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

Author

Listed:
  • Wenshuang Wei

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Miao Zhang

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Dan Zuo

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Qinmei Li

    (Wuhan Center for Disease Control and Prevention, Wuhan 430015, China)

  • Min Zhang

    (Institute of Cancer Prevention and Control, Wuhan 430079, China)

  • Xinguang Chen

    (Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA)

  • Bin Yu

    (School of Public Health, Wuhan University, Wuhan 430071, China)

  • Qing Liu

    (School of Public Health, Wuhan University, Wuhan 430071, China)

Abstract

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.

Suggested Citation

  • Wenshuang Wei & Miao Zhang & Dan Zuo & Qinmei Li & Min Zhang & Xinguang Chen & Bin Yu & Qing Liu, 2022. "Screening Intention Prediction of Colorectal Cancer among Urban Chinese Based on the Protection Motivation Theory," IJERPH, MDPI, vol. 19(7), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4203-:d:785125
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    References listed on IDEAS

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    1. Yang Bai & Cho Lee Wong & Xiaolin Peng & Winnie K. W. So, 2020. "Colonoscopy Screening Behaviour and Associated Factors Amongst First-Degree Relatives of People with Colorectal Cancer in China: Testing the Health Belief Model Using a Cross-Sectional Design," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
    2. Emanuel, Amber S. & Kiviniemi, Marc T. & Howell, Jennifer L. & Hay, Jennifer L. & Waters, Erika A. & Orom, Heather & Shepperd, James A., 2015. "Avoiding cancer risk information," Social Science & Medicine, Elsevier, vol. 147(C), pages 113-120.
    3. Robert West & Cristina A. Godinho & Lauren Connell Bohlen & Rachel N. Carey & Janna Hastings & Carmen E. Lefevre & Susan Michie, 2019. "Development of a formal system for representing behaviour-change theories," Nature Human Behaviour, Nature, vol. 3(5), pages 526-536, May.
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    Cited by:

    1. Xuelian Hai & Jia Zhang & Yumeng Zhang & Jay Pan, 2024. "Chinese physicians’ perceptions and willingness to use telemedicine during the COVID-19 pandemic," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-10, December.

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