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Predicting the stages of adoption of cervical cancer screening among Korean women

Authors
 Min-Son Kwak  ;  Kui Son Choi  ;  Bonnie J. Spring  ;  Sohee Park  ;  Eun-Cheol Park 
Citation
 PREVENTIVE MEDICINE, Vol.49(1) : 48-53, 2009 
Journal Title
PREVENTIVE MEDICINE
ISSN
 0091-7435 
Issue Date
2009
MeSH
Adult ; Aged ; Decision Making ; Educational Status ; Female ; Health Care Surveys ; Health Knowledge, Attitudes, Practice* ; Humans ; Korea ; Mass Screening ; Middle Aged ; Multivariate Analysis ; Papanicolaou Test ; Patient Acceptance of Health Care/psychology* ; Socioeconomic Factors ; Uterine Cervical Neoplasms/diagnosis* ; Uterine Cervical Neoplasms/prevention & control ; Uterine Cervical Neoplasms/psychology* ; Vaginal Smears
Keywords
Health behavior ; Decision making ; Screening ; Papanicolaou smear ; Cervical neoplasm
Abstract
OBJECTIVE: We examined the Transtheoretical Model (TTM) of behavioral change based on cervical cancer screening among Korean women. We assessed the stages of Pap smear adoption, positive and negative attitudes toward Pap smear, and contributory factors.
METHOD: This study was based on the 2007 Korean National Cancer Screening Survey, which included a total of 1224 women > or =30 years. Multiple logistic analyses were conducted to determine the factors that influenced the women's stages of adoption.
RESULTS: Fifty-seven percent of the women reported on-schedule screening while 43% did not. Those subjects who were 50-64 years old, had higher incomes, married, lived in a rural area, exercised regularly, and had regular checkups were more likely to be in maintenance than in precontemplation. However, the con scores were negatively associated with a transition from precontemplation to maintenance. Further, a high con score was associated with being in relapse risk or relapse rather than in maintenance while the pro scores were not significant across the stages of adoption.
CONCLUSION: Our results confirm the applicability of the TTM to Pap smear screening in an Asian context. Age, income, marital status, residency, regular exercise, health checkups, and con scores were significantly associated with the stage of adoption.
Full Text
http://www.sciencedirect.com/science/article/pii/S0091743509002242
DOI
10.1016/j.ypmed.2009.05.007
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106099
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