Association between Socioeconomic Status and Cancer Screening in Koreans over 40 Years in Age Based on the 2010–2012 Korean National Health and Nutrition Examination Survey
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Background: We investigated the association between socioeconomic status (SES) and cancer screening in a Kore-an population aged 40 years or older.Methods: This cross-sectional study included 12,303 participants (5,284 men and 7,019 women) who participated in the 2010–2012 Korean National Health and Nutrition Examination Survey. Self-reported questionnaires were used to assess participant’s SES (household income, occupational, and educational status) and cancer screening behavior.Results: Compared to the lowest household income group, the odds ratios (ORs) (95% confidence intervals [CIs]) for overall cancer screening of the highest income group were 2.113 (1.606–2.781) in men and 1.476 (1.157–1.883) in women; those for private cancer screening of the highest income group were 2.446 (1.800–3.324) in men and 2.630 (2.050–3.373) in women, while those for National Cancer Screening Programs (NCSP) in the highest income group were 1.076 (0.805–1.439) in men and 0.492 (0.388–0.623) in women. Compared to manual workers, ORs (95% CIs) for private cancer screening of office workers were 1.300 (1.018–1.660) in men and 0.822 (0.616–1.098) in wom-en. In comparison to the least educated men, OR (95% CI) for private cancer screening of the most educated men was statistically significant (1.530 [1.117–2.095]).Conclusion: Higher economic status was associated with higher rates of overall and private cancer screening in both sexes and a lower rate of NCSP in women. Male office workers and more educated individuals underwent pri-vate cancer screening at a higher rate than manual workers and less educated individuals, respectively.
Abstract
Background: We investigated the association between socioeconomic status (SES) and cancer screening in a Kore-an population aged 40 years or older.Methods: This cross-sectional study included 12,303 participants (5,284 men and 7,019 women) who participated in the 2010–2012 Korean National Health and Nutrition Examination Survey. Self-reported questionnaires were used to assess participant’s SES (household income, occupational, and educational status) and cancer screening behavior.Results: Compared to the lowest household income group, the odds ratios (ORs) (95% confidence intervals [CIs]) for overall cancer screening of the highest income group were 2.113 (1.606–2.781) in men and 1.476 (1.157–1.883) in women; those for private cancer screening of the highest income group were 2.446 (1.800–3.324) in men and 2.630 (2.050–3.373) in women, while those for National Cancer Screening Programs (NCSP) in the highest income group were 1.076 (0.805–1.439) in men and 0.492 (0.388–0.623) in women. Compared to manual workers, ORs (95% CIs) for private cancer screening of office workers were 1.300 (1.018–1.660) in men and 0.822 (0.616–1.098) in wom-en. In comparison to the least educated men, OR (95% CI) for private cancer screening of the most educated men was statistically significant (1.530 [1.117–2.095]).Conclusion: Higher economic status was associated with higher rates of overall and private cancer screening in both sexes and a lower rate of NCSP in women. Male office workers and more educated individuals underwent pri-vate cancer screening at a higher rate than manual workers and less educated individuals, respectively.
참고문헌 (17)
- Annual report of cancer statistics in Korea in 2011, "The Korea Central Cancer Registry, National Cancer Center", The Korea Central Cancer Registry, National Cancer Center, ~ (2013)
- "Globocan 2012: estimated cancer incidence, mortality and prevalence worldwide in 2012" (2012)[URL]
- Hastert TA, "Disparities in cancer incidence and mortality by area-level socioeconomic status: a multilevel analysis", J Epidemiol Community Health, 69, pp.168~176 (2015)
- 장재승, "Differences in the Survival of Gastric Cancer Patients after Gastrectomy according to the Medical Insurance Status", Journal of Gastric Cancer, 13(4), pp.247~254 (2013), 대한위암학회[DOI]
- 김미현, "Trends in Cervical Cancer Mortality by Socioeconomic Status in Korean Women between 1998 and 2009", Korean Journal of Family Medicine, 34(4), pp.258~264 (2013), 대한가정의학회
- Lee YY, "Barriers to cancer screening among medical aid program recipients in the Republic of Korea: a qualitative study", Asian Pac J Cancer Prev, 15, pp.589~594 (2014)
- 정규원, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2011", Cancer Research and Treatment, 46(2), pp.109~123 (2014), 대한암학회
- 윤석준, "Measuring the Burden of Disease in Korea", Journal of Korean Medical Science, 22(3), pp.518~523 (2007), 대한의학회
- "National Cancer Screening Program" (2014)[URL]
- Kim Y, "Overview of the national cancer screening programme and the cancer screening status in Korea", Asian Pac J Cancer Prev, 12, pp.725~730 (2011)
- Siegel R, "Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths", CA Cancer J Clin, 61, pp.212~236 (2011)
- Dunlop S, "Socio-economic status and the utilisation of physicians’ services: results from the Canadian National Population Health Survey", Soc Sci Med, 51, pp.123~133 (2000)
- Park MJ, "Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005-2009", BMC Cancer, 11, pp.257~ (2011)
- 김미현, "Educational Inequality in Female Cancer Mortality in Korea", Journal of Korean Medical Science, 30(1), pp.1~6 (2015), 대한의학회
- Seneviratne S, "Impact of mammographic screening on ethnic and socioeconomic inequities in breast cancer stage at diagnosis and survival in New Zealand: a cohort study", BMC Public Health, 15, pp.46~ (2015)
- Lee M, "Socioeconomic disparity in cervical cancer screening among Korean women: 1998-2010", BMC Public Health, 13, pp.553~ (2013)
- Shin JY, "Factors associated with the use of gastric cancer screening services in Korea: the Fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV)", Asian Pac J Cancer Prev, 13, pp.3773~3779 (2012)