運用健康信念模式探討社區婦女參與乳房攝影篩檢行為意圖之研究-以臺北市某社區為例

本研究旨在以健康信念模式探討社區婦女參與乳房攝影篩檢行為意圖及相關因素。研究對象為台北某社區年滿40∼69歲社區婦女，計287人完成結構性自填問卷調查，重要結果如下: 一、社區婦女傾向表示有可能在未來兩年內採取乳房攝影篩檢。二、社區婦女有乳房相關疾病史和曾做過乳房攝影檢查者比未有乳房相關疾病和未曾做過乳房攝影檢查者，有較高乳房攝影篩檢查意圖。三、社區婦女自覺乳癌罹患性、篩檢利益性、行動線索和自我效能與乳房攝影檢查行為意圖呈顯著正相關，而自覺篩檢障礙性越高與乳房攝影檢查行為呈顯著負相關。四、複迴歸分析結果顯示婦女乳攝篩檢經驗、自覺罹患性、篩檢障礙性及自我效能可顯著預測兩年內乳房攝影篩檢行為意圖。

關鍵字

婦女；乳房攝影篩檢；行為意圖；健康信念模式

並列摘要

The purpose of this study was to explore factors associated with community women’s intention to receive mammography screening using the Health Belief Model. Participants were women aged 40 to 69 years from a Taipei community, while 287 women completed the self-administered structured questionnaire. The main findings were as follows. 1. Community women tended to report that they have intention to take mammography screening in the next two years. 2. Community women who had previous breast diseases and had taken mammography screening experiences were more likely to have higher intention to receive mammography screening. 3. Community women’s perceived susceptibility, perceived benefits, cues to action, and self-efficacy were positively associated with intention for mammography screening, while perceived barriers was negatively associated with intention for mammography screening. 4. Multiple regression analysis results showed that women’s mammography screening experiences, perceived susceptibility, perceived benefits, and cues to action could predict intention for mammography screening in two years.