Date of Award


Degree Name

Doctor of Nursing Science


Cervical Cancer screening, nursing, prepaid health care system, women


The focus of this research study was to explore the factors affecting women's decisions to participate in preventive cervical cancer screening using a conceptual model proposed by Cummings, Becker, and Maile (1980). This descriptive-comparative study investigated the effect between the components of this model (age, education level, race, general barriers, psychological barriers, evaluation of health care, threat of illness, knowledge, social network) and the outcome variable of intent to participate in cervical cancer screening examinations. This study also examined whether there were differences in the predictor variables between two groups of women: those that have had a recent Pap examination and those that have not. The research questions were answered with data obtained from two groups of women members of a southern California Health Maintenance Organization (HMO) and analyzed using multiple regression and t-tests. In the group of women with no recent history of Pap examination, evaluation of health care and race accounted for 17% of the explained variance. For the group of women who had recently participated in cervical cancer screening, evaluation of health care and psychological barriers accounted for 29% of the variance in future health screening intention. No significant differences in the variables were found between the two groups of women.

Document Type

Dissertation: Open Access



Included in

Nursing Commons