title: Breast cancer screening practice and health-promoting behavior among chinese women.
abstract: OBJECTIVE
  This study examined breast cancer screening practice and health promoting behaviors and the predicting factors of breast cancer screening practice in Chinese women.
  
  
  METHODS
  A correlational research design was used to recruit a convenience sample of 770 women living in four cities (Beijing, Shanghai, Guangzhou, and Xi'an) in China. Participants completed self-report questionnaire consisting of general characteristics, breast cancer screening, health promoting behaviors, perceived benefits and perceived barriers.
  
  
  RESULTS
  The participants were mostly 36-55 years old (51.3%), married (86.8%), premenopause (77.7%), had children (83.4%), and breastfed (73%). About 60% of Chinese women participated in some type of breast cancer screening practices, among them only 60 (7.8%) women used mammography, ultrasonogram and breast self-examination. The main reason for doing breast cancer screening was "feeling necessary for the screening". About 36% of the participants reported they did not perform any of screening practices, because they "don't feel it necessary". The women who had breast cancer screening regularly reported better health promoting behavior and perceived benefits and less perceived barriers than those who did not (F=10.45, p<.001). Logistic regression showed that model 1 (age, higher education, being employed) and model 2 (perceived benefits and health behaviors) were the significant predicting factors (p<.05), explaining 10-13.8% of variance in breast cancer screening practice.
  
  
  CONCLUSIONS
  On the basis of these results, public education about importance of breast cancer screening and health promoting behavior should be strongly advocated by health professionals and mass media in China.
authors.affiliation: College of Nursing, Chungnam National University, Korea.
authors.forename: Jong Im
authors.initials: JI
authors.lastname: Kim
authors.affiliation: College of Nursing, Chungnam National University, Korea.
authors.forename: Kyong Ok
authors.initials: KO
authors.lastname: Oh
authors.affiliation: College of Nursing, Yanbian University, China.
authors.forename: Chun Yu
authors.initials: CY
authors.lastname: Li
authors.affiliation: Wound Care Nurse Specialist, Chungnam National University Hospital, Korea.
authors.forename: Hyo Suk
authors.initials: HS
authors.lastname: Min
authors.affiliation: College of Medicine, Chungnam National University, Korea.
authors.forename: Eil Sung
authors.initials: ES
authors.lastname: Chang
authors.affiliation: College of Nursing, Chungnam National University, Korea.
authors.forename: Rhayun
authors.initials: R
authors.lastname: Song