Effect of past behavioral experience on intention to use cervical cancer screening services among women in resources poor settings of Ethiopia: applicability of theory of planned behavior

Planned Behavior ◽

Predictive Power ◽

Health Behavior Change ◽

Health Clinic ◽

Intention To Use ◽

The Past

Abstract Background: Despite; it’s effectively used to predicting the behavioral intentions of different health behaviors; the theory of planned behavior has been rarely tested in the context of low income countries. The current study has examined the effect of past behavioral experience on predictive applicability of theory of planned Behavior to intended use cervical cancer screening among women in resources poor settings. Methods: The study employed cross-sectional design enrolling 422 women visiting maternal and child health clinic. A structured questionnaire was used to collect data. The research was conducted under the framework of the theory of planned behavior to measure attitude, intention, perceived social and contextual influences. The SPSS version 21.0 was used to analyze the data. A hierarchal multivariable linear regression analysis was conducted to estimate the predictive power of the theory. The adjusted R-square and standardized regression coefficient were used to interpret the variance and effects of predictors on intention to cervical cancer screening respectively. P-value less than 5% was used to indicate significant associations. Results: The theory of planned behavior has explained variance in intention to use cervical cancer screening by 23.5% (R 2 =0.235). The inclusion of socio-demographic factors and past behavioral experiences into the model improved the prediction to 34.6% (R 2 = 0.349) indicating;11.40% of the prediction was attributed by factors external to theory. Subjective norm and attitude accounted for the highest and least variances in intention with 12.4% (R 2 = 0.124, F= 64.41, p=0.001) and 5.1% (R 2 = 0.051, F= 22.38, P=0.001) respectively. The past behavioral experience of using cervical cancer screening was significantly accounted for very small variances in intention with; 1% (R 2 = 0.01, F= 4.11, p=0.043) Conclusion: The past behavioral experience has small significant positive effect on the prediction. Intention to use cervical cancer screening among women can fairly be predicted by the application of theory of planned behavior. The predictive power of the theory could be improved with the inclusion of external factors like socio-demographic characteristics and behavioral experiences into the theory. Considering these factors while designing TPB based researches and health behavior change interventions is recommended.

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

Health Education & Behavior ◽

10.1177/1090198115571364 ◽

2015 ◽

Vol 42 (5) ◽

pp. 621-626 ◽

Cited By ~ 22

Author(s):

Angelica M. Roncancio ◽

Kristy K. Ward ◽

Ingrid A. Sanchez ◽

Miguel A. Cano ◽

Theresa L. Byrd ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Planned Behavior

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

Behavioral Medicine ◽

10.1080/08964289.2013.799452 ◽

2013 ◽

Vol 39 (3) ◽

pp. 66-72 ◽

Cited By ~ 10

Author(s):

Angelica M. Roncancio ◽

Kristy K. Ward ◽

Maria E. Fernandez

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Planned Behavior ◽

Behavior Model ◽

Screening Intentions

Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior

PLoS ONE ◽

10.1371/journal.pone.0238472 ◽

2020 ◽

Vol 15 (11) ◽

pp. e0238472

Author(s):

Wadu Wollancho ◽

Demuma Amdissa ◽

Shemsedin Bamboro ◽

Yitbarek Wasihun ◽

Kasahun Girma Tareke ◽

...

Keyword(s):

Cervical Cancer ◽

Regression Analysis ◽

Cancer Screening ◽

Planned Behavior ◽

Behavioral Intention ◽

Behavioral Control ◽

Subjective Norm ◽

Perceived Behavioral Control

Background Cervical Cancer is the leading cause of cancer-related deaths among Ethiopian women. Despite many interventions were conducted, there is low uptake of cervical cancer screening services. Also, limited evidence was available on the women’s intention and its predictors towards cervical cancer screening. Therefore, this study was aimed at determining the intention and predicators of behavioral intention toward cervical cancer screening. Methods A cross-sectional study was conducted in the Gomma district, Jimma, Ethiopia from August 1–30, 2019. The total sample sizes were 422 and a systematic random sampling technique was employed to select the samples. Data were collected through interviews using a structured questionnaire guide. Data were entered in epidata, and exported and analyzed using SPSS version 20.0 software. Descriptive, correlation, and multicollinearity analysis were done. Also, simple and multiple linear regression analysis were performed to identify the predictors for behavioral intention. The p-value<0.05 was used to declare a significant association. Result The response rate was 382 (90.5%). The mean age of the participants was of 26.45 (SD = 4.76). Direct attitude, subjective norm, and perceived behavioral control had a mean score of 16.78 (SD = 2.87), 15.61(SD = 1.92), and 12.86 (SD = 4.85), respectively. The intention has a mean score of 14.52 (SD = 4.01). From regression analysis, direct attitude (B = 0.346, p<0.001), direct subjective norm (B = 0.288, p = 0.008), direct perceived behavioral control (B = 0.132, p = 0.002) indirect attitude (B = 0.015, p = 0.019) and the indirect perceived behavioral control (B = 0.132, p = 0.002) were statistically significant with intention. Conclusion From this study, it was understood that women’s intention towards cervical cancer screening was low. The predictors were the direct and indirect attitude, direct and indirect subjective norm, direct and indirect perceived behavioral control. This calls a need to develop strategies and take action to improve the attitude of women and their influential peoples and increase sense of control to improve their intention to screen for cervical cancer. Moreover, health care providers should have to conduct social and behavioral change communication to improve women’s health seeking behavior towards cervical cancer screening applying the concept of theory of planned behavior.

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

Journal of Cancer Epidemiology ◽

10.1155/2020/3024578 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Tomas Getahun ◽

Mirgissa Kaba ◽

Behailu Tariku Derseh

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Planned Behavior ◽

Behavioral Control ◽

Perceived Behavioral Control ◽

Major Public Health Problem ◽

Care Providers ◽

Debre Berhan

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.

Predictive Social Norms of Physicians’ Intention to Use Liver Cancer Screening: Based on an Extended Theory of Planned Behavior

10.21203/rs.3.rs-88921/v1 ◽

2020 ◽

Author(s):

Qingwen Deng ◽

Wenbin Liu

Keyword(s):

Cancer Screening ◽

Liver Cancer ◽

Social Norms ◽

Planned Behavior ◽

Malignant Tumors ◽

Behavioral Control ◽

Perceived Behavioral Control ◽

Intention To Use ◽

Cross Sectional

Abstract Background: Globally, liver cancer is one of the most malignant tumors and has become a great concern to public health. The serious context of liver cancer prevention and control urges researchers to find more evidence about liver cancer screening and to expand its use. The purpose of this study was to determine the predictors associated with physicians’ intention to use liver cancer screening. Methods: We took contrast-enhanced ultrasound (CEUS) as an example, and developed the research framework by adding socials norms to the Theory of Planned Behavior (TPB). Data was collected via a cross-sectional questionnaire survey on a sample of 292 physicians randomly selected from Fujian and Jiangxi provinces in China with a high and low incidence of liver cancer, respectively. Due to the multicollinearity problem of the data, ridge regression was applied to determine the influencing factors of physicians’ intention to use CEUS. Results: Most of the participants (87.30%) reported that they were willing to use liver cancer screening in their clinical practice. The scores of TPB variables were generally higher than those of social norms variables. Regression results indicated that the proposed model was explanatory, which has accounted for 72.6% of the total variance in physicians’ intention. Analyses also illustrated the significant role of TPB variables (attitude and perceived behavioral control) and social norms variables (personal norms, organizational norms, and industrial norms) on the physicians’ intention to use CEUS. Conclusions: The study extended the Theory of Planned Behavior (TPB) by including the concepts of social norms, which is not only conducive to expanding the knowledge of factors associated with physicians’ intention to use liver cancer screening, but also provide implications for developing strategies to promote the use of certain health services or products, such as playing the roles of core members, holding the panel meeting, and establishing an information push system.