Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

A Structural Equation Modeling of Prostate Cancer Screening Intention

전립선암 검진의도 구조모형

  • Received : 2019.07.08
  • Accepted : 2019.11.07
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify factors associated with the intention of the prostate cancer screening (PCS). To achieve this purpose, a structural equation model was established based on the health belief model and the theory of planned behavior. Methods: The subjects of this study were 260 male participants who were between 40 and 74 years old and had not taken the PCS. Data were collected using a structured self-report questionnaire (i.e., perceived benefits, perceived barriers, attitude, subjective norms, perceived behavior control, and intention of the PCS). Descriptive statistics, reliability analysis, correlation analysis, confirmatory factor analysis, and fitness test were used to test hypotheses. Results: The intention of the PCS was directly affected by the perceived behavior control and indirectly influenced by the perceived benefits. The structural equation model also showed that the perceived behavior control explained 78% of the intention. Conclusion: To raise the intention to take the PCS, it is necessary to increase the confidence of a subject that may control its difficulties and inform the perceived benefits of the PCS to a subject.

Keywords

References

  1. Korea Central Cancer Registry. National Cancer Center. Annual report of cancer statistics in Korea in 2016. Annual Report. Goyang: Ministry of Health and Welfare; 2018 December. Report No.: 11-1352000-000145-10
  2. Han JH, Yoon SJ, Lee YG. Background and validity of the promotion of prostate-specific antigen based prostate cancer screening to national cancer screening program. The Korean Journal of Urological Oncology. 2010;8(1):1-9.
  3. Oliver JS, Grindel CG, DeCoster J, Ford CD, Martin MY. Benefits, barriers, sources of influence, and prostate cancer screening among rural men. Public Health Nursing. 2011;28(6):512-522. https://doi.org/10.1111/j.1525-1446.2011.00956.x
  4. Lee EN, Park JH, Kang SG, Yun S, Sin KM, Kim KM. Factors affecting prostate cancer screening behavior. Asian Oncology Nursing, 2015;15(4):256-263. https://doi.org/10.5388/aon.2015.15.4.256
  5. Berglund G, Nilsson S, Nordin K. Intention to test for prostate cancer. European Journal of Cancer. 2005;41(7):990-997. https://doi.org/10.1016/j.ejca.2005.01.011
  6. Hevey D, Pertl M, Thomas K, Maher L, Chuinneagain SN, Craig A. The relationship between prostate cancer knowledge and beliefs and intentions to attend PSA screening among at-risk men. Patient Education and Counselling. 2009;74(2):244-249. https://doi.org/10.1016/j.pec.2008.08.013
  7. Odedina FT, Campbell ES, LaRose-Pierre M, Scrivens J, Hill A. Personal factors affecting African-American men's prostate cancer screening behavior. Journal of the National Medical Association. 2008;100(6):724-733. https://doi.org/10.1016/s0027-9684(15)31350-x
  8. Barati M, Bashirian S, Amirzarghar MA, Mousali A, Saatiasr MH. Prostate cancer screening behaviors and its related cognitive psychological factors among men over 50 years of age using the health belief model. Journal of Hayat. 2018;23(4):345-357.
  9. Becker MH. The health belief model and personal health behavior. Health Education Monograph.1974;2:324-508. https://doi.org/10.1177/109019817400200401
  10. Ajzen I. The theory of planned behavior. Organizational Behavioral and Human Decision Processes. 1991;50(2):179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  11. Glanz K, Rimer BK, Lewis FM. Health behavior and health education. 3th ed. Yoo TK. Seoul: Gunza; 2012. 612 p.
  12. Yang ZJ. Predicting young adult's intentions to get the H1N1 vaccine: An integrated model. Journal of Health Communication. 2015;20(1):69-79. https://doi.org/10.1080/10810730.2014.904023
  13. Gerend MA, Shephred JE. Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior. Annal of Behavioral Medicine. 2012;44(2):171-180. https://doi.org/10.1007/s12160-012-9366-5
  14. Lee BK, Sohn YK, Lee SL, Yoon MY, Kim MH, Kim CR. An efficacy of social cognitive theory to predict health behavior: A meta-analysis on the health belief model studies in Korea. Journal of Public Relations. 2014;18(2):163-206. https://doi.org/10.15814/jpr.2014.18.2.163
  15. Ajzen I. Attitudes, personality and behavior. 2nd ed. England Milton-Keynes: McGraw-Hill; 2005.
  16. Ju HJ, Lee JH. Structural relationship of variables regarding nurse's preventive action against needle stick injury. Journal of Korean Academic Society of Nursing Education. 2015;21(2):168-181. https://doi.org/10.5977/jkasne.2015.21.2.168
  17. Lee SJ, Park OK, Park MY. A structural equation model of pressure ulcer prevention action in clinical nurses. Journal of Korean Academy of Nursing. 2016;46(6):572-582. https://doi.org/10.4040/jkan.2016.46.4.572
  18. Carter HB, Albertsen PC, Barry MJ, Etzioni R, Freedland SJ, Greene KL, et al. Early detection of prostate cancer: AUA guideline. The Journal of urology. 2013;190(2):419-426. https://doi.org/10.1016/j.juro.2013.04.119
  19. The Korean Journal of Urological Oncology. Prostate cancer guideline [Internet]. Seoul: The Korean Journal of Urological Oncology. 2015[cited 2018 December 01]. Available from: http://www.kuos.or.kr/data/sub05.html#
  20. Yu JP. The concept and understanding of structural equation modeling. Seoul: Hannare Publishing Co; 2016. 567 p.
  21. Capik C, Gozum S. Development and validation of health beliefs model scale for prostate cancer screenings (HBM-PCS): Evidence from exploratory and confirmatory factor analyses. European Journal of Oncology Nursing. 2011;15(5):478-485. https://doi.org/10.1016/j.ejon.2010.12.003
  22. Ajzen I. Constructing a TPB questionnaire: Conceptual and methodological considerations. United States: Icek Ajzen. 2010 [cited 2018 December 01]. Available from: https://people.umass.edu/aizen/tpb.html
  23. Hahm MI, Choi KS, Kye SY, Kwak MS, Park EC. Factors influencing the intention to have stomach cancer screening. Journal of Preventive Medicine and Public Health. 2007;40(3):205-212. https://doi.org/10.3961/jpmph.2007.40.3.205
  24. Kim RB, Park KS, Hong DY, Lee CH, Kim JP. Factors associated with cancer screening intention in eligible persons for national cancer screening program. Journal of Preventive Medicine and Public Health. 2010;43(1):62-72. https://doi.org/10.3961/jpmph.2010.43.1.62
  25. Kim WP. The Structural equation modeling analysis. Seoul: Wise in Company Co; 2017. 478 p.
  26. Kang MJ, Lee MS. Integrating the precaution adoption process model and the health belief model to assess cancer screening readiness among Korean adults. Korean Journal of Health Education and Promotion. 2011;28(3):83-98.
  27. Fishbein M, Yzer MC. Using theory to design effective health behavior interventions. Communication Theory. 2003;13(2): 164-183. https://doi.org/10.1111/j.1468-2885.2003.tb00287.x
  28. Lee YJ. A study of effect of health belief on health information processing and health behavior intention [dissertation]. [Seoul]: Hanyang University; 2013. 198 p.
  29. Bae PW. Suh SR. Predictive factors on breast self-examination intention and behavior in middle aged women: Based on the theory of planned behavior. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(5):2349-2359. https://doi.org/10.5762/KAIS.2013.14.5.2349
  30. Sanghera S, Coast J, Martin RM, Donovan JL, Mohiuddin S. Cost-effectiveness of prostate cancer screening: A systematic review of decision-analytical models. BioMed Central Cancer. 2018;18(1):84. https://doi.org/10.1186/s12885-017-3974-1