본문 바로가기
KERD
논문KCI 등재

국가 암 조기검진 대상자의 암 검진 수검의도 관련 요인

Factors Associated with Cancer Screening Intention in Eligible Persons for National Cancer Screening Program

2

조회

0

다운로드

32

인용

0

참고문헌

키워드

초록

Objectives: To identify factors associated with cancer screening intention using the Theory of Planned Behavior (TPB). Methods: Among 55,920 eligible persons for National Cancer Screening Program (NCSP) in J city, 1,100 individuals were contacted. Of these, 797 were interviewed using a structured questionnaire. Thirty-six responses were excluded due to incomplete data. The remaining 761 completed questionnaires were analyzed to find factors associated with cancer screening intention. Results: Cancer screening intention was significantly associated with behavioral attitude (p<0.01) and subjective norm (p<0.01), but not with perceived behavioral control (p=0.29) in the TPB model. These three constructs explained 29.7% of cancer screening intention in multiple linear regression analysis. External factors such as socio-demographic status, health and health behavior variables explained 8.9% of screening intention. Among them, household monthly income, past cancer screening experience, exercise and daily eating habit were significantly associated with screening intention. Conclusions: Cancer screening intention may be influenced by focusing attitude, subjective norm in TPB model and other external factors. However, further studies are warranted to identify factors influencing cancer screening intention and behavior.

Abstract

Objectives: To identify factors associated with cancer screening intention using the Theory of Planned Behavior (TPB). Methods: Among 55,920 eligible persons for National Cancer Screening Program (NCSP) in J city, 1,100 individuals were contacted. Of these, 797 were interviewed using a structured questionnaire. Thirty-six responses were excluded due to incomplete data. The remaining 761 completed questionnaires were analyzed to find factors associated with cancer screening intention. Results: Cancer screening intention was significantly associated with behavioral attitude (p<0.01) and subjective norm (p<0.01), but not with perceived behavioral control (p=0.29) in the TPB model. These three constructs explained 29.7% of cancer screening intention in multiple linear regression analysis. External factors such as socio-demographic status, health and health behavior variables explained 8.9% of screening intention. Among them, household monthly income, past cancer screening experience, exercise and daily eating habit were significantly associated with screening intention. Conclusions: Cancer screening intention may be influenced by focusing attitude, subjective norm in TPB model and other external factors. However, further studies are warranted to identify factors influencing cancer screening intention and behavior.

참고문헌 (34)

  1. Organization for Economic Cooperation and Development, "OECD Health Data, 2008 Statistics and Indicators" (2008), Organization for Economic Cooperation and Development
  2. Korea National Statistical Office, "2002-2007 Yearbook on Health and Welfare Statistiscs", ~ (2007)
  3. World Health Organization, "International Agency for Research on Cancer" (2003), World Cancer Report
  4. "Prevention and screening for cancer"[URL]
  5. National Cancer Center, "2008 Survey of Cancer Screening Rates in Korea People" (2008), National Cancer Center
  6. "Cancer trends progress report - 2007 update"[URL]
  7. "Cancer screening annual review 2007"[URL]
  8. Bae SS, "Health-related behaviors: Theoretical models and research findings", Korean J Prev Med, 26(4), pp.508~533 (1993)
  9. "Construting a TpB questionnaire : Conceptual and methodological consideration"[URL]
  10. Fazekas A, "Predictors of intention to use condoms among university women: An application and extension of the theory of planned behavior", Can J Behav Sci, 33(2), pp.103~117 (2001)
  11. Simsekoglu O, "Social psychology of seat belt use: A comparison of theory of planned behavior and health belief model", Transport Res Part F, 11(3), pp.181~191 (2008)
  12. Cha ES, "Evaluating the theory of planned behavior to explain intention to engage in premarital sex amongst Korean college students: A questionnaire survey", Int J Nurs Stud, 44(7), pp.1147~1157 (2007)
  13. Feng JY, "Nurses’intention to report child abuse in Taiwan: A test of the theory of planned behavior", Res Nurs Health, 28(4), pp.337~347 (2005)
  14. Tolma EL, "Examining the theory of planned behavior and the construct of selfefficacy to predict mammography intention", Health Educ Behav, 33(2), pp.233~251 (2006)
  15. Armitage CJ, "Efficacy of the theory of planned behaviour: A meta-analytic review", Br J Soc Psychol, 40(4), pp.471~499 (2001)
  16. 곽민선, "암 검진 수검에 영향을 주는 요인", 예방의학회지, 38(4), pp.473~481 (2005), 대한예방의학회
  17. 함명일, "향후 2년 이내의 위암 검진 이용 의도의 예측 요인", 예방의학회지, 40(3), pp.205~212 (2007), 대한예방의학회
  18. 한창현, "계획된 행동이론을 이용한 일반질환 유소견 근로자의 의료이용 모형연구", 대한직업환경의학회지, 18(4), pp.284~297 (2006), 대한직업환경의학회
  19. Katz MH, "Multivariable Analysis. A Practical Guide for Clinicians. 2nd ed", pp.66~ (1999), Cambridge University Press
  20. Rutter DR, "Attendance and reattendance for berast cancer screening: A prospective 3-year test of the theory of planned behaviour", Br J Health Psychol, 5, pp.1~13 (2000)
  21. Rimer BK, "Theory at a Glance: A Guide for Health Promotion Practice. 2nd ed", pp.15~18 (2005), Department of Health and Human Services
  22. Lisrel, "Research Methodology of a Causal Relationship Analysis using Amos", pp.2006, Kim GS
  23. Myers RE, "Factors associated with intention to undergo annual prostate cancer screening among African American men in Philadelphia", Cancer, 78(3), pp.471~479 (1996)
  24. Lee KS, "Application of the theory of planned behavior and the theory of reasoned action to predicting cervix cancer screening behavior", Korean J Prev Med, 34(4), pp.379~388 (2001)
  25. 함명일, "병원건강증진서비스에 대한 의료소비자의 이용의도", 예방의학회지, 36(2), pp.3~116 (2003), 대한예방의학회
  26. 최귀선, "국가 암조기검진사업 성과에 영향을 미치는 요인-보건소 및 사업실무자 특성을 중심으로-", 예방의학회지, 37(3), pp.246~252 (2004), 대한예방의학회
  27. Rothengatter T, "The Role of Subjective Norm in Predicting the Intention to Commit Traffic Violation. Traffic and Transport Psychology", pp.389~394 (1997), Theory and Application
  28. Ajzen I, "Perceived behavioural control, self-efficacy, locus of control, and the theory of planned behavior", J Appl Soc Psychol, 32(4), pp.665~683 (2002)
  29. Devellis BM, "Predicting participation in cancer screening: The role of perceived behavioral control", J Appl Soc Psychol, 20(8), pp.639~660 (2006)
  30. Drossaert CHC, "Prospective study on the determinants of repeat attendance and attendance patterns in breast cancer screening using the theory of planned behaviour", Psychol Health, 18(5), pp.551~565 (2003)
  31. Orbell S, "Comparing two theories of health behavior: A prospective study of noncompletion of treatment following cervical cancer screening", Health Psychol, 25(5), pp.604~615 (2006)
  32. Cullen KW, "Measuring stage of change for fruit and vegetable consumption in 9- to 12- year-old girls", J Behav Med, 21(3), pp.241~254 (1998)
  33. Prislin R, "Immunization status and socio-demographic characteristics: The mediating role of beliefs, attiutude, and perceived control", Am J Public Health, 88(12), pp.1821~1826 (1999)
  34. Paul S, "The dimensional structure of the perceived behavioral control construct", J Appl Soc Pshychol, 27(5), pp.418~438 (1997)

관련 논문AI추천

이 간행물의 다른 논문 (9건)