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

Eun Mi Kim, Hyeonkyeong Lee, Jong Gun Kim, Tuong Vi Ho, Nguyen Thi Thanh Huong, Tran Thi Ngoc Mai, Nguyen Thi Son

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


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 languageEnglish
Pages (from-to)325-334
Number of pages10
JournalAsia-Pacific Journal of Public Health
Issue number4
Publication statusPublished - 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


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