Health beliefs as a predictor of screening behaviors among college students

Smith, Marcella; Mercado-Sierra, Marta

doi:10.1080/19371918.2021.1905130

Cited by 2 publications

(14 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared to other studies using Guvenc’s scale, our results suggest that hard-to-reach women from Bogotá have lower perceived susceptibility [ 22 , 37 – 40 ], higher perceived severity [ 21 , 22 , 37 – 42 ], higher perceived benefits [ 38 – 44 ] and lower perceived barriers [ 21 , 38 , 41 , 42 , 45 , 46 ], towards cervical cancer screening. Recent reviews concluded that these beliefs have been less researched in Latin America [ 47 , 48 ].…”

Section: Discussioncontrasting

confidence: 74%

“…As expected, the resulting scores for each construct are highly context dependent. For example, studies using Guvenc’s scale have found susceptibility scores ranging from 2.2 in Saudi Arabia [ 21 ] to 4.8 in the USA [ 22 ]. Consequently, two recent reviews have highlighted the need to conduct local empirical research to inform public policy and design tailored interventions, particularly among marginalized communities [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Improving intervention design to promote cervical cancer screening among hard-to-reach women: assessing beliefs and predicting individual attendance probabilities in Bogotá, Colombia

et al. 2022

View full text Add to dashboard Cite

Background Despite being a preventable disease, cervical cancer continues to be a public health concern, affecting mainly lower and middle-income countries. Therefore, in Bogotá a home-visit based program was instituted to increase screening uptake. However, around 40% of the visited women fail to attend their Pap smear test appointments. Using this program as a case study, this paper presents a methodology that combines machine learning methods, using routinely collected administrative data, with Champion’s Health Belief Model to assess women’s beliefs about cervical cancer screening. The aim is to improve the cost-effectiveness of behavioural interventions aiming to increase attendance for screening. The results presented here relate specifically to the case study, but the methodology is generic and can be applied in all low-income settings. Methods This is a cross-sectional study using two different datasets from the same population and a sequential modelling approach. To assess beliefs, we used a 37-item questionnaire to measure the constructs of the CHBM towards cervical cancer screening. Data were collected through a face-to-face survey (N = 1699). We examined instrument reliability using Cronbach’s coefficient and performed a principal component analysis to assess construct validity. Then, Kruskal–Wallis and Dunn tests were conducted to analyse differences on the HBM scores, among patients with different poverty levels. Next, we used data retrieved from administrative health records (N = 23,370) to fit a LASSO regression model to predict individual no-show probabilities. Finally, we used the results of the CHBM in the LASSO model to improve its accuracy. Results Nine components were identified accounting for 57.7% of the variability of our data. Lower income patients were found to have a lower Health motivation score (p-value < 0.001), a higher Severity score (p-value < 0.001) and a higher Barriers score (p-value < 0.001). Additionally, patients between 25 and 30 years old and with higher poverty levels are less likely to attend their appointments (O.R 0.93 (CI: 0.83–0.98) and 0.74 (CI: 0.66–0.85), respectively). We also found a relationship between the CHBM scores and the patient attendance probability. Average AUROC score for our prediction model is 0.9. Conclusion In the case of Bogotá, our results highlight the need to develop education campaigns to address misconceptions about the disease mortality and treatment (aiming at decreasing perceived severity), particularly among younger patients living in extreme poverty. Additionally, it is important to conduct an economic evaluation of screening options to strengthen the cervical cancer screening program (to reduce perceived barriers). More widely, our prediction approach has the potential to improve the cost-effectiveness of behavioural interventions to increase attendance for screening in developing countries where funding is limited.

show abstract

Section: Discussioncontrasting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Improving intervention design to promote cervical cancer screening among hard-to-reach women: assessing beliefs and predicting individual attendance probabilities in Bogotá, Colombia

et al. 2022

View full text Add to dashboard Cite

show abstract

“…This contradicts the findings of Al-Azri et al, 31 who documented that majority of their study did not agree nor disagree with these statements. Also, Smith and Mercado-Sierra 30 showed that 7% of their participants believed their children were at risk of SCD, 10% agreed that their partners could be carriers of SC traits, and 21% believed SCD could be present in their family.…”

Section: Discussionmentioning

confidence: 99%

“…30 Also, a higher proportion of their participants revealed their unwillingness to pay for SCD testing if it is not incorporated into their subscribed insurance package. 30 Similar to our findings, the majority of their participants did not perceive difficulty in convincing their partners to take the test nor experiencing pain due to the procedure involved in testing. 30 Nonetheless, contrasted with the findings of Al-Azri et al 31 Increased knowledge of the SCD and the consequences of having children with the condition necessitates necessary action to avoid being in the bracket of parents with children with SCD.…”

Section: Discussionmentioning

confidence: 99%

“…17 However, Smith and Mercado-Sierra reported a higher mean score (21.81) for the perceived barrier to SCT testing. 30 Also, a higher proportion of their participants revealed their unwillingness to pay for SCD testing if it is not incorporated into their subscribed insurance package. 30 Similar to our findings, the majority of their participants did not perceive difficulty in convincing their partners to take the test nor experiencing pain due to the procedure involved in testing.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Assessing knowledge of sickle cell disease and health beliefs on premarital genetic screening among healthcare trainees at a tertiary institution: A cross‐sectional study

Agbozo

Amanor

Acheampong

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background The uptake of sickle cell trait (SCT) test is challenged by several factors. A community of healthcare professionals educating the public to undergo screening is critical in reducing the disease burden. We investigated knowledge and attitude towards premarital SCT screening among healthcare trainee students who are the next generation of healthcare practitioners. Methods A cross‐sectional design was employed, and quantitative data were collected from 451 female students pursuing healthcare programs at a tertiary institution in Ghana. Descriptive, bivariate, and multivariate logistic regression analysis was performed. Results More than half of the participants were 20–24 years (54.55%) and had good knowledge (71.18%) about sickle cell disease (SCD). Age and school or social media as sources of information were significantly associated with good knowledge about SCD. Students between the age 20–24 (adjusted odds ratio [AOR] = 2.54, confidence interval [CI] = 1.30–4.97) and knowledge (AOR = 2.19, CI = 1.41–3.39) were 3 times and 2 times more likely to have a positive perception about SCD severity. Students who have SCT (AOR = 5.16, CI = 2.46–10.82), whose source of information was family member/friends (AOR = 2.83, CI = 1.44–5.59) and social media (AOR = 4.59, CI = 2.09–10.12) were 5 times, 2 times and 5 times likely to have a positive perception about the susceptibility of SCD. Students whose source of information is school (AOR = 2.06, CI = 1.11–3.81) and who have good knowledge of SCD (AOR = 2.25, CI = 1.44–3.52) were 2 times more likely to have a positive perception about the benefits of testing. Students with SCT (AOR = 2.64, CI = 1.36–5.13) and source of information was social media (AOR = 3.01, CI = 1.36–6.64) were about 3 times more likely to have a positive perception about the barriers to testing. Conclusion Our data shows that high level of SCD knowledge influences positive perceptions about the severity of SCD, the benefits and relatively low barriers to SCT or SCD testing and genetic counseling. Dissemination of SCT, SCD and premarital genetic counseling education should be intensified especially in schools.

show abstract

Health beliefs as a predictor of screening behaviors among college students

Cited by 2 publications

References 30 publications

Improving intervention design to promote cervical cancer screening among hard-to-reach women: assessing beliefs and predicting individual attendance probabilities in Bogotá, Colombia

Improving intervention design to promote cervical cancer screening among hard-to-reach women: assessing beliefs and predicting individual attendance probabilities in Bogotá, Colombia

Assessing knowledge of sickle cell disease and health beliefs on premarital genetic screening among healthcare trainees at a tertiary institution: A cross‐sectional study

Contact Info

Product

Resources

About