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Need to pay more attention to attendance at follow-up consultation after cancer screening in smokers and drinkers

 Jaeyong Shin  ;  Eun-Cheol Park  ;  Hong-Chul Bae  ;  Seri Hong  ;  Suk-Yong Jang  ;  Jae-Hyun Kim  ;  Jee Suk Chang  ;  Sang Gyu Lee 
 Asian Pacific Journal of Cancer Prevention, Vol.16(1) : 109-117, 2015 
Journal Title
 Asian Pacific Journal of Cancer Prevention 
Issue Date
Adult ; Aged ; Alcohol Drinking/prevention & control* ; Alcoholism ; Cross-Sectional Studies ; Early Detection of Cancer ; Female ; Health Services Needs and Demand ; Health Status ; Health Surveys/statistics & numerical data* ; Humans ; Male ; Middle Aged ; Neoplasms/prevention & control ; Patient Compliance/psychology* ; Patient Compliance/statistics & numerical data ; Patient Education as Topic ; Referral and Consultation/statistics & numerical data* ; Republic of Korea ; Risk Reduction Behavior ; Smoking Prevention* ; Social Class ; Surveys and Questionnaires ; Young Adult
Cancer ; screening ; prevention ; follow-up ; consultation ; Korea
BACKGROUND: Follow-up clinical consultations could improve overall health status as well provide knowledge and education for cancer prevention. MATERIALS AND METHODS: This is the cross-sectional study using the Korean Community Health Survey (KCHS) 6th edition for 2012, with 115,083 respondents who underwent cancer checkups selected as subjects. Associations between the presence of consultation and the socioeconomic status were determined using statistical methods with the SAS 9.3 statistical package (Cary, NC, USA). FINDINGS: Among the recipients, 32,179 (28.0%) received clinical consultations after cancer screenings. Those in rural areas (odds ratio, OR=0.71, 95% confidence interval (CI), 0.69-0.73) visited follow-up clinics less frequently than did those in urban areas. Starting at the elementary school level, as the education level increased to middle school (OR=1.26, 95% CI: 1.19-1.34), high school (OR=1.29, 95% CI: 1.23-1.36) or college (OR=1.76, 95% CI: 1.65-1.89), the participation rates also increased. When compared with the lowest quartile group, the quartile income level showed a statistical trend and difference as follows: second lowest quartile (OR=1.11, 95% CI: 1.07-1.16), third lowest (OR=1.12, 95% CI: 1.07-1.17) and highest quartile income (OR=1.29, 95% CI: 1.23-1.35). In addition, the people with economic activities (OR=0.87, 95% CI: 0.84-0.90) visited follow-up clinics less frequently than did the others. Current smokers (OR=0.93, 95% CI: 0.89-0.98) and inveterate drinkers (OR=0.88, 95% CI: 0.85-0.94) had a tendency to visit less often than did non-smokers and other drinkers with all cancers combined. INTERPRETATION: We suggest primary prevention through lifestyle modifications including smoking and drinking, and environmental interventions may offer the most cost-effective approach to reduce the cancer burden.
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4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
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
Bae, Hong Chul(배홍철)
Shin, Jae Yong(신재용)
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
Jang, Suk Yong(장석용)
Chang, Jee Suk Paul(장지석) ORCID logo https://orcid.org/0000-0001-7685-3382
Hong, Se Ri(홍세리)
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