디지털융복합연구 (Journal of Digital Convergence)

  • 제12권11호
  • /
  • Pages.437-449
  • /
  • 2014
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

지역 환경적 요인이 한국 여성의 유방암 조기검진 수검률에 미치는 영향 : 국민건강영양조사 제 4기를 중심으로

Breast cancer screening rates-related factors Korea women ever considering area environmental characteristics: The fourth Korea National Health and Nutrition Examination Survey(KNHANES IV)

  • 이미화 (한서대학교 보건의료학과) ;
  • 김상현 (서울대학교병원 영상의학과)
  • 투고 : 2014.09.01
  • 심사 : 2014.11.20
  • 발행 : 2014.11.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 국민건강영양조사 제 4기를 중심으로 다수준 분석을 이용해 지역 환경적 요인이 유방암 수검률에 미치는 영향을 분석하고자 수행되었다. 총 14,338명의 대상자 중 연구목적을 충족하는 4,143명을 분석하였다. 통제변수를 포함하지 않은 기초모형의 유방암 수검률의 지역 간 분산은 0.061이고, 개인변수만을 적용했을 때 지역 간 유방암 수검률의 분산은 0.034이었다. 분산의 변화율은 44.26%였다. 또한 개인변수와 지역변수를 함께 적용했을 때 지역간 유방암 수검률의 분산은 0.023이다. 분산의 변화율은 62.30%로서, 지역변수 3가지(유방 악성 신생물로 인한 여성의 십만명당 연령표준화 사망률, 유방촬영장치, 일반회계 중 복지예산(사회보장) 비중)가 지역 간 유방암 수검률의 분산을 18.04%를 추가로 설명한다고 할 수 있다. 따라서 개인적 요인 이외에 지역 환경적 요인이 동일 지역의 특성을 공유함으로써 유방암 수검률에 영향을 미치는 것으로 나타났다. 추후 유방암 수검률에 영향을 미치는 요인을 규명하는 연구에서는 지역 환경적 요인들도 중요하므로 이에 대한 고려가 필요하다.

In this study, we analyzed an effect of area-environmental factor on breast cancer screening rates using multi-level analysis. It was intended for the KNHANES-IV. Total subjects were 14338. Among them, 4143 subjects met the inclusion criteria. When we applied only empty Model, a variance of breast cancer screening rates was 0.061 in each region. When we applied Model with individual level variables, the variance was 0.034. However, when we applied both Model with individual level variables and Model with area level variables, the variance was 0.023. We drew applied only individual level variables parallel applied 3 regional variances which could explain variance of inspection of breast cancer up to 18.04% compared with applied only individual level variables. Area level variables could reduce a variance of region. This means besides individual level variables. The group can share a same thing and can effect to breast cancer screening rates. We need to discover factors which area level variables and suggest that make a standard for inspection of breast cancer.

키워드

참고문헌

  1. National Cancer Center: URL: http://ncc.re.kr/pr/notice_view.jsp?current_page=1& nws_id=582(Korea)
  2. Cancer Related Beliefs and Behaviour in Low, Middle and High Income Countries, UICC, 2008.
  3. National Cancer Information Center. Prevention and screening for cancer. [cited 2009 Jan 30]. Available from:URL: http://www.cancer.go.kr/cms/index.html. (Korean)
  4. Dundar PE, The knowledge and attitude of BSE and mammography in a group of women in a rural area in western Turkey. BMC Cancer, Vol. 6, No. 43, pp. 1-9, 2006. https://doi.org/10.1186/1471-2407-6-1
  5. Soskolne VS, Marie. Beliefs, recommendations and intentions are important explanatory factors of mammography screening behavior among Muslim Arab women in Israel. Health Educ Res, Vol. 22, No. 5, pp. 665-676, 2007.
  6. M. H. Lee & I. H. Choi, The impact supportive education on the effectiveness of breast self examination among college women and correlate to self-efficacy. Journal of Korean Academic of Adult Nursing, Vol. 13, No. 3, pp. 397-408, 2001.
  7. C. H. Lee, Y. I. Kim, H. S. Jung & J. Y. Kim, Analysis of factors affecting occupational health nurses' early breast cancer screening. The Journal of Korean Community Nursing, Vol. 1, No. 16, pp. 68-85, 2005.
  8. Y. H. Lee & E. H. Lee, Predicting factors of breast selfexamination among middle aged women. Journal of Korean Academic of Adult Nursing, Vol. 13, No.4, pp. 551-559, 2001.
  9. K. Y. Park & S. H. Kim, The Comparison of Factors related to Performance of Breast Self-examination by Age Group in the Middle and Mature Aged Woman. Korean J Women Health Nurs. Vol. 16, No. 1, pp. 37-46, 2010. https://doi.org/10.4069/kjwhn.2010.16.1.37
  10. Y. I. Kim & C. H. Lee, Factors related to regular mammography screening for outpatients. The Journal of Korean Community Nursing, Vol. 18, No. 3, pp. 420-430, 2007.
  11. R. B. Kim, K. S. Park, D. Y. Hong, C. H. Lee & J. R. Kim, Factors Associated with Cancer Screening Intention in Eligible Persons for National Cancer Screening Program. Journal of Preventive Medicaine and Public Health. Vol. 43, No. 1, pp. 62-72, 2010. https://doi.org/10.3961/jpmph.2010.43.1.62
  12. Jeong-Hee Back, Study on for breast cancer knowledge, attitudes, and preventive practices act. M.Sc. dissertation, Graduate School of Ewha Womans University, 1975.
  13. Jung-Soon Kim, Study on the relationship between health beliefs and breast selfexamination proceeds. M.Sc. dissertation, Graduate School of Ewha Womans University, 1985.
  14. Hyeong-geun Jeon, Control study - patients about the risk factors of breast cancer. M.Sc. dissertation, Graduate School of Chungnam National University, 1991.
  15. Hee-Young Kang, Effect of education on breast self-examination in accordance with the method of teaching women. Journal of Korean Academy of Fundamental Nursing, Vol. 3, No. 1, pp. 81-95, 1996.
  16. Mi-Kyung Kim, Factors affecting breast self-examination. M.Sc. dissertation, Graduate School of Ewha Womans University, 1989.
  17. B. Y. Chung, H. S. Byun, K. D. Kim & K. H. Kim, Risk factors of breast cancer. Journal of Korean Oncology Nursing, Vol. 8, No. 2, pp. 120-127, 2008.
  18. Y. Kim, J. Y. Choi, K. M. Lee, S. K. Park, S. H. Ahn, D. Y. Noh, Y. C. Hong, D. Kang, K. Y. Yoo. Dose-dependent protective effect of breastfeeding against breast cancer among ever-lactated women in Korea. Eur J Cancer Prev, Vol. 16, No. 4, pp. 124-129, 2007. https://doi.org/10.1097/01.cej.0000228400.07364.52
  19. S. Y. Lee, M. T. Kim, S. W. Kim, M. S. Song, S. J. Yoon. Effect of lifetime lactation on breast cancer risk: a Korean women's cohort study. Int J Cancer, Vol. 105, pp. 339-393-129, 2003.
  20. J. S. Suh, K. Y. Yoo, O. J. Kwon, I. J. Yun, S. H. Han, D. Y. Noh, K. J. Choe, Menstrual and reproductive factors related to the risk of breast cancer in Korea. Ovarian hormone effect on breast cancer. J Korean Med Sci. Vol. 11, pp. 501-508, 1996. https://doi.org/10.3346/jkms.1996.11.6.501
  21. J. Y. Choi, K. M. Lee, S. K. Park, D. Y. Noh, S. H. Ahn, K. Y. Yoo, D. Kang. Association of paternal age at birth and the risk of breast cancer in offspring: a case control study. BMC Cancer, Vol. 5, pp. 143, 2005. https://doi.org/10.1186/1471-2407-5-143
  22. S. K. Park, D. Kang, D. Y. Noh, K. M. Lee, S. U. Kim, J. Y. Choi, I. M. Choi, S. H. Ahn, K. J. Choe, Hirvonen A, Strickland PT, K. Y. Yoo. Reproductive factors, glutathione S-transferase M1 and T1genetic polymorphism and breast cancer risk. Breast Cancer Res Treat. Vol. 78, pp. 89-96, 2003. https://doi.org/10.1023/A:1022113713226
  23. D. H. Kang, K. Y. Yoo, S. K. Park, H. W. Koo, J. S. Suh, Y. C. Kim, D. Y. Noh ,K. J. Choe, Cigarette Smoking, Alcohol Consumption, and Breast Cancer in Korea. Korean J Epidemiol. Vol. 20, pp. 60-69, 1998.
  24. S. H. Jee, J. E. Yun, E. J. Park, E. R. Cho, I. S. Park, J. W. Sul, Ohrr H, Samet JM. Body mass index and cancer risk in Korean men and women. Int J Cancer, Vol. 123, pp. 1892-1896, 2008. https://doi.org/10.1002/ijc.23719
  25. M. K. Kim, J. Y. Kim, G. Y. Gong, S. H. Ahn. Effect of p53 and p16 protein expression in relation to body mass index for breast cancer risk. J Korean Cancer Assoc, Vol. 34, pp. 205-211, 2001.
  26. S. K. Park, K. Y. Yoo, D. H. Kang, S. H. Ahn, D. Y. Noh, K. J. Choe. The Estimation of Disease -Probability for Breast Cancer by Difference of Individual susceptibility. Cancer Treatment and Research, Vol. 35, pp. 35-51, 2003. https://doi.org/10.4143/crt.2003.35.1.35
  27. Y. M. Song, J. Sung, M. Ha. Obesity and risk of cancer in postmenopausal Korean women. J Clin Oncol, Vol. 26, pp. 3395-3402, 2008. https://doi.org/10.1200/JCO.2007.15.7867
  28. Luke DA. Multilevel Modeling. Beverly Hills, CA: Sage Publications. 2004.
  29. Y. K. Ko, Identification of factors related to hospital nurses' organizational citizenship behavior using a multilevel analysis. J Korean Acad Nurs. Vol. 38, No. 2, pp. 297, 2008.
  30. H. K. In, Mammography compliance and influencing factors of low income women group. Unpublished doctor'sthesis, Chungnam National University, Daejeon. 2005.
  31. J. G. Kim, L. S. Kwon. Measurement of Quality of life related to health by demographic characteristics of adult patients with cancer using EQ-5D index. J Digital Policy&Management, Vol. 11, No. 8, pp. 281-291, 2013.

피인용 문헌

  1. Factors related to cancer screening behaviors vol.40, pp.2092-7193, 2018, https://doi.org/10.4178/epih.e2018011