Journal of Integrative Oncology

ISSN: 2329-6771

Open Access

Health Beliefs on the Behavioral Adoption of Mammography Screening: A Path Analytic Model


Soo Foon Moey

Despite the effectiveness of mammography for early breast cancer detection, its’ utilization among Malaysian women remains low. This is possibly due to mammography screening being still opportunistic in nature. Conceptualizing screening behavior intentions utilizing Health Belief Model (HBM) is appropriate in understanding behavioral changes. As such, the study utilized HBM constructs in predicting the variance in adaptive behavior of mammography while controlling for moderating effects of knowledge and socio-demographic factors and mediating effects of self-efficacy using structural modeling fit analysis. Materials and methods A multi-stage, stratified random sampling method was utilized to select the polyclinics in Kuantan, Pahang. Five hundred and twenty Malaysian women aged between 35 and 70 years were selected randomly using sample size calculation at 5% type 1 error, p < 0.05, absolute error at 2%.  Sets of the copyrighted, validated questionnaire were used to obtain the data. Structural equation modeling using Mplus was used to test the model. Indirect effects were included iteratively to the path model for evaluating moderating and mediating effects significance.


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