Health Policy Manag.  2015 Sep;25(3):162-173. 10.4332/KJHPA.2015.25.3.162.

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

• Yang SE
• Han NK
• Lee SM
• Kim TH
• Chung W

• KMID: 2165248
• DOI: http://doi.org/10.4332/KJHPA.2015.25.3.162

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.

Keyword

Cancer survivors; Early detection of cancer; Korean National Health and Nutrition Examination Survey

MeSH Terms

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*