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Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005-2009.

 Mi Jin Park  ;  Eun-Cheol Park  ;  Kui Son Choi  ;  Jae Kwan Jun  ;  Hoo-Yeon Lee 
 BMC CANCER, Vol.11 : 257, 2011 
Journal Title
Issue Date
Adult ; Aged ; Breast Neoplasms/diagnosis ; Breast Neoplasms/epidemiology* ; Carcinoma/diagnosis ; Carcinoma/epidemiology* ; Early Detection of Cancer/utilization* ; Educational Status ; Female ; Health Surveys ; Humans ; Income ; Insurance Coverage ; Mammography/utilization* ; Marriage ; Mass Screening/organization & administration ; Mass Screening/utilization* ; Middle Aged ; Motivation ; Papanicolaou Test* ; Patient Acceptance of Health Care ; Republic of Korea/epidemiology ; Rural Population ; Socioeconomic Factors ; Urban Population ; Uterine Cervical Neoplasms/diagnosis ; Uterine Cervical Neoplasms/epidemiology* ; Vaginal Smears/utilization*
Cervical Cancer ; Cancer Screening ; Cervical Cancer Screening ; Private Health Insurance ; Sociodemographic Factor
BACKGROUND: Cancer screening rates in Korea for five cancer types have increased steadily since 2002. With regard to the life-time cancer screening rates in 2009 according to cancer sites, the second highest was breast cancer (78.1%) and the third highest was cervical cancer (76.1%). Despite overall increases in the screening rate, disparities in breast and cervical cancer screening, based on sociodemographic characteristics, still exist.

METHODS: Data from 4,139 women aged 40 to 74 years from the 2005 to 2009 Korea National Cancer Screening Survey were used to analyze the relationship between sociodemographic characteristics and receiving mammograms and Pap smears. The main outcome measures were ever having had a mammogram and ever having had a Pap smear. Using these items of information, we classified women into those who had had both types of screening, only one screening type, and neither screening type. We used logistic regression to investigate relationships between screening history and sociodemographic characteristics of the women.

RESULTS: Being married, having a higher education, a rural residence, and private health insurance were significantly associated with higher rates of breast and cervical cancer screening after adjusting for age and sociodemographic factors. Household income was not significantly associated with mammograms or Pap smears after adjusting for age and sociodemographic factors.

CONCLUSIONS: Disparities in breast and cervical cancer screening associated with low sociodemographic status persist in Korea.
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1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
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