The Factors Related to the Non-Practice of Cancer Screening in Cancer Survivors: Based on the 2007-2012 Korean National Health and Nutrition Examination Survey.
10.4332/KJHPA.2015.25.3.162
- Author:
Song Ei YANG
1
;
Nam Kyung HAN
;
Sun Mi LEE
;
Tae Hyun KIM
;
Woojin CHUNG
Author Information
1. Proton Therapy Center, National Cancer Center, Goyang, Korea.
- Publication Type:Original Article
- Keywords:
Cancer survivors;
Early detection of cancer;
Korean National Health and Nutrition Examination Survey
- MeSH:
Alcoholic Beverages;
Cross-Sectional Studies;
Drinking;
Early Detection of Cancer*;
Education;
Female;
Health Behavior;
Health Policy;
Humans;
Logistic Models;
Male;
Marital Status;
Neoplasms, Second Primary;
Nutrition Surveys*;
Odds Ratio;
Spouses;
Survivors*
- From:Health Policy and Management
2015;25(3):162-173
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The aim of the current study was to investigate the factors related to the non-practice of cancer screening in cancer survivors, who are at high risk of developing second cancers. METHODS: This study is a cross-sectional analysis of 1,125 cancer survivors > or =19 years old who participated in the Korean National Health and Nutrition Examination Surveys IV and V (2007-2012). A Rao-scott chi-square test and a survey logistic regression analysis were employed respectively to analyze the difference of cancer survivors in cancer screening by each characteristic and the factors related to the non-practice of cancer screening in cancer survivors. RESULTS: Among total subjects, 33.5% did not participate in cancer screening in the last two years. Results from a fully adjusted logistic model showed that the non-practice of cancer screening in cancer survivors was significantly associated with variables such as sex, age, marital status, education level, monthly income, and drinking a alcoholic beverage Specifically, the odds ratio of non-practice of cancer screening was higher in males than in females, in the younger group than in older group, in the group with no spouse than in the group with a spouse; in a group with a low level of education than in a group with a high level of education; in a group with the lowest income level than in a group with the other levels of income; or in non-drinkers than in drinkers. CONCLUSION: Health policies to reduce the non-practice rate of cancer screening in cancer survivors should be designed and implemented with close attention to cancer survivors\' socio-economic characteristics such as sex, age, marital status, education, and income, along with a health behavioral characteristic as drinking.
