Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Factors Influencing the Intention to have Stomach Cancer Screening

향후 2년 이내의 위암 검진 이용 의도의 예측 요인

  • Hahm, Myung-Il (Research Institute for National Cancer Control, National Cancer Center) ;
  • Choi, Kui-Son (Research Institute for National Cancer Control, National Cancer Center) ;
  • Kye, Su-Yeon (Research Institute for National Cancer Control, National Cancer Center) ;
  • Kwak, Min-Son (Research Institute for National Cancer Control, National Cancer Center) ;
  • Park, Eun-Cheol (Research Institute for National Cancer Control, National Cancer Center)
  • 함명일 (국립암센터 국가암관리사업지원평가연구단) ;
  • 최귀선 (국립암센터 국가암관리사업지원평가연구단) ;
  • 계수연 (국립암센터 국가암관리사업지원평가연구단) ;
  • 곽민선 (국립암센터 국가암관리사업지원평가연구단) ;
  • 박은철 (국립암센터 국가암관리사업지원평가연구단)
  • Published : 2007.05.31
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Abstract

Objectives : The purpose of this study was to identify the factors influencing the intention to have stomach cancer screening using the theory of planned behavior (TPB) in Korea. Methods : For this population-based study, 1,535 adult respondents (aged 40 to 70 years) were recruited using multi-stratified random sampling and a face-to-face administered questionnaire. This study was based on Ajzen's theory of planned behavior. Intentions were divided into three scenarios for fee payment in the next two years : (1) free of charge, (2) co-payment, and (3) full charge. Multiple linear regression was used to identify the factors influencing the intention to have stomach cancer screening. Results : Perceived behavioral control and attitude toward stomach cancer screening were significant predictors of the intention to have stomach cancer screening. However, subjective norm only influenced the intention to have stomach cancer screening with full charge in the next two years. Conclusions : The results suggest that attitude and perceived behavioral control are likely to contribute toward increasing the intention to have stomach cancer screening. Especially, perceived behavioral control is a good predictor. Because the study subjects were nation wide residents, the study results can be generalized.

Keywords

References

  1. 통계청. 2005 년 사망원인통계결과. 통계청; 2006, (7쪽)
  2. 보건복지부, 한국중앙암등록본부. 암 발생 통계(1999-2001). 보건복지부; 2005, (37-38쪽)
  3. Lee KS, Chang SH, Lee WJ. Cancer screening rate and related factors in rural area. Korean J Prev Med 2000; 33(3): 364-372 (Korean)
  4. UICC International Union against Cancer. Evidence based cancer prevention: strategys for NGOs A UICC handbook for Europe. Geneva: UICC International Union against Cancer; 2004. p. 183-193
  5. 보건복지부. 2006 년도 국가암관리사업 안내. 보건복지부 ;2006, (9쪽)
  6. 박은철, 최귀선, 곽민선, 김성경, 김 희, 김윤미, 성나영, 이은미, 이지영, 임진화. 암검진의 효과 평가 및 암 비용 연구. 국립암센터; 2006 (57쪽)
  7. Kwak MS, Park EC, Bang JY, Sung NY, Lee JY, Choi KS. Factors associated with cancer screening participation, Korea. J Prev Med Public Health 2005; 38(4): 473-481 (Korean)
  8. 국립암센터. 암 조기검진 확대에 따른 인프라 구축 및 질 관리 방안 연구. 보건복지부 2005, (9-19쪽)
  9. Steele S, Porche D. Questionnaire development to predict mammography intention among women in Southestern Lousiana. J Nurs Meas 2005; 13(1): 23-37 https://doi.org/10.1891/jnum.2005.13.1.23
  10. Kwak MS, Sung NY, Yang JH, Park EC, Choi KS. Women's willingess to pay for cancer screening. J Prev Med Public Health 2006; 39(4): 331-338 (Korean)
  11. Lee KS, Kim YK, Kim CY, Shin YS. Application of the theory of planned behavior and the theory of reasoned action to predicting cervix cancer screening behavior. Korean J Prev Med 2001; 34(4): 379-388 (Korean)
  12. Sung NY, Park EC, Shin HR, Choi KS. Participation rate and related sociodemographic factors in the national cancer screening program. J Prev Med Public Health 2005; 38(1): 93-100 (Korean)
  13. Francis JJ, Eccles MP, Johnston M, Walker A, Grimshaw J, Foy R, Kaner EF, Smith L, Bonetti D. Constructing Questionnaires Based on the Theory of Planned Behaviour: A Manual for Health Services Researchers. Newcastle: University of Newcastle; 2004. p. 10-24
  14. Azjen I. Constructing a TpB Questionnaire: Conceptual and methodological considerations [cited 2007 Jan 16]. Available from: URL:http: //www.people.umass.edu/aizen/tpb.html
  15. Berglund G, Nilsson S, Nordin K. Intention to test for prostate cancer. Eur J Cancer 2005; 41(7): 990-997 https://doi.org/10.1016/j.ejca.2005.01.011
  16. Tolma EL, Reininger BM, Evans A, Ureda J. Examing the theory of planned behavior and the construct of self-efficacy to predict mammography intention. Health Educ Behav 2006; 33(2): 233-251 https://doi.org/10.1177/1090198105277393
  17. Rhodes RE, Blanchard CM. Conceptual categories or operational constructs? Evaluating higher order theory of planned behavior structures in the exercise domain. Behav Med 2006; 31(4): 141-150 https://doi.org/10.3200/BMED.31.4.141-150
  18. Montano DE, Thompson B, Taylor VM, Mahloch J. Understanding mammography intention and utilization among women in an inner city public hospital clinic. Prev Med 1997; 26(6): 817-824 https://doi.org/10.1006/pmed.1997.0215
  19. Steadman L, Rutter DR. Belief importance and the theory of planned hehaviour: Comparing modal and ranked modal beliefs in predicting attendance at breast screening. Br J Health Psychol 2004; 9(pt 4): 447-463 https://doi.org/10.1348/1359107042304579
  20. National Cancer Institute. Theory at a Glance A Guide for Health Promotion Practice. Bethesda: U.S. Department of Health and Human Services; 2005. p. 15-18
  21. Eagly AH, Chaiken S. The Psychology of Attitudes. Fort Worth: Harcourt Brace College Publishers; 1993. p. 186-190
  22. Hahm MI, Kang MG, Park CS, Cho WH. Customer's intention to use hospital-based health promotion services. Korean J Prev Med 2003; 36(2): 108-116 (Korean) https://doi.org/10.1006/pmed.2002.1132
  23. Kim JY. Analysis on medical utility according to lifestyle [dissertation]. Korea: Yonsei Univ; 1998
  24. Kotler P, and Armsrong G. Principles of Marketing, 4th ed. Prentice Hall; 1990. p. 15- 50
  25. Ajzen I. Attitude, Personality and Behaviour. Milton Keynes, Open University Press; 1988. p. 10-20
  26. Cho BJ. A comparative study on the roles, structures, and relationships among determinant factors of buyer purchasing behavior. Management Economy 1982; 14: 161-175 (Korean)
  27. Bish A, Ramirez A, Burgess C, Hunter M. Understanding why women delay in seeking help for breast cancer symptoms. J Psychosom Res 2005; 58(4): 321-326 https://doi.org/10.1016/j.jpsychores.2004.10.007
  28. Drossaert CHC, Boer H, Seydel ER. Women's opinions about attending for breast cancer screening: Stability of cognitive determinants during three rounds of screening. Br J Health Psychol 2005; 10(pt 1): 133-149 https://doi.org/10.1348/135910704X14645
  29. Petrovici DA, Ritson C. Factors influencing consumer dietary health preventative behaviours. BMC Public Health 2006; 6: 222 https://doi.org/10.1186/1471-2458-6-222
  30. Dishman RK, Saunders RP, Felton G, Ward DS, Dowda M, Pate RR. Goals and intentions mediate efficacy beliefs and declining physical activity in high school girls. Am J Prev Med 2006; 31(6): 475-483 https://doi.org/10.1016/j.amepre.2006.08.002
  31. Harkeh Z, Scholte RHJ, Vermulst AA, Vries H, Engels RCME. Parental factors and adolescents' smoking behavior: an extension of the theory of planned behavior. Prev Med 2004; 39(5): 951-961 https://doi.org/10.1016/j.ypmed.2004.03.036
  32. Armitage CJ, Norman P, Conner M. Can the theory of planned behavior mediate the effects of age, gender and multidimensional health locus of control? Br J Health Psychol 2002; 7(part3): 299-316 https://doi.org/10.1348/135910702760213698