DOI QR코드

DOI QR Code

Impact of Perceived Cancer Risk on the Cancer Screening Rate in the General Korean Population: Results from the Korean Health Panel Survey Data

  • Kim, Jae-Hyun (Department of Public Health, Graduate School, Yonsei University) ;
  • Park, Eun-Cheol (Institute of Health Services Research, Yonsei University College of Medicine) ;
  • Yoo, Ki-Bong (Department of Healthcare Management, Eulji University)
  • 발행 : 2015.01.06

초록

Objective: To investigate the relationship between the perception of cancer risk and likelihood of having undergone cancer screening. Materials and Methods: We used data from the Korean Health Panel Survey from December 2011 onward. Of 3,390 patients who visited a hospital during the previous year, we included data from 2,466 individuals; 924 samples were excluded due to missing data. Logistic regression analysis and the chi square test were used to investigate the association between perceived cancer risk and the likelihood of having undergone cancer screening. Results: For patients who perceived their risk of developing cancer during the next 10 years to be 30-40%, the odds ratio was increased 1.65 fold (95%CI: 1.223, 2.234) compared with those who perceived their risk to be almost zero. Although the difference was not statistically significant, perceiving cancer risk as either extremely low or extremely high appears to be associated with a reduced likelihood of having undergone cancer screening, resulting in an inverted U-shaped relationship. Conclusions: Physicians and researchers should be aware of the importance of the affective component of risk perception. Policies addressing the influence of cancer risk perception should be implemented in South Korea and worldwide.

키워드

참고문헌

  1. Abotchie PN, Shokar NK (2009). Cervical cancer screening among college students in Ghana knowledge and health beliefs. Int J Gynecol Cancer, 19, 412-6. https://doi.org/10.1111/IGC.0b013e3181a1d6de
  2. Abraido-Lanza AF, Chao MT, Gammon MD (2004). Breast and cervical cancer screening among Latinas and non-Latina Whites. Am J Public Health, 94, 1393-8. https://doi.org/10.2105/AJPH.94.8.1393
  3. Armitage CJ, Conner M (2001). Efficacy of the Theory of Planned Behaviour: a meta-analytic review. Br J Soc Psychol, 40, 471-99. https://doi.org/10.1348/014466601164939
  4. Ben-Natan M, Adir O (2009). Screening for cervical cancer among Israeli lesbian women. Int Nursing Review, 56, 433-41. https://doi.org/10.1111/j.1466-7657.2009.00728.x
  5. Cullati S, Charvet-Berard AI, Perneger TV (2009). Cancer screening in a middle-aged general population: factors associated with practices and attitudes. BMC Public Health, 9, 118. https://doi.org/10.1186/1471-2458-9-118
  6. Eiser JR, Cole N (2002). Participation in cervical screening as a function of perceived risk, barriers and need for cognitive closure. J Health Psychol, 7, 99-105. https://doi.org/10.1177/1359105302007001657
  7. Goldman RE, Risica PM (2004). Perceptions of breast and cervical cancer risk and screening among dominicans and puerto ricans in rhode Island. Ethnicity Disease, 14, 32-42.
  8. Haas JS, Kaplan CP, Des Jarlais G, et al (2005). Perceived risk of breast cancer among women at average and increased risk. J Womens Health, 14, 845-51. https://doi.org/10.1089/jwh.2005.14.845
  9. Hopwood P, Shenton A, Lalloo F, et al (2001). Risk perception and cancer worry: an exploratory study of the impact of genetic risk counselling in women with a family history of breast cancer. J Med Genet, 38, 139. https://doi.org/10.1136/jmg.38.2.139
  10. Jung KW, Won YJ, Kong HJ, et al (2014). Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2011. Cancer Res Treat, 46, 109-23. https://doi.org/10.4143/crt.2014.46.2.109
  11. Kash KM, Holland JC, Osborne MP, Miller DG (1995). Psychological counseling strategies for women at risk of breast cancer. J Natl Cancer Inst Monogr, 73-9.
  12. Katapodi MC, Lee KA, Facione NC, Dodd MJ (2004). Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening: a meta-analytic review. Prev Med, 38, 388-402. https://doi.org/10.1016/j.ypmed.2003.11.012
  13. Kinsinger SW, McGregor BA, Bowen DJ (2009). Perceived breast cancer risk, social support, and distress among a community-based sample of women. J Psychosocial Oncol, 27, 230-47. https://doi.org/10.1080/07347330902776002
  14. Kreuter MW (1999). Dealing with competing and conflicting risks in cancer communication. J Natl Cancer Inst Monogr, 27-35.
  15. Lee J, Seow A, Ling SL, Peng LH (2002). Improving adherence to regular pap smear screening among Asian women: A population-based study in Singapore. Health Educ Behavior, 29, 207-18. https://doi.org/10.1177/1090198102029002006
  16. Lee MH, Choi KS, Lee YY, Suh M, Jun JK (2013). Relationship between social network and stage of adoption of gastric cancer screening among the Korean population. Asian Pac J Cancer Prev, 14, 6095-101. https://doi.org/10.7314/APJCP.2013.14.10.6095
  17. Meiser B BP, Schnieden V. (2000). Psychological adjustment of women at increased risk of developing hereditary breast cancer. Psychol Health Med, 38, 377-89.
  18. Orbell S (1996). Cognition and affect after cervical screening: the role of previous test outcome and personal obligation in future uptake expectations. Soc Sci Med, 43, 1237-43. https://doi.org/10.1016/0277-9536(95)00443-2
  19. Rogers RW, Mewborn CR (1976). Fear appeals and attitude change: effects of a threat's noxiousness, probability of occurrence, and the efficacy of coping responses. J Pers Soc Psychol, 34, 54-61. https://doi.org/10.1037/0022-3514.34.1.54
  20. Sung JFC, Blumenthal DS, Coates RJ, AlemaMensah E (1997). Knowledge, beliefs, attitudes, and cancer screening among inner-city African-American women. J National Medical Assoc, 89, 405-11.
  21. van Dooren S, Rijnsburger AJ, Seynaeve C, et al (2004). Psychological distress in women at increased risk for breast cancer: the role of risk perception. Eur J Cancer, 40, 2056-63. https://doi.org/10.1016/j.ejca.2004.05.004
  22. Waters EA, Arora NK, Klein WMP, Han PKJ (2010). Perceived risk, trust and health-related quality of life among cancer survivors. Ann Behavioral Med, 39, 91-7. https://doi.org/10.1007/s12160-010-9163-y
  23. Zhang J, Dhakal IB, Zhao Z, Li L (2012). Trends in mortality from cancers of the breast, colon, prostate, esophagus, and stomach in East Asia: role of nutrition transition. Eur J Cancer Prev, 21, 480-9. https://doi.org/10.1097/CEJ.0b013e328351c732

피인용 문헌

  1. Associations of perceived risk and cancer worry for colorectal cancer with screening behaviour pp.1461-7277, 2016, https://doi.org/10.1177/1359105316679721
  2. Why Do Some People Choose Opportunistic Rather Than Organized Cancer Screening? The Korean National Health and Nutrition Examination Survey (KNHANES) 2010-2012 vol.49, pp.3, 2017, https://doi.org/10.4143/crt.2016.243