유방암,자궁경부암에 관한 커뮤니케이션 채널과 검진의도에 대한 연구 = Breast and Cervical Cancer Communication Channels and Screening Intention

국문 초록 (Abstract)

이 연구는 유방암과 자궁경부암 예방과 검진의 중요성을 감안해 암 검진의도와 미디어 채널, 사회적 지지원 및 사회인구학적 변인의 관계를 조사했다. 연구결과에 따르면 유방암 및 자궁경부암 검진의도에 미치는 미디어 채널의 영향력은 인터넷, 포스터, 옥외광고의 순서로 컸고 신문, 텔레비전, 라디오(유방암), 텔레비전, 신문, 라디오(자궁경부암) 순서로 유의미하게 영향을 미치는 것으로 나타났다. 유방암 및 자궁경부암 검진의도에 미치는 사회적 지지원의 영향력은 관련기관의 교육, 동료의 권유, 의료인의 권유, 입소문, 가족의 권유의 순서로 나타났다. 이는 성적으로 두드러진 여성암에 대한 공개적 커뮤니케이션이 억압되어있기 때문에 개인화된 미디어 채널인 인터넷, 포스터, 옥외광고에 대한 노출도가 높고 이는 검진의도에도 큰 영향을 줌을 보여준다. 또한 사회적 지지를 제공하는 대인 채널 중에서는 관련기관의 교육의 영향이 가장 컸는데 이는 여성암이라는 주제가 가지는 높은 불확실성과 전문성으로 인해 공식적 기관의 교육이 가장 많은 신뢰와 지지를 받고 있음을 암시한다.

다국어 초록 (Multilingual Abstract)

This research examines the relationship between cancer screening intention on the one hand and media channels, social support sources and sociodemographic variables on the other, focusing on the importance of breast and cervical cancer prevention and screening. Findings suggest that the Internet, poster, and outdoor advertisement are influential in order on the breast and cervical cancer screening intention followed by newspaper, television, and radio(breast cancer)/television, newspaper, and radio(cervical cancer). Regarding social support sources, education by relevant institutions is the most powerful social support source compared to advice from peers in work places, healthcare providers, word-of-mouth, and family members. This result indicates that more private or individualized media channels, such as the Internet and poster, are more influential than traditional mass media channels, due to the suppression of health communication in media channels about sexually salient cancers. Also, education is the most influential source of social support in that the topics of breast and cervical cancers involve a high level of uncertainty and expertise so that people tend to prefer expert`s advice, such as education by government institutions, public health center, and hospital.

참고문헌 (Reference)

1 Williams, S. W., 11 (11): 1221-1226, 2008

2 박용익, "환자중심의 의료 커뮤니케이션" 백산서당 2010

3 부인종양위원회, "한국 부인암 등록 사업 조사 보고서 (2004.1.1 - 2004.12.31)" 대한산부인과학회 50 (50): 28-78, 2007

4 전신현, "질병의 사회심리학" 나남출판 2004

5 정인숙, "자궁경부암조기검진 수검 및 반복수검 관련요인" 한국모자보건학회 8 (8): 185-198, 2004

6 김정효, "일부 여대생의 자궁경부암 지식과 인유두종바이러스 지식 및 감염 예방행위의도에 관한 연구" 한국간호교육학회 15 (15): 225-231, 2009

7 김성원, "유방암의 효과적 예방과 치료를 위한 정책 제안" 한국유방암학회 9 (9): 270-292, 2006

8 조병희, "섹슈얼리티와 위험연구" 나남 2008

9 조동휴, "보건직 여성공무원의 인유두종바이러스 감염에 대한 인식 및 지식조사" 대한산부인과학회 53 (53): 410-415, 2010

10 이영휘, "국내여성과 미국이주 한국여성의 유방암에 대한 건강신념과 유방자가검진 비교" 한국간호과학회 34 (34): 11-314, 2004

11 김미향, "검진유도 간호중재가 검진대상자의 자궁경부암 지식, 건강신념, 자기효능 및 재검진이행율에 미치는 효과" 여성건강간호학회 13 (13): 157-164, 2007

12 Loustaunau, M. O., "건강질병의료의 문화분석" 한울 2004

13 Nettleton, S., "건강과 질병의 사회학" 한울 1997

14 Amankwah, E., "Why many visible minority women in Canada do not participate in cervical cancer screening" 4 : 337-349, 2009

15 WHO, "WHO Cancer Control Programme"

16 Rimer, B. K, "Use of multiple media and breast cancer screening: An introduction" 5 : 113-116, 2000

17 Park, K., "Unwanted effects of risk notification for breast cancer regarding intention toward mammography utilization" 2009

18 Dutta-Bergman, M., "Theory and Practice in Health Communication Campaigns: A Critical Interrogation" 18 (18): 103-122, 2005

19 David, C, "The social diffusion of influence among adolescents: Group interaction in a chat room environment about antidrug advertisements" 16 : 118-140, 2006

20 Mackenzie, R., "The newsworthiness of cancer in Australian television news" 189 (189): 155-158, 2008

21 Thompson, S., "The mental health status of Filipinas in Queensland" 36 : 674-680, 2000

22 Wong, D. F. K., "The functions of social support in the mental health of male and female migrant workers in China" 33 : 275-285, 2008

23 Sun, A., "The effectiveness in utilizing Chinese media to promote breast health among Chinese women" 12 : 157-171, 2007

24 Daniel, R., "The development of a local cancer awareness communications campaign" 1 : 408-421, 2008

25 Yeh, C. J., "The cultural adjustment and mental health of Japanese immigrant youth" 38 (38): 81-500, 2003

26 박은철, "TV공익광고가 일반인의 암검진 신념과 의도에 미치는 영향" 사단법인 대한보건협회 34 (34): 54-67, 2008

27 Yang, J., "Self-efficacy, social support, and coping strategies of adolescent earthquake survivors in China" 38 (38): 1219-1228, 2010

28 Viswanath, K., "Reflections on community health campaigns: Secular trends and the capacity to effect change, in Public Health Communication" Lawrence Erlbaum Associates, Inc 289-313, 2002

29 Ryu, E., "Predictors of mammography uptake in Korean women aged 40 years and over" BLACKWELL PUBLISHING 64 (64): 168-175, 2008

30 Cohen, S., "Positive events and social supports and buffers of life change stress" 13 : 99-125, 1983

31 Campo, S., "Placing the burden on the individual: Overweight and obesity in African American and mainstream women’s magazines" 22 : 229-240, 2007

32 Slater, M. D., "News coverage of cancer in the United States: A national sample of newspapers, television, and magazines" 13 : 523-537, 2008

33 Randolph, W., "Lessons Learned From Public Health Mass Media Campaigns: Marketing Health in Crowded Media World" 25 : 419-437, 2004

34 Talosig-Garcia, M., "Information-seeking behavior of minority breast cancer patients: An exploratory study" 10 : 53-64, 2005

35 Oetzel, J., "Hispanic women’s preferences for breast health information: Subjective cultural influences on source, message, and channel" 21 : 223-233, 2007

36 Len-Rios, M. E., "Health news agenda building: Journalists’ perceptions of the role of public relations" 86 (86): 315-331, 2009

37 Schiavo, R., "Health Communication: From theory to practice" Jossey-Bass 2007

38 Parkin, D. M., "Global cancer statistics, 2002" 55 : 74-108, 2005

39 Abdullah, A. M., "Factors associated with the use of breast and cervical screening services among Chinese women in Hong Kong" 115 : 212-217, 2001

40 Stephens, K. K., "Expanding the reach of health campaigns: Community organizations as meta-channels for the dissemination of health information" 9 : 97-111, 2004

41 Kobayashi, K. M., "Ethnic differences in self-rated and functional health: Doese immigrant status matter" 13 : 129-147, 2008

42 Papadopoulos, I., "Ethiopian refugees in the UK: Migrantion, adaptation and settlement experiences and their relevance to health" 1 : 55-73, 2004

43 김영복, "Effects of healthcare access and healthcare provider status on recommendation for Pap test among Korean American women in Alameda and Santa Clara Counties, California" 한국보건교육건강증진학회 25 (25): 79-93, 2008

44 Yanovitzky, I., "Effect of media coverage and physician adviceon utilization of breast cancer screening by women 40 years and older" 5 : 117-134, 2000

45 Lee, H., "Do cultural factors predict mammography behaviour among Korean immigrants in the USA?" WILEY-BLACKWELL PUBLISHING 65 (65): 2574-2584, 200912

46 Forman, W., "Developmental changes in children and adolescents perception of their social network" Univ. of Denver 1987

47 Snyder, L. B., "Development communication campaigns, in Handbook of international and intercultural communication" Sage 457-478, 2002

48 Kline, K. N., "Cultural sensitivity and health promotion: Assessing breast cancer education pamphlets designed for African American women" 21 : 85-96, 2007

49 Brunton, M., "Communicating screening mammography in New Zealand: Revealing dialogues of duty and distress" 5 : 1-16, 2004

50 Viswanath, K., "Cancer knowledge and disparities in the Information Age" 11 : 1-17, 2006

51 Parker, P.A., "Breast cancer: Unique communication challenges and strategies to address them" 15 : 69-75, 2009

52 Lee, S, M., "Breast cancer risk factors in Korean women: a literature review" BLACKWELL PUBLISHING 55 : 355-359, 2008

53 Marks, J. P., "A culturally competent approach to cancer news and education in an inner city community: Focus group findings" 9 : 143-157, 2004