TURKISH JOURNAL OF ONCOLOGY 2019 , Vol 34 , Num 3
Early Cancer Detection/Screening Behaviors of Individuals Aged 40 Years and Over in Trabzon and the Influencing Factors
Havva KARADENİZ1,Fevziye ÇETİNKAYA2
1Department of Public Health Nursing, Karadeniz Technical University, Faculty of Health Sciences, Trabzon-Turkey
2Department of Public Health, Erciyes University Faculty of Medicine, Kayseri-Turkey
DOI : 10.5505/tjo.2019.1885 OBJECTIVE
The aim of this study was to determine early cancer detection/screening behaviors of individuals and the influencing factors.

METHODS
This descriptive study was conducted in the center of Trabzon, Turkey. The study population comprised a total of 105.071 individuals aged ?40 years living in the city center, and the sample size was determined as 1.200. To collect the data, a questionnaire form was used, and a chi-squared test and logistic regression were used to evaluate them.

RESULTS
The mean age of participants was 54.90±11.16 years. A total of 16.1% had a fecal occult blood test (FOBT), and 15.2% underwent colonoscopy. A total of 45.3% of women had a breast self-examination (BSE), 22.7% had clinical breast examination (CBE), 14.3% had mammography, 29.2% had a Pap smear, and 15.8% of men had a prostate-specific antigen (PSA) test. The effective variables on screening behaviors were found as the age, education level, health insurance, cancer history in first-degree relatives for BSE; income, monthly income, first-degree death from cancer for CBE; health assurance, first-degree relative death from cancer for mammography; age, cancer history in first-degree relatives for the Pap smear test; age, gender, income for FOBT; age, income, the place where the individuals lived the longest, first-degree relative death from cancer for colonoscopy; and cancer history in first-degree relatives and first-degree relative death from cancer for PSA.

CONCLUSION
The participants were determined to have low screening tests/examinations. It is thought that the results of this study may provide important clues in the development of strategies to fight cancer in our city. Keywords : Behavior; cancer; early detection; screening; Trabzon