Lee Hee Yun, Rhee Taeho Greg, Kim Nam Keol
School of Social Work, College of Education and Human Development, University of Minnesota, Twin Cities, St. Paul, Minnesota, USA.
Department of Pharmaceutical Care and Health Systems, College of Pharmacy, University of Minnesota, Twin Cities, Minneapolis, Minnesota, USA.
Health Soc Care Community. 2016 Sep;24(5):e34-42. doi: 10.1111/hsc.12243. Epub 2015 May 14.
This study investigates the cancer literacy level in Korean adults and examines whether cancer literacy plays a mediating role in the relationship between population characteristics and cancer screening behaviours. We collected data from 585 community-dwelling adults in Korea using self-administered surveys and face-to-face interviews from October to December in 2009. Guided by Andersen's behavioural model, we used a structural equation model to estimate the effect of cancer literacy as a mediator and found that cancer literacy mediated cancer screening behaviour. In the individual path analysis models, cancer literacy played a significant mediating role for the use of eastern medicine, fatalism, health status and the number of chronic diseases. When controlling for other relevant covariates, we found that in the optimal path model, cancer literacy played a mediating role in the relationship between the use of eastern medicine and self-rated health status as well as cancer screening behaviour. Thus, developing community-based cancer education programmes and training clinical practitioners in eastern medicine clinics about the importance of informing their patients about regular cancer screening may be an option to boost cancer literacy and screening behaviour in Korea.
本研究调查了韩国成年人的癌症素养水平，并检验了癌症素养在人口特征与癌症筛查行为之间的关系中是否起中介作用。2009年10月至12月，我们通过自填式调查问卷和面对面访谈，从韩国585名社区居民成年人中收集了数据。以安德森行为模型为指导，我们使用结构方程模型来估计癌症素养作为中介的效应，发现癌症素养介导了癌症筛查行为。在个体路径分析模型中，癌症素养在使用东方医学、宿命论、健康状况和慢性病数量方面发挥了显著的中介作用。在控制其他相关协变量时，我们发现在最优路径模型中，癌症素养在使用东方医学与自评健康状况以及癌症筛查行为之间的关系中起中介作用。因此，制定基于社区的癌症教育计划，并在东方医学诊所培训临床医生告知患者定期进行癌症筛查的重要性，可能是提高韩国癌症素养和筛查行为的一种选择。
