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Predictors of Progress in the Stage of Adoption of Breast Cancer Screening for Korean Women

  • Choi, Sora (College of Nursing, Chungnam National University) ;
  • So, Heeyoung (College of Nursing, Chungnam National University) ;
  • Park, Myonghwa (College of Nursing, Chungnam National University)
  • Published : 2015.04.14

Abstract

Background: 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. Materials and Methods: 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 ${\chi}^2$-test, ANOVA, Duncan test, and multiple logistic regression. Results: 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. Conclusions: These results suggest that it is necessary to develop a tailored message for breast cancer screening behavior.

Keywords

References

  1. Baysal HY, Polat H (2012). Determination of the breast cancer risk levels and health beliefs of women with and without previous mammography in the eastern part of Turkey. Asian Pac J Cancer Prev, 13, 5213-7. https://doi.org/10.7314/APJCP.2012.13.10.5213
  2. Blalock SJ, DeVellis RF, Giorgino KB, et al (1996). Osteoporosis prevention in premenopausal women: using a stage model approach to examine the predictors of behavior. Health Psyc, 15, 84-93. https://doi.org/10.1037/0278-6133.15.2.84
  3. Champion VL (1984). Instrument development for health belief model constructs. Adv Nurs Sci, 6, 73-85. https://doi.org/10.1097/00012272-198404000-00011
  4. Champion VL (1993). Instrument refinement for breast cancer screening behaviors. J Nurs Res, 42, 139-43.
  5. Champion VL (1995). Development of a benefits and barriers scale for mammography utilization. Cancer Nurs, 18, 53-9.
  6. Champion VL (1999). Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health, 22, 341-8. https://doi.org/10.1002/(SICI)1098-240X(199908)22:4<341::AID-NUR8>3.0.CO;2-P
  7. Champion VL, Skinner CS, Menon U (2005). Development of a self-efficacy scale for mammography. Res Nurs Health, 28, 329-36. https://doi.org/10.1002/nur.20088
  8. Costanza ME, Luckmann R, Stoddard AM, et al (2005). Applying a stage model of behavior change to colon cancer screening. Prev med, 41, 707-19. https://doi.org/10.1016/j.ypmed.2004.12.013
  9. Dahlui M, Gan DE, Taib NA, et al (2012). Predictors of breast cancer screening uptake: a pre intervention community survey in Malaysia. Asian Pac J Cancer Prev, 13, 3443-9. https://doi.org/10.7314/APJCP.2012.13.7.3443
  10. Doganer YC, Aydogan U, Kilbas Z, et al (2014). Predictors affecting breast self-examination practice among Turkish women. Asian Pac J Cancer Prev, 15, 9021-5. https://doi.org/10.7314/APJCP.2014.15.20.9021
  11. Erbil N, Bolukbas N (2014). Health beliefs and breast self-examination among female university nursing students in Turkey. Asian Pac J Cancer Prev, 15, 6525-9. https://doi.org/10.7314/APJCP.2014.15.16.6525
  12. Ergin AB, Sahin NH, Sahin FM, et al (2012). Meta analysis of studies about breast self examination between 2000-2009 in Turkey. Asian Pac J Cancer Prev, 13, 3389-97. https://doi.org/10.7314/APJCP.2012.13.7.3389
  13. Han MY, Chung CW (2006). Breast cancer screening behaviors in working women. Korean J Women Health Nurs, 12, 363-70.
  14. Jerome-D'Emilia B (2014). A systematic review of barriers and facilitators to mammography in hispanic Women. J Transcult Nurs, 26, 73-82.
  15. Kim JK, Kwak BS, Lee JS, et al (2007). Do very young Korean breast cancer patients have worse outcomes? Ann Surg Oncol, 14, 3385-91. https://doi.org/10.1245/s10434-006-9345-9
  16. Korean Breast Cancer Society (2013). Breast Cancer Facts & Figures. Korea.
  17. Kye SY (2009). A prediction model for stages of change in cancer screening. Unpublished doctor's dissertation. Ewha Women's University, Seoul.
  18. Kye SY, Choi KS, Sung NY, et al (2006). Using the PAPM to examine factors associated with stages of adoption for stomach cancer screening. Korean J Health Educ Promot, 23, 29-45.
  19. Lee CH, Kim HJ, Kim YI (2010). Factors affecting active early detection behaviors of breast cancer in outpatients. Korean J Women Health Nurs, 16, 126-36. https://doi.org/10.4069/kjwhn.2010.16.2.126
  20. Lee EH, Kim JS, Song MS (2002). Translation and validation of Champion's health belief model scale with Korean women. Cancer Nurs, 25, 391-5. https://doi.org/10.1097/00002820-200210000-00010
  21. Ministry of Health and Welfare (2013). 2012 National cancer screening rate. Korea.
  22. National Health Insurance Corporation (2009). Annual report on the diseases statistics. Korea.
  23. Nattinger A (2010). In the clinic. Breast cancer screening and prevention. Ann Intern Med, 152, 41.
  24. Park SM, Song HY, Hur HK, et al (2009). Effects of a cognition oriented breast self-examination intervention for korean women and their spouses. Public Health Nurs, 26, 259-68. https://doi.org/10.1111/j.1525-1446.2009.00778.x
  25. Russell KM, Monahan P, Wagle A, et al (2007). Differences in health and cultural beliefs by stage of mammography screening adoption in African American women. Cancer, 109, 386-95. https://doi.org/10.1002/cncr.22359
  26. Samah AA, Ahmadian M (2012). Socio-demographic correlates of participation in mammography: a survey among women aged between 35- 69 in Tehran, Iran. Asian Pac J Cancer Prev, 13, 2717-20. https://doi.org/10.7314/APJCP.2012.13.6.2717
  27. Suh Jh, Kim SB (2010). Early screening for breast cancer. Korean J Med, 79, 237-40.
  28. Weinstein ND, Lyon JE, Sandman PM, et al (1998). Experimental evidence for stages of health behavior change: the precaution adoption process model applied to home radon testing. Health Psychol, 17, 445-53. https://doi.org/10.1037/0278-6133.17.5.445
  29. Weinstein ND, Sandman PM, Blalock SJ (2008). The precaution adoption process model. In 'Health Behavior and Health Education: Theory, Research, and Practice', Eds Glanz K, Rimer BK and Viswanath K. Jossey-Bass Press, San Francisco, pp 123-47.

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