Working paper Mammographie en France Pernin 2018.pdf (original) (raw)
Breast cancer remains the main factor of female cancer mortality in France and participation in mammography screening campaigns remains low: 49.9% in 2017. However, the psycho determinants of participation in these campaigns has never been the subject of research in France. The theoretical framework most used for this type of research is the theory of planned behavior. This theoretical framework is criticized for its limitations a) concerning the understanding of the adoption of behaviour by individuals b) the identification of the expected benefits of the adoption of the behaviour and c) the relevance of the variables added to the initial model to understand the formation of behavioral intent. This article proposes to address these three issues in a) proposing to incorporate a collateral benefit to better understand the formation of the attitude: the fact that being screened by mammography makes it possible to induce his spouse to do the screening for the colorectal b) by testing the addition of confidence and perceived value as predictors of behavioral intent and c) by integrating peripheral behaviours to better understand the adoption of behaviour. A questionnaire survey (n = 135) was conducted in 2017 on women age from 40 to 75. The analyses are performed using structural equation modeling. The results show a) that collateral benefit is significantly predictive of the attitude and perceived value b) that time is the main brake for making a mammography c) that neither confidence nor perceived value is predictive of the behavioral intent and that d) taking rendez-vous with its doctor and, above all, doing blood tests are predictive of behaviour. Recommendations to increase the rate of participation in the screening campaigns are proposed in conclusion.
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