Browse > Article
http://dx.doi.org/10.22034/APJCP.2016.17.12.5127

Internal Motivation, Perceived Health Competency, and Health Literacy in Primary and Secondary Cancer Prevention  

Jung, Su Mi (Department of Health Policy and Management, School of Medicine, Kangwon National University)
Jo, Heui Sug (Department of Health Policy and Management, School of Medicine, Kangwon National University)
Oh, Hyung Won (Department of Cancer Management, Gangwon Cancer Center)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.17, no.12, 2016 , pp. 5127-5132 More about this Journal
Abstract
Objective: The aim of this study was to identify associations of internal motivation, perceived health competency, and health literacy with primary and secondary cancer prevention. Methods: A telephone survey was conducted with a sample of 2,700, 30-69 year olds, proportionally extracted from Gangwon Province, South Korea. The dependent variables were actions in primary and secondary prevention and the explanatory variables were 13 questions in three areas: internal motivation (4 items), perceived health competency (4 items), and health literacy (5 items). Result: Multiple linear regression analysis showed that internal motivation, perceived health competency, and health literacy positively impacted primary prevention after controlling for gender and age. As internal motivation, perceived health competency, and perceived literacy increased by 1 point, primary prevention scores increased by 0.11, 0.11, and 0.07 points, respectively. In addition, logistic regression results for secondary prevention showed that health literacy had a positive impact on secondary behavior. As health literacy increased by 1 point, the odds ratio of the practice of secondary prevention was 1.4 times higher. Conclusion: This study suggests that primary and secondary prevention of cancer are significantly related to intrinsic motivation factors, perceived health competency, and actual health literacy. Health literacy concepts that cover the capacity of health management in comprehensive areas need to be applied to education and promotion for improvement of primary and secondary prevention of cancer.
Keywords
Internal motivation; perceived health competency; health literacy; cancer prevention;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Leong SL, Madden C, Gray A, Horwath C (2012). Self-determined, autonomous regulation of eating behavior is related to lower body mass index in a nationwide survey of middle-aged women. J Acad Nutr Diet, 112, 1337-46.   DOI
2 Lynn C (2016). Low health literacy and chronic disease prevention and control-perspectives from the health and public sectors [Online]. Canadian public health association. available: http://www.cpha.ca/uploads/portals/h-l/kl_ summary_e.pdf [accessed 4 Feb 2016].
3 National Cancer Information Center (2015). Cancer facts and figures 2015 [Online]. Goyang: President of National Cancer Center.
4 Nutbeam D (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int, 15, 259-67.   DOI
5 Organization for Economic Co-operation and Development (2013). Skilled for Life- Key Findings from the Survey of Adult Skills [Online]. Organization for Economic Co-operation and Development. Available: http://www.oecd. org/skills/piaac/SkillsOutlook_2013_ebook.pdf [accessed 8 March 2016].
6 Peerson A, Saunders M (2009). Health literacy revisited: what do we mean and why does it matter?. Health Promot Int, 24, 285-96.   DOI
7 Simonds SK (1974). Health education as social policy. Health Educ Behav, 2, 1-10
8 Pender NJ, Murdaugh CL, Parsons MA (2011). Health promotion in nursing practice, Boston, MA: Pearson. 6th ed.
9 Poureslami I, Nimmon L, Rootman I, Fitzgerald MJ (2016). Health literacy and chronic disease management: drawing from expert knowledge to set an agenda. Health Promot Int, 107, 291- 95.
10 Seo YM, Choi WH (2011). A predictive model on self-care behavior for patients with type 2 diabetes: based on selfdetermination theory. J Korean Acad Nurs, 41, 491-9.   DOI
11 Sorensen K, Van den Broucke S, Fullam J, et al (2012). Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health, 12, 1-13.   DOI
12 Sorensen K, Van den Broucke S, Pelikan JM, et al (2013). Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health, 13, 948.   DOI
13 Spigner C, Yip MP, Huang B, Tu SP (2007). Chinese and Vietnamese adult male smokers' perspectives regarding facilitators of tobacco cessation behavior. Asian Pac J Cancer Prev, 8, 429-35.
14 Statistics Korea (2014). Annual report on the causes of death statistics. Daejon, Statistics Korea.
15 World Health Organization (2014). Global status report on noncommunicable diseases 2014 [Online]. Geneva: World Health Organization. Available: http://www.who.int/nmh/publications/ncd-status-report-2014/en/ [accessed 7 April 2016].
16 Taggart J, Williams A, Dennis S, et al (2012). A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors. BMC Fam Pract, 13, 49-60.   DOI
17 U.S. Department of Health and Human Services (2010). National Action Plan to Improve Health Literacy [Online]. Washington DC: Office of Disease Prevention and Health Promotion. Available: https://health.gov/communication/hlactionplan/ pdf/Health_Literacy_Action_Plan.pdf [accessed 17 March 2016].
18 Varekamp I, Heutink A, Landman S (2009). Facilitating empowerment in employees with chronic disease: qualitative analysis of the process of change. J Occup Rehabil, 19, 398-408.   DOI
19 Yoo KY (2008). Cancer Control Activities in the Republic of Korea. Jpn J Clin Oncol, 38, 327-33.   DOI
20 Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K (2011). Low health literacy and health outcomes: An updated systematic review. Ann Intern Med, 155, 97-107.   DOI
21 Bodenheimer T, Lorig K, Holman H, Grumbach K (2002). Patient self-management of chronic disease in primary care. JAMA, 288, 2469-75.   DOI
22 Cho YI, Arozullah AM, Crittenden KS, Lee SYD (2008). Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med, 66, 1809-16.   DOI
23 Deci EL, Ryan RM (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychol Inq, 11, 227-68.   DOI
24 Fan JL, Kong Y, Shi SH, Cheng YH (2016). Positive correlations between the health locus of control and self-management behaviors in hemodialysis patients in Xiamen. Int J Nurs Sci, 3, 96-101.
25 Jeong HJ, Lee WC (2016). Item response theory-based evaluation of psychometric properties of the safety attitudes questionnaire-Korean version (SAQ-K). Biom Biostat Int J, 3, 1-15.
26 Jo HS, Jung SM (2011). Audience Segmentation to Promote Lifestyle for Cancer Prevention in the Korean Community. Asian Pacific J Cancer Prev, 12, 869-74.
27 Kim BG, Jo HS, Lee HJ (2015). Study on the factors related with intention of cancer screening among Korean residents: application of information-motivation-behavioral skills model. Asia Pac J Public Health, 27, 2133-43.   DOI
28 Jo HS, Jung SM, Lee HJ (2012). The evaluation of a health coaching program on metabolic syndrome patients. Korean J Health Educ Promot, 29, 97-108.
29 Jo HS, Kwon MS, Jung SM, Lee BY (2014). Awareness of cancer and cancer screening by Korean community residents. Asian Pac J Cancer Prev, 15, 4939-44.   DOI
30 Jung SM, Jo HS (2014). Intrinsic motivation factors based on the self-determinant theory for regular breast cancer screening. Asian Pac J Cancer Prev, 15, 10101-6.
31 Korea Centers for Disease Control and Prevention (2016). 2016 Chronic disease status and issues: factbook (in Korean) [Online]. Osong: Korea Centers for Disease Control and Prevention. Available: http://www.guideline.or.kr/ newsletter/vol1609/file/201609_01.pdf [accessed 4 Feb 2016].
32 Lee KS, Choi JS, So AY, Lee EH (2012). The Reliability and validity of the personal competence of health care (PCHC) scale. J Muscle Jt Health, 19, 197-209.   DOI