Predictors of mammography participation among rural Korean women age 40 and over.
OBJECTIVE
The study was conducted to identify predictors of mammography screening for rural Korean women according to 'Stage of Change' from the Transtheoretical Model which, along with the Health Belief Model, formed the theoretical basis for this study.


METHODS
A cross-sectional descriptive design was utilized. Through convenience sampling 432 women were selected from 2 rural areas. Data were collected by survey. Health beliefs constructs were measured with Champion's HBM Scale-Korea version. Mammography participation was measured using the Stage of Mammography Adoption Scale developed by Rakowski, et al. (1992).


RESULTS
The most frequent stage of mammography adoption was 'contemplation' (40.5%). Predictors of stage of mammography adoption included 'mammogram recommended by health professional' (beta=0.59, t=16.12, p=.000), 'perceived benefits' (beta=0.09, t=2.21, p=.050), 'perceived susceptibility' (beta=0.09, t=1.98, p=.050), and 'perceived barriers' (beta= 0.07, t= -2.05, p=.041). 'Mammogram recommended by health professional' demonstrated the greatest association with having a mammogram.


CONCLUSIONS
Health professionals play key roles in improving mammography participation and should recognize the importance of their role in cancer prevention and be more actively involved in education and counseling on prevention of breast cancer.
Hur
Hea Kung
HK
Department of Nursing, Wonju College of Medicine, Yonsei University, Kangwon-do, Korea.
Kim
Gi Yon
GY
Park
So Mi
SM
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007723:Korea; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D008960:Models, Psychological; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012424:Rural Population