Personal background and cognitive factors as predictors of the intention to be screened for stomach cancer
Personal background and cognitive factors as predictors of the intention to be screened for stomach cancer
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DOI：
10.1158/1055-9965.epi-08-0027
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发表时间：
2008-09-01
影响因子：
3.8
通讯作者：
Hwang, Seung Sik
中科院分区：
文献类型：
--
作者：
Hahm, Myung-Il;Choi, Kui Son;Hwang, Seung Sik
虽然胃癌筛查对降低死亡率是有效的，但在韩国没有得到充分利用。通过应用计划行为模型的扩展理论，我们的目标是确定个人背景因素如何影响患者接受胃癌筛查的倾向。研究人群来自2006年韩国国家癌症筛查调查，该调查旨在调查普通人群参与癌症筛查的情况。共有1，509名40至70岁的韩国人参加了这项研究。路径分析被用来测试一个概念模型，其中（a）被认为是前兆的因素被筛选（计划行为模型理论中的成分）直接预测了筛查的意图和（B）个人背景因素，包括社会人口学因素、先前的筛查经验、经济状况和感知风险，在计划行为模型理论中，通过对态度、主观规范等认知成分的影响，间接影响被筛查的意向。大多数个人背景因素并不直接影响意图，而是影响计划行为模型理论中的认知因素。态度和感知行为控制与患者的意图，无论筛查成本。
Although stomach cancer screening is effective for reducing mortality, it is underutilized in Korea. By applying an extended theory of planned behavior model, our objective was to determine how personal background factors influence a patient's inclination to be screened for stomach cancer. The study population was derived from the 2006 Korean National Cancer Screening Survey, which was done to investigate the participation of the general population in cancer screening. In total, 1,509 Koreans who were 40 to 70 years old participated in this study. Path analysis was used to test a conceptual model in which (a) factors considered as precursors to be screened (components in theory of planned behavior model) directly predicted the intention to be screened and (b) personal background factors, including sociodemographic factors, previous screening experience, economic status, and perceived risk, indirectly influenced the intention to be screened through their effects on cognitive components such as attitude and subjective norm in the theory of planned behavior model. Most of the personal background factors did not directly influence intention but instead influenced cognitive elements in the theory of planned behavior model. Attitude and perceived behavioral control were well correlated with a patient's intention, regardless of the screening cost.