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

Research paper by T T Dehdari, L L Hassani, D D Shojaeizadeh, E E Hajizadeh, S S Nedjat, M M Abedini

Indexed on: 06 May '16Published on: 06 May '16Published in: Indian journal of cancer


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.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.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.These findings may be used to develop tailored, theory-based educational interventions associated with Pap testing among women.