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

1
Department of Epidemiology, School of Health Sciences, Wuhan University, Wuhan 430071, China
2
Wuhan Center for Disease Control and Prevention, Wuhan 430015, China
3
Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA
4
Institute of Cancer Prevention and Control, Wuhan 430079, China
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(21), 11093; https://doi.org/10.3390/ijerph182111093
Received: 11 September 2021 / Revised: 9 October 2021 / Accepted: 18 October 2021 / Published: 21 October 2021
(This article belongs to the Section Women's Health)
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 (n = 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. View Full-Text
Keywords: breast cancer; screening; China; urban women; protection motivation theory (PMT); structural equation modeling (SEM) breast cancer; screening; China; urban women; protection motivation theory (PMT); structural equation modeling (SEM)
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MDPI and ACS Style

Zhang, M.; Wei, W.; Li, Q.; Chen, X.; Zhang, M.; Zuo, D.; Liu, Q. Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory. Int. J. Environ. Res. Public Health 2021, 18, 11093. https://doi.org/10.3390/ijerph182111093

AMA Style

Zhang M, Wei W, Li Q, Chen X, Zhang M, Zuo D, Liu Q. Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory. International Journal of Environmental Research and Public Health. 2021; 18(21):11093. https://doi.org/10.3390/ijerph182111093

Chicago/Turabian Style

Zhang, Miao, Wenshuang Wei, Qinmei Li, Xinguang Chen, Min Zhang, Dan Zuo, and Qing Liu. 2021. "Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory" International Journal of Environmental Research and Public Health 18, no. 21: 11093. https://doi.org/10.3390/ijerph182111093

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