Comparison of Satisfaction with Cancer Screening at Mobile Van and Static Sites: National Cancer Screening Program in Korea

Yoon, Nan He; Lee, Hoo Yeon; Kwak, Min Son; Choi, Kui Son; Jun, Jae Kwan; Kim, Minah Kang; Park, Sohee

doi:10.1093/jjco/hyn156

Cited by 12 publications

(12 citation statements)

References 17 publications

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“…People with disabilities in rural areas were more likely to participate than those in metropolitan areas. One possible reason could be mobile screening units in remote city and rural areas, which enhance access, especially for people with disabilities [22]. Therefore, outreach programs can be an effective intervention to increase CRC participation for people with disabilities living in remote city or rural areas who have limited transportation [23,24].…”

Section: Discussionmentioning

confidence: 99%

Disparities in the Participation Rate of Colorectal Cancer Screening by Fecal Occult Blood Test among People with Disabilities: A National Database Study in South Korea

et al. 2020

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Original ArticlePurpose Implementation of screening program may lead to increased health disparity within the population if participation differs by socioeconomic status. In Korea, colorectal cancer screening is provided at no or minimal cost to all people over 50 by National Cancer Screening Program. We investigated colorectal cancer screening participation rate and its trend over the last 10 years in relation to disabilities. Materials and MethodsWe linked national disability registration data with National Cancer Screening Program data. Age, sex-standardized participation rates were analyzed by type and severity of disability for each year, and factors associated with colorectal cancer screening participation were examined by multivariate logistic regression. ResultsAge, sex-standardized participation rate in people without disability increased from 16.2 to 33.9% (change, +17.7), but it increased from 12.7% to 27.2% (change, +14.5) among people with severe disability. People with severe disabilities showed a markedly lower colorectal cancer screening participation rate than people without disability (adjusted odds ratio [aOR], 0.714; 95% confidence interval, 0.713 to 0.720). People with autism (aOR, 0.468), renal failure (aOR, 0.498), brain injury (aOR, 0.581), ostomy (aOR, 0.602), and intellectual disability (aOR, 0.610) showed the lowest participation rates. ConclusionDespite the availability of a National Cancer Screening Program and overall increase of its usage in the Korean population, a significant disparity was found in colorectal cancer screening participation, especially in people with severe disabilities and or several specific types of disabilities. Greater effort is needed to identify the barriers faced by these particularly vulnerable groups and develop targeted interventions to reduce inequality.

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Section: Discussionmentioning

confidence: 99%

Disparities in the Participation Rate of Colorectal Cancer Screening by Fecal Occult Blood Test among People with Disabilities: A National Database Study in South Korea

et al. 2020

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“…Client demand for screening is an essential part of attaining population-level screening coverage. MSU qualitative studies used focus groups and surveys to identify women's attitudes towards screening, their perception of the utility of screening and intent to screen (28,38,39,46,(60)(61)(62)(63)(64). Among women surveyed following MSU screening, nonadherence to screening guidelines was reported as related to a lack of awareness of early detection, lack of accessible information, negative beliefs or attitudes toward screening, as well as fear of discomfort/embarrassment, cost, and bad news (34,61,63).…”

Section: Client Demandmentioning

confidence: 99%

Mobile Screening Units for the Early Detection of Cancer: A Systematic Review

Greenwald

El‐Zein

Bouten

et al. 2017

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Mobile screening units (MSUs) provide cancer screening services outside of fixed clinical sites, thereby increasing access to early detection services. We conducted a systematic review of the performance of MSUs for the early detection of cancer. Databases (MEDLINE, EMBASE, Cochrane Library, WHO Global Health Library, Web of Science, PsycINFO) were searched up to July 2015. Studies describing screening for breast, cervical, and colon cancer using MSUs were included. Data were collected for operational aspects including the performance of exams, screening tests used, and outcomes of case detection. Of 268 identified studies, 78 were included. Studies investigated screening for cancers including breast ( = 55), cervical ( = 12), colon ( = 1), and multiphasic screening for multiple cancers ( = 10). The median number of screening exams performed per intervention was 1,767 (interquartile range 5,656-38,233). Programs operated in 20 countries, mostly in North America (36%) and Europe (36%); 52% served mixed rural/urban regions, while 35% and 13% served rural or urban regions, respectfully. We conclude that MSUs have served to expand access to screening in diverse contexts. However, further research on the implementation of MSUs in low-resource settings and health economic research on cost-effectiveness of MSUs compared with fixed clinics to inform policymakers is needed. .

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“…Based on a previously validated questionnaire (Yoon et al, 2009), in October 2010 a professional research center conducted a population-based, nationwide telephone survey of participants screened by the NCSP for breast cancer between June and August 2010. A sample of 12,480 participants was randomly selected and stratified according to age and breast cancer screening mammography unit (among those participating in the NCSP for breast cancer).…”

Section: Data Sourcementioning

confidence: 99%

Satisfaction in the National Cancer Screening Program for Breast Cancer with and without Clinical Breast Examination

Han

Jun

Choi

et al. 2012

Asian Pacific Journal of Cancer Prevention

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The purpose of this study was to evaluate whether screening by clinical breast examination (CBE) in addition to mammography affected participant satisfaction in the National Cancer Screening Program (NCSP). Data were derived from the Quality Evaluation of National Cancer Screening satisfaction survey. This population-based nationwide telephone survey included participants who had been screened by the NCSP for breast cancer between June and August 2010 (n=2,370), and collected information on satisfaction with screening and screening service use. Five multiple regression models were used to determine satisfaction according to screening method, and according to each of five satisfaction measures (prescreening information transfer, staff interpersonal skills, physical surroundings, reporting of results and general satisfaction). A total of 1,858 (78.4%) participants were screened by mammography alone and 512 (21.6%) by both mammography and CBE. Satisfaction was significantly higher in subjects screened by both mammography and CBE compared with those screened by mammography alone.

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Comparison of Satisfaction with Cancer Screening at Mobile Van and Static Sites: National Cancer Screening Program in Korea

Abstract: Improving the satisfaction with and quality of mobile screening services is important to increase compliance and achieve the aims of the NCSP. Therefore, further efforts such as quality assurance or continuous monitoring are required.

Cited by 12 publications

References 17 publications

Disparities in the Participation Rate of Colorectal Cancer Screening by Fecal Occult Blood Test among People with Disabilities: A National Database Study in South Korea

Disparities in the Participation Rate of Colorectal Cancer Screening by Fecal Occult Blood Test among People with Disabilities: A National Database Study in South Korea

Mobile Screening Units for the Early Detection of Cancer: A Systematic Review

Satisfaction in the National Cancer Screening Program for Breast Cancer with and without Clinical Breast Examination

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