J Korean Acad Community Health Nurs.  2010 Mar;21(1):43-52. 10.12799/jkachn.2010.21.1.43.

Comparison of Health Promotion Behavior in Middle aged Rural Residents by Cancer Screening Participation

• Lee MS

• KMID: 2292911
• DOI: http://doi.org/10.12799/jkachn.2010.21.1.43

Abstract

PURPOSE
The aim of this study was to compare health promotion behavior in middle-aged rural residents by cancer screening participation.
METHODS
Data were collected from 508 rural residents during the period from April 6 to June 6, 2009 using structured questionnaires, and analyzed using SPSS/WIN 12.0.
RESULTS
The cancer screening rate was 50.2%. The rate was significantly different according to sex, educational level, marital status, private insurance, family cancer history, smoking, drinking, perceived health status, and health concern. Men showed the highest screening rate in gastroscopy for stomach cancer, and women in pap smear test for cervical cancer. Pap smear test for cervical cancer showed the highest regular screening rate (4.3%). The average score of health promotion behavior was 2.65+/-0.35. Health promotion behavior was significantly different according to cancer screening participation, health responsibility, stress management, and self actualization.
CONCLUSION
These results suggested that there may be differences in health promotion behavior among middle-aged rural residents according to their cancer screening participation. A further study is necessary to find effective interventions for the non-cancer screening group.

Keyword

Cancer screening; Health promotion; Middle-aged

MeSH Terms

Drinking
Early Detection of Cancer*
Female
Gastroscopy
Health Promotion*
Humans
Insurance
Male
Marital Status
Mass Screening
Middle Aged*
Smoke
Smoking
Stomach Neoplasms
Uterine Cervical Neoplasms
Surveys and Questionnaires
Smoke

Reference

1. Ahn JE. A study on characteristics of the acceptant of screening test for breast and/or cervix cancers in relation to obesity. Seoul: Seoul National University;2008. Unpublished master's thesis.

2. Bostick RM, Sprafca JM, Virniq BA, Potter JD. Predictors of cancer prevention attitudes and participation in cancer screening examinations. Prev Med. 1994; 23(6):816–826.

3. Choi JS, Son SJ, Park HJ, Moon K. An ecologic study on cancer screening practice. Seoul: Minister for Health Welfare and Family Affairs;2000.

4. Choi MK, Kim BH. Health behaviors and stress coping behaviors in middle aged adults. J Korean Acad Adult Nurs. 2004; 16(4):668–676.

5. Duffy ME. Determinants of health promotion in midlife women. Nurs Res. 1988; 37(6):358–362.

6. Herrero R, Brinton LA, Reeves WC, Brenes MM, de Britton RC, Gaitan E, et al. Screening for cervical cancer in Latin America: A case-control study. Int J Epidemiol. 1992; 21(6):1050–1056.

7. Hwang SK, Eo YS, Cho YR, Seo JM, Lee YM, Jeong IS, et al. A survey on cancer screening among the middle-aged in Pusan area. J Korean Soc Health Educ Promot. 2002; 19(3):135–152.

8. Kim EJ, Moon IO. A study on middle aged peoples compliance for preventive health behavior of cancer. J Korean Soc Health Educ. 1987; 4(2):9–31.

9. Kim MK, Nam EW, Jin KN. The factors influencing the odds of cancer examination in Wonju city. J Korean Soc Health Educ Promot. 2006; 23(3):85–97.

10. Kim SJ. A study of relationship between health promoting lifestyle, depression, quality of life among middle-aged women. Suwon: Ajou University;2007. Unpublished master's thesis.

11. Kim YB, Ro WN, Lee WC, Meng KH. The influence factors on cervical cancers screening behaviors of women in a city. J Korean Soc Health Educ Promot. 2000; 17(1):155–170.

12. Kim YI, Lee CH, Yang SH, Jung HS. Factors affecting early detection behaviors of breast cancer. J Korean Community Nurs. 2004; 15(1):155–164.

13. Korean Statistical Information Service. 2005 report on the cancer registration & statistics. 2008. Retrieved Oct. 30, 2009. from http://www.Kosis.go.kr.

14. Kwak MS, Park EC, Bang JY, Sung NY, Lee JY, Choi KS. Factors associated with cancer screening participation. J Prev Med Public Health. 2005; 38(4):473–481.

15. Lee GS. Relationship between cognitive perceptual factors and health promoting lifestyle middle-aged women. Inchon: Gachon University;2006. Unpublished master's thesis.

16. Lee KJ, Chang CJ, Yoo JH, Yi YJ. Factors affecting health promoting behaviors in middle-aged women. J Korean Acad Nurs. 2005; 35(3):494–502.

17. Lee MS. Cancer screening and influencing factors in a island residents. J Korean Oncol Nurs. 2008; 8(2):138–146.

18. Lim JH, Kim SG, Lee EM, Bae SY, Park JH, Choi GS, et al. The determinant of purchasing private health insurance in Korean cancer patients. J Prev Med Public Health. 2007; 40(2):150–154.

19. Muhlenkamp AF, Verran JA. Self esteem, social support, and positive health practice. Nurs Res. 1986; 35(6):334–338.

20. Park BY. Factors influencing the health promotion behaviors among middle-aged women. Seoul: Ewha Women University;2008. Unpublished master's thesis.

21. Park JD, Kang PS, Lee KS. Factors related with screening behaviors of breast and cervical cancers among women in a rural area. J Korean Soc Matern Child Health. 2004; 8(1):49–64.

22. Park JS, Oh YJ. The effect of health promotion program on self efficacy, health problems, farmers' syndrome and quality of life of the rural elderly. J Korean Acad Adult Nurs. 2006; 18(1):10–21.

23. Park KH. A comparative analysis on between the ex-professional soldier and the ordinary people in the middle-aged mens health promotion behaviors. Seoul: Catholic University;2006. Unpublished master's thesis.

24. Ronco G, Segnan N, Ponti . Who has Pap tests? Variables associated with the use of Pap tests in absence of screening programmes. Int J Epidemiol. 1991; 20(2):349–353.

25. So HS, Seo NS, Ro YH. A study of knowledge, attitude, and practice of health behavior of the five major cancer in Kwang-ju city and its adjacent county. Chonnam J Nurs Sci. 2000; 5(1):119–133.

26. Sung MS, Song BS. Health promoting behavior and degree of life satisfaction in rural elderly people. J Korean Acad Fundam Nurs. 2004; 11(1):82–91.

27. Sung NY, Park EC, Shin HR, Choi KS. Participation rate and related sociodemographic factors in the national cancer screening program. J Prev Med Public Health. 2005; 38(1):93–100.

28. Walker SN, Sechrist KR, Pender NJ. The health promoting lifestyle profile: Development and psychometric characteristics. Nurs Res. 1987; 36(2):76–81.

29. Won DH, Lim HS, Bang MR. Study on the Health-related behaviors in residents from rural areas. Korean J Rural Med. 2003; 28(2):31–48.

30. Yang JH. Factors related to cancer screening rate in a rural area. Seoul: Korea University;2003. Unpublished master's thesis.