Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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The Factors Related to the Non-Practice of Cancer Screening in Cancer Survivors: Based on the 2007-2012 Korean National Health and Nutrition Examination Survey

암생존자의 암검진 미수검 관련 요인분석: 국민건강영양조사(2007-2012년) 자료 이용

  • Yang, Song-Ei (Proton Therapy Center, National Cancer Center) ;
  • Han, Nam-Kyung (Department of Nursing, Gyeongbuk College of Health) ;
  • Lee, Sun-Mi (Health Insurance Policy Research Institute, National Health Insurance Corporation) ;
  • Kim, Tae-Hyun (Department of Hospital Administration, Yonsei University Graduate School of Public Health) ;
  • Chung, Woojin (Department of Hospital Administration, Yonsei University Graduate School of Public Health)
  • 양송이 (국립암센터 양성자센터) ;
  • 한남경 (경북보건대학교 간호학과) ;
  • 이선미 (국민건강보험공단 건강보험정책연구원) ;
  • 김태현 (연세대학교 보건대학원 병원경영학과) ;
  • 정우진 (연세대학교 보건대학원 병원경영학과)
  • Received : 2015.08.19
  • Accepted : 2015.09.20
  • Published : 2015.09.30
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Abstract

Background: The aim of the current study was to investigate the factors related to the non-practice of cancer screening in cancer survivors, who are at high risk of developing second cancers. Methods: This study is a cross-sectional analysis of 1,125 cancer survivors ${\geq}19$ years old who participated in the Korean National Health and Nutrition Examination Surveys IV and V (2007-2012). A Rao-scott chi-square test and a survey logistic regression analysis were employed respectively to analyze the difference of cancer survivors in cancer screening by each characteristic and the factors related to the non-practice of cancer screening in cancer survivors. Results: Among total subjects, 33.5% did not participate in cancer screening in the last two years. Results from a fully adjusted logistic model showed that the non-practice of cancer screening in cancer survivors was significantly associated with variables such as sex, age, marital status, education level, monthly income, and drinking a alcoholic beverage Specifically, the odds ratio of non-practice of cancer screening was higher in males than in females, in the younger group than in older group, in the group with no spouse than in the group with a spouse; in a group with a low level of education than in a group with a high level of education; in a group with the lowest income level than in a group with the other levels of income; or in non-drinkers than in drinkers. Conclusion: Health policies to reduce the non-practice rate of cancer screening in cancer survivors should be designed and implemented with close attention to cancer survivors' socio-economic characteristics such as sex, age, marital status, education, and income, along with a health behavioral characteristic as drinking.

Keywords

References

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