Integrating behavioural theories to advance cervical cancer prevention: insights from Chinese young women.

Cervical cancer remains a major threat to women's health. While the Theory of Planned Behaviour (TPB) has been widely used to predict prevention behaviours, gaps in prior research highlight the need for integrated models that explore underlying mechanisms. This study examines cervical cancer prevent...

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Publicado en:Health Education Research Vol. 40; no. 4; pp. 1 - 15
Autores principales: Xiao, Xizhu, Zhu, Yi
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Aug2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2025
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      pub: Oxford University Press / USA
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        atl: Integrating behavioural theories to advance cervical cancer prevention: insights from Chinese young women.
      aug:
        au:
          Xiao, Xizhu
          Zhu, Yi
        affil: School of Literature, Journalism and Communication, Qingdao University, 308 Ningxia Rd, Qingdao, Shandong 266071, China
      sug:
        subj:
          Cervix Neoplasms Prevention and Control
          Ajzen's Theory of Planned Behavior
          Models, Psychological
          Motivation
          Health Behavior
          Intention
          Human
          Female
          Adolescence
          Adult
          Chinese Persons
          China
          Comparative Studies
          Descriptive Statistics
          Structural Equation Modeling
          Conceptual Framework
          Prediction Models
          Cancer Screening
          Health Beliefs
          Health Knowledge
          Papillomavirus Vaccine Administration and Dosage
          Attitude to Vaccines
          Preventive Health Care
          Attitude to Risk
          Vaccine Efficacy
          Data Analysis Software
          Health Care Delivery, Integrated
          Models, Theoretical
          Health Education
          Quality of Life
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
      ab: Cervical cancer remains a major threat to women's health. While the Theory of Planned Behaviour (TPB) has been widely used to predict prevention behaviours, gaps in prior research highlight the need for integrated models that explore underlying mechanisms. This study examines cervical cancer prevention intentions among 1027 Chinese young women, the primary audience for such efforts, using a framework that combines TPB, the Extended Parallel Process Model (EPPM), and Protection Motivation Theory (PMT). Structural equation modelling reveals that affective attitude (β = 0.51) is a stronger predictor of human papillomavirus (HPV) vaccination intention than cognitive attitude (β = 0.43) and perceived behavioural control (β = 0.39). For cervical cancer screening, perceived behavioural control (β = 0.42) surpasses injunctive norms (β = 0.28) and descriptive norms (β = 0.17). Additionally, perceived severity negatively impacts affective attitudes towards vaccination (β = −0.26), and response efficacy shows unexpected negative effects on behavioural intentions (βHPV vaccination = −1.34; βcervical cancer screening = −0.36). These findings underscore the importance of addressing emotional distress, enhancing susceptibility perceptions, and correcting misconceptions about response efficacy in health campaigns. This integrated approach offers critical insights for improving cervical cancer prevention strategies in China.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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