Identifying barriers to Papanicolaou smear screening in Korean women: Korean National Health and Nutrition Examination Survey 2005

Park, Su Jeong; Park, Woong Sub

doi:10.3802/jgo.2010.21.2.81

Cited by 25 publications

(26 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with previous studies of cancer screening (Kwon et al, 2009;Lee et al, 2010;Park et al, 2010), our results indicate that education level is significantly associated with the gastric cancer screening rate. By contrast, monthly household income did not reach statistical significance in the multivariate analysis.…”

Section: Discussionsupporting

confidence: 82%

Factors Associated with the Use of Gastric Cancer Screening Services in Korea: The Fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV)

Shin¹,

Lee²

2012

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Objectives: Despite government efforts to increase participation in gastric cancer screening, the rate is still suboptimal in Korea. Therefore, we explored barriers to and predictors of gastric cancer screening participation among a nationally representative sample. Methods: We used the Health Interview Survey sub-dataset derived from the Fourth Korean National Health and Nutrition Examination Survey 2008 (KNHANES IV) to evaluate participation in gastric cancer screening and factors associated with attendance in individuals age ≥40 years. We enrolled 4,464 subjects who completed the questionnaire and were not previously diagnosed with gastric cancer. Four groups of factors were considered potential predictors of gastric cancer screening in a multivariate analysis: sociodemographic, health behavior, psychological and cognitive, and dietary factors. Results: Overall, 41.3% complied with the gastric cancer screening recommendations. Younger age, lower education level, living without a spouse, frequent binge drinker, and current smoker were significantly associated with less participation in gastric cancer screening. Conclusions: To improve participation in gastric cancer screening, more focused interventions should be directed to vulnerable populations, such as groups with low socioeconomic status or unhealthy behavior. In addition, there should be new promotional campaigns and health education to provide information targeting these vulnerable populations.

show abstract

Section: Discussionsupporting

confidence: 82%

Factors Associated with the Use of Gastric Cancer Screening Services in Korea: The Fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV)

Shin¹,

Lee²

2012

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…The result of study with the title "The causes of not doing Pap smear" showed that 55.1 percent of women who have been tested regularly 36 years old and most women who were not tested until now have been often aged 25 years or less (Park and Park, 2010). Results of other study that demonstrated that older people are doing routinely Pap smears more than young which was in according to our study (Jalilian and Emdadi, 2011).…”

Section: Resultssupporting

confidence: 69%

Relationships between Self-Efficacy and Pap Smear Screening in Iranian Women

Majdfar

Khodadost²,

Majlesi³

et al. 2016

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Cancer is a leading cause of death and accounted for 7.6 million deaths (around 13% of all deaths) in 2008. Cervical cancer is the fourth most common cancer in the women of the world and allocated 7.9% of all cancers in women. Also, it is considered as the third leading cause of cancer death among women in the world (Bray et al., 2013). Cervical cancer incidence in Iran is lower than some of the other countries so that, according to the report of the National Center for Cancer Registry of Iran in year 2010, its incidence reached to 1.62 in 100,000 and its rank is eleventh in the total Iranian women's cancers (Minestry of Health and Medical Education Deputy of Health and treatment center for disease control and prevention cancer Office, 2009). High-quality screening with cytology (Pap testing) has markedly reduced mortality from squamous cell cervical cancer, which comprises 80-90% of cervical AbstractCervical cancer is the fourth common cancer among women worldwide. Pap smear screening has resulted in deceasing incidence of cervical cancer in developed countries but low uptake of Pap smear screening among women in developing countries is still a public health challenge. The aim of this cross-sectional study was to assess the relationship between self-efficacy and timely uptake of Pap smear among Iranian women. A total of 580 married women referred to primary health care centers covered administratively by Shahid Beheshti University of Medical Sciences in Tehran were administered a questionnaire by trained staff. Data were analyzed with SPSS (version 16) software, using univariate and multivariate logistic regression. The mean age for participants was 33.1±8.8 years. There was a significant association between self-efficacy and Pap smear screening (P<0.01). There was also a positive correlation between duration of marriage and husband's education with Pap smear uptake (P<0.01). In univariate analysis, there was a significant association between Pap smear uptake and level of self-efficacy (OR = 15.3 for intermediate and OR=7.4 for good level), duration of marriage (OR = 5.7 for 5-14 years and OR=10.4 for more than 15), age (OR =2.7 for 27-34 years and OR=7.4 for more than 35 years) and husband education level (OR=2.3 for more than 12 years of education). In multivariate analysis, significant associations persisted between Pap smear uptake and self-efficacy (OR = 23.8; 95% CI: 8.7, 65.5), duration of marriage (OR = 5.9; 95% CI: 2.8, 12.2), age (OR = 3.9; 95% CI: 1.2, 12.9) and husband's education (OR = 2.5; 95% CI: 2.0, 10.3). Efforts are needed to increase women's knowledge about cervical cancer and improve their self-efficacy and perceptions of the Pap smear screening in order to reduce cervical cancer incidence and mortality rates.

show abstract

“…Firstly, greater exposure to risk factors for cervical cancer in the low socioeconomic group than in the higher SES group; secondly, the lower participation rate of the low socioeconomic group in the cervical cancer screening program. Previous studies have shown that the participation rate in cervical cancer screening was low in women with low education levels13,14) or unmarried women 14,15). Thirdly, the lower socioeconomic groups' lower accessibility to the medical care system 16).…”

Section: Discussionmentioning

confidence: 97%

Trends in Cervical Cancer Mortality by Socioeconomic Status in Korean Women between 1998 and 2009

et al. 2013

View full text Add to dashboard Cite

BackgroundDeath from uterine cervical cancer could be preventable by an active participation of women at risk in a screening program such as the Papanicolaou test. In order to examine the presence of socioeconomic disparity in preventable deaths, we evaluated the time trends of cervical cancer mortality by socioeconomic status in Korean women.MethodsWe selected level of educational attainment and marital status as surrogate indices of socioeconomic status. Using death certificate data and Korean Population and Housing Census data from Korea National Statistical office, we calculated age-standardized yearly mortality rates from cervical cancer between 1998 and 2009 according to the level of education as well as marital status.ResultsCervical cancer mortality peaked in 2003 and then decreased gradually over time. Cervical cancer mortality was the highest in the group with the lowest level of educational attainment in all age groups and the gap between the lowest and the highest educational level has increased over time. Cervical cancer mortality was lower in married women than unmarried women in all age groups, and the degree of difference did not change over time.ConclusionIn the Korean population, socioeconomic differential in cervical cancer mortality has persisted over time.

show abstract

Identifying barriers to Papanicolaou smear screening in Korean women: Korean National Health and Nutrition Examination Survey 2005

Cited by 25 publications

References 28 publications

Factors Associated with the Use of Gastric Cancer Screening Services in Korea: The Fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV)

Factors Associated with the Use of Gastric Cancer Screening Services in Korea: The Fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV)

Relationships between Self-Efficacy and Pap Smear Screening in Iranian Women

Trends in Cervical Cancer Mortality by Socioeconomic Status in Korean Women between 1998 and 2009

Contact Info

Product

Resources

About