유방암 조기검진에 대한 단계별 행동과 관련 요인 -국가암조기검진 대상자를 중심으로-
The Factors Associated with Changes in the Stage of Breast Cancer Screening Behavior among the Woman who are Eligible for the Korean National Cancer Screening Program
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives : This study was performed to evaluate the relationships between psychosocial characteristics and changes in the stage of breast cancer screening behavior. Methods : The 474 study subjects were randomly sampled from 21,459 women (age range, 40-70 years) who were eligible for the Korean National Cancer Screening Program in 2006 in Jinju, Gyeongsangnam-do. The information, including behaviors and sociodemographic characteristics, attitudes, subjective norms and selfefficacy, was collected by trained interviewers via home visits. The breast cancer screening stages were grouped as precontemplation, contemplation, action, maintenance and relapse, according to Rakowski. Results : Of the 474 women, 18.8% were in the precontemplation stage, 23.3% were in the contemplation stage, 13.1% were in the action stage, 36.6% were in the maintenance stage, and 8.2% were in the relapse stage. The distribution of stages was associated with attitude, subjective norms and self-efficacy (p for trend<0.01). To investigate the overall relationship between the variables, we conducted a linear structural equation model analysis based on the theory of planned behavior. The subjective norms and self-efficacy influenced the stage of the women s screening behavior. Conclusions : We should target on self-efficacy about the screening behavior of women by performing timely, thoughtful interventions. The support from family members, friends and other people is crucial for women to undergo breast cancer screening and to improve the breast cancer screening rate.
Abstract
Objectives : This study was performed to evaluate the relationships between psychosocial characteristics and changes in the stage of breast cancer screening behavior. Methods : The 474 study subjects were randomly sampled from 21,459 women (age range, 40-70 years) who were eligible for the Korean National Cancer Screening Program in 2006 in Jinju, Gyeongsangnam-do. The information, including behaviors and sociodemographic characteristics, attitudes, subjective norms and selfefficacy, was collected by trained interviewers via home visits. The breast cancer screening stages were grouped as precontemplation, contemplation, action, maintenance and relapse, according to Rakowski. Results : Of the 474 women, 18.8% were in the precontemplation stage, 23.3% were in the contemplation stage, 13.1% were in the action stage, 36.6% were in the maintenance stage, and 8.2% were in the relapse stage. The distribution of stages was associated with attitude, subjective norms and self-efficacy (p for trend<0.01). To investigate the overall relationship between the variables, we conducted a linear structural equation model analysis based on the theory of planned behavior. The subjective norms and self-efficacy influenced the stage of the women s screening behavior. Conclusions : We should target on self-efficacy about the screening behavior of women by performing timely, thoughtful interventions. The support from family members, friends and other people is crucial for women to undergo breast cancer screening and to improve the breast cancer screening rate.
참고문헌 (40)
- Parkin DM, "Cancer burden in the year 2000: The global picture", Eur J Cancer, 37(8), pp.S4~S66 (2001)
- National Cancer Center, "Annual Report of Cancer Registry" (2007), National Cancer Center
- "Cancer Statistics"[URL]
- Yoon SJ, "Measuring the burden of major cancers due to premature death in Korea", Korean J Prev Med, 33(2), pp.231~238 (2000)
- Kim SG, "The economic burden of cancer in Korea in 2002", Eur J Cancer Care, 17(2), pp.136~144 (2008)
- 김영복, "암 조기검진에 관한 수검행위 변화단계별 수검 특성", 보건과 사회과학, 16, pp.131~153 (2004), 한국보건사회학회
- World Health Organization, "National Cancer Control Programmes: Policies and Managerial Guidelines"
- Thomas EC, "African American women s breast memories, cancer beliefs, and screening behaviors", Cancer Nurs, 27(4), pp.295~302 (2004)
- "A half of the Korean people take a screening test for cancer"[URL]
- Holm CJ, "Health beliefs, health locus of control, and women s mammography behavior", Cancer Nurs, 22(2), pp.149~156 (1999)
- Grindel CG, "The effect of breast cancer screening messages on knowledge, attitudes, perceived risk, and mammography screening of African American women in the rural South", Oncol Nurs Forum, 31(4), pp.801~808 (2004)
- Tu SP, "Breast cancer screening: Stages of adoption among Cambodian American women", Cancer Detect Prev, 26(1), pp.33~41 (2002)
- Champion VL, "Beliefs about breast cancer and mammography by behavioral stage", Oncol Nurs Forum, 21(6), pp.1009~1014 (1994)
- Lee JK, "A study for investigating of predictors of compliance for preventive health behavior: Centered on early detection of cervical cancer", J Korean Acad Nurs, 12(1), pp.25~38 (1982)
- Kim MG, "A study on breast cancer self-examination compliance in the context of health belief model", J Korean Soc Health Educ, 7(1), pp.64~71 (1990)
- 이영휘, "국내여성과 미국이주 한국여성의 유방암에 대한 건강신념과 유방자가검진 비교", Journal of Korean Academy of Nursing, 34(2), pp.307~314 (2004), 한국간호과학회
- 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)
- 김영복, "범이론적 모델(TTM)에 기초한 위암 조기검진 수검행동변화 단계별 수검관련요인에 관한 분석", 보건과 사회과학, 18, pp.25~45 (2005), 한국보건사회학회
- 이혜진, "단계적 행위변화 모형을 이용한 자궁경부암 검진행위 관련요인 분석 -국가 조기 암검진 대상자들을 중심으로-", 예방의학회지, 38(1), pp.82~92 (2005), 대한예방의학회
- Yoo GY, "Incidence of female breast cancer in a defined area in Korea", Korean J Prev Med, 31(4), pp.592~603 (1998)
- 최종숙, "일부 보건소 내소 여성의 유방자가검진과 유방암 검진의 관련요인", 보건교육·건강증진학회지, 18(1), pp.61~78 (2001), 한국보건교육·건강증진학회
- 태영숙, "간호사의 유방자가검진(Breast Self-Examination) 실천 예측요인*", 종양간호학회지, 3(2), pp.122~132 (2003), 대한종양간호학회
- Kim YI, "Factors affecting early detection behaviors of breast cancer", J Korean Community Nurs, 15(1), pp.155~164 (2004)
- 박소미, "일지역여성의 유방암위험요인과 유방암조기검진행위분포", 여성건강간호학회지, 11(1), pp.46~51 (2005), 여성건강간호학회
- Lisrel, "Research Methodology of a Causal Relationship Analysis using Amos", pp.2006, Kim GS
- Bandura A, "Self-efficacy: Toward a unifying theory of behavioral change", Psychol Rev, 84(2), pp.191~215 (1977)
- Rakowski W, "Confirmatory analysis of options regarding the pros and cons of mammography", Health Psychol, 16(5), pp.433~441 (1997)
- Rakowski W, "Women s decision making about mammography: A replication of the relationship between stages of adoption and decisional balance", Health Psychol, 12(3), pp.209~214 (1993)
- Norman P, "The theory of planned behavior and breast self-examination: Distinguishing between perceived control and self-efficacy", J Appl Soc Psychol, 34(4), pp.694~708 (2004)
- Rakowski W, "Assessing elements of women s decisions about mammography", Health Psychol, 11(2), pp.111~118 (1992)
- Chamot E, "Predicting stages of adoption of mammography screening in a general population", Eur J Cancer, 37(15), pp.1869~1877 (2001)
- Lisa FB, "Social Epidemiology" (2000), Oxpord University Press
- Bricker JB, "Close friends , parents , and older siblings smoking: Reevaluating their influence on children s smoking", Nicotine Tob Res, 8(2), pp.217~226 (2006)
- Tolma EL, "Cognitive motivations associated with screening mammography in Cyprus", Prev Med, 36(3), pp.363~373 (2003)
- Lechner L, "Participation in a breast cancer screening program: Influence of past behavior and determinants on future screening participation", Prev Med, 26(4), pp.473~482 (1997)
- Yu MY, "Factors influencing mammography screening of Chinese American women", J Obstet Gynecol Neonatal Nurs, 34(3), pp.386~394 (2005)
- Steele S, "Questionnaire development to predict mammography intention among women in southeastern Louisiana", J Nurs Meas, 13(1), pp.23~37 (2005)
- Steele SK, "Testing the theory of planned behavior to predict mammography intention", Nurs Res, 54(5), pp.332~338 (2005)
- Hunter MS, "Helpseeking intentions for breast-cancer symptoms:a comparison of the self-regulation model and the theory of planned behaviour", Br J Health Psychol, 8(3), pp.319~333 (2003)
- Muthen B, "A general structural equation model with dichotomous, ordered categorical, and continuous latent variable indicators", Psychometrika, 49(1), pp.115~132 (1984)