Factors Associated with Colorectal Cancer Screening of Blue-Color Workers

비사무직 근로자의 대장암 검진 현황 및 예측요인

  • Received : 2012.02.17
  • Accepted : 2012.05.31
  • Published : 2012.06.30


Purpose: Even though the incidence of colorectal cancer (CRC) has increased in Korea, the colorectal cancer screening (CRCS) is lower than that of other cancer screenings. The purpose of this study was to identify CRCS rate and to predict factors in blue-color workers. Methods: A descriptive survey design was employed. Data were collected with 327 workers, recruited from 32 companies, aged 40 and over using questionnaire from August 2010 to January 2011. Collected information included CRCS, demographic characteristics, job characteristics, health behaviors, and interpersonal relationship. The definition of CRCS included fecal occult blood test (FOBT), colonoscopy, or double contrast barium enema (DCBE). Results: Among 94 workers receiving CRCS, workers having FOBT were 37, colonoscopy were 28, and DCBE was 6 in the past. Workers who aged over 50 (OR=2.30, 95% CI=1.11-4.77), middle school educated (OR=0.30, 95% CI=0.14-0.65), less working hours (OR=0.98, 95% CI=0.96- 0.99), and had family members who carried out regular cancer screening (OR=1.89, 95% CI=1.01-3.55) were more likely to perform CRCS. Conclusion: The findings suggest that the information and notice about CRCS to increase screening uptake, providing the accessible screening method, and involving company administrators or health managers might be useful to increase the CRCS rate in workers.


  1. Ministry of Health and Welfare, National Cancer Center. Cancer fact & figure 2010 in the Republic of Korea. Goyang:President of National Cancer Center & Minister for Health and Welfare;2010.
  2. American Cancer Society. Cancer prevention & early detection: facts & figures 2010. Atlanta, Georgia:American Cancer Society;2010.
  3. Centers for Disease Control and Prevention. Colorectal cancer screening. Available at: [accessed on 16 May 2011].
  4. Statistics Korea. 2006-2008 survey of work by employment type. Available at: [accessed on 28 April, 2011.
  5. Harley AE, Devine CM, Beard B, Stoddard AM, Hunt MK, Sorensen G. Multiple health behavior changes in a cancer prevention intervention for construction workers, 2001-2003. Prev Chronic Dis 2010; 7(3):1-12.
  6. Choi MC, Song YH, Rhee SY, Woo JT. Framingham risk scores by occupational group: based on the 3rd Korean health and nutrition examination survey. Korean J Occup Environ Med 2009;21:63-75.
  7. Cho EY. Perception and attitude toward regular health check-up by workers at a company [dissertation]. Daegu:Yeungnam Univ.;2002.
  8. McQueen A, Vernon SW, Myers RE, Watts BG, Lee ES. Correlates and predictors of colorectal cancer screening among male automotive workers. Cancer Epid Bio Prev 2007;16:500-9.
  9. Bagai A, Parsons K, Malone B, Fantino J, Paszat L, Rabeneck L. Workplace colorectal cancer screening awareness programs: an adjunct to primary care practice? J Community Health 2007;32:157-67.
  10. Zapka JG, Puleo E, Vickers-Lahti M, Luckmann R. Healthcare system factors and colorectal cancer screening. Am Journal of Prev Med 2002; 23:28-35.
  11. Bea SS, Jo HS, Kim DH, Choi YJ, Lee HJ, Lee TJ, et al. Factors associated with colorectal cancer screening of Koreans based on a socio-ecological model. Proceedings of the Korean Society for Health Promotion Conference; 2007 April 263-5; Seoul, Korea: Korean Society for Health Education and Promotion;2007.
  12. Kim SE, Shim KN, Jung SA, Yoo K, Moon IH. An association between obesity and the prevalence of colonic adenoma according to age and gender. J Gastroenterol 2007;42:616-23.
  13. Kim EJ, Park JS. Comparison of health problems, conditions, & health promoting behavior and risky environment among various industrial workers. Korean J Occup Health Nurs 2009;18:71-83.
  14. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Meth 2009;41:1149-60.
  15. Ministry of Health and Welfare, National Cancer Center. Quality guidelines of colorectal cancer screening. Goyang:Chair of Ministry of Health and Welfare & Chair of National Cancer Center;2008.
  16. Enforcement Decree of the Occupational Safety and Health Act: Korea Standard Industrial Classification. Article 2-2(22269);2010.
  17. National Health Insurance Corporation. Health insurance guide. Available at [accessed on 30 October 2010].
  18. Walker SN, Sechrist KR, Pender NJ. Health promotion lifestyle profile development psychometrics. Nurs Res 1987;36:76-80.
  19. Peak YM. Prediction model on health promotion behaviors in male office workers [dissertation]. Seoul:Ewha Women's Univ.;2005.
  20. World Health Organization. Obesity and overweight. Available at: http: // [accessed on 10 April, 2010].
  21. Madlensky L, Esplen MJ, Gallinger S, McLaughlin JR, Goel V. Relatives of colorectal cancer patients: factors associated with screening behavior. Am J Prev Med 2003;25:187-94.
  22. National Cancer Center. National Cancer Center New letter. Available at: [accessed on 29 May 2012].
  23. Woods VD, Montgomery SB, Belliard JC, Ramirez-Johnson J, Wilson CM. Culture, black men, and prostate cancer: What is reality? Cancer Control 2004;11:388-96.
  24. Tilley BC, Vernon SW, Myers R, Glanz K, Lu M, Hirst K, et al. The next step trial: Impact of a work-site colorectal cancer screening promotion program. Prev Med 1999;28:276-83.
  25. Kim EK, Kim BG, Park JT, Kim HR, Koo JW. Factors affecting the health promotion activities of workers. Korean J Occup Environ Med 2007; 19(1):56-64.
  26. Peng Y, Chang W, Zhou H, Hu H, Liang W. Factors associated with health-seeking behavior among migrant workers in Beijing, China. BMC Health Serv Res 2010;19(10):69-79.
  27. Vyas A, Madhavan S, Lemasters T, Atkins E, Gainor S, Kennedy S, et al. Factors influencing adherence to mammography screening guidelines in appalachian women participating in a mobile mammography program. J Community Health 2007;37:632-46.
  28. Ministry of Health and Welfare. Tasks of Master Plan for Health Examination in Korea (2011-2015). Available at: [accessed on 10 January 2012]
  29. Ministry of Employment and Labor. Occupational Health Management and Practice 98. Available at [accesed on 2 May 2012.
  30. Park SH. Colorectal cancer screening in workers: using a stage model approach to examine the ecological predictors of behavior [dissertation]. Seoul:Yonsei Univ.;2011.