Modeling breast cancer screening hesitancy among Chinese women: integrating the Knowledge–Attitude–Practice, health belief, and 5 C frameworks

Key Points

• The aim is to identify the psychological factors contributing to breast cancer screening hesitancy among Chinese women.
• Utilized the Knowledge-Attitude-Practice, health belief, and 5 C frameworks to assess hesitancy.
• Analyzed determinants such as self-efficacy, perceived barriers, and cues to action.
• Considered community settings for potential interventions.
• Self-efficacy, perceived barriers, and cues to action significantly affect breast self-examination (BSE) hesitancy.
• Integrative framework provided insights into the connections between knowledge, beliefs, and screening behavior.
• Identified psychological leverage points for developing future interventions.