Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Factors Associated with Gastric Cancer Screening of Koreans Based on a Socio-ecological Model

사회생태학적 모형에 기반한 한국인 위암검진 수검의 관련 요인

  • Bae, Sang-Soo (Health Services Research Center, Hallym University) ;
  • Jo, Heui-Sug (School of Medicine, Kangwon National University) ;
  • Kim, Dong-Hyun (Health Services Research Center, Hallym University) ;
  • Choi, Yong-Jun (Health Services Research Center, Hallym University) ;
  • Lee, Hun-Jae (Department of Social Medicine, College of Medicine, Inha University) ;
  • Lee, Tae-Jin (Health Services Research Center, Hallym University) ;
  • Lee, Hye-Jean (Department of Preventive Medicine, Kangwon National University Hospital)
  • 배상수 (한림대학교 사회의학연구소) ;
  • 조희숙 (강원대학교 의학전문대학원) ;
  • 김동현 (한림대학교 사회의학연구소) ;
  • 최용준 (한림대학교 사회의학연구소) ;
  • 이훈재 (인하대학교 의과대학 사회의학교실) ;
  • 이태진 (한림대학교 사회의학연구소) ;
  • 이혜진 (강원대학교병원 예방의학과)
  • Published : 2008.03.31
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Abstract

Objectives : We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. Methods : A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1 - May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. Results : Among 985 survey respondents(380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. Conclusions : In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.

Keywords

References

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