Perceived seriousness mediates the influence of cervical cancer knowledge on screening practices among female university students in Ghana

2019

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“…Despite this case, the findings of a study conducted in different settings indicated that there was low uptake of cervical cancer screening services [9][10][11][12][13][14]. Lack of awareness, poor attitude towards cervical cancer screening, and poor perception of the severity of the disease were some of the factors for not up taking the screening service.…”

Section: Introductionmentioning

confidence: 99%

Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior

et al. 2020

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Background Cervical Cancer is the leading cause of cancer-related deaths among Ethiopian women. Despite many interventions were conducted, there is low uptake of cervical cancer screening services. Also, limited evidence was available on the women’s intention and its predictors towards cervical cancer screening. Therefore, this study was aimed at determining the intention and predicators of behavioral intention toward cervical cancer screening. Methods A cross-sectional study was conducted in the Gomma district, Jimma, Ethiopia from August 1–30, 2019. The total sample sizes were 422 and a systematic random sampling technique was employed to select the samples. Data were collected through interviews using a structured questionnaire guide. Data were entered in epidata, and exported and analyzed using SPSS version 20.0 software. Descriptive, correlation, and multicollinearity analysis were done. Also, simple and multiple linear regression analysis were performed to identify the predictors for behavioral intention. The p-value<0.05 was used to declare a significant association. Result The response rate was 382 (90.5%). The mean age of the participants was of 26.45 (SD = 4.76). Direct attitude, subjective norm, and perceived behavioral control had a mean score of 16.78 (SD = 2.87), 15.61(SD = 1.92), and 12.86 (SD = 4.85), respectively. The intention has a mean score of 14.52 (SD = 4.01). From regression analysis, direct attitude (B = 0.346, p<0.001), direct subjective norm (B = 0.288, p = 0.008), direct perceived behavioral control (B = 0.132, p = 0.002) indirect attitude (B = 0.015, p = 0.019) and the indirect perceived behavioral control (B = 0.132, p = 0.002) were statistically significant with intention. Conclusion From this study, it was understood that women’s intention towards cervical cancer screening was low. The predictors were the direct and indirect attitude, direct and indirect subjective norm, direct and indirect perceived behavioral control. This calls a need to develop strategies and take action to improve the attitude of women and their influential peoples and increase sense of control to improve their intention to screen for cervical cancer. Moreover, health care providers should have to conduct social and behavioral change communication to improve women’s health seeking behavior towards cervical cancer screening applying the concept of theory of planned behavior.

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“…We have incorporated into the wireless queuing device an App that included a risk survey, finding that women with high perceived susceptibility were those who underwent cytology after being exposed to a ‘Tu Turnero ESE ‘. Other studies have already documented, based on the Health Belief Model, that factors such as perceived benefits, perceived susceptibility, perceived severity/seriousness, and perceived barriers median the relationship between cervical cancer knowledge and screening behaviours [ 100 – 102 ].…”

Section: Discussionmentioning

confidence: 99%

Innovative prototypes for cervical cancer prevention in low-income primary care settings: A human-centered design approach

et al. 2020

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This article presents the design process of innovative prototypes for cervical cancer prevention in primary care centers located in low-income settings in Cali, Colombia, using the Human-Centered Design (HCD). The project was developed in collaboration with a public healthcare network comprised of 38 urban and rural centers with women between the ages of 25 and 65 years, healthcare providers of the cancer program, healthcare administrators and the general manager of said network. Our HCD process involved five stages: research, need synthesis, ideation and co-design process, prototyping and in-context usability testing. In practice, some of the stages are overlapped and iterated throughout the design process. We conducted observations, open-ended interviews and conversations, multi-stakeholder workshops, focus groups, systematic text condensation analyses and tests in real contexts. As a result, we designed four prototypes: (1) 'Encanto': An educational manicure service, (2) 'No le des la espalda a la citología': A media-based strategy, (3) An educational wireless queuing device in the waiting room, and (4) Citobot: A cervical cancer early detection device, system, and method. The tests carried out with each prototype showed their value, limitations and possibilities in terms of subsequent development and validation through public health research or clinical research. We recognize that a longer-term evaluation is required in order to determine whether the prototypes will be used regularly, integrated into cervical cancer screening services and effectively improve access to cytology as a screening test. We conclude that HCD is a useful for design-based prevention in the field of cervical cancer. The integration of this approach with public health research would allow the generation of evidence during to the formulation of policies and programs as well as optimize existing interventions and, ultimately, facilitate the scalability and financing of what actually works.

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Cognitive predictors of cervical cancer screening’s stages of change among sample of Iranian women health volunteers: A path analysis

Cited by 23 publications

References 25 publications

Perceived seriousness mediates the influence of cervical cancer knowledge on screening practices among female university students in Ghana

Perceived seriousness mediates the influence of cervical cancer knowledge on screening practices among female university students in Ghana

Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior

Innovative prototypes for cervical cancer prevention in low-income primary care settings: A human-centered design approach

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