Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

A Comparative Study of Korean and Korean-American Women in Their Health Beliefs related to Breast Cancer and the Performance of Breast Self-Examination

국내여성과 미국이주 한국여성의 유방암에 대한 건강신념과 유방자가검진 비교

  • Published : 2004.04.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This cross-sectional survey was undertaken to examine the differences of BSE (breast-self examination) performance and health beliefs between Korean and Korean-American women and to identify which factors influence the BSE based on the HBM variables. Method: The study subjects were recruited from both Korea(189 women) and Cleveland in Ohio, USA(I46 women). The HBM variables were measured using a reliable and valid Health Belief Model Scale. The subjects were also asked whether or not they did a BSE in the last year. Result: The Korean-American women who performed the BSE was statistically higher than that of Korean women. Regarding to the BSE-related health belief, the scores of benefits, confidence, and health motivation was significantly higher in Korean-American. After controlling for living places, age, education, and job, barriers and confidence variables significantly explained the BSE performance of Korean and Korean-American women. Conclusion: There was a differences in BSE-related health belief and performance between Korean and Korean-American women. Among health belief variables, barriers and confidence were core variables predicting the BSE performance of Korean and Korean-American women together.

Keywords

References

  1. American Cancer Society(ACA). (2000) California Cancer Facts and Figures 2000. Atlanta: American Cancer Society California Division and Public Health Institute. Georgia Cancer Registry
  2. Baek, M. (1997). A study on the factors influencing the compliance of breast self examination. Unpublished Master's thesis: Chonnam National University, South Korea
  3. Becker, M. H. (1974). The health belief model and personal behavior (Ed.) Thotofore: Charles B. Slack
  4. Champion, V. L (1992). Relationship of age factors influencing breast self-examination practice. Health Care Women Intern, 13, 1-9
  5. Champion, V. L. (1993). Instrument refinement for breast cancer screening behaviors. Nurs Res, 42(3), 139-143
  6. Champion, V. L. (1999). Revised susceptibility, benefits and barriers scale for mammography screening. Res Nurs Health, 22, 341-348 https://doi.org/10.1002/(SICI)1098-240X(199908)22:4<341::AID-NUR8>3.0.CO;2-P
  7. Choi, K. O. (1994). A study of nurse's knowledge, attitudes and practices of breast self-examination. J Korean Acad Soci Adult Nurs, 6, 81-100
  8. Frank-Stromborg, M & Olsen, SJ (1993). Cancer prevention and early detection in ethnically diverse populations. Semin Oncol Nurs 9, 198-209 https://doi.org/10.1016/S0749-2081(05)80036-1
  9. Fung, S. (1998). Factors associated with breast self-examination behavior among Chinease women in Hong-Kong. Patient Educ Counsel, 33, 233-243 https://doi.org/10.1016/S0738-3991(98)00023-8
  10. Gray, M. E. (1990). Factors related to practice of breast self-examination in rural women. Cancer Nursing, 13(2), 100-107
  11. Hiatt, R. A., Pasick, R. J., Perez-Stable, E. J., McPhee, S. J., Engelstad, L., Lee, M., Sabogal, F., D'Onofrio, C. N, & Stewart, S. (1996). Pathways to early cancer detection in the multiethic population of the San Francisco Bay Area. Health Educ Q 23(suppl): SI0-S27
  12. Jenkins, C. N. H., & Kagawa-Singer, M. (1994). Cancer. In Zane, NWS, Takeuchi DT, & Young, KNJ (eds.), Corifronting critical health issues of Asian and Pacific Islander Americans. Thousand Oaks: Sage, 105-147
  13. Kim, J. S. (1986). A study on the relationship between health belief and breast self-examination. Masters' thesis: Ewha Women' University, Seoul, South Korea
  14. Korean Ministry of Health and Welfare (2002). Statistics of disease. Seoul: Korean Ministry of Health and Welfare
  15. Kwon, J. W., Keum, B. H., Kang, Y. J., Oh, M. K., Lee, H. R., & Youn, B. B. (1991). A study of knowledge, attitude, and practice on early detection of breast cancer. Fam Physician, 12(11), 44-55
  16. Lee, E. H. (2003). Breast self-examination performance among Korean nurses. JNSD, 19(2), 81-87
  17. Lee, E. H, Kim, J. S., & Song, M. S. (2002). Translation and validation of the Champion's Health Belief Scale in Korean women. Cancer Nurs, 25(5), 391-395
  18. Lee, Y. W., & Lee, E. H. (2002). Predicting factors of breast self-examination among middle-aged women. J Korean Acad Adult Nurs, 13, 509-516
  19. Lu, Z. J. (1995). Variables associated with breast self-examination among Chinese women. Cancer Nurs, 18, 29-34
  20. Mikhail, B. I., & Peto-Nustas, W. (2001). Transcultural adaptation of Champion's health belief model scale. J Nurs Scholar, 22(2), 159-165
  21. Miller, B. A., Kolonel, L. N., Bernstein, L., Young, J. L., Swanson, G. M., West, D., Key, C. R., Liff, J. M., Glover, C. S., & Alexander, G. A. (eds.) (1996). Racual/Ethnic patterns of cancer in the Unites States 1988-1992, NIH Publ. No. 964104, National Cancer Institute, Bethesda, MD
  22. Park, C. S. (1995). A model for health promoting behaviors in late-middle aged women. Doctoral dissertation: Seoul National University, Seoul, South Korea
  23. Redeker, N. S. (1989). Health beliefs, health locus of control, and the frequency of practice of breast self-examination in women. JObst Gynecol and Neonat Nurs, 13, 45-51
  24. Ronis, D. L., & Kaiser, M. K. (1989). Correlates of breast self-examination in a sample of college women; Analysis of linear structural relations. J of Applied Soc Psych,. 19, 1068-1084 https://doi.org/10.1111/j.1559-1816.1989.tb01240.x
  25. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Educ Quart, 15(2), 175-183
  26. Salazer, M. K. (1994). Breast self-examination beliefs: A descriptive study. Pub Health Nurs, 11, 49-56 https://doi.org/10.1111/j.1525-1446.1994.tb00389.x
  27. Skinner, C. S., Champion, V. L., Gonin, R., & Hanna, M. (1997). Do perceived barriers and benefits vary by mammography stage? Psychol Health Med, 2, 65-75
  28. Sortet, J. P. & Banks, S. R. (1997). Health beliefs of rural Appalachian women and the practice of breast self-examination. Cancer Nurs, 20, 231-235 https://doi.org/10.1097/00002820-199708000-00001
  29. Suh, C. O., & Shin, H. S. (2000). The national survey of breast carcinoma treatment in Korea and the evaluation of cost-effectiveness of radiotherapy. Korean National Cancer Control Program. Ministry of Health and Wealfare, R.O.K
  30. Wilcox, L. S., & Mosher, W. D. (1993). Factors associated with obtaining health screening among women of productive age. Pub Health Rep, 108, 76-85