• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.12
• /
• pp.5127-5132
• /
• 2016

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.

• Research in Community and Public Health Nursing
• /
• v.17 no.2
• /
• pp.273-282
• /
• 2006

Purpose: This study was to evaluate the effects of smoking prevention education on primary school students. Method: This study used a nonequivalent control group pretest-posttest design. The subjects were 189 6th graders of two primary schools, of them, 97 were assigned to the experimental group and 92 were assigned to the control group. Smoking prevention education was applied in 7 sessions for 40 minutes every week. Survey was conducted before and one week after the smoking prevention education to examine student's knowledge of smoking, attitude, and smoking cessation intention. The data were analyzed by descriptive statistics and $x^2-test$, t-test using the SPSS Win 10.0 program. Results: After the completion of the smoking prevention education, there were significant differences between the experimental group and the control group in smoking knowledge (t=2.651, p=.009), but smoking attitude (t=-.492, p=.623) and smoking cessation intention (t=-.425, p=.671) were not statistically significant between the two groups. Conclusion: The smoking prevention education for primary school students increased their knowledge on smoking but didn't have any significant impact on changing their smoking attitude and smoking cessation intention. Further study on longitudinal effect is recommended and the smoking prevention education should be provided continuously at school.

• Journal of Gastric Cancer
• /
• v.22 no.3
• /
• pp.169-183
• /
• 2022

Gastric cancer is prevalent in Korea and ranked as the third most common cancer in 2019, followed by lung and thyroid cancers. The National Cancer Screening Program (NCSP) for gastric cancer has been implemented in adults aged ≥ 40 since 1999 and involves endoscopic screening every 2 years. The beneficial effects of the current NCSP on early cancer detection, cost-effectiveness, and mortality reduction are evident. However, the screening program results in a large socioeconomic burden and the consumption of medical resources, as it focuses solely on secondary prevention (early detection) rather than primary prevention of cancer. Helicobacter pylori is defined as a group I carcinogen by the International Agency for Research on Cancer. Hence, its eradication has been suggested as an important primary gastric cancer prevention strategy. Well-designed randomized controlled trials involving high-risk groups (post-endoscopic resection of early gastric cancer and family history of gastric cancer) and long-term follow-up studies in the general population have provided high-quality evidence regarding the effects of H. pylori eradication on gastric cancer prevention. In this review, we discussed the evidences for a possible modification of the current gastric cancer secondary prevention strategy by introducing primary prevention through H. pylori eradication. Areas for future research to optimize primary prevention strategies were also suggested.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.12
• /
• pp.7385-7393
• /
• 2013

Background: Only few epidemiological data on primary central nervous system (CNS) tumors in Shanghai have been reported. Methods: All cases of primary CNS tumors that were registered at Center for Disease Control and Prevention (CDC) were collected (1973-2007: urban Shanghai; 2003-2007: whole Shanghai city). Trends were analyzed using joinpoint analysis and rates were stratified by age, gender and region. Histological data were collected from both CDC and Huashan Hospital. Results: From 1973 to 2007, the five-year average incidence rate in urban Shanghai increased in both genders, especially in the elderly population. Joinpoint analysis showed the age-adjusted incidence rate for males increased first but then plateaued, whilst rates for females continued increasing over the 35 years. For the five-year status quo (2003-2007), rural had a higher age-adjusted incidence rate than urban populations, and females higher than males, especially those with advanced age. According to CDC (2003-2007) and Huashan Hospital (1951-2011), the two most common histological subtypes were neuroepithelial tumors (with male predominance) and meningiomas (with female predominance). Conclusions: In Shanghai, a steadily increased incidence rate of primary CNS tumors was observed in general, and in the elderly and female population in particular.

• Child Health Nursing Research
• /
• v.11 no.1
• /
• pp.63-71
• /
• 2005

Purpose: This study was done to examine the effects of a smoking prevention program on primary school students. Method: The design for this study was a nonequivalent quasi-experimental control group pretest-posttest. The smoking prevention program was provided to grade 5 and 6 students selected from two schools in Jecheon. The experimental group consisted of 72 students and the control group, 73 students. A smoking prevention program composed of smoking prevention education (once a week for 40 minutes over a period of 8 weeks) and supportive environment for smoking prevention was developed by modifying several smoking prevention programs. The research was conducted from May 15 to October 10, 2003. Result: 1) After completion of the smoking prevention program, the mean scores for knowledge about smoking, attitude to smoking, and intention toward non-smoking were not significantly different between the experimental group and the control group. Conclusions: To affectively achieve the aims of a smoking prevention program, the effectiveness of the program should not be measured over the short term only. Long-term tracking of students educated in the program, to identify the rate of those who later become smokers needs to be done.

• The Journal of the Korean life insurance medical association
• /
• v.30 no.2
• /
• pp.12-15
• /
• 2011

Background: The beneficial effects of implantable cardioverter defibrillators (ICDs) in primary and secondary prevention patients are well established. However, data on potential differences between both groups in mortality are scarce. The aim of this study was to assess extra risk differences between primary and secondary prevention ICD recipients. Methods: Comparative mortality figures were calculated from a source article using mortality analysis methods. Results: Mortality ratio (MR) of primary and secondary prevention ICD recipients were 393% and 373%. Excess death rates (EDR) of both groups were 42 and 38 per 1,000. Discussion: MR and EDR were higher in primary prevention group. But, there was no significant difference.

• 한국방재학회:학술대회논문집
• /
• 2007.02a
• /
• pp.561-564
• /
• 2007

This case was successfully constructed as a leakage prevention case of primary 2-arch tunnel located in Anyang, Gyungkido. The leakage of primary 2-arch tunnel was observed at middle wall of tunnel and girder of tunnel. Such a leakage of primary 2-arch tunnel generally occurred due to the damage of the waterproof membrane constructed on the middle wall during the blasting works of right and left tunnel after construction of the middle wall. As the leakage, icicles hanged from girder of tunnel in the winter. In such phenomenon, the risk of the traffic accident in the tunnel was high. In this case, leakage prevention works were successfully constructed using the heat insulated drainage.

• Journal of Sasang Constitutional Medicine
• /
• v.30 no.1
• /
• pp.7-13
• /
• 2018

Objectives On the point of modern preventive medicine, Sasang Constitutional Meidicine(SCM) has the thoughts of preventive medicine. Modern preventive medicine has the three dimensional prevention; primary, secondary and tertiary prevention. The preventive thoughts of SCM concerning three dimensional prevention have been investigated in this article. Method Materials and references were collected about the prevention of SCM. Lee Jema's books such as Donguisusebowon, Gyeokchigo and Donguisusebowon Chobonguen were included. Result and Conclusions As the primary prevention of SCM, Regimen according to ages, explanation according to health index as Myeongmaeksilsu(命脈實數), moderation of four ruinous causes such as intoxication, seduction, opulence and authority, adequate social life and control of 4 kinds of emotions(sorrow, anger, joy and pleasure) are included. As the secondary prevention of SCM, explanation according to disease index, fragile Organs and frequently acquired diseases according to constitutions are included. As the tertiary prevention of SCM, rehabilitation for the stroke patients according to constitutions is included. In conclusion, SCM has all of 3 dimensional prevention methods although that might be applied with modern considerate modification.

• Korean Journal of Health Education and Promotion
• /
• v.32 no.4
• /
• pp.59-65
• /
• 2015

Objectives: Health screening in Korea is very active in both the public and private sector. However, primary prevention for health promotion has not been activated yet. Quaternary prevention is the prevention of unnecessary medical interventions or the prevention of overmedicalization. Methods: Data was collected after a search of the literature focusing on keyword. The curriculum guidelines for family medicine residents were collected from the homepage of the American Academy of Family Physicians. Results: This quaternary prevention is just beginning. The first step to enhance the health promotion services in the community is to identify the barriers pertaining to the delivering of health promotion activities. These barriers are related to the patient, the physician, attitudes, health promotion programs and the healthcare system. The second step is to establish new changes, such as expansion of insurance coverage, improvement of medical payment system, provision of consumer-oriented services, connection and integration of providers, and the service provider education and training. Conclusions: In order to enhance the health promotion services in the community we need to identify the barriers and to establish several changes to overcome them.

• Safety and Health at Work
• /
• v.8 no.1
• /
• pp.29-35
• /
• 2017

Background: Despite our knowledge of the causes of cancer, millions of workers are involuntarily exposed to a wide range of known and suspected carcinogens in the workplace. To address this issue from a policy perspective, we developed a policy framework based on a prospective health policy analysis. Use of the framework was demonstrated for developing policies to prevent cancers associated with diesel engine exhaust (DEE), asbestos, and shift work, three occupational carcinogens with global reach and large cancer impact. Methods: An environmental scan of existing prospective health policy analyses was conducted to select and describe our framework parameters. These parameters were augmented by considerations unique to occupational cancer. Policy-related resources, predominantly from Canada, were used to demonstrate how the framework can be applied to cancers associated with DEE, asbestos, and shift work. Results: The parameters of the framework were: problem statement, context, jurisdictional evidence, primary prevention policy options, and key policy players and their attributes. Applying the framework to the three selected carcinogens illustrated multiple avenues for primary prevention, including establishing an occupational exposure limit for DEE, banning asbestos, and improving shift schedules. The framework emphasized the need for leadership by employers and government. Conclusion: To our knowledge, this is the first proposal for a comprehensive policy framework dedicated to the primary prevention of occupational cancer. The framework can be adapted and applied by key policy players in Canada and other countries as a guide of what parameters to consider when developing policies to protect workers' health.