title: [Factors associated with gastric cancer screening of Koreans based on a socio-ecological model].
abstract: OBJECTIVE
  We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates.
  
  
  METHODS
  A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1--May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels.
  
  
  RESULTS
  Among 985 survey respondents (380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened.
  
  
  CONCLUSIONS
  In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.
authors.affiliation: Health Services Research Center, Hallym University, Korea.
authors.forename: Sang Soo
authors.initials: SS
authors.lastname: Bae
authors.forename: Heui Sug
authors.initials: HS
authors.lastname: Jo
authors.forename: Dong-Hyun
authors.initials: DH
authors.lastname: Kim
authors.forename: Yong-Jun
authors.initials: YJ
authors.lastname: Choi
authors.forename: Hun Jae
authors.initials: HJ
authors.lastname: Lee
authors.forename: Tae Jin
authors.initials: TJ
authors.lastname: Lee
authors.forename: Hye Jean
authors.initials: HJ
authors.lastname: Lee
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007723:Korea / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012944:Social Support; D012959:Socioeconomic Factors; D013274:Stomach Neoplasms / Q000175:diagnosis*