Determinants of gastric cancer screening attendance in Korea: a multi-level analysis.
Determinants of gastric cancer screening attendance in Korea: a multi-level analysis.
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DOI：
10.1186/s12885-015-1328-4
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发表时间：
2015-05-01
期刊：
影响因子：
3.8
通讯作者：
Yoo KY
中科院分区：
文献类型：
--
作者：
Chang Y;Cho B;Son KY;Shin DW;Shin H;Yang HK;Shin A;Yoo KY
我们的目的是评估胃癌筛查参与的个人和地区水平的决定因素。胃癌筛查和个体水平特征的数据来自2007-2009年第四次韩国国民健康和营养检查调查。地区层面的变量来自2005年全国人口普查、2008年韩国医学会和2010年国民健康保险公司。采用多水平logistic回归模型对数据进行分析。在纳入分析的10，658名40岁以上的个体中，根据韩国国家癌症筛查计划指南进行胃癌筛查的估计参与率为44.0%。在个人层面的变量中，最高收入四分位数，大学或更高的教育水平，与配偶生活，有私人健康保险，有限的一般活动，以前的胃或十二指肠溃疡病史，目前不吸烟与胃癌筛查的参与率较高。在地区层面的因素中，城市化与胃癌筛查出勤率呈显着负相关（优势比（OR）= 0.73;城市化程度最高的四分位数与城市化程度最低的四分位数的95%置信区间（CI）= 0.57-0.93）。胃癌筛查出勤率存在个体差异和地区差异。
We aimed to assess individual and area-level determinants of gastric cancer screening participation. Data on gastric cancer screening and individual-level characteristics were obtained from the 2007–2009 Fourth Korea National Health and Nutrition Examination Survey. The area-level variables were collected from the 2005 National Population Census, 2008 Korea Medical Association, and 2010 National Health Insurance Corporation. The data were analyzed using multilevel logistic regression models. The estimated participation rate in gastric cancer screening adhered to the Korea National Cancer Screening Program guidelines was 44.0% among 10,658 individuals aged over 40 years who were included in the analysis. Among the individual-level variables, the highest income quartile, a college or higher education level, living with spouse, having a private health insurance, limited general activity, previous history of gastric or duodenal ulcer, and not currently smoking were associated with a higher participation rate in gastric cancer screening. Urbanization showed a significant negative association with gastric cancer screening attendance among the area-level factors (odds ratio (OR) = 0.73; 95% confidence interval (CI) = 0.57-0.93 for the most urbanized quartile vs. least urbanized quartile). There are differences in gastric cancer screening attendance according to both individual and regional area characteristics.
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影响因子：
4.3
作者：
Kwon, Young Min;Lim, Hyung Taek;Park, Sang Min
通讯作者：
Park, Sang Min
影响因子：
5.2
作者：
Fukuda, Y;Nakamura, K;Takano, T
通讯作者：
Takano, T
影响因子：
5.1
作者：
Hsia, J;Kemper, E;Mason, E
通讯作者：
Mason, E
DOI：
10.3961/jpmph.2009.42.6.392
发表时间：
2009-11-01
期刊：
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子：
--
作者：
Shin, Hosung;Lee, Suehyung;Chu, Jang Min
通讯作者：
Chu, Jang Min
影响因子：
7.2
作者：
TSUBONO, Y;FUKAO, A;SUGAWARA, N
通讯作者：
SUGAWARA, N