Asian Pacific Journal of Cancer Prevention

  • 제15권2호
  • /
  • Pages.589-594
  • /
  • 2014
  • /
  • 1513-7368(pISSN)
  • /
  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
권호 표지
DOI QR코드

DOI QR Code

Barriers to Cancer Screening among Medical Aid Program Recipients in the Republic of Korea: A Qualitative Study

  • Lee, Yoon Young (National Cancer Control Institute, National Cancer Centre) ;
  • Jun, Jae Kwan (National Cancer Control Institute, National Cancer Centre) ;
  • Suh, Mina (National Cancer Control Institute, National Cancer Centre) ;
  • Park, BoYoung (National Cancer Control Institute, National Cancer Centre) ;
  • Kim, Yeol (National Cancer Control Institute, National Cancer Centre) ;
  • Choi, Kui Son (National Cancer Control Institute, National Cancer Centre)
  • 발행 : 2014.01.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Few studies have examined reasons why those with low socioeconomic status do not adequately receive cancer screening. We therefore conducted a qualitative study to assess the barriers to cancer screening in people with low socioeconomic status, and to examine the reasons why Medical Aid Program (MAP) recipients do not participate in the National Cancer Screening Program (NCSP). A focus group methodology was used. Participants included MAP recipients (men aged 45-79 years, women aged 35-79 years) who had been invited to cancer screening at least twice based on the NCSP protocol, but had not been screened for any cancer from 2009-2012. We recruited participants living in the cities of Goyang and Paju. A total of 23 MAP recipients participated in four focus group discussions, including 12 men and 11 women. In this qualitative study, we identified six barriers to screening: lack of trust in the NCSP and cancer screening units; fear of being diagnosed with cancer; discomfort or pain from the screening procedure; lack of time, lack of knowledge about cancer screening or lack of awareness of the existence of the NCSP; physical disability or underlying disease; and logistic barriers. Interventions such as individualized counseling, letters and reminders, or other individually-targeted strategies, especially for those with lower socioeconomic status are required to increase participation and reduce disparities in cancer screening.

키워드

참고문헌

  1. Barr J, Franks A, Lee N, et al (2001). Factors Associated with Continued Participation in Mammography Screening. Prev Med, 33, 661-7. https://doi.org/10.1006/pmed.2001.0942
  2. Bigby J, Holmes M (2005). Disparities across the breast cancer continuum. Cancer Causes Control, 16, 35-44. https://doi.org/10.1007/s10552-004-1263-1
  3. Burack R, Gimotty P, Simon M, et al (2003). The effect of adding Pap smear information to a mammography reminder system in an HMO: results of randomized controlled trial, Prev Med, 36, 547-54. https://doi.org/10.1016/S0091-7435(02)00062-2
  4. Challier B, Meslans Y, Viel J (2000). Deprived areas and attendance to screening of cervix uteri cancer in a French region. Cancer Causes Control, 11, 157-62. https://doi.org/10.1023/A:1008998322628
  5. Coughlin S, Uhler R(2000). Breast and cervical cancer screening practices among Asian and Pacific Islander women in the United States, 1994-1997. Cancer Epidemiol Biomarkers Prev, 9, 597-603.
  6. Coughlin SS, King J, Richards TB, et al (2006). Cervical Cancer Screening among Women in Metropolitan Areas of the United States by Individual-Level and Area-Based Measures of Socioeconomic Status, 2000 to 2002. Cancer Epidemiol Biomarkers Prev, 15, 2154-9. https://doi.org/10.1158/1055-9965.EPI-05-0914
  7. David L.(1996). Focus Group as Qualitative Research. 2nd ed. Sage Publications, Inc.
  8. Eaker S, Adami H, Sparen P (2001). Reasons women do not attend screening for cervical cancer: a population-based study in Sweden. Prev Med, 32, 482-91. https://doi.org/10.1006/pmed.2001.0844
  9. Hahm MI, Choi KS, Kye SY, et al (2007). Factors Influencing the Intention to have Stomach Cancer Screening. J Prev Med Public Health, 40, 205-12. https://doi.org/10.3961/jpmph.2007.40.3.205
  10. Housgaard L, Augustussen M, Moller H, et al (2013). Women's perspectives on illness when being screened for cervical cancer. Int J Circumpolar Health, 72, 1-7.
  11. Jung KW, Won YJ, Kong HJ, et al (2013). Cancer statistics In Korea: incidence, mortality, survival, and prevalence in 2010. Cancer Res Treat, 45, 1-14. https://doi.org/10.4143/crt.2013.45.1.1
  12. Katz S, Hofer T (1994). Socioeconomic disparities in preventive care persist despite universal coverage. Breast and cervical cancer screening in Ontario and the United States. JAMA, 272, 530-4. https://doi.org/10.1001/jama.1994.03520070050037
  13. Kim J, Jang S (2008). Socioeconomic disparities in breast cancer screening among US women: trends from 2000 to 2005. Prev Med Public Health, 41, 186-94. https://doi.org/10.3961/jpmph.2008.41.3.186
  14. Kissal A, Beser A (2011). Knowledge, facilitators and perceived barriers for early detection of breast cancer among elderly Turkish women. Asian Pac J Cancer Prev, 12, 975-84.
  15. Krueger RA, Casey MA (2009). Focus groups: a practice guide for applied research. 4th ed. Thousand Oaks, CA: Sage.
  16. Lantz P, Weigers M, House J (1997). Education and income differentials in breast and cervical cancer screening: policy implications for rural women. Med Care, 35, 219-36. https://doi.org/10.1097/00005650-199703000-00004
  17. Lasser KE, Ayanian JZ, Fletcher RH, et al (2008). Barriers to colorectal cancer screening in community health centers: a qualitative study. BMC Family Practice, 9, 15. https://doi.org/10.1186/1471-2296-9-15
  18. Lee EH, Han MA, Lee HY, et al (2010). Liver cancer screening in Korea: a report on the 2008 National Cancer Screening Programme. Asian Pac J Cancer Prev, 11, 1305-10.
  19. Lee H, Park E, Jun J, et al(2010). Trends in Socioeconomic Disparities in Organized and Opportunistic Gastric Cancer Screening in Korea (2005-2009). Cancer Epidemiol Biomarkers Prev, 19, 1919-26. https://doi.org/10.1158/1055-9965.EPI-09-1308
  20. Lee KS, Oh DK, Han MA, et al (2011). Gastric cancer screening in Korea: report on the National Cancer Screening Program in 2008. Cancer Res Treat, 43, 83-88. https://doi.org/10.4143/crt.2011.43.2.83
  21. Levy-Storms L, Bastani R, Reuben D(2004). Predictors of Varying Levels of Nonadherence to Mammography Screening in Older Women, J Am Geriatr Soc, 52, 768-73. https://doi.org/10.1111/j.1532-5415.2004.52216.x
  22. Miles A, Cockburn J, Smith R, et al (2004). A perspective from countries using organized screening programs. Cancer, 101, 1201-13. https://doi.org/10.1002/cncr.20505
  23. Ministry of Health and Welfare, National Cancer Center (2013). Cancer Facts and Figures 2013 in the Republic of Korea. 64-5.
  24. National Statistical Office (2012). Cause of Death statistics 2012.
  25. Oh DK, Shim JI, Han M, et al (2010). Breast cancer screening in Korean women: report of the National Cancer Screening Program in 2008. J Breast Cancer, 13, 299-304. https://doi.org/10.4048/jbc.2010.13.3.299
  26. Oshima S, Maezawa M (2013). Perception of cervical cancer screening among Japanese university students who have never had a Pap smear: a qualitative study. Asian Pac J Cancer Prev, 14, 4313-8. https://doi.org/10.7314/APJCP.2013.14.7.4313
  27. Park BY, Choi KS, Lee YY, et al (2012). Cancer screening status in Korea, 2011: Results from the Korean National Cancer Screening Survey. Asian Pac J Cancer Prev, 13, 1187-91. https://doi.org/10.7314/APJCP.2012.13.4.1187
  28. Park BY, Lee HY, Choi KS, et al (2011). Cancer screening in Korea, 2010: Results from the Korean National Cancer Screening Survey. Asian Pac J Cancer Prev, 12, 2123-8.
  29. Peek M, Han J (2004). Disparities in screening mammography. J Gen Intern Med, 19, 184-94. https://doi.org/10.1111/j.1525-1497.2004.30254.x
  30. Quinley J, Mahotiere T, Messina C, et al (2004). Mammographyfacilitybased patient reminders and repeat mammograms for Medicare in New York State. Prev Med, 38, 20-7. https://doi.org/10.1016/j.ypmed.2003.09.024
  31. Rakowski W, Pearlman D, Rimer B, et al (1995). Correlates of mammography among women with low and high socioeconomic resources. Prev Med, 24, 149-58. https://doi.org/10.1006/pmed.1995.1028
  32. Reath J (2008). Breast and cervical cancer in indigenous women. Aust Fam Physician, 37, 178-82.
  33. Selvin E, Brett K (2003). Breast and cervical cancer screening: sociodemographic predictors among White, Black, and Hispanic women. Am J Public Health, 93, 618-23. https://doi.org/10.2105/AJPH.93.4.618
  34. Seow A, Straughan PT, Ng EH, et al (1997). Factors determining a acceptability of mammography in an Asian population: a study among women in Singapore. Cancer Causes Control, 8, 771-9. https://doi.org/10.1023/A:1018439623384
  35. Suh M, Choi KS, Lee YY, et al (2013). Trends in Cancer Screening Rates among Korean Men and Women: Results from the Korean National Cancer Screening Survey, 2004-2012. Cancer Res Treat, 45, 86-94. https://doi.org/10.4143/crt.2013.45.2.86
  36. Shim JI, Kim Y, Han MA, et al (2010). Results of colorectal cancer screening of the National Cancer Screening Program in Korea, 2008. Cancer Res Treat, 42, 191-8. https://doi.org/10.4143/crt.2010.42.4.191
  37. Shin DW, Kim Y, Baek YJ, et al (2012). Oncologists experience with second primary cancer screening: current practices and barriers and potential solutions, Asian Pac J Cancer Prev, 13, 671-6. https://doi.org/10.7314/APJCP.2012.13.2.671
  38. Swan J, Breen N, Coates R, et al (2003). Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer, 97, 1528-40. https://doi.org/10.1002/cncr.11208
  39. Waller J, Bartoszek M, Marlow L, et al (2009). Barriers to cervical cancer screening attendance in England: a population-based survey. J Med Screen, 16, 199-204. https://doi.org/10.1258/jms.2009.009073
  40. Waller J, Douglas E, Whitaker KL, et al (2013). Women's responses to information about overdiagnosis in the UK breast cancer screening programme: a qualitative study. BMJ Open, 3, 1-8.
  41. Ward E, Jemal A, Cokkinides V, et al (2004). Cancer disparities by race/ethnicity and socioeconomic status. A Cancer Journal for Clinicians, 54, 78-93. https://doi.org/10.3322/canjclin.54.2.78
  42. World Health Organization(2003). International Agency for Research on Cancer. World Cancer Report. Geneva.
  43. World Health Organization(2002). National cancer control Programmes: polices and managerial guideline.-2nd ed. WHO Geneva

피인용 문헌

  1. Health care utilization and costs among medical-aid enrollees, the poor not enrolled in medical-aid, and the near poor in South Korea vol.14, pp.1, 2015, https://doi.org/10.1186/s12939-015-0257-9
  2. Factors Influencing Cancer Rescreening Intention of Korean Elderly vol.18, pp.2, 2015, https://doi.org/10.7587/kjrehn.2015.118
  3. Socioeconomic Disparities in Cancer Screening: Organized versus Opportunistic vol.37, pp.5, 2016, https://doi.org/10.4082/kjfm.2016.37.5.261
  4. Association between Socioeconomic Status and Cancer Screening in Koreans over 40 Years in Age Based on the 2010–2012 Korean National Health and Nutrition Examination Survey vol.37, pp.5, 2016, https://doi.org/10.4082/kjfm.2016.37.5.287
  5. Trends in Participation Rates for the National Cancer Screening Program in Korea, 2002-2012 vol.49, pp.3, 2017, https://doi.org/10.4143/crt.2016.186
  6. Cancer screening in Koreans: a focus group approach vol.18, pp.1, 2018, https://doi.org/10.1186/s12889-018-5147-9
  7. Factor structure and internal reliability of cultural belief scales about colorectal cancer screening among Koreans in the Republic of Korea vol.18, pp.1, 2018, https://doi.org/10.1186/s12889-018-6240-9
  8. Socioeconomic Inequalities in Colorectal Cancer Screening in Korea, 2005–2015: After the Introduction of the National Cancer Screening Program vol.59, pp.9, 2018, https://doi.org/10.3349/ymj.2018.59.9.1034
  9. The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey vol.39, pp.2, 2018, https://doi.org/10.4082/kjfm.2018.39.2.114
  10. Health Inequality in Health Checkups vol.39, pp.2, 2018, https://doi.org/10.4082/kjfm.2018.39.2.65
  11. Eye Drop Chart for Improvement of Topical Eye Drops Administration and Adherence vol.60, pp.2, 2019, https://doi.org/10.3341/jkos.2019.60.2.160