Obstet Gynecol Sci.  2023 Jan;66(1):26-33. 10.5468/ogs.22008.

Factors associated with cervical cancer screening behaviors among young married female (aged 20-29) immigrants in South Korea

• Park SM
• Lee JW
• Lee Y
• Myong JP
• Chang HK
• Min KJ
• Lee NW

• KMID: 2538344
• DOI: http://doi.org/10.5468/ogs.22008

Abstract

Objective
To identify factors that affect the participation of female immigrants in their 20s in the national cervical cancer screening programs.
Methods
Data were obtained from the National Health Insurance Services from 2016 to 2017. A total of 17,730 women who agreed to undergo cervical cancer screening during 2016-2017 were included in the study.
Results
Of the 17,730 women, 8,149 (46%) participated in cervical cancer screening, whereas, 9,581 (54%) did not. Logistic regression analysis of factors related to cervical cancer screening showed that the odds ratio (OR) of screening was higher in short duration of stay (OR, 1.18; 95% confidence interval [CI], 1.03-1.35), Chinese nationality (OR, 1.43; 95% CI, 1.28-1.59), unemployment (OR, 1; 95% CI, reference), participation in general health screening (OR, 4.16; 95% CI, 3.24-5.33), and comorbidities (OR, 1.16; 95% CI, 1.09-1.24) when compared to the other populations. The highest OR was associated with participation in general health screening.
Conclusion
Appropriate programs should be developed to increase participation of socially vulnerable groups in cervical cancer screening. Such programs will improve awareness regarding cervical cancer screening and reduce disparities in healthcare.

Keyword

Cervical cancer; Screening; Immigrants; Healthcare disparities

Reference

References

1. Lee SL, Kim HJ. Health barriers for female marriage migrants in Korea and health policy recommendations 2011. 1st ed. Ilsan: IOM Migration Research & Training Centre;2010.

2. Jung HW. Health status of multicultural families. 1st ed. Seoul: Bakmunsa;2009.

3. Llácer A, Zunzunegui MV, del Amo J, Mazarrasa L, Bolumar F. The contribution of a gender perspective to the understanding of migrants’ health. J Epidemiol Community Health. 2007; 61(Suppl 2):ii4–10.

4. Almeida LM, Caldas JP, Ayres-de-Campos D, Dias S. Assessing maternal healthcare inequities among migrants: a qualitative study. Cad Saude Publica. 2014; 30:333–40.

5. National Cancer Information Center. National Cancer registration statistics 2018. Goyang: National Cancer Information Center;2020.

6. Ha HI, Chang HK, Park SJ, Lim J, Won YJ, Lim MC. The incidence and survival of cervical, ovarian, and endometrial cancer in Korea, 1999–2017: Korea Central Cancer Registry. Obstet Gynecol Sci. 2021; 64:444–53.

7. Arbyn M, Weiderpass E, Bruni L, de Sanjosé S, Saraiya M, Ferlay J, et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 2020; 8:e191–203.

8. Kim Y, Jun JK, Choi KS, Lee HY, Park EC. Overview of the national cancer screening programme and the cancer screening status in Korea. Asian Pac J Cancer Prev. 2011; 12:725–30.

9. Lee YH, Choi KS, Lee HY, Jun JK. Current status of the national cancer screening program for cervical cancer in Korea, 2009. J Gynecol Oncol. 2012; 23:16–21.

10. Chang HK, Seo SS, Myong JP, Koo JW, Jeong J. Factors associated with cervical cancer screening among married female immigrants with Korean husbands in South Korea. Int J Environ Res Public Health. 2018; 15:2528.

11. Chang HK, Myong JP, Byun SW, Lee SJ, Lee YS, Lee HN, et al. Factors associated with participation in cervical cancer screening among young Koreans: a nationwide cross-sectional study. BMJ Open. 2017; 7:e013868.

12. Leinonen MK, Campbell S, Ursin G, Tropé A, Nygård M. Barriers to cervical cancer screening faced by immigrants: a registry-based study of 1.4 million women in Norway. Eur J Public Health. 2017; 27:873–9.

13. Lofters AK, Moineddin R, Hwang SW, Glazier RH. Predictors of low cervical cancer screening among immigrant women in Ontario, Canada. BMC Womens Health. 2011; 11:20.

14. Rondet C, Lapostolle A, Soler M, Grillo F, Parizot I, Chauvin P. Are immigrants and nationals born to immigrants at higher risk for delayed or no lifetime breast and cervical cancer screening? The results from a population-based survey in Paris metropolitan area in 2010. PLoS One. 2014; 9:e87046.

15. The Ministry of Employment and Labor Article 72 of the Occupational Safety and Health Act [Internet]. Sejong: Korea Ministry of Government Legislation;c2021. [cited 2021 Sep 30]. Available from: http://www.law.go.kr.

16. Woltman KJ, Newbold KB. Immigrant women and cervical cancer screening uptake: a multilevel analysis. Can J Public Health. 2007; 98:470–5.

17. Grandahl M, Tydén T, Gottvall M, Westerling R, Oscarsson M. Immigrant women’s experiences and views on the prevention of cervical cancer: a qualitative study. Health Expect. 2015; 18:344–54.

18. Kim EH, Kim EJ, Kim MJ, Park DY, LEE SH. Effects of an educational program of pregnancy and delivery on pregnancy related knowledge, newborn care knowledge, and postpartum care self-efficacy of marriage immigrant women. J Korean Acad Nurs. 2010; 40:78–87.

19. Lee S, Chen L, Jung MY, Baezconde-Garbanati L, Juon HS. Acculturation and cancer screening among Asian Americans: role of health insurance and having a regular physician. J Community Health. 2014; 39:201–12.

20. Sung NY, Park EC, Shin HR, Choi KS. Participation rate and related socio-demographic factors in the national cancer screening program. J Prev Med Public Health. 2005; 38:93–100.