Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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The Factors Associated with Health and Cancer Screening Using Preventive Programs from Health Insurance among Women of a Community

지역사회 여성 주민의 건강보험제도를 활용한 건강검진 및 암검사 수검 특성

  • 김영복 (서남대학교 보건위생학과) ;
  • 이원철 (가톨릭대학교 의과대학 예방의학교실) ;
  • 노운녕 (신흥대학 보건행정과) ;
  • 조선진 (가톨릭대학교 의과대학 예방의학교실) ;
  • 백희정 (가톨릭대학교 의과대학 예방의학교실) ;
  • 손혜현 (가톨릭대학교 의과대학 예방의학교실) ;
  • 이순영 (아주대학교 의과대학 예방의학교실) ;
  • 맹광호 (가톨릭대학교 의과대학 예방의학교실)
  • Published : 2003.03.01
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Abstract

This study, performed to analyze the factors associated with health and cancer screening using preventive programs form health insurance among the women of a community, through a survey of about 923 women in Euijungbu-city. The subjects of the study were selected by a proportional cluster sampling method. The self-reported questionnaire was intended to fine factors associated with health screening and cancer screening. The results of this study were as follows: 1. In the case of health screening using health insurance, 14.1% of the subjects turned out to have been screened once or more in their respective life-time. Reasons given for non-participation in the screening were : 'lacking screening information', a belief that' it's not useful' and a belief that they' weren't sick'. 2. The factors associated with health screening behavior were age, educational level, number of doctor visits, BMI and health promotion behavior(p<0.01, p<0.05). Also, the factors associated with health screening behavior were cue to action and health status, and the predictors on health screening behavior were age and health promotion behavior(p<0.01, p<0.05). 3. In the case of cancer screening through the health insurance, 7.4% of the subjects turned out to have been screened once or more respectively in their life-times. Reasons given for non-participation in the screening were : 'lacking screening information', a belief they 'weren't sick' and that it's not useful'. 4. The factors associated with cancer screening behavior were age, educational level, income, alcholol intake, exercise, number of doctor visits and BMI(p<0.01, p<0.05). Aditional factors associated with cancer screening behavior were cue to action, health belief score and health status. Predictors for cancer screening behavior were: age, health belief score, screening attitude and health status(p<0.01, p<0.05). As indicated by the above results, a lack of information was an important factor for a lack of participation in screening. Age and cue to action were also important factors in promoting the cancer screening rate. Therefore, a dissemination of information about cancer screening contributes to the promotion of a screening rate, and cooperation between health insurance and local health cancer facilitates to be public the community-based cancer screening program.

Keywords

References

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