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KMID : 0387320170270020157
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Korean Journal of Health Policy and Administration
2017 Volume.27 No. 2 p.157 ~ p.166
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Relationship between Cancer Worries and Breast Cancer Screening with and without Family History among Korean Women
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Kim Bok-Mi
Choi Kui-Son
Lee Yoon-Noh
Min In-Soon
Hahm Myung-Il
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Abstract
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Background: Women with family history of breast cancer are more likely to be worried about having cancer and participate in breast cancer screening. However, few studies have examined relationship between family history, cancer worries, and participating in breast cancer screening in Korea. This study is to identify relationship between family history, cancer worries, and participating in breast cancer screening among women with and without family history of cancer.
Methods: Respondents were 2,364 women who based on the 2013 Korean National Cancer Screening Survey which is done by National Cancer Center in Korea. Chi?square tests were performed to determine differences of cancer worries, undergoing of breast cancer screening and methods such as mammogram and ultrasonogram with and without cancer family history. Univariate and multiple logistic regression were performed to identify if family history and cancer worries are related factors on participating in breast cancer screening and methods. Stratified analysis was performed to confirm the effect of ultrasonogram on the dense breast by age.
Results: Women with cancer family history frequently checked condition for conscious of having cancer (p=0.0299) and had highly perception of risk about having cancer in the future (p≤0.0001). Women aged 30?49 did not perform significantly more ultrasonogram than women aged over 50 years old. Checking condition (moderate odds ratio [OR], 1.38; 95% confidence interval [CI], 1.20?2.08; frequently OR, 1.58; 95% CI, 1.08?1.76) and perception of risk (moderate OR, 3.12; 95% CI, 1.06?7.06; high OR, 2.74; 95% CI, 1.20?8.08) were related to participate in mammogram and ultrasonogram. A positive family history was related to 1.35 higher odds of performing only breast ultrasonogram (95% CI, 1.04?1.75).
Conclusion: This study requires national education and publicity to reduce the unnecessary cost of screening, to be possible cost effective screening and to encourage women to receive more mammogram, especially women aged over 50 years old and with socioeconomic factors related to opportunistic screening.
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KEYWORD
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Breast cancer screening, Family history, Cancer worry
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