Friedman L C, Nelson D V, Webb J A, Hoffman L P, Baer P E
Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX 77030.
Am J Prev Med. 1994 May-Jun;10(3):130-5.
This cross-sectional study examined relationships among predictors of breast self-examination (BSE) derived from the Health Belief Model and behavioral self-regulation theory. Subjects were 427 gynecology outpatients. Although 64% indicated that they had practiced BSE at least once during the past year, only 27% indicated they practiced BSE monthly. The majority of the subjects knew about most of the recommended BSE steps. The most frequently endorsed reasons for completing BSE were early detection, recommendation from a doctor, and peace of mind. The most frequently endorsed barrier was forgetting/being too busy. Multivariate analysis showed that several psychological variables--including reasons for doing BSE, self-efficacy, and barriers to doing BSE--were related to frequency of BSE. Overall, the variables in this model accounted for about 37% of the variance in BSE frequency.
这项横断面研究探讨了源自健康信念模型和行为自我调节理论的乳房自我检查（BSE）预测因素之间的关系。研究对象为427名妇科门诊患者。虽然64%的人表示在过去一年中至少进行过一次乳房自我检查，但只有27%的人表示每月进行乳房自我检查。大多数受试者了解大部分推荐的乳房自我检查步骤。完成乳房自我检查最常被提及的原因是早期发现、医生建议和安心。最常被提及的障碍是忘记/太忙。多变量分析表明，几个心理变量——包括进行乳房自我检查的原因、自我效能感和进行乳房自我检查的障碍——与乳房自我检查的频率有关。总体而言，该模型中的变量约占乳房自我检查频率方差的37%。
