Table 4.
Path analysis: standardized coefficients from antecedents (A), mediators (M) and outcome (O).
| M = Perceived risk |
M = Perceived benefits |
M = Perceived barriers |
M = Self-efficacy |
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|---|---|---|---|---|---|---|---|---|---|
| Antecedent (A) | A to M (direct) | A to M to O (indirect) | A to M (direct) | A to M to O (indirect) | A to M (direct) | A to M to O (indirect) | A to M (direct) | A to M to O (indirect) | A to O (direct) |
| Perceived stigma | −0.06 | 0.00 | −0.03 | 0.00 | −0.08 | 0.00 | −0.05 | −0.01 | −0.03 |
| Medical mistrust | 0.00 | 0.00 | 0.04 | 0.00 | −0.22 | 0.01 | 0.06 | 0.01 | −0.13 |
| Cancer fatalism | 0.13 | 0.00 | −0.12 | 0.00 | 0.22 | −0.01 | −0.14 | −0.03 | 0.08 |
| Lung cancer worry | 0.45 | −0.01 | 0.11 | 0.00 | 0.01 | 0.00 | −0.03 | −0.01 | 0.03 |
| Lung cancer fear | −0.11 | 0.00 | 0.06 | 0.00 | 0.23 | −0.01 | −0.17 | −0.04 | 0.00 |
| Race (White) | 0.08 | 0.00 | 0.02 | 0.00 | −0.13 | 0.01 | 0.06 | 0.01 | 0.03 |
| Annual income | 0.03 | 0.00 | 0.09 | 0.00 | −0.07 | 0.00 | 0.12 | 0.03 | 0.03 |
| Health insurance | −0.03 | 0.00 | 0.00 | 0.00 | −0.09 | 0.00 | 0.07 | 0.02 | −0.01 |
| Current smoker | 0.14 | 0.00 | 0.00 | 0.00 | 0.13 | −0.01 | −0.02 | −0.01 | 0.06 |
| Family history of lung cancer | 0.07 | 0.00 | 0.02 | 0.00 | −0.16 | 0.01 | 0.10 | 0.02 | 0.06 |
| Knowledge of lung cancer and screening | 0.06 | 0.00 | 0.08 | 0.00 | −0.04 | 0.00 | 0.15 | 0.03 | −0.06 |
| Provider recommendation | 0.09 | 0.00 | −0.07 | 0.00 | −0.07 | 0.00 | 0.13 | 0.03 | 0.47 |
| Social influence | 0.03 | 0.00 | 0.39 | 0.01 | −0.19 | 0.01 | 0.40 | 0.09 | −0.04 |
| Media exposure | 0.00 | 0.00 | 0.02 | 0.00 | −0.02 | 0.00 | 0.04 | 0.01 | 0.06 |
| Overall model fit (N = 509) |
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| Mediators (M) | M to O (direct) | Goodness of fit test: Chi-Square = 3.195, p = 0.526 (i.e. failed to reject Ho of good fit). | |||||||
| Perceived risk of lung cancer | −0.03 | Fit Indices | Criteria for good fit | ||||||
| Perceived benefit of lung cancer screening | −0.01 | RMSEA = 0.000 (90% CI: (0.000, 0.061)) | <0.06 | ||||||
| Perceived barriers to lung cancer screening | −0.04 | CFI = 1.000 | >0.95 | ||||||
| Self-efficacy for lung cancer screening | 0.23 | WRMR = 0.188 | <1.00 | ||||||
Note: Bolded standardized coefficients are significant (p < 0.05). Parameter estimates are from MPLUS using Weighted least square mean and variance estimation and Standardized Estimate of y with X.