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Health Beliefs Associated with Cancer Screening Intentions in Korean Workers

  • Park, Kyoung-Ok (Department of Health Convergence in Ewha Womans University) ;
  • Kang, Jina (Department of Health Convergence in Ewha Womans University)
  • Published : 2016.07.01

Abstract

Background: Cancer is a leading cause of death in Korea. To prevent cancer, it is essential to facilitate and promote appropriate cancer screening behavior in the adult population. The aim of this study was to examine health beliefs related to cancer screening intentions using the Health Belief Model (HBM). Materials and Methods: The research participants comprised 275 male health and safety managers at commercial companies in Korea. The self-administered survey explored demographic characteristics, cancer-related factors, beliefs about cancer/cancer screening (BCCS) (vulnerability to cancer, severity of cancer, benefits of screening, and barriers to screening), and cancer screening intention. Multivariate logistic regression analyses were used to identify factors associated with an intention to be screened for cancer. Results: Perceived health status and need for cancer prevention education were major factors associated with BCCS. Poorer health status was associated with greater perceived vulnerability, a perception of fewer benefits, and more barriers (p<0.05). A perceived greater need for cancer prevention education was associated with a higher perceived severity of cancer and more perceived barriers to screening (p<0.05). Marital status, cancer screening experience, and perceived vulnerability to cancer were significant influences on the cancer screening intention (p<0.05). Participants who had undergone cancer screening in the past 2 years were more likely to intend to be screened for cancer than were those who had not been screened; this was true across all degrees of intention and all types of cancer (p<0.01). Hesitant people considered themselves less vulnerable to gastric, lung, and liver cancer than did the poeple who intended to undergo cancer screening (p<0.05). Conclusions: Based on our findings, we recommend that workplace cancer prevention programs attempt to increase awareness about vulnerability to cancer among workers who hesitate to undergo cancer screening.

Keywords

Cancer screening intentions;health beliefs;workers;modifying factors

References

  1. Shiryazdi SM, Kholasehzadeh G, Neamatzadeh H, et al (2014). Health beliefs and breast cancer screening behaviors among Iranian female health workers. Asian Pac J Cancer Prev, 15, 9817-22. https://doi.org/10.7314/APJCP.2014.15.22.9817
  2. Skinner CS, Tiro J, Champion VL (2015). The health belief model. In 'Health behavior: theory, research, and practice', 5th Eds. Glanz K, Rimer BK, Viswanath K . San Francisco, John Wiley & Sons, 75-94.
  3. Statistics Korea (2015). Report on the causes of death statistics in 2014. Daejeon: Statistics Korea.
  4. Taheri-Kharameh Z, Noorizadeh F, Sangy S, et al (2015). Factors associated with adherence to colorectal cancer screening among moderate risk individuals in Iran. Asian Pac J Cancer Prev, 16, 8371-5.
  5. Tung WC, Lu M, Cook D (2010). Cervical cancer screening among Taiwanese women: a transtheoretical approach. Oncol Nurs Forum, 37, 288-94. https://doi.org/10.1188/10.ONF.E288-E294
  6. Woo C, Oh TK (2014). A study on the analysis and improvement of the basic occupational safety and health training for the contruction industry. J Korean Society Safety, 29, 46-55.
  7. 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.
  8. Kim RB, Park KS, Hong DY, et al (2010). Factors associated with cancer screening intention in eligible persons for national cancer screening program. J Prev Med Public Health, 43, 62-72. https://doi.org/10.3961/jpmph.2010.43.1.62
  9. Kwak MS, Park EC, Bang JY, et al (2005). Factors associated with cancer screening participation, Korea. J PrevMed Public Health, 38, 473-81.
  10. Kye SY, Choi KS, Sung NY, et al (2006). Using the PAPM to examine factors associated with stages of adoption for stomach cancer screening. Korean J Health Edu Prom, 23, 29-45.
  11. Lee MS, Lee KS, Kim BH, et al (2004). Development of the Advertising Strategy for Promotion of National Cancer Screening Program. Korean Public Health Res, 30, 71-8.
  12. National Cancer Information Center of Korea (2016). Prevention and screening for cancer. http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_010101010000. Accessed on April 6, 2016.
  13. Park SH, Kim CH, Kim EK (2013). Factors associated with cancer screening rates of manufacturing workers. Korean J Occup Health Nurs, 22, 179-90. https://doi.org/10.5807/kjohn.2013.22.3.179
  14. World Health Organization (2002). National cancer control programmes: Policies and managerial guidelines (2nd ed.). Geneva, Swiss: WHO.
  15. Abuadas MH, Petro-Nusta W, Albikawi ZF (2015). Predictors of participation in prostate cancer screening among older men in Jordan. Asian Pac J Cancer Prev, 16, 5377-83. https://doi.org/10.7314/APJCP.2015.16.13.5377
  16. Champion VL (1999). Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health, 22, 341-8. https://doi.org/10.1002/(SICI)1098-240X(199908)22:4<341::AID-NUR8>3.0.CO;2-P
  17. Chaowawanit W, Tangjitgamol S, Kantathavorn N, et al (2016). Knowledge, attitudes and behavior of Bangkok metropolitan women regarding cervical cancer screening. Asian Pac J Cancer Prev, 17, 945-52. https://doi.org/10.7314/APJCP.2016.17.3.945
  18. Gregory TA, Wilson C, Duncan A, et al (2011). Demographic, social cognitive and social ecological predictors of intention and participation in screening for colorectal cancer. BMC Public Health, 11, 38. https://doi.org/10.1186/1471-2458-11-38
  19. Janz NK, Becker MH (1984). The health belief model: A decade later. Health Edu Quart, 11, 1-47. https://doi.org/10.1177/109019818401100101
  20. Jo HS, Kwon MS, Jung SM et al (2014). Awareness of cancer and cancer screening by Korean community residents. Asian Pac J Cancer Prev, 15, 4939-44. https://doi.org/10.7314/APJCP.2014.15.12.4939
  21. Jung SM, Jo HS (2014). Intrinsic motivation factors based on the self-determinant theory for regular breast cancer screening. Asian Pac J Cancer Prev, 15, 10101-6.
  22. Kang MJ, Lee MS (2011). Integrating the precaution adoption process model and the Health Belief Model to assess cancer screening readiness among Korean adults. Korean J Health Edu Prom, 28, 83-98.
  23. Kim HJ, Yim HW, Kim NC (2014). Factors affecting cancer screening intention and behavior of the Korean elderly. Asian Pac J Cancer Prev, 15, 8461-7. https://doi.org/10.7314/APJCP.2014.15.19.8461
  24. Kim HJ (2015). Factors influencing cancer rescreening intention of Korean elderly. Korean J Rehabil Nurs, 18, 118-27. https://doi.org/10.7587/kjrehn.2015.118