Jo Heui-Sug, Kwon Myung Soon, Jung Su-Mi, Lee Bo-Young
Department of Cancer Management, Gangwon Cancer Center, Gangwon, South Korea E-mail :
Asian Pac J Cancer Prev. 2014;15(12):4939-44. doi: 10.7314/apjcp.2014.15.12.4939.
The purpose of this study was through a survey of awareness of cancer and cancer screening of Korean community residents to identify the stereotypes of cancer and bases for development of improved screening programs for early detection. Subjects were residing in South Korea Gangwon-Province and were over 30 years and under 69 years old. The total was 2,700 persons which underwent structured telephone survey questionnaires considered with specific rates of gender, region, and age. For statistical analysis, PASW Statistics 17.0 WIN was utilized. Frequency analysis, the Chi-square (χ?) test for univariate analysis, and logistic regression analysis were performed. The awareness of cancer and cancer screening in subjects differed by gender, region and age. For the idea of cancer, women thought about death less than men (OR: 0.73, p<0.001). On the other hand, women had negative thoughts - fear/terror/suffering/pain/pain - more than their male counterparts (OR: 2.04, p<0.001). Next, for the idea of cancer screening, women recognized fear/terror more than men (OR: 1.38, p<0.01). The higher age, the more tension/anxiety/worry/burden/irritated/pressure (OR: 1.43, p<0.01, OR: 2.15, p<0.001, OR: 2.49, p<0.001)). People may be reminded of fear and death for cancer and of fear, terror, tension and anxiety for cancer screening. To change vague fear and negative attitudes of cancer could increase the rate of cancer screening as well as help to improve the quality of life for community cancer survivors and facilitate return to normal social life. Therefore, it is necessary to provide promotion and education to improve the awareness of cancer and cancer screening.
本研究的目的是通过对韩国社区居民的癌症认知和癌症筛查意识进行调查，以确定对癌症的刻板印象以及制定改进的早期检测筛查计划的依据。研究对象居住在韩国江原道，年龄在30岁以上69岁以下。共有2700人接受了结构化电话调查问卷，该问卷考虑了性别、地区和年龄的特定比例。为进行统计分析，使用了PASW Statistics 17.0 WIN软件。进行了频率分析、单因素分析的卡方（χ²）检验和逻辑回归分析。研究对象对癌症和癌症筛查的认知因性别、地区和年龄而异。对于癌症的概念，女性比男性更少想到死亡（比值比：0.73，p<0.001）。另一方面，女性比男性有更多消极想法——恐惧/恐怖/痛苦/疼痛/苦恼（比值比：2.04，p<0.001）。其次，对于癌症筛查的概念，女性比男性更易感到恐惧/恐怖（比值比：1.38，p<0.01）。年龄越大，紧张/焦虑/担忧/负担/烦躁/压力越大（比值比：1.43，p<0.01；比值比：2.15，p<0.001；比值比：2.49，p<0.001）。人们可能会因癌症联想到恐惧和死亡，因癌症筛查联想到恐惧、恐怖、紧张和焦虑。改变对癌症模糊的恐惧和消极态度可以提高癌症筛查率，同时有助于改善社区癌症幸存者的生活质量并促进其回归正常社会生活。因此，有必要提供宣传和教育以提高对癌症和癌症筛查的认知。
