Journal List > J Korean Acad Nurs > v.44(2) > 1002975

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



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.


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.


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).


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.

Figures and Tables

Figure 1
Conceptual model for practice of second primary cancer screening.
Figure 2
Modified path diagram for practice of second primary cancer screening.
Table 1
General Characteristics of Participants (N=308)

SPC=Second primary cancer.

Table 2
Differences in Measured Variables according to Cancer Type (N=308)
Table 3
Path Coefficients for Second Primary Cancer Screening Practices

*Dummy variables: Breast cancer is a reference value; Dummy variable: Male is a reference value; CR=Critical ratio; SMC=Squared multiple correlations.


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