유방암 검진 미수검자의 검진의도 관련 요인
Predictors of Intention to Undergo Mammography among Underutilizers
1
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objectives: To identify the factors associated with the intention to undergo mammography among Korean women without a prior screening experience. Methods: Among 1,039 women of the general population, we selected 145 women (mean age: 54.2 years, age range : 40-78 years) without any prior experience with mammography. They were recruited for the 'Cancer Information Needs Assessment Survey' by using the method of random multi-stage cluster sampling. Data on the socio-demographic characteristics, intention to undergo mammography based on the Precaution Adoption Process Model, level of self belief and self efficacy for breast cancer screening, motivation for decision to undergo breast cancer screening were obtained by conducting a household survey. Results: Of the study subjects, 49.7% were classified as "unengaged" and "decided not to act" regarding breast cancer screening. Women with the intention to undergo mammography were more likely to be younger (OR 0.11, 95%CI 0.04-0.36), to have been recommended to undergo screening by others (OR 3.27, 95%CI 1.36-7.87), to have a high level of perceived sensitivity (OR 3.15, 95%CI 1.27-7.82), and to have a high level of self efficacy (OR 1.09, 95%CI 0.97-1.23). Exposure to campaigns and information regarding breast cancer screening, whether cancer patients are or not in around, perceived severity, perceived benefit, and perceived cost were factors that were not significantly associated with the intention to undergo mammography. Conclusions: It is necessary to develop tailored intervention strategies for women who have never undergone breast cancer screening on the basis of their demographic characteristics and factors that positively influence the intention to undergo mammography.
Abstract
Objectives: To identify the factors associated with the intention to undergo mammography among Korean women without a prior screening experience. Methods: Among 1,039 women of the general population, we selected 145 women (mean age: 54.2 years, age range : 40-78 years) without any prior experience with mammography. They were recruited for the 'Cancer Information Needs Assessment Survey' by using the method of random multi-stage cluster sampling. Data on the socio-demographic characteristics, intention to undergo mammography based on the Precaution Adoption Process Model, level of self belief and self efficacy for breast cancer screening, motivation for decision to undergo breast cancer screening were obtained by conducting a household survey. Results: Of the study subjects, 49.7% were classified as "unengaged" and "decided not to act" regarding breast cancer screening. Women with the intention to undergo mammography were more likely to be younger (OR 0.11, 95%CI 0.04-0.36), to have been recommended to undergo screening by others (OR 3.27, 95%CI 1.36-7.87), to have a high level of perceived sensitivity (OR 3.15, 95%CI 1.27-7.82), and to have a high level of self efficacy (OR 1.09, 95%CI 0.97-1.23). Exposure to campaigns and information regarding breast cancer screening, whether cancer patients are or not in around, perceived severity, perceived benefit, and perceived cost were factors that were not significantly associated with the intention to undergo mammography. Conclusions: It is necessary to develop tailored intervention strategies for women who have never undergone breast cancer screening on the basis of their demographic characteristics and factors that positively influence the intention to undergo mammography.
참고문헌 (40)
- 계수연, "위암검진행태단계의 관련요인: PAPM을 적용하여", 보건교육·건강증진학회지, 23(4), pp.29~45 (2006), 한국보건교육·건강증진학회
- 국가암관리사업의 지원 및 평가. 국민건강증진기금보고서, "국립암센터", ~ (2008)
- 김태경, "일 지역 여성의 유방촬영술 수검의도 예측모형 구축", 박사, pp.2008
- 보건복지가족부, "2008년도 국가암조기검진사업안내", ~ (2008)
- 국가암등록사업 연례보고서, "보건복지가족부", ~ (2008)
- 이건세, "행동 이론을 이용한 자궁암 조기검진의 예측 분석", 박사, pp.1999
- "국가통계포털", 통계청[URL]
- 최종숙, "일부 보건소 내소 여성의 유방자가검진과 유방암 검진의 관련요인", 보건교육·건강증진학회지, 18(1), pp.61~78 (2001), 한국보건교육·건강증진학회
- 한미연, "직장여성의 유방암 검진행위 분석", 여성건강간호학회지, 12(4), pp.363~370 (2006), 여성건강간호학회
- Brenes GA, "Predictors of stage of adoption for colorectal cancer screening", Prev Med, 31(4), pp.410~416 (2000)
- Champion V, "Revised susceptibility, benefits, and barriers scale for mammography screening", Res Nurs Health, 22(4), pp.341~348 (1999)
- Champion V, "Development of a self-efficacy scale for mammography", Research in Nursing & Health, 28, pp.329~336 (2005)
- Clemow L, "Underutilizers of mammography screening today: characteristics of women planning, undecided about, and not planning a mammogram", Ann Behav Med, 22(1), pp.80~88 (2000)
- Costanza ME, "Applying a stage model of behavior change to colon cancer screening", Prev Med, 41(3), pp.707~719 (2005)
- Coughlin SS, "Breast and colorectal cancer screening and sources of cancer information among older women in the United States: results from the 2003 Health Information National Trends Survey", Preventing Chronic Disease, 4(3), pp.1~12 (2007)
- Dundar PE, "The knowledge and attitude of BSE and mammography in a group of women in a rural area in western Turkey", BMC Cancer, 6(43), pp.1~9 (2006)
- Fulton JP, "Determinants of breast cancer screening among inner-city Hispanic women in comparison with other inner-city women", Public Health Reports, 110(4), pp.476~481 (1995)
- Hahm MI, "Personal background and cognitive factors as predictors of the intention to be screened for stomach cancer", Cancer Epidemiol Biomarkers Prev, 17(9), pp.2473~2479 (2008)
- Honda K, "Factors associated with colorectal cancer screening among the US urban Japanese population", Am J Public Health, 94(5), pp.815~822 (2004)
- Honda K, "Cognitive mediators linking social support networks to colorectal cancer screening adherence", J Behav Med, 29(5), pp.449~460 (2006)
- James AS, "Perceived barriers and benefits to colon cancer screening among african americans in north carolina:how does perception relate to screening behavior?", Cancer Epidemiology, Biomarkers & Prevention, 11, pp.529~534 (2002)
- Janz NK, "Colorectal cancer screening attitudes and behavior: a population-based study", Preventive Medicine, 37, pp.627~634 (2003)
- Juon HS, "Breast and cervical cancer screening among Korean American elderly women", Eur J Oncol Nurs, 6(4), pp.228~235 (2002)
- Kuroishi T, "Effectiveness of mass screening for breast cancer in Japan", Breast Cancer, 7(1), pp.1~8 (2000)
- Lee EH, "Translation and validation of Champion's Health Belief Model scale with Korean women", Cancer Nursing, 25(5), pp.391~395 (2002)
- Manne S, "Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer", Health Psychol, 21(1), pp.3~15 (2002)
- Menon U, "Health belief model variables as predictors of progression in stage of mammography adoption", Am J Health Promot, 21(4), pp.255~261 (2007)
- "Cancer Trends Progress Report"[URL]
- O'Neill SC, "Intentions to maintain adherence to mammography", J Womens Health, 17(7), pp.1133~1141 (2008)
- Puliti D, "Effectiveness of service screening: a case–control study to assess breast cancer mortality reduction", British Journal of Cancer, 99, pp.423~427 (2008)
- Rakowski W, "Increasing mammography among women aged 40-74 by use of a stage-matched, tailored intervention", Preventive Medicine, 27, pp.748~756 (1998)
- Russell KM, "Differences in health and cultural beliefs by stage of mammography screening adoption in African American women", Cancer, 109(2), pp.386~395 (2007)
- Sarkela T, "Performance and effectiveness of organised breast cancer screening in Finland", Acta Oncologica, 47, pp.1618~ (2008)
- Shim M, "Cancer information scanning and seeking behavior is associated with knowledge, lifestyle choices and screening", Journal of Health Communication, 11, pp.157~172 (2006)
- Soskolne VS, "Beliefs, recommendations and intentions are important explanatory factors of mammography screening behavior among Muslim Arab women in Israel", Health Educ Res, 22(5), pp.665~676 (2007)
- Sutton S, "Prospective study of predictors of attendance for breast screening in inner London", J Epidemiol Community Health, 48(1), pp.65~73 (1994)
- Tolma EL, "Examining the theory of planned behavior and the construct of self-efficacy to predict mammography intention", Health Educ Behav, 33(2), pp.233~251 (2006)
- Trauth JM, "Using the transtheoretical model to stage screening behavior for colorectal cancer", Health Education & Behavior, 30(3), pp.322~336 (2003)
- Weinstein ND, "The precaution adoption process model", Health Psychology, 7, pp.355~386 (1988)
- Yarbrough SS, "Utility of health belief model as a guide for explaining or predicting breast cancer screening behaviors", Journal of Advanced Nursing, 33(5), pp.677~688 (2001)