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Factors Associated with Organized and Opportunistic Cancer Screening: Results of the Korea National Health and Nutrition Examination Survey (KNHANES) 2007-2011

  • Kang, Minsun (Department of Public Health, Graduate School, Yonsei University) ;
  • Yoo, Ki-Bong (Department of Public Health, Graduate School, Yonsei University) ;
  • Park, Eun-Cheol (Institute of Health Services Research, Yonsei University) ;
  • Kwon, Kisung (Department of Physical Education, Seoul National University) ;
  • Kim, Gaeun (College of Nursing, Keimyung University) ;
  • Kim, Doo Ree (College of Nursing, Yonsei University) ;
  • Kwon, Jeoung A (Department of Public Health, Graduate School, Yonsei University)
  • Published : 2014.04.01

Abstract

Background: Cancer is one of the leading causes of death in Korea. To reduce cancer incidence, the Korean National Cancer Center (KNCC) has been expanding its organized cancer screening program. In addition, there are opportunistic screening programs that can be chosen by individuals or their healthcare providers. The purpose of this study was to investigate factors associated with participation in organized and opportunistic cancer screening programs, with a particular focus on socioeconomic factors. Materials and Methods: We used data from the Korea National Health and Nutrition Examination Survey (KNHANES), a cross-sectional nationwide study conducted by the Korean Ministry of Health and Welfare from 2007 to 2011. The study included information from 9,708 men and 12,739 women aged 19 years or over. Multinomial logistic regression analysis was conducted, adjusting for age, year of data collection, residential region, current smoking status, current alcohol consumption status, exercise, marriage status, job status, perceived health status, stress level, BMI, limitation of activities, cancer history, health insurance type, and private insurance status, to investigate the association between education level, economic status, and cancer screening participation. Results: In terms of education level, disparities in attendance were observed only for the opportunistic screening program. In contrast, there was no association between education level and participation in organized screening. In terms of economic status, disparities in opportunistic screening participation were observed at all income levels, but disparities in organized screening participation were observed only at the highest income level. Conclusions: Our findings reveal that socioeconomic factors, including educational level and economic status, were not significantly associated with participation in organized cancer screening, except at the highest level of income.

Keywords

Socioeconomic position;education levels;cancer screening;organized;opportunistic

References

  1. Yang HK, Shin DW, Hwang SS, et al (2013). Regional factors associated with participation in the national health screening program: a multilevel analysis using national data. J Korean Med Sci, 28, 348-56. https://doi.org/10.3346/jkms.2013.28.3.348
  2. Shim JI, Kim Y, Han MA, et al (2010). Results of colorectal cancer screening of the national cancer screening program in Korea, 2008. Cancer Res Treat, 42, 191-8. https://doi.org/10.4143/crt.2010.42.4.191
  3. Ronco G, Segnan N, Giordano L, et al (1997). Interaction of spontaneous and organised screening for cervical cancer in Turin, Italy. Eur J Cancer, 33, 1262-7. https://doi.org/10.1016/S0959-8049(97)00076-2
  4. Ronco G, Segnan N, Ponti A (1991). Who has Pap tests? Variables associated with the use of Pap tests in absence of screening programmes. Int J Epidemiol, 20, 349-53. https://doi.org/10.1093/ije/20.2.349
  5. Shaw M, G.B., Lawlor DA, Lynch J, et al (2007). The Handbook of Inequality and Socioeconomic Position: Concepts and Measures. The Policy Press, Bristol, UK.
  6. Spadea T, Bellini S, Kunst A, et al (2010). The impact of interventions to improve attendance in female cancer screening among lower socioeconomic groups: a review. Prev Med, 50, 159-64. https://doi.org/10.1016/j.ypmed.2010.01.007
  7. Statistics Korea (2011), Cause of death Statistics.
  8. Suh M, Choi KS, Lee YY, Park B, Jun JK (2013). Cancer screening in Korea, 2012: results from the Korean National Cancer Screening Survey. Asian Pac J Cancer Prev, 14, 6459-63. https://doi.org/10.7314/APJCP.2013.14.11.6459
  9. Swan J, Breen N, Coates RJ, et al (2003). Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer, 97, 1528-40. https://doi.org/10.1002/cncr.11208
  10. Lee KS, Oh DK, Han MA, et al (2008). Gastric cancer screening in Korea: report on the national cancer screening program in 2008. Cancer Res Treat, 43, 83-8. https://doi.org/10.4143/crt.2011.43.2.83
  11. Kwon S (2009). Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage. Health Policy Plan, 24, 63-71.
  12. Lee EH, Han MA, Lee HY, et al (2010). Liver cancer screening in Korea: a report on the 2008 National Cancer Screening Programme. Asian Pac J Cancer Prev, 11, 1305-10.
  13. Lee HY, Park EC, Jun JK, et al (2010). Trends in socioeconomic disparities in organized and opportunistic gastric cancer screening in Korea (2005-2009). Cancer Epidemiol Biomarkers Prev, 19, 1919-26. https://doi.org/10.1158/1055-9965.EPI-09-1308
  14. Lim SM, Lee HY, Choi KS, et al (2010). Trends of mammography use in a national breast cancer screening program, 2004-2008. Cancer Res Treat, 42, 199-202. https://doi.org/10.4143/crt.2010.42.4.199
  15. Link BG, Northridge ME, Phelan JC, et al (1998). Social epidemiology and the fundamental cause concept: on the structuring of effective cancer screens by socioeconomic status. Milbank Q, 76, 375-402. https://doi.org/10.1111/1468-0009.00096
  16. Miles A, Cockburn J, Smith RA, et al (2004). A perspective from countries using organized screening programs. Cancer, 101, 1201-13. https://doi.org/10.1002/cncr.20505
  17. Nelson DE, Bolen J, Marcus S, et al (2003). Cancer screening estimates for U.S. metropolitan areas. Am J Prev Med, 24, 301-9. https://doi.org/10.1016/S0749-3797(03)00024-2
  18. Park B, Choi KS, Lee YY, et al (2012). Trends in cancer screening rates among Korean men and women: results from the Korean National Cancer Screening Survey (KNCSS), 2004-2011. Cancer Res Treat, 44, 113-20. https://doi.org/10.4143/crt.2012.44.2.113
  19. Park B, Lee HY, Choi KS, et al (2011). Cancer screening in Korea, 2010: results from the Korean National Cancer Screening Survey. Asian Pac J Cancer Prev, 12, 2123-8.
  20. Hahm MI, Park EC, Choi KS, et al (2010). Inequalities in adoption of cancer screening from a diffusion of innovation perspective: identification of late adopters. Cancer Epidemiol, 35, 90-6.
  21. Cullati S, Charvet-Brard AI, Perneger TV (2009). Cancer screening in a middle-aged general population: factors associated with practices and attitudes. BMC Public Health, 29, 118.
  22. Demark-Wahnefried W, Strigo T, Catoe K, et al (1995). Knowledge, beliefs, and prior screening behavior among blacks and whites reporting for prostate cancer screening. Urology, 46, 346-51. https://doi.org/10.1016/S0090-4295(99)80218-0
  23. Gwede CK, William CM, Thomas KB, et al (2010). Exploring disparities and variability in perceptions and self-reported colorectal cancer screening among three ethnic subgroups of U. S. Blacks. Oncol Nurs Forum, 37, 581-591. https://doi.org/10.1188/10.ONF.581-591
  24. Hansen BT, Hukkelberg SS, Haldorsen T, et al (2011). Factors associated with non-attendance, opportunistic attendance and reminded attendance to cervical screening in an organized screening program: a cross-sectional study of 12,058 Norwegian women. BMC Public Health, 26, 264.
  25. Jun JK, Choi KS, Jung KW, et al (2009). Effectiveness of an organized cervical cancer screening program in Korea: results from a cohort study. Int J Cancer, 124, 188-93. https://doi.org/10.1002/ijc.23841
  26. Jung KW, Park S, Kong HJ, et al (2012). Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2009. Cancer Res Treat, 44, 11-24. https://doi.org/10.4143/crt.2012.44.1.11
  27. Kang MH, Park EC, Choi KS, et al (2013). The National Cancer Screening Program for breast cancer in the Republic of Korea: is it cost-effective? Asian Pac J Cancer Prev, 14, 2059-65. https://doi.org/10.7314/APJCP.2013.14.3.2059
  28. Korea Centers for Disease Control and Prevention (2012). The Fifth Korea National Health and Nutrition Examination Survey guideline (KNHANES V).
  29. Borras JM, Guillen M, Sanchez V, et al (1999). Educational level, voluntary private health insurance and opportunistic cancer screening among women in Catalonia (Spain). Eur J Cancer Prev, 8, 427-34. https://doi.org/10.1097/00008469-199910000-00008
  30. Chamot E, Charvet AI, Perneger TV (2007). Who gets screened, and where: a comparison of organised and opportunistic mammography screening in Geneva, Switzerland. Eur J Cancer, 43, 576-84. https://doi.org/10.1016/j.ejca.2006.10.017
  31. Cho J, Guallar E, Hsu YJ, et al (2010). A comparison of cancer screening practices in cancer survivors and in the general population: the Korean national health and nutrition examination survey (KNHANES) 2001-2007. Cancer Causes Control, 21, 2203-12. https://doi.org/10.1007/s10552-010-9640-4
  32. Choi KS, Jun JK, Lee HY, et al (2010). Increasing uptake of colorectal cancer screening in Korea: a population-based study. BMC Public Health, 21, 265.
  33. Choi KS, Lee S, Park EC, et al (2010). Comparison of breast cancer screening rates between Korean women in America versus Korea. Womens Health, 19, 1089-96. https://doi.org/10.1089/jwh.2009.1584

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