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Integrating the Precaution Adoption Process Model and the Health Belief Model to Assess Cancer Screening Readiness among Korean Adults  

Kang, Min-Jung (Department of Social and Preventive Medicine, Sungkyunkwan University School of Medicine)
Lee, Myoung-Soon (Department of Social and Preventive Medicine, Sungkyunkwan University School of Medicine)
Publication Information
Korean Journal of Health Education and Promotion / v.28, no.3, 2011 , pp. 83-98 More about this Journal
Abstract
Objectives: This study aims to assess the stages of individual readiness to take the cancer screening test and to identify factors relating to the progress of their readiness to take the test. Methods: We analyzed the data acquired from our 'Cancer Screening Behavior among Korean Adults' Survey' in 2003. 1,057 participants' stages of readiness to take the cancer screening test were classified through the Precaution Adoption Process Model (PAPM). Their knowledge, beliefs and other factors related to cancer screening were examined at each PAPM stage through the Health Belief Model (HBM), and the various PAPM stages were compared with each other to identify factors likely to determine progress between stages. Results: The distribution of the PAPM stages of readiness for cancer screening was as follows: 18.9% were unaware; 9.7% were unengaged; 29.8% were deciding to take the test; 1.5% decided not to take the test; 11.6% decided to take the test, while 28.6% had taken the test. The factors likely to determine progress from one to another stage were 'Knowledge', 'Perceived susceptibility', 'Perceived benefits', 'Perceived barriers' and 'Family member's experience of cancer screening'. Conclusions: This study can be used to develop health promotion programs that enhance cancer screening behavior in Korea.
Keywords
Precaution Adoption Process Model (PAPM); Health Belief Model (HBM); Stage of readiness; Cancer screening; Korean adults;
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