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Factors associated with use of gastric cancer screening services in Korea

Cited 34 time in Web of Science Cited 32 time in Scopus
Authors
Kwon, Young Min; Lim, Hyung Taek; Lee, Kiheon; Cho, Be Long; Park, Min Sun; Son, Ki Young; Park, Sang Min
Issue Date
2009-08
Publisher
Baishideng Publishing Group Co. Limited
Citation
WORLD JOURNAL OF GASTROENTEROLOGY Vol.15 No.29, pp. 3653-3659
Keywords
복합학Socioeconomic factorsHealth behaviorHealth status disparityMental healthEarly detection
of cancer
Abstract
AIM: To identify the factors associated with participation in gastric cancer screening programs.METHODS: Using data from the Korea National Health and Nutrition Examination Survey 2005 (KNHANES III), a nationwide health-related survey in Korea, a cross-sectional study was performed to investigate the multiple factors associated with gastric cancer screening attendance among persons aged at least 40 years. The study population included 4593 individuals who completed a gastric cancer screening questionnaire and had no previous cancer history. Four groups of individual-level or environmental level covariates were considered as potential associated factors.RESULTS: Using KNHANES III data, an estimated 31.71% of Korean individuals aged at least 40 years adhered to gastric cancer screening recommendations. Subjects who graduated from elementary school [adjusted odds ratio (aOR), 1.66; 95% CI: 1.21-2.26], middle/high school (aOR, 1.38; 95% CI: 1.01-1.89), and university or higher (aOR, 1.64; 95% CI: 1.13-2.37) were more likely to undergo gastric cancer screening than those who received no formal education at all. The population with the highest income tertile had more attendance at gastric screening compared to those with the lowest income tertile (aOR, 1.36; 95% CI: 1.06-1.73). Gastric screening was also negatively associated with excessive alcohol consumption (aOR, 0.71; 95% CI: 0.53-0.96). A positive attitude to preventive medical evaluation was significantly associated with better participation in gastric cancer screening programs (aOR, 5.26; 95% CI: 4.35-6.35).CONCLUSION: Targeted interventions for vulnerable populations and public campaigns about preventive medical evaluation are needed to increase gastric cancer screening participation and reduce gastric cancer mortality. (C) 2009 The WIG Press and Baishideng. All rights reserved.
ISSN
1007-9327
Language
English
URI
http://hdl.handle.net/10371/81808
DOI
https://doi.org/10.3748/wjg.15.3653
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)Journal Papers (저널논문_의학과)
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