Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Income-related differences in cancer screening in Korea : Based on the 6th(2014) Korea National Health and Nutrition Examination Survey

소득수준에 따른 암 검진 이용현황 분석: 2014년 국민건강영양조사 자료를 중심으로

  • Lim, Ji-Hye (Dept. of Healthcare management, Youngsan University)
  • 임지혜 (영산대학교 의료경영학과)
  • Received : 2016.12.01
  • Accepted : 2017.01.20
  • Published : 2017.01.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study aims to identify factors to affect cancer screening utilization and differences in cancer screening by household income. This research selected 3,393 adults aged ${\geq}40years$ among surveyees from the 6th(2014) Korea National Health and Nutrition Examination Survey. We analyzed state of cancer screening utilization according to general characteristics, life style, health status, income level using descriptive statistics. Logistic regression analysis was used to examine the factors associated with cancer screening utilization. In result, cancer screening rate was significantly different according to household income. And the significant factors associated with cancer screening utilization were sex, age, marital status, education level, economic activity, private insurance, smoking, presence or absence of high physical activity, number of chronic diseases, and household income. This indicates that the effective cancer screening program on the low household income, chronic disease patients is needed, suitable for digital age. We believe that these results will be used positively for the equity of cancer screening utilization, providing the basic materials for the further research on the establishment of the health-related policy.

본 연구의 목적은 소득수준에 따른 암 검진 이용 현황과 암 검진 이용에 영향을 미치는 요인을 살펴보는데 있다. 2014년 국민건강영양조사 자료를 이용하였으며, 설문에 응답한 만 40세 이상 3,393명을 분석대상자로 하였다. 분석대상자의 일반적인 특성과 생활양식, 건강관련변수, 소득수준에 따른 암 검진 이용 현황을 파악하기 위하여 기술통계를 실시하였으며, 암 검진 이용에 영향을 미치는 요인을 파악하기 위하여 로지스틱 회귀분석을 실시하였다. 연구 결과, 소득수준에 따른 암 검진 이용 현황에는 유의한 차이가 있었으며, 암 검진 이용에 영향을 미치는 변수는 성, 연령, 배우자 유무, 교육수준, 경제활동 유무, 민간보험 가입 유무, 흡연상태, 중강도 신체활동 유무, 만성질환 개수, 가구소득 수준 등으로 나타났다. 이는 소득이 낮은 계층, 만성질환자 등을 위해 디지털 시대에 적합한 보다 효과적인 암 검진 프로그램의 개발이 필요함을 시사해준다. 이러한 결과들은 향후 소득수준에 따른 암 검진 이용의 형평성과 보건의료 정책 수립에 기초자료로 의미 있게 활용되어질 수 있으리라 여겨진다.

Keywords

References

  1. Jong-Ho Heo, Jong-Nam Hwang, "Income-related inequalities: in cancer screening", Health and Social welfare review, Vol. 34, No. 3, pp. 59-81, 2014. https://doi.org/10.15709/hswr.2014.34.3.59
  2. National Cancer Center, "Cancer facts & figures 2014", 2014.
  3. Korea Central Cancer Registry, "Annual report of cancer statistics in korea in 2012", 2014.
  4. National Health Insurance Corporation, "2014 National Health Screening Statistical Yearbook", 2015, 12.
  5. Ministry of Health Welfare and Family Affairs, "The 2009 national cancer screening program information; 2009", http://www.mw.go.kr (October 10, 2010)
  6. K. S. Choi, E. C. Park, H. R. Shin, C. M. Kim, D. K. Oh, "National cancer screening program in Korea", Journal of Korea Association of Cancer Prevention, Vol. 9, No. 2, pp. 116-122, 2004.
  7. J. G. Yang, M. S. Park, Y. H. Lee, "A study on influence factors of quality of life and health behavior of cancer patients for the PHR service", Journal of Digital Convergence, Vol. 12, No. 11, pp. 249-256, 2014. https://doi.org/10.14400/JDC.2014.12.11.249
  8. Rock-Bum Kim, Ki-Soo Park, Dae-yong Hong, Cheol-Heon Lee, Jang-Rak Kim, "Factors associated with cancer screening intention in eligible persons for national cancer screening program", Journal Preventive Medicine and Public Health, Vol. 43, No. 1, pp. 62-72, 2010. https://doi.org/10.3961/jpmph.2010.43.1.62
  9. M. S. Kwak, E. C. Park, J. Y. Bang, N. Y. Sung, J. Y. Lee, K. S. Choi, "Factors associated with cancer screening participation, Korea", Journal Preventive Medicine and Public Health, Vol. 38, No. 4, pp. 473-481, 2005.
  10. S. J. Katz, T. P. Hoper, "Socioeconomic disparities in preventive care persist despite universal coverage: breast and cervical cancer screening in Ontario and the United States", JAMA, Vol. 272, No. 7, pp. 530-534, 1994. https://doi.org/10.1001/jama.1994.03520070050037
  11. V. Lorant, B. Boland, P. Humblet, D. Dehege, "Equity in prevention and healthcare", Journal Epidemiology Community Health, Vol. 56, No. 7, pp. 510-516, 2002. https://doi.org/10.1136/jech.56.7.510
  12. J. G. Zapka, A. M. Stoddard, M. E. Costanza, H. L. Greene, "Breast cancer screening by mammography: utilization and associated factors", American Journal of Public Health, Vol. 79, No. 11, pp. 1499-1502, 1989. https://doi.org/10.2105/AJPH.79.11.1499
  13. M .K. Kim, E. W. Nam, K. N. Jin, "The factors influencing the odds of cancer examination in Wonju city", Journal of Korean Society for Health Education and Promotion, Vol. 23, No. 3, pp. 85-97, 2006.
  14. Yun-Hwa Ko, "Physical activity, social support and participation of women knowledge about cervical cancer screening, the screening attitude multiplicative influence of cervical cancer screening", Journal of Digital Convergence, Vol. 14, No. 7, pp. 439-449, 2016. https://doi.org/10.14400/JDC.2016.14.7.439
  15. Yong-Chul Lee, Bock-Hee Im, Young-Hee Park, "The determinants and comparison of health behavior and health service by private medical insurance and national health nutrition survey", Journal of the Korea contents association, Vol. 10, No. 12, pp. 190-204, 2010.
  16. Young-Il Jung, Hong-Soo Kim, Dae-Sung Choi, "Factors associated with cancer screening among Korean adults: A literature review", Korean Journal of Health Promotion, Vol. 10, No. 4, pp. 185-194, 2010.
  17. E. J. Kim, I. O. Moon, "A study on middle aged peoples compliance for preventive health behavior of cancer", Journal of Korean Society for Health Education and Promotion, Vol. 4, No. 2, pp. 9-31, 1987.
  18. Y. I. Kim, C. H. Lee, S. H. Yang, H. S. Jung, "Factors affecting early detection behaviors of breast cancer", Journal of Korean Academy of Community Health Nursing, Vol. 15, No. 1, pp. 155-164, 2004.
  19. Mi-Hwa Lee, Sang-Hyun Kim, "Breast cancer screening rates-related factors Korea women ever considering area environmental characteristics: The fourth Korea National Health and Nutrition Examination Survey(KNHANES IV)", Journal of Digital Convergence, Vol. 12, No. 11, pp. 437-449, 2014. https://doi.org/10.14400/JDC.2014.12.11.437
  20. J. W. Lee, S. Y. Ahn, K. H. Kim, "Study on factors that influence cancer screening rate in urban and rural areas", Journal of Digital Convergence, Vol. 10 No. 2, pp. 269-278, 2012. https://doi.org/10.14400/JDPM.2012.10.2.269
  21. B. H. Im, H. S. Choi, "Determination factors and satisfaction of health screening center by health examination at hospital", Journal of Digital Convergence, Vol. 12, No. 12, pp. 457-467, 2014. https://doi.org/10.14400/JDC.2014.12.12.457
  22. G. C. Yang, K. M. Cho, "A way for maximum use of cancer risk assessment system CARA", Journal of Digital Convergence, Vol. 10, No. 3, pp. 121-126, 2012. https://doi.org/10.14400/JDPM.2012.10.3.121
  23. H. W. Baik, M. Kim, "The relation between comprehensive health needs of cancer patient and the quality of life", Journal of Digital Convergence, Vol. 12, No. 12, pp. 477-484, 2014. https://doi.org/10.14400/JDC.2014.12.12.477
  24. Sung-Hyun Mun, "Convergence Study on Factors that Influence Cancer Screening Rate in Korea and Japan", Journal of the Korea Convergence Society, Vol. 6, No. 6, pp. 247-253, 2015. https://doi.org/10.15207/JKCS.2015.6.6.247