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HERO ID
7100403
Reference Type
Journal Article
Title
Analyzing Factors Associated With Decisional Stage of Adoption for Colorectal Cancer Screening Among Older Korean Americans Using Precaution Adoption Process Model
Author(s)
Jin, SW; Lee, J; Lee, S; ,
Year
2019
Is Peer Reviewed?
1
Journal
Journal of Transcultural Nursing
ISSN:
1043-6596
Publisher
SAGE PUBLICATIONS INC
Location
THOUSAND OAKS
Page Numbers
461-470
Language
English
PMID
30428784
DOI
10.1177/1043659618811910
Web of Science Id
WOS:000481488300005
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.
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