Determinants of Low-Income Women's Participation in Self-Collected Samples for Cervical Cancer Detection: Application of the Theory of Planned Behavior.
| Autor: | Asare, Matthew, Lanning, Beth A., Montealegre, Jane R., Akowuah, Emmanuel, Adunlin, Georges, Rose, Tiffany |
|---|---|
| Předmět: |
PAPILLOMAVIRUS disease diagnosis
PLANNED behavior theory PAPILLOMAVIRUSES SOCIAL determinants of health CONFIDENCE intervals MULTIPLE regression analysis EARLY detection of cancer PAP test PATIENTS' attitudes COMPARATIVE studies CONCEPTUAL structures PSYCHOLOGY of women DESCRIPTIVE statistics HEALTH behavior CERVIX uteri tumors COLLECTION & preservation of biological specimens POVERTY ODDS ratio |
| Zdroj: | Community Health Equity Research & Policy; Oct2023, Vol. 44 Issue 1, p65-76, 12p |
| Abstrakt: | Background: Low-income women (LIW) are underrepresented in physician-provided cervical cancer screening. Providing women with an option for Human Papillomavirus (HPV) self-sampling would increase cervical cancer screening. However, little is known about LIW's attitude towards self-sampling for cervical cancer. We determined the associations between the Theory of Planned Behavior (TPB) constructs and LIW intention for participation in the HPV self-sampling. Methods: A 44-item survey was administered among women receiving food from a food pantry in central Texas. Independent variables included TPB constructs (i.e., attitudes, subjective norms, and perceived control). The outcome variables were intentions and preference for self-sampling. Both variables were measured on a 5-point scale. Hierarchical linear regression models were used to analyze the data. Results: A sample of 241 participants (age 50.13 ± 9.60 years) comprising non-Hispanic White (40%), Black/African American (27%), and Hispanic (30%) participated in the study. The participants were current with a pap test (54.8%) and preferred self-sampling (42%). The participant's attitudes and subjective norms were significantly associated with their intention for self-sampling, accounting for 38.7% of the variance (p <.001). Women who were overdue for pap testing versus current with pap testing had increased odds of preferring self-sampling (OR = 1.72, 95% CI: 1.27, 6.04). Conclusions: The key predictors for LIW's intention for self-sampling included attitudes and subjective norms. Future research should use the TPB as a framework to examine whether intention predicts self-sampling behavior among LIW. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
| Externí odkaz: |
|