%0 Journal Article
%T Using the Stage
%A Eun-Mi Kim
%A Hyeonkyeong Lee
%A Jong-Gun Kim
%A Nguyen Thi Son
%A Nguyen Thi Thanh Huong
%A Tran Thi Ngoc Mai
%A Tuong Vi Ho
%J Asia Pacific Journal of Public Health
%@ 1941-2479
%D 2019
%R 10.1177/1010539519849326
%X A stages-of-change approach would be helpful to understand cancer screening behaviors. This study aimed to identify the compliance and determinants of breast self-examination (BSE) based on transtheoretical model (TTM) and health belief model (HBM). A cross-sectional study was conducted with 296 rural Vietnamese women using a self-administered questionnaire consisting of Champion¡¯s HBM scales, breast cancer knowledge (BCK), integrated connection to neighborhood storytelling networks (ICSN), and TTM stages of BSE. A generalized ordered logistic regression was conducted to identify factors associated with TTM stages of BSE. About 61% of women did not currently perform BSE. Perceived benefit was significant in all stages changes. When changing to the action stage, perceived benefits, self-efficacy, and BCK were significant. When changing to the maintenance stage, perceived susceptibility, benefits, self-efficacy, and ICSN were significant. Determinants influencing BSE behavior were different in each TTM stage, indicating that educational programs should be introduced with stage-matched strategies to increase BSE
%K breast cancer
%K screening
%K transtheoretical model
%K health belief model
%K community health
%K rural Vietnam
%U https://journals.sagepub.com/doi/full/10.1177/1010539519849326