A theory-based approach to understanding follow-up of abnormal pap tests

Carmen Radecki Breitkopf, Heidi C. Pearson

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


We applied a general theoretical framework to understand intentions to attend recommended follow-up for abnormal Pap results. Participants were 338 women attending university-affiliated clinics. Intention was associated with favorable attitudes toward follow-up (OR = 5.3); perceiving attending follow-up as consistent with one's self-concept (OR = 3.0); self-efficacy (OR = 1.8); and believing one would be told exactly what is wrong (OR = 1.3). Intention was negatively associated with believing the problem could be avoided by not returning for follow-up (OR = 0.75). Beliefs, affect and attitudes differed by race and ethnicity (all p <.05). Attendance at follow-up was related to attitude and self-concept (both p <.05). Results have implications for theory development and patient education.

Original languageEnglish (US)
Pages (from-to)361-371
Number of pages11
JournalJournal of Health Psychology
Issue number3
StatePublished - Apr 2009


  • Cervical cancer screening
  • Ethnicity
  • Race
  • Theory-based

ASJC Scopus subject areas

  • Applied Psychology


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