Navigating women's cancer prevention: Two cross-sectional studies to investigate psychosocial antecedents of cervical and breast cancer screening attendance.

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Marcella Bianchi, Miriam Capasso, Anna Rosa Donizzetti, Daniela Caso
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Abstract

Despite population-based cancer screening programmes effectively decreasing mortality, participation rates are unsatisfactory for both cervical and breast screening. This research tested an integrated theory of planned behaviour model applied to cervical cancer screening (CCS; Study 1) and breast cancer screening (BCS; Study 2) attendance. Women residing in Campania (Italy) and belonging to each screening target population joined two independent surveys (Study 1: n = 332, Mage = 41.03, SD = 11.45; Study 2: n = 298, Mage = 55.03; SD = 5.17). In both studies, screening behaviour was predicted by intention to undergo the screening, action and coping planning. Significant predictors of intention were subjective norms, perceived behavioural control and self-identity in Study 1, and subjective norms, anticipated regret and self-identity in Study 2. A mediation analysis confirmed the role of action and coping planning in the intention-behaviour relation. This model can guide forthcoming interventions and steer enhancements in healthcare access.

为妇女预防癌症导航:两项横断面研究,调查参加宫颈癌和乳腺癌筛查的社会心理因素。
尽管基于人群的癌症筛查计划能有效降低死亡率,但宫颈癌和乳腺癌筛查的参与率却不尽如人意。本研究对应用于宫颈癌筛查(CCS;研究 1)和乳腺癌筛查(BCS;研究 2)的综合计划行为理论模型进行了测试。居住在坎帕尼亚(意大利)并属于每个筛查目标人群的妇女参加了两项独立调查(研究 1:n = 332,Mage = 41.03,SD = 11.45;研究 2:n = 298,Mage = 55.03;SD = 5.17)。在这两项研究中,筛查行为都是通过筛查意向、行动和应对计划来预测的。在研究 1 中,主观规范、感知到的行为控制和自我认同是预测意向的重要因素;在研究 2 中,主观规范、预期后悔和自我认同是预测意向的重要因素。中介分析证实了行动和应对计划在意向-行为关系中的作用。该模型可为即将开展的干预措施提供指导,并引导医疗保健服务的改善。
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来源期刊
Journal of Health Psychology
Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
3.10%
发文量
81
期刊介绍: ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.
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