Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Factors Affecting Colorectal Cancer Screening Behaviors : Based on the 4th Korea National Health and Nutrition Examination Survey

대장암 조기 검진 행위에 영향을 미치는 요인 -제4차 2기(2008년) 국민건강영양조사 자료를 중심으로-

  • Lim, Ji-Hye (Department of Health and Medical Administration, Dongju College University) ;
  • Kim, Sun-Young (Department of Public Health, Kyungpook National University Graduate School)
  • 임지혜 (동주대학 보건의료행정과) ;
  • 김선영 (경북대학교 대학원 보건학과)
  • Received : 2011.01.30
  • Accepted : 2011.03.12
  • Published : 2011.03.30
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Abstract

Objectives: This study aims to identify the factors associated with colorectal cancer screening behaviors. Methods: The nation-wide representative samples of 2,928 adults aged ${\geq}50$ years for colorectal cancer screening were derived from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). This study investigated socio-demographic, health behavioral and contextual factors associated with colorectal cancer screening using descriptive statistics and multivariate logistic regression analysis. Results: In terms of socio-demographic factors, gender, age, marital status, occupation, monthly income, and resident region were significantly different between screening group and non-screening group. Among health behavioral and contextual factors, regular physical checkup, weight control, physical activity, smoking, drinking and having other cancers were significantly different. From the multivariate logistic regression analysis, marital status, education level, regular physical checkup and weight control were associated with colorectal cancer screening behavior. Conclusions: It is necessary to understand the importance of early detection and cancer screening. Appropriate health education and active promotion about the cancer screening should be developed based on the study findings in order to motivate people to have cancer screening. Also, these findings should be reflected in the health policy.

Keywords

References

  1. 계수연, 문인옥. 대장암검진 수검 결정요인 분석모형 개발. 보건교육건강증진학회지 2010;27(2):79-93.
  2. 국립암정보센터 홈페이지 http://www.cancer.go.kr/cms/statics/mortality/index.html
  3. 김은정, 김동진. 흡연자의 건강검진 실태 및 정책제언. 보건복지포럼 2007:84-96.
  4. 김혜경. 인구사회경제적 요인과 보건행태가 정기 암 검진에 미치는 영향[석사학위논문]. 연세대학교 대학원, 2006.
  5. 박요섭. 일부 지역 주민의 암조기 검진과 관련요인: Anderson 모형적용[박사학위논문]. 전남대학교 대학원, 2003.
  6. 보건복지부. 국가암관리사업안내. 2003.
  7. 성나영, 박은철, 신해림, 최귀선. 국가 암 조기검진사업 참여에 영향을 미치는 인구사회학적 요인. 예방의학회지 2005;38(1):93-100.
  8. 오승택. 대장암 조기 검진 지침 개발. 고위험군에서의 대장암조기검진(용종환자 중심으로). 국립암센터.대한대장항문학회 2001:53-60.
  9. 우해영. 위암과 대장암의 조기검진행위 영향 요인에 관한 연구[박사학위논문]. 한양대학교 대학원, 2008.
  10. 통계청 홈페이지 http://www.kostat.go.kr/
  11. Beydoun H, Beydoun MA. Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Cause Control 2008;19:339-359. https://doi.org/10.1007/s10552-007-9100-y
  12. Carlos RC, Underwood W, Fendrick AM, Bernstein SJ. Behavioral associations between prostate and colon cancer screening. Journal of the American College of Surgeons 2005;200(2):216-223. https://doi.org/10.1016/j.jamcollsurg.2004.10.015
  13. Danaei G, Hoorn, SV, Lopez AD, Murray CJL, Ezzati M. Causes of cancer in the world: comparative risk assessment of nine behavioral and environmental risk factors. The Lancet 2005;366:1784-1793. https://doi.org/10.1016/S0140-6736(05)67725-2
  14. Hahm MI 외 5명. Personal background and cognitive factors as predictors of the intention to be screened for stomach cancer. Cancer Epidemiology, Biomarkers & Prevention 2008;17(9):2473-2479. https://doi.org/10.1158/1055-9965.EPI-08-0027
  15. Honda K. Cognitive mediators liking social support networks to colorectal cancer screening adherence. Journal of Behavioral Medicine 2006;29(5):449-460. https://doi.org/10.1007/s10865-006-9068-1
  16. International Agency for Research on Cancer. Globocan http://www.iarc.fr. 2002.
  17. Janz NK, Wren PA, Schottenfeld D, Guire KE. Colorectal cancer screening attitudes and behavior: a population-based study. Preventive Medicine 2003;37(6):627-634. https://doi.org/10.1016/j.ypmed.2003.09.016
  18. Meissner HI, Breen N, Klabunde CN, Verson SW. Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiology, Biomakers & Prevention 2006;15(2):389-394. https://doi.org/10.1158/1055-9965.EPI-05-0678
  19. Meissner HI 외 6명. Promoting cancer screening: Learning from Experience. Cancer 2004;101(5):1107-1117. https://doi.org/10.1002/cncr.20507
  20. Seeff LC 외 5명. Patterns and predictiors of colorectal cancer test use in the adult U.S. population. Cancer 2004;100(10):2093-2103. https://doi.org/10.1002/cncr.20276
  21. Shapiro JA, Seeff LC, Nadel MR. Colorectal cancer screening tests and associated health behaviors. American Journal of Preventive Medicine 2001;21(2):132-137. https://doi.org/10.1016/S0749-3797(01)00329-4
  22. Soskolne V. Beliefs recommendations and intentions are important explanatory factors of mammography screening behavior among muslim arab women in Israel. Health Education Research 2007;22(5):665-676.
  23. Stewart BW, Kleihues P. World cancer report. WHO. IARC. 2003.
  24. Tessaro I, Mangone C, Parker I, Pawar V. Knowledge, barriers, and predictors of colorectal cancer screening in an appalachian church population. Public Health Research, Practice, and Policy 2006;3(4):1-11.
  25. Tolma EL. Examining the theory of planned behavior and the construct of self-efficacy to predict mammography intention. Health Education & Behavior 2006;33(2):233-251. https://doi.org/10.1177/1090198105277393
  26. Walsh JM, Terdiman JP. Colorectal cancer screening scientific review. The Journal of the American Medical Association 2003;289(10): 1288-1296. https://doi.org/10.1001/jama.289.10.1288
  27. WHO. National Cancer Control Programmes: Polices and Managerial Guideline. 2nd Ed. Geneva: World Health Organization. 2002.
  28. WHO. Cancer: diet and physical activity's impact. Geneva, Switzerland: World Health Organization. 2006.