J Korean Acad Nurs.  2014 Apr;44(2):139-148. 10.4040/jkan.2014.44.2.139.

A Path Analysis on Factors Influencing Second Primary Cancer Screening Practices in Stomach, Colon, and Breast Cancer Survivors

Affiliations
  • 1Department of Nursing, Dankook University, Cheonan, Korea. hanul96@dankook.ac.kr

Abstract

PURPOSE
This study was conducted to identify the factors influencing second primary cancer (SPC) screening practice by examining the relationships of physical symptoms, knowledge and attitudes regarding SPC screening, perceived risk, primary cancer type, and demographic factors of cancer survivors.
METHODS
Participants were 308 survivors of stomach, colon, or breast cancer recruited from 2 university hospitals in Korea. Data were collected using a questionnaire and analyzed using IBM SPSS 21.0 and AMOS 18.0.
RESULTS
The proportion of participants taking all cancer screenings according to national guidelines was 40%. They had moderate knowledge and a relatively positive attitude regarding SPC screening and high cancer risk perception. The participants had taken fewer SPC screenings after than before cancer diagnosis. The factors influencing cancer risk perception were age, physical symptoms, knowledge regarding SPC and primary cancer type (stomach). The factors influencing SPC screening practice were age, gender, economic status, knowledge regarding SPC screening, and primary cancer types (colon).
CONCLUSION
It is important for clinical professionals to recognize that survivors of cancer are susceptible to another cancer. Education on SPC screening for these survivors should focus on communicating with and encouraging them to have regular cancer screenings.

Keyword

Survivors; Second primary neoplasm; Cancer screening; Signs and symptoms; Risk

MeSH Terms

Age Factors
Aged
Breast Neoplasms/*psychology
Colonic Neoplasms/*psychology
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Neoplasms, Second Primary/*psychology
Perception
Sex Factors
Socioeconomic Factors
Stomach Neoplasms/*psychology
Survivors/*psychology
Time Factors

Figure

  • Figure 1 Conceptual model for practice of second primary cancer screening.

  • Figure 2 Modified path diagram for practice of second primary cancer screening.


Cited by  1 articles

A Comparative Study on the Characteristics of Cancer Patients and Cancer Survivors
So Young Baek, Ja Yun Choi
Asian Oncol Nurs. 2018;18(1):11-20.    doi: 10.5388/aon.2018.18.1.11.


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