les cahiers du mecas
Volume 22, Numéro 1, Pages 375-392
2026-06-02
Perceived Risk And Women’s Reluctance Toward Early Breast Cancer Screening: Evidence From A Sample In Tiaret Province
Authors : Marouane Sahraoui . Idjri Kheira .
Abstract
Early breast cancer screening is essential for improving treatment outcomes, yet many women still delay or avoid it. This study examines screening as a preventive health service and analyzes how perceived risk affects women’s attitudes and reluctance toward screening. Perceived risk was modeled as a higher-order construct including functional, financial, physical, psychological, social, and time risks, while attitudes were represented through cognitive, affective, and conative dimensions. Using survey data from 100 women in the Wilaya of Tiaret, Algeria, and PLS-SEM analysis, the results show that perceived risk weakens favorable attitudes and directly increases reluctance, whereas positive attitudes reduce reluctance. The mediating role of attitudes was not supported. Psychological risk emerged as the most influential dimension. The findings suggest that reluctance is shaped not only by fear of the disease, but also by concerns about the anticipated screening experience.
Keywords
perceived risk; breast cancer screening; preventive health services; attitudes; reluctance; Algeria
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