RISS 검색 - 국내학술지논문 상세보기

다국어 초록 (Multilingual Abstract)

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.

참고문헌 (Reference)

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2 최종숙, "일부 보건소 내소 여성의 유방자가검진과 유방암 검진의 관련요인" 한국보건교육·건강증진학회 18 (18): 61-78, 2001

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4 김영복, "범이론적 모델(TTM)에 기초한 위암 조기검진 수검행동변화 단계별 수검관련요인에 관한 분석" 한국보건사회학회 18 : 25-45, 2005

5 이혜진, "단계적 행위변화 모형을 이용한 자궁경부암 검진행위 관련요인 분석 -국가 조기 암검진 대상자들을 중심으로-" 대한예방의학회 38 (38): 82-92, 2005

6 이영휘, "국내여성과 미국이주 한국여성의 유방암에 대한 건강신념과 유방자가검진 비교" 한국간호과학회 34 (34): 307-314, 2004

7 태영숙, "간호사의 유방자가검진(Breast Self-Examination) 실천 예측요인*" 대한종양간호학회 3 (3): 122-132, 2003

8 Rakowski W, "Women s decision making about mammography: A replication of the relationship between stages of adoption and decisional balance" 12 (12): 209-214, 1993

9 Norman P, "The theory of planned behavior and breast self-examination: Distinguishing between perceived control and self-efficacy" 34 (34): 694-708, 2004

10 Grindel CG, "The effect of breast cancer screening messages on knowledge, attitudes, perceived risk, and mammography screening of African American women in the rural South" 31 (31): 801-808, 2004