- Volume 16 Issue 17
Background: As coverage of public insurance is not sufficient to cover diagnosis or treatment of cancer, having private health insurance is important to prepare for unexpected expenses of cancer. The purpose of this study was to assess factors associated with having private cancer insurance, considering gender among the socio-demographic factors and health behavior. Materials and Methods: We used data from the 2011 Korea Health Panel, which included 10,871 participants aged 20 years and older. Socio-demographics, health behavior, and perceived cancer risk were the independent variables and having private cancer insurance was the dependent variable. Multivariable logistic regression analysis was used to identify factors associated with having private cancer insurance. Results: The variables relating to middle age, higher education, higher household income, married men, and the perceived cancer risk groups of 1-10% and 11-30% were significantly associated with having private cancer insurance. Additionally, females who had private non-cancer health insurance were positively associated with the dependent variables (OR=1.36; 95% CI=1.17-1.57). Education, smoking status, exercise, and perceived cancer risk possibility were significantly associated with having private cancer insurance only among women. The men lowered the overall percentages of those having private cancer insurance (OR=0.53, 95% CI=0.45-0.63). Conclusions: We found that there were significant differences between men and women who had private cancer insurance. Women with private cancer insurance are more likely to follow precautionary health behavior than men. This could be interpreted as resulting from masculine ideologies. It is important to make males recognize the seriousness of the cancer risk. In general, household income was highly associated with private cancer insurance. These results reveal an inequity among the buyers of private cancer insurance in terms of economic status level, education level, and health condition.
Private cancer insurance;perceived cancer risk;gender differences;Korea
- Abotchie PN, Shokar NK (2009). Cervical cancer screening among college students in ghana: knowledge and health beliefs. Int J Gynecol Cancer, 19, 412-6. https://doi.org/10.1111/IGC.0b013e3181a1d6de
- Cho HJ (2013). Equity in health care: current situation in South Korea. J Korean Med Assoc, 56, 184-94. https://doi.org/10.5124/jkma.2013.56.3.184
- Cullati S, Charvet-Berard AI, Perneger TV (2009). Cancer screening in a middle-aged general population: factors associated with practices and attitudes. BMC Public Health, 9, 118. https://doi.org/10.1186/1471-2458-9-118
- Deaton A, Lubotsky D (2003). Mortality, inequality and race in American cities and states. Soc Sci Med, 56, 1139-53. https://doi.org/10.1016/S0277-9536(02)00115-6
- Denton M, Prus S, Walters V (2004). Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health. Soc Sci Med, 58, 2585-600. https://doi.org/10.1016/j.socscimed.2003.09.008
- Galdas PM, Cheater F, Marshall P (2005). Men and health helpseeking behaviour: literature review. J Adv Nurs, 49, 616-23. https://doi.org/10.1111/j.1365-2648.2004.03331.x
- Goldman RE, Risica PM (2004). Perceptions of breast and cervical cancer risk and screening among Dominicans and Puerto Ricans in Rhode Island. Ethn Dis, 14, 32-42.
- Huh E, Kim JK (2009). Middle-aged and old people's purchase and expenditure decision factors of private health insurance. Journal of Consumer Studies, 20, 107-27.
- Jeon B, Kwon S (2013). Effect of private health insurance on health care utilization in a universal public insurance system: a case of South Korea. Health Policy, 113, 69-76. https://doi.org/10.1016/j.healthpol.2013.05.007
- Kang SW, Kwon WD, C.H. Y (2005). Effects of supplemental insurance on health care utilization and expenditures among cancer patients in Korea. Korean J of Health Policy & Administration, 15, 65-80. https://doi.org/10.4332/KJHPA.2005.15.4.065
- Kash KM, Holland JC, Osborne MP, et al (1995). Psychological counseling strategies for women at risk of breast cancer. J Natl Cancer Inst Monogr, 73-9.
- Kiil A (2012). What characterises the privately insured in universal health care systems? A review of the empirical evidence. Health Policy, 106, 60-75. https://doi.org/10.1016/j.healthpol.2012.02.019
- Kim H, Jang J, Sohn HS (2012). Anticancer drug use and out-of-pocket money burden in korean cancer patients: a questionnaire study. Kor J Clin Pharm, 22, 239-50.
- Kim JH, Park EC, Yoo KB (2014). Impact of perceived cancer risk on the cancer screening rate in the general korean population: results from the korean health panel survey data. Asian Pac J Cancer Prev, 15, 10525-9.
- Kim S, Kwon S (2015). Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South Korea. Social Science & Medicine, 138, 241-7. https://doi.org/10.1016/j.socscimed.2015.06.012
- Ladwig KH, Marten-Mittag B, Formanek B, et al (2000). Gender differences of symptom reporting and medical health care utilization in the German population. Eur J Epidemiol, 16, 511-8. https://doi.org/10.1023/A:1007629920752
- Lee KS, Chang HS, Lee SM, et al (2015). Economic Burden of Cancer in Korea during 2000-2010. Cancer Res Treat, 47, 387-98.
- Lee W-Y, Shaw I (2014). The impact of out-of-pocket payments on health care inequity: the case of national health insurance in South Korea. International Journal of Environmental Research and Public Health, 11, 7304-18. https://doi.org/10.3390/ijerph110707304
- Lee YC, Im BH, Park YH (2010). The determinants and comparison of health behavior and health service by private medical insurance on national health-nutrition survey. The Journal of the Korea Contents Association, 10, 190-204.
- Lim JH, Kim SG, Lee EM, et al (2007). The determinants of purchasing private health insurance in Korean cancer patients. J Prev Med Public Health, 40, 150-4. https://doi.org/10.3961/jpmph.2007.40.2.150
- OECD 2012. OECD Employment Database, Paris, Organization for economic cooperation and development.
- Oksuzyan A, Juel K, Vaupel JW, et al (2008). Men: good health and high mortality. Sex differences in health and aging. Aging Clin Exp Res, 20, 91-102. https://doi.org/10.1007/BF03324754
- Organization for Economic Co-operation and Development 2015. OECD health data, organization for economic cooperation and development.
- Park JM (2015). Equity of access under Korean universal health insurance. Asia Pac J Public Health, 27, 914-24. https://doi.org/10.1177/1010539512446961
- Rogers RW, Mewborn CR (1976). Fear appeals and attitude change: effects of a threat's noxiousness, probability of occurrence, and the efficacy of coping responses. J Pers Soc Psychol, 34, 54-61. https://doi.org/10.1037/0022-3522.214.171.124
- Shin J (2012). Private health insurance in South Korea: an international comparison. Health Policy, 108, 76-85. https://doi.org/10.1016/j.healthpol.2012.08.011
- Statistics Korea 2014. Annual report on the cause of death statistics 2013 Statistics Korea.
- Torre LA, Bray F, Siegel RL, et al (2015). Global cancer statistics, 2012. CA Cancer J Clin, 65, 87-108. https://doi.org/10.3322/caac.21262
- Vaidya V, Partha G, Karmakar M (2012). Gender differences in utilization of preventive care services in the United States. J Womens Health (Larchmt), 21, 140-5. https://doi.org/10.1089/jwh.2011.2876
- Weyh AM, Lunday L, McClure S (2015). Insurance status, an important predictor of oral cancer surgery outcomes. J Oral Maxillofac Surg.
- Yoo KB, Cho WH, Lee M, et al (2012). The determinants of purchasing private health insurance among middle-aged and elderly Korean adults. Korean Journal of Hospital Management, 17, 23-36.
- You CH, Kang S, Kwon YD, et al (2013). Time trend of outof- pocket expenditure among cancer inpatients: Evidence from Korean tertiary hospitals. Asian Pac J Cancer Prev, 14, 6985-9. https://doi.org/10.7314/APJCP.2013.14.11.6985
- Trends in Prostate Cancer Prevalence and Radical Prostatectomy Rate according to Age Structural Changes in South Korea between 2005 and 2015 vol.60, pp.3, 2019, https://doi.org/10.3349/ymj.2019.60.3.257