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일부 중년여성의 유방암 수검행동 변화단계와 인지-행동적 요인간의 관련성 분석

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 v.23 no.2 , 2006년, pp.77 - 89  
김영복 (서남대학교 보건학부)
Abstract

Objectives: Recent studies have shown that tailoring to women's individual beliefs and stage of cancer screening adoption increase the probability that cancer screening will ensue. To identify variables associated with cancer screening behavior, many studies for cancer screening have used the Transtheoretical Model(TTM). This study was carried out to identity the cognitive and behavioral factors associated with breast cancer screening by stages of change among women, forties aged. Methods: Building on the TTM constructs, we collected the data to test the association with cognitive and behavioral factors for breast cancer screening by stage of change among women, forties aged (N=232), using the self-reported questionnaire. The stages of change were grouped according to screening participation and intention for breast cancer as precontemplation, contemplation, preparation, action, and maintenance. We found out the association between breast cancer screening and cognitive and behavioral factors, and testified the difference between stages of change by chi-square test, one-way ANOVA, and multiple comparison analysis(Duncan test). Results: Analyses of 232 women showed that participation on mammography was 68.1% within lifetime and 46.1% within last 2 years, and we found out the association with breast cancer screening participation, intention and cognitive-behavioral factors. The stages of change based on participation and intention were different from the decisional balance, the screening attitude, and the self-efficacy(p<0.01). The decisional balance was differ from stages of change because the difference on opinions about pros(positives) and cons(negative) were likely to significant by stages of change(p<0.05, p<0.01). Conclusion: To increase the screening rate for breast cancer, it should be developed the tailored message and recommend guideline. And the tailored message should be designed to increase the pros of breast cancer screening(mammography) and to decrease the cons, and considered the woman's stage of adoption.

주제어

#Breast Cancer Screening   #Stage of Change   #Cognitive-behavioral Factors  

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참고문헌 (23)

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이 논문을 인용한 문헌 (4)

  1. Jo, Heui-Sug ; Song, Yea-Li-A ; Hong, Seon-Young ; Yoo, Seung-Hyun ; Lee, Jeong-Reol 2007. "Factors Associated with Perticipation in a Walking Campaign" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 24(3): 73~86 
  2. Hur, Hea-Kung ; Kim, Gi-Yon ; Kim, Chang-Hee ; Park, Jong-Ku ; Koh, Sang-Baek ; Park, So-Mi 2009. "Effects of an Integrated Breast Health Program according to Stages of Breast Cancer Risk Appraisal" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 26(1): 15~26 
  3. Kye, Su-Yeon ; Moon, In-Ok 2010. "Development of Analytic Model for Determinants on the Stages of Change in Colorectal Cancer Screening" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 27(2): 79~93 
  4. Ko, Yun-Hee ; Kim, Sue ; Kim, Gwang-Suk ; Chang, Soon-Bok 2011. "Mammography Screening according to Breast Cancer Disease and Social Network Characteristics of Married Korean Women" KJWHN : Korean journal of women health nursing, 17(2): 157~168 

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