Predicting Behavioral Intentions Related to Cervical Cancer Screening Using a Three-Level Model for the TPB and SCT in Nanjing, China

Jianxin Zhang, Zimo Sha, Yuzhou Gu, Yanzhang Li, Qinlan Yang, Yuxuan Zhu and Yuan He
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Jianxin Zhang: School of Humanities, Jiangnan University, Wuxi 214122, China
Zimo Sha: The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing 211166, China
Yuzhou Gu: The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing 211166, China
Yanzhang Li: The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing 211166, China
Qinlan Yang: The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing 211166, China
Yuxuan Zhu: The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing 211166, China
Yuan He: School of Marxism, Nanjing Medical University, Nanjing 211166, China

IJERPH, 2019, vol. 16, issue 19, 1-15

Abstract: Objective: Exploring how the theory of planned behavior (TPB), social capital theory (SCT), cervical cancer knowledge (CCK), and demographic variables predict behavioral intentions (BI) related to cervical cancer screening among Chinese women. Methods: Self-administered questionnaires were distributed to 496 women, followed by a path analysis. Results: The three-level model was acceptable, χ 2 (26, 470) = 26.93, p > 0.05. Subjectively overcoming difficulties, support from significant others, screening necessity, and the objective promotion factor promoted BI, with effect sizes of 0.424, 0.354, 0.199, and 0.124. SCT and CCK promoted BI through TPB, with effect sizes of 0.262 and 0.208. Monthly income, education, age, and childbearing condition affected BI through TPB, SCT, and CCK, with effect sizes of 0.269, 0.105, 0.065, and −0.029. Conclusion: The three-level model systematically predicted behavioral intentions relating to cervical cancer screening.

Keywords: behavioral intentions related to cervical cancer screening; TPB; SCT; CCK; three-level model; path analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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