ArticleCancer medicine2026
Integrating the Health Belief Model and the Theory of Planned Behavior to Decode Willingness to Pay for Cancer Screening: Evidence From Community-Based Cross-Sectional Surveys in China.
Article in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWillingness to pay for cancer screening has been widely adopted to examine barriers to screening. This study integrated the Health Belief Model and the Theory of Planned Behavior to explore the correlational pathways linked to WTP-CS among Chinese community-dwelling residents.
methodsA multistage stratified survey was carried out in a cancer early screening demonstration zone. Questionnaires assessed demographic, psychosocial, HBM, TPB variables, and WTP-CS. Hierarchical logistic regression identified correlates; bivariate correlation analyses described pairwise associations; path analysis tested the hypothesized HBM-TPB integration theoretical framework.
resultsA total of 4575 residents (mean age 70.63 years, SD = 7.85) were enrolled. Hierarchical logistic regression models showed incremental variance for WTP-CS reaching 34.5% across Model 1 to Model 4 (Δ McFadden R
conclusionA potential intention-behavior gap was observed, as favorable WTP-CS did not necessarily correspond to higher actual screening participation. The HBM-TPB framework tentatively maps multi-layered direct and indirect correlational pathways between demographic, psychological, HBM, TPB variables and WTP-CS among Chinese community-dwelling residents. This framework may explore plausible socio-psychological correlational linkages associated with WTP-CS, expand empirical research, and deliver tentative, context-specific insights for subsequent investigations.
trial registrationChinese Clinical Trial Registry, ID: ChiCTR2400088321.
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