ID 36284
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別タイトル
乳がん検診の受診行動を規定する要因 : ヘルスビリーフモデルとコンジョイント分析による検討
著者
恒松 美輪子
キーワード
Breast cancer prevention
breast cancer screening
health belief model
conjoint analysis
NDC
医学
抄録(英)
Background: Japanese women in their 40s or older have been encouraged to attend breast cancer screening. However, the breast cancer screening rate in Japan is not as high as in Europe and the United States. The aim of this study was to identify psychological and personal characteristics of women concerning their participation in breast cancer screening using the Health Belief Model (HBM). In addition, the attributes of screening more easily accepted by participants were analyzed by conjoint analysis.

Materials and Methods: In this cross sectional study of 3,200 age 20-69 women, data were collected by an anonymous questionnaire. Questions were based on HBM and personal characteristics, and included attitudes on hypothetical screening attributes. Data of women aged 40-69 were analyzed by logistic regression and conjoint analysis to clarify the factors affecting their participation in breast cancer screening.

Results: Among responses collected from 1,280 women of age 20-69, the replies of 993 women of age 40-69 were used in the analysis. Regarding the psychological characteristics based on HBM, the odds ratios were significantly higher in "importance of cancer screening" (95%CI: 1.21-2.47) and "benefits of cancer screening" (95%CI: 1.09-2.49), whereas the odds ratio was significantly lower in "barriers to participation before cancer screening" (95%CI: 0.27-0.51). Conjoint analysis revealed that the respondents, overall, preferred screening to be low cost and by female staff members. Furthermore, it was also clarified that attributes of screening dominant in decision-making were influenced by the employment status and the type of medical insurance of the women.

Conclusions: In order to increase participation in breast cancer screening, it is necessary to disseminate accurate knowledge on cancer screening and to reduce barriers to participation. In addition, the attributes of screening more easily accepted were inexpensive, provided by female staff, executed in a hospital and finished in a short time.
作成年月日
2014-11-21
言語
英語
NII資源タイプ
学位論文
広大資料タイプ
学位論文
DCMIタイプ
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フォーマット
application/pdf
著者版フラグ
ETD
権利情報
Copyright(c) by Author
関連情報(references)
Miwako Tsunematsu, Hiromi Kawasaki, Yuko Masuoka and Masayuki Kakehashi; Factors Affecting Breast Cancer Screening Behavior in Japan - Assessment using the Health Belief Model and Conjoint Analysis; Asian Pacific Journal of Cancer Prevention, Volume 14, Issue ,10, 2013, pp.6041-6048 (DOI: 10.7314/APJCP.2013.14.10.6041)
関連情報URL(references)
http://dx.doi.org/10.7314/APJCP.2013.14.10.6041
学位記番号
甲第6283号
授与大学
広島大学(Hiroshima University)
学位名
博士(保健学)
学位名の英名
Philosophy in Health Science
学位の種類の英名
doctoral
学位授与年月日
2014-02-27
部局名
保健学研究科