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.
Original language | English |
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Pages (from-to) | 325-334 |
Number of pages | 10 |
Journal | Asia-Pacific Journal of Public Health |
Volume | 31 |
Issue number | 4 |
DOIs | |
Publication status | Published - 2019 May 1 |
Bibliographical note
Funding Information:The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the Faculty-Student Research Fund from Yonsei University College of Nursing, Seoul, Republic of Korea.
Publisher Copyright:
© 2019 APJPH.
All Science Journal Classification (ASJC) codes
- Public Health, Environmental and Occupational Health