Finney L J, Iannotti R J
Department of Psychology, Miami University, Oxford, OH 45056, USA.
Women Health. 2001;33(3-4):15-28.
Prior investigations have employed the Health Belief Model (HBM) to predict health care utilization and cancer screening behaviors. The HBM is expanded in the current investigation to include issue involvement with breast cancer and salience of breast cancer family history. Differences in the constructs of this expanded HBM, as they relate to mammography screening, between women with positive and negative family histories of breast cancer were assessed in 378 women. Perceived benefits and barriers were found to be similar for women with positive and negative family histories of breast cancer. However, susceptibility, cues to action, salience of family history, and issue involvement were found to be more relevant for women with a positive family history of breast cancer. These findings have implications for interventions directed at increasing compliance with recommendations for breast cancer screening.
先前的研究采用健康信念模型（HBM）来预测医疗保健利用情况和癌症筛查行为。在当前研究中，HBM得到了扩展，纳入了对乳腺癌问题的关注以及乳腺癌家族史的显著性。在378名女性中，评估了这种扩展后的HBM在与乳腺钼靶筛查相关的构念上，乳腺癌家族史阳性和阴性女性之间的差异。结果发现，乳腺癌家族史阳性和阴性的女性在感知到的益处和障碍方面相似。然而，易感性、行动线索、家族史的显著性以及对问题的关注，对于乳腺癌家族史阳性的女性更为相关。这些发现对旨在提高乳腺癌筛查建议依从性的干预措施具有启示意义。
