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The Association between Cancer Screening and Cancer History among Korean Adults: The 2010?2012 Korea National Health and Nutrition Examination Survey

Korean Journal of Family Medicine 2019년 40권 5호 p.307 ~ 313
 ( Kim Ye-Seul ) - Chungbuk National University Hospital Department of Family Medicine

 ( Kang Hee-Taik ) - Chungbuk National University College of Medicine Department of Family Medicine
 ( Lee Jae-Woo ) - Chungbuk National University Hospital Department of Family Medicine

Abstract


Background: Cancer survivors are at a higher risk of primary cancer recurrence and development of second primary cancer. In both cases, early disease detection is crucial. This cross-sectional study assessed cancer screening participation rates according to cancer history.

Methods: Data were obtained from the 2010?2012 Korea National Health and Nutrition Examination Survey for 12,500 participants. Of these, 624 cancer survivors were enrolled in this study. Sampling weights were applied to maintain the representativeness of the Korean adult population.

Results: Overall 2-year cancer screening rates prior to the survey in male and female cancer survivors were 59.9% and 73.7%, respectively, while opportunistic cancer screening rates were 33.5% and 52.1%, respectively. The odds ratios (95% confidence interval) of the overall cancer screening among the cancer survivors, compared to others, were 1.16 (0.79?1.72) in male and 1.78 (1.20?2.63) in female participants, after the adjustment for confounding variables. The odds ratios (95% confidence interval) for opportunistic cancer screening and National Cancer Screening Program among cancer survivors were 1.56 (1.07?2.27) and 0.80 (0.53?1.21) in males and 2.05 (1.46?2.88) and 0.66 (0.46?0.95) in females.

Conclusion: Female cancer survivors showed a higher rate of overall and opportunistic cancer screening than did the male cancer survivors. Further efforts are required to improve cancer screening among male cancer survivors.

키워드

Neoplasms; Mass Screening; Diagnosis; Cancer Survivors; Recurrence; Second Primary Neoplasms
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