Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Relationship between Cancer Worries and Breast Cancer Screening with and without Family History among Korean Women

암가족력 유무에 따른 부정적 심리요인과 유방암 검진과의 관련성: 우리나라 여성을 중심으로

  • Kim, Bokmi (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Choi, Kui Son (Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center) ;
  • Lee, Yoon Noh (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Min, In Soon (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Hahm, Myung-Il (Department of Health Administration and Management, Soonchunhyang University Graduate School)
  • 김복미 (순천향대학교 대학원 보건행정경영학과) ;
  • 최귀선 (국립암센터 국제암전문대학원대학교 암정책관리학과) ;
  • 이윤노 (순천향대학교 대학원 보건행정경영학과) ;
  • 민인순 (순천향대학교 대학원 보건행정경영학과) ;
  • 함명일 (순천향대학교 대학원 보건행정경영학과)
  • Received : 2017.02.10
  • Accepted : 2017.06.16
  • Published : 2017.06.30
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Abstract

Background: Women with family history of breast cancer are more likely to be worried about having cancer and participate in breast cancer screening. However, few studies have examined relationship between family history, cancer worries, and participating in breast cancer screening in Korea. This study is to identify relationship between family history, cancer worries, and participating in breast cancer screening among women with and without family history of cancer. Methods: Respondents were 2,364 women who based on the 2013 Korean National Cancer Screening Survey which is done by National Cancer Center in Korea. Chi-square tests were performed to determine differences of cancer worries, undergoing of breast cancer screening and methods such as mammogram and ultrasonogram with and without cancer family history. Univariate and multiple logistic regression were performed to identify if family history and cancer worries are related factors on participating in breast cancer screening and methods. Stratified analysis was performed to confirm the effect of ultrasonogram on the dense breast by age. Results: Women with cancer family history frequently checked condition for conscious of having cancer (p=0.0299) and had highly perception of risk about having cancer in the future ($p{\leq}0.0001$). Women aged 30-49 did not perform significantly more ultrasonogram than women aged over 50 years old. Checking condition (moderate odds ratio [OR], 1.38; 95% confidence interval [CI], 1.20-2.08; frequently OR, 1.58; 95% CI, 1.08-1.76) and perception of risk (moderate OR, 3.12; 95% CI, 1.06-7.06; high OR, 2.74; 95% CI, 1.20-8.08) were related to participate in mammogram and ultrasonogram. A positive family history was related to 1.35 higher odds of performing only breast ultrasonogram (95% CI, 1.04-1.75). Conclusion: This study requires national education and publicity to reduce the unnecessary cost of screening, to be possible cost effective screening and to encourage women to receive more mammogram, especially women aged over 50 years old and with socioeconomic factors related to opportunistic screening.

Keywords

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