Effects of attitude, social influence, and self-efficacy model factors on regular mammography performance in life-transition aged women in Korea.
BACKGROUND
This study analyzed predictors of regular mammography performance in Korea. In addition, we determined factors affecting regular mammography performance in life-transition aged women by applying an attitude, social influence, and self-efficacy (ASE) model.


METHODS
Data were collected from women aged over 40 years residing in province J in Korea. The 178 enrolled subjects provided informed voluntary consent prior to completing a structural questionnaire.


RESULTS
The overall regular mammography performance rate of the subjects was 41.6%. Older age, city residency, high income and part-time job were associated with a high regular mammography performance. Among women who had undergone more breast self-examinations (BSE) or more doctors' physical examinations (PE), there were higher regular mammography performance rates. All three ASE model factors were significantly associated with regular mammography performance. Women with a high level of positive ASE values had a significantly high regular mammography performance rate. Within the ASE model, self-efficacy and social influence were particularly important. Logistic regression analysis explained 34.7% of regular mammography performance and PE experience (β=4.645, p=.003), part- time job (β=4.010, p=.050), self-efficacy (β=1.820, p=.026) and social influence (β=1.509, p=.038) were significant factors.


CONCLUSIONS
Promotional strategies that could improve self-efficacy, reinforce social influence and reduce geographical, time and financial barriers are needed to increase the regular mammography performance rate in life-transition aged.
School of Medicine, Jeju National University, Jeju, Seoul, Korea E-mail : young@knou.ac.kr.
Chang Hyun
CH
Lee
Young Im
YI
Kim
D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D016504:Breast Self-Examination / Q000523:psychology / Q000706:statistics & numerical data*; D055088:Early Detection of Cancer / Q000523:psychology / Q000706:statistics & numerical data*; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D016015:Logistic Models; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data*; D008875:Middle Aged; D000067074:Peer Influence; D010808:Physical Examination; D056910:Republic of Korea; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012424:Rural Population / Q000706:statistics & numerical data; D020377:Self Efficacy; D012944:Social Support; D014505:Urban Population / Q000706:statistics & numerical data