{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T05:55:27Z","timestamp":1790920527794,"version":"4.1.0"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cancer remains a leading cause of morbidity and mortality worldwide, making the promotion of early detection through cancer screening a major public health priority. Understanding the factors that influence individuals\u2019 intentions to participate in cancer screening is essential for developing effective interventions and policies aimed at improving screening uptake. This study examined the determinants of cancer screening intention among residents of the United Arab Emirates (UAE) using the information\u2013motivation\u2013behavioral skills (IMB) model as a theoretical framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among 239 UAE residents recruited from outpatient departments. Data were collected using a structured questionnaire developed based on a modified IMB model. The questionnaire assessed sociodemographic characteristics, knowledge regarding cancer and cancer screening, attitudes toward screening, behavioral skills related to screening, and cancer screening intention. Cancer screening intention was assessed using a single dichotomous item. Descriptive statistics were performed using JASP software, while confirmatory factor analysis (CFA) and latent variable structural equation modeling (LV-SEM) were conducted using Onyx software to examine the relationships among observed and latent variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The structural equation model demonstrated relatively poor fit to the data (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \/df\u202f=\u202f4.34, CFI\u202f=\u202f0.824, TLI\u202f=\u202f0.801, RMSEA\u202f=\u202f0.118), and the findings should therefore be interpreted as exploratory. Family history of cancer (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.39,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), perceived personal risk of cancer (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.30,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and participation in cancer awareness workshops (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.16,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01) emerged as significant positive predictors of intention to undergo cancer screening. Attitudes toward cancer screening were positively associated with behavioral skills (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.33,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). In contrast, knowledge about cancer (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f\u22120.01,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.264) and knowledge about cancer screening (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f\u22120.20,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.133) were not significantly associated with behavioral skills. Furthermore, the hypothesized mediating role of behavioral skills was not supported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The findings suggest that perceived susceptibility, familial experience with cancer, and engagement in awareness activities are more influential determinants of screening intention than knowledge alone. Interventions aimed at improving screening uptake should emphasize personalized risk communication, family-centered approaches, and culturally tailored strategies that address motivational and practical barriers. Further research using longitudinal and nationally representative designs is needed to validate these findings and refine theoretical models of cancer screening behavior in the UAE.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1912283","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T05:35:57Z","timestamp":1790919357000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of cancer screening intentions among UAE residents: an exploratory model with application of the information-motivation-behavioral skills model"],"prefix":"10.3389","volume":"14","author":[{"given":"Ramya Kundayi","family":"Ravi","sequence":"first","affiliation":[{"name":"RAK College of Nursing, RAK Medical and Health Sciences University","place":["Ras Al Khaimah, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona","family":"Gamal Mohamed","sequence":"additional","affiliation":[{"name":"RAK College of Nursing, RAK Medical and Health Sciences University","place":["Ras Al Khaimah, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasidharan","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Discovery Research Division, Indian Council of Medical Research, ICMR Headquarters, Ansari","place":["New Delhi, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilda","family":"Ogsimer","sequence":"additional","affiliation":[{"name":"RAK College of Nursing, RAK Medical and Health Sciences University","place":["Ras Al Khaimah, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1007\/978-3-031-28780-0_60","volume-title":"Bioprospecting of Tropical Medicinal 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