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Health Education & Behavior, Vol. 33, No. 2, 233-251 (2006)
DOI: 10.1177/1090198105277393
© 2006 Society for Public Health Education

Examining the Theory of Planned Behavior and the Construct of Self-Efficacy to Predict Mammography Intention

Eleni L. Tolma, MPH, PhD

Department of Health Promotion Sciences, College of Public Health, 801 NE 13th Street, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73190; phone: (405) 271-2017, ext. 46757; fax: (405) 271-2099; eleni-tolma{at}ouhsc.edu

Belinda M. Reininger, DrPH

School of Public Health, University of Texas–Houston, Brownsville

Alexandra Evans, MPH, PhD

John Ureda, DrPH

Department of Health Promotion, Education and Behavior, University of South Carolina, Columbia

This article examines the applicability of the Theory of Planned Behavior (TPB) with the addition of the selfefficacy construct in the understanding of the motivation to obtain an initial screeningmammogramamong Cypriot women. The study sample consisted of 293women aged 40 to 65 years, asymptomatic of breast cancer, and with no previous mammography experience. The study took place at the General Hospital of Nicosia in Cyprus. The results of the study provided support of the TPB with the addition of self-efficacy in an international setting. Self-efficacy was the strongest predictor of intention. Other predictors of intention included educational level, time of last clinical breast examination, and age. The study also provided some empirical support of the distinction between self-efficacy and perceived behavioral control. Researchers may want to include self-efficacy in addition to the TPB and other demographic characteristics in future applications to more fully explain behavioral outcomes.

Key Words: mammography • theory of planned behavior • self-efficacy


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