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Analyzing Factors Associated With Decisional Stage of Adoption for Colorectal Cancer Screening Among Older Korean Americans Using Precaution Adoption Process Model
- Source :
- Journal of Transcultural Nursing. 30:461-470
- Publication Year :
- 2018
- Publisher :
- SAGE Publications, 2018.
-
Abstract
- Introduction: For Korean Americans (KAs), colorectal cancer (CRC) screening rates remain lower than the national target. This study aimed to examine factors predicting decisional stage of CRC screening adoption among older KAs using the precaution adoption process model. Method: Convenience sampling was employed to recruit KAs aged 50 to 75 years from the Atlanta metropolitan area in the United States. A total of 433 KAs completed a cross-sectional survey that collects information on sociodemographics, CRC screening history, a physician’s recommendation, knowledge, self-efficacy, and decisional balance pertaining CRC screening, and precaution adoption process model stage. Results: Higher scores of decisional balance (odds ratio [ OR] = 1.34), having a physician’s recommendation ( OR = 8.61), and having regular annual medical checkups ( OR = 4.44) were significantly associated with higher decisional stage compared with lower stage, controlling for other variables. Discussion: Intervention research should incorporate consideration of individuals’ decisional stage to move KAs forward from not engaging the screening to maintaining regular participation in CRC screening.
- Subjects :
- Male
Gerontology
Decision Making
Health Behavior
03 medical and health sciences
0302 clinical medicine
Korean americans
Humans
Medicine
030212 general & internal medicine
Stage (cooking)
Early Detection of Cancer
General Nursing
Aged
Asian
030504 nursing
Crc screening
business.industry
Colonoscopy
Odds ratio
Middle Aged
Patient Acceptance of Health Care
Self Efficacy
United States
Cross-Sectional Studies
Colorectal cancer screening
Intervention research
Female
Colorectal Neoplasms
0305 other medical science
business
Subjects
Details
- ISSN :
- 15527832 and 10436596
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Journal of Transcultural Nursing
- Accession number :
- edsair.doi.dedup.....0de29dacb0ca17c63e0fb8c649a99eeb