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Who participates in the gastric cancer screening and on-time rescreening in the National Cancer Screening Program? A population-based study in Korea.

Authors
 Myung-Il Hahm  ;  Kui Son Choi  ;  Hoo-Yeon Lee  ;  Jae Kwan Jun  ;  Dongkwan Oh  ;  Eun-Cheol Park 
Citation
 CANCER SCIENCE, Vol.102(12) : 2241-2247, 2011 
Journal Title
CANCER SCIENCE
ISSN
 1347-9032 
Issue Date
2011
MeSH
Adult ; Aged ; Aged, 80 and over ; Early Detection of Cancer/statistics & numerical data* ; Endoscopy ; Female ; Humans ; Insurance, Health ; Logistic Models ; Male ; Mass Screening/statistics & numerical data* ; Middle Aged ; National Health Programs ; Patient Participation* ; Photofluorography ; Republic of Korea/epidemiology ; Stomach Neoplasms/diagnosis* ; Stomach Neoplasms/epidemiology
Abstract
Gastric cancer (GC) screening is a major challenge in countries where the disease is highly prevalent. This study was conducted to identify the factors associated with participation in GC screening and on-time rescreening among the average-risk population in Korea. The study population was derived from the National Cancer Screening Program database. The population for this study was 22 913 618 individuals aged ≥40 years who had been invited to participate in a GC screening program from 2005 to 2006. We determined whether these individuals had attended the GC screening program and which method - an upper gastrointestinal series (UGIS) or endoscopy-they underwent. We followed the participants to determine whether they had a second GC screening after 2 years. The overall participation rate in the GC screening was 20.5%. More people underwent UGIS than endoscopy. Individuals who had been screened by endoscopy rather than UGIS were more likely to be younger, male, or those who were National Health Insurance (NHI) beneficiaries with a higher premium rate. Of those who underwent baseline screening, 59.4% participated in a rescreening program 2 years later. NHI beneficiaries with a higher premium rate were significantly more likely to be rescreened than medical aid recipients. The results from this study showed that the UGIS were more commonly used in organized GC screenings in Korea, and those who underwent UGIS were more likely to return for subsequent screening compared to those who underwent an endoscopy.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1349-7006.2011.02090.x/abstract
DOI
10.1111/j.1349-7006.2011.02090.x
Appears in Collections:
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
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94691
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