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J Prev Med Public Health > Volume 42(2); 2009 > Article
Journal of Preventive Medicine and Public Health 2009;42(2): 109-116. doi: https://doi.org/10.3961/jpmph.2009.42.2.109
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.
Hyo Kyung Son, Sin Kam, Ki Soo Park, Jang Rak Kim, Rock Bum Kim, Sun Kyun Park
1Department of Preventive Medicine, School of Medicine, Kyungpook National University, Korea.
2Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University, Korea. parkks@gnu.ac.kr
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 self-efficacy, 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.
Key words: Breast cancer; Screening behavior; Theory of planned behavior; Self-efficacy
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