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KMID : 0439019950040010162
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Korean Journal of Nursing Query
1995 Volume.4 No. 1 p.162 ~ p.184
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Testing Theoretical Explanations of Mammography Use
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Lauver, Diane
Nabholz, Sharon/Scott, Kay/Tak, Youngran
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Abstract
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The theory of care-seeking behavior was tested in the context of women's use of mammography among midwestern women(N=178). In multivariate regressions, habit, the interaction of anxiety and barrier, belief in one's risk of breast cancer, age, and family history of breast cancer explained adherence in the past 5 years. Norm and habit explained recent use in the past 1 or 2 years, depending on age. Utility beliefs regarding mammography, norm, habit, and belief in one's risk of breast cancer explained intention. Providing partial support for the theory, anxiety and barriers interacted to influence adherence, and the variables of habit, utility beliefs, and norm explained either past use or intention. Contrary to theory, belief in risk of breast cancer, age, and family history of breast cancer also explained either adherence or intention. The explanatory variables for each outcome were not identical, indicating that these mammography-related outcomes are characteristically different. Early diagnosis and treatment are primary methods for controlling breast cancer. The efficacy of screening mammography in early diagnosis of breast cancer has been well documented(Hiatt & Tekawa, 1990; Miller, Baines, To, & Wall, 1992; Shapiro, Venet, Strax, Venet, & Rower, 1982; Tabor et al., 1985). Thus, screening mammography has been recommended annually for women over 50, and by many organizations, every 1-2 years for women 40-49(ACS, 1994; USPSTF, 1989).
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KEYWORD
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Theory of care-seeking behavior, Mammography use
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