{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:27:46Z","timestamp":1760059666204,"version":"build-2065373602"},"reference-count":68,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Programa de Fortalecimiento de Grupos de Investigaci\u00f3n UTA 2023","award":["3789-23"],"award-info":[{"award-number":["3789-23"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Cervical cancer (CC) remains a critical global health issue which disproportionately affects low- and middle-income countries. In Chile, the Arica and Parinacota region experiences high CC mortality and low Papanicolaou (Pap) test coverage, with indigenous Aymara women facing significant screening barriers. Understanding health beliefs surrounding CC prevention is essential for improving adherence, particularly in under-represented populations. This study assesses the psychometric properties of the CPC-28, an instrument measuring beliefs about CC and Pap testing, among Aymara women in Chile. A cross-sectional survey of 299 Aymara women (25\u201364) was conducted using stratified probabilistic sampling. Confirmatory factor analysis (CFA) confirmed the CPC-28\u2019s six-factor latent structure, demonstrating strong model fit (CFI = 0.969, TLI = 0.965, RMSEA = 0.058). Reliability indices ranged from acceptable to excellent (\u03b1 = 0.585\u20130.921; \u03c9 = 0.660\u20130.923). Moderate correlations emerged between severity, susceptibility, and perceived benefits of Pap testing, although CPC-28 results did not predict adherence. These findings support CPC-28\u2019s validity evidence for Aymara women but highlight cultural influences on screening behaviors. Structural barriers, including language and healthcare inaccessibility, are likely to affect perceived susceptibility. Future research should explore indigenous perspectives and socio-cultural determinants of Pap testing, incorporating mixed-method approaches to identify culturally relevant interventions and improve screening adherence.<\/jats:p>","DOI":"10.3390\/ijerph22071025","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T03:54:28Z","timestamp":1751255668000},"page":"1025","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychometric Evidence of the Pap Smear Test and Cervical Cancer Beliefs Scale (CPC-28) in Aymara Women from Chile"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3298-6877","authenticated-orcid":false,"given":"Gonzalo R.","family":"Quintana","sequence":"first","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Facultad de Ciencias Sociales, Universidad de Tarapac\u00e1, Arica 1000007, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Herrera","sequence":"additional","affiliation":[{"name":"Escuela de Enfermer\u00eda, Facultad de Ciencias de la Salud, Universidad de Tarapac\u00e1, Arica 1000007, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Francisco","family":"Santib\u00e1\u00f1ez-Palma","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Facultad de Ciencias Sociales, Universidad de Tarapac\u00e1, Arica 1000007, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4126-9455","authenticated-orcid":false,"given":"Javier","family":"Escudero-Past\u00e9n","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Facultad de Ciencias Sociales, Universidad de Tarapac\u00e1, Arica 1000007, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"ref_1","unstructured":"WHO (2025, April 08). Cervical Cancer. 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