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지역사회 여성 주민의 건강보험제도를 활용한 건강검진 및 암검사 수검 특성
김영복,이원철,노운녕,조선진,백희정,손혜현,이순영,맹광호 韓國保健敎育.健康增進學會 2003 보건교육건강증진학회지 Vol.20 No.1
This study, performed to analyze the factors associated with health and cancer screening using preventive programs from health insurance among the women of a community, through a survey of about 923 women in Euijungbu-city. The subjects of the study were selected by a proportional cluster sampling method. The self-reported questionnaire was intended to find factors associated with health screening and cancer screening. The results of this study were as follows: 1. In the case of health screening using health insurance, 14.1% of the subjects turned out to have been screened once or more in their respective life-time. Reasons given for non-participation in the screening were : 'lacking screening information', a belief that'it's not useful' and a belief that they' weren't sick'. 2. The factors associated with health screening behavior were age, educational level, number of doctor visits, BMI and health promotion behavior(p<01, p<05). Also, the factor associated with health screening behavior were cue to action and health status, and the predictors on health screening behavior were age and health promotion behavior(p<01, p<05). 3. In the case of cancer screening through the health insurance, 7.4% of the subjects turned out to have been screened once or more respectively in their life-times. Reasons given for non-participation in the screening were : 'lacking screening information',a belief they 'weren't sick' and that' it's not useful'. 4. The factors associated with cancer screening behavior were age, educational level, income, alcholol intake, excercise, number of doctor visits and BMI(p<01, p<05). Aditional factors associated with cancer screening behavior were cue to action, health belief score and health status. Predictors for cancer screening behavior were: age, health belief score, screening attitude and health status(p<01,p<05). As indicated by the above results, a lack of information was an important factor for a lack of participation in screening. Age and cue to action were also important factors in promoting the cancer screening rate. Therefore, a dissemination of information about cancer screening contributes to the promotion of a screening rate, and cooperation between health insurance and local health center facilitates to be public the community-based cancer screening program.