The Effects of Health Belief Components on Women’s Intentions of Early Cancer Screenings: A Cross-National Analysis

한규훈,유현재 숙명여자대학교 아시아여성연구원 2013 Asian Women Vol.29 No.3

This study investigated the impacts of health belief components on women’s illness-related attitudes from a cross-national perspective, focusing on how women’s perceptions of women-specific cancers and the early screening procedures for these cancers. Online surveys were administered to a total of 944 females aged 30-59 from three countries: the US, Japan, and South Korea. Participants were asked about their health beliefs (perceived susceptibility, perceived severity, perceived benefits, and perceived barriers) and intentions to take early screenings for women-specific cancers. The results of statistical analyses (MANCOVA and multiple regression) indicated that Japanese and South Korean women were significantly higher in degrees of perceived susceptibility and perceived severity compared to US women. However, Japanese women showed the least positive attitude toward cancer prevention among the three countries. Other results also confirmed cross-national differences in health beliefs and their influence on women’s attitudes toward cancer prevention, but many of the results were not consistent with the cultural values traditionally associated with each nation. Implications of the findings point to improvements in health promotion practices that target women.

The Usage and Credibility of Information Sources for Cancer Prevention Cases of American and South Korean Women

유현재,한규훈 한국언론학회 2018 Asian Communication Research Vol.15 No.2

This study investigated the types of information sources related to women’s cancer that have been used and perceived as credible by women in two culturally different countries: South Korea and the U.S. For this purpose, an online survey was conducted with 330 American and 317 South Korean women. Results revealed significant differences between South Korean and American women not only in popular and major information sources for women’s cancers, but also in the levels of credibility that the respondents placed on each information source. It was also found that cancer information via human channels was perceived as more credible than that of media channels in both countries. Based on the findings, several implications for planning and executing effective communication strategies to deliver cancer-related information to target women were discussed.

Arab Women's Breast Cancer Screening Practices: A Literature Review

Donnelly, Tam Truong,Al Khater, Al-Hareth,Al-Bader, Salha Bujassoum,Al Kuwari, Mohammed Ghaith,Al-Meer, Nabila,Malik, Mariam,Singh, Rajvir,Jong, Floor Christie-De Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.8

Breast cancer incidence and mortality rates are increasing in the Arab world and the involved women are often diagnosed at advanced stages of breast cancer. This literature review explores factors influencing Arab women's breast cancer screening behavior. Searched databases were: Medline, PubMed, Cochrane Database of Systematic Reviews, CINAHL Plus, Google Scholar, Index Medicus for WHO Eastern Mediterranean, and Asian Pacific Journal of Cancer Prevention. Breast cancer screening participation rates are low. Screening programs are opportunistic and relatively new to the region. Knowledge amongst women and health care providers, professional recommendation, socio-demographic factors, cultural traditions, beliefs, religious, social support, accessibility and perceived effectiveness of screening influence screening behavior.

Factors Associated with Underscreening for Cervical Cancer among Women in Canada

Schoueri-Mychasiw, Nour,McDonald, Paul Wesley Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.11

Background: Cervical cancer is the second most common cancer among women worldwide. Failure to prevent cervical cancer is partly due to non-participation in regular screening. It is important to plan and develop screening programs directed towards underscreened women. In order to identify the factors associated with underscreening for cervical cancer among women, this study examined Pap test participation and factors associated with not having a time-appropriate (within 3 years) Pap test among a representative sample of women in Ontario, Canada using Canadian Community Health Survey (CCHS) data. Materials and Methods: Univariate analyses, cross-tabulations, and logistic regression modeling were conducted using cross-sectional data from the 2007-2008 CCHS. Analyses were restricted to 13,549 sexually active women aged 18-69 years old living in Ontario, with no history of hysterectomy. Results: Almost 17% of women reported they had not had a time-appropriate Pap test. Not having a time-appropriate Pap test was associated with being 40-69 years old, single, having low education and income, not having a regular doctor, being of Asian (Chinese, South Asian, other Asian) cultural background, less than excellent health, and being a recent immigrant. Conclusions: Results indicate that disparities still exist in terms of who is participating in cervical cancer screening. It is crucial to develop and implement cervical cancer screening programs that not only target the general population, but also those who are less likely to obtain a Pap tests.

중국 여성들의 유방암 검진 행위 및 검진 의도에 영향을 미치는 요인 : 앤더슨 의료 서비스 이용 예측 모델 및 건강 신념 모델을 중심으로

이단 ( Dan Li ),조수영 ( Sooyoung Cho ) 한국PR학회 2018 PR연구 Vol.22 No.1

The incidence and mortality rate of breast cancer have been increasing among Chinese women. Especially, it is reported that the incidence of breast cancer in China is more than two times higher than the world standard. This study tried to provide a baseline information for breast cancer public health campaign by examining Chinese women’s breast cancer screening behaviors and their screening intentions. The study conducted the survey with 490 Chinese women over 30 years old who do not have a regular breast cancer examination welfare from their workplace. Results indicated that factors affecting the execution of breast cancer examination are: marital status(married), location of residence(metropolitan dweller), medical insurance status, economic status, perceived susceptibility, perceived benefit, perceived barrier, self-efficacy, internal cues to action, cues to action in personal communication/mass communication, positive attitude towards male health care providers. In addition, in analyzing screening intentions, the subjects were divided into two groups which have or have not experienced breast cancer examination in the past two years. First, factors affecting screening intention of the group which have experienced breast cancer examination were: career status, perceived severity, perceived benefit, self-efficacy, cues to action in personal/mass communication, faith in Chinese medical institutions. Second, factors affecting screening intention of the group which have not experienced breast cancer examination were: perceived benefit, self-efficacy, internal cues to action, cues to action in personal /mass communication, faith in Chinese medical institutions, and positive attitude towards male health care providers.

유방암, 손상된 몸과 여성성의 위기감

임인숙(In-Sook Kim) 한국여성학회 2006 한국여성학 Vol.22 No.4

이 연구는 여성의 성적 매력을 대표하는 상징 부위로 유방을 부각시키고 완벽한 육체적 아름다움을 이상화하는 오늘날, 유방암을 앓는 여성들은 물리적 고통 그 이상을 경험할 수 있다는 문제의식에서 출발한다. 20명의 유방암 환자들을 심층면접하여 발병과 투병 과정에서의 육체적 변화가 여성성에 초래하는 위기감의 제 측면을 분석하는 한편, 사회적으로 부여된 유방의 의미와 손상된 몸 사이에서 이들이 느끼는 심리적 갈등 및 자신의 몸과 관계 맺는 방식을 분석한다. 주요 연구결과를 요약하면 다음과 같다. 유방절제나 생리중단 및 탈모와 같은 육체적 변화는 여성으로서의 상실감과 자격지심, 상대적 박탈감과 타인의 시선에 대한 불안감을 유발하고 부부관계를 위축시킨다. 그러나 ‘어머니’로서의 강한 정체감이나, 투병과정에서의 물리적 고통이 극심한 상황에서는 여성으로서의 위기감이 상대적으로 둔화된다. 또한 유방절제 정도, 투병기간, 재발 경험 및 부부관계의 질에 따라 유방암을 앓는 여성들이 느끼는 여성으로서의 위기감이나 몸과 관계 맺는 방식은 다르게 나타난다. 투병과정에서 건강한 몸의 소중함을 체감하게 된 여성들은 가족을 위한 일방적인 헌신보다는 자신의 욕구에 보다 충실한 새로운 삶의 방식을 선택하고 있다. 이런 연구결과를 토대로 여성적 질환이 여성적 정체감과 가치 손상감에 미치는 영향을 민감하게 고려한 국가의 유방암 정책과 의료 관행의 변화를 제안한다. This study starts with an assumption that women with breast cancer may suffer from not only physical pain but also from the sense of damaged femininity in the society, which breast is highlighted as a prominent symbol of women's sex appeal and the beauty of perfect body is idealized. Based on in-depth interviews with 20 patients, this study analyzes their sense of crisis which physical changes in the process of outbreak and treatment of breast cancer result in. And the study explores these women's conflict between the socially attached meanings on breast and their own damaged bodies. Main findings are followed: such physical changes as disappearance of breast and its scars, loss of hair, sudden interruption of menstruation stimulate the sense of femininity loss, self-accusation, and relative deprivation. These changes also negatively affect marital sexual relationship. However, strongly taking the responsibility of a caring mother and serious physical pain in the treatment process weaken the sense of crisis as a woman. The extent of breast excision and the duration of treatment, recurrence, and the quality of married life also affect these women's sense of femininity crisis. Now, those women who experience the value of healthy body choose a new way of life in which they carefully listen to their own desires rather than taking their sacrifice for the family for granted. Finally, this study suggests that Korean government's policy of breast cancer and medical practices should concern that this women-specific disease negatively affects women's psychological wellbeing.

한국 20대 여성의 성에 대한 태도와 자궁경부암 예방행위와의 관련성 연구

김재우,김성호,강정규,Kim, Jae Woo,Kim, Sung-Ho,Kang, Jung-Kyu 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.2

Objective: The purpose of this study is to examine the Korean women's attitude toward sex in their 20s in order to investigate the relationship between attitude toward sex and preventive behavior against cervical cancer. Method: The data was collected by conducting a survey in parts of Chungcheongbuk provinces from November 1st to the 10th, 2017, with a total of 353 respondents. Frequency analysis, chi-square test and logistic-regression analysis were conducted. Result: A result of logistic-regression analysis, the degree of preventive behavior against cervical cancer of those who were 'conservative' toward sex was 1.866 times greater, significantly. As the attitude toward sex becomes more liberal, the awareness of the necessity for preventive behavior against cervical cancer may possibly become lower. Conclusion: Therefore it is necessary to work in tandem with the school health program to increase preventive behavior against cervical cancer for the women in their 20s through early education and promotion.

미국 지상파 방송 뉴스의 폐암 관련 뉴스 내용분석: 1968-2005

조수영 ( Soo Young Cho ) 한국커뮤니케이션학회 2009 커뮤니케이션학연구 Vol.17 No.4

본 연구는 미국 주요 TV 지상파 방송사가 (ABC, CBS, NBC) 폐암에 관해 지난 40여 년간 (1968-2005) 방송한 298개 뉴스 모두를 내용 분석하였다. 본 연구는 특히, 폐암 뉴스에서 다루어진 이슈의 종류, 뉴스 프레임과 형식, 그리고 뉴스에서 인터뷰된 사람들의 사용 패턴 등을 살펴보았다. 결과에 따르면, 미국의 폐암관련 TV 뉴스는 주로 폐암의 원인으로서의 흡연의 위험성, 유명인사 관련 폐암 뉴스, 그리고 여성 관련 폐암 뉴스를 집중적으로 조명하고 있는 것으로 나타났다. 전체적으로 보았을 때, 미국의 TV 뉴스는 폐암의 현실, 예를 들어 폐암 치료나 폐암 진단방법과 같은 사회적 노력의 부족, 폐암의 원인을 단지 개인의 문제로 치부하는 경향, 폐암에 대한 사회적 관심 부족 등을 반영하고 있었다. This study content analyzed all of the 298 news story abstracts on lung cancer from the three major U.S. TV networks (ABC, CBS, and NBC) over the past four decades (1968-2005). This study examined types of issues, story formats and frames, and source use pattern. According to the results, TV news has focused on issues like smoking as a cause of lung cancer, celebrity, and women and lung cancer. Overall, TV news reflected the reality of lung cancer, such as lack of efforts to find treatment or diagnostic methods in the field, an increasing trend of attributing responsibility of the disease to individuals, and a relative lack of societal attention to the disease.

Should Male Circumcision be Advocated for Genital Cancer Prevention?

Morris, Brian J.,Mindel, Adrian,Tobian, Aaron A.R.,Hankins, Catherine A.,Gray, Ronald H.,Bailey, Robert C.,Bosch, Xavier,Wodak, Alex D. Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.9

The recent policy statement by the Cancer Council of Australia on infant circumcision and cancer prevention and the announcement that the quadrivalent human papillomavirus (HPV) vaccine will be made available for boys in Australia prompted us to provide an assessment of genital cancer prevention. While HPV vaccination of boys should help reduce anal cancer in homosexual men and cervical cancer in women, it will have little or no impact on penile or prostate cancer. Male circumcision can reduce cervical, penile and possibly prostate cancer. Promotion of both HPV vaccination and male circumcision will synergistically maximize genital cancer prevention.

암과 세계화 : 여성건강에 초점을 둔 유럽의 관점

애니 사스코(Annie J. Sasco) 대한여성건강학회 2007 여성건강 Vol.8 No.2

Cancer, often believed to be a disease of the so?called developed world and its aging population, is a universal and very old phenomenon. Moreover, it is not only a human disease. The XXth century has been instrumental in using experimental animals for reliably predicting the role of chemicals and other agents in cancer occurrence as a means to protect human populations. Observational studies of dogs can also be used to evaluate cancer environmental hazards. The current world burden of cancer was estimated for 2002 at 11 million for incidence and close to 7 million for deaths. The current geography of cancers reflect aetiology with tumours linked to biological agents much more frequent in the so?called developing world and life?style and environmentally linked ones more common in the western countries. Yet, patterns are changing. Most cancers are increasing all over the world and the pace is accelerating. These trends are not solely due to increases in population size and ageing, nor to screening but rather reflect true increases in the occurrence of disease. Three domains of risk factors can be distinguished: genetics with rare inherited mutated cancer genes, but also gene polymorphisms and epigenetic factors; life?style variables (tobacco, alcohol, diet, exercise, sexual and reproductive life) responsible for less than half of all cancer cases and finally environmental factors, the role of which is increasingly incriminated and for which the number of them that may be dangerous for humans is suspected to be much larger than what is presently known. Faced with globalization of carcinogenic exposures with the export of hazardous agents to the South which will lead to a world pandemic of cancer, an urgent political action is needed to enforce control of carcinogens through collective means aiming at protecting all people including the most susceptible, relying on the precautionary principle and changing the rules of international trade. In the absence of any international organization effectively fighting for a true preventive approach, efforts have to be made to create and efficiently network centers whose objectives are the identification of environmental hazards closely linked to immediate translation of scientific findings in preventive action all other the world.