• Journal of Preventive Medicine and Public Health
• /
• v.39 no.4
• /
• pp.331-338
• /
• 2006

Objectives: The goal of this study is to measure women's willingness to pay for cancer screening and to identify those factors associated with this willingness to pay. Methods: A population-based telephone survey was performed on 1,562 women (aged 30 years or over) for 2 weeks (9-23th, July, 2004). Data about sociodemographic characteristics, health behaviors, the intention of the cancer screenings and willingness to pay for cancer screening were collected. 1,400 respondents were included in the analysis. The women's willingness to pay for cancer screening and the factors associated with this willingness to pay were evaluated. Results: The results show that 76% of all respondents have a willingness to pay for cancer screening. Among those who are willing to pay, the average and median amount of money for which the respondents are willing to pay are 126,636 (s.d.: 58,414) and 120,000 won, respectively. As the status of education & the income are higher, the average amount that women are willing to pay becomes much more. The amount of money women are willing to pay is the highest during the 'contemplation' stage. Being willing to payor not is associated with a change of behavior (transtheoretical model), the income, the concern about the cancer risk, the family cancer history, the marital status, the general health exam, age and the place of residence. Income is associated with a greater willingness to pay. Old age was associated with a lower willingness to pay. Conclusions: According to the two-part model, income and TTM are the most important variables associated with the willingness to pay for cancer screening. The cancer screening participation rate is low compared with the willingness to pay for cancer screening. It is thought that we have to consider the participants' behavior that's associated with cancer screening and their willingness to pay in order to organize and manage cancer screening program.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.50 no.4
• /
• pp.385-395
• /
• 2023

The purpose of this study was to analyze the screening rates and examination results of the national dental screening program for infants and children since its initiation. Data for this study were obtained from the annual health screening statistical yearbook of the National Health Insurance Service. The investigation focused on the screening rate according to year, age, and region, as well as examination results from 2008 to 2021. The study revealed a general increase in screening rates over the years, with a simultaneous decrease observed as the age of the subjects increased. Regional variations in screening rates were observed, with the highest and lowest rates in Sejong and Jeonbuk, respectively. Analysis of examination results revealed an increasing proportion of subjects requiring treatment as they aged. From 2008 to 2013, less than 15% of subjects aged 18 - 24 and 18 - 29 months required treatment, whereas over 30% required treatment in the remaining age groups. Between 2014 and 2021, the proportion of subjects in the 18 - 29 month age group requiring treatment remained under 15%, but it exceeded 40% in the other age groups. In conclusion, active participation in national dental screening for infants and children is crucial to improving oral health outcomes.

• Applied Chemistry for Engineering
• /
• v.32 no.3
• /
• pp.253-259
• /
• 2021

Colorectal cancer (CRC) is one of the most prevalent diseases in modern society, constituting a serious threat to global health. Currently, routine clinical screening and early removal of precancerous polyps are the most successful methods for reducing CRC incidence and mortality. However, the high cost and invasive detection of sigmoidoscopy and colonoscopy limited the CRC-screening participation and prevention. The emergence of biosensors provides an inexpensive, sensitive, less invasive tool for detecting CRC disease biomarkers. This review highlights some of recent efforts made on developing biosensors with electrochemical and optical techniques targeting CRC specific protein biomarkers for early diagnosis and prognosis, potential applications, and future perspectives.

• Journal of the Korea Society of Computer and Information
• /
• v.24 no.5
• /
• pp.131-137
• /
• 2019

This study was aimed to identify a study on risk perception and safety knowledge and awareness of scuba diver. In order to achieve this purpose, a total of 310 customers over the age of 20 were selected as study participants form diving pools and dive resort in Seoul, Gyeonggi, Gangwon, Gyeongsang area using the convenience sampling method. However, only data from 295 customers were used after screening the data for reliability. The instrument for data collection was a questionnaire, and descriptive statistics, inter-item consistency reliability, t-test, ANOVA, post hoc test, correlation analysis, pearson chi-square test were conducted on the data using the SPSS 21.0 version statistical package program. The followings are the results: First, risk perception differs significantly according to age, education level, occupation and participation period. Second, participation period and safety knowledge have positive correlation.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.2
• /
• pp.981-986
• /
• 2013

Background: The Pap smear has an important value in the early diagnosis of cervical cancer, a serious problem in womens health. This study aimed to determine the status of Turkish women regarding participation in Pap smear testing and affecting factors. Materials and Methods: This descriptive study was conducted on married women between 18-61 years of age selected from those who applied to the Obstetrics and Gynaecology Polyclinic of Atat$\ddot{u}$rk University in Erzurum between June-August 2010 for any reason. Data were collected using a questionnaire determining socio-demographic features and analyzed by descriptive statistics (mean, Sd, range, frequency, percentage) and Chi-square test. A level of p<0.05 was considered statistically significant. Results: Sixty six of the 301 women (21.9%) indicated that they heard a Pap smear test and 16.6% of women had experienced a test. The number of women participating increased with age, duration of marriage, number of births, knowledge about the Pap smear and perception of risk for cervical cancer. Conclusions: The importance of the Pap smear test needs to be explained to Turkish women by health staff, to increase awareness and participation in regular screening.

• Asian Pacific Journal of Cancer Prevention
• /
• v.13 no.4
• /
• pp.1463-1470
• /
• 2012

Objective: The aims of this study were to explore Turkish women's knowledge, behavior and beliefs related to cervical cancer and screening. Methods: The study was performed in two cities in the East of Turkey between September 2009 and April 2010, with a sampling group of 387 women. Data were collected by means of an interview form with the Health Belief Model Scale for Cervical Cancer and Pap Smear Test - Turkish Version. Results: Women in the research group were found to have poor knowledge, inadequate health behavior and low/medium level false beliefs regarding cervical cancer screening. There was relation between health beliefs and characteristics of women and particularly education (F = 10.80, p = 0.01). Similarly, it was found that Pap smear barriers were influenced by demographic characteristics and that women with low-level education (p = 0.001), divorced women (p = 0.05), women with low-income(p = 0.05), women who gave their first birth when they were 18 or younger (p = 0.05) and women not applying any contraceptive method at all (p = 0.01) were determined to have negative Pap smear barriers. Conclusions: Primarily the knowledge, attitudes and beliefs of women in the target group should be evaluated to increase their participation in cervical cancer screening and to prepare effective education strategies.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.7
• /
• pp.3489-3494
• /
• 2016

Background: A major problem with cervical cancer screening in countries which have no organized national screening program for cervical cancer is sub-optimal participation. Implementation of self-sampling method may increase the coverage. Objective: We determined the agreement of cytological diagnoses made on samples collected by women themselves (self-sampling) versus samples collected by physicians (Physician sampling). Materials and Methods: We invited women volunteers to undergo two procedures; cervical self-sampling using the Evalyn brush and physician sampling using a Cervex brush. The women were shown a video presentation on how to take their own cervical samples before the procedure. The samples taken by physicians were taken as per routine testing (Gold Standard). All samples were subjected to Thin Prep monolayer smears. The diagnoses made were according to the Bethesda classification. The results from these two sampling methods were analysed and compared. Results: A total of 367 women were recruited into the study, ranging from 22 to 65 years age. There was a significant good agreement of the cytological diagnoses made on the samples from the two sampling methods with the Kappa value of 0.568 (p=0.040). Using the cytological smears taken by physicians as the gold standard, the sensitivity of self-sampling was 71.9% (95% CI:70.9-72.8), the specificity was 86.6% (95% CI:85.7-87.5), the positive predictive value was 74.2% (95% CI:73.3-75.1) and the negative predictive value was 85.1% (95% CI: 84.2-86.0). Self-sampling smears (22.9%) allowed detection of micro-organisms better than physicians samples (18.5%). Conclusions: This study shows that samples taken by women themselves (self-sampling) and physicians have good diagnostic agreement. Self-sampling could be the method of choice in countries in which the coverage of women attending clinics for screening for cervical cancer is poor.

• Journal of muscle and joint health
• /
• v.29 no.2
• /
• pp.100-112
• /
• 2022

Purpose: This study is a qualitative analysis of Korean-American (K-A) women's cancer prevention in the US. Methods: Qualitative research was conducted. Fifteen K-A women in four states were interviewed. Content theme analysis was used to analyze verbatim transcriptions of interviews. Results: Participants experienced difficulties in utilizing cancer screening programs. Factors include unfamiliarity with the US health care system, high health care costs or lack of health insurance, language barriers, and irregular and sporadic cancer screening participation. Participants also actively pursued non-institutional approaches to cancer prevention. They engaged in word-of-mouth informational exchanges in K-A communities, sought cancer screening in hospitals in Korea, conducted internet searches, autonomously decided on their health issues, and adopted healthy practices including better diets, physical exercise, and spiritual practices. Conclusion: It is necessary to implement measures to increase K-A women's utilization of the US cancer screening services and to encourage their active engagement in hands-on cancer prevention practices. K-A women should be empowered through increased familiarity with US cancer screening services and through the establishment of improved K-A community social services.

• The Journal of Korean Society for School & Community Health Education
• /
• v.24 no.4
• /
• pp.51-60
• /
• 2023

Objectives: This study attempted to examine the factors that affect the national health checkup rate of the elderly, analyze the impact of these factors, and discuss countermeasures to problems that may arise based on this. Methods: This study used the '8th National Health and Nutrition Examination Survey (2019-2021)', a nationwide survey, as the main data. The subjects of the study are seniors aged 65 years or older, the dependent variable is whether or not they underwent a national health checkup, and the independent variables are gender, marital status, residence, education level, income level, economic activity, type of medical coverage, private insurance subscription, subjective health, High blood pressure, diabetes, depression, stress, and weight change were selected. The statistical analysis package for data analysis is SPSS ver. 27.0 was used, and a p value of less than 0.05 was considered significant. Results: Of the 2,806 seniors aged 65 years or older, 2,074 (73.9%) took the national health screening over the past two years. In terms of marital status, married was 1.451 times higher than single (p<0.001), and in terms of residence, myeon was 1.240 times higher than dong (p<0.01). In terms of education level, college graduates were 2.053 times higher than elementary school graduates (p<0.001), and in terms of economic activity, the employed were 1.325 times higher than the unemployed (p<0.01). Private insurance was 1.883 times higher than non-subscription (p<0.001), weight change was 1.234 times higher for change than no change (p<0.05), and current smoking rate was 2.003 times higher for non-smokers than for former smokers. It was high (p<0.001). Conclusion: In conclusion, if differentiated promotion and health education are strengthened for the elderly who cannot participate in the national health screening, the participation rate of the elderly in the national health screening is expected to increase.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.14
• /
• pp.5523-5528
• /
• 2014

Objective: To evaluate the implementation of screening colonoscopy amongst first-degree relatives (FDRs) of patients with colorectal cancer (CRC) in Turkey. Materials and Methods: A total of 400 first-degree relatives (mean(SD)age: 42.5(12.7) years, 55.5% were male) of 136 CRC patients were included in this cross-sectional questionnaire based survey. Data on demographic characteristics, relationship to patient and family history for malignancy other than the index case were evaluated in the FDRs of patients as were the data on knowledge about and characteristics related to the implementation of screening colonoscopy using a standardized questionnaire form. Results: The mean(SD) age at diagnosis of CRC in the index patients was 60.0(14.0) years, while mean(SD) age of first degree relatives was 42.5(12.7) years. Overall 36.3% of relatives were determined to have knowledge about colonoscopy. Physicians (66.9%) were the major source of information. Screening colonoscopy was recommended to 19.5% (n=78) of patient relatives, while 48.7% (n=38) of individuals participated in colonoscopy procedures, mostly (57.9%) one year after the index diagnosis. Screening colonoscopy revealed normal findings in 25 of 38 (65.8%) cases, while precancerous lesions were detected in 26.3% of screened individuals. In 19.0% of FDRs of patients, there was a detected risk for Lynch syndrome related cancer. Conclusions: In conclusion, our findings revealed that less than 20% of FDRs of patients had received a screening colonoscopy recommendation; only 48.7% participated in the procedure with detection of precancerous lesions in 26.3%. Rise of awareness about screening colonoscopy amongst patients with CRC and first degree relatives of patients and motivation of physicians for targeted screening would improve the participation rate in screening colonoscopy by FDRs of patients with CRC in Turkey.