[Factors associated with gastric cancer screening of Koreans based on a socio-ecological model].
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.
Bae
Sang Soo
SS
Health Services Research Center, Hallym University, Korea.
Jo
Heui Sug
HS
Kim
Dong-Hyun
DH
Choi
Yong-Jun
YJ
Lee
Hun Jae
HJ
Lee
Tae Jin
TJ
Lee
Hye Jean
HJ
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*