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논문 상세정보

단계적 행위변화 모형을 이용한 자궁경부암 검진행위 관련 요인 분석 - 국가 조기 암검진 대상자들을 중심으로

Analysis of Behavioral Stage in Pap Testing by Using Transtheoretical Model

Abstract

Objective : To evaluate the relationships among sociodemographic characteristics, health behaviors, levels of pros and cons and stages of change in Pap testing for uterine cervical cancer. Methods : A questionnaire survey was performed on 560 randomly sampled people who were assigned to participate in a Pap testing program by the National Cancer Screening Project in 2003' between 25 September and 10 October in Gyeonggi, Korea. Data about the behaviors and intentions of Pap testing, sociodemographic characteristics, health behaviors, and levels of acknowledged benefit (pros) and barrier (cons) for Pap testing was collected. The stages of change were grouped according to behaviors and intentions of Pap testing as passive, active, and relapse. Results : Logistic analysis between the passive and active groups showed that city dwellers, 'high' and 'middle' groups in terms of the individual s health belief, those who had undergone a health examination within the past 2 years, and those who had undergone hormone replacement therapy had a higher odds ratios to be in the active group. As the 'benefit' scores increased and the 'Unnecessity' scores decreased, the probabilities to be in the active group increased. According to the logistic analysis results between the active and relapse groups, those who were 60 years or older, members of the National Heath Insurance, and those who had not undergone a health examination within the past 2 years had a higher odds ratio to be in the relapse group. The 'Benefit' scores were not significant in this relationship. The probabilities of being in the relapse group increased as the Unnecessity and 'Shamefulness' scores increased. Conclusions : In conclusion, health planners should inform women in the passive group of the benefits and necessity of Pap testing. It would be better to reduce the barriers to the active group of undergoing Pap smear. This study might be a useful guide for future planning of Pap testing program.

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이 논문을 인용한 문헌 (5)

  1. Kwak, Min-Son ; Sung, Na-Young ; Yang, Jeong-Hee ; Park, Eun-Cheol ; Choi, Kui-Son 2006. "Women's Willingness to Pay for Cancer Screening" Journal of preventive medicine and public health = 예방의학회지, 39(4): 331~338 
  2. Kim Young-Bok 2006. "Analysis on Cognitive and Behavioral Factors Associated with the Stage of Change on Breast Cancer Screening Behavior among Women in a Community" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 23(2): 77~89 
  3. Bae, Sang-Soo ; Jo, Heui-Sug ; Kim, Dong-Hyun ; Choi, Yong-Jun ; Lee, Hun-Jae ; Lee, Tae-Jin ; Lee, Hye-Jean 2008. "Factors Associated with Gastric Cancer Screening of Koreans Based on a Socio-ecological Model" Journal of preventive medicine and public health = 예방의학회지, 41(2): 100~106 
  4. Son, Hyo-Kyung ; Kam, Sin ; Park, Ki-Soo ; Kim, Jang-Rak ; Kim, Rock-Bum ; Park, Sun-Kyun 2009. "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" Journal of preventive medicine and public health = 예방의학회지, 42(2): 109~116 
  5. Kim, Yoo-Mi ; Park, Jong-Ho ; Kim, Won-Joong 2013. "Analysis of Utilization Characteristics, Health Behaviors and Health Management Level of Participants in Private Health Examination in a General Hospital" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 14(1): 301~311 

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