College of Communication, Shenzhen University, Shenzhen 518600, China.
School of Literature and Media, Nanfang College of Sun Yat-sen University, Guangzhou 510970, China.
Int J Environ Res Public Health. 2021 Mar 4;18(5):2580. doi: 10.3390/ijerph18052580.
Although early screening tests are beneficial for the detection and treatment of cancers, many people have failed to participate in screening tests. The present study aims to explore the theoretical underpinning of low participation in screening programs using the method of meta-analytic structural equation modeling. It was found that the health belief model is the most adopted theoretical framework. Moreover, the intended uptake of screening was positively predicted only by cues to action, health literacy, and perceived susceptibility. As a result, a health intention model, including the three significant variables, is proposed. The practical implications of the findings are that health communication campaigns should focus on enlightening and engaging the public through all necessary means to raise awareness and transfer knowledge in relation to screening procedures as well as cancers per se.
虽然早期筛查测试有益于癌症的检测和治疗，但许多人未能参与筛查测试。本研究旨在使用元分析结构方程建模的方法探索筛查计划参与度低的理论基础。研究发现，健康信念模型是应用最广泛的理论框架。此外，仅通过行动线索、健康素养和感知易感性可以正向预测筛查的预期接受度。因此，提出了一个包含三个重要变量的健康意向模型。研究结果的实际意义在于，健康传播活动应通过一切必要手段，重点启发和吸引公众，提高对筛查程序以及癌症本身的认识，并传授相关知识。
