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J Prev Med Public Health > Volume 41(2); 2008 > Article
Journal of Preventive Medicine and Public Health 2008;41(2): 100-106. doi: https://doi.org/10.3961/jpmph.2008.41.2.100
Factors Associated with Gastric Cancer Screening of Koreans Based on a Socio-ecological Model.
Sang Soo Bae, Heui Sug Jo, Dong Hyun Kim, Yong Jun Choi, Hun Jae Lee, Tae Jin Lee, Hye Jean Lee
1Health Services Research Center, Hallym University, Korea.
2School of Medicine, Kangwon National University, Korea. choice@kangwon.ac.kr
3Department of Social Medicine, College of Medicine, Inha University, Korea.
4Department of Preventive Medicine, Kangwon National University Hospital, Korea.
ABSTRACT
OBJECTIVES: We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. METHODS: A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1- May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. RESULTS: Among 985 survey respondents (380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. CONCLUSIONS: In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.
Key words: Gastric cancer; Screening; Ecology
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