외래내원 여성의 적극적 유방암 조기검진행위 영향 요인
Factors Affecting Active Early Detection Behaviors of Breast Cancer in Outpatients
2
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: This study was done to evaluate factors affecting active early detection behaviors of breast cancer and performance rate of breast self examination (BSE), physical examination and mammography. Methods: The participants were 264 women from an outpatient breast clinic of a university hospital and materials were collected from March 2007 to February 2008 using a structured questionnaire. The data were analyzed using x2 test, logistic analysis. Results: The rate for BSE was 58.3%, for physical examination, 55.3% and for mammography experience, 63.4%. Women with all of these active early detection behaviors accounted for 31.8% of the participants. Various factors such as age, income, marital status, and menopause showed increased significant performance rate. The explanation power of logistic model was 48.5%, and was significant for age, income and health belief. Factors related to high performance rate were being over 40 years of age, high income and high health belief score. Conclusion: Active early detection behaviors were not high in spite of marked increases in breast cancer incidence. Encouragement for women practicing early detection behavior is important, but there is also a need to develop interest and support for the low performance group. More sustained education and public relations are needed to further improve active early detection behavior.
Abstract
Purpose: This study was done to evaluate factors affecting active early detection behaviors of breast cancer and performance rate of breast self examination (BSE), physical examination and mammography. Methods: The participants were 264 women from an outpatient breast clinic of a university hospital and materials were collected from March 2007 to February 2008 using a structured questionnaire. The data were analyzed using x2 test, logistic analysis. Results: The rate for BSE was 58.3%, for physical examination, 55.3% and for mammography experience, 63.4%. Women with all of these active early detection behaviors accounted for 31.8% of the participants. Various factors such as age, income, marital status, and menopause showed increased significant performance rate. The explanation power of logistic model was 48.5%, and was significant for age, income and health belief. Factors related to high performance rate were being over 40 years of age, high income and high health belief score. Conclusion: Active early detection behaviors were not high in spite of marked increases in breast cancer incidence. Encouragement for women practicing early detection behavior is important, but there is also a need to develop interest and support for the low performance group. More sustained education and public relations are needed to further improve active early detection behavior.
참고문헌 (28)
- 최종숙, "일부 보건소 내소 여성의 유방자가검진과 유방암 검진의 관련요인", 보건교육·건강증진학회지, 18(1), pp.61~78 (2001), 한국보건교육·건강증진학회
- Fredman, L, "Cigarette smoking, alcohol consumption, and screening mammography among women aged 50 and older", Preventive Medicine, 28(4), pp.407~417 (1999)
- Ham, O. K, "Analysis of factors related to mammography screening behavior in Korean women", Journal of Korea Community Health Nursing Academic society, 18(1), pp.187~194 (2004)
- Huguley, C. M, "The value of breast selfexamination", Cancer, 47, pp.989~995 (1981)
- Hyman, R. B, "Health Belief Model variables as predictors of screening mammography utilization", Journal of Behavioral Medicine, 17(4), pp.391~406 (1994)
- In, H. K, "Mammography compliance and influencing factors of low income women group", 박사, pp.2005
- Janz, N. K, "A two step intervention to increase mammography among women 65 and older", American Journal of Public Health, 87(10), pp.1683~1686 (1997)
- Kim, Y. B, "The influence factors on cervical and breast cancers screening behavior of women in a city", Journal of Korean Society for Health Education and Promotion, 17(1), pp.1~16 (2000)
- Kim, Y. I, "The affecting factors on breast self-examination (BSE) of Korean", The Journal of Korean Community Nursing, 14(3), pp.496~506 (2003)
- Kim, Y. I, "Factors affecting early detection behaviors of breast cancer", The Journal of Korean Community Nursing, 15(1), pp.155~164 (2004)
- 김영임, "일지역 외래내원여성의 규칙적 유방촬영술에 영향미치는 요인", 지역사회간호학회지, 18(3), pp.420~430 (2007), 지역사회간호학회
- Annual report on the cause of death statistics, "Korea National Statistical Office", ~ (2005)
- "Korea Breast Cancer Foundation"[URL]
- "Korean Breast Cancer Society"[URL]
- Korean Breast Cancer Society, "Nationwide Korean breast cancer data of 2002 The Korean Breast Cancer Society", Journal of Korean Breast Cancer Society, 7, pp.72~83 (2008)
- Korean Breast Cancer Society, "Survival analysis of Korean breast cancer patients diagnosed between 1993 and 2002 in Korea- A nationwide study of the cancer registry", Journal of Breast Cancer, 9(3), pp.214~229 (2006)
- Korean Cancer Association, "Survey results for recognition of womens cancer and effort related to breast cancer prevention", Korea Cancer Association (2007)
- Kwon, J . W, "A survey of knowledge, attitude and practice on early detection of breast cancer", Family Physician, 12(11), pp.44~55 (1991)
- Lee, C. H, "Analysis of factors affecting occupational health nurses' early breast cancer screening", The Journal of Korean Community Nursing, 16(1), pp.68~85 (2005)
- Lietch, A, "American Cancer Society guilelines for the early detection of breast cancer: Update 1997", A cancer Journal for Clinicians, 47, pp.150~153 (1997)
- Maxwell, A. E, "Breast cancer screening and related attitudes among Fillapino-American women", Cancer Epidemiology Biomakers & Prevention, 6(9), pp.719~726 (1997)
- Ministry of Health and Welfare, "National Health And Nutrition Survey 2005", ~ (2006), Seoul
- Ministry of Health and Welfare, "National Health And Nutrition Survey 2001", ~ (2002), Seoul
- "National Cancer Information Center"[URL]
- "National Cancer Information Center"[URL]
- MOHW Cancer Control Team, "Cancer cases by Cancer site" (2007), Sex and Age Group
- Smith, R. A, "American cancer society guidelines for breast cancer screening: update 2003", CA Cancer Journal for Clincian, 53, pp.141~169 (2003)
- Yi, Y. J., "A case-control study on risk factors of breast cancer in Korean women", Journal of Breast Cancer, 9(2), pp.145~150 (2006)
