Ryu Eunjung, Ahn Okhee, Baek Sun-Sook, Jeon Mi-Soon, Han Seung-Eui, Park Young-Rye, Ham Mi-Young
Department of Nursing, Konkuk University, Chungju, Korea.
J Adv Nurs. 2008 Oct;64(2):168-75. doi: 10.1111/j.1365-2648.2008.04772.x.
This paper is a report of a study performed to identify the predictors of mammography uptake for Korean women according to the stage of change, as determined by the transtheoretical model.
Although breast cancer is the most common female cancer in South Korea, its early detection rate here is low when compared with other developed countries. The transtheoretical model can be used to facilitate health promotion based on individual health behaviour and to devise stage-tailored interventions.
The participants were a convenience sample of 920 women aged > or =40 years between December 2005 and February 2006. A cross-sectional design was used in which participants completed a questionnaire that consisted of measures of the transtheoretical model. To provide a standard of measure, the variables were converted from raw scores to standard scores and then to T scores (mean = 50, sd = 10). Logistic regression analysis was then used to estimate predictors of the stage of maintenance of mammography uptake.
The most frequent stage of mammography uptake was 'contemplation'. Predictors of mammography uptake included decisional balance, commitment to regular screening and avoiding contact with the healthcare system. Commitment to regular screening and breast self-examination were strongly related to mammography maintenance.
The results of this study can be used for the development of theory-based and empirically supported mammography uptake intervention strategies and programmes directed towards women aged > or =40 years.
本文报告一项研究，该研究旨在根据跨理论模型确定的改变阶段，识别韩国女性接受乳房X光检查的预测因素。
尽管乳腺癌是韩国最常见的女性癌症，但与其他发达国家相比，韩国乳腺癌的早期检出率较低。跨理论模型可用于促进基于个体健康行为的健康促进，并设计针对特定阶段的干预措施。
研究对象为2005年12月至2006年2月期间920名年龄≥40岁的女性，采用便利抽样法。采用横断面设计，参与者完成一份包含跨理论模型测量指标的问卷。为提供测量标准，将变量从原始分数转换为标准分数，再转换为T分数（均值=50，标准差=10）。然后使用逻辑回归分析来估计乳房X光检查接受维持阶段的预测因素。
乳房X光检查接受的最常见阶段是“ contemplation”。乳房X光检查接受的预测因素包括决策平衡、定期筛查的承诺以及避免与医疗系统接触。定期筛查的承诺和乳房自我检查与乳房X光检查的维持密切相关。
本研究结果可用于制定基于理论和实证支持的乳房X光检查接受干预策略和计划，针对年龄≥40岁的女性。
