title: Application of the Transtheoretical Model to Cervical Cancer Screening in Latina Women.
abstract: This study examined the relationship between the intention to receive Pap tests for cervical cancer screening, as related to the transtheoretical model of behavior change, and self-efficacy, and perceived barriers and benefits among Latina women. A sample of 121 Latina women recruited from a University campus completed validated questionnaires. Over half the participants (62 %) reported engaging in regular cervical screening. The greatest self-efficacy scores were observed among women in the action/maintenance phase, and the least self-efficacy was observed among women in the no-intention phases of behavior change. There was also a gradient in perceived barriers and the stages of change, women in precontemplative/relapse perceived significantly higher barriers than those in contemplation/preparation and action/maintenance. This study identifies a high-risk group of Latina women and demonstrates a need for culturally targeted Pap screening interventions using validated and theoretically driven behavior change interventions focusing on perceived barriers and benefits, and self-efficacy.
authors: Orvis School of Nursing, University of Nevada, Reno, NV, 89557, USA. wctung@hotmail.com.
authors: Wei-Chen
authors: WC
authors: Tung
authors: School of Community Health Sciences, University of Nevada, Reno, NV, 89557, USA.
authors: Julie
authors: J
authors: Smith-Gagen
authors: School of Community Health Sciences, University of Nevada, Reno, NV, 89557, USA.
authors: Minggen
authors: M
authors: Lu
authors: Saint Mary's Regional Medical Center, Reno, NV, 89503, USA.
authors: Melanie
authors: M
authors: Warfield
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003657:Decision Making; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D033182:Intention; D008875:Middle Aged; D008960:Models, Psychological; D065006:Papanicolaou Test / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D020377:Self Efficacy; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology*; D055815:Young Adult
keywords: Cervical cancer; Latina women; Pap test; Self-efficacy; Transtheoretical model