• 제목/요약/키워드: Precaution Adoption Process Model(PAPM)

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시민들의 암검진 실천 단계변화와 영향요인: 예방책 채택과정 모형 및 건강믿음모형의 통합적 활용 (Integrating the Precaution Adoption Process Model and the Health Belief Model to Assess Cancer Screening Readiness among Korean Adults)

  • 강민정;이명순
    • 보건교육건강증진학회지
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    • 제28권3호
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    • pp.83-98
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    • 2011
  • 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.

위암검진행태 단계의 관련요인 : PAPM을 적용하여 (Using the PAPM to Examine Factors Associated with Stages of Adoption for Stomach Cancer Screening)

  • 계수연;최귀선;성나영;곽민선;박수호;방진영;박소미;함명일;박은철
    • 보건교육건강증진학회지
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    • 제23권4호
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    • pp.29-45
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    • 2006
  • Objectives: The aim of this study was to determine the distribution of stages of adoption in stomach cancer screening and elucidate differences among stages. Methods: A randomly selected sample of 712 Korean males and females aged 40 years or over were interviewed. Stomach cancer screening intention and behavior, sociodemographic characteristics, beliefs, self-efficacy and reinforcing characteristics were assessed. Results: The majority of participants were not on-schedule screening(unaware 3.2%, unengaged 20.8%, deciding about acting 24.0%, decided not to act 9.6%, decided to act 14.5%, acting 9.7%, maintenance 18.3%). Perceived susceptibility, perceived barriers, self-efficacy, other cancer screening experiences were significantly associated with higher compared to lower Precaution Adoption Process Model(PAPM) stages. Conclusions: This study appears to be applicable of the Precaution Adoption Process Model to understanding stomach cancer screening behavior. Our results suggest that it is needed to develop the tailored message for adherence of stomach cancer screening.

Predictors of Progress in the Stage of Adoption of Breast Cancer Screening for Korean Women

  • Choi, Sora;So, Heeyoung;Park, Myonghwa
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.2637-2643
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    • 2015
  • Background: It has been proven that an individuals health behavior is determined through a series of processes. This study aimed to assess the stages of adoption of breast cancer screening, and to identify the factors relating to progress through these stages. Materials and Methods: There were 202 female participants aged 20-59 years who were living in Chungbuk, South Korea. They were informed of the study purpose and agreed to participate. Data were collected from October 2010 to January 2011 by assessing the breast cancer screening stage, health beliefs, socio-demographic factors, and other facilitating factors. The participant current stage of adoption of breast cancer screening was classified using the Precaution Adoption Process Model (PAPM), and the various PAPM stages were compared with each other to identify factors likely to determine progress between stages. The data were analyzed using the ${\chi}^2$-test, ANOVA, Duncan test, and multiple logistic regression. Results: Approximately half of all participants were not on-schedule for breast self-examination and mammography (unaware, 9.4% and 11.4%, unengaged, 8.4% and 5.0%, undecided, 20.3% and 17.8%, decided not to act, 1.5% and 1.0%, decided to act, 13.4% and 15.3%, respectively). The factors likely to determine the progress from one stage to another were age, marital status, exposure to media information about breast cancer, self-efficacy, and perceived severity. Conclusions: These results suggest that it is necessary to develop a tailored message for breast cancer screening behavior.