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

Authors
 Eun-Mi Kim  ;  Hyeonkyeong Lee  ;  Jong-Gun Kim  ;  Tuong Vi Ho  ;  Nguyen Thi Thanh Huong  ;  Tran Thi Ngoc Mai  ;  Nguyen Thi Son 
Citation
 Asia-Pacific Journal of Public Health, Vol.31(4) : 325-334, 2019 
Journal Title
 Asia-Pacific Journal of Public Health 
ISSN
 1010-5395 
Issue Date
2019
Keywords
breast cancer ; community health ; health belief model ; rural Vietnam ; screening ; transtheoretical model
Abstract
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.
Full Text
https://journals.sagepub.com/doi/full/10.1177/1010539519849326
DOI
10.1177/1010539519849326
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Hyeonkyeong(이현경) ORCID logo https://orcid.org/0000-0001-9558-7737
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171399
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