Black M E, Stein K F, Loveland-Cherry C J
School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Health Educ Behav. 2001 Apr;28(2):200-16. doi: 10.1177/109019810102800206.
This study sought to explore the contribution of the self-concept to older women's adherence to regular mammography screening behavior. The PRECEDE and health belief model concepts were incorporated with a measure of the women's future selves to determine whether the self-concept adds to our ability to predict screening. A self-administered questionnaire was completed by 210 community-dwelling women ages 50 to 75 years, recruited from urban and rural women's groups. Logistic regression analyses revealed that predictors of adherence were clinical breast examination, physician recommendation, age, barriers, benefits, feared health-related possible self, and self-efficacy in the feared domain. The addition of the self measures significantly improved the overall fit of the model. Implications for theory development, practice, and future research are discussed.
本研究旨在探讨自我概念对老年女性坚持定期乳房X线筛查行为的影响。将“健康促进模式”（PRECEDE）和健康信念模型的概念与对女性未来自我的一种测量方法相结合，以确定自我概念是否能增强我们预测筛查行为的能力。从城市和农村妇女群体中招募了210名年龄在50至75岁之间的社区居住女性，她们完成了一份自填式问卷。逻辑回归分析显示，坚持筛查的预测因素包括临床乳房检查、医生建议、年龄、障碍、益处、对与健康相关的可能自我的恐惧以及在恐惧领域的自我效能感。加入自我测量指标后，模型的整体拟合度显著提高。文中还讨论了该研究对理论发展、实践和未来研究的启示。
