Browse > Article

The Factors Associated with Health and Cancer Screening Using Preventive Programs from Health Insurance among Women of a Community  

김영복 (Dept. of Health & Hygiene, College of Health Science, Seonam University)
이원철 (Dept. of Preventive Medicine, College of Medicine, the Catholic University of Korea)
노운녕 (Dept. of Health Administration, ShinHeung College)
조선진 (Dept. of Preventive Medicine, College of Medicine, the Catholic University of Korea)
백희정 (Dept. of Preventive Medicine, College of Medicine, the Catholic University of Korea)
손혜현 (Dept. of Preventive Medicine, College of Medicine, the Catholic University of Korea)
이순영 (Dept. of Preventive Medicine, College of Medicine, AJOU University)
맹광호 (Dept. of Preventive Medicine, College of Medicine, the Catholic University of Korea)
Publication Information
Korean Journal of Health Education and Promotion / v.20, no.1, 2003 , pp. 41-60 More about this Journal
Abstract
This study, performed to analyze the factors associated with health and cancer screening using preventive programs form health insurance among the women of a community, through a survey of about 923 women in Euijungbu-city. The subjects of the study were selected by a proportional cluster sampling method. The self-reported questionnaire was intended to fine factors associated with health screening and cancer screening. The results of this study were as follows: 1. In the case of health screening using health insurance, 14.1% of the subjects turned out to have been screened once or more in their respective life-time. Reasons given for non-participation in the screening were : 'lacking screening information', a belief that' it's not useful' and a belief that they' weren't sick'. 2. The factors associated with health screening behavior were age, educational level, number of doctor visits, BMI and health promotion behavior(p<0.01, p<0.05). Also, the factors associated with health screening behavior were cue to action and health status, and the predictors on health screening behavior were age and health promotion behavior(p<0.01, p<0.05). 3. In the case of cancer screening through the health insurance, 7.4% of the subjects turned out to have been screened once or more respectively in their life-times. Reasons given for non-participation in the screening were : 'lacking screening information', a belief they 'weren't sick' and that it's not useful'. 4. The factors associated with cancer screening behavior were age, educational level, income, alcholol intake, exercise, number of doctor visits and BMI(p<0.01, p<0.05). Aditional factors associated with cancer screening behavior were cue to action, health belief score and health status. Predictors for cancer screening behavior were: age, health belief score, screening attitude and health status(p<0.01, p<0.05). As indicated by the above results, a lack of information was an important factor for a lack of participation in screening. Age and cue to action were also important factors in promoting the cancer screening rate. Therefore, a dissemination of information about cancer screening contributes to the promotion of a screening rate, and cooperation between health insurance and local health cancer facilitates to be public the community-based cancer screening program.
Keywords
Health Screening Behavior; Cancer Screening Behavior; Preventive Program of Health Insurance;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Roger W, Deborah N, Jeffrey A Serum cholesterol levels and cancer mortality in 361,662 men screened for the multiple risk factor intervention trial. JAMA, 1987;257:943-948   DOI   ScienceOn
2 Roman FJ, Patients' expectations of periodic health examination. J Fam Prac 1981;19:191-195
3 노운녕, 이원철, 김영복, 박용문, 이홍재, 맹광호. 지역사회 주민의 암 조기검진 수검행위에 영향을 미치는 결정인자. 한국역학회지 1999;21(1):81-92
4 이덕철, 서일, 이혜리, 김동기. 성인병 건강검진 순웅도에 영향을 미치는 요인. 가정의학회지 1997;18(7):739-751
5 의료보험연합회. 1997년도 의료보험 보건예방사업실적분석. 1998
6 Hayward RA, Shapiro MF, Freeman HE, Corey CR Who gets screened for cervical and breast cancer? Results from a new national survey. Arch Intern Med 1988;148:1177-1181   DOI   ScienceOn
7 맹광호, 이원철, 노운녕, 김영복, 이순영. 지역 암 조기검진 수검증진방안에 관한 연구. 보건복지부 용역과제. 가톨릭대학교 의과대학 예방의학교실, 2001
8 통계청. 2000년도 사망원인 통계결과. www.nso.go.kr, 2001
9 Miller AB, Brisson GJ, Nancy LJ, Malcolmson P, Mirwaldt P, Stuart G, Sullivan W. Report of a National Workshop on Screening for Cancer of the Cervix. CAN MED ASSOC J 1991;145:1301-1318
10 김영복, 이원철, 김명, 정치경. 성인 여성의 자궁경부암 선별검사 수검에 관한 예측인자. 예방의학회지 2001;34(3):237-243   과학기술학회마을
11 한국보건사회연구원. 서울시민 건강증진 목표설정 및 전략개발. 서울특별시 / 한국보건사회연구원. 1998
12 김영복, 이원철. 지역사회 주민의 위암 조기검진행태 및 그 관련요인에 관한 연구. 한국역학회지 1999;21(1):20-30
13 Clake EA Does screening by Pap smear help prevent cervix cancer a case-control study. Lancet 1979;2:1-4
14 Lechner L, De Vries II, Offermans N. Participation in a breast cancer screening program : influence of past behavior and determinants on future screening participation. Prev Med 1997;26:473-482   DOI   ScienceOn
15 Macgregor JE, Moss SM, Parkin DM, Day NE. A case-control study of cervical cancer screening in north east scotland. Br Med J 1985;200:1543-1546
16 Pham CT & McPhee SJ. Knowledge, attitude, and practice of breast and cervical cancer screening among vietnamese women. J Cancer Educ 1992;7:305-310   DOI
17 William PS, Driscoll CE, Dvorak ill, Garber KA, Shank JC. Health screening examinations : The patient's perspective. J Fam Prac 1988;27:187-197
18 Frame PS. Health maintenance in clinical practice : Strategies and barriers. Am Fam Physician 1992;45:1192-1199   PUBMED
19 Walsh JE, McPhee SJ. A system model of clinical preventive care : An analysis of factors influencing patient and physician. Health Educ Q 1992;19:157-175
20 Paula ML, Margaret EW, James SH. Education and income differntials in breast and cervical cancer screening. Med Care 1997;35:219-236   DOI   ScienceOn
21 Geirsson G. Cervical cancer screening in Iceland. UICC 1986;37-41
22 김영복, 노운녕, 이원철, 박용문, 맹광호. 성인 여성의 자궁경부암 및 유방암 조기검진 수검행위에 영향을 미치는 요인. 한국보건교육.건강증진학회지 2000;17(1):155-170
23 Becker MH, Haefner DP, Kasi SV, Kirscht JP, Maiman LA, Rosenstock IM. Selected psychosocial models and correlates of individual health-related behaviors. Med Care 1977;15:27-46   DOI   ScienceOn
24 한국중앙암등록본부. 서울시 지역 암 동록 통계. 2001