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 ORIGINAL ARTICLE
Year : 2016  |  Volume : 53  |  Issue : 1  |  Page : 50-53

Predictors of Iranian women's intention to first papanicolaou test practice: An application of protection motivation theory


1 Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran
2 Department of Health Education and Health Promotion, School of Health, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Biostatistics, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
4 Department of Epidemiology and Biostatistics, Knowledge Utilization Research Center, School of Health, Tehran University of Medical Sciences, Tehran, Iran
5 Department of Family Health, Ministry of Health and Medical Education, Tehran, Iran

Correspondence Address:
L Hassani
Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran
Iran
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Source of Support: The Iran University of Medical Sciences, Grant Number 91-04-27-20508, Conflict of Interest: None


DOI: 10.4103/0019-509X.180857

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Background and Aim: Given the importance of papanicolaou (Pap) test in the early detection and timely treatment of cervical cancer, present study was designed to determine predictors of a sample of Iranian women's intention to first Pap test practice based on the protection motivation theory (PMT) variables. Materials and Methods: In this cross-sectional study, a total of 240 women referral to the 30 primary health care clinics were selected. They completed a developed scale based on PMT variables including intention, perceived vulnerability and severity, fear, response costs, response efficacy and self-efficacy. Path analysis was used to determine the association between predictive factors and intention. Results: The results showed that PMT had goodness of fit with a χ2/df = 2.37, df = 28, P= 0.001 and RMSEA = 0.076. PMT explained 42% of the variance in women's intention to get first Pap smear test. Self-efficacy (b = 0.55, P< 0.001) and response efficacy (b = 0.19, P< 0.001) were found to be the predictors of intention. Conclusion: These findings may be used to develop tailored, theory-based educational interventions associated with Pap testing among women.






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