ArticleBritish journal of health psychology2025
Cervical screening attendance in young women and people with a cervix: An application of the COM-B model.
Article in British journal of health psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Rethinking the occurrence of volunteering from the capability-opportunity-motivation perspective.Frontiers in psychology · 2026Article
- Cervical screening attendance in young women and people with a cervix: An application of the COM-B model.British journal of health psychology · 2025Article
- Exploring Patient Involvement in Treatment Decision-Making for Diabetic Retinopathy: A COM-B Model-Based Cross-Sectional Survey.Patient preference and adherence · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesCervical cancer (CC), which is caused by the human papillomavirus (HPV), results in around 3000 new cancer cases yearly in the UK. According to recent figures, rates in the UK have increased by 13% in young women over the last decade; screening attendance has fallen to a 10-year low. As the majority of women now reaching the screening age (24.5 years old) will be HPV vaccinated, research is needed to assess the possible impact of this successful immunisation programme on screening behaviours as well as to further our understanding of the current barriers and facilitators to screening and how these may differ between attendees and non-attendees.
designCross-sectional survey.
methodsParticipants comprised 200 young women (attendees n = 100, non-attendees n = 100) aged 25-30 years old living in the UK. Participants completed an online questionnaire assessing COM-B model components and HPV vaccination status.
resultsA multiple logistic regression analysis revealed that reflective motivation was the only COM-B component that was a significant independent predictor of screening attendance, such that higher reflective motivation scores increased the odds of having attended cervical screening. In addition, HPV-vaccinated individuals had significantly greater odds of having attended screening when compared to non-vaccinated individuals.
conclusionsReflective motivational factors are crucial in encouraging young women to attend CC screening. Future work should focus on developing interventions that enhance reflective motivation.
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Registered trials
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