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Self efficacy as a key mediator for cervical cancer screening behavior
Marzieh Ghasemi1, Mitra Savabi-Esfahani2, Mahnaz Noroozi3
1Department of Nursing and Midwifery, Islamic Azad University, Shahrekord, Iran.
Scientific Reports
|October 23, 2025
Summary
Increasing self-efficacy can improve cervical cancer screening behaviors in women. This study found knowledge, attitude, and motivation significantly mediate screening behavior through self-efficacy, highlighting intervention potential.
Area of Science:
- Public Health
- Health Behavior Research
- Cancer Prevention
Background:
- Cervical cancer screening is crucial for prevention.
- Self-efficacy is a potential mediator for health behaviors.
- Understanding mediators of screening behavior is vital for effective interventions.
Purpose of the Study:
- To determine self-efficacy as a key mediator for cervical cancer screening behavior.
- To investigate the mediating role of self-efficacy in the relationship between knowledge, attitude, motivation, and screening behavior.
- To provide evidence for designing interventions to enhance cervical cancer screening.
Main Methods:
- Cross-sectional study of 310 women aged 20-60 in Isfahan, Iran.
- Data collected via questionnaires assessing demographics, fertility, knowledge, attitude, motivation, self-efficacy, and screening behavior.
- PROCESS macro for SPSS used to analyze mediation effects.
Main Results:
- Self-efficacy significantly mediated the relationship between knowledge, attitude, motivation, and cervical cancer screening behavior.
- Indirect effects of knowledge (P.E.=0.301), attitude (P.E.=0.313), and motivation (P.E.=0.242) on screening behavior via self-efficacy were significant.
- Direct effect of motivation on screening behavior was also significant (P < 0.001).
Conclusions:
- Interventions aimed at increasing self-efficacy can improve women's cervical cancer screening behavior.
- Knowledge, attitude, and motivation indirectly influence screening behavior through self-efficacy.
- Findings support the development of targeted health promotion programs to boost screening rates.
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