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Screening for Gastric Cancer in Korea: Population-Based Preferences for Endoscopy versus Upper Gastrointestinal Series

Authors
 Kui Son Choi  ;  Min-Son Kwak  ;  Hoo-yeon Lee  ;  Jae Kwan Jun  ;  Myung-Il Hahm  ;  Eun-Cheol Park 
Citation
 CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, Vol.18(5) : 1390-1398, 2009 
Journal Title
 CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION 
ISSN
 1055-9965 
Issue Date
2009
MeSH
Adult ; Aged ; Barium Compounds* ; Cross-Sectional Studies ; Diagnosis, Differential ; Endoscopy, Digestive System ; Female ; Humans ; Interviews as Topic ; Korea/epidemiology ; Logistic Models ; Male ; Mass Screening* ; Middle Aged ; Patient Acceptance of Health Care* ; Risk Factors ; Stomach Neoplasms/diagnosis* ; Stomach Neoplasms/epidemiology ; Upper Gastrointestinal Tract
Abstract
This study assessed the screening rates for gastric cancer by two different screening methods, upper gastrointestinal (UGI) series and endoscopy; intentions to undergo future gastric cancer screening; and the preferred method of screening. The study population was derived from the 2006 Korean National Cancer Screening Survey. The Korean National Cancer Screening Survey is an annual cross-sectional survey that uses nationally representative random sampling to investigate cancer screening rates. A total of 1,625 Koreans over 40 years of age participated in this study. Logistic regression was used to identify the factors associated with undergoing gastric cancer screening, having an intention to be screened, and preferring one of the two screening tests. Among the 1,625 subjects, 15.1% had received a UGI, 33.2% had received an endoscopy, and 43.1% had undergone either or both of the tests in the previous 2 years. About 52% of people reported the intention to be screened within the next 2 years. The odds ratio for intending to be screened was 11.8 and 6.2 higher among those who had undergone a prior UGI test and an endoscopy test within the previous 2 years, respectively, than for those who had never been screened. Among the 1,625 individuals, 67% chose endoscopy and 33% UGI for their preferred future screening method. Collectively, our results highlight the preference for endoscopy testing as a gastric cancer screening method. Providers' assessments of individuals' screening preferences in combination with intervention strategies to promote performance of the preferred test may increase patient compliance with gastric cancer screening recommendations.
Files in This Item:
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DOI
10.1158/1055-9965.EPI-08-0940
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/22282913/106102
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