Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Development of Analytic Model for Determinants on the Stages of Change in Colorectal Cancer Screening

대장암검진 수검 결정요인 분석모형 개발

  • Kye, Su-Yeon (National Cancer Control Institute, National Cancer Center) ;
  • Moon, In-Ok (Health Education & Management Department, Ewha Womans University)
  • 계수연 (국립암센터 국가암관리사업단) ;
  • 문인옥 (이화여자대학교 보건관리학과)
  • Received : 2010.04.19
  • Accepted : 2010.06.12
  • Published : 2010.06.30
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Abstract

Objectives: This study aims to identify the factors associated with the stages of change in colorectal cancer screening, and develop a model explaining these stages of change by using structural equation modeling analysis. Methods: On the basis of literature review and expert advice, we constructed our hypothetical model that consisted of five theoretical constructs(process of change, pros, cons, self-efficacy, stage of change). In 2009, data was collected from 486 participants aged between 50 and 69. The data were analyzed by SPSS 15.0 and AMOS 6.0. Results: In the case of stage of adoption, the contemplation stage was the most common (37.4%), followed by the action stage (26.5%). In the final model of the stage of change for colorectal cancer screening, there was a direct influence of the process of change ($\gamma$=.562, p<.001), and cons ($\gamma$=.132, p<.01) on the stage of change with the terms of GFI .931, AGFI .904, RMR .038, NFI .930, and NNFI .936. Conclusion: It is necessary to produce and disseminate evidence-based cancer screening information, which can mitigate the negative attitude among the public toward cancer screening. Also, it is essential to provide a safer and more comfortable environment at cancer screening center.

Keywords

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