Factors associated with use of gastric cancer screening services in Korea
Factors associated with use of gastric cancer screening services in Korea
复制标题
DOI：
10.3748/wjg.15.3653
复制
发表时间：
2009-08-07
影响因子：
4.3
通讯作者：
Park, Sang Min
中科院分区：
文献类型：
--
作者：
Kwon, Young Min;Lim, Hyung Taek;Park, Sang Min
目的：为了确定参与胃癌筛查programmes.METHODS的相关因素：从韩国国家健康和营养检查调查2005年（KNHANES III），在韩国全国范围内的健康相关的调查数据，进行了横断面研究，调查年龄至少40岁的人之间的胃癌筛查出勤率的多个相关因素。研究人群包括4593名完成胃癌筛查问卷且无既往癌症史的个体。四组个人水平或环境水平的协变量被认为是潜在的相关factors.Results：使用KNHANES III数据，估计31.71%的韩国人年龄至少40岁，坚持胃癌筛查建议。小学毕业的受试者[校正的比值比（aOR），1.66; 95% CI：1.21-2.26]，初中/高中（aOR，1.38; 95%CI：1.01-1.89），大学或以上（aOR，1.64; 95%CI：1.13-2.37）比那些没有接受过正规教育的人更有可能接受胃癌筛查。收入最高的三分位数人群比收入最低的三分位数人群有更多的胃部筛查（aOR，1.36; 95%CI：1.06-1.73）。胃筛查也与过量饮酒呈负相关（aOR，0.71; 95% CI：0.53-0.96）。积极的预防医学评价态度与胃癌筛查的参与率显著相关（aOR，5.26，95%CI：4.35-6.35）。结论：应针对高危人群开展预防医学评价的干预措施，开展预防医学评价的宣传教育，提高胃癌筛查的参与率，降低胃癌死亡率。(C)2009年，WIG出版社和百世登。All rights reserved.
AIM: To identify the factors associated with participation in gastric cancer screening programs.METHODS: Using data from the Korea National Health and Nutrition Examination Survey 2005 (KNHANES III), a nationwide health-related survey in Korea, a cross-sectional study was performed to investigate the multiple factors associated with gastric cancer screening attendance among persons aged at least 40 years. The study population included 4593 individuals who completed a gastric cancer screening questionnaire and had no previous cancer history. Four groups of individual-level or environmental level covariates were considered as potential associated factors.RESULTS: Using KNHANES III data, an estimated 31.71% of Korean individuals aged at least 40 years adhered to gastric cancer screening recommendations. Subjects who graduated from elementary school [adjusted odds ratio (aOR), 1.66; 95% CI: 1.21-2.26], middle/high school (aOR, 1.38; 95% CI: 1.01-1.89), and university or higher (aOR, 1.64; 95% CI: 1.13-2.37) were more likely to undergo gastric cancer screening than those who received no formal education at all. The population with the highest income tertile had more attendance at gastric screening compared to those with the lowest income tertile (aOR, 1.36; 95% CI: 1.06-1.73). Gastric screening was also negatively associated with excessive alcohol consumption (aOR, 0.71; 95% CI: 0.53-0.96). A positive attitude to preventive medical evaluation was significantly associated with better participation in gastric cancer screening programs (aOR, 5.26; 95% CI: 4.35-6.35).CONCLUSION: Targeted interventions for vulnerable populations and public campaigns about preventive medical evaluation are needed to increase gastric cancer screening participation and reduce gastric cancer mortality. (C) 2009 The WIG Press and Baishideng. All rights reserved.