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Ha, Youn, Lee, and Lee: Factors Influencing the Health Examination in Unmarried Women
Original Article

Korean Journal of Women Health Nursing 2014; 20(1): 92-104.

Published online: 31 March 2014

DOI: https://doi.org/10.4069/kjwhn.2014.20.1.92

Factors Influencing the Health Examination in Unmarried Women

Ju Young Ha1, Ji Hyang Youn2, Yeong Suk Lee2, Hyun Jung Lee2

1College of Nursing, Pusan National University, Yangsan, Korea.

2Graduate School, College of Nursing, Pusan National University, Yangsan, Korea.

Corresponding author: Youn, Ji Hyang. Graduate School, College of Nursing, Pusan National University, 49 Busandaehak-ro, Mulgeum-eup, Yangsan 626-870, Korea. Tel: +82-10-3615-2577, Fax: +82-51-510-8308, jhunicorn@nate.com

Received 4 February 2014       Revised 11 March 2014       Accepted 13 March 2014

© 2014 Korean Society of Women Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was to investigate factors that influence health examination for unmarried women.

Methods

A correlation study was carried out with 144 unmarried women with an age range of 35~49 years through self-administered questionnaires. This questionnaire included Health Belief Model modifying factors (demographic · sociological, structural, and cues to action variables). Data were analyzed using descriptive statistics, χ2-test, multiple logistic regression.

Results

The mean age of participants was 37.2±2.67 years. Rates for breast cancer, cervical cancer and comprehensive health examination were each 34.7%, 38.2% and 94%. In multiple logistic regression analysis, influencing factors on physical examination were age(OR=0.06, 95% CI: 0.02~0.26), personal medical insurance (OR=6.30, 95% CI: 1.60~24.82), housemate (OR=7.63, 95% CI: 2.58~22.52), exercise (OR=3.72, 95% CI: 1.37~10.12) in breast cancer examination, and age (OR=0.08, 95% CI: 0.02~0.34; OR=0.07, 95% CI: 0.01~0.85), personal medical insurance (OR=14.17, 95% CI: 2.94~68.23), sexual experiences (OR=3.38, 95% CI: 1.28~8.91), drinking (OR=2.92, 95% CI: 1.14~7.49) in cervical cancer examination.

Conclusion

The results emphasize the necessity of preparing nursing education and intervention in consideration of associated factors which influence on the health examination in unmarried women.

Keywords: Early detection of cancer, Single person, Women

Figures and Tables

Table 1
Variables of Demographic · Sociological, Structural, and Cues to Action (N=144)
kjwhn-20-92-i001

†Temporary layoff, unemployed;‡Multiple response.

Table 2
Differences in Variables of Demographic · Sociological, Structural, and Cues to Action between Comprehensive Health Screening and Non Screening Group (N=144)
kjwhn-20-92-i002

†Temporary layoff, unemployed.

Table 3
Differences in Variables of Demographic · Sociological, Structural, and Cues to Action between Breast Cancer Screening and Non Screening Group (N=144)
kjwhn-20-92-i003

†Temporary layoff, unemployed.

Table 4
Differences in Variables of Demographic · Sociological, Structural, and Cues to Action between Cervical Cancer Screening and Non Screening Group (N=144)
kjwhn-20-92-i004

†Temporary layoff, unemployed.

Table 5
Influence Factors Related to Breast Cancer and Cervical Cancer Screening (N=144)
kjwhn-20-92-i005

Summary Statement

▪ What is already known about this topic?
Unmarried women's health examination rate is low and unmarried women exposed to higher morbidity of genital disease.
▪ What this paper adds?
Unmarried women over the age of 35 of breast cancer(34.7%) and cervical cancer(38.2%) screening rates were lower than half when compared to developed countries. In addition, the influence factors of breast cancer and cervical cancer screening presented a difference.
▪ Implications for practice, education and/or policy
Based on influencing factors in this study, the country's policy support and environmental support must be preceded and nursing intervention and education should be established.

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