Paper
Saturday, November 12, 2005
This presentation is part of : Women's Health
Factors Influencing Stage of Change for Mammography in Korean Women
Hee Sun Kang, RN, PhD, Department of Nursing, College of Medicine, Chung-Ang University, Seoul, South Korea and Boeun Kwon, RN, PhD, Adult Nursing, Seoul Womens' College of Nursing, Seoul, South Korea.
Learning Objective #1: Describe the status of mammography screening in Korean women
Learning Objective #2: Describe the factors influencing the stage of change for mammography screening in Korean women

Breast cancer is the most common cancer among Korean women. Even though mammography has been highly recommended for early breast cancer detection, the rate is still low. The purpose of this study was to examine the mammography screening compliance, to evaluate the differences in decisional balance (pros and cons) and process of change by the stages of mammography, and to identify whether decisional balance and the process of change measures distinguish the stages of change for mammography screening in Korean women.

Design and methods: A descriptive cross-sectional research design was implemented. A single item was used to assess their current stages of adoption for mammography. The scales of pros and cons of mammography and 4 subscales of process of change (commitment to regular screening, information sharing and communication, thinking beyond oneself, approaches/avoids the health care system) by Rakowski were used. Discriminant function analysis was used.

Results: A total of 328 women participated in the study. Average age of sample was 37.69 years (SD= 6.09), ranging 30 to 61 years. Only 33.2% had ever had a mammography. Approximately half of the sample (46.3%) was precontemplator, 18.3% contemplator, 15.9% in relapse stage, 10.4% in action stage, and 9.1% in maintenance stage. There were significant differences in decisional balance (pros and cons) and process of change across the stages of mammography. Predicting factors of the stage of adoption of mammography screening were pros, cons, and commitment to regular screening.

Conclusion: Results indicate the need for promoting mammography screening among Korean women and promotion could be achieved by emphasizing the pros and commitment to regular screening and decreasing the cons for mammography screening. In addition, culturally relevant educating programs about mammography screening should be developed.