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Factors related to cancer screening behaviors
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Boyoung Choi, Tae Rim Um, Kwang-Soo Lee
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Epidemiol Health. 2018;40:e2018011. Published online March 29, 2018
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DOI: https://doi.org/10.4178/epih.e2018011
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Abstract
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Abstract
OBJECTIVES This study aimed to investigate the factors related to cancer screening behaviors (CSB).
METHODS The 2014 Korean Community Health Survey used for analysis. The dependent variable was CSB, and the independent variables were demographic, health behavioral, and regional factor. Propensity score matching (PSM) used to control health behavior and regional factors, which were influencing CSB. For statistical analysis, chi-square test and logistic regression analysis used.
RESULTS Logistic regression analysis after PSM showed that gender, age, marital status, educational level, monthly household income, employment type, alcohol drinking, smoking, body mass index group, chronic disease, and subjective health status influenced the CSB, there were statistical differences.
CONCLUSIONS To improve cancer screening (CS), it is necessary to educate individuals on the need for CS and to carry out a personalized CS program based on an individual’s demographic status and health behavior.
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Summary
Korean summary
본 연구의 목적은 암 검진 행태와 관련된 요인들을 조사하는 것이다. 이를 위해 2014년 지역 사회 건강 조사 데이터를 활용하였으며, 건강 검진 행동에 영향을 미치는 건강 행동 및 지역 요인을 통제하기 위해 성향점수매칭 방법을 사용하였고, 통계 분석을 위해 카이 제곱 검정과 로지스틱 회귀 분석을 사용하였다. 성향점수 매칭 후 분석 결과에서 성별, 연령, 결혼 상태, 교육 수준, 월평균 가구 소득, 고용형태, 음주, 흡연, BMI 그룹, 만성 질환, 주관적 건강 상태가 암 검진 수진에 영향을 미치는 것으로 나타났다. 암 검진 수진을 향상시키기 위해서 암 검진의 필요성에 대한 교육과 개인의 인구사회학적, 건강 행태를 고려한 맞춤형 암 검진 프로그램이 필요하다. 본 연구는 성향점수 매칭을 이용하여 교란요인을 통제한 후 암 검진 수진의 영향을 살펴보았다는 데에 의의가 있다.
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