The mediating effect of self-efficacy on social support and cancer screening behavior among Chinese women: a cross-sectional study

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

BMC Women's Health Pub Date : 2024-08-12 DOI:10.1186/s12905-024-03296-5

Hanqing Tu, Linping Zhang, Mengjiao Xu, Ziyan Zhao, Jing Han, Liang Yan

{"title":"The mediating effect of self-efficacy on social support and cancer screening behavior among Chinese women: a cross-sectional study","authors":"Hanqing Tu, Linping Zhang, Mengjiao Xu, Ziyan Zhao, Jing Han, Liang Yan","doi":"10.1186/s12905-024-03296-5","DOIUrl":null,"url":null,"abstract":"Breast and cervical cancer are the most common cancers in women, and are associated with high morbidity and mortality rates. Cancer screening can facilitate early diagnosis, reduce mortality, and ease the burden of cancer. Social support and self-efficacy are strongly associated with cancer screening behavior. The present study aimed to explore the mediating effect of self-efficacy on social support and cancer screening behavior. In this cross-sectional survey study conducted from June to October 2023, 312 women aged 35–65 years were recruited from the East Coast area of China. A general information questionnaire, cancer screening behavior questionnaire, social support scale and self-efficacy scale were used to collect data. Descriptive statistics were used to analyze the general characteristics of participants; one-way analysis of variance was used to test for differences in the measured variables; and Pearson’s correlation analyses were used to describe the relationship among social support, self-efficacy, and cancer screening behavior. A mediation model was constructed and analyzed using the PROCESS macro for SPSS. The mean (standard deviation) screening behavior score for breast cancer and cervical cancer was 3.98 (2.79), representing an intermediate level. Self-efficacy was closely related to social support and cancer screening behavior. Social support showed a significant positive correlation with self-efficacy (r = 0.37, p < 0.01) and cancer screening behavior (r = 0.18, p < 0.01). Self-efficacy was also significantly positively correlated with cancer screening behavior (r = 0.19, p < 0.05). Self-efficacy showed a full mediating effect between social support and cancer screening behavior, with an explanatory power of 32%. The findings emphasize the need to increase women’s level of social support and self-efficacy, which in turn can increase women’s participation in breast and cervical cancer screening.","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":null,"pages":null},"PeriodicalIF":2.4000,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Women's Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12905-024-03296-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Breast and cervical cancer are the most common cancers in women, and are associated with high morbidity and mortality rates. Cancer screening can facilitate early diagnosis, reduce mortality, and ease the burden of cancer. Social support and self-efficacy are strongly associated with cancer screening behavior. The present study aimed to explore the mediating effect of self-efficacy on social support and cancer screening behavior. In this cross-sectional survey study conducted from June to October 2023, 312 women aged 35–65 years were recruited from the East Coast area of China. A general information questionnaire, cancer screening behavior questionnaire, social support scale and self-efficacy scale were used to collect data. Descriptive statistics were used to analyze the general characteristics of participants; one-way analysis of variance was used to test for differences in the measured variables; and Pearson’s correlation analyses were used to describe the relationship among social support, self-efficacy, and cancer screening behavior. A mediation model was constructed and analyzed using the PROCESS macro for SPSS. The mean (standard deviation) screening behavior score for breast cancer and cervical cancer was 3.98 (2.79), representing an intermediate level. Self-efficacy was closely related to social support and cancer screening behavior. Social support showed a significant positive correlation with self-efficacy (r = 0.37, p < 0.01) and cancer screening behavior (r = 0.18, p < 0.01). Self-efficacy was also significantly positively correlated with cancer screening behavior (r = 0.19, p < 0.05). Self-efficacy showed a full mediating effect between social support and cancer screening behavior, with an explanatory power of 32%. The findings emphasize the need to increase women’s level of social support and self-efficacy, which in turn can increase women’s participation in breast and cervical cancer screening.

查看原文本刊更多论文

自我效能感对社会支持和中国女性癌症筛查行为的中介效应：一项横断面研究

乳腺癌和宫颈癌是女性最常见的癌症，发病率和死亡率都很高。癌症筛查可以促进早期诊断，降低死亡率，减轻癌症负担。社会支持和自我效能与癌症筛查行为密切相关。本研究旨在探讨自我效能感对社会支持和癌症筛查行为的中介作用。这项横断面调查研究于 2023 年 6 月至 10 月进行，从中国东部沿海地区招募了 312 名 35-65 岁的女性。研究采用一般信息问卷、癌症筛查行为问卷、社会支持量表和自我效能量表收集数据。描述性统计用于分析参与者的一般特征；单因素方差分析用于检验测量变量的差异；皮尔逊相关分析用于描述社会支持、自我效能感和癌症筛查行为之间的关系。使用 SPSS 的 PROCESS 宏构建并分析了一个中介模型。乳腺癌和宫颈癌筛查行为的平均得分（标准差）为 3.98（2.79），处于中等水平。自我效能感与社会支持和癌症筛查行为密切相关。社会支持与自我效能感（r = 0.37，p < 0.01）和癌症筛查行为（r = 0.18，p < 0.01）呈显著正相关。自我效能感与癌症筛查行为也呈显著正相关（r = 0.19，p < 0.05）。自我效能感在社会支持和癌症筛查行为之间显示出完全的中介效应，解释力为 32%。研究结果强调，有必要提高妇女的社会支持水平和自我效能感，这反过来又能提高妇女对乳腺癌和宫颈癌筛查的参与度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

BMC Women's Health OBSTETRICS & GYNECOLOGY-

CiteScore

3.40

自引率

4.00%

发文量

444

审稿时长

>12 weeks

期刊介绍： BMC Women''s Health is an open access, peer-reviewed journal that considers articles on all aspects of the health and wellbeing of adolescent girls and women, with a particular focus on the physical, mental, and emotional health of women in developed and developing nations. The journal welcomes submissions on women''s public health issues, health behaviours, breast cancer, gynecological diseases, mental health and health promotion.