Differences in Health Belief by Compliance Level with Breast Self-Examination and Predictors of BSE among Women

유방자가검진 이행정도별 건강신념의 차이와 이행요인

  • Park, Kyung-Yeon (Department of Nursing, College of Medical and Life Science, Silla University)
  • Received : 2009.08.31
  • Accepted : 2009.10.25
  • Published : 2009.11.30

Abstract

Purpose: The purpose of this study was to explore differences in health belief by compliance level with breast self-examination (BSE) and the predictors of BSE compliance among women. Method: Using a convenience sampling method, 163 women were selected for the sample. Data were measured for each participant during the period between December 2008 and February 2009, and analyzed by chi-square test, t-test, Kruskal-Wallis test with post hoc, and logistic regression analysis. Samples were categorized into three groups by the compliance level of BSE for the last 6 months: Never-performers (i.e, women who had never performed BSE), irregularly-performers (i.e, women who performed BSE at least once), and regularly-performers (i.e, women who performed monthly BSE). Result: Significant differences were reported among never-performers, irregularly-performers and regularly-performers correlated to age, level of education, mammography, ultrasonography, clinical examination, benefit, and confidence. There was no significant difference between irregularly-performers and regularly performers. The significant factor influencing compliance with BSE was 'confidence', which explained 33.7% of the variance in compliance with BSE. Conclusion: Women who had more confidence in their ability to perform BSE were more likely to practice BSE. It is necessary to develop the strategy to enforce woman's confidence in complying with BSE.

Keywords

References

  1. Arnett, J. J. (2000). Optimistic bias in adolescent and adult smokers and nonsmokers. Addictive Behaviors, 25(4), 625-632. https://doi.org/10.1016/S0306-4603(99)00072-6
  2. Becker, M. H., Maiman, L. A., Kirscht, J. P., Haefner, D. P., & Drachman, R. H. (1977). The health belief model and prediction of dietary compliance: A field experiment. Journal of Health and Social Behavior, 18(4), 348-366. https://doi.org/10.2307/2955344
  3. Champion V. L. (1985). Use of the health belief model in determining frequency of breast self examination. Research in Nursing and Health., 8(4), 373-379. https://doi.org/10.1002/nur.4770080410
  4. Champion, V. L. (1993). Instrument refinement for breast cancer screening behaviors. Nursing Research, 42(3), 139-143.
  5. Champion, V. L., & Skinner, C. S. (2003). Differences in perceptions of risk, benefits, and barriers by stage of mammography adoption. Journal of Women's Health, 12(3), 277-286. https://doi.org/10.1089/154099903321667618
  6. Champion, V. L., & Springston, J. (1999). Mammography adherence and beliefs in a sample of low-income African American women. International Journal of Behavioral Medicine, 6(3), 228-240. https://doi.org/10.1207/s15327558ijbm0603_2
  7. 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.
  8. Elmore, J. G., Armstrong, K., Lehman, C. D., & Fletcher, S. W. (2005). Screening for breast cancer. The Journal of American Medical Association, 293(10), 1245-1256. https://doi.org/10.1001/jama.293.10.1245
  9. Erblich, J., Bovbjerg, D. H., & Valdimarsdottir, H. B. (2000). Psychological distress, health beliefs, and frequency of breast self-examination. Journal of Behavioral Medicine, 23(3), 277-292. https://doi.org/10.1023/A:1005510109233
  10. Fung, S. Y. (1998). Factors associated with breast self-examination behavior among Chinese women in Hong-Kong. Patient Education and Counseling, 33(3), 233-243. https://doi.org/10.1016/S0738-3991(98)00023-8
  11. Green, B. B., & Taplin, S. H. (2003). Breast cancer screening controversies. Journal of the American Board of Family Practice, 16(3), 233-241. https://doi.org/10.3122/jabfm.16.3.233
  12. Hur, H. K., & Park, S. M. (2004). 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), 493-501.
  13. Hur, H. K., Park, S. M., & Kim, G. Y. (2004). Factors related to the stage of mammography screening in married Korean women. Journal of Korean Academy of Adult Nursing, 16(1), 72-81.
  14. Jirojwong, S., & MacLennan, R. (2003). Health beliefs, perceived self-efficacy, and breast self-examination among Thai migrants in Brisbane. Journal of Advanced Nursing, 41(3), 241-249. https://doi.org/10.1046/j.1365-2648.2003.02552.x
  15. Katapodi, M. C., Lee, K. A., Facione, N. C., & Dodd, M. J. (2004). Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening: A meta analytic review. Preventive Medicine, 38(4), 388-402. https://doi.org/10.1016/j.ypmed.2003.11.012
  16. Korean Breast Cancer Society (2009). Common knowledge for breast cancer. Retrieved July 17, 2009, from the Korean Breast Cancer Society Web site: http://www.kbcs.or.kr
  17. Lauver, D., & Angerame, M. (1988). Development of a questionnaire to measure beliefs and attitudes about breast self-examination. Cancer Nuring, 11(1), 51-57.
  18. 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. https://doi.org/10.1097/00002820-200210000-00010
  19. Lee, Y. W., & Lee, E. H. (2001). Predicting factors of breast self-examination among middle aged women. Journal of Korean Academy of Adult Nursing, 13(4), 551-559.
  20. 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.
  21. Lu, Z. J. (1995). Variables associated with breast selfexamination among Chinese women. Cancer Nursing, 18(1), 29-34.
  22. Ludwick, R., & Gaczkowski, T. (2001). Breast self-exams by teenagers: Outcome of a teaching program. Cancer Nursing, 24(4), 315-319. https://doi.org/10.1097/00002820-200108000-00013
  23. Marcus, B. H., Goldstein, M. G., Jette, A., Simkin-Silverman, L., Pinto, B. M., Milan, F., et al. (1997). Training physicians to conduct physical activity counseling. Preventive Medicine, 26, 382-388. https://doi.org/10.1006/pmed.1997.0158
  24. Mikhail, B. I., & Petro-Nustas, W. (2001). Transcultural adaptation of Champion's health belief model scales. Journal of Nursing Scholarship, 33(2), 159-165. https://doi.org/10.1111/j.1547-5069.2001.00159.x
  25. Ministry for Health, Welfare and Family Affairs. (2009). The analysis of patient with cancer on National Health Insurance (2007). Retrieved June 10, 2009, from the Ministry for Health, Welfare and Family Affairs Web site: http://stat.mw.go.kr/
  26. Nahcivan, N. O., & Secginli, S. (2007). Health beliefs related to breast self-examination in a sample of Turkish women. Oncology Nursing Forum, 34(2), 425-432. https://doi.org/10.1188/07.ONF.425-432
  27. Nekhlyudov, L., & Fletcher, S. W. (2001). Is it time to stop teaching breast self-examination? Canadian Medical Association Journal, 164(13), 1851-1852.
  28. Seo, Y. O. (2003). The difference of women's knowledge, attitudes and practice education after education for breast self-examination. Journal of Korean Adult Academy of Nursing, 15(1), 5-13.
  29. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston: Allyn & Bacon.
  30. Wagle, A., Komorita, N. I., & Lu, Z. J. (1997). Social support and breast self-examination. Cancer Nursing, 20(1), 42-48. https://doi.org/10.1097/00002820-199702000-00006