도농복합지역 여성의 암검진 수검 및 유소견자 검진 실태

Abstract

Objectives: The specific objectives of this study was to identify the longitudinal change of the screening rates according to type of cancer, whether follow up examination had been conducted to those subjects had abnormal findings after cancer screening, and association between the cancer screening experiences and general characteristics and health behaviors of the subjects. Methods: For this study, 353 female respondents in four Dongs (urban areas) and five Ub/Myeons (rural areas) of Gyeongju city, Gyeongsangbuk-do province were selected using stratified random cluster sampling and administered questionnaire. This study was conducted from December 2005 to February 2006. The sample for this study is composed of 332 females, and interviews with 299 females was completed. Subjects were asked about their general characteristics, health behaviors, experiences of cancer screening, results of cancer screening, whether participated the follow up examination after abnormal findings on the cancer screening, and the reasons to participate in cancer screening for both those participated and those not participated cancer screening on the survey. Study subjects in stomach cancer screening were asked about their experiences of gastroscopy and upper GI examination. Participants in the breast, and colorectal cancer screening were asked about their experiences of mammogram, colonoscopy and double contrast barium enema examination, respectively. For the assessment, we used the recommended guidelines of cancer screening in order to judge how the subjects observed the standard. Recommended guidelines, which we used, of cancer screening for the stomach and breast is doing examination every two years, for the FOBT is every year, for the colonoscopy and double contrast barium enema examination is every five years. The analysis was conducted using SPSS version 12.0. And chi -square test, and Fisher's exact test were used for statistical test. Results: Utilizing recommended guidelines, the participation rates for the stomach, breast, and colorectal cancer screening were 29.4%, 24.4%, 17.5%, respectively and for the fecal occult blood test (FOBT) was 9.2%. And followings are the cancer screening rates in the past five years. Screening rate for stomach cancer is 38.8%, for breast cancer 30.8%, for colorectal cancer 17.5% and for FOBT is 9.2%. The most prominent motive for those participated the cancer screening was "Had a chance for cancer screening", which consists the reason for stomach cancer screening 80.4%, for breast cancer: 88.7%, for colonoscopy: 87.5%, for FOBT was 93.0%. Subjects who responded never had experienced cancer screening had the reasons of "Not having any health problem" the most frequently. Age is the only statistically significant factor association with cancer screening rates. Other general characteristics and health behavior were not associated with cancer screening rates. Conclusions: This study suggests the need for education and public campaigns, particularly targeting on forties and seventies, of age to raise the cancer screening rates and follow up examination rates after abnormal screening results.