Confirmatory analysis of opinions regarding the pros and cons of mammography
Confirmatory analysis of opinions regarding the pros and cons of mammography
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DOI：
10.1037/0278-6133.16.5.433
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发表时间：
1997-09-01
影响因子：
4.2
通讯作者：
Costanza, ME
中科院分区：
文献类型：
--
作者：
Rakowski, W;Andersen, MR;Costanza, ME
这项调查扩展了先前的研究，将决策结构从行为改变的跨理论模型（TTM）应用到乳房X线摄影筛查中。研究对象是8,914名年龄在50-80岁之间的妇女，从华盛顿州的40个主要农村社区招募。结构方程模型显示，对乳房X光检查的有利和不利意见（即，优点和缺点）符合观察到的数据。方差分析支持准备接受筛查（即，采用阶段）和关于乳房X线照相术的意见（即，决策平衡）以前在使用来自另一个地理区域的较小样本的研究中发现。本报告扩展了这些早期的研究，使用结构方程模型，意见量表的基础上，主成分分析和先验定义，发展样本和验证性样本，并从不同的地理区域抽样。建议未来的研究检查是否对乳房X光检查的缺点的意见比优点更具体。
This investigation extends prior research to apply decision-making constructs from the transtheoretical model (TTM) of behavior change to mammography screening. Study subjects were 8,914 women ages 50-80, recruited from 40 primarily rural communities in Washington State. Structural equation modeling showed that favorable and unfavorable opinions about mammography (i.e., pros and cons) fit the observed data. Analysis of variance supported the associations between readiness to obtain screening (i.e., stage of adoption) and opinions about mammography (i.e., decisional balance) previously found in research using smaller samples from another geographic region. This report extends these earlier studies by using structural equation modeling, opinion scales based both on principal component analyses and on a priori definitions, a developmental sample and a confirmatory sample, and by sampling from a different geographic region. It is recommended that future research examine whether opinions regarding the cons of mammography are more individually specific than the pros.