Using the Stage-Based Approaches to Predict Breast Self-Examination Among Rural Vietnamese Women

Asia-Pacific Journal of Public Health - Tập 31 Số 4 - Trang 325-334 - 2019
Eun‐Mi Kim1,2, Hyeonkyeong Lee2, Jong-Gun Kim3,2, Tuong Vi Ho4, Huong Thi Thanh Nguyen5, Mai Thi Ngoc Tran5, Nguyen Thi Son5
1Sunlin University, Pohang-si, Gyeongsangbuk-do, Republic of Korea
2Yonsei University, Seoul, Republic of Korea
3Hoseo University, Asan-si, Chungcheongnam-do, Republic of Korea
4Texas Woman's University, Houston, TX, USA

Tóm tắt

A stages-of-change approach would be helpful to understand cancer screening behaviors. This study aimed to identify the compliance and determinants of breast self-examination (BSE) based on transtheoretical model (TTM) and health belief model (HBM). A cross-sectional study was conducted with 296 rural Vietnamese women using a self-administered questionnaire consisting of Champion’s HBM scales, breast cancer knowledge (BCK), integrated connection to neighborhood storytelling networks (ICSN), and TTM stages of BSE. A generalized ordered logistic regression was conducted to identify factors associated with TTM stages of BSE. About 61% of women did not currently perform BSE. Perceived benefit was significant in all stages changes. When changing to the action stage, perceived benefits, self-efficacy, and BCK were significant. When changing to the maintenance stage, perceived susceptibility, benefits, self-efficacy, and ICSN were significant. Determinants influencing BSE behavior were different in each TTM stage, indicating that educational programs should be introduced with stage-matched strategies to increase BSE.

Từ khóa


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