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Predictors of Intention to Undergo Mammography among Underutilizers  

Kye, Su-Yeon (National Cancer Control Institute, National Cancer Center)
Park, Kee-Ho (National Cancer Control Institute, National Cancer Center)
Choi, Kui-Son (National Cancer Control Institute, National Cancer Center)
Bae, Mi-Jin (National Cancer Control Institute, National Cancer Center)
Moon, In-Ok (Health Education & Management Department, Ewha Womans University)
Yun, Young-Ok (Health Education & Management Department, Ewha Womans University)
Lim, Min-Kyung (National Cancer Control Institute, National Cancer Center)
Publication Information
Korean Journal of Health Education and Promotion / v.26, no.2, 2009 , pp. 75-86 More about this Journal
Abstract
Objectives: To identify the factors associated with the intention to undergo mammography among Korean women without a prior screening experience. Methods: Among 1,039 women of the general population, we selected 145 women (mean age: 54.2 years, age range : 40-78 years) without any prior experience with mammography. They were recruited for the 'Cancer Information Needs Assessment Survey' by using the method of random multi-stage cluster sampling. Data on the socio-demographic characteristics, intention to undergo mammography based on the Precaution Adoption Process Model, level of self belief and self efficacy for breast cancer screening, motivation for decision to undergo breast cancer screening were obtained by conducting a household survey. Results: Of the study subjects, 49.7% were classified as "unengaged" and "decided not to act" regarding breast cancer screening. Women with the intention to undergo mammography were more likely to be younger (OR 0.11, 95%CI 0.04-0.36), to have been recommended to undergo screening by others (OR 3.27, 95%CI 1.36-7.87), to have a high level of perceived sensitivity (OR 3.15, 95%CI 1.27-7.82), and to have a high level of self efficacy (OR 1.09, 95%CI 0.97-1.23). Exposure to campaigns and information regarding breast cancer screening, whether cancer patients are or not in around, perceived severity, perceived benefit, and perceived cost were factors that were not significantly associated with the intention to undergo mammography. Conclusion: It is necessary to develop tailored intervention strategies for women who have never undergone breast cancer screening on the basis of their demographic characteristics and factors that positively influence the intention to undergo mammography.
Keywords
Mammography; Precaution Adoption Process Model; Health belief; Self efficacy;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
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