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

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Tomas Getahun ◽  
Mirgissa Kaba ◽  
Behailu Tariku Derseh
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Theory Of Planned Behavior ◽  
Cervical 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.

scholarly journals 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 ◽  
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 ◽  
Theory Of Planned Behavior ◽  
Cervical 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.

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

2015 ◽  
Vol 42 (5) ◽  
pp. 621-626 ◽  
Author(s):  
Angelica M. Roncancio ◽  
Kristy K. Ward ◽  
Ingrid A. Sanchez ◽  
Miguel A. Cano ◽  
Theresa L. Byrd ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Theory Of Planned Behavior ◽  
Cervical Cancer Screening ◽  
Planned Behavior

scholarly journals Predictors of Cervical Cancer Screening Amongst Women Aged 25 - 49 in Botswana: A Pilot Study

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 6s-6s
Author(s):  
B. Koyabe
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Pilot Study ◽  
Social Norms ◽  
Cervical Cancer Screening ◽  
Behavioral Intentions ◽  
Behavioral Control ◽  
Subjective Norms ◽  
Perceived Behavioral Control ◽  
Perceived Power

Background: Cervical cancer is the fourth leading type of cancer in women worldwide (World Health Organization, 2015, Joshi et al, 2015). According to McFarland (2009) cervical cancer is the most common cancer leading to mortality and mobility among women in Botswana. Health Statistics Botswana (1995) noted that cervical cancer incidents continue to rise each year. It is even direr to have higher mortality and mobility among women in Botswana happening among a population that the HIV incidence and/or prevalence are humanly high. It is therefore crucial for developing countries like Botswana to take action just like the developed countries to determine the factors that predict screening for cervical cancer behaviors among Batswana women. These factors will be used to inform the design of the intervention that will lower the burden and associated morbidity and mortality of cervical cancer in Botswana. Aim: The major aim of this pilot study was to identify factors among Batswana women in going for screening for cervical cancer. The specific aims were to identify the norms and beliefs that influence cervical cancer screening among women in Botswana aged 25-49 years thus to identifying the attitudes, behavioral intentions, subjective norms, social norms, perceived power, and perceived behavioral control about cervical cancer screening among women aged 25-49 years in Botswana. Methods: In this research study, a qualitative research paradigm research approach was used to understand people's attitudes, behavioral intentions, subjective norms, social norms, perceived power, and perceived behavioral control. The study was guided by the theory of reasoned action (TRA) and its extension the theory of planned behavior (TPB) and the social cognitive theory to conduct this elicitation phase. The study was then informed by this elicitation phase to design and administer, as the quantitative phase, the survey instrument to determine the predictors for going for cervical cancer screening among women in Botswana aged 25-49 years. This instrument was administered to 115 women among the targeted population at Mochudi and Moshupa. Results: Results of this study will reveal the knowledge about cervical cancer, the behavioral beliefs, normative beliefs and control beliefs held by Batswana women that contribute to their actions to go or not to go for cervical cancer screening. Conclusion: The findings will be used to design the intervention that will target to promote the going of cervical cancer screening among women aged 25-49 years in Botswana.

scholarly journals Assessing Related Factors of Intention to Perpetrate Dating Violence among University Students Using the Theory of Planned Behavior

2020 ◽  
Vol 17 (3) ◽  
pp. 923
Author(s):  
Wen-Li Hou ◽  
Chung-Ying Lin ◽  
Yu-Ming Wang ◽  
Ying-Hua Tseng ◽  
Bih-Ching Shu
Keyword(s):  
Theory Of Planned Behavior ◽  
University Students ◽  
Planned Behavior ◽  
Dating Violence ◽  
Structural Equation ◽  
Behavioral Control ◽  
Public Health Problem ◽  
Perceived Behavioral Control ◽  
Major Public Health Problem ◽  
Related Factors

Dating violence (DV) is a major public health problem among youth. The majority of DV studies in Taiwan involve the assessment of DV without the use of a robust psychological framework to guide research accuracy. Therefore, the purpose of this study was to utilize the Theory of Planned Behavior (TPB) to assess intention and other salient factors related to DV among university students. A two-phase, mixed-method design study was conducted among university students from seven universities in Taiwan, aged 18 to 24 years. In Phase I, questionnaires used were specifically developed based on the TPB, consisting of both direct and indirect measures related to DV. In Phase Ⅱ, questionnaire evaluation and related factors were examined through a two-step process of structural equation modelling (SEM) to test the TPB model. The results of this study found that perceived behavioral control, subjective norm, and attitude toward DV on behavioral intention accounting for 37.5% of the total variance. Among the related factors, attitude toward the behavior was the strongest (β = 0.48, p < 0.001), followed by perceived behavioral control (β = 0.19, p < 0.05). Findings from this study could expand the knowledge base in this important area and might help prevent DV.

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

2020 ◽  
Author(s):  
Qingwen Deng ◽  
Wenbin Liu
Keyword(s):  
Cancer Screening ◽  
Liver Cancer ◽  
Theory Of Planned Behavior ◽  
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.

Perceived Behavioral Control Over Cervical Cancer Screening Measure

2015 ◽  
Author(s):  
Angelica M. Roncancio ◽  
Kristy K. Ward ◽  
Ingrid A. Sanchez ◽  
Miguel A. Cano ◽  
Theresa L. Byrd ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Behavioral Control ◽  
Perceived Behavioral Control ◽  
Screening Measure

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

2020 ◽  
Author(s):  
Fira Abamecha ◽  
Atsede Tena
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Theory Of Planned Behavior ◽  
Cervical Cancer Screening ◽  
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.

Knowledge and Practice of Cervical Cancer Screening among Women in Orlu Local Government Area, Imo State, Nigeria.

2019 ◽  
Vol 1 (1) ◽  
pp. 55-65
Author(s):  
Jude Egwurugwu ◽  
S.D. Ejikunle ◽  
E.I. Dike ◽  
M.C. Ohamaeme ◽  
Jude Egwurugwu ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Local Government ◽  
Cervical Cancer Screening ◽  
Cervical Screening ◽  
Local Government Area ◽  
Care Providers ◽  
Imo State ◽  
Study Results ◽  
Knowledge And Practice

Background: Cervical cancer is the 2nd commonest cancer among women worldwide and the most common cancer among women in developing countries like Nigeria. Though preventable by screening for premalignant and early cervical lesions, this is predicated on the knowledge and practice of a cervical screening. Objective: To assess the knowledge and practice of cervical cancer screening among women in Orlu, Local Government Area(LGA) Imo State, Nigeria. Materials & Methods: A community based cross-sectional study with the use of 502 interviewer – administered questionnaires was conducted among women in Orlu LGA of Imo State. All the women in the communities attending the annual August Meeting who consented were recruited for this study. Results: The study showed that the mean age of the respondents was 42±2.8years. Furthermore, 82.3% of respondents attained postsecondary school educational level, 61.8% & 21.1% were multiparous and grand multiparous respectively. Also, 80.5% of respondents have heard about cervical cancer screening. Majority (67.5%) of these respondents heard it from health care providers. There was a positive statistically significant relationship between educational status and the likelihood of having knowledge of cervical cancer screening, (p< 0.01). The level of practice of cervical cancer screening was very low among the respondents(13.5%).Though majority of the respondents have high level of educational attainment this did not reflect their practice of cervical cancer screening. Conclusion: There was high knowledge of cervical cancer and cervical screening modalities among women in Orlu but their practice of cervical cancer screening was very low. There is an urgent need to educate and encourage women on the benefits of cervical cancer screening. Key words: cervical cancer, knowledge, Practice, Orlu women, Screening.

A Psychological Process of Bureaucratic Whistleblowing: Applying the Theory of Planned Behavior

2021 ◽  
pp. 027507402110033
Author(s):  
Hongseok Lee ◽  
Minsung Michael Kang ◽  
Sun Young Kim
Keyword(s):  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Behavioral Control ◽  
Perceived Behavioral Control ◽  
Psychological Process ◽  
Public Employees ◽  
The Public ◽  
Using Data

Whistleblowing is a psychological process that involves the calculation of risks and benefits. While there exists a broad range of research on whistleblowing in the public sector, previous studies have not examined its entire process due to the limited focus on either whistleblowing intention or whistleblowing behavior. This study aims to fill this gap by applying the theory of planned behavior (TPB) to the whistleblowing context. Specifically, we examine how individual beliefs about the likely consequences of whistleblowing (attitude toward whistleblowing), others’ expectations about whistleblowing (subjective norm), and the capability of blowing the whistle (perceived behavioral control) influence public employees’ actual whistleblowing by way of their intention to report wrongdoings. A series of structural equation models are tested using data from the 2010 Merit Principles Survey. The findings show that the more the employees perceive that the consequences of whistleblowing are important, the more the key referents support whistleblowing, and the more the protections for whistleblowers are available, the more likely are their intentions to disclose wrongdoings and then actually engage in whistleblowing behavior. We conduct additional analyses for internal and external whistleblowers separately and find that there are both meaningful similarities and differences between the two groups. This study provides support for the validity of TPB as a theoretical framework for better understanding and explicating the psychological process of bureaucratic whistleblowing.

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