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Predictive Factors on Breast Self-Examination Intention and Behavior in Middle Aged Women: Based on the Theory of Planned Behavior

계획된 행위이론에 근거한 중년기 여성의 유방자가검진 의도 및 행위 예측요인

  • Bae, Phil Won (Department of Public Health, Kyungpook National University) ;
  • Suh, Soon Rim (College of Nursing, Kyungpook National University)
  • Received : 2013.03.22
  • Accepted : 2013.05.09
  • Published : 2013.05.31

Abstract

The purpose of this study was to predict the factors which are related to the intention and behaviour for breast self-examination (BSE) of middle aged women using the theory of planned behavior (TPB). A survey using a structured questionnaire was conducted wih 217 middle aged women. BSE behaviour was assessed at 1-month follow-up. The overall fit of the structural model to the date was acceptable(${\chi}^2$=1246.6(p<.001), ${\chi}^2$/df=2.72, CFI=.831, TLI=.817, RMSEA=.089). The BSE behavior rate within one month was 56.2%. The TPB explained 43.9% of the variance in BSE intentions and 10.9% of the variance in BSE behavior. The subjective norm(${\beta}$=.364, p<.001) and the perceived behavioral control(${\beta}$=.553, p<.001) both positively influenced the behavioral intention, and the behavioral intention(${\beta}$=.768, p<.01) positively influenced the behavior. This study shows the model's applicability in explaining BSE behavior of middle aged women, and suggests that health intervention programs should focus on strengthening the intention for the promotion of BSE behavior.

Keywords

Behavior;Breast self-examination;Intention;Middle aged;Theory of planned behavior

References

  1. S. Y. Jung, "The structural model for hand hygiene of infection prevention activities in hospital nurse", Ewha University, Unpublished doctoral dissertation, 2011.
  2. A. Bandura, "Social foundations of thought and action: A cognitive social theory". Englewood Cliffs, NJ: Prentice-Hall, 1986.
  3. K. D. McCaul, A. K. Sandgren, H. K. O'Neill, V. B. Hinsz, "The value of the theory of planned behavior, perceived control, and self-efficacy expectation for predicting health behaviors", Basic and Applied Social Psychology, 14, pp.231-252, 1993. DOI: http://dx.doi.org/10.1207/s15324834basp1402_7 https://doi.org/10.1207/s15324834basp1402_7
  4. C. J. Armitage, M. Conner, "Efficacy of the theory of planned behaviour: A meta analytic review", British Journal of Social Psychology, 40, 4, pp.471-499, 2001. DOI: http://dx.doi.org/10.1348/014466601164939 https://doi.org/10.1348/014466601164939
  5. I. Ajzen, T. J. Madden, "Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control", Journal of Experimental Social Psychology, 22, pp.453-474, 1986. DOI: http://dx.doi.org/10.1016/0022-1031(86)90045-4 https://doi.org/10.1016/0022-1031(86)90045-4
  6. R. M. Tolman, J. L. Edleson, M. Fendrich, "The applicability of the theory of planned behavior to abusive men's cessation of violent behavior". presented at the 4th International Family Violence Research Conference, 1985.
  7. M. Conner, P. Sparks, The theory of planned behaviour and health behaviour. In M. Conner & P. Norman (Eds), Predicting health behaviour p.170-222, Buckingham, UK: Open University Press, 2005
  8. P. Norman, Y. Cooper, "The theory of Planned behaviour and breast self-examination: Assessing the impact of past behaviour, context stability and habit strength", Psychology & Health, 26, 9, pp.1156-1172, 2011. DOI: http://dx.doi.org/10.1080/08870446.2010.481718 https://doi.org/10.1080/08870446.2010.481718
  9. T. Mason, K. White, "The role of behavioral normative and control beliefs in breast self-examination", Women & Health, 47, 3, pp.39-56, 2008a. DOI: http://dx.doi.org/10.1080/03630240802132344 https://doi.org/10.1080/03630240802132344
  10. T. Mason, K. White, "Applying and Extended Model of the Theory of Planned Behavior to Breast Self-Examination", Journal of Health Psychology, 13, 7, pp.946-955, 2008b. DOI: http://dx.doi.org/10.1177/1359105308095069 https://doi.org/10.1177/1359105308095069
  11. C. J. Ashton, W. Karnilowicz, D. Fooks, "The incidence of belief structures associated with breast examination", Social Behavior and Personality, 29, pp.223-230, 2001. DOI: http://dx.doi.org/10.2224/sbp.2001.29.3.223 https://doi.org/10.2224/sbp.2001.29.3.223
  12. P. Norman, S. Hoyle, "The theory of planned behavior and breast self-examination: Distinguishing between perceived control and self-efficacy", Journal of Applied Social Psychology, 34, pp.94-708, 2004. DOI: http://dx.doi.org/10.1111/j.1559-1816.2004.tb02565.x https://doi.org/10.1111/j.1559-1816.2004.tb02565.x
  13. A. J. Prestwich, M. T. Conner, R. J. Lawton, W. Bailey, J. Litman, V. Molyneaux, "Individual and collaborative implementation intentions and the promotion of breast self-examination", Psychology & Health 20, pp.743-760, 2005. DOI: http://dx.doi.org/10.1080/14768320500183335 https://doi.org/10.1080/14768320500183335
  14. H. M. Young, L. Lierman, G. Powell-Cope, D, Kasprzyk, J. Q. Benoliel, "Operationalizing the theory of planned behavior", Research in Nursing & Health, 14, pp.137-144, 1991. DOI: http://dx.doi.org/10.1002/nur.4770140208 https://doi.org/10.1002/nur.4770140208
  15. H. S. Lee, G. H. Lim, "Structural equation modelling with AMOS 18.0/19.0", Seoul: Jyphyunjae Publishing Co, 2011.
  16. S. Jirojwong, R. MacLennan, "Health beliefs, perceived self-efficacy, and berast self-examination among Thai migrants in Brisbane", Journal of Advanced Nursing, 41, 3, pp.241-249, 2003. DOI: http://dx.doi.org/10.1046/j.1365-2648.2003.02552.x https://doi.org/10.1046/j.1365-2648.2003.02552.x
  17. G. Godin, C. Gagne, J. Maziade, L. Moreault, D. Beaulieu, S. Morel, "Breast cancer: The intention to have a mammography and a clinical breast examination application of the theory of planned behavior", Psychology & Health, 16, 4, pp. 423-441, 2001. DOI: http://dx.doi.org/10.1080/08870440108405517 https://doi.org/10.1080/08870440108405517
  18. H. R. Yoo, S. H. Lee, T. K. Yoo, "Applicability of theory of planned behavior to smoking cessation intention: An empirical analysis using structural equation model", Journal of Korean Society for Health Education and Promotion, 26, 2, pp.49-61, 2009.
  19. Korean Breast Cancer Society, Breast Cancer Facts & Figures, Korean Breast Cancer Society, 2012, Available From: http://www/kbcs.or.kr/journal /file/2010_2012_6.pdf, (accessed., Oct, 15, 2012)
  20. Korean Statistical Information Cencter, 2010 Public Health Statistics, Statistics Korea, 2012 Available From: http://kosis.kr/abroad/abroad_01List .jsp? parentId=D. (accessed., Oct, 25, 2012).
  21. D. Puliti, G. Miccinesi, N. Collina, V. De Lisi, M. Federico, S. Ferretti, A. C. Finarelli, F. Foca, L. Mangone, C. Naldoni, M. Petrella, A. Ponti, N. Segnan, A. Sigona, M. Zarcone, M. Zorzi, M. Zappa, E. Paci, "Effectiveness of service screening: a case-control study to assess breast cancer mortality reduction", British Journal of Cancer, 99, 3, pp.423-427, 2008. DOI: http://dx.doi.org/10.1038/sj.bjc.6604532 https://doi.org/10.1038/sj.bjc.6604532
  22. M. K. Salazar, "Breast self-examination beliefs: A descriptive study", Public Health Nursing, 11, 1, pp.45-56, 1994. DOI: http://dx.doi.org/10.1111/j.1525-1446.1994.tb00389.x https://doi.org/10.1111/j.1525-1446.1994.tb00389.x
  23. Y. Koibuchi, Y. Iino, H. Takei, M. Maemura, J. Horiquchi, T. Yokoe, Y. Morishita, "The effect of mass screening by physical examination combined with regular breast self examination on clinical stage and course of Japanese women with breast cancer", Oncology Reports, 5, 1, pp.151-155, 1998.
  24. Y. W. Lee, E. H. Lee, "Predicting factors of breast self-examination among middle aged women", Journal of Korean Academy of Adult Nursing, 13, 4, pp.551-559, 2001.
  25. H. K. Hur, S. M. Park, "Difference of decisional balance and confidence in the stage of adoption for breast self-exam in married women", Journal of Korean Academy of Adult Nursing, 16, 3, pp.493-501, 2001.
  26. K. Y. Park, S. H. Kim, "The comparison of factors related to performance of breast self-examination by age group in the middle and mature aged woman", Korean Journal of Women Health Nursing, 16, 1, pp.37-46, 2010. DOI: http://dx.doi.org/10.4069/kjwhn.2010.16.1.37 https://doi.org/10.4069/kjwhn.2010.16.1.37
  27. E. L. Tolma, B. M. Reininger, A. Evans, J. Ureda, "Examining the Theory of Planned Behavior and the Construct of Self-Efficacy to Predict Mammography Intention", Health Education & Behavior, 33, 2, pp.233-251, 2006. DOI: http://dx.doi.org/10.1177/1090198105277393 https://doi.org/10.1177/1090198105277393
  28. I. Ajzen, From intentions to actions: A theory of planned behavior. In J. Kuhl and K. Beckmann(Eds), Action Control: From Cognition to Behavior, pp.11-39, New York: Springer, 1985. DOI: http://dx.doi.org/10.1007/978-3-642-69746-3_2 https://doi.org/10.1007/978-3-642-69746-3_2
  29. I. Ajzen, Attitudes, Personality, and Behavior, New York: Open University Press, 2005.