title: Relationship between Cancer Worry and Stages of Adoption for Breast Cancer Screening among Korean Women.
abstract: BACKGROUND
  The possibility of developing breast cancer is a concern for all women; however, few studies have examined the relationship between cancer worry and the stages of adoption for breast cancer screening in Korea. Here, we investigated the associations between cancer worry, the stages of adopting breast cancer screening, and socio-demographic factors known to influence screening behaviors.
  
  
  METHODS
  This study was based on the 2013 Korean National Cancer Screening Survey, an annual cross-sectional survey that utilized nationally representative random sampling to investigate cancer screening rates. Data were analyzed from 1,773 randomly selected women aged 40-74 years. Chi-squared tests and multinomial logistic analyses were conducted to determine the associations between cancer worry and the stages of adoption for breast cancer screening and to outline the factors associated with each stage.
  
  
  RESULTS
  Korean women were classified into the following stages of adoption for breast cancer screening: pre-contemplation (24.7%), contemplation (13.0%), action/maintenance (50.8%), relapse risk (8.9%), and relapse (2.6%). Women in the action/maintenance stages reported more moderate to higher levels of worry about getting cancer than those in the pre-contemplation stage. Further, age of 40-49 years and having private cancer insurance were associated with women in the action/maintenance stages.
  
  
  CONCLUSIONS
  Interventions to address breast cancer worry may play an important role in increasing participation and equity in breast cancer screening.
authors.affiliation: Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Gyeonggi-do, Republic of Korea.
authors.forename: Eunji
authors.initials: E
authors.lastname: Choi
authors.affiliation: National Cancer Control Institute, National Cancer Center, Goyang, Gyeonggi-do, Korea.
authors.forename: Yoon Young
authors.initials: YY
authors.lastname: Lee
authors.affiliation: National Cancer Control Institute, National Cancer Center, Goyang, Gyeonggi-do, Korea.
authors.forename: Hyo Joong
authors.initials: HJ
authors.lastname: Yoon
authors.affiliation: Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Gyeonggi-do, Republic of Korea.
authors.forename: Sangeun
authors.initials: S
authors.lastname: Lee
authors.affiliation: National Cancer Control Institute, National Cancer Center, Goyang, Gyeonggi-do, Korea.
authors.forename: Mina
authors.initials: M
authors.lastname: Suh
authors.affiliation: National Cancer Control Institute, National Cancer Center, Goyang, Gyeonggi-do, Korea.
authors.forename: Boyoung
authors.initials: B
authors.lastname: Park
authors.affiliation: Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Gyeonggi-do, Republic of Korea; National Cancer Control Institute, National Cancer Center, Goyang, Gyeonggi-do, Korea.
authors.forename: Jae Kwan
authors.initials: JK
authors.lastname: Jun
authors.affiliation: National Cancer Control Institute, National Cancer Center, Goyang, Gyeonggi-do, Korea.
authors.forename: Yeol
authors.initials: Y
authors.lastname: Kim
authors.affiliation: Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Gyeonggi-do, Republic of Korea; National Cancer Control Institute, National Cancer Center, Goyang, Gyeonggi-do, Korea.
authors.forename: Kui Son
authors.initials: KS
authors.lastname: Choi
mesh_terms: D001007:Anxiety / Q000523:psychology*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology*; D003710:Demography; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D056910:Republic of Korea