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Women's Cancer Screening According to Body Mass Index in a Cohort of Rural Korean Women
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Bo Hwan Kim, Sang Baek Koh, Hea Kung Hur, Jong-Ku Park, So Mi Park
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J Korean Acad Nurs 2009;39(5):641-650. Published online October 31, 2009
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DOI: https://doi.org/10.4040/jkan.2009.39.5.641
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 Abstract
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Purpose
This study was done to examine the difference in cancer screening with mammography and Papanicolaou smear according to Body Mass Index (BMI).
Methods
The participants in this study were 5,912 women ages 40 to 69 yr, selected from the Korean Genomic Regional Cohort in Kangwon province. Mammography and Papanicolaou smear were assessed by questionnaire and body weight (kg) and height (m) measured to calculate BMI.
Results
The distribution of BMI was as follows: low weight (1.5%), normal weight (31.1%), over weight (24.6%), mildly obese (36.4%) and severely obese (6.3%). After adjusting for age, education and monthly income, compared with normal weight women, overweight women (odds ratio [OR]=1.283, 95% confidence interval [CI]=1.089-1.513) and mildly obese women (OR=1.214, 95% CI=1.048-1.406) were less likely to have had mammography. In contrast to mammography, cancer screening with Papanicolaou smear was not significantly different by BMI.
Conclusion
Obese women in rural areas are less likely to screen for breast cancer by using mammography than non obese women. To ensure regular screening for breast cancer, health care providers need to give scrupulous care to obese women and remove barriers originated from obesity. Also, educational and clinical implications are considered to increase the Papanicolaou smear rate.
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Citations
Citations to this article as recorded by  - Determinants of breast cancer screening uptake in Kurdishwomen of Iran
Nayyereh Aminisani, Rojin Fattahpor, Saeed Dastgiri, Mohamad Asghari Jafarabadi, Hamid Allahverdipour
Health Promotion Perspectives.2016; 6(1): 42. CrossRef - Lifestyle and health-related predictors of cervical cancer screening attendance in a Swiss population-based study
Aline Richard, Sabine Rohrmann, Seraina M. Schmid, Brigitte Frey Tirri, Dorothy J. Huang, Uwe Güth, Monika Eichholzer
Cancer Epidemiology.2015; 39(6): 870. CrossRef - Evaluation of Diet Quality according to Self-Rated Health Status of Korean Middle-Aged Women -Based on 2008~2009 Korean National Health and Nutrition Examination Survey-
Hye-Jin Lee, Kyung-Hea Lee
Journal of the Korean Society of Food Science and Nutrition.2013; 42(9): 1395. CrossRef - Factors Associated with Mammography Adherence among Married Chinese Women in Yanbian, China
Moonhee Gang, Jong Im Kim, Kyong Ok Oh, Chun Yu Li, Youngshin Song
Asian Pacific Journal of Cancer Prevention.2013; 14(12): 7207. CrossRef - Effects of Tailored Message Education About Breast Cancer Risk Appraisal for Obese Korean Women
SoMi Park, ChaeWeon Chung, Barbara B. Cochrane
Oncology Nursing Forum.2013; 40(6): E382. CrossRef - Comparison of Breast Cancer Risk Estimations, Risk Perception, and Screening Behaviors in Obese Rural Korean Women
SoMi Park, Barbara B. Cochrane, Sang Baek Koh, ChaeWeon Chung
Oncology Nursing Forum.2011; 38(6): E394. CrossRef - Use of mammography, Pap test and prostate examination by body mass index during the developmental period of cancer screening in Estonia
M. Tekkel, T. Veideman, M. Rahu
Public Health.2011; 125(10): 697. CrossRef
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The Effects of Psychosocial Interventions to Improve Stress and Coping in Patients with Breast Cancer
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Cho Ja Kim, Hea Kung Hur, Duck Hee Kang, Bo Hwan Kim
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Journal of Korean Academy of Nursing 2006;36(1):169-178. Published online February 28, 2006
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DOI: https://doi.org/10.4040/jkan.2006.36.1.169
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Abstract
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Purpose
The purpose of this study was to examine stress, coping, and immune response effects of a psychosocial intervention program based on the PNI model and Stress-Appraisal-Coping for Korean patients with breast cancer.
Methods
A nonequivalent control group pretest-posttest design was used. The participants who had survived breast cancer and lived in Wonju city and the surrounding area were assigned to an intervention group (N=21) or a control group(N=18).We conducted a 12-week intervention, 2 hours a day weekly, and measured the variables at baseline, six and twelve weeks later. Dependent variables are: stress, anxiety-depression and anger, and immune response.
Results
Patients in the psychosocial intervention program reported significantly less stress perception (U=31.500, p=.023), more problem solving ability and less problem avoidance in coping (U=20.500, p= .013; U=29.500, p=.040), and less anxiety-depression (U=22.000, p=.023). No difference, however, was found in anger and immune responses between the two groups. Intervention effects were evident at week 6 and 12 for anxiety-depression, and at week 6 for problem avoidance in coping, the same time that NK cell counts and the T8 decreased.
Conclusions
These results suggested positive effects of a psychosocial intervention program. However, the results are inconclusive due to the small sample.
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Citations
Citations to this article as recorded by - Effects of a Medication Adherence Promotion Program in Breast Cancer Patients under Adjuvant Hormonal Therapy
Seung Hee Yu, Jeong Hee Kang
Korean Journal of Adult Nursing.2020; 32(3): 223. CrossRef - Effects of Telephone Counseling Support on Distress, Anxiety, Depression, and Adverse Events in Cancer Patients Receiving Chemotherapy
Oh Nam Ok, Min Sun Nam, Mi Sun Yi, Seon Mi Cho, Eun Ji Kim, Yun Hee Ham, In Gak Kwon
Asian Oncology Nursing.2017; 17(1): 37. CrossRef - Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis
Pok Ja Oh, Eun-su Jang
Journal of Korean Academy of Nursing.2014; 44(4): 446. CrossRef - Effects of BeHaS Exercise Program on Flexibility, Grip Strength, Stress and Self-esteem in Breast Cancer Survivors
Sun Young Park, Jong Im Kim
Journal of muscle and joint health.2013; 20(3): 171. CrossRef - Effects of Aromatherapy on Depression, Anxiety and the Autonomic Nervous System in Breast Cancer Patients Undergoing Adjuvant Radiotherapy
Sun Hee Yun, Jung Hee Cha, Yang Sook Yoo, Yeong In Kim, Su Mi Chung, Hea Lim Jeong
The Korean Journal of Hospice and Palliative Care.2012; 15(2): 68. CrossRef - The Effects of a Comprehensive Education Program on Knowledge, Self-Efficacy, and Coping Style among Newly Diagnosed Patients with Breast Cancer
Keon Suk Lee, Ran Lee, Dong Mi Kim, Soo Hyun Kim
Asian Oncology Nursing.2012; 12(1): 35. CrossRef - Development and Evaluation of the Psychosocial Distress Nursing Intervention for Patients with Gynecological Cancer
Jeong-Sook Park, Yun-Jung Oh
Korean Journal of Adult Nursing.2012; 24(3): 219. CrossRef - Effects of Foot Massage and Supportive Communication by Hospice Volunteers on Depression, Anxiety, and Mood of Cancer Patients Who Undergo Intravenous Chemotherapy at Out-patient Department
Hea Kung Hur, Hee Young Song
The Korean Journal of Hospice and Palliative Care.2010; 13(4): 232. CrossRef - Effects of a Brief Psychosocial Intervention in Patients With Cancer Receiving Adjuvant Therapy
Pok Ja Oh, Soo Hyun Kim
Oncology Nursing Forum.2010; 37(2): E98. CrossRef - The Experiences of Prayer in Christian Patients with Breast Cancer
Won Hee Lee, Ji Hyun Sung, Jung Eun Lee, Kyung Ah Kang
Journal of Korean Oncology Nursing.2010; 10(2): 199. CrossRef - Symptom Experience and Quality of Life in Breast Cancer Survivors
Jin Hee Park, Eun-Young Jun, Mi-Young Kang, Yong-Sik Joung, Gu-Sang Kim
Journal of Korean Academy of Nursing.2009; 39(5): 613. CrossRef
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Developing and Testing the Effects of a Psychosocial Intervention on Stress Response and Coping in Korean Breast Cancer Survivors: A Pilot Study
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Cho Ja Kim, Hea Kung Hur, Duck Hee Kang, Bo Hwan Kim
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Journal of Korean Academy of Nursing 2004;34(6):1069-1080. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.6.1069
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Abstract
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Purpose
The purpose of this study was to develop a socioculturally-appropriate psychosocial intervention program for Korean patients with breast cancer and test its effects on stress, anxiety, depression, and coping strategies.
Methods
One group pretest and posttest design was used to test the effects of the intervention. A post-intervention interview was conducted to refine the nature of the intervention. A convenience sample of 10 breast cancer survivors was recruited from the outpatients clinics. Psychosocial intervention was developed to provide the health education, stress management, coping skill training and support weekly(90min) for 6 weeks.
Results
There was a significant decrease in stress scores following the intervention(Z= -2.388, p=0.017). However, no significant changes were noted in the use of problem-focused and emotion-focused coping strategies, nor in the changes of anxiety and depression levels. Content analysis of interview data revealed six clusters; changes in perception, changes in problem solving approaches, changes in anger management, changes in life pattern, social support and reduction of perceived stress.
Conclusion
Based on quantitative and qualitative data, we recommend the refinements of the intervention in the following areas for future studies: 1) duration, activities, and progression of psychosocial intervention; 2) research design and sample size; and 3) measurements.
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Citations
Citations to this article as recorded by - Effects of BeHaS Exercise Program on Flexibility, Grip Strength, Stress and Self-esteem in Breast Cancer Survivors
Sun Young Park, Jong Im Kim
Journal of muscle and joint health.2013; 20(3): 171. CrossRef
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