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Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior

BACKGROUND: Cervical Cancer is the leading cause of cancer-related deaths among Ethiopian women. Despite many interventions were conducted, there is low uptake of cervical cancer screening services. Also, limited evidence was available on the women’s intention and its predictors towards cervical can...

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Autores principales: Wollancho, Wadu, Amdissa, Demuma, Bamboro, Shemsedin, Wasihun, Yitbarek, Tareke, Kasahun Girma, Gizaw, Abraham Tamirat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644032/
https://www.ncbi.nlm.nih.gov/pubmed/33151928
http://dx.doi.org/10.1371/journal.pone.0238472
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author Wollancho, Wadu
Amdissa, Demuma
Bamboro, Shemsedin
Wasihun, Yitbarek
Tareke, Kasahun Girma
Gizaw, Abraham Tamirat
author_facet Wollancho, Wadu
Amdissa, Demuma
Bamboro, Shemsedin
Wasihun, Yitbarek
Tareke, Kasahun Girma
Gizaw, Abraham Tamirat
author_sort Wollancho, Wadu
collection PubMed
description BACKGROUND: Cervical Cancer is the leading cause of cancer-related deaths among Ethiopian women. Despite many interventions were conducted, there is low uptake of cervical cancer screening services. Also, limited evidence was available on the women’s intention and its predictors towards cervical cancer screening. Therefore, this study was aimed at determining the intention and predicators of behavioral intention toward cervical cancer screening. METHODS: A cross-sectional study was conducted in the Gomma district, Jimma, Ethiopia from August 1–30, 2019. The total sample sizes were 422 and a systematic random sampling technique was employed to select the samples. Data were collected through interviews using a structured questionnaire guide. Data were entered in epidata, and exported and analyzed using SPSS version 20.0 software. Descriptive, correlation, and multicollinearity analysis were done. Also, simple and multiple linear regression analysis were performed to identify the predictors for behavioral intention. The p-value<0.05 was used to declare a significant association. RESULT: The response rate was 382 (90.5%). The mean age of the participants was of 26.45 (SD = 4.76). Direct attitude, subjective norm, and perceived behavioral control had a mean score of 16.78 (SD = 2.87), 15.61(SD = 1.92), and 12.86 (SD = 4.85), respectively. The intention has a mean score of 14.52 (SD = 4.01). From regression analysis, direct attitude (B = 0.346, p<0.001), direct subjective norm (B = 0.288, p = 0.008), direct perceived behavioral control (B = 0.132, p = 0.002) indirect attitude (B = 0.015, p = 0.019) and the indirect perceived behavioral control (B = 0.132, p = 0.002) were statistically significant with intention. CONCLUSION: From this study, it was understood that women’s intention towards cervical cancer screening was low. The predictors were the direct and indirect attitude, direct and indirect subjective norm, direct and indirect perceived behavioral control. This calls a need to develop strategies and take action to improve the attitude of women and their influential peoples and increase sense of control to improve their intention to screen for cervical cancer. Moreover, health care providers should have to conduct social and behavioral change communication to improve women’s health seeking behavior towards cervical cancer screening applying the concept of theory of planned behavior.
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spelling pubmed-76440322020-11-16 Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior Wollancho, Wadu Amdissa, Demuma Bamboro, Shemsedin Wasihun, Yitbarek Tareke, Kasahun Girma Gizaw, Abraham Tamirat PLoS One Research Article BACKGROUND: Cervical Cancer is the leading cause of cancer-related deaths among Ethiopian women. Despite many interventions were conducted, there is low uptake of cervical cancer screening services. Also, limited evidence was available on the women’s intention and its predictors towards cervical cancer screening. Therefore, this study was aimed at determining the intention and predicators of behavioral intention toward cervical cancer screening. METHODS: A cross-sectional study was conducted in the Gomma district, Jimma, Ethiopia from August 1–30, 2019. The total sample sizes were 422 and a systematic random sampling technique was employed to select the samples. Data were collected through interviews using a structured questionnaire guide. Data were entered in epidata, and exported and analyzed using SPSS version 20.0 software. Descriptive, correlation, and multicollinearity analysis were done. Also, simple and multiple linear regression analysis were performed to identify the predictors for behavioral intention. The p-value<0.05 was used to declare a significant association. RESULT: The response rate was 382 (90.5%). The mean age of the participants was of 26.45 (SD = 4.76). Direct attitude, subjective norm, and perceived behavioral control had a mean score of 16.78 (SD = 2.87), 15.61(SD = 1.92), and 12.86 (SD = 4.85), respectively. The intention has a mean score of 14.52 (SD = 4.01). From regression analysis, direct attitude (B = 0.346, p<0.001), direct subjective norm (B = 0.288, p = 0.008), direct perceived behavioral control (B = 0.132, p = 0.002) indirect attitude (B = 0.015, p = 0.019) and the indirect perceived behavioral control (B = 0.132, p = 0.002) were statistically significant with intention. CONCLUSION: From this study, it was understood that women’s intention towards cervical cancer screening was low. The predictors were the direct and indirect attitude, direct and indirect subjective norm, direct and indirect perceived behavioral control. This calls a need to develop strategies and take action to improve the attitude of women and their influential peoples and increase sense of control to improve their intention to screen for cervical cancer. Moreover, health care providers should have to conduct social and behavioral change communication to improve women’s health seeking behavior towards cervical cancer screening applying the concept of theory of planned behavior. Public Library of Science 2020-11-05 /pmc/articles/PMC7644032/ /pubmed/33151928 http://dx.doi.org/10.1371/journal.pone.0238472 Text en © 2020 Wollancho et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Wollancho, Wadu
Amdissa, Demuma
Bamboro, Shemsedin
Wasihun, Yitbarek
Tareke, Kasahun Girma
Gizaw, Abraham Tamirat
Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior
title Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior
title_full Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior
title_fullStr Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior
title_full_unstemmed Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior
title_short Determining behavioral intention and its predictors towards cervical cancer screening among women in Gomma district, Jimma, Ethiopia: Application of the theory of planned behavior
title_sort determining behavioral intention and its predictors towards cervical cancer screening among women in gomma district, jimma, ethiopia: application of the theory of planned behavior
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644032/
https://www.ncbi.nlm.nih.gov/pubmed/33151928
http://dx.doi.org/10.1371/journal.pone.0238472
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