Jung SM, Jo HS, Oh HW. Internal Motivation, Perceived Health Competency, and Health Literacy in Primary and Secondary Cancer Prevention.
Asian Pac J Cancer Prev 2016;
17:5127-5132. [PMID:
28122445 PMCID:
PMC5454647 DOI:
10.22034/apjcp.2016.17.12.5127]
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Abstract
Objective: The aim of this study was to identify associations of internal motivation, perceived health competency,
and health literacy with primary and secondary cancer prevention. Methods: A telephone survey was conducted with
a sample of 2,700, 30-69 year olds, proportionally extracted from Gangwon Province, South Korea. The dependent
variables were actions in primary and secondary prevention and the explanatory variables were 13 questions in three
areas: internal motivation (4 items), perceived health competency (4 items), and health literacy (5 items). Result:
Multiple linear regression analysis showed that internal motivation, perceived health competency, and health literacy
positively impacted primary prevention after controlling for gender and age. As internal motivation, perceived health
competency, and perceived literacy increased by 1 point, primary prevention scores increased by 0.11, 0.11, and 0.07
points, respectively. In addition, logistic regression results for secondary prevention showed that health literacy had a
positive impact on secondary behavior. As health literacy increased by 1 point, the odds ratio of the practice of secondary
prevention was 1.4 times higher. Conclusion: This study suggests that primary and secondary prevention of cancer
are significantly related to intrinsic motivation factors, perceived health competency, and actual health literacy. Health
literacy concepts that cover the capacity of health management in comprehensive areas need to be applied to education
and promotion for improvement of primary and secondary prevention of cancer.
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