• Journal of agricultural medicine and community health
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• v.34 no.2
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• pp.214-222
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• 2009

Objectives: This study was performed to evaluate the effect of navigator education program for cancer screening, which is designed for improvement in knowledge of cancer, perceived self efficacy and communication skill of the breast and cervical cancer screening for middle-aged and aged women in urban areas. Cancer screening navigator is lay health advisor who are educated for providing information, emotional support about cancer screening at the community. Methods: The subjects were 33 women at the age of 40-69 and educated for 12 hours through the education program. The control group subjects were 30 women. For statistical analysis, descriptive statistics and paired t-test were used with SPSS WIN 14.0. Results: Contents of education program were case of cancer early detection, benefit of breast cancer screening, benefit of cervical cancer screening, health care system for cancer screening, role of cancer screening navigator, communication skill, transtheoretical model and role play. Knowledge of cancer(t=4.267, p=0.000) and communication skill(t=4.947, p=0.000) of the women increased significantly after implementing the 12 hours education program. Conclusion: The results suggest that navigator education for cancer screening has an effect in increasing knowledge of cancer, and communication skill scores.

• Proceedings of the KAIS Fall Conference
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• 2010.05b
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• pp.1077-1082
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• 2010

본 연구는 일반 여성과 유방암 환자를 대상으로 유방 자가검진의 이행율과 유방 자가검진에 영향을 미치는 요인을 파악하기 위하여 시도된 단면적 조사 연구이다. 건강신념 변수에 대해 일반 여성군과 유방암 환자군을 비교하면 일반 여성군이 유방암 환자군에 비해 유방암에 대한 심각성이 높은 것으로 나타났다. 유방암 환자군에서는 일반 여성군에 비해 유방암에 대한 민감성이 높았으며, 유방암 검진에 대한 유익성이 높고, 건강관심도가 높은 것으로 나타났다(p<0.01). 건강신념 변수에 대해 유방 자가검진 이행자와 불이행자를 비교해 보면 유방 자가검진 이행자는 불이행자보다 건강 관심도가 높고(p<0.01) 유방 자가검진에 대해 설명을 들은 경험이 있는 경우 자가검진 이행율이 높은 것으로 나타났다(p<0.05). 유방 자가검진 불이행자에서는 이행자보다 건강관심도가 낮고, 주위에서 유방 자가검진을 권하는 사람이 없는 경우가 많았다(p<0.01).유방 자가검진 이행자와 불이행자간 민감성, 심각성, 유익성, 장애성에 대해서는 유의한 차이가 없는 것으로 나타났다. 유방 자가검진 이행 여부에 관해서는 유방암 환자군이 일반 여성군에 비해 유방 자가검진을 3.5배 시행하지 않는 것으로 나타났고(p<0.01), 연령은 40대 미만보다 60대 이상여성이 1.6배 유방 자가검진을 시행하지 않는 것으로 나타났다. 교육수준은 대졸이상 보다 고졸이하가 2.4배 유방 자가검진을 시행하지 않고, 가구 소득은 200만원미만보다 400만원이상 고소득자가 2.7배 유방 자가검진을 시행하지 않는 것으로 나타났다. 자녀수는 자녀가 없는 여성이 자녀수가 3명이상인 여성에 비해 12.1배 유방 자가검진을 시행하지 않는 것으로 나타났다(p<0.05). 건강 신념과 유방 자가검진 실천의 관계를 본 결과 건강관심도와 행동계기가 유방 자가검진 수행에 유의한 영향을 미치는 것으로 나타났다. 건강관심도가 높을수록 유방 자가검진 실천도가 높고, 행동 계기 즉 주위에서 유방 자가검진을 권하는 사람이 있는 경우가 유방자가검진 수행율이 높은 것으로 나타났다(p<0.05). 본 연구 결과를 통해 유방암 환자를 포함한 일반여성을 대상으로 유방 자가검진의 중요성과 유방 자가검진 방법에 대해 정기적인 교육 프로그램, 포스터, 안내책자 등을 통한 적극적인 교육과 권유가 필요할 것으로 보여 진다. 유방 자가검진 프로그램 개발 시 유방암 환자와 일반 여성을 대상으로 한 차별화 된 교육 프로그램 개발이 필요하고 이를 통해 유방암 환자에게 유방암의 재발 위험성과 자가검진의 필요성, 올바른 유방암 환자의 자가검진법을 인지시킴으로서 유방 자가검진 실천율을 향상 시킬 수 있을 것이라고 생각된다.

• Journal of Digital Convergence
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• v.10 no.2
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• pp.269-278
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• 2012

In this research, the factor having an effect on the cancer check inspection through the cancer check service and process, of desiring against the cancer check examinee living in the illustration and rural area environment, and analysis about the result tries to be sought for. This research performed the frequency analysis, cross analysis, t-test, ANOVA, and multiple regression analysis and came to the conclusion. The examination reservation procedure, medical team professionalism, examination contents of notice, result of medical examination explanation, examination notification date, and examination duration of subscription was analyzed as the significance factor as the factor reached to the urban district inspection. And the examination contents of notice, total examination time, result of medical examination explanation, medical team professionalism, examination duration of subscription, and process of the medical examination explanation as to rural area, was analyzed as the significance factor. The cancer check was inspected according to the illustration and farming village and there was no big difference in the significance factor having an effect on the inspection. However, the Profiling about the examination procedure and service has to be continuously performed. And the differentiation strategy and policy considering the illustration and fairness between rural areas are required.

• Journal of the Korea Convergence Society
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• v.6 no.6
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• pp.247-253
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• 2015

The purpose of this convergence study was to analysis the current status of the cancer screening and background healthcare systems in Korea and Japan. First, Cancer Screening Program is coordinated well with National Health Insurance Service(NHIS) under a unified insurer system in Korea. But in Japan, there are over 3,500 insurer and coordinating a comprehensive strategy for cancer screening promotion has been very difficult. Second, Rate of cancer screening is influenced by public healthcare system. In Korea public healthcare does not cover a wide rage of services. Almost free cancer screening provides high incentive to participation. It is very important to understand the impacts of each healthcare system when designing an efficient cancer screening system.

• The Journal of the Korea institute of electronic communication sciences
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• v.7 no.3
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• pp.687-692
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• 2012

Colorectal cancer screening in adults aged 40 and over our country and understand the relationship between health behaviors and those affecting the implementation of a colorectal cancer screening was conducted to determine the parameters. National Health and Nutrition Examination Survey tool 4th secondary data were used. The main variable levels of public health, health-related awareness and behavior, food and nutritional status were surveyed about 12,528. Colorectal Cancer Screening adults aged 40 and over who target male and female study subjects were 4703. Compliance findings that are relevant to colorectal cancer screening variables include gender, age, residence, or taking supplements, Health Screening, whether history, such as cancer, respectively. Marital status, education level, household monthly gross income, private insurance, whether regular exercise was not associated with the. In order to increase colorectal cancer screening among the expanding free cancer screening and cancer screening performed a systematic test of the simple and effective education and publicity will be carried out.

• Korean Journal of Health Education and Promotion
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• v.15 no.2
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• pp.163-183
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• 1998

To evaluate the impacts of the health education programs including smoking cessation, pap smear and breast self-examination(BSE), a community trial was conducted during one year from December 1996 to December 1997 in Kyongju City. Before health education, a base-line survey was implemented and the target population was allocated randomly to case and control groups. The case and control groups were divided into three categories which were smoking cessation, pap smear and BSE. The series of health education leaflets about anti-smoking, pap smear and BSE were mailed to case group and the evaluation survey was conducted at the end of this trial to compare the change of health related behaviours of case and control groups. Smoking prevalence of case group did not decline significantly after anti-smoking education but the cessation rates of the elderly and low educated were higher than others. The knowledge level of case group on the health risk associated with smoking was higher than that of control group and the willingness of case group to quit smoking was higher than the control group. The case group's compliance with pap smear for cervical cancer was more increased compared to control group after health education. Of the case group, the younger and lower educated women were screened at a higher rate than others. The knowledge level of case group on the risk factors of cervical cancer and how to prevent it was higher than that of control group. Nearly 60 percent of case group reported that the health education leaflet influenced them to have the pap smear. The unscreened cases were highly motivated to get the pap smear test in the future.

• The Journal of the Korea Contents Association
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• v.11 no.2
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• pp.331-340
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• 2011

The purpose of this research is to target the health examination examinees to compare and analyze the common elements that influence prevention and preventive medical services and to analyze the share of the physical examination categories desired following the analysis by element. Likewise, this research was attempted to provide base data so that it is possible to reduce cost required for the prevention and treatment of each examination. This research targeted health examination examinees and conducted survey from April 1to May 31, 2010. The key findings after conducting analysis on 707 examinees are as follows. In case of men, those who are older and who live their spouses tended to be subjected to health examination, cancer examination and preventive injections. Those who had subscribed to the medical policy from the private sector, those with healthy state, those with higher educational level, tended to get health examination, cancer examination and preventive injections less. In case of women, those who are older, tended to get health examination and cancer examination more while those who had subscribed to the medical policy from the private sector and those with higher educational level tended to get health examination, cancer examination and preventive injections less. Those who are healthy and who live their spouse tended to get more cancerexamination and preventive injections.

• Journal of Digital Convergence
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• v.15 no.1
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• pp.329-338
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• 2017

This study aims to identify factors to affect cancer screening utilization and differences in cancer screening by household income. This research selected 3,393 adults aged ${\geq}40years$ among surveyees from the 6th(2014) Korea National Health and Nutrition Examination Survey. We analyzed state of cancer screening utilization according to general characteristics, life style, health status, income level using descriptive statistics. Logistic regression analysis was used to examine the factors associated with cancer screening utilization. In result, cancer screening rate was significantly different according to household income. And the significant factors associated with cancer screening utilization were sex, age, marital status, education level, economic activity, private insurance, smoking, presence or absence of high physical activity, number of chronic diseases, and household income. This indicates that the effective cancer screening program on the low household income, chronic disease patients is needed, suitable for digital age. We believe that these results will be used positively for the equity of cancer screening utilization, providing the basic materials for the further research on the establishment of the health-related policy.

• The Journal of the Korea Contents Association
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• v.12 no.11
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• pp.246-257
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• 2012

Objectives : This study was aimed to grasp the stages of change in breast cancer screening of the nurses and general women who were over 20 and under 50 and specify the factors which affected the stages of change in breast cancer screening, based on Precaution Adoption Process Model. Methods : This study was conducted for 158 people who consisted of the nurses and general women who were over 20 and under 50. Results : As a result of examining the factors of cues to action and the belief in cancer screening according to the stages of change in the breast cancer screening of the nurses and general women, there was not a statistically significant difference and the perceived barriers showed a statistically significant difference in the stage of behavioral decision, the fifth stage. Conclusion : It is necessary to approach the individuals with the recommendation of cancer screening through the people around them and differentiated strategies considering the stages of change in cancer screening in order to induce the behavioral change in breast cancer screening, and develop and apply the strategies to enhance the severity perceived on the breast cancer.

• Journal of the Korean Society of Radiology
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• v.82 no.1
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• pp.2-11
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• 2021

More than 4 million women undergo breast cancer (BC) screening with mammography each year in Korea. Digital mammography (DM) was introduced in 2000, and it has been reported to have a higher diagnostic accuracy than screen-film mammography (SFM) or computed radiography (CR) in women with dense breasts. According to a study using data from the National Cancer Screening Program for BC, the diagnostic accuracy of DM was higher than those of SFM and CR, regardless of age, breast density, and screening round. Currently, despite high supply rate among OECD countries, the distribution of DM equipment is approximately 35% in Korea. For quick replacement with DM, it will be necessary to improve its fee for the National Health Insurance and support an educational program for radiologists. In addition, efforts should be made to increase the accessibility of DM.