일개 시 지역의 40세 이상 중년 남성들의 직장암 검진 의도의 영향 요인
Factors Affecting the Intention of Rectal Cancer Screening in Middle-Aged Men Over the Age of 40 in A Local Community
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본 연구는 일개 시 지역의 40세 이상 중년 남성들의 직장암 검진 의도에 영향을 미치는 요인을 파악하기 위해 수행하였다. 자료는 2017년 8월 21일부터 9월 28일까지 충청지역에 소재한 종합병원에 내원한 환자 168명을 대상으로 설문 및 면접조사를 하였다. 직장암 검진이행에 대한 예측요인을 규명하기 위해 다변량 로지스틱 회귀분석(Multiple logistic regression analysis)을 하였다. 연구결과 첫째, 가족력이 있는 경우 검진자가 65.5%로 비검진자의 36.9% 보다 유의하게 높은 분포를 보였다(X2=2.91, P<.05). 둘째, 타검진력은 타검진을 시행한 경우가 검진군은 69.0%로 비검진군의 53.6% 보다 높은 것으로 나타났다. 셋째, 육식류 섭취의 경우 검진군에 있어 자주 섭취하는 군이 57.1%로 비검진군의 35.7% 보다 유의하게 높은 것으로 나타났다(X2=5.47, p<.05). 넷째, 운동을 규칙적으로 하는 경우 직장암 발생이 0.45배 유의하게 낮은 것으로 나타났다(95% Cl=0.18-0.76). 다섯째, 중증 스트레스를 받는 경우가 경미한 스트레스를 받는 사람보다 직장암 발생이 3.08배 유의하게 높은 것으로 나타났다(OR=3.08, 95% Cl=1.26-9.44). 따라서 직장암 검진 수용도에 일반인들의 긍정적 태도를 변화시킬 수 있는 더 많은 직장암 검진 정보를 제공하는 것이 필요하다.
Abstract
This study was performed to identify the factors affecting the intention of rectal cancer screening in middle-aged men over the age of 40 in a local community. Data were surveyed using interview and questionnaires by 168 patients who visited a general hospital located in Chungcheong region from August 21 to September 28, 2017. The results of this study are as follows. Firstly, in the case of a family history, the 65.5 percent of screening group which has family history of cancer showed a significantly higher rate than 36.9 percent of the non-screenees(X2=2.91, P<.05). Secondly, for other cancer screening, the 69.0 percent of screening group which performed other cancer screening was higher than 53.6 percent of the non-screening group. Thirdly, the 57.1% of screening group which ate meat frequently showed a significantly higher rate than 35.7 percent of the non-screening group(X2=5.47, p<.05). Fourthly, in cases of regular exercise, the incidence of rectal cancer is significantly lower by 0.45 times(95% Cl=0.18-0.76). Fifthly, for the incidence of rectal cancer, the group that has been under a lot of stress was 3.08 times significantly higher than the group that has received less(OR=3.08, 95% Cl=1.26-9.44). In conclusion, it is necessary to provide rectal cancer screening with information that can alter the positive attitudes of the general public.
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