Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory

Despite the significance of early detection of breast cancer through screening, the screening uptake in China remains relatively low. Protection motivation theory (PMT) suggested by Rogers is one of the theories concerning threat appeal. This study aimed to apply the protection motivation theory (PM...

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Autores principales:	Miao Zhang, Wenshuang Wei, Qinmei Li, Xinguang Chen, Min Zhang, Dan Zuo, Qing Liu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	breast cancer screening China urban women protection motivation theory (PMT) structural equation modeling (SEM) Medicine R
Acceso en línea:	https://doaj.org/article/eeb69d7531894e749456ef2c101ba1a6
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spelling	oai:doaj.org-article:eeb69d7531894e749456ef2c101ba1a62021-11-11T16:14:16ZDeterminants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory10.3390/ijerph1821110931660-46011661-7827https://doaj.org/article/eeb69d7531894e749456ef2c101ba1a62021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11093https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Despite the significance of early detection of breast cancer through screening, the screening uptake in China remains relatively low. Protection motivation theory (PMT) suggested by Rogers is one of the theories concerning threat appeal. This study aimed to apply the protection motivation theory (PMT) in predicting breast cancer screening intention. In this cross-sectional study, a sample of Chinese urban women was recruited using the convenient sampling method from five communities in Wuhan. Data were collected using a self-report questionnaire that included demographic variables, knowledge about breast cancer, six PMT subconstructs, and screening intention. We used the structural equation modeling (SEM) to identify the predictor factors associated with screening intention. Of the total sample (<i>n</i> = 412), 86.65% had intention to participate in screening. Our data fit the hypothesized SEM model well (Goodness of fit index (GFI) = 0.91, adjusted GFI (AGFI) = 0.89, comparative fit index (CFI) = 0.91, root mean square error of approximation (RMSEA) = 0.05, standardized root mean residual (SRMR) = 0.06, and Chi-square/df = 2.01). Three PMT subconstructs (perceived severity, response cost, and self-efficacy) were significantly associated with screening intention. Knowledge, social status, and medical history had significantly indirect associations with screening intention through the mediating effect of PMT subconstructs. Considering the utility of PMT, intervention programs might be more effective based on the subconstructs of PMT, especially to improve self-efficacy, perceived severity, and knowledge, reduce response cost, as well as targeting specific demographic groups.Miao ZhangWenshuang WeiQinmei LiXinguang ChenMin ZhangDan ZuoQing LiuMDPI AGarticlebreast cancerscreeningChinaurban womenprotection motivation theory (PMT)structural equation modeling (SEM)MedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11093, p 11093 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	breast cancer screening China urban women protection motivation theory (PMT) structural equation modeling (SEM) Medicine R
spellingShingle	breast cancer screening China urban women protection motivation theory (PMT) structural equation modeling (SEM) Medicine R Miao Zhang Wenshuang Wei Qinmei Li Xinguang Chen Min Zhang Dan Zuo Qing Liu Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory
description	Despite the significance of early detection of breast cancer through screening, the screening uptake in China remains relatively low. Protection motivation theory (PMT) suggested by Rogers is one of the theories concerning threat appeal. This study aimed to apply the protection motivation theory (PMT) in predicting breast cancer screening intention. In this cross-sectional study, a sample of Chinese urban women was recruited using the convenient sampling method from five communities in Wuhan. Data were collected using a self-report questionnaire that included demographic variables, knowledge about breast cancer, six PMT subconstructs, and screening intention. We used the structural equation modeling (SEM) to identify the predictor factors associated with screening intention. Of the total sample (<i>n</i> = 412), 86.65% had intention to participate in screening. Our data fit the hypothesized SEM model well (Goodness of fit index (GFI) = 0.91, adjusted GFI (AGFI) = 0.89, comparative fit index (CFI) = 0.91, root mean square error of approximation (RMSEA) = 0.05, standardized root mean residual (SRMR) = 0.06, and Chi-square/df = 2.01). Three PMT subconstructs (perceived severity, response cost, and self-efficacy) were significantly associated with screening intention. Knowledge, social status, and medical history had significantly indirect associations with screening intention through the mediating effect of PMT subconstructs. Considering the utility of PMT, intervention programs might be more effective based on the subconstructs of PMT, especially to improve self-efficacy, perceived severity, and knowledge, reduce response cost, as well as targeting specific demographic groups.
format	article
author	Miao Zhang Wenshuang Wei Qinmei Li Xinguang Chen Min Zhang Dan Zuo Qing Liu
author_facet	Miao Zhang Wenshuang Wei Qinmei Li Xinguang Chen Min Zhang Dan Zuo Qing Liu
author_sort	Miao Zhang
title	Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory
title_short	Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory
title_full	Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory
title_fullStr	Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory
title_full_unstemmed	Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory
title_sort	determinants of intention to participate in breast cancer screening among urban chinese women: an application of the protection motivation theory
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/eeb69d7531894e749456ef2c101ba1a6
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Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory

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