Center for Health Promotion and Prevention Research, University of Texas School of Public Health, 7000 Fannin St., Houston, TX 77030, USA.
Behav Med. 2013;39(3):66-72. doi: 10.1080/08964289.2013.799452.
We examined the utility of an expanded theory of planned behavior (TPB) model in predicting cervical cancer screening intentions among Latinas. The model included acculturation and past cervical cancer screening behavior along with attitude, subjective norms, and perceived behavioral control. This cross-sectional study included a sample of 206 Latinas who responded to a self-administered survey. Structural equation modeling was employed to test the expanded TPB model. Acculturation (p = .025) and past screening behavior (p = .001) along with attitude (p = .019), subjective norms (p = .028), and perceived behavioral control (p = .014) predicted the intention to be screened for cervical cancer. Our findings suggest that the TPB is a useful model for understanding cervical cancer screening intentions among Latinas when both past behavior and culture are included. This research highlights the importance of culture on behavior and indicates a need to develop culturally sensitive, theory-based interventions to encourage screening and reduce cervical cancer-related health disparities in Latinas.
我们考察了扩展计划行为理论（TPB）模型在预测拉丁裔妇女宫颈癌筛查意向中的效用。该模型包括文化适应和过去的宫颈癌筛查行为，以及态度、主观规范和感知行为控制。这项横断面研究包括了 206 名拉丁裔妇女的样本，她们对一份自我管理的调查做出了回应。结构方程模型被用来检验扩展的 TPB 模型。文化适应（p =.025）和过去的筛查行为（p =.001），以及态度（p =.019）、主观规范（p =.028）和感知行为控制（p =.014）都预测了宫颈癌筛查的意向。我们的研究结果表明，当包括过去的行为和文化时，TPB 是一个用于理解拉丁裔妇女宫颈癌筛查意向的有用模型。这项研究强调了文化对行为的重要性，并表明需要制定基于文化敏感的理论干预措施，以鼓励筛查并减少拉丁裔妇女中与宫颈癌相关的健康差距。
