국가 암 조기검진 대상자의 암 검진 수검의도 관련 요인 = Factors Associated with Cancer Screening Intention in Eligible Persons for National Cancer Screening Program

다국어 초록 (Multilingual Abstract)

Objectives: To identify factors associated with cancer screening intention using the Theory of Planned Behavior (TPB). Methods: Among 55,920 eligible persons for National Cancer Screening Program (NCSP) in J city, 1,100 individuals were contacted. Of these, 797 were interviewed using a structured questionnaire. Thirty-six responses were excluded due to incomplete data. The remaining 761 completed questionnaires were analyzed to find factors associated with cancer screening intention. Results: Cancer screening intention was significantly associated with behavioral attitude (p<0.01) and subjective norm (p<0.01), but not with perceived behavioral control (p=0.29) in the TPB model. These three constructs explained 29.7% of cancer screening intention in multiple linear regression analysis. External factors such as socio-demographic status, health and health behavior variables explained 8.9% of screening intention. Among them, household monthly income, past cancer screening experience, exercise and daily eating habit were significantly associated with screening intention. Conclusions: Cancer screening intention may be influenced by focusing attitude, subjective norm in TPB model and other external factors. However, further studies are warranted to identify factors influencing cancer screening intention and behavior.

참고문헌 (Reference)

1 함명일, "향후 2년 이내의 위암 검진 이용 의도의 예측 요인" 대한예방의학회 40 (40): 205-212, 2007

2 곽민선, "암 검진 수검에 영향을 주는 요인" 대한예방의학회 38 (38): 473-481, 2005

3 함명일, "병원건강증진서비스에 대한 의료소비자의 이용의도" 대한예방의학회 36 (36): 3-116, 2003

4 최귀선, "국가 암조기검진사업 성과에 영향을 미치는 요인-보건소 및 사업실무자 특성을 중심으로-" 대한예방의학회 37 (37): 246-252, 2004

5 한창현, "계획된 행동이론을 이용한 일반질환 유소견 근로자의 의료이용 모형연구" 대한직업환경의학회 18 (18): 284-297, 2006

6 Rimer BK, "Theory at a Glance: A Guide for Health Promotion Practice. 2nd ed" Department of Health and Human Services 15-18, 2005

7 Paul S, "The dimensional structure of the perceived behavioral control construct" 27 (27): 418-438, 1997

8 Rothengatter T, "The Role of Subjective Norm in Predicting the Intention to Commit Traffic Violation. Traffic and Transport Psychology" Theory and Application 389-394, 1997

9 Simsekoglu O, "Social psychology of seat belt use: A comparison of theory of planned behavior and health belief model" 11 (11): 181-191, 2008

10 Kim GS, "Research Methodology of a Causal Relationship Analysis using Amos/Lisrel" Cheong-Rham Co 2006

11 Drossaert CHC, "Prospective study on the determinants of repeat attendance and attendance patterns in breast cancer screening using the theory of planned behaviour" 18 (18): 551-565, 2003

12 National Cancer Information Center, "Prevention and screening for cancer"

13 Fazekas A, "Predictors of intention to use condoms among university women: An application and extension of the theory of planned behavior" 33 (33): 103-117, 2001

14 Devellis BM, "Predicting participation in cancer screening: The role of perceived behavioral control" 20 (20): 639-660, 2006

15 Ajzen I, "Perceived behavioural control, self-efficacy, locus of control, and the theory of planned behavior" 32 (32): 665-683, 2002

16 Organization for Economic Cooperation and Development, "OECD Health Data, 2008 Statistics and Indicators" Organization for Economic Cooperation and Development 2008

17 Feng JY, "Nurses’intention to report child abuse in Taiwan: A test of the theory of planned behavior" 28 (28): 337-347, 2005

18 Katz MH, "Multivariable Analysis. A Practical Guide for Clinicians. 2nd ed" Cambridge University Press 66-, 1999

19 Cullen KW, "Measuring stage of change for fruit and vegetable consumption in 9- to 12- year-old girls" 21 (21): 241-254, 1998

20 World Health Organization, "International Agency for Research on Cancer" World Cancer Report 2003

21 Prislin R, "Immunization status and socio-demographic characteristics: The mediating role of beliefs, attiutude, and perceived control" 88 (88): 1821-1826, 1999

22 Bae SS, "Health-related behaviors: Theoretical models and research findings" 26 (26): 508-533, 1993

23 Myers RE, "Factors associated with intention to undergo annual prostate cancer screening among African American men in Philadelphia" 78 (78): 471-479, 1996

24 Tolma EL, "Examining the theory of planned behavior and the construct of selfefficacy to predict mammography intention" 33 (33): 233-251, 2006

25 Cha ES, "Evaluating the theory of planned behavior to explain intention to engage in premarital sex amongst Korean college students: A questionnaire survey" 44 (44): 1147-1157, 2007

26 Armitage CJ, "Efficacy of the theory of planned behaviour: A meta-analytic review" 40 (40): 471-499, 2001

27 Ajzen I, "Construting a TpB questionnaire : Conceptual and methodological consideration"

28 Orbell S, "Comparing two theories of health behavior: A prospective study of noncompletion of treatment following cervical cancer screening" 25 (25): 604-615, 2006

29 USA, National Cancer Institute, "Cancer trends progress report - 2007 update"

30 NHS Cancer Screening Programmes, "Cancer screening annual review 2007"

31 Rutter DR, "Attendance and reattendance for berast cancer screening: A prospective 3-year test of the theory of planned behaviour" 5 : 1-13, 2000

32 Lee KS, "Application of the theory of planned behavior and the theory of reasoned action to predicting cervix cancer screening behavior" 34 (34): 379-388, 2001

33 National Cancer Center, "2008 Survey of Cancer Screening Rates in Korea People" National Cancer Center 2008

34 Korea National Statistical Office, "2002-2007 Yearbook on Health and Welfare Statistiscs"