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 journalArticle

1 Citation (Scopus)

Abstract

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
Volume31
Issue number4
DOIs
Publication statusPublished - 2019 May 1

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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