Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors

Authors

  • Dong Wook Shin MD, MBA,

    1. Department of Family Medicine, Seoul National University Hospital, Seoul, Republic of Korea
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  • Young-Woo Kim MD, PhD,

    1. Center for Gastric Cancer, Research Institute & Hospital, National Cancer Center, Goyang, Republic of Korea
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  • Jae Hwan Oh MD, PhD,

    1. Center for Colorectal Cancer, Research Institute & Hospital, National Cancer Center, Goyang, Republic of Korea
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  • Seok Won Kim MD, PhD,

    1. Center for Breast Cancer, Research Institute & Hospital, National Cancer Center, Goyang, Republic of Korea
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  • Ki-Wook Chung MD, PhD,

    1. Center for Thyroid Cancer, Research Institute & Hospital, National Cancer Center, Goyang, Republic of Korea
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  • Woo Yong Lee MD, PhD,

    1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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  • Jeong Eon Lee MD, PhD,

    1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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  • Won Chul Lee MD, PhD,

    1. Department of Preventive, Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
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  • Eliseo Guallar MD, DrPH,

    1. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
    2. Department of Medicine, Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, Maryland
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  • Juhee Cho MA, PhD

    Corresponding author
    1. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
    2. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
    3. Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
    • Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Republic of Korea
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    • Fax: (011) 82 2 3410 6639


Abstract

BACKGROUND:

Knowledge, attitudes, and risk perception in relation to second primary cancer (SPC) screening and their impact on screening practices in cancer survivors are largely unknown.

METHODS:

A total of 326 cancer survivors who had completed primary treatment for cancer >1 year previously were recruited from 6 oncology care outpatient clinics in the Republic of Korea. Survivors' knowledge, attitudes, perceived risk, and screening practices were assessed along with sociodemographic, behavioral, and clinical characteristics. Multivariate logistic regression was used to examine behavioral factors associated with the completion of all appropriate SPC screening according to national guidelines.

RESULTS:

Approximately 37.7% of survivors had undergone all appropriate SPC screening tests. Survivors were found to have a high perceived risk of SPC, high perceived benefits of screening, and positive attitudes toward cancer screening. However, they had limited knowledge regarding SPC screening tests and few had received a recommendation from a physician to undergo SPC screening. Although there was no association found between perceived risk and positive attitudes with screening behavior, higher knowledge was noted to be significantly associated with the completion of all appropriate SPC screening (adjusted odds ratio, 1.81; 95% confidence interval, 1.03-3.33).

CONCLUSIONS:

In the current study, cancer survivors were found to have limited knowledge regarding second cancer screening tests, which may have resulted in lower rates of completion of screening practices in this population. Cancer 2011. © 2011 American Cancer Society.

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