Korean J Women Health Nurs.  2010 Jun;16(2):126-136. 10.4069/kjwhn.2010.16.2.126.

Factors Affecting Active Early Detection Behaviors of Breast Cancer in Outpatients

Affiliations
  • 1Department of Surgery, School of Medicine, JeJu National University, Korea.
  • 2Department of Family Medicine, School of Medicine, JeJu National University, Korea.
  • 3Department of Nursing, Korea National Open University, Korea. young@knou.ac.kr

Abstract

PURPOSE
This study was done to evaluate factors affecting active early detection behaviors of breast cancer and performance rate of breast self examination (BSE), physical examination and mammography.
METHODS
The participants were 264 women from an outpatient breast clinic of a university hospital and materials were collected from March 2007 to February 2008 using a structured questionnaire. The data were analyzed using chi-square test, logistic analysis.
RESULTS
The rate for BSE was 58.3%, for physical examination, 55.3% and for mammography experience, 63.4%. Women with all of these active early detection behaviors accounted for 31.8% of the participants. Various factors such as age, income, marital status, and menopause showed increased significant performance rate. The explanation power of logistic model was 48.5%, and was significant for age, income and health belief. Factors related to high performance rate were being over 40 years of age, high income and high health belief score.
CONCLUSION
Active early detection behaviors were not high in spite of marked increases in breast cancer incidence. Encouragement for women practicing early detection behavior is important, but there is also a need to develop interest and support for the low performance group. More sustained education and public relations are needed to further improve active early detection behavior.

Keyword

Breast self examination (BSE); Physical examination; Mammography

MeSH Terms

Breast
Breast Neoplasms
Breast Self-Examination
Female
Humans
Incidence
Logistic Models
Mammography
Marital Status
Menopause
Outpatients
Physical Examination
Public Relations
Surveys and Questionnaires

Reference

1. Choi J.S., Park J.Y., Han C.H. The behavioral and educational factors affecting the breast self-examination and breast cancer screening. Journal of Korean Society for Health Education and Promotion. 2001. 18(1):61–78.
2. Fredman L., Sexton M., Cui Y., Althuis M., Wehren L., Hornbeck P. Cigarette smoking, alcohol consumption, and screening mammography among women aged 50 and older. Preventive Medicine. 1999. 28(4):407–417.
3. Ham O.K. Analysis of factors related to mammography screening behavior in Korean women. Journal of Korea Community Health Nursing Academic society. 2004. 18(1):187–194.
4. Huguley C.M., Brown R.L. The value of breast self-examination. Cancer. 1981. 47:989–995.
5. Hyman R.B., Baker S., Ephraim R., Moadel A., Philip J. Health Belief Model variables as predictors of screening mammography utilization. Journal of Behavioral Medicine. 1994. 17(4):391–406.
6. In H.K. Mammography compliance and influencing factors of low income women group. 2005. Daejeon: Chungnam National University;Unpublished doctor's thesis.
7. Janz N.K., David S., Kay M.D., Suzanne M.S. A two step intervention to increase mammography among women 65 and older. American Journal of Public Health. 1997. 87(10):1683–1686.
8. Kim Y.B., Ro W.O., Lee W.C., Park Y.M., Meng K.H. The influence factors on cervical and breast cancers screening behavior of women in a city. Journal of Korean Society for Health Education and Promotion. 2000. 17(1):1–16.
9. Kim Y.I. The affecting factors on breast self-examination (BSE) of Korean. Journal of Korean Community Nursing. 2003. 14(3):496–506.
10. Kim Y.I., Lee C.H., Yang S.H., Jung H.S. Factors affecting early detection behaviors of breast cancer. Journal of Korean Community Nursing. 2004. 15(1):155–164.
11. Kim Y.I., Lee C.H. Factors related to regular mammography screening for outpatients. Journal of Korean Community Nursing. 2007. 18(3):420–430.
12. Korea National Statistical Office. 2004 Annual report on the cause of death statistics. 2005. Daejeon:
13. Korea Breast Cancer Foundation. 2009. http://www.kbcf.or.kr.
14. Korean Breast Cancer Society. 2009. http://www.kbcs.or.kr.
15. Korean Breast Cancer Society. Nationwide Korean breast cancer data of 2002 The Korean Breast Cancer Society. Journal of Korean Breast Cancer Society. 2004. 7:72–83.
16. Korean Breast Cancer Society. Survival analysis of Korean breast cancer patients diagnosed between 1993 and 2002 in Korea-A nationwide study of the cancer registry. Journal of Breast Cancer. 2006. 9(3):214–229.
17. Korean Cancer Association. Survey results for recognition of womens cancer and effort related to breast cancer prevention. 2007. Seoul: Korea Cancer Association.
18. Kwon J.W., Keum B.H., Kang Y.J., Oh M.K., Lee H.R., Youn B.B. A survey of knowledge, attitude and practice on early detection of breast cancer. Family Physician. 1991. 12(11):44–55.
19. Lee C.H., Kim Y.I., Jung H.S., Kim J.Y. Analysis of factors affecting occupational health nurses' early breast cancer screening. Journal of Korean Community Nursing. 2005. 16(1):68–85.
20. Lietch A., Dodd G., Costnanza M., Linver M., Pressman P., Mcginnis L, et al. American Cancer Society guilelines for the early detection of breast cancer: Update 1997. CA: A cancer Journal for Clinicians. 1997. 47:150–153.
21. Maxwell A.E., Bastani R., Warda U.S. Breast cancer screening and related attitudes among Fillapino-American women. Cancer Epidemiology Biomakers & Prevention. 1997. 6(9):719–726.
22. Ministry of Health and Welfare & Korea Institute for Health and Social Welfares. National Health And Nutrition Survey 2005. 2006. Seoul:
23. Ministry of Health and Welfare & Korea Institute for Health and Social Welfares. National Health And Nutrition Survey 2001. 2002. Seoul:
24. National Cancer Information Center. 2005. http://www.ncre.re.kr.
25. National Cancer Information Center. 2009. http://www.ncre.re.kr.
26. MOHW Cancer Control Team / Korea Cancer Registry. Cancer cases by Cancer site, Sex and Age Group. 2007.
27. Smith R.A., Saslow D., Sawyer K.A., Burke W., Costanza M.E., Evans W.P, et al. American cancer society guidelines for breast cancer screening: update 2003. CA Cancer Journal for Clincian. 2003. 53:141–169.
28. Yi Y.J., Youn H.J., Yi S.H. A case-control study on risk factors of breast cancer in Korean women. Journal of Breast Cancer. 2006. 9(2):145–150.
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr