Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Factors Related to Breast Cancer Screening using Mammography and Clinical Breast Examination of Korean Women Over 40 Years of Age

한국 도시여성의 유방촬영술과 유방임상검사 관련요인

  • Eun, Young (College of Nursing, Gyeongsang National University, Gerontological Health Research Center, Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Gu, Mee-Ok (College of Nursing, Gyeongsang National University, Gerontological Health Research Center, Gyeongsang Institute of Health Science, Gyeongsang National University) ;
  • Lee, Eunice L. (Department of Public Health, Mental Health, and Administrative Nursing, University of Illinois at Chicago) ;
  • Choi, Kyung-Sook (Department of Nursing, Chung-Ang University) ;
  • Jun, Myung-Hee (Deparment of Nursing, Daejun University)
  • 은영 (경상대학교 간호대학.건강과학연구원 노인건강연구센터) ;
  • 구미옥 (경상대학교 간호대학.건강과학연구원 노인건강연구센터) ;
  • ;
  • 최경숙 (중앙대학교 간호학과) ;
  • 전명희 (대전대학교 간호학과)
  • Received : 2009.09.17
  • Accepted : 2009.11.12
  • Published : 2009.12.31
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Abstract

Purpose: The purpose of this study was to investigate the factors related to Breast cancer Screening using Mammography and CBE of Korean women over 40 years of age. Methods: The participants for this study were 183 Korean women living in 3 urban cities and aged from 40 to 75. The data were collected using structured questionnaires which included sociodemographic factors (11 items), frequency and regularity of mammography and clinical breast examination (7 items), knowledge (16 items), health belief model scale (28 items), and family support (4 items) about breast cancer and breast cancer screening. Frequencies, Chronbach's alpha for reliability, Chi-square, t-test and logistic regression with the SPSS/WIN 12 program were used to analyze the data. Results: The percentages of Korean women who had a mammography and CBE for breast cancer screening were 60.1 and 31.1, respectively. Logistic regression analyses demonstrated that regular check ups and perceived barriers were significant predictors of mammography and CBE use for breast cancer screening. Conclusion: In order to increase the frequency of breast cancer screening practices, educational support and a health care delivery system is needed to improve the chance of regular health check ups.

Keywords

References

  1. American Cancer Society (2008, March 5). American Cancer Society Guidelines for the Early Detection of Cancer. Retrieved March 20, 2009, from http://www.cancer.org/docroot/ped/content/ped_2_3x_acs_cancer_detection_guidelines_36.asp.
  2. Carney, P. A., Milglioretti, D. L., Yankaskas, B. C., Kerlikowske, K., Rosenberg, R., Rutter, C. M., Geller, B. M., Abraham, L. A., Taplin, S. H., Dignan, M., Cutter, G., & Ballard-Barbash, R. (2003). Individual and combined effects of age, breast density, and hormone replacement therapy use on the accuracy of screening mammography. Annual Internal Medicine, 138, 168-175.
  3. Champion, V. L. (1993). Instrument refinement for breast cancer screening behaviors. Nursing Research, 42(3), 139-143.
  4. Champion, V. L. (1999). Revised susceptibility, benefits and barriers scale for mammography screening. Research in Nursing & Health, 22, 341-348. https://doi.org/10.1002/(SICI)1098-240X(199908)22:4<341::AID-NUR8>3.0.CO;2-P
  5. Choi, J. S., Park, J. Y., & Han, C. H. (2001). The behavioral and Educational Factors Affecting the breast self-examination and breast cancer screening. Journal of Korean Society for Health Education and Promotion, 18(1), 61-78.
  6. Chung, B. Y., & Suh, S. R. (1997). Development of educational program for early detection of breast cancer. Korean Journal of Adult Nursing, 9(1), 136-147.
  7. Han, Y., Williams, R. D., & Harris, R. A. (2000). Breast cancer screening knowledge, attitudes, and practices among Korean American women, Oncology Nursing Forum, 27, 1585-1591.
  8. Katz, M. H. (2006). Study Design and statistical analysis: A practical guide for clinicians. New York: Cambridge University Press.
  9. Kim, H. J., Lee, K. J., Lee, S. O., & Kim, S. J. (2004). Cervical cancer screening in Korean American women: Findings from Focus Group Interviews. Journal of Korean Academy of Nursing, 34(4), 616-624.
  10. Kim, Y. I., Lee, C. H., Yang, S. H., & Jung, H. S. (2004). Factors affecting Early detection behaviors of breast cancer. Journal of Korean Community Nursing, 15(1), 155-164.
  11. Korean Statistical Information Service (2005). KOSIS. Retrieved March 20, 2009. from http://www.kosis.kr/OLAP/Analysis/stat_OLAP.jsp?tbl_id=DT_1BA0506&org_id=101&vwcd=MT_TM1_TITLE&path=&oper_YN=Y&item=&keyword=&lang_mode=kor&list_id=A0601&olapYN=N.
  12. Knutson, D., & Steiner, E. (2007). Screening for breast cancer; Current recommendations and future directions. American Family Physician, 5, 1660-1666.
  13. Lee, C. H., Kim, Y. I., Chung, H. S., & Kim, J. Y. (2005). Analysis of factors affecting occupational health nurses' early breast cancer screening. Journal of Korean Community Nursing, 16(1), 68-76.
  14. Lee, E. E., & Eun, Y. (2009, February). Breast cancer screening beliefs among older Korean women: Are they different from younger Korean women? Poster session presented at the 10th National Conference on Cancer Nursing Research, Orlando, Florida.
  15. Lee, E. E., Fogg, L. F., & Sadler, G. R. (2006). Factors of Breast Cancer Screening Among Korean Immigrants in the United States. Journal of Immigrant and Minority Health, 8(3), 223-233. https://doi.org/10.1007/s10903-006-9326-2
  16. Lee, H. J., Yang, Y. H., Gu, M. O., & Eun. Y. (2006). Introduction of Nursing Research. Seoul: Hyunmoonsa.
  17. Lee, Y. W., Lee E. H., Shin, K. B., & Song, M. S. (2004). A comparative study of Korean and Korean-American Women in their health beliefs related to breast cancer and the performance of breast self-examination. Journal of Korean Academy of Nursing. 34(2), 307-314.
  18. McCance, K. L., Mooney, K. H., Smith, K. R., & Field, R. (1990). Validity and reliability of a breast cancer knowledge test. American Journal of Preventive Medicine, 6(2), 93-98.
  19. Memorial Sloan-kettering Cancer Center (2008, November). Breast cancer screening guidelines. Retrieved March 20, 2009, from http;//www.mskcc.org/mskcc/html/65280.cfm.
  20. Ministry for Health, Welfare and Family Affairs (2006, May). Cancer Conquest 2015. Retrieved March 20, 2009, from http://www.mw.go.kr/front/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=03030301&BOARD_ID=1003&BOARD_FLAG = 01&CONT_SEQ = 37866&page = 1.
  21. National Cancer Information Center (2008, November). National Cancer Indidence Rate in 2003-2005 and 5 year survival rate of incidence in 1993-2005. Retrieved April 10, 2009, from http://www.cancer.go.kr/cms/statics/incidence/index.html.
  22. National Cancer Information Center (2009, January). National cancer screening projects. Retrieved April 10, 2009, from http://www.cancer.go.kr/cms/public_project/inspection/index.html
  23. National Cancer Institute (2007, December). Cancer trends progress report-2007 update. Retrieved March 20, 2009, from http://progressreport.cancer.gov/index.asp
  24. National Health Service (2009, January). Breast screening programme, 2008-09. Retrieved March 20, 2009, from http://www.ic.nhs.uk/statistics-and-data-collections/screening/breastcancer/breast-screening-programme-england-2007-08.
  25. Oleske, D. M., Galvez, A., Cobeigh, M. A., Ganschow, P., & Ayalo, L. D. (2007). Are Tri-ethnic low income women with breast cancer effective teachers of the importance of breast cancer screening to their first degree relatives? The Breast Journal, 13(1), 19-27. https://doi.org/10.1111/j.1524-4741.2006.00358.x
  26. Park, Y. S., Chung, E. K., Choi, J. S., Park, K. S., Xhin, M. H., & Kweon, S. S. (2006). Cancer screening rates and its related factors in a rural and urban communities. Journal of Korean Family Medicine, 27, 21-32.
  27. Sung, N. Y., Park, E. C., Shin, H. R., & Choi, K. S. (2005). Participation rate and related sociodemographic factors in the national cancer screening program. Journal of Preventive Medicine Public Health, 38(1), 93-100.
  28. U.S. Preventive Services Task Force (2003, November). Screening for breast cancer. Retrieved March 20, 2009, from http://www.ahrq.gov/clinic/uspstf/uspsbrca.htm.
  29. Wismer, B. A., Moskowitz, J. M., Chen, A. M., Kang, S. H., Novotny, T., Min, K., Lew, R., & Tager, I. B. (1998). Mammography and clinical breast examination among Korean American women in two California counties. Preventive Medicine, 27, 144-151. https://doi.org/10.1006/pmed.1997.0259
  30. Yoo, K. Y., Yoon, H. C., Shin, A. S., & Shin, H. R. (2001). Risks and Benefits of Breast Cancer Screening. Journal of Korean association of Cancer Prevention, 6(3), 131-139.