본문 바로가기
KERD
논문KCI 등재

시민들의 암검진 실천 단계변화와 영향요인: 예방책 채택과정 모형 및 건강믿음모형의 통합적 활용

Integrating the Precaution Adoption Process Model and the Health Belief Model to Assess Cancer Screening Readiness among Korean Adults

강민정|이명순
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2011.09|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제28권 제3호|pp. 83-98

2

조회

0

다운로드

5

인용

0

참고문헌

키워드

Health Belief Model (HBM)Cancer screeningKorean adultPrecaution Adoption Process Model (PAPM)Stage of readiness
주제분류예방의학/직업환경의학

초록

This study aims to assess the stages of individual readiness to take the cancer screening test and to identify factors relating to the progress of their readiness to take the test. Methods: We analyzed the data acquired from our ‘Cancer Screening Behavior among Korean Adults’ Survey’ in 2003. 1,057 participants’ stages of readiness to take the cancer screening test were classified through the Precaution Adoption Process Model (PAPM). Their knowledge, beliefs and other factors related to cancer screening were examined at each PAPM stage through the Health Belief Model (HBM), and the various PAPM stages were compared with each other to identify factors likely to determine progress between stages. Results: The distribution of the PAPM stages of readiness for cancer screening was as follows: 18.9% were unaware; 9.7% were unengaged; 29.8% were deciding to take the test; 1.5% decided not to take the test; 11.6%decided to take the test, while 28.6% had taken the test. The factors likely to determine progress from one to another stage were ‘Knowledge’, ‘Perceived susceptibility’, ‘Perceived benefits’, ‘Perceived barriers’ and ‘Family member’s experience of cancer screening’. Conclusion: This study can be used to develop health promotion programs that enhance cancer screening behavior in Korea.

Abstract

This study aims to assess the stages of individual readiness to take the cancer screening test and to identify factors relating to the progress of their readiness to take the test. Methods: We analyzed the data acquired from our ‘Cancer Screening Behavior among Korean Adults’ Survey’ in 2003. 1,057 participants’ stages of readiness to take the cancer screening test were classified through the Precaution Adoption Process Model (PAPM). Their knowledge, beliefs and other factors related to cancer screening were examined at each PAPM stage through the Health Belief Model (HBM), and the various PAPM stages were compared with each other to identify factors likely to determine progress between stages. Results: The distribution of the PAPM stages of readiness for cancer screening was as follows: 18.9% were unaware; 9.7% were unengaged; 29.8% were deciding to take the test; 1.5% decided not to take the test; 11.6%decided to take the test, while 28.6% had taken the test. The factors likely to determine progress from one to another stage were ‘Knowledge’, ‘Perceived susceptibility’, ‘Perceived benefits’, ‘Perceived barriers’ and ‘Family member’s experience of cancer screening’. Conclusion: This study can be used to develop health promotion programs that enhance cancer screening behavior in Korea.

참고문헌 (27)

  1. Blalock, S.J., "Effects of educational materials concerning osteoporosis on women’ knowledge, beliefs, and behavior", American Journal of Health Promotion, 14(3), pp.161~169 (2000)
  2. Choi, J.S, "The behavioral and educational factors affecting the breast self-examination and breast cancer screening", Journal of Korean Society of Health Education and Promotion, 18(1), pp.61~77 (2001)
  3. Costanza, M.E., "Applying a stage model of behavior change to colon cancer screening", Preventive Medicine, 41, pp.707~719 (2005)
  4. "2010 Cancer screening rate of national cancer control program in Korea"[URL]
  5. Glanz K., "Health behavior and health education: Theory, research, and practice (3rd ed)" (2002), Jossey-Bass
  6. Glanz, K., "Effects of colon cancer risk counseling for first-degree relatives", Cancer Epidemiology, Biomarkers & Prevention, 16, pp.1485~1491 (2007)
  7. Green., L.W, "Health program planning: An educational and ecological approach (4th ed.)" (2005), McGraw Hill
  8. Hay, J.L., "Adherence to colorectal cancer screening in mammography-adherent older women", Journal of Behavioral Medicine, 26(6), pp.553~576 (2003)
  9. James, A.S., "Perceived barriers and benefits to colon cancer screening among African Americans in North Carolina: How does perception relate to screening behaviors", Cancer Epidemiology, Biomarkers & Prevention, 11, pp.529~534 (2002)
  10. Janz, N.K., "The health belief model, In Health behavior and health education: Theory, research, and practice (3rd ed.)", pp.45~66 (2002), Jossey-Bass
  11. 김민경, "원주지역 주민의 암 검진에 미치는 요인 분석", 보건교육건강증진학회지, 23(3), pp.85~97 (2006), 한국보건교육건강증진학회
  12. Korea Center for Disease Control and Prevention, "2009 National health statistics: The results of Korea National Health and Nutrition Examination Surveys IV (NHANES IV)" (2010), Ministry of Health & Welfare, Korea Center for Disease Control & Prevention
  13. 계수연, "위암검진행태단계의 관련요인: PAPM을 적용하여", 보건교육건강증진학회지, 23(4), pp.29~45 (2006), 한국보건교육건강증진학회
  14. Lee,M.S, "Theoretical approaches to facilitate health promotion practice in primary health care setting", Korean Journal of Family Medicine, 20(10), pp.1179~1196 (1999)
  15. Lee, M.S., "Development and educational program to facilitate cancer prevention and early detection in national cancer control programs" (2004), National Cancer Center
  16. 이명순, "예방책 채택과정 모형을 활용한 일반시민들의 암 검진 행태조사", Korean Journal of Family Medicine, 27(1), pp.48~58 (2006), 대한가정의학회
  17. Mauck, K.F., "The decision to accept treatment for osteoporosis following hip fracture: Exploring the woman’s perspective using a stage-of-change model", Osteoporosis International, 13, pp.560~564 (2002)
  18. Ministry of Health and Welfare, "A guide for national cancer control program in 2011" (2011), ministry of health and welfare
  19. Ministry of Health and Welfare, "“ancer survival rate increased from 50.8% in 2005 to 57.1% in 2007.”§", The Ministry of Health and Welfare press release, ~ (2007)
  20. "2008 Cancer incidence rate in Korea"[URL]
  21. "National Cancer Control Program"[URL]
  22. 박경연, "유방자가검진 이행정도별 건강신념의 차이와 이행요인", 기본간호학회지, 16(4), pp.472~480 (2009), 기본간호학회
  23. Prochaska, J.O, "The transtheoretical model and stages of change, In Health behavior and health education: Theory, research, and practice (3rd ed.)", pp.99~120 (2002), Jossey-Bass
  24. Report on the cause of death statistics in 2009, "Statistics Korea", Statistics Korea, ~ (2010)
  25. Weinstein N.D., "Experimental evidence for stages of health behavior change: The precaution adoption process model applied to home radon testing", Health psychology, 17(5), pp.445~453 (1998)
  26. Weinstein, N.D., "The precaution adoption process model, in Health behavior and health education: Theory, research, and practice (3rd ed.)", pp.121~143 (2002), Jossey-Bass
  27. World Health Organization, "National cancer control programmes: Policies and managerial guidelines (2nd ed.)" (2002), World Health Organization

관련 논문AI추천

예방책 채택과정 모형을 활용한 일반시민들의 암 검진 행태조사이명순대한가정의학회 · Korean Journal of Family Medicine2006 · 제27권 제1호유방암 조기검진에 대한 단계별 행동과 관련 요인 -국가암조기검진 대상자를 중심으로-감신, 김록범, 김장락, 박기수, 박선균, 손효경대한예방의학회 · 예방의학회지2009 · 제42권 제2호한국 성인의 암 수검 관련 요인에 대한 선행 연구 고찰김홍수, 정영일, 최대성대한임상건강증진학회 · Korean Journal of Health Promotion2010 · 제10권 제4호국가 암 조기검진 대상자의 암 검진 수검의도 관련 요인김록범, 김장락, 박기수, 이철헌, 홍대용대한예방의학회 · 예방의학회지2010 · 제43권 제1호비전문건강조언자를 활용한 암검진 독려사업의 효과감신, 김건엽, 김기수, 배상근, 이원기, 장지현, 홍남수한국보건정보통계학회 · 보건정보통계학회지2016 · 제41권 제1호대장암검진 수검 결정요인 분석모형 개발계수연, 문인옥한국보건교육건강증진학회 · 보건교육건강증진학회지2010 · 제27권 제2호

이 간행물의 다른 논문 (8건)

자녀와 학부모의 간접흡연예방 연계교육 프로그램의 효과정구철, 신성례, 김희수pp. 1-15만성질환 노인의 건강관리 프로그램 참여 경험김정수pp. 17-29계층 분석법을 적용한 부산시 건강도시 사업의 우선순위 설정윤태호, 정규석, 김윤희, 김건엽, 정백근, 최민혁pp. 31-42아동·청소년 비만 예방을 위한 인구기반 예방 전략 개발: WHO 모형의 적용이은영, 김혜련, 김기랑pp. 43-55한국형 건강정보이해능력 측정도구(Korean Health Literacy Assessment Tool)의 비교 및 개선 방안최은혜라, 제민지, 한흥식, 이수현, 박병규, 김성수pp. 57-65
원문 보기