Comprehensive Analysis of Theoretical Models and Frameworks for Investigating Determinants of Breast Cancer Screening Participation: A Scoping Review

Objective ： This study aims to review and evaluate the effectiveness of various theoretical frameworks and models used over the past decade to explain the factors influencing BCS. Methods ： A scoping review method was used to search the CNKI, Wanfang, VIP, Chinese Biomedical Abstracts, Pubmed, Embase, Web of Science, Ovid, EBSCO, and Cochrane Library databases. After literature screening and data extraction, the research results were summarized. Results ： 55 studies were included and analyzed from the aspects of the application of theoretical models, explanatory effects, existing differences, commonalities and characteristics, and how to improve them. Conclusion ： The effectiveness of these models varies by context and population. TPB and HBM are among the most empirically supported models, offering strong predictive power and practical guidance for interventions. Integrated models provide a comprehensive approach, addressing a broader range of influencing factors and demonstrating enhanced predictive capabilities. Future research should focus on refining these models and incorporating digital health tools to improve their applicability and effectiveness.