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This study integrated the Health Belief Model and the Theory of Planned Behavior to explore the correlational pathways linked to WTP\u2010CS among Chinese community\u2010dwelling residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multistage stratified survey was carried out in a cancer early screening demonstration zone. Questionnaires assessed demographic, psychosocial, HBM, TPB variables, and WTP\u2010CS. Hierarchical logistic regression identified correlates; bivariate correlation analyses described pairwise associations; path analysis tested the hypothesized HBM\u2010TPB integration theoretical framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 4575 residents (mean age 70.63\u2009years, SD\u2009=\u20097.85) were enrolled. Hierarchical logistic regression models showed incremental variance for WTP\u2010CS reaching 34.5% across Model 1 to Model 4 (\u0394 McFadden\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200934.5%). Path analysis revealed adequate model fit (CFI\u2009=\u20090.94, RMSEA\u2009=\u20090.05) and explained 48.91% of the variance in WTP\u2010CS. TPB components dominated both the direct and indirect pathways. Subjective norms showed the strongest positive association with WTP\u2010CS (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.313,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Perceived benefits displayed a positive indirect association with WTP\u2010CS via perceived confidence and subjective norms (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.062,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Age demonstrated a negative correlational linkage with WTP\u2010CS through a sequential chain involving knowledge, perceived benefits, and attitude towards behaviors (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.007,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The observed patterns supported the hypothesized pathways of the HBM\u2010TPB integration framework.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A potential intention\u2010behavior gap was observed, as favorable WTP\u2010CS did not necessarily correspond to higher actual screening participation. The HBM\u2010TPB framework tentatively maps multi\u2010layered direct and indirect correlational pathways between demographic, psychological, HBM, TPB variables and WTP\u2010CS among Chinese community\u2010dwelling residents. This framework may explore plausible socio\u2010psychological correlational linkages associated with WTP\u2010CS, expand empirical research, and deliver tentative, context\u2010specific insights for subsequent investigations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Chinese Clinical Trial Registry, ID: ChiCTR2400088321<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.72159","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:35:57Z","timestamp":1789101357000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrating the Health Belief Model and the Theory of Planned Behavior to Decode Willingness to Pay for Cancer Screening: Evidence From Community\u2010Based Cross\u2010Sectional Surveys in China"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1636-7627","authenticated-orcid":false,"given":"Jianwei","family":"Wang","sequence":"first","affiliation":[{"name":"School of Public Health, Cheeloo College of Medicine Shandong University  Jinan Shandong People's Republic of China"},{"name":"Department of Quality Control Yidu Central Hospital of Weifang  Qingzhou Shandong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuangshuang","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Neurology Yidu Central Hospital of Weifang  Qingzhou Shandong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingzhou","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Public Health, Cheeloo College of Medicine Shandong University  Jinan Shandong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaojiao","family":"Li","sequence":"additional","affiliation":[{"name":"Hospital for Skin Diseases Shandong First Medical University  Jinan Shandong People's Republic of China"},{"name":"Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences  Jinan Shandong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongli","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Public Health, Cheeloo College of Medicine Shandong University  Jinan Shandong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2085-9336","authenticated-orcid":false,"given":"Gaopei","family":"Zhu","sequence":"additional","affiliation":[{"name":"Shandong Mental Health Center  Jinan Shandong People's Republic of 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