Kang Youngmi, Son Heesook
1 Kyung Hee University, Seoul, Republic of Korea.
2 Chung-Ang University, Seoul, Republic of Korea.
Asia Pac J Public Health. 2017 Sep;29(6):495-505. doi: 10.1177/1010539517718336. Epub 2017 Jul 6.
The rate of and factors influencing colorectal cancer screening differs by gender. We aimed to determine the behaviors for and predict the factors influencing self-reported colorectal cancer screening in Korean adults. Secondary analysis was performed with data from the cross-sectional 2012 Community Health Survey. We examined the relationship between gender and self-reported screening using data for 115 045 adults aged ≥50 years; 62.4% of men and 65.5% of women underwent colorectal cancer screening. In the multivariate logistic regression analysis, men with private insurance and who attended regular health checkups were more likely to undergo screening; men who were employed, ate salty food, were older, or smoked were less likely. Women with private insurance, who lived with a spouse, were more educated, were housewives, or attended regular health checkups were more likely, and older women were less likely to undergo screening. Therefore, gender-specific interventions are needed to encourage colorectal cancer screening.
结直肠癌筛查的比率及影响因素因性别而异。我们旨在确定韩国成年人自我报告的结直肠癌筛查行为，并预测影响这些行为的因素。利用2012年社区健康横断面调查的数据进行了二次分析。我们使用115045名年龄≥50岁成年人的数据，研究了性别与自我报告筛查之间的关系；62.4%的男性和65.5%的女性接受了结直肠癌筛查。在多因素逻辑回归分析中，拥有私人保险且参加定期健康检查的男性更有可能接受筛查；就业、食用咸味食物、年龄较大或吸烟的男性接受筛查的可能性较小。拥有私人保险、与配偶同住、受教育程度较高、为家庭主妇或参加定期健康检查的女性更有可能接受筛查，而年龄较大的女性接受筛查的可能性较小。因此，需要针对性别的干预措施来鼓励结直肠癌筛查。
