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Screening Intention Prediction of Colorectal Cancer among Urban Chinese Based on the Protection Motivation Theory

Bibliographic Data

ID15501252
AuthorsWenshuang Wei (Wuhan University), Miao Zhang (0009-0008-4320-6232, Wuhan University), Dan Zuo (Wuhan University), Qinmei Li (0000-0002-8873-1398, Wuhan Center for Disease Control and Prevention), Min Zhang (0000-0003-4273-6836, Wuhan University), Xinguang Chen (0000-0001-8263-643X, University of Florida), Bin Yu (0000-0001-6980-7345, Wuhan University), Qing Liu (0000-0002-5792-6037, Wuhan University, corresponding author)
Year2022
Volume19
Issue7
Pages4203-4203
Publication date2022-04-01
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19074203
PMID35409885
OpenAlexW4223539140
LanguageEN
Citations received2
References cited44

Colorectal cancer poses a serious threat worldwide. Although early screening has been proved to be the most effective way to prevent and control colorectal cancer, the current situation of colorectal cancer screening remains not optimistic. The aim of this article is to apply the protection motivation theory (PMT) to examine the influencing factors on screening intention of colorectal cancer (CRC). This cross-sectional survey was launched in five communities in Wuhan, China. All the eligible urban Chinese were recruited and interviewed using paper-and-pencil questionnaires. The intention of colorectal cancer screening (CRCS) was measured using six PMT subconstructs, including perceived risk, perceived severity, fear arousal, response efficacy, response cost, and self-efficacy. Data on sociodemographic variables and knowledge of CRC were also collected. The structural equation modeling (SEM) method was used for data analysis. Among all the 569 respondents, 83.66% expressed willingness to participate in CRCS. Data of the research fit the proposed SEM model well (Chi-square/df = 2.04, GFI = 0.93, AGFI = 0.91, CFI = 0.91, IFI = 0.91, RMSEA = 0.04). Two subconstructs of PMT (response efficacy and self-efficacy) and CRC knowledge were directly and positively associated with screening intention. Age, social status, medical history, physical activity, and CRC knowledge were indirectly related to the screening intention through at least one of the two PMT subconstructs (response efficacy and self-efficacy). The findings of this study suggest the significance of enhancing response efficacy and self-efficacy in motivating urban Chinese adults to participate in CRC screening. Knowledge of CRC is significantly associated with screening intention. This study can provide useful information for the formulation and improvement of colorectal cancer screening strategies and plans

Cancer · Colonoscopy · Colorectal cancer · Colorectal cancer screening · Cross-sectional study · Health belief model · Health education · Pathology · Public health · Self-efficacy · Statistics · Structural equation modeling · Clinical Psychology · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · Medicine · Patient-Provider Communication in Healthcare · Psychology · Social Psychology · Internal Medicine

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Citations per year1
Citation span2024 - 2025 (2)
Highly citedNo

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