eprintid: 19715 rev_number: 40 eprint_status: archive userid: 13 dir: disk0/00/01/97/15 datestamp: 2015-10-29 14:17:21 lastmod: 2016-01-01 23:00:00 status_changed: 2015-10-29 14:17:21 type: article metadata_visibility: show creators_name: Sieverding, Monika creators_name: Matterne, Uwe creators_name: Ciccarello, Liborio title: What role do social norms play in the context of men’s cancer screening intention and behavior? Application of an extended theory of planned behavior subjects: 150 subjects: 610 divisions: 100200 keywords: cancer screening, men, theory of planned behavior, social norms, descriptive norm abstract: Objective: Our research investigated the role of social norms in an extended theory of planned behavior (TPB) in the explanation of prostate/colorectal cancer screening (CS) intention and the prediction of CS uptake among men. Design: A cross-sectional study (Study 1) assessed sociodemographic and TPB variables (extended by descriptive norm) in 2,426 German men (mean age 56.3 years) who differed in their past CS behavior. A subsample of Study 1 (former nonattenders and irregular attenders, n = 1,032) were followed up 12 months later (Study 2). Main Outcome Measures: The authors measured cross-sectionally the intention to undergo a CS examination within the next 12 months (Study 1), and longitudinally self-reported uptake of prostate and/or colorectal CS within the last 12 months (Study 2). Results: When sociodemographic variables were controlled, TPB variables predicted a substantial amount of CS-intention (�R2 = .49). Descriptive norm explained variance beyond the classic TPB variables and interacted significantly with subjective norm. Significant predictors of CS uptake were intention and subjective norm with the latter having a different effect in the two subgroups: a high subjective norm (assessed at T1) was associated with higher CS attendance in (former) nonattenders but lower CS attendance in irregular attenders in the following 12 months. Conclusion: Social norms play an important role in men’s CS intention and behavior. For intention formation, descriptive norm is influential in addition to subjective norm. The fact that a high subjective norm resulted in a lower likelihood of screening among irregular attenders suggests possible reactance effects. date: 2010 publisher: American Psychological Association id_scheme: DOI id_number: 10.11588/heidok.00019715 official_url: http://dx.doi.org/10.1037/a0016941 ppn_swb: 1658859383 own_urn: urn:nbn:de:bsz:16-heidok-197158 language: eng bibsort: SIEVERDINGWHATROLEDO2010 full_text_status: public publication: Health psychology : the official journal of the Division of Health Psychology, American Psychological Association volume: 29 number: 1 place_of_pub: Washington, DC pagerange: 72-81 issn: 0278-6133 citation: Sieverding, Monika ; Matterne, Uwe ; Ciccarello, Liborio (2010) What role do social norms play in the context of men’s cancer screening intention and behavior? Application of an extended theory of planned behavior. Health psychology : the official journal of the Division of Health Psychology, American Psychological Association, 29 (1). pp. 72-81. ISSN 0278-6133 document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/19715/1/Sieverding_Matterne_Ciccarello_%20Health%20Psychology_2010.pdf