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A Theory-based Approach to Understanding Follow-up of Abnormal Pap Tests

University of Texas Medical Branch, USA, cmradeck{at}utmb.edu

Heidi C. Pearson

University of Texas Medical Branch, USA

We applied a general theoretical framework to understand intentions to attend recommended follow-up for abnormal Pap results. Participants were 338 women attending university-affiliated clinics. Intention was associated with favorable attitudes toward follow-up (OR = 5.3); perceiving attending follow-up as consistent with one's self-concept (OR = 3.0); self-efficacy (OR = 1.8); and believing one would be told exactly what is wrong (OR = 1.3). Intention was negatively associated with believing the problem could be avoided by not returning for follow-up (OR = 0.75). Beliefs, affect and attitudes differed by race and ethnicity (all p < .05). Attendance at follow-up was related to attitude and self-concept (both p < .05). Results have implications for theory development and patient education.

Key Words: cervical cancer screening • ethnicity • race • theory-based

Journal of Health Psychology, Vol. 14, No. 3, 361-371 (2009)
DOI: 10.1177/1359105308101674


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