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Beliefs and Intentions to Undergo Lung Cancer Screening among Korean Males
Nhung Cam Bui, Yoon Young Lee, Mina Suh, Boyoung Park, Hyunsoon Cho, Yeol Kim, Kui Son Choi
Cancer Res Treat. 2018;50(4):1096-1105.   Published online November 16, 2017
DOI: https://doi.org/10.4143/crt.2017.393
AbstractAbstract PDFPubReaderePub
Purpose
Low-dose computed tomography (LDCT) has been reported as an effective screening method for lung cancer in high-risk populations. We aimed to examine willingness to be screened among Korean males using LDCT and to determine factors associated with lung cancer screening intentions (LCS) based on the Health Belief Model (HBM).
Materials and Methods
Data were obtained from the 2015 Korean National Cancer Screening Survey, a cross-sectional survey that utilized nationally representative random sampling. The survey included 1,730 male participants 40-74-year-old. Respondents were questioned regarding their willingness to undergo LCS and components of HBM. Factors associated with intentions to undergo screening were explored using logistic regression.
Results
Among participants, 65.2% were current smokers. Among high-risk subjects, 60.6% of men reported intentions to undergo LCS, compared to 49.9% of average-risk males. Men with higher perceived susceptibility in the average- and high-risk groups were, respectively, 1.63 (95% confidence interval [CI], 1.39 to 1.91) and 2.30 (95% CI, 1.14 to 4.63) times more likely to intend to undergo LCS compared to those with lower perceived barriers. Also, men in the average- and high-risk groups with higher perceived barriers to screening were, respectively, 0.79 (95% CI, 0.68 to 0.91) and 0.52 (95% CI, 0.29 to 0.92) times less likely to intend to undergo LCS compared to those with lower perceived barriers.
Conclusion
Tailored interventions designed to promote accurate perceptions of susceptibility and risk, as well as to reduce perceived barriers to screening, may effectively increase adherence to recommendations for LCS among high-risk Korean men.

Citations

Citations to this article as recorded by  
  • Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review
    R. Aguiar-Ibáñez, YPV. Mbous, Sugandh Sharma, R. Chakali, E. Chawla
    Frontiers in Oncology.2025;[Epub]     CrossRef
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    Ge-hui Feng, Min Liu, Yun-shan Chen, Yi-fei Wang, Ke-hao Zhao, Mao-ting Huang, Wen-ting Yi, Ling Zhao, Ying Zeng
    BMC Public Health.2025;[Epub]     CrossRef
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    BMJ Open Respiratory Research.2025; 12(1): e003127.     CrossRef
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    Mi-Kyoung Cho, Yoon Hee Cho
    Asia-Pacific Journal of Oncology Nursing.2024; 11(1): 100332.     CrossRef
  • Screening behaviors of high-risk individuals for lung cancer: A cross-sectional study
    Yu-An Lin, Xiujing Lin, Yonglin Li, Fangfang Wang, Rachel Arbing, Weiti Chen, Feifei Huang
    Asia-Pacific Journal of Oncology Nursing.2024; 11(4): 100402.     CrossRef
  • Speed and efficiency: evaluating pulmonary nodule detection with AI-enhanced 3D gradient echo imaging
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    Danielle H Llaneza, Hanjoe Kim, Virmarie Correa-Fernández
    Nicotine & Tobacco Research.2023; 25(1): 66.     CrossRef
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    Olivera Djuric, Paolo Giorgi Rossi, Elena Camelia Ivanciu, Salvatore Cardellicchio, Chiara Cresci, Laura Carozzi, Francesco Pistelli, Valentina Bessi, Patrizia Gai, Valentina Galli, Giacomo Lavacchini, Claudia Bricci, Giuseppe Gorini, Sandra Bosi, Eugenio
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    Healthcare.2023; 11(22): 2934.     CrossRef
  • Cross-Cultural Adaptation of Lung Cancer Screening Health Belief Scale in Chinese Americans: A Methodological Study
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    Lovoria B. Williams, Stephen W. Looney, Thomas Joshua, Amber McCall, Martha S. Tingen
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  • 12,687 View
  • 238 Download
  • 18 Web of Science
  • 15 Crossref
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Stages of Adoption for Fecal Occult Blood Test and Colonoscopy Tests for Colorectal Cancer Screening in Korea
Nhung Cam Bui, Ha Na Cho, Yoon Young Lee, Mina Suh, Boyoung Park, Jae Kwan Jun, Yeol Kim, Kui Son Choi
Cancer Res Treat. 2018;50(2):416-427.   Published online May 10, 2017
DOI: https://doi.org/10.4143/crt.2017.075
AbstractAbstract PDFPubReaderePub
Purpose
While colorectal cancer (CRC) is common in Asian countries, screening for CRC is not. Moreover, CRC screening behaviors in Asian populations remain largely unknown. The present study aimed to investigate the stages of adopting CRC screening in Korea according to screening modality.
Materials and Methods
Data were obtained from the 2014 Korean National Cancer Screening Survey, a cross-sectional survey that utilized nationally representative random sampling to investigate cancer screening rates. A total of 2,066 participants aged 50-74 years were included in this study. Chi-square test and multinomial logistic regressionwere applied to determine stages of adoption for fecal occult blood test (FOBT) and colonoscopy and factors associated with each stage.
Results
Of 1,593 participants included in an analysis of stage of adoption for FOBT, 36% were in action/maintenance stages, while 18%, 40%, and 6% were in precontemplation, contemplation, and relapse/relapse risk stages, respectively. Of 1,371 subjects included in an analysis of stage of adoption for colonoscopy, 48% were in action/maintenance stages, with 21% in precontemplation, 21% in contemplation, and 11% in relapse/relapse risk stages. Multinomial logistic regression highlighted sex, household income, place of residency, family history of cancer, having private cancer insurance, smoking status, alcohol use, and regular exercise as being associated with stages of adoption for FOBT and colonoscopy.
Conclusion
This study outlines the distributions of stages of adoption for CRC screening by screening modality. Interventions to improve screening rates should be tailored to individuals in particular stages of adoption for CRC screening by modality.

Citations

Citations to this article as recorded by  
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    Duygu Onbaşı, Şahadet Kurnaz, Burak Aykın, Gülçin Yapıcı
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    Dae Sung Kim, Jeeyoung Hong, Kihyun Ryu, Sang Hyuk Lee, Hwanhyi Cho, Jehyeong Yu, Jieun Lee, Jong-Yeup Kim
    Journal of Korean Medical Science.2024;[Epub]     CrossRef
  • A new TGF‐β risk score predicts clinical and immune landscape in colorectal cancer patients
    Bing Tang, Binggang Liu, Zhiyao Zeng
    Annals of Gastroenterological Surgery.2024; 8(5): 927.     CrossRef
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    Idris Ola, Rafael Cardoso, Michael Hoffmeister, Hermann Brenner
    eClinicalMedicine.2024; 75: 102783.     CrossRef
  • Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey
    Eunhye Lee, Sung Hoon Jeong, Chung Mo Nam, Jae Kwan Jun, Eun-Cheol Park
    BMC Women's Health.2023;[Epub]     CrossRef
  • Socioeconomic inequality in organized and opportunistic screening for colorectal cancer: results from the Korean National Cancer Screening Survey, 2009-2021
    Xuan Quy Luu, Kyeongmin Lee, Jae Kwan Jun, Mina Suh, Kui Son Choi
    Epidemiology and Health.2023; 45: e2023086.     CrossRef
  • The risk of developing colorectal cancer in individuals aged 50-70 years and behavioral changes in high-risk individuals regarding a fecal occult blood test
    Renginar ÖZTÜRK DÖNMEZ, Süheyla ÖZSOY, Melek ARDAHAN
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    Dongmei Ai, Hongfei Pan, Rongbao Han, Xiaoxin Li, Gang Liu, Li C. Xia
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  • Colonoscopy and Sigmoidoscopy Use among the Average-Risk Population for Colorectal Cancer: A Systematic Review and Trend Analysis
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    Hye Young Shin, Mina Suh, Boyoung Park, Jae Kwan Jun, Kui Son Choi
    BMC Cancer.2017;[Epub]     CrossRef
  • 10,525 View
  • 181 Download
  • 8 Web of Science
  • 11 Crossref
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