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KMID : 1138720120380010011
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Korean Public Health Research
2012 Volume.38 No. 1 p.11 ~ p.18
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Using the TTM to Examine Factors related to Regular Breast Cancer Screening
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Kye Su-Yeon
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Abstract
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Objectives: This study analyzed the stage of adoption for breast cancer screening and explored relationships of these stages with the processes of change, pros, cons, and self-efficacy in an effort to assess the barriers to and facilitators of regular breast cancer screening.
Methods: The study sample consisted of 314 participants who were at least 40 years old, had no history of cancer, and resided in two urban areas in Korea. Stages of adoption, processes of changes, pros and cons of screening, and self-efficacy were recorded from January 12 to February 16, 2009. Data were analyzed via analysis of variance and logistic regression.
Results: The stage of adoption was determined for 314 respondents, of whom 25 were in the precontemplation stage (8.0%), 101 respondents were in the contemplation stage (32.0%), 25 were in the action stage (8.0%), and 163 were in the maintenance stage (52.0%). Respondents who underwent regular breast cancer screenings were more committed to regular screening, more willing to participate in the healthcare system, perceived fewer cons of screening, reported a greater self-efficacy, and perceived breast cancer risk as moderate.
Conclusion: Our findings will be helpful for the development of intervention strategies designed to improve
recognition of the importance of cancer screenings and encourage Koreans to undergo regular screenings for
breast cancer.
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KEYWORD
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breast cancer screening, stage of adoption, process of change, pros, cons, self-efficacy
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