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허혜경 ( Hur Hea-Kung ) - 연세대학교 원주의과대학 간호학과
박소미 ( Pakr So-Mi ) - 연세대학교 원주의과대학 간호학과
김기연 ( Kim Gi-Yon ) - 연세대학교 원주의과대학 간호학과
이해종 ( Lee Hae-Jong ) - 연세대학교 보건과학대학 보건행정학과
전은표 ( Jeon Eun-Pyo ) - 원주시 보건소
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Abstract
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Purpose: 1) to construct cohorts according to risk scores calculated with the Gail Breast Cancer Risk Assessment Tool (Gail et al., 1989) (Gail) and the Breast Cancer Risk Appraisal (Lee et al,. 2003) (Lee) 2) to identify the distribution of risk factors and preventive behavior stages between the cohorts 3) to identify abnormal breast conditions in risk cohort.
Method: Using convenience sampling, 775 rural women were selected. Risk appraisal was scored using Gail and Lee. Preventive behavior stages for BSE (Breast self examination) and mammography were measured using 4 stages of the Transtheoretical Model (Prochaska & DiClemente, 1983).
Results: 1) The risk cohort according to Gail was 12.3% (n=95), and Lee, 3.1% (n=24). 2) There were significant differences in the distribution of risk factors (age, family history, age at 1st live birth, age at menarche, number of breast biopsy, history of breast disease, and breast-feeding) between cohorts. 3) There was a significant difference in the distribution of the stage of BSE according to Lee. 4) Six women in the risk group detected masses or nodules and physician consultation and ultrasonography were recommended.
Conclusion: On the basis of the constructed cohorts, further longitudinal studies of cohorts are recommended with interventions according to characteristics of cohorts.
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KeyWords
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코호트, 조기경고체계, 유방암
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원문 및 링크아웃 정보
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등재저널 정보
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