Determinants of Gastric Cancer Screening Attendance in Korea: a Multi-level Analysis

Overview

Journal BMC Cancer

Publisher Biomed Central

Specialty Oncology

Date 2015 May 1

PMID 25927821

Citations 9

Authors

Yunryong Chang

BeLong Cho

Ki Young Son

Dong Wook Shin

Hosung Shin

Hyung-Kook Yang

Aesun Shin

Keun-Young Yoo

Affiliations

Soon will be listed here.

Abstract

Background: We aimed to assess individual and area-level determinants of gastric cancer screening participation.

Method: Data on gastric cancer screening and individual-level characteristics were obtained from the 2007-2009 Fourth Korea National Health and Nutrition Examination Survey. The area-level variables were collected from the 2005 National Population Census, 2008 Korea Medical Association, and 2010 National Health Insurance Corporation. The data were analyzed using multilevel logistic regression models.

Results: The estimated participation rate in gastric cancer screening adhered to the Korea National Cancer Screening Program guidelines was 44.0% among 10,658 individuals aged over 40 years who were included in the analysis. Among the individual-level variables, the highest income quartile, a college or higher education level, living with spouse, having a private health insurance, limited general activity, previous history of gastric or duodenal ulcer, and not currently smoking were associated with a higher participation rate in gastric cancer screening. Urbanization showed a significant negative association with gastric cancer screening attendance among the area-level factors (odds ratio (OR) = 0.73; 95% confidence interval (CI) = 0.57-0.93 for the most urbanized quartile vs. least urbanized quartile).

Conclusion: There are differences in gastric cancer screening attendance according to both individual and regional area characteristics.

Citing Articles

Socioeconomic inequality in organized and opportunistic screening for gastric cancer: results from the Korean National Cancer Screening Survey 2009-2022.

Luu X, Lee K, Jun J, Suh M, Choi K Front Public Health. 2023; 11:1256525.

PMID: 37876718 PMC: 10591186. DOI: 10.3389/fpubh.2023.1256525.

Association between Socioeconomic Factors and the Risk of Gastric Cancer Incidence: Results from an Ecological Study.

Babaei M, Pirnejad H, Rezaie J, Roshandel G, Hoseini R Iran J Public Health. 2023; 52(8):1739-1748.

PMID: 37744547 PMC: 10512126. DOI: 10.18502/ijph.v52i8.13413.

Determinants of gastric cancer screening attendance in Southeastern China: a cross-sectional study.

Huang Z, Hu Z, Wong L, Lin Y BMJ Open. 2023; 13(7):e073925.

PMID: 37474189 PMC: 10360441. DOI: 10.1136/bmjopen-2023-073925.

Prediction Model for Hypertension and Diabetes Mellitus Using Korean Public Health Examination Data (2002-2017).

Jeong Y, Jung Y, Jeong H, Huh J, Sung K, Shin J Diagnostics (Basel). 2022; 12(8).

PMID: 36010317 PMC: 9407141. DOI: 10.3390/diagnostics12081967.

Effect of gastric cancer screening on long-term survival of gastric cancer patients: results of Korean national cancer screening program.

Luu X, Lee K, Jun J, Suh M, Jung K, Choi K J Gastroenterol. 2022; 57(7):464-475.

PMID: 35568752 DOI: 10.1007/s00535-022-01878-4.

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