Full
Outline
To investigate rural women's willingness to undergo cervical cancer screening and its influencing factors based on the Health Belief Model (HBM), and to provide theoretical support for improving screening participation rates in this population.
From April to May 2025, a multi-stage cluster sampling method was used to select rural women in Shimian County, Ya'an City, Sichuan Province for a questionnaire survey. The questionnaire collected information on sociodemographic characteristics, health beliefs related to cervical cancer screening, and screening willingness. Univariate analysis was used to examine associations between demographic variables, HBM dimensions, and screening willingness. Structural equation modeling (SEM) was employed to identify influencing factors and pathways affecting screening willingness.
Among the 431 valid questionnaires collected, 74.0% of respondents expressed willingness to participate in cervical cancer screening. Univariate analysis showed statistically significant differences in screening willingness across age, ethnicity, and occupation (P<0.05). SEM results indicated that self-efficacy (direct effect=0.541, P<0.001) and perceived susceptibility (direct effect=0.177, P<0.001) had direct positive effects on screening willingness. Cues to action (indirect effect=0.237), perceived severity (indirect effect=0.199), and perceived benefits (indirect effect=0.024) exerted indirect positive effects, while perceived barriers had an indirect negative effect (indirect effect=-0.164).
Based on the Health Belief Model, targeted measures should be implemented to improve rural women's perceptions of susceptibility, severity, and screening benefits, enhance cues to action and self-efficacy, and reduce perceived barriers, thereby increasing cervical cancer screening willingness.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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