How face-to-face and online patient-provider communication associate with cervical cancer screening behaviors: The mediating roles of human papillomavirus (HPV) awareness and cancer worry.

IF 2.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2025-11-01 Epub Date: 2025-02-19 DOI:10.1177/13591053251316502

Yuyuan Kylie Lai, Jizhou Francis Ye, Xinshu Zhao

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Abstract

Cervical cancer screening is a crucial cancer detection measure that can be facilitated by effective patient-provider communication (PPC). This study examined how face-to-face patient-provider communication (FPPC) and online patient-provider communication (OPPC) were associated with cervical cancer screening behaviors through the mediation of human papillomavirus (HPV) awareness and cancer worry. Using data from 3133 women in the Health Information National Trends Survey (HINTS 6, 2022), we applied structural equation modeling to examine our model. Results suggested that FPPC and OPPC positively correlated with screening behaviors. HPV awareness acted as a mediator in the relationship between OPPC and screening behaviors. Cancer worry mediated the association between FPPC/OPPC and screening behaviors but functioned differently: increased FPPC diminished cancer worry, whereas heightened OPPC augmented it. Only OPPC was linked to screening behaviors via sequential mediation of HPV awareness and cancer worry, underscoring the significance of promoting screening through cognition-affect mechanism in the digital era.

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面对面和在线医患沟通与宫颈癌筛查行为的关系：HPV意识和癌症担忧的中介作用

宫颈癌筛查是一项重要的癌症检测措施，可以通过有效的患者-提供者沟通（PPC）来促进。本研究通过人乳头瘤病毒（HPV）意识和癌症担忧的中介，探讨了面对面的医患沟通（FPPC）和在线医患沟通（OPPC）如何与宫颈癌筛查行为相关。利用健康信息国家趋势调查（HINTS 6,2022）中的3133名妇女的数据，我们应用结构方程模型来检验我们的模型。结果提示FPPC、OPPC与筛查行为呈正相关。HPV意识在OPPC与筛查行为之间的关系中起中介作用。癌症担忧介导了FPPC/OPPC与筛查行为之间的关联，但功能不同：FPPC升高会降低癌症担忧，而OPPC升高会增强癌症担忧。只有OPPC通过HPV意识和癌症担忧的顺序中介与筛查行为相关，强调了在数字时代通过认知影响机制促进筛查的意义。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.