부산시 일개구 지역주민의 위암선별검사 수검 및 반복수검 실태 및 관련요인조사

Stomach Cancer Screening and Repeat Screening Behaviors among Adults in an Urban Area

  • 정인숙 (부산대학교 의과대학 간호학과) ;
  • 배은숙 (부산시 수영구 보건소) ;
  • 천동환 (부산시 수영구 보건소) ;
  • 전진호 (인제대학교 의과대학 예방의학교실) ;
  • 이화자 (부산대학교 의과대학 간호학과) ;
  • 박남희 (부산대학교 의과대학 간호학과)
  • Jeong, Ihn-Sook (Department of Nursing, College of Medicine, Pusan National University) ;
  • Bae, Eun-Sook (Public Health Center of Suyoung Gu, Busan Metropoitan City) ;
  • Chen, Dong-Hwan (Public Health Center of Suyoung Gu, Busan Metropoitan City) ;
  • Chun, Jin-Ho (Department of Preventive Medicine, College of Medicine, Inje University) ;
  • Lee, Hwa-Ja (Department of Nursing, College of Medicine, Pusan National University) ;
  • Park, Nam-Hee (Department of Nursing, College of Medicine, Pusan National University)
  • 발행 : 2003.03.01

초록

The importance of repeat screening for stomach cancer is well known to decrease deaths from stomach cancer. This study was aimed at assessing practice behaviors and to identify related factors in the aspects of demographic factors, health status and cancer risk recognition, attitude to cancer screening, health behaviors, and inhibiting or facilitating factors to stomach cancer screening in an urban area. Data was collected through self-administered questionnaires from 403 people aged 40 to 69 years from April 23th to May 15th, 2002. Practice behaviors were classified as : "ever" or "never", and "repeat" or "not repeat" grouped based on a recent 5 year screening history. The results were as follows: 1. Among the 403 subjects: "the ever group" was 23.8% and "the repeat group" was 4.0%, The rates of screening were 20.5% for men, 27.8% for those women, and 27.3% for aged 40-49, 24.5% for those aged 50-59, 19.0% for those aged 60-69. The rates of repeat screening were 4.0% for men, 4.1% for women, and 2.9% for those aged 40-49, 6.3% for aged 50-59, 2.5% for those aged 60-69. 2. The main factors associated with adherence to gastric cancer screening were education(post high school vs below : OR=2.44), previous cancer screening(yes vs no : OR=2.61), belief in personal health(no vs yes : OR=2.72), health status(unhealthy vs healthy : OR=3.40), possibility of cancer compared to others(low vs not low : OR=2.56), and regular exercise(yes vs no : OR=2.94). The main factor associated with adherence to gastric cancer repeat screening was other cancer screening(yes vs no : OR=6.33). Consequently, there is a need to change the recognition of the importance and necessity of stomach cancer screening in healthy conditions through health education, and to perform multiple screening tests each visit.

키워드

참고문헌

  1. 국립암센터. 한국인 암통계 . 2001
  2. 김영복, 이원철. 지역사회 주민의 위암 조기검진 행태 및 그 관련요인에 관한 연구. 한국역학회지 1999;21(1):20-30
  3. 보건복지부. 국가 암관리 사업지침. 2002
  4. 송미숙, 전기홍, 송현종. 수원시 여성들의 여성암 검진에 관한 조사연구. 보건행정학회지 1995;9(1):139-155
  5. 이승주. 위장질환의 진단 및 관리. 한국산업간호협회지. 1998;4(1):19-21
  6. 이원철. 한국에서의 암 집단조기검진 현황과 효과 평가. 제24차 한국역학회 춘계학술학술집 1998;1-14
  7. 한충헌 외 7명. 위암 선별검사의 수검과 관련된 인자. 가정의학회지 2001;22(4):528-538
  8. 황선경 외 6명. 부산시 일부지역 중년남녀의 암조기검진 수검 실태조사 보건교육건강증진학회지 2002;19(3):135-152
  9. Ackermann SP, Brackbill RM, Bewerse BA, Cheal NE, Sanderson LM Cancer Screening Behaviors among US Women : Breast Cancer, 1987-1989, and Cervical Cancer, 1988-1989. MMWR 1992;41:17
  10. American Cancer Society. Update January. The American Cancer Society Suidelines for the Cancer Related Checkup. Cancer 1992;42:44
  11. Burack RC, Gimotty PA Promoting Screening Mammography in Inner-City Settings. The Sustained Effectiveness of Computerized Reminders in a Randomized Controlled Trial. Med Care 1997;35(9):921-931 https://doi.org/10.1097/00005650-199709000-00005
  12. Fukao A et al. The evaluation of screening for gastric cancer in Miyagi prefecture, Japan : a population-based case-control study. Int J Cancer 1995;60:45-48 https://doi.org/10.1002/ijc.2910600106
  13. Halabi S. et al. Factors Associated with Repeat Mammography Screening. J Fam Pract 2000;49(12):1104-1112
  14. Hisamichi S, Tsubono Y, Fukao A Screening for gastric cancer : A critical appraisal of the Japanese experience. GI Cancer 1995;1:87-93
  15. Howe HL. Repeat Mammography among Women over 50 Years of age. Am J Prev Med 1992;8:182 https://doi.org/10.1016/S0749-3797(18)30829-8
  16. Johnson JD, Meischke H. Cancer-related channel selection : an extension for a sample of women, sho have had a mammogram. Doctors, Friends/Family, Organizations, and Media. Women Health 1993;20:31-44 https://doi.org/10.1300/J013v20n02_03
  17. Jorgensen OD, Kronborg O, Fenger CA. Randomised Study of Screening for Colorectal Cancer Using Faecal Occult Blood Testing : Results after 13 Years and Seven Biennial Screening Rounds. Gut 2002;50(1):29-32 https://doi.org/10.1136/gut.50.1.29
  18. Meissner HI, Potosky Al, Convissor R. How sources of health information related to knowledge and use of cancer screening exams. J Community Health 1992;17:153-165 https://doi.org/10.1007/BF01324404
  19. Rosenstock IM. The health belief model : explaining health behavior through expectations. In Glanz K, Lewis FM, & Rimer BK(Eds) Health behavior and behavior education. SanFrancisco : Jossey-Bass. 1990
  20. US Preventive Services Task Force. Guide to Clinical Preventive Services. Baltimore, MD : Williams & Wilkins. 1996
  21. Valanis BG, et al. Screening HMO Women Overdue for both Mammograms and Pap Tests. Prev Med 2002;34:40-50 https://doi.org/10.1006/pmed.2001.0949