• Login
    View Item 
    •   Home
    • Theses and Dissertations
    • Theses and Dissertations
    • View Item
    •   Home
    • Theses and Dissertations
    • Theses and Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of TUScholarShareCommunitiesDateAuthorsTitlesSubjectsGenresThis CollectionDateAuthorsTitlesSubjectsGenres

    My Account

    LoginRegister

    Help

    AboutPeoplePoliciesHelp for DepositorsData DepositFAQs

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Applicability of the Theory of Planned Behavior to explain clinicians’ intention to screen men who have sex with men for syphilis infection

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    DAvanzo_temple_0225E_14478.pdf
    Size:
    2.028Mb
    Format:
    PDF
    Download
    Genre
    Thesis/Dissertation
    Date
    2021
    Author
    D'Avanzo, Paul cc
    Advisor
    Bass, Sarah Bauerle
    Committee member
    Dumenci, Levent
    Rutledge, Scott Edward
    Zisman Ilani, Yaara
    Koenig, Helen Carol
    Department
    Public Health
    Subject
    Behavioral sciences
    Men who have sex with men
    Physicians
    Screening
    Syphilis
    Theory of planned behavior
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/6560
    
    Metadata
    Show full item record
    DOI
    http://dx.doi.org/10.34944/dspace/6542
    Abstract
    Syphilis prevention in the United States continues to be an enduring public health challenge. Although syphilis is a curable infection, if left untreated it can result in severe, debilitating and potentially life-threatening complications. Routine screening for syphilis in high-risk populations remains an important prevention and control measure. Research consistently demonstrates the relative advantage of greater testing frequency in at-risk populations such as men who have sex with men (MSM) using both cost-effectiveness analyses and mathematical modeling. Despite this, frequency of screening for syphilis among MSM remains sub-optimal, and failure to screen MSM at recommended intervals may be attributable to clinicians’ perceptions related to syphilis screening in this population. The Theory of Planned Behavior (TPB) may help to elucidate the attitudes, social and professional norms, and perceived behavioral control that providers experience towards syphilis screening. The extent to which these cognitive-behavioral factors facilitate clinicians’ intentions to screening MSM for syphilis has not been previously evaluated. Using the constructs of the TPB, this study developed and validated a new survey tool with a national sample of physicians (n=123) who treat MSM and recruited through a proprietary email list and through passive recruitment on social media and provider Listservs. Results of the survey revealed variability in providers’ attitudes, social norms and perceived behavioral control, and these differed in association with self-reported syphilis screening intention and behavior. The survey was also used to validate a measurement model based on the TPB. This measurement model consisted of four factors: attitudes, social norms, perceived behavioral control and intention. This model was then used in structural equation modeling analysis to simultaneously test the strength of associations between these factors and a self-reported behavioral outcome. Results indicate that attitudes have a significant indirect effect on self-reported screening behavior mediated though intention. Perceived behavioral control was also strongly associated with self-reported behavior, as was intention to screen. By incorporating the TPB into a model of physician behavior, this study provides a framework for interventions targeted at increasing syphilis testing frequency in clinical practice.
    ADA compliance
    For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
    Collections
    Theses and Dissertations

    entitlement

     
    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Temple University Libraries | 1900 N. 13th Street | Philadelphia, PA 19122
    (215) 204-8212 | scholarshare@temple.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.