Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2014 Apr;44(2):139-148. Korean.
    Published online Apr 30, 2014.
    https://doi.org/10.4040/jkan.2014.44.2.139
    © 2014 Korean Society of Nursing Science
    Original Article

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

    Young Hee Yang
      • Department of Nursing, Dankook University, Cheonan, Korea.
    • Address reprint requests to: Yang, Young Hee. Department of Nursing, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan 330-714, Korea. Tel: +82-41-550-3881, Fax: +82-41-559-7902, Email: hanul96@dankook.ac.kr
    Received November 08, 2013; Revised November 14, 2013; Accepted February 06, 2014.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

    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.

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

    Figures

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

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

    Tables

    Table 1
    General Characteristics of Participants (N=308)

    Table 2
    Differences in Measured Variables according to Cancer Type (N=308)

    Table 3
    Path Coefficients for Second Primary Cancer Screening Practices

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    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
    Metrics
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