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The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Predictive Factors on Breast Self-Examination Intention and Behavior in Middle Aged Women: Based on the Theory of Planned Behavior

계획된 행위이론에 근거한 중년기 여성의 유방자가검진 의도 및 행위 예측요인

  • Bae, Phil Won (Department of Public Health, Kyungpook National University) ;
  • Suh, Soon Rim (College of Nursing, Kyungpook National University)
  • Received : 2013.03.22
  • Accepted : 2013.05.09
  • Published : 2013.05.31
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Abstract

The purpose of this study was to predict the factors which are related to the intention and behaviour for breast self-examination (BSE) of middle aged women using the theory of planned behavior (TPB). A survey using a structured questionnaire was conducted wih 217 middle aged women. BSE behaviour was assessed at 1-month follow-up. The overall fit of the structural model to the date was acceptable(${\chi}^2$=1246.6(p<.001), ${\chi}^2$/df=2.72, CFI=.831, TLI=.817, RMSEA=.089). The BSE behavior rate within one month was 56.2%. The TPB explained 43.9% of the variance in BSE intentions and 10.9% of the variance in BSE behavior. The subjective norm(${\beta}$=.364, p<.001) and the perceived behavioral control(${\beta}$=.553, p<.001) both positively influenced the behavioral intention, and the behavioral intention(${\beta}$=.768, p<.01) positively influenced the behavior. This study shows the model's applicability in explaining BSE behavior of middle aged women, and suggests that health intervention programs should focus on strengthening the intention for the promotion of BSE behavior.

본 연구는 계획된 행위이론에 근거하여 중년기 여성의 유방자가검진의도와 행위에 영향을 미치는 요인을 예측하기 위한 구조모형 연구이다. 연구대상은 중년기 여성 217명을 대상으로 1차 의도조사를 실시한 후 1개월 이내의 유방자가 검진 실천 횟수를 조사하였다. 연구결과 모형의 적합 도는 ${\chi}^2$=1246.6 (p<.001), ${\chi}^2$/df=2.72, CFI=.831, TLI=.817, RMSEA=.089이었으며, 1개월 이내 유방자가검진 실천 율은 56.2%였다. TPB 변수의 설명력은 의도에 43.9%, 행위에 10.9%로 나타났다. 주관적 규범(${\beta}$=.364, p<.001)과 지각된 행위통제(${\beta}$=.553, p<.001)가 의도에 긍정적 영향을 미쳤으며, 행위에는 행위의도(${\beta}$=.768, p<.01)가 긍정적 영향을 나타냈다. 결과적으로 본 모형은 중년여성의 유방자가검진을 설명하는데 적합한 모형이며, 중년여성의 유방자가검진행위 증진을 위한 중재프로그램 개발은 행위의도 강화에 중점을 두어야 할 것으로 판단된다.

Keywords

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