Factors related to second cancer screening practice in disease-free cervical cancer survivors

Park, Sang Min; Park, Chong Taik; Park, Soo‐Jin; Bae, Duk-Soo; Nam, Joo Hyun; Cho, Chi-Heum; Lee, Jong Min; Earle, Craig C.; Yun, Young Ho

doi:10.1007/s10552-009-9421-0

Cited by 14 publications

(12 citation statements)

References 24 publications

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“…15,37 In the current study, only 21.5% of study participants reported having received a recommendation for SPC screening, but 98% of the participants said that they would undergo cancer screening if physicians recommended it. The low screening rates in the current study may thus be in part because of a lack of physician recommendation.…”

Section: Discussionmentioning

confidence: 60%

“…40 Previous studies have found inconsistent associations between perceived risks and benefits and screening practices. 15,16 Although some studies have found that increased perceived vulnerability among cancer survivors resulted in increased screening, 15 Mayer et al found no association in an analysis of the 2003 US Health Information National Trends Survey (HINTS). 16 In the current study, perceived risk and screening practice were not found to be significantly associated.…”

Section: Discussionmentioning

confidence: 99%

“…36 Recommendations for screening from physicians were also ascertained for cancer screening behaviors. 15,37,38 Statistical Analysis We used ''completion of all appropriate screening'' as the study outcome to examine the relation between knowledge, attitudes, risk perception, and screening. Cancer survivors who had had the specific cancer that the screening aimed to detect were excluded from each calculation.…”

Section: Measures and Outcomesmentioning

confidence: 99%

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Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors

Shin

Kim

et al. 2011

Cancer

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BACKGROUND: Knowledge, attitudes, and risk perception in relation to second primary cancer (SPC) screening and their impact on screening practices in cancer survivors are largely unknown. METHODS: A total of 326 cancer survivors who had completed primary treatment for cancer >1 year previously were recruited from 6 oncology care outpatient clinics in the Republic of Korea. Survivors' knowledge, attitudes, perceived risk, and screening practices were assessed along with sociodemographic, behavioral, and clinical characteristics. Multivariate logistic regression was used to examine behavioral factors associated with the completion of all appropriate SPC screening according to national guidelines. RESULTS: Approximately 37.7% of survivors had undergone all appropriate SPC screening tests. Survivors were found to have a high perceived risk of SPC, high perceived benefits of screening, and positive attitudes toward cancer screening. However, they had limited knowledge regarding SPC screening tests and few had received a recommendation from a physician to undergo SPC screening. Although there was no association found between perceived risk and positive attitudes with screening behavior, higher knowledge was noted to be significantly associated with the completion of all appropriate SPC screening (adjusted odds ratio, 1.81; 95% confidence interval, 1.03-3.33). CONCLUSIONS: In the current study, cancer survivors were found to have limited knowledge regarding second cancer screening tests, which may have resulted in lower rates of completion of screening practices in this population. Cancer 2011;117:3850-

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Measures and Outcomesmentioning

confidence: 99%

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Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors

Shin

Kim

et al. 2011

Cancer

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“…Cancer survivors would have different health beliefs, including perceived risk, self-efficacy, and risk perceptions related to cancer screenings, all of which may influence screening behaviors [14]. They felt that they were at higher risk of developing another cancer compared to the general population, and they acknowledged the benefits of screening [29]. However, even for participants with a previous cancer, screening rates in our study were only 30-50%, much lower than in the United States where 70-95% of survivors had breast and cervical cancer screening and 40-85% of them had colorectal cancer screening [13,14].…”

Section: Discussionmentioning

confidence: 99%

A comparison of cancer screening practices in cancer survivors and in the general population: the Korean national health and nutrition examination survey (KNHANES) 2001–2007

Cho

Güallar

Hsu

et al. 2010

Cancer Causes Control

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“…Cancer patients do not undergo SPC screening due to an inappropriate perception of SPC risk (Park et al, 2009), fear of cancer recurrence and a desire to avoid thinking about illness (Bober et al, 2007). Lack of knowledge and information about SPC among cancer patients are other key barriers to SPC screening (Shin et al, 2010;.…”

Section: Introductionmentioning

confidence: 99%

Oncologists Experience with Second Primary Cancer Screening: Current Practices and Barriers and Potential Solutions

Shin

Kim²,

Baek³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Objectives: Screening for second primary cancer (SPC) is one of the key components of cancer survivorship care. The aim of the present study was to explore oncologists' experience with promoting second primary cancer screening. Methods: Two focus group interviews were conducted with 12 oncologists of diverse backgrounds. Recurrent issues were identified and placed into thematic categories. Results: Most of the oncologists did not consider SPC screening promotion as their responsibility and did not cover it in routine care. All of the study participants had experience with unexpected SPC cases, and they were under emotional tress. There was no systematic manner of providing SPC screening. Oncologists usually prescribe SPC screening in response to patients' requests, and there was no active promotion of SPC screening. Short consultation time, limited knowledge about cancer screening, no established guideline for SPC screening, and disagreement with patients about oncologists' roles were major barriers to its promotion. An institutionbased shared care model was suggested as a potential solution for promoting SPC screening given current oncology practices in Korea. Conclusion: Oncologists could not effectively deal with the occurrence of SPC, and they were not actively promoting SPC screening. Lack of knowledge, limited health care resources, and no established guidelines were major barriers for promoting SPC screening to cancer survivors. More active involvement of oncologists and a systematic approach such as shared-care models would be necessary for promoting SPC screening considering increasing number of cancer survivors who are vulnerable.

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Factors related to second cancer screening practice in disease-free cervical cancer survivors

Abstract: Lack of a recommendation for second cancer screening from health care providers and the misperception of second cancer risk might have negative impacts on the breast cancer screening behaviors in cervical cancer survivors.

Cited by 14 publications

References 24 publications

Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors

Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors

A comparison of cancer screening practices in cancer survivors and in the general population: the Korean national health and nutrition examination survey (KNHANES) 2001–2007

Oncologists Experience with Second Primary Cancer Screening: Current Practices and Barriers and Potential Solutions

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