Choi Sora, So Heeyoung, Park Myonghwa
College of Nursing, Chungnam National University , Daejeon, Korea E-mail :
Asian Pac J Cancer Prev. 2015;16(7):2637-43. doi: 10.7314/apjcp.2015.16.7.2637.
It has been proven that an individuals health behavior is determined through a series of processes. This study aimed to assess the stages of adoption of breast cancer screening, and to identify the factors relating to progress through these stages.
There were 202 female participants aged 20- 59 years who were living in Chungbuk, South Korea. They were informed of the study purpose and agreed to participate. Data were collected from October 2010 to January 2011 by assessing the breast cancer screening stage, health beliefs, socio-demographic factors, and other facilitating factors. The participant current stage of adoption of breast cancer screening was classified using the Precaution Adoption Process Model (PAPM), and the various PAPM stages were compared with each other to identify factors likely to determine progress between stages. The data were analyzed using the χ2-test, ANOVA, Duncan test, and multiple logistic regression.
Approximately half of all participants were not on-schedule for breast self-examination and mammography (unaware, 9.4% and 11.4%, unengaged, 8.4% and 5.0%, undecided, 20.3% and 17.8%, decided not to act, 1.5% and 1.0%, decided to act, 13.4% and 15.3%, respectively). The factors likely to determine the progress from one stage to another were age, marital status, exposure to media information about breast cancer, self-efficacy, and perceived severity.
These results suggest that it is necessary to develop a tailored message for breast cancer screening behavior.
已证实个体的健康行为是通过一系列过程来决定的。本研究旨在评估乳腺癌筛查采用的阶段，并确定与这些阶段进展相关的因素。
有202名年龄在20 - 59岁之间、居住在韩国忠北的女性参与者。她们被告知研究目的并同意参与。在2010年10月至2011年1月期间，通过评估乳腺癌筛查阶段、健康信念、社会人口统计学因素以及其他促进因素来收集数据。使用预防采用过程模型（PAPM）对参与者当前的乳腺癌筛查采用阶段进行分类，并将各个PAPM阶段相互比较，以确定可能决定阶段间进展的因素。数据采用χ²检验、方差分析、邓肯检验和多元逻辑回归进行分析。
所有参与者中约有一半未按计划进行乳房自我检查和乳房x光检查（ unaware，分别为9.4%和11.4%；unengaged，分别为8.4%和5.0%；undecided，分别为20.3%和17.8%；decided not to act，分别为1.5%和1.0%；decided to act，分别为13.4%和15.3%）。可能决定从一个阶段进展到另一个阶段的因素包括年龄、婚姻状况、接触有关乳腺癌的媒体信息、自我效能感和感知严重性。
这些结果表明有必要针对乳腺癌筛查行为制定个性化信息。
