Factors associated with use of gastric cancer screening services in Korea

• Published in: World journal of gastroenterology : WJG Vol. 15; no. 29; pp. 3653 - 3659
• Main Authors: Kwon, Young Min, Lim, Hyung Taek, Lee, Kiheon, Cho, Be Long, Park, Min Sun, Son, Ki Young, Park, Sang Min
• Format: Journal Article
• Language: English
• Published: United States Department of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 28 Yunkeon-dong, Jongro-gu, Seoul 110-744, South Korea Hyung Taek Lim, Department of Medicine, Yonsei University College of Medicine, 134 Shi%Department of Medicine, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, South Korea%Department of Family Medicine, Seoul National University Bundang Hospital and Department of the History of Medicine and Medical Humanities, Seoul National University College of Medicine, 166 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 463-707, South Kor 07.08.2009; The WJG Press and Baishideng
• Subjects: Adult; Aged; Brief; Cross-Sectional Studies; Female; Gastroscopy - statistics & numerical data; Health Behavior; Health Status; Humans; Male; Mass Screening - statistics & numerical data; Middle Aged; Nutrition Surveys; Patient Participation; Republic of Korea; Risk Factors; Socioeconomic Factors; Stomach Neoplasms - diagnosis; Health status disparity; Early detection of cancer; Socioeconomic factors; Health behavior; Mental health
• ISSN: 1007-9327; 2219-2840; 2219-2840
• DOI: 10.3748/wjg.15.3653

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.