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KMID : 0904520050180010025
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Health and Medical Sociology
2005 Volume.18 No. 1 p.25 ~ p.45
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Cognitive-Behavior Factors by Stages of Change for Stomach Cancer Screening Behavior
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Kim Young-Bok
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Abstract
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Objectives: Recent studies have shown that tailoring to women’s individual beliefs and stage of cancer screening adoption increase the probability that cancer screening will ensue. To identify variables associated with cancer screening behavior, many studies for cancer screening have used the Transtheoretical Model(TTM). This study was carried out to identity the cognitive-behavioral factors associated with stomach cancer screening by stages of change among the women, aged 40’s.
Methods: Building on the TTM constructs, we collected the data to test the association with cognitive-behavioral factors for stomach cancer screening behavior by stages of change among the women(N=232), using the self-reported questionnaire. The stages of change were groupted according to screening behavior and intention for stomach cancer as precontemplation, contemplation, preparation, action, and maintenance. We found out the association between stomach cancer screening behaviors and cognitive-behavior factors, and testified the difference between stages of change by chi-square test, one-way ANOVA, and multiple comparison analysis(Scheffe’s test).
Results: Analyses of 232 women showed that participation on endoscopy was 51.7% within lifetime and 37.9% within last 2 years, and we found out the association with screening behavior, intention and cognitive-behavioral factors. The stages of change based on behavior and intention were different from the processes of change, the decisional balance, the screening attitude, and the self-efficacy. In later stages, women relied more on consciousness raising, dramatic relief, social liberation, self-reevaluation, stimulus control, helping relationships, reinforcement management, and self-liberation than women in early stage. And the decisional balance was differ from stages of change because the difference on opinions about pros(positives) and cons(negative) were likely to significant by stages of change.
Conclusion: To increase the screening rate for stomach cancer, it should be develop the tailored message and recommend guideline. And the tailored message should be designed to increase the pros of stomach cancer screening(endoscopy), decreased the cons, and considered the woman’s stage of adoption.
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KEYWORD
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Stomach Cancer, Screening Behavior, Transtheoretical Model
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