Using the PAPM to Examine Factors Associated with Stages of Adoption for Stomach Cancer Screening

위암검진행태 단계의 관련요인 : PAPM을 적용하여

  • Kye, Su-Yeon (Division of Cancer Policy and Management, National Cancer Center) ;
  • Choi, Kui-Son (Division of Cancer Policy and Management, National Cancer Center) ;
  • Sung, Na-Young (Division of Cancer Policy and Management, National Cancer Center) ;
  • Kwak, Min-Son (Division of Cancer Policy and Management, National Cancer Center) ;
  • Park, Su-Ho (Division of Cancer Policy and Management, National Cancer Center) ;
  • Bang, Jin-Young (Division of Cancer Policy and Management, National Cancer Center) ;
  • Park, So-Mi (Division of Cancer Policy and Management, National Cancer Center) ;
  • Hahm, Myung-Il (Division of Cancer Policy and Management, National Cancer Center) ;
  • Park, Eun-Cheol (Division of Cancer Policy and Management, National Cancer Center)
  • 계수연 (국립암센터 암관리정책연구부) ;
  • 최귀선 (국립암센터 암관리정책연구부) ;
  • 성나영 (국립암센터 암관리정책연구부) ;
  • 곽민선 (국립암센터 암관리정책연구부) ;
  • 박수호 (국립암센터 암관리정책연구부) ;
  • 방진영 (국립암센터 암관리정책연구부) ;
  • 박소미 (국립암센터 암관리정책연구부) ;
  • 함명일 (국립암센터 암관리정책연구부) ;
  • 박은철 (국립암센터 암관리정책연구부)
  • Published : 2006.12.30

Abstract

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.

Keywords

References

  1. 곽민선 외 5명. 암검진수검에 영향을 주는 요인. 예방의학회지 2005:38(4):473-481
  2. 국립암센터. 2004 국가 암검진사업의 지원.평가사업. 경기: 국립암센터, 2004
  3. 김영복. 성인여성의 자궁경부암 선별검사 수검에 관한 예측인자. 예방의학회지 2001:34(3):237-243
  4. 김영복, 이원철. 지역사회주민의 위암조기검진행태 및 그 관련요인에 관한 연구. 한국역학회지 1999:21(1):20-30
  5. 노운녕. 지역사회 주민의 암조기검진 수검행위에 영향을 미치는 결정인자. 한국역학회지 1999:21(1):81-92
  6. 박요섭. 일부 지역주민의 암조기검진과 관련요인-Andersen 모형의 적용 [박사학위논문]. 광주: 전남대학교 대학원, 2003
  7. 보건복지부.한국중앙암등록본부. 암발생통계 (1999-2001). 서울: 보건복지부, 2005
  8. 신호철. 자궁경부암 선별검사 수검의 사회인구학적 및 행동학적 예측인자. 가정의학회지 2001:22(12):1823-1837
  9. 이영자. 범이론적 모형에 근거한 여성 유방사진촬영 행위단계별 예측요인 [박사학위논문]. 서울. 연세대학교 대학원, 2003
  10. 이혜진. 행위변화의 단계적 모델을 이용한 자궁경부암 검진 행위 관련 요인 분석-국가 암검진 대상자를 중심으로 [석사학위논문]. 서울: 이화여자대학교 대학원, 2004
  11. 통계청. 2004년 사망원인통계결과, http://www.nso.go.kr/nso2005/bbs/report/report10/view.jsp?content_id=3343. 2005
  12. 한동수, 민영일. 위암의 조기진단. 울산의대학술지 1993:2(2):1-5
  13. 함옥경. 한국여성의 유방엑스선 촬영에 영향을 미치는 요인: 건강신념모형을 중심으로. 한국보건간호학회지 2004:18(1):187-194
  14. Bakemeier RF, Krebs LU, Murphy JR, Shen Z, Ryals T. Attitudes of Colorado health professionals toward breast and cervical cancer screening in Hispanic women. Journal of Naltional Cancer Institute Monography 1995:18:95-110
  15. Bandura A. Self-efficacy: Toward a unifying theory of behavior change. Psychological Review 1977:84:191-215 https://doi.org/10.1037/0033-295X.84.2.191
  16. Blalock SJ, De Vellis RF, Giorgino KB, DeVellis BM. Osteoporosis prevention in premenopausal women: using a stage model approach to examine the predictors of behavior. Health Psychology 1996:15(2):84-93 https://doi.org/10.1037/0278-6133.15.2.84
  17. Brenes GA, Paskett ED. Predictors of stage of adoption for color ectal cancer screening. Preventive Medicine 2000:31:410-416 https://doi.org/10.1006/pmed.2000.0729
  18. Burak LJ, Meyer M. Using the health belief model to examine and predict college women's cervical cancer screening beliefs and behavior. Health Care for Women International 1997:18(3):251-262 https://doi.org/10.1080/07399339709516279
  19. Chamot E, Charvet AI, Perneger TV. Predicting stages of adoption of mammography screening in a general population. European Journal of Cancer 2001:37:1869-1877 https://doi.org/10.1016/S0959-8049(01)00234-9
  20. Champion V, Development of a self-efficacy scale for mammography. Research in Nursing & Health 2005:28:329-336 https://doi.org/10.1002/nur.20088
  21. Champion V, Skinner CS. Differences in perceptions of risk, benefits, and barriers by stage of mammography adoption. Journal of Womens Health 2003:12:277-286 https://doi.org/10.1089/154099903321667618
  22. Champion V. Development of a benefits and barriers scale for mammography utilization. Cancer Nursing 1995:18:53-59
  23. Clark MA, Rakowski W, Ehrich B, Rimer BK, Velicer WF, Dube CE, Pearlman DN, Peterson KK, Goldstein M. The effect of a stage-matched and tailored intervention on repeat mammography. American Journal of Preventive Medicine 2002:22(1):1-7 https://doi.org/10.1016/S0749-3797(01)00406-8
  24. Clemow L 외 5명. Underutilizers of mammography screening today: characteristics of women planning, undecided about, and not planning a mammography. Annals of Behavioral Medicine 2000:22(1):80-88 https://doi.org/10.1007/BF02895171
  25. Costanza ME 외 7명. Applying a stage model of behavior change to colon cancer screening. Preventive Medicine 2005:41:707-719 https://doi.org/10.1016/j.ypmed.2004.12.013
  26. Davis NA, Nash E, Bailey C, Lewis MJ, Rimer BK, Koplan UP. Evaluation of three methods for improving mammography rates in a managed care plan. American journal of Preventive Medicine 1997:13(4):298-302 https://doi.org/10.1016/S0749-3797(18)30179-X
  27. Fulton JP, Rakowski W, Jones AC. Determinants of breast cancer screening among inner-city Hispanic women in comparison with other inner-city women. Public Health Reports 1995:110(4):476-481
  28. Fulton JP 외 6명. A study guided by the Health Belief Model of the predictors of breast cancer screening of women ages 40 and older. Public Health Reports 1991:106(4):410-420
  29. Ham OK. Factors affecting mammography behavior and intention among korean women. Oncology Nursing Forum 2006:33(1):113-119 https://doi.org/10.1188/06.ONF.113-119
  30. Ham OK. The intention of future mammography screening among korean women. Journal of community health nursing 2005:22(1):1-13 https://doi.org/10.1207/s15327655jchn2201_1
  31. Hay JL 외 7명. Adherence to colorectal cancer screening in mammography-adherent older women. Journal of Behavioral Medicine 2003:26(6):553-576 https://doi.org/10.1023/A:1026253802962
  32. Honda K. Factors associated with colorectal cancer screening among the US urban Japanese population. American Journal of Public Health 2004:94(5):815-822 https://doi.org/10.2105/AJPH.94.5.815
  33. International Agency for Research on Cancer. IARC Handbooks of Cancer Prevention. V.7: Breast Cancer Screening. IARCPress, 2002. pp.75-81
  34. Janz NK, Wren PA, Schottenfeld D, Guire KE. Colorectal cancer screening attitudes and behavior: a population-based study. Preventive Medicine 2003:37:627-634 https://doi.org/10.1016/j.ypmed.2003.09.016
  35. Jennifer LH 외 7명. Adherence to colorectal cancer screenmg in mammography-adherent older women. Journal of Behavioral Medicine 2003:26(6):553-576 https://doi.org/10.1023/A:1026253802962
  36. Lee EH. Translation and validation of Champion's Health Belief Model scale with Korean women. Cancer Nursing 2002:25(5):391-395 https://doi.org/10.1097/00002820-200210000-00010
  37. Manne S 외 5명. Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset color ectal cancer. Health Psychology 2002:21:3-15 https://doi.org/10.1037/0278-6133.21.1.3
  38. Matuk LC. Pap smear screening practices in newcomer women. Women's Health Issues 1996:6:82-91 https://doi.org/10.1016/1049-3867(95)00075-5
  39. Pakenham KI, Pruss M, Clutton S. The utility of socio-demographics, knowledge and health belief model variables in predicting reattendance for mammography screening: a brief report. Psychology and Health 2000:15:585-591 https://doi.org/10.1080/08870440008405472
  40. Prochaska JO, Redding CA, Evers KE. The transtheoretical model and stages of change. In: Glanz K, Lewis FM, Rimer BK, editors. Health Behavior and Health Education. San Francisco, CA: Jossey-Bass, 1997. pp.60-84
  41. Rakowski W 외 5명. Increasing mammography among women aged 40-74 by use of a stage-matched, tailored intervention, Preventive Medicine 1998:27:748-756 https://doi.org/10.1006/pmed.1998.0354
  42. Rakowski W, Rimer BK, Bryant SA. Integrating behavior and intention regarding mammography by respondents in the 1990 national health interview survey of health promotion and disease prevention. Public Health Reports 1993:108(5):605-625
  43. Skinner CS, Arfken CL, Sykes RK. Knowledge, perceptions, and mammography stage of adoption among older urban women. American Journal of Preventive Medicine 1998:14(1):54-63 https://doi.org/10.1016/S0749-3797(97)00008-1
  44. Stein JA, Fox SA, Murata PJ, Morisky DE. Mammography usage and the health belief model. Health Education Quarterly 1992;19:447-462 https://doi.org/10.1177/109019819201900409
  45. Stoddard AM 외 9명. Underusers of mammogram screening: stage of adoption in five U.S. subpopulations. Preventive Medicine 1998:27:478-487 https://doi.org/10.1006/pmed.1998.0310
  46. Suarez L, Nichols DC, Pulley L, Brady CA, McAlister A, Local health departments implement a theory-based model to increase breast and cervical cancer screening. Public Health Reports 1993:108:477-482
  47. Sutton S, Bickler G, Sancho-Aldridge J, Saidi G. Prospective study of predictors of attendance for breast screening in inner London. Journal of Epidemiology and Community Health 1994:48:65-73 https://doi.org/10.1136/jech.48.1.65
  48. Trauth JM, Ling BS, Weissfeld JL, Schoen RE, Hayran M. Using the Transtheoretical Model to stage screening behavior for colorectal cancer. Health Education & Behavior 2003;30(3):322-336 https://doi.org/10.1177/1090198103030003007
  49. Wardle J 외 5명. Psychosocial influences on older adults interest in participating in bowel cancer screening. Preventive Medicine 2000:31:323-334 https://doi.org/10.1006/pmed.2000.0725
  50. Weinstein ND, Lyon JE, Sandman PM, Cutie CL. Experimental evidence for stages of precaution adoption. Health Psychology 1998:17:445-453 https://doi.org/10.1037/0278-6133.17.5.445
  51. World Health Organization . International Agency far Research on Cancer. World Cancer Report. IARCPress, 2003
  52. Yarbrough SS, Braden CJ. Utility of health belief model as a guide for explaining or predicting breast cancer screemng behaviors. Journal of Advanced Nursing 2001:33(5):677-688 https://doi.org/10.1046/j.1365-2648.2001.01699.x