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Socioeconomic disparity in cervical cancer screening among Korean women: 1998-2010

 Minjee Lee  ;  Eun-Cheol Park  ;  Hoo-Sun Chang  ;  Jeoung A Kwon  ;  Ki Bong Yoo  ;  Tae Hyun Kim 
 BMC PUBLIC HEALTH, Vol.13 : 553, 2013 
Journal Title
Issue Date
Adult ; Aged ; Early Detection of Cancer/economics ; Early Detection of Cancer/statistics & numerical data* ; Female ; Healthcare Disparities/economics ; Healthcare Disparities/statistics & numerical data* ; Humans ; Korea/epidemiology ; Mass Screening/statistics & numerical data* ; Middle Aged ; Pregnancy ; Socioeconomic Factors ; Uterine Cervical Neoplasms/diagnosis* ; Uterine Cervical Neoplasms/economics ; Uterine Cervical Neoplasms/prevention & control ; Vaginal Smears*
Cervical cancer ; Screening ; Socioeconomic status ; Disparity
BACKGROUND: Cervical cancer is the sixth most common cause of cancer among Korean women and is one of the most preventable cancers in the world. This study aimed to investigate the change in cervical cancer screening rates, the level of socioeconomic disparities in cervical cancer screening participation, and whether there was a reduction in these disparities between 1998 and 2010. METHODS: Using the Korean Health and Nutrition Examination Survey, women 30 years or older without a history of cervical cancer and who completed a health questionnaire, physical examination, and nutritional survey were included (n = 17,105). Information about participation in cervical cancer screening was collected using a self-administered questionnaire. Multiple logistic regression analysis was performed to investigate the relationship between cervical cancer screening participation and the socioeconomic status of the women. RESULTS: The cervical cancer screening rate increased from 40.5% in 1998 to 52.5% in 2010. Socioeconomic disparities influenced participation, and women with lower educational levels and lower household income were less likely to be screened. Compared with the lowest educational level, the adjusted odds ratios (ORs) for screening in women with the highest educational level were 1.56 (95% confidence interval (CI): 1.05-2.30) in 1998, and 1.44 (95% CI: 1.12-1.87) in 2010. Compared with women with the lowest household income level, the adjusted ORs for screening in women with the highest household income level were 1.80 (95% CI: 1.22-2.68), 2.82 (95% CI: 2.01-3.96), and 1.45 (95% CI: 1.08-1.94) in 2001, 2005, and 2010, respectively. CONCLUSION: Although population-wide progress has been made in participation in cervical cancer screening over the 12-year period, socioeconomic status remained an important factor in reducing compliance with cancer screening.
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1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
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