運用健康信念模式探討社區民眾參與大腸直腸癌糞便潛血檢查行為意圖之研究-以臺北市某社區為例

Abstract

本研究旨在以健康信念模式探討社區民眾參與大腸直腸癌糞便潛血檢查行為意圖及相關因素研究，研究對象為臺北市某社區50～75歲之民眾，資料收集採立意取樣，計296人完成自填問卷調查。重要結果如下： 一、研究對象傾向表示在未來二年內有可能參與大腸直腸癌糞便潛血檢查。 二、研究對象曾經參與大腸直腸癌糞便潛血檢查者較未曾參與者在未來二年內有較高的意圖去做大腸直腸癌糞便潛血篩檢。 三、研究對象之自覺罹患性、自覺嚴重性、行動利益、自我效能、行動線索與大腸直腸癌糞便潛血篩檢行為意圖呈顯著正相關；而行動障礙與行為意圖呈顯著負相關。 四、研究對象曾參加大腸直腸癌糞便篩檢，自覺行動利益較高、自我效能較高、行動線索較高、行動障礙較低，在未來二年內會去做大腸直腸癌糞便潛血篩檢可能性較高。 關鍵字：大腸直腸癌、健康信念模式、大腸直腸癌糞便潛血檢查、行為意圖 The aim of this study was to explore factors associated with intention for fecal occult blood testing (FOBT) among community residents using the Health Belief Model. Participants were residents aged 50 to 75 years of Taipei. Using the purposive sampling method, totally 296 community residents completed the self-administered questionnaire. The main findings were as follows. 一、Participants reported that they had intention to get FOBT in the next two years. 二、Participants who had taken FOBT compared with those who had never done were more likely to have higher intention for FOBT. 三、Perceived susceptibility, perceived severity, perceived benefits, self-efficacy, and cues to action were positively associated with intention for FOBT, while perceived barriers were negatively associated with intention for FOBT. 四、Participants who had taken FOBT, had higher perceived benefits, self-efficacy, cues to action, and had lower perceived barriers were more likely to participate in FOBT in two years. Key Words: Colorectal cancer, Health Belief Model, fecal occult blood test, behavior intention