Korean J Fam Med.  2019 Sep;40(5):307-313. 10.4082/kjfm.18.0074.

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

Affiliations
  • 1Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Korea.
  • 2Department of Family Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. kanght0818@gmail.com

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.

Keyword

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

MeSH Terms

Adult*
Confounding Factors (Epidemiology)
Cross-Sectional Studies
Diagnosis
Early Detection of Cancer*
Female
Humans
Korea*
Male
Mass Screening
Neoplasms, Second Primary
Nutrition Surveys*
Odds Ratio
Recurrence
Survivors
Weights and Measures
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