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KMID : 0858820090260020075
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Journal of Korean Society for Health Education and Promotion
2009 Volume.26 No. 2 p.75 ~ p.86
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Predictors of Intention to Undergo Mammography among Underutilizers
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Kye Su-Yeon
Choi Kui-Son
Lim Min-Kyung
Yun Young-Ok
Park Kee-Ho
Moon In-Ok
Bae Mi-Jin
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Abstract
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Objectives: To identify the factors associated with the intention to undergo mammography among Korean women without a prior screening experience.
Methods: Among 1,039 women of the general population, we selected 145 women (mean age: 54.2 years, age range : 40-78 years) without any prior experience with mammography. They were recruited for the ’Cancer Information Needs Assessment Survey’ by using the method of random multi-stage cluster sampling. Data on the socio-demographic characteristics, intention to undergo mammography based on the Precaution Adoption Process Model, level of self belief and self efficacy for breast cancer screening, motivation for decision to undergo breast cancer screening were obtained by conducting a household survey.
Results: Of the study subjects, 49.7% were classified as "unengaged" and "decided not to act" regarding breast cancer screening. Women with the intention to undergo mammography were more likely to be younger (OR 0.11, 95%CI 0.04-0.36), to have been recommended to undergo screening by others (OR 3.27, 95%CI 1.36-7.87), to have a high level of perceived sensitivity (OR 3.15, 95%CI 1.27-7.82), and to have a high level of self efficacy (OR 1.09, 95%CI 0.97-1.23). Exposure to campaigns and information regarding breast cancer screening, whether cancer patients are or not in around, perceived severity, perceived benefit, and perceived cost were factors that were not significantly associated with the intention to undergo mammography.
Conclusion: It is necessary to develop tailored intervention strategies for women who have never undergone breast cancer screening on the basis of their demographic characteristics and factors that positively influence the intention to undergo mammography.
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KEYWORD
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Mammography, Precaution Adoption Process Model, Health belief, Self efficacy
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