ArticleFrontiers in public health2026
Determinants of self-reported sustained breast cancer screening among women in Shenzhen, China: a study based on the health belief model.
Article in Frontiers in public health, 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
Background: Breast cancer is the most commonly diagnosed cancer among women worldwide. In Shenzhen, breast cancer screening is available through both a government-funded free program and a range of out-of-pocket or employer-sponsored options; however, evidence on factors associated with sustained screening remains limited. This study aimed to examine the direct and indirect associations of sociodemographic and health-related characteristics and health belief model (HBM) constructs with self-reported sustained breast cancer screening among women in Shenzhen, China. Methods: A cross-sectional survey was conducted in Shenzhen, China, from November to December 2024, using multi-stage cluster sampling. Data on sociodemographic characteristics, health-related factors, and HBM constructs (five-point Likert scale) were collected. A structural equation model (SEM) was constructed to examine direct and indirect pathways linking sociodemographic characteristics, health-related factors, and HBM constructs to self-reported sustained breast cancer screening. Model fit was assessed using chi-square statistic divided by degrees of freedom (χ Results: A total of 1,665 women were analyzed; 70.2% (1,169/1,665) had self-reported sustained breast cancer screening. The SEM showed good fit ( Conclusion: Cues to action and perceived barriers were key factors associated with self-reported sustained breast cancer screening. Targeted interventions that strengthen cues to action and reduce perceived barriers may help promote sustained breast cancer screening.
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