Understanding Cervical Cancer Screening Intentions among Latinas Using An Expanded Theory of Planned Behavior Model

Roncancio, Angelica M.; Ward, Kristy; Fernández, María E.

doi:10.1080/08964289.2013.799452

Cited by 37 publications

(44 citation statements)

References 31 publications

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“…Our findings are consistent with studies that have employed components of the TPB to predict cervical cancer screening in other female populations (Jennings-Dozier, 1999; Fernbach, 2002; Sheeran & Orbell, 2000) and studies employing the TPB to predict screening intentions in Latinas (Roncancio et al, 2013). We found that perceived behavioral control was the strongest predictor of intention such that women with higher perceived behavioral control expressed greater intentions to be screened for cervical cancer.…”

Section: Discussionsupporting

confidence: 90%

Using the Theory of Planned Behavior to Understand Cervical Cancer Screening Among Latinas

et al. 2015

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To reduce the high incidence of cervical cancer among Latinas in the United States it is important to understand factors that predict screening behavior. The aim of this study was to test the utility of theory of planned behavior (TPB) in predicting cervical cancer screening among a group of Latinas. A sample of Latinas (N= 614) completed a baseline survey about Pap test attitudes subjective norms, perceived behavioral control, and intention to be screened for cervical cancer. At six-months cervical cancer screening behavior was assessed. Structural equation modeling was used to test the theory. Model fit statistics indicated good model fit (χ2 (48) = 54.32, p-value = .246; CFI = .992; RMSEA = .015; WRMR =.687). Subjective norms (p = .005) and perceived behavioral control (p < .0001) were positively associated with intention to be screened for cervical cancer, and the intention to be screened predicted actual cervical cancer screening (p<.0001). The proportion of variance (R2) in intention accounted for by the predictors was .276 and the R2 in cervical cancer screening accounted for was .130. This study provides support for the use of the theory of planned behavior in predicting cervical cancer screening among Latinas. This knowledge can be used to inform the development of a TPB-based intervention to increase cervical cancer screening among Latinas and reduce the high incidence of cervical cancer in this group of women.

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Section: Discussionsupporting

confidence: 90%

Using the Theory of Planned Behavior to Understand Cervical Cancer Screening Among Latinas

et al. 2015

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“…The TPB suggests, "All external factors, such as demographics, or personality characteristics of the actor, the nature of particular behavior under investigations, or situational variables can affect intentions only if they influence the attitudinal or normative components or their relative weights" [29]. On the other hand, this result was in line with previous TPB-based studies which revealed no significant effect of sociodemographic characteristics on the intention to screen for cervical cancer [30].…”

Section: Discussionsupporting

confidence: 83%

Intention to Screen for Cervical Cancer in Debre Berhan Town, Amhara Regional State, Ethiopia: Application of Theory of Planned Behavior

Getahun

Kaba

Derseh

2020

Journal of Cancer Epidemiology

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Background. Cervical cancer is a major public health problem in many developing countries. Despite the value of screening to prevent morbidity and mortality from cervical cancer, little available literature shows early detection and treatment to be limited in Ethiopia. The aim of this study was to determine the magnitude of and identify factors associated with women’s intention to screen for cervical cancer using the theory of planned behavior. Methods. A community-based cross-sectional study design supplemented with a qualitative approach was employed. Using multistage sampling, a total of 821 women were used in the study. An interviewer-administered survey questionnaire was used to collect quantitative data, whereas purposively selected 12 female health care providers were included in in-depth interviews. Descriptive statistics and simple and multiple binary logistic regression analysis were used to determine the magnitude of women’s intention, identify associated factors, and explore barriers for intention to cervical cancer screening among Debre Berhan women, Ethiopia. The statistical association was determined at a P value of less than 0.05. Moreover, thematic analysis was used to search the hindrances of women’s intention to screen for cervical cancer. Results. The median age of women who participated in this study was 39 years with IQR of 35 to 42 years. Three hundred sixty-one (361, 45.3%) of women had an intention to screen for cervical cancer within three months from the date of the interview. Positive attitude towards cervical cancer screening (AOR=6.164; 95% CI: 4.048, 9.387), positive subjective norm (AOR=2.001; 95% CI: 1.342, 2.982), and higher perceived behavioral control (AOR=7.105; 95% CI: 4.671, 10.807) were predictors of the women’s intention to screen for cervical cancer. The qualitative finding revealed that women did not like to be screened for cervical cancer because they thought that procedure pinch the cervix and it may result in perforating the uterus that would expose them for infertility. In addition, the qualitative findings supported quantitative results, where the constructs of the theory of planned behavior play an essential role in the betterment of women’s intention. Conclusion. This study showed that women’s intention to screen for cervical cancer was low. Positive attitudes towards cervical cancer screening (CCS), subjective norms, and perceived behavioral control were predictors of women’s intention to screen for cervical cancer. Thus, efforts should be exerted to improve the attitude of women involving influential people, which could improve women’s intention for cervical cancer screening. Moreover, behavioral change communication focusing on the constructs of the theory of planned behavior is crucial.

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“…The PBC measures correlated significantly (r = −.246, p < .001). Cronbach's alpha for the product items is rather low (α = .68), which is not surprising as it is already reported in several studies that PBC scales tend to have a low internal reliability (Askelson et al, 2010;Grunfeld, & Kohli, 2010;Klöckner & Matthies, 2009;Roncancio, Ward, & Fernandez, 2013). "Self-efficacy" was also rated on a six-point Likert-type scale with each respondent indicating their confidence to overcome each barrier (1 = not at all confident to 6 = very confident).…”

Section: Pbc and Self-efficacymentioning

confidence: 54%

Beliefs of Vocational Rehabilitation Counselors About Competitive Employment for People With Severe Mental Illness in Belgium

Knaeps

Neyens

Donceel

et al. 2014

Rehabilitation Counseling Bulletin

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Vocational rehabilitation (VR) counselors do not always focus on competitive employment for people with severe mental illness (SMI). Based on the Theory of Planned Behavior (TPB), this study examines how three types of VR counselors (i.e., gatekeepers, case managers, and specialists) vary in their underlying beliefs about competitive employment. VR counselors (N = 286) from Belgium completed an online TPB survey measuring behavioral, normative, control, and self-efficacy beliefs. Differences in beliefs were analyzed by one-way ANOVAs and post hoc comparisons using Bonferroni correction. Results indicate that counselors differ in their beliefs regarding competitive employment for people with SMI. Specialized counselors are stronger convinced that competitive employment results in latent benefits (e.g., increased integration and self-confidence). In contrast, gatekeepers consider income as the most recurrent and positive effect. The more specialized VR counselors are, the more often they perceive significant others valuing competitive employment and the more often they may comply with these norms. Finally, specialized counselors experience fewer barriers, more control, and more self-efficacy in dealing with problems compared with less specialized counselors. The differences in beliefs determining the focus on competitive employment may result in a lack of an integrated approach. Training, outcome feedback, and intersectoral communication can enhance consistency between different VR services.

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Understanding Cervical Cancer Screening Intentions among Latinas Using An Expanded Theory of Planned Behavior Model

Cited by 37 publications

References 31 publications

Using the Theory of Planned Behavior to Understand Cervical Cancer Screening Among Latinas

Using the Theory of Planned Behavior to Understand Cervical Cancer Screening Among Latinas

Intention to Screen for Cervical Cancer in Debre Berhan Town, Amhara Regional State, Ethiopia: Application of Theory of Planned Behavior

Beliefs of Vocational Rehabilitation Counselors About Competitive Employment for People With Severe Mental Illness in Belgium

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