Browse > Article
http://dx.doi.org/10.4069/kjwhn.2010.16.1.37

The Comparison of Factors related to Performance of Breast Self-examination by Age Group in the Middle and Mature Aged Woman  

Park, Kyung-Yeon (Department of Nursing, Silla University)
Kim, So-Hee (Department of Nursing, Silla University)
Publication Information
Women's Health Nursing / v.16, no.1, 2010 , pp. 37-46 More about this Journal
Abstract
Purpose: This study aims to identify differences in breast self-examination (BSE) performance and influencing factors between woman-groups under and over 45 years old. Methods: The subjects were 152 women aged from 35 to 65, who were recruited through convenient sampling in a metropolitan city. They were divided into two groups: under and over 45 years old. The data were collected using self-reporting questionnaires and analyzed by $x^2$ test, t-test, Pearson's correlation coefficient, and stepwise multiple regression. Results: Experience of BSE education ($x^2$=4.68, p=.030), BSE performance ($x^2$=20.12, p<.001), confidence (t=-2.97, p=.003), and self-efficacy (t=-2.44, p=.016) were significantly higher in the group over 45 years (the older group) than the one under 45 years (the younger group). Self-efficacy (${\beta}$=.346, p=.004) and susceptibility (${\beta}$=.238, p=.002) were 17.6% of the variance in the younger group's BSE performance. On the other hand, significantly influencing factors on the older group's BSE performance were self-efficacy (${\beta}$=.500, p<.001) and BSE education (${\beta}$=.217, p<.001), which accounted for 25% of the variance in the BSE performance. Conclusion: We conclude that differentiated strategies of considering age should be established in nursing intervention to detect breast cancer early.
Keywords
Women; Age; Breast self-examination; Performance; Factor;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Suh, Y. O. (2003). The difference of women's knowledge, attitudes and practice education after education for breast selfexamination. Journal of Korean Academic of Adult Nursing, 15(1), 5-13.
2 Wolfgang, J. (2006). Age-specific incidence of breast cancer-Are younger women at higher risk? Breast Care, 1, 26-27.   DOI   ScienceOn
3 National Cancer Information Center (2008). Breast cancer statistics. Retrieved Aug, 24, 2009, from http://www.cancer.go.kr/candat/cms_renewal/english/01/index.html
4 National Health Insurance Corporation (2008). Annual report on the diseases statistics. Retrieved June, 25, 2009, from http://www.nhic.or.kr/wbm/wbmc.
5 Park, S. M., Song, H. Y., Hur, H. K. & Kim, G. Y. (2009). Effects of a cognition oriented breast self-examination intervention for Korean women and their spouses. Public Health Nursing, 26(3), 259-268.   DOI   ScienceOn
6 Rawl, S. M., Champion, V. L., & Menon, U. (2000). The impact of age and race on mammography practices. Health Care for Women International, 21(7), 583-597.   DOI   ScienceOn
7 Romanek, K. M., McCaul, K. D., & Sandgren, A. K. (2005). Age differences in treatment decision making for breast cancer in a sample of healthy women: The effects of body image and risk framing. Oncology Nursing Forum, 32(4), 799-806.   DOI   ScienceOn
8 Seo, Y. O. (2003). The difference of women's knowledge, attitude, and practice education after education for breast self-examination. Journal of Korean Academic of Adult Nursing, 15(1), 5-13.
9 Shin, H. C., & Choi, H. S. (1998). Effectiveness of breast selfexamination education among Korean women. Journal of the Korean Academy of Family Medicine, 19(6), 467-480.
10 Lee, P. S., Kim, S. I., Chun, Y. J., Kim, S. Y., Lee, E. S., & Chung, S. O. (1999). Prediction model for decisional balance selfefficacy for exercise and stage of change of exercise in the Korean elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 8(2), 280-290.
11 McCready, T., Littlewood, D., & Jenkinson, J. (2005). Breast selfexamination and breast awareness: A literature review. Journal of Clinical Nursing, 14(5), 570-578.   DOI   ScienceOn
12 Lee, Y. H., & Lee, E. H. (2001). Predicting factors of breast selfexamination among middle aged women. Journal of Korean Academic of Adult Nursing, 13(4), 551-559
13 Lepecka-Klusek, C., Jakiel, G., Krasuska, M. E., & Stanislawek, A. (2007). Breast self-examination among polish women of procreative age and the attached significance. Cancer Nursing, 30(1), 64-68.   DOI   ScienceOn
14 Marcus, B. H., Selby, B. C., Niaura, V. C., & Rossi, J. S. (1992). Self-efficacy and stage of exercise behaviors change. Research Quarterly for Exercise and Sport, 63(1), 60-66.   DOI   ScienceOn
15 Montazeri, A., Vahdaninia, M., Harirchi, A. M., Sajadian, A., Khaleghi, F., Ebrahimi, M., et al. (2008). Breast cancer of Iran: Need for greater women awarness of warning signs and effective screening methods. Asia Pacific Family Medicine, 7(1), 6.   DOI   ScienceOn
16 Munro, B. H. (2001). Statistical methods for health care research (E. H. Lee, Y. H. Jung, J. S. Kim, R. Y. Song, & K. Y. Hwang, Trans.). New York: Lippincott William & Wilkins.
17 Lee, D. S., & Son, H. M. (2004). A study on aged-related difference in risk perception of breast cancer and influencing predictors. Journal of Korean Academic of Adult Nursing, 16(2), 327-336.
18 Kim, E. K., Lee, H. J., Ahn, S. H., & Chung, E. S. (2003). Factors influencing on the compliance of breast self-examination of nurses in a local area. Journal of Korean Academy of Nursing, 33(7), 1047-1056.   DOI
19 Kim, M. H., & Chon, M. Y. (2002). An exploration of adult women health-behavior. Journal of Korean Community Nursing, 16(2), 239-253.   과학기술학회마을
20 Korean Breast Cancer Society (2009). Related Information. Retrieved June, 25, 2009, from http://kbcs.or.kr/relate/information. html?k=1
21 Lee, M. H., & Choi, I. H. (2001). The impact supportive education on the effectiveness of breast self examination among college women and correlate to self-efficacy. Journal of Korean Academic of Adult Nursing, 13(3), 397-408.
22 Lee, E. H., Kim, J. S., & Song, M. S. (2002). Translation and validation of Champion's health belief model scale with Korean women. Cancer Nursing, 25(5), 391-395.   DOI   ScienceOn
23 Gammon, M. D., Schoenberg, J. B., Britton, J. A., Kelsey, J. A., Coates, R. J., Brogan, D., et al. (1998). Recreational physical activity and breast cancer risk amomg women under age 45 years. American Journal of Epidemiology, 147 (3), 273-280.   DOI   ScienceOn
24 Chung, B. Y., Byun, H. S., Kim, K. D., & Kim, K. H. (2008). Risk factors of breast cancer. Journal of Korean Oncology Nursing, 8(2), 120-127.   과학기술학회마을
25 Cimprich, B., Ronis, D. L., & Maritine-Ramos, G. (2002). Age at diagnosis and quality of life in breast cancer survivors. Cancer Practice, 10 (2), 85-93.   DOI   ScienceOn
26 Funke, L., Krause-Bergmann, B., Pabst, R., & Nave, H. (2008). Prospective analysis of the long-term effect of teaching breast self-examination and breast awarness, European Journal of Cancer Care, 17, 371-376.   DOI   ScienceOn
27 Giles, J. T., Kenedy, D. T., Dunn, E. C., Wallace, W. L., Meadows, S. L., & Cafiero, A. C. (2001). Results of a community pharmacy-based breast cancer risk assessment and education program. Pharmacotheraphy, 21(2), 243-253.   DOI   ScienceOn
28 Champion, V. L. (1991). The relationship of selected variables to breast cancer detection in women 35 and older. Oncology Nursing Forum, 18 (4), 733-739.
29 Han, M. Y., & Chung, C. W. (2006). Breast cancer screening behaviors in working women. Korean Journal of Women Health Nursing, 12(4), 363-370.   과학기술학회마을
30 Ahn, H. J. (2002). The analysis for behavior model and effectiveness of education of breast self-examination. Journal of Korean Academy of Adult Nursing, 14(1), 73-82.
31 Champion, V. L. (1993). Instrument refinement for breast cancer screening behavior. Nursing Research, 42(3), 139-143.
32 Choi, K. O. (1996). Effectiveness of teaching in accordance with the teaching program types for the breast self-examination. Unpublished doctoral dissertation, Kyung Hee University, Seoul.