Health Policy Manag.  2019 Dec;29(4):399-411. 10.4332/KJHPA.2019.29.4.399.

Factors Associated with the Non-screening Status of Cervical Cancer Screening Test in Korean Adult Women: Korea National Health and Nutrition Examination Survey (2010–2012)

• Choi WM
• Han NK
• Chung W

• KMID: 2470448
• DOI: http://doi.org/10.4332/KJHPA.2019.29.4.399

Abstract

BACKGROUND
This study aimed to explore the associations of social-demographic, health-behavioral, and woman-specific factors with the non-screening status of the cervical cancer screening test in Korean adult women.
METHODS
This study was a cross-sectional analysis of 9,698 Korean adult women aged 20 years or more who participated in the Korea National Health and Nutrition Examination Surveys V (2010-2012). Rao-Scott chi-square tests and survey logistic regression analyses were employed respectively to analyze the difference in the non-screening status of the cervical cancer screening test by each characteristic and to explore the factors related to the non-screening status.
RESULTS
The rate of the non-screening status of the cervical cancer screening test was 53.5% over the previous 2 years. In the survey logistics regression analysis, age, marital status, educational levels, income levels, residential area, occupation, private health insurance, smoking, alcohol, obesity, menstrual status, pregnancy experience, and hormone replacement therapy were significantly associated with the non-screening status of the cervical cancer screening test.
CONCLUSION
On the basis of the results of this study, some social-demographic, health-behavioral, and woman-specific characteristics of Korean adult women seem to affect the non-screening status of the cervical cancer screening test. Therefore, appropriate health policies need to be designed, implemented, monitored, and evaluated to reduce the non-screening status of the cervical cancer screening test of them.

Keyword

Screening; Non-screening; Uterine cervical neoplasms; Korean adult women; Korea National Health and Nutrition Examination Survey

MeSH Terms

Adult*
Cross-Sectional Studies
Female
Health Policy
Hormone Replacement Therapy
Humans
Insurance, Health
Korea*
Logistic Models
Marital Status
Mass Screening*
Nutrition Surveys*
Obesity
Occupations
Organization and Administration
Pregnancy
Smoke
Smoking
Uterine Cervical Neoplasms*
Smoke