234733 Factors associated with women's cancer screening: Results from the Fourth Korea National Health and Nutrition Survey

Sunday, October 30, 2011

Jung A. Lee, MPH , Institute of Health Policy and Management, Seoul National University Medical Research Center, Seoul, South Korea
Sung-Eun Kim, MPH , Department of research planning, National Evidence-based Healthcare Collaborating Agency, Seoul, South Korea
So Young Kim, MD, PhD , National Cancer Control Research Institute, National Cancer Center, Ilsan, South Korea
Jong-Hyock Park, MD, PhD , National Cancer Control Research Institute, National Cancer Center, Ilsan, South Korea
Yoon Kim, MD, PhD , Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, South Korea
Objectives This study used 2008 Korean National Examination Health and Nutrition Survey (KNEHANS) data to evaluate the screening rate and factors associated with breast and cervical cancer screening services.

Methods Data were obtained from Korean National Health and Nutrition Examination Survey (KNHANES) 2008, which collected data from 3,729 Korean women aged older than 20 years. Dependent variables were having had a Pap smear and having had a mammography during the previous 2 years. The Andersen model was used to evaluate the related factors. Multivariate logistic regression models were adopted to control predisposing, enabling and need factors.

Results The results by proportions of the study population who had received cancer screening tests in the last two years were 21.9% for breast cancer and 23.4% for cervical cancer. Application of Andersen model revealed that age, marital status, education level, income level, private health insurance premium, smoking, chronic disease for breast cancer screening; age, marital status, education level, income level, private health insurance, chronic disease for cervical cancer screening were significant.

Conclusions In order to increase the rates of Korean women taking mammography and Pap test, breast and cervical cancer screening programs should be pay special attention to the underserved groups.

Key words: Mass screening, breast neoplasm, uterine cervical neoplasm, Korean women

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Evaluate the screening rate and factors associated with breast and cervical cancer screening services in Korea.

Keywords: Cancer Screening, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee programs such as disease prevention, environmental and consumer safety and substance abuse prevention and treatment programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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