Kim Rock Bum, Park Ki Soo, Hong Dae Yong, Lee Cheol Heon, Kim Jang Rak
Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University, Korea.
J Prev Med Public Health. 2010 Jan;43(1):62-72. doi: 10.3961/jpmph.2010.43.1.62.
To identify factors associated with cancer screening intention using the Theory of Planned Behavior (TPB).
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.
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.
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.
运用计划行为理论(TPB)确定与癌症筛查意愿相关的因素。
在J市符合国家癌症筛查计划(NCSP)条件的55920人中,联系了1100人。其中,797人使用结构化问卷进行了访谈。因数据不完整,排除了36份回复。对其余761份完整问卷进行分析,以找出与癌症筛查意愿相关的因素。
在TPB模型中,癌症筛查意愿与行为态度(p<0.01)和主观规范(p<0.01)显著相关,但与感知行为控制无关(p=0.29)。在多元线性回归分析中,这三个结构解释了29.7%的癌症筛查意愿。社会人口统计学状况、健康和健康行为变量等外部因素解释了8.9%的筛查意愿。其中,家庭月收入、过去的癌症筛查经历、运动和日常饮食习惯与筛查意愿显著相关。
癌症筛查意愿可能受TPB模型中的聚焦态度、主观规范及其他外部因素影响。然而,有必要进一步研究以确定影响癌症筛查意愿和行为的因素。