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Determinants of undergoing thyroid cancer screening in Korean women: A cross-sectional analysis from the K-Stori 2016

Authors
 Ha Na Cho  ;  Eunji Choi  ;  Da Hea Seo  ;  Boyoung Park  ;  Sohee Park  ;  Juhee Cho  ;  Sue Kim  ;  Yeong-Ran Park  ;  Yumie Rhee  ;  Kui Son Choi 
Citation
 BMJ OPEN, Vol.9(4) : e026366, 2019 
Journal Title
BMJ OPEN
Issue Date
2019
Keywords
cancerscreenig ; health behavior ; thyroidcancer
Abstract
OBJECTIVES:
Thyroid cancer is the most common cancer among Korean women. Studies suggest that the incidence of thyroid cancer might be associated with overdiagnosis resulting from thyroid cancer screening. The objective of this study was to identify the determinants of participation in thyroid cancer screening in Korean women.

METHODS:
Data were obtained from the 2016 Korean Study of Women's Health-Related Issues, a nationwide cross-sectional survey of women according to the reproductive life cycle. A total of 8697 cancer-free women of ages between 20 and 79 years were included for analysis. Multivariable logistic regression analysis was applied to analyse factors associated with adherence to thyroid cancer screening based on Andersen's health behavioural model.

RESULTS:
Over the last 2 years, the rate of thyroid cancer screening was 39.2%. In multivariable models, older age, higher household income, high school education level and higher perceived risk of cancer were positively associated with thyroid cancer screening participation. Moreover, women who underwent cervical cancer screening (adjusted OR [aOR] 3.67; 95% CI 2.90 to 4.64) and breast cancer screening (aOR 10.91; 95% CI 8.41 to 14.14) had higher odds of attending thyroid cancer screening than women who did not attend cancer screening.

CONCLUSIONS:
These findings highlight the need to increase awareness of different recommendations on screening for various cancers to improve cost-effectiveness and to prevent unnecessary treatments.
Files in This Item:
T201902184.pdf Download
DOI
10.1136/bmjopen-2018-026366
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
Park, So Hee(박소희) ORCID logo https://orcid.org/0000-0001-8513-5163
Rhee, Yumie(이유미) ORCID logo https://orcid.org/0000-0003-4227-5638
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170373
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