Factors Associated with the Use of Uterine Cervical Cancer Screening Services in Korean Elderly Women
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background: The Papanicolaou (Pap) smear test is an effective screening test for the early detection of uterine cervical cancer. The Pap test still plays an important role in Korean elderly women, as uterine cervical cancer remains a frequent form of cancer and an important cause of death. However, the participation rate and other factors related to the Pap test in Korean elderly women have been studied insufficiently. Methods: This study included 654 individuals aged 65 and over who completed a cervical cancer screening questionnaire from the Third Korean National Health and Nutrition Examination Survey 2005. Using multiple logistic regression, odds ratios and confidence intervals for the association between attendance of the Pap test and sociodemographic or healthrelated factors were calculated. Results: One hundred and eleven individuals (17.0%) of the study population showed compliance with Pap testing within the previous 2 years. We recognized that the most elderly women (75 years and over) or those with lower levels of education were less likely to have had the test. Conclusion: Primary health care providers need to make efforts to improve attendance rates of Pap smear screening in Korean elderly women, individually taking into account previous Pap results, life expectancy, risk factors for cervical cancer, and preferences. More attention will especially be needed among the eldest elderly or less educated elderly women.
Abstract
Background: The Papanicolaou (Pap) smear test is an effective screening test for the early detection of uterine cervical cancer. The Pap test still plays an important role in Korean elderly women, as uterine cervical cancer remains a frequent form of cancer and an important cause of death. However, the participation rate and other factors related to the Pap test in Korean elderly women have been studied insufficiently. Methods: This study included 654 individuals aged 65 and over who completed a cervical cancer screening questionnaire from the Third Korean National Health and Nutrition Examination Survey 2005. Using multiple logistic regression, odds ratios and confidence intervals for the association between attendance of the Pap test and sociodemographic or healthrelated factors were calculated. Results: One hundred and eleven individuals (17.0%) of the study population showed compliance with Pap testing within the previous 2 years. We recognized that the most elderly women (75 years and over) or those with lower levels of education were less likely to have had the test. Conclusion: Primary health care providers need to make efforts to improve attendance rates of Pap smear screening in Korean elderly women, individually taking into account previous Pap results, life expectancy, risk factors for cervical cancer, and preferences. More attention will especially be needed among the eldest elderly or less educated elderly women.
참고문헌 (30)
- Lee KW, "Epidemiology of cervical cancer", J Korean Med Assoc, 50, pp.762~768 (2007)
- Cannistra SA, "Cancer of the uterine cervix", N Engl J Med, 334, pp.1030~1038 (1996)
- Koss LG, "The Papanicolaou test for cervical cancer detection: a triumph and a tragedy", JAMA, 261, pp.737~743 (1989)
- Laara E, "Trends in mortality from cervical cancer in the Nordic countries: association with organised screening programmes", Lancet, 1, pp.1247~1249 (1987)
- Nanda K, "Accuracy of the Papanicolaou test in screening for and follow-up of cervical cytologic abnormalities: a systematic review", Ann Intern Med, 132, pp.810~819 (2000)
- Choi KS, "National cancer screening program in Korea", J Korean Assoc Cancer Prev, 9, pp.116~122 (2004)
- Smith RA, "American Cancer Society guidelines for the early detection of cancer", CA Cancer J Clin, 52, pp.8~22 (2002)
- ACOG Committee on Practice Bulletins--Gynecology, "ACOG Practice Bulletin no. 109: Cervical cytology screening", Obstet Gynecol, 114, pp.1409~1420 (2009)
- (2003)[URL]
- (2012)[URL]
- Choi EJ, "Establishment of an efficient management system for advanced outcome of the National Health Screening Policy" (2009), Korea Institute for Health and Social Affairs
- Shin HC, "Social and behavioral predictors of cervical cancer screening practices among Korean women", J Korean Acad Fam Med, 22, pp.1823~1836 (2001)
- 박요섭, "일부 지역주민의 암 조기검진율과 관련요인", Korean Journal of Family Medicine, 27(1), pp.21~32 (2006), 대한가정의학회
- Park HS, "Relation between elevated serum alanine aminotransferase and metabolic syndrome in Korean adolescents", Am J Clin Nutr, 82, pp.1046~1051 (2005)
- Ko KD, "isparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions for people with disabilities: the Korean National Health and Nutrition Examination Survey", Arch Phys Med Rehabil, 92, pp.1230~1237 (2011)
- Liberatos P, "The measurement of social class in epidemiology", Epidemiol Rev, 10, pp.87~121 (1988)
- Jo H, "Increasing trend in the incidence of cervical cancer among the elderly in Korea: a population-based study from 1993 to 2002", Acta Oncol, 46, pp.852~858 (2007)
- Brun JL, "Survival and prognosis of women with invasive cervical cancer according to age", Gynecol Oncol, 91, pp.395~401 (2003)
- Mandelblatt J, "Gynecological care of elderly women. Another look at Papanicolaou smear testing", JAMA, 256, pp.367~371 (1986)
- Ostbye T, "Screening mammography and Pap tests among older American women 1996-2000: results from the Health and Retirement Study (HRS) and Asset and Health Dynamics Among the Oldest Old (AHEAD)", Ann Fam Med, 1, pp.209~217 (2003)
- Maxwell CJ, "Factors important in promoting cervical cancer screening among Canadian women: findings from the 1996-97 National Population Health Survey (NPHS)", Can J Public Health, 92, pp.127~133 (2001)
- Liao CC, "Addressing Taiwan’s high incidence of cervical cancer: factors associated with the Nation’s low compliance with Papanicolaou screening in Taiwan", Public Health, 120, pp.1170~1176 (2006)
- Juon HS, "Predictors of regular Pap smears among Korean-American women", Prev Med, 37(6), pp.585~592 (2003)
- Yoo KY, "Cancer control activities in the Republic of Korea", Jpn J Clin Oncol, 38, pp.327~333 (2008)
- Lin SJ, "Factors in¹uencing the uptake of screening services for breast and cervical cancer in Taiwan", J R Soc Promot Health, 128, pp.27~34 (2008)
- Ramirez A, "Disability and preventive cancer screening: results from the 2001 California Health Interview Survey", Am J Public Health, 95, pp.2057~2064 (2005)
- Nemekhee Odongua, "Associations between Smoking, Screening, and Death Caused by Cervical Cancer in Korean Women", Yonsei Medical Journal, 48(2), pp.192~200 (2007), 연세대학교의과대학
- Marteau TM, "Perceptions of risk of cervical cancer and attitudes towards cervical screening: a comparison of smokers and non-smokers", Fam Pract, 19, pp.18~22 (2002)
- Lin SJ, "Factors in¹uencing the uptake of screening services for breast and cervical cancer in Taiwan", J R Soc Promot Health, 128, pp.327~334 (2008)
- Walter LC, "Cancer screening in elderly patients: a framework for individualized decision making", JAMA, 285, pp.2750~2756 (2001)