보건행정학회지 (Health Policy and Management)

  • 제27권2호
  • /
  • Pages.157-166
  • /
  • 2017
  • /
  • 1225-4266(pISSN)
  • /
  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

암가족력 유무에 따른 부정적 심리요인과 유방암 검진과의 관련성: 우리나라 여성을 중심으로

Relationship between Cancer Worries and Breast Cancer Screening with and without Family History among Korean Women

  • 김복미 (순천향대학교 대학원 보건행정경영학과) ;
  • 최귀선 (국립암센터 국제암전문대학원대학교 암정책관리학과) ;
  • 이윤노 (순천향대학교 대학원 보건행정경영학과) ;
  • 민인순 (순천향대학교 대학원 보건행정경영학과) ;
  • 함명일 (순천향대학교 대학원 보건행정경영학과)
  • Kim, Bokmi (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Choi, Kui Son (Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center) ;
  • Lee, Yoon Noh (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Min, In Soon (Department of Health Administration and Management, Soonchunhyang University Graduate School) ;
  • Hahm, Myung-Il (Department of Health Administration and Management, Soonchunhyang University Graduate School)
  • 투고 : 2017.02.10
  • 심사 : 2017.06.16
  • 발행 : 2017.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Women with family history of breast cancer are more likely to be worried about having cancer and participate in breast cancer screening. However, few studies have examined relationship between family history, cancer worries, and participating in breast cancer screening in Korea. This study is to identify relationship between family history, cancer worries, and participating in breast cancer screening among women with and without family history of cancer. Methods: Respondents were 2,364 women who based on the 2013 Korean National Cancer Screening Survey which is done by National Cancer Center in Korea. Chi-square tests were performed to determine differences of cancer worries, undergoing of breast cancer screening and methods such as mammogram and ultrasonogram with and without cancer family history. Univariate and multiple logistic regression were performed to identify if family history and cancer worries are related factors on participating in breast cancer screening and methods. Stratified analysis was performed to confirm the effect of ultrasonogram on the dense breast by age. Results: Women with cancer family history frequently checked condition for conscious of having cancer (p=0.0299) and had highly perception of risk about having cancer in the future ($p{\leq}0.0001$). Women aged 30-49 did not perform significantly more ultrasonogram than women aged over 50 years old. Checking condition (moderate odds ratio [OR], 1.38; 95% confidence interval [CI], 1.20-2.08; frequently OR, 1.58; 95% CI, 1.08-1.76) and perception of risk (moderate OR, 3.12; 95% CI, 1.06-7.06; high OR, 2.74; 95% CI, 1.20-8.08) were related to participate in mammogram and ultrasonogram. A positive family history was related to 1.35 higher odds of performing only breast ultrasonogram (95% CI, 1.04-1.75). Conclusion: This study requires national education and publicity to reduce the unnecessary cost of screening, to be possible cost effective screening and to encourage women to receive more mammogram, especially women aged over 50 years old and with socioeconomic factors related to opportunistic screening.

키워드

참고문헌

  1. Korea Central Cancer Registry. Annual report of cancer statistics in Korea in 2013. Goyang: National Cancer Center; 2015. 175 p.
  2. National Cancer Information Center in Korea. Age standardized by year cancer incidence trend of female [Internet]. Goyang: National Cancer Center; 2016 [cited 2017 Feb 1]. Available from: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040104000000.
  3. Yoon GO, Park HS. A study on the risk factors for breast cancer in Korean women. J Korean Acad Fundam Nurs 2001;8(1):7-23.
  4. Henderson IC. Risk factors for breast cancer development. Cancer 1993; 71(6 Suppl):2127-2140. DOI: https://doi.org/10.1002/1097-0142 (19930315)71:6+<2127::aid-cncr2820711602>3.0.co;2-2.
  5. Centers for Disease Control and Prevention. Breast cancer basic information: what are the risk factors for breast cancer? [Internet]. Atlanta (GA): Centers for Disease Control and Prevention; 2016 [cited 2017 Feb 1]. Available from: https://www.cdc.gov/cancer/breast/basic_info/risk_factors.htm.
  6. Ottman R, Pike MC, King MC, Henderson BE. Practical guide for estimating risk for familial breast cancer. Lancet 1983;2(8349):556-558. DOI: https://doi.org/10.1016/s0140-6736(83)90580-9.
  7. Claus EB, Risch N, Thompson WD. Genetic analysis of breast cancer in the cancer and steroid hormone study. Am J Hum Genet 1991;48(2):232-242.
  8. Schwartz AG, Kaufmann R, Moll PP. Heterogeneity of breast cancer risk in families of young breast cancer patients and controls. Am J Epidemiol 1991;134(11):1325-1334. DOI: https://doi.org/10.1093/oxfordjournals.aje.a116035.
  9. Statistics Korea. A news release about cause of death statistics in 2013 [Internet]. Daejeon: Statistics Korea; 2014 [cited 2017 Feb 1]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=330181&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=2013%EB%85%84+%EC%82%AC%EB%A7%9D%EC%9B%90%EC%9D%B8.
  10. Hahm MI, Choi KS, Park EC, Kwak MS, Lee HY, Hwang SS. Personal background and cognitive factors as predictors of the intention to be screened for stomach cancer. Cancer Epidemiol Biomarkers Prev 2008;17(9):2473-2479. DOI: https://doi.org/10.1158/1055-9965.EPI-08-0027.
  11. Statistics Korea. The rates of national cancer screening program [Internet]. Daejeon: Statistics Korea; 2014 [cited 2017 Feb 1]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1440.
  12. Choi E, Lee YY, Yoon HJ, Lee S, Suh M, Park B, et al. Relationship between cancer worry and stages of adoption for breast cancer screening among Korean women. PLoS One 2015;10(7):e0132351. DOI: https://doi.org/10.1371/journal.pone.0132351.
  13. Cohen M. Breast cancer early detection, health beliefs, and cancer worries in randomly selected women with and without a family history of breast cancer. Psychooncology 2006;15(10):873-883. DOI: https://doi.org/10.1002/pon.1018.
  14. Majidzadeh-A K, Farahmand L, Zare AA, Esmaeili R, Salehi M, Habibi M. Iranian women's attitude toward prophylactic mastectomy for breast cancer. J Cancer Res Ther 2016;12(2):915-919. DOI: https://doi.org/ 10.4103/0973-1482.171363.
  15. National Cancer Information Center. Breast cancer screening recommendation [Internet]. Goyang: National Cancer Center; 2016 [cited 2017 Feb 1]. Available from: http://www.cancer.go.kr/mbs/cancer/jsp/album/gallery.jsp?addCancerTitle=%EC%9D%BD%EA%B8%B0(%EA%B2%80%EC%A7%84%EA%B6%8C%EA%B3%A0%EC%95%88%20-%20%EC%9C%A0%EB%B0%A9%EC%95%94)&spage=1&boardId=14354374&boardSeq=14355851&mcategoryId=&id=cancer_010207000000.
  16. Kim OS, Kim JH. Relationship among breast cancer fear, benefit for mammogram screening and stage of mammogram. Health Nurs 2006; 18(1):1-8.
  17. Hwang TY, Kim BS, Lee KS, Hwang IS. Factors associated with cancer screening and follow-up examination after abnormal results among women in Gyeongju city. J Korean Soc Matern Child Health 2008; 12(1):116-125. DOI: https://doi.org/10.21896/jksmch.2008.12.1.116.
  18. Choi JS, Park JY, Han CH. The behavioral and educational factors affecting the breast self-examination and breast cancer screening. J Korean Soc Health Educ Promot 2001;18(1):61-78.
  19. Consedine NS, Magai C, Krivoshekova YS, Ryzewicz L, Neugut AI. Fear, anxiety, worry, and breast cancer screening behavior: a critical review. Cancer Epidemiol Biomarkers Prev 2004;13(4):501-510.
  20. Kim SH, Kim MH, Oh KK. Analysis and comparison of breast density according to age on mammogram between Korean and Western women. J Korean Radiol Soc 2000;42:1009-1014. DOI: https://doi.org/10.3348/jkrs.2000.42.6.1009.
  21. Lee YR, Seo BK, Chung KB, Cho KR, Lee JY, Lee YH, et al. A comparative study of breast cancer of Korean women according to age in radiological, pathological, and clinical findings. J Korean Breast Cancer Soc 2002;5(2):91-101. DOI: https://doi.org/10.4048/jkbcs.2002.5.2.91.
  22. Lee SM, Choi HY, Baek SY, Suh JS, Rhee CS, Moon BI. Diagnostic accuracy of mammography and ultrasonography in detection of early breast cancer. J Korean Radiol Soc 2002;47:321-328. DOI: https://doi.org/10.3348/jkrs.2002.47.3.321.
  23. Lee MH. Mammographic and sonographic evaluation of breast carcinoma [dissertation]. Seoul: Ewha Womans University; 1996.
  24. National Cancer Center. National cancer screening rate according to cancer screening recommendation rate, 65.8% [Internet]. Goyang: National Cancer Center; 2015 [cited 2017 Feb 1]. Available from: http://www.ncc.re.kr/prBoardView1.ncc?nwsId=2185&searchKey=total&searchValue=&pageNum=18.
  25. Han IY, Lim JW, Rhee YS, Kang BG, Lee JE. A study on the effects of a navigator intervention to improve breast cancer screening: a focus on national population screening program for cancer in one district of Seoul. Health Soc Welf Rev 2015;35(1):158-185. DOI: https://doi.org/10.15709/hswr.2015.35.1.158.
  26. Chang KJ. Research on the factors affecting the implementation of preventive health behaviors [master's thesis]. Seoul: Kyung Hee University; 1982.
  27. Lee WH. A comparative study on health locus of control and health belief for cervical cancer in between examined and non examined group [master's thesis]. Seoul: Ewha Womans University; 1984.
  28. Choo NK. A study on the examination frequency and it's influential factors of cervical cancer of uterus: centered on housewives of 30-49 years old [dissertation]. Seoul: Ewha Womans University; 1988.
  29. Hahm MI, Chen HF, Miller T, O'Neill L, Lee HY. Why do some people choose opportunistic rather than organized cancer screening?: the Korean National Health and Nutrition Examination Survey (KNHANES) 2010-2012. Cancer Res Treat 2016 Oct 31 [Epub]. DOI: https://doi.org/10.4143/crt.2016.243.
  30. Yoo YG, Choi SK, Hwang SJ, Kim HS. Risk factors of breast cancer according to life style. J Korea Contents Assoc 2013;13(4):262-272. DOI: https://doi.org/10.5392/jkca.2013.13.04.262.