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Trends in socioeconomic disparities in organized and opportunistic gastric cancer screening in Korea (2005-2009).

Authors
 Hoo-Yeon Lee  ;  Eun-Cheol Park  ;  Jae Kwan Jun  ;  Myung-Il Hahm  ;  Kyu-Won Jung  ;  Yeonju Kim  ;  Mi Ah Han  ;  Kui Son Choi 
Citation
 CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, Vol.19(8) : 1919-1926, 2010 
Journal Title
 CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION 
ISSN
 1055-9965 
Issue Date
2010
MeSH
Adult ; Early Detection of Cancer/trends* ; Female ; Healthcare Disparities/trends* ; Humans ; Korea ; Male ; Mass Screening/organization & administration* ; Middle Aged ; Patient Acceptance of Health Care/statistics & numerical data ; Socioeconomic Factors ; Stomach Neoplasms/diagnosis*
Abstract
BACKGROUND: A growth of consensus and increasing activities related to organized cancer screening programs has occurred in Korea since 1999. It is important to assess disparities in the fight against cancer, and it is crucial to identify particular groups that may be experiencing a high burden of cancer-related illness. METHODS: Data from 8,160 men and women ages >40 years from the 2005 to 2009 Korean National Cancer Screening Survey were used to analyze the relationship between socioeconomic position and receiving upper gastrointestinal series or upper endoscopy within the past 2 years. We used absolute and relative concentration indexes, that is, summary measures of disparity based on both rate differences and rate ratios. RESULTS: For organized screening, the education disparity declined, but the income disparity index increased, indicating that participation in organized screening was relatively more concentrated among the lower-income groups. For opportunistic screening, income and education disparities increased due to the widening of socioeconomic differences. CONCLUSIONS: The results of this study suggested progress toward socioeconomic disparity-related goals in organized screening for gastric cancer. However, the income disparity trends in organized screening may change in a manner similar to those in opportunistic screening in the future because of the much faster rate of organized screening uptake by those higher on the socioeconomic scale. IMPACT: This study addresses the routine monitoring of coverage of screening among different socioeconomic groups and could be used to inform policies to reduce disparity in coverage
Files in This Item:
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DOI
10.1158/1055-9965.EPI-09-1308
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103312
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