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고효정 ( Ko Hyo-Jung ) - 계명대학교 간호대학
김혜영 ( Kim Hye-Young ) - 가톨릭상지대학 간호과
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Abstract
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Objectives : This study was conducted to evaluate the rate of cancer screening in women residing in a rural area, the factors related with this rate and the change in this rate according to cancer related publicity projects conducted for a 2-year period, and to elucidate the factors affecting the change in this rate.
Methods : The study was done on 400 women residing in Goryeong-gun, Gyeongsangbuk-do through interviews between September 1999 to November 2001. After selecting 11 dongs using the systematic cluster sampling method from 137 dongs reported in the annual statistical report, all women between the ages of 30 years to 69 years residing in these 11 dongs were included in the study.
Results : During the two-year study period, the rate of screening increased from 23.8% to 36.8% for breast cancer and from 63.5% to 67.0% for cervical cancer.
According to the number of family members, the screening rate for breast cancer increased significantly as the number increased. However, the screening rate for breast cancer increased only by 7.5% in women living alone, showing a relatively lower increase compared with other age groups. As for the change in the rate for cancer screening according to health habits, the rate increased significantly by 13.5% in non-smokers for breast cancer and by 6.7.% in smokers for cervical cancer. The rate showed no change according to the presence or absence of family history of breast cancer and cervical cancer, but did change significantly depending on the presence or absence of risk factors for cancer occurrence.
The results of multiple logistic regression analysis showed that significant variables affecting breast cancer screening behavior were age, the number of family members, experience of having gone through screening for the past one year, and the experience of having had a hepatitis vaccination and body mass index. For cervical cancer, were age, marital status and smoking habit were significant variables.
Conclusions : To raise the rate of cancer screening in women in local community and to efficiently conduct projects of screening for breast cancer and cervical cancer, the high risk groups should actively be included in these projects. In order to remove factors preventing women from screening, free screening should be continually provided to women in high risk group who are older than 50 years of age and live alone, and follow-up management is necessary in women with these cancers.
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KeyWords
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sexual satisfaction, spouse support, hysterectomy
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원문 및 링크아웃 정보
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등재저널 정보
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