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http://dx.doi.org/10.4332/KJHPA.2019.29.4.399

Factors Associated with the Non-screening Status of Cervical Cancer Screening Test in Korean Adult Women: Korea National Health and Nutrition Examination Survey (2010-2012)  

Choi, Won-Mi (Department of QI, MizMedi Hospital)
Han, Nam-Kyung (Department of Nursing, Gyeongbuk College of Health)
Chung, Woojin (Department of Health Policy and Management, Yonsei University Graduate School of Public Health)
Publication Information
Health Policy and Management / v.29, no.4, 2019 , pp. 399-411 More about this Journal
Abstract
Background: This study aimed to explore the associations of social-demographic, health-behavioral, and woman-specific factors with the non-screening status of the cervical cancer screening test in Korean adult women. Methods: This study was a cross-sectional analysis of 9,698 Korean adult women aged 20 years or more who participated in the Korea National Health and Nutrition Examination Surveys V (2010-2012). Rao-Scott chi-square tests and survey logistic regression analyses were employed respectively to analyze the difference in the non-screening status of the cervical cancer screening test by each characteristic and to explore the factors related to the non-screening status. Results: The rate of the non-screening status of the cervical cancer screening test was 53.5% over the previous 2 years. In the survey logistics regression analysis, age, marital status, educational levels, income levels, residential area, occupation, private health insurance, smoking, alcohol, obesity, menstrual status, pregnancy experience, and hormone replacement therapy were significantly associated with the non-screening status of the cervical cancer screening test. Conclusion: On the basis of the results of this study, some social-demographic, health-behavioral, and woman-specific characteristics of Korean adult women seem to affect the non-screening status of the cervical cancer screening test. Therefore, appropriate health policies need to be designed, implemented, monitored, and evaluated to reduce the non-screening status of the cervical cancer screening test of them.
Keywords
Screening; Non-screening; Uterine cervical neoplasms; Korean adult women; Korea National Health and Nutrition Examination Survey;
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1 Moyer VA; U.S. Preventive Services Task Force. Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2012;156(12):880-891,W312. DOI: https://doi.org/10.7326/0003-4819-156-12-201206190-00424.   DOI
2 Freeman HP. Cancer in the socioeconomically disadvantaged. CA Cancer J Clin 1989;39(5):266-288. DOI: https://doi.org/10.33220/canjclin.39.5.266.   DOI
3 Gebru Z, Gerbaba M, Dirar A. Utilization of cervical carcinoma screening service and associated factors among currently married women in Arba Minch town, Southern Ethiopia. J Women's Health Care 2016;5:1000297. DOI: https://doi.org/10.4172/2167-0420.1000297.
4 Sozmen K, Unal B, Sakarya S, Dinc G, Yardim N, Keskinkilic B, et al. Determinants of breast and cervical cancer screening uptake among women in Turkey. Asia Pac J Public Health 2016;28(6):528-538. DOI: https://doi.org/10.1177/1010539516654541.   DOI
5 Hansen BT, Hukkelberg SS, Haldorsen T, Eriksen T, Skare GB, Nygard M. Factors associated with non-attendance, opportunistic attendance and reminded attendance to cervical screening in an organized screening program: a cross-sectional study of 12,058 Norwegian women. BMC Public Health 2011;11:264. DOI: https://doi.org/10.1186/1471-2458-11-264.   DOI
6 Park YS, Chung EK, Choi JS, Park KS, Shin MH, Kweon SS, et al. Cancer screening rates and its related factors in a rural and urban communities. J Korean Acad Fam Med 2006;27(1):21-32.
7 Lee M, Chang HS, Park EC, Yu SH, Sohn M, Lee SG. Factors associated with participation of Korean women in cervical cancer screening examination by age group. Asian Pac J Cancer Prev 2011;12(6):1457-1462.
8 Jeong IS, Kim SH, Kim YS. Related factors with the cervical cancer screening and repeated screening. J Korean Soc Matern Child Health 2004;8(2):185-198.
9 Grange G, Malvy D, Lancon F, Gaudin AF, El Hasnaoui A. Factors associated with regular cervical cancer screening. Int J Gynaecol Obstet 2008;102(1):28-33. DOI: https://doi.org/10.1016/j.ijgo.2008.01.027.   DOI
10 Ko KD, Park SM, Lee K. Factors associated with the use of uterine cervical cancer screening services in korean elderly women. Korean J Fam Med 2012;33(3):174-181. DOI: https://doi.org/10.4082/kjfm.2012.33.3.174.   DOI
11 Constantinou P, Dray-Spira R, Menvielle G. Cervical and breast cancer screening participation for women with chronic conditions in France: results from a national health survey. BMC Cancer 2016;16:255. DOI: https://doi.org/10.1186/s12885-016-2295-0.   DOI
12 Gao W, Paterson J, DeSouza R, Lu T. Demographic predictors of cervical cancer screening in Chinese women in New Zealand. N Z Med J 2008;121(1277):8-17. DOI: https://doi.org/10.1016/j.ijgo.2008.04.025.
13 Oh EJ. The related factors of preventive screening behavior about cervical cancer in married women [master's thesis]. Busan: Kosin University; 2006.
14 Richard A, Rohrmann S, Schmid SM, Tirri BF, Huang DJ, Guth U, et al. Lifestyle and health-related predictors of cervical cancer screening attendance in a Swiss population-based study. Cancer Epidemiol 2015;39(6):870-876. DOI: https://doi.org/10.1016/j.canep.2015.09.009.   DOI
15 Oh KH. A study of health belief model and cervical cancer screening behavior [master's thesis]. Seoul: Yonsei University; 2013.
16 Kim RB, Park KS, Hong DY, Lee CH, Kim JR. Factors associated with cancer screening intention in eligible persons for national cancer screening program. J Prev Med Public Health 2010;43(1):62-72. DOI: https://doi.org/10.3961/jpmph.2010.43.1.62.   DOI
17 Bayu H, Berhe Y, Mulat A, Alemu A. Cervical cancer screening service uptake and associated factors among age eligible women in Mekelle zone, Northern Ethiopia, 2015: a community based study using health belief model. PLoS One 2016;11(3):e0149908. DOI:https://doi.org/10.1371/journal.pone.0149908.   DOI
18 Alfaro KM, Gage JC, Rosenbaum AJ, Ditzian LR, Maza M, Scarinci IC, et al. Factors affecting attendance to cervical cancer screening among women in the Paracentral Region of El Salvador: a nested study within the CAPE HPV screening program. BMC Public Health 2015;15:1058. DOI: https://doi.org/10.1186/s12889-015-2360-7.   DOI
19 Waller J, Bartoszek M, Marlow L, Wardle J. Barriers to cervical cancer screening attendance in England: a population-based survey. J Med Screen 2009;16(4):199-204. DOI: https://doi.org/10.1258/jms.2009.009073.   DOI
20 Lee WC, Lee SY. National health screening program of Korea. J Korean Med Assoc 2010;53(5):363-370. DOI: https://doi.org/10.5124/jkma.2010.53.5.363.   DOI
21 Korea Central Cancer Registry. Statistics of cancer status in 2014. Goyang: Korea Central Cancer Registry, National Cancer Center;2014.
22 Ortiz AP, Hebl S, Serrano R, Fernandez ME, Suarez E, Tortolero-Luna G. Factors associated with cervical cancer screening in Puerto Rico. Prev Chronic Dis 2010;7(3):A58.
23 Wongwatcharanukul L, Promthet S, Bradshaw P, Jirapornkul C, Tungsrithong N. Factors affecting cervical cancer screening uptake by Hmong hilltribe women in Thailand. Asian Pac J Cancer Prev 2014;15(8):3753-3756. DOI: https://doi.org/10.7314/apjcp.2014.15.8.3753.   DOI
24 Nene B, Jayant K, Arrossi S, Shastri S, Budukh A, Hingmire S, et al. Determinants of womens participation in cervical cancer screening trial, Maharashtra, India. Bull World Health Organ 2007;85(4):264-272. DOI: https://doi.org/10.2471/blt.06.031195.   DOI
25 Martins LF, Valente JG, Thuler LC. Factors related to inadequate cervical cancer screening in two Brazilian state capitals. Rev Saude Publica 2009;43(2):318-325. DOI: https://doi.org/10.1590/s0034-89102009000200013.   DOI
26 Hadji M, Khosravi M, Weiderpass E, Taghizadeh R, Zendehdel K. Factors related to the knowledge, attitudes and practices of opportunistic cervical cancer screening in IR of Iran. Basic Clin Cancer Res 2015;7(2-3):9-19.
27 Barbadoro P, Ricciardi A, Di Tondo E, Vallorani S, Mazzarini G, Prospero E. Utilization patterns of cervical cancer screening in Italy. Eur J Cancer Prev 2015;24(2):135-140. DOI: https://doi.org/10.1097/CEJ.0000000000000068.   DOI
28 Ncube B, Bey A, Knight J, Bessler P, Jolly PE. Factors associated with the uptake of cervical cancer screening among women in portland, Jamaica. N Am J Med Sci 2015;7(3):104-113. DOI: https://doi.org/10.4103/1947-2714.153922.   DOI
29 Wang X, Fang C, Tan Y, Liu A, Ma GX. Evidence-based intervention to reduce access barriers to cervical cancer screening among underserved Chinese American women. J Womens Health (Larchmt) 2010;19(3):463-469. DOI: https://doi.org/10.1089/jwh.2009.1422.   DOI
30 Vedantham H, Silver MI, Kalpana B, Rekha C, Karuna BP, Vidyadhari K, et al. Determinants of VIA (Visual Inspection of the Cervix After Acetic Acid Application) positivity in cervical cancer screening of women in a peri-urban area in Andhra Pradesh, India. Cancer Epidemiol Biomarkers Prev 2010;19(5):1373-1380. DOI:https://doi.org/10.1158/1055-9965.EPI-09-1282.   DOI
31 Catarino RR, Vassilakos PP, Royannez-Drevard II, Guillot CC, Alzuphar SS, Fehlmann AA, et al. Barriers to cervical cancer screening in Geneva (DEPIST Study). J Low Genit Tract Dis 2016;20(2): 135-138. DOI: https://doi.org/10.1097/LGT.0000000000000173.   DOI
32 Lantz PM, Weigers ME, House JS. Education and income differentials in breast and cervical cancer screening: policy implications for rural women. Med Care 1997;35(3):219-236. DOI: https://doi.org/10.1097/00005650-199703000-00004.   DOI
33 Radde K, Gottschalk A, Bussas U, Schulein S, Schriefer D, Seifert U, et al. Invitation to cervical cancer screening does increase participation in Germany: results from the MARZY study. Int J Cancer 2016;139(5):1018-1030. DOI: https://doi.org/10.1002/ijc.30146.   DOI
34 Kim KJ, Park JY, Han CH. Middle-aged women's health behavior and its related factors in rural area. J Agric Med Community Health 2001;26(1):81-103.
35 Tsui J, Tanjasiri SP. Cervical cancer screening among Thai women in Northern California. J Womens Health (Larchmt) 2008;17(3):393-401. DOI: https://doi.org/10.1089/jwh.2007.0427.   DOI
36 Yi JK. Factors associated with cervical cancer screening behavior among Vietnamese women. J Community Health 1994;19(3):189-200. DOI: https://doi.org/10.1007/bf02260379.   DOI
37 Reyes-Ortiz CA, Velez LF, Camacho ME, Ottenbacher KJ, Markides KS. Health insurance and cervical cancer screening among older women in Latin American and Caribbean cities. Int J Epidemiol 2008;37(4):870-878. DOI: https://doi.org/10.1093/ije/dyn096.   DOI
38 Kim YB, Ro WO, Lee WC, Park YM, Meng KH. The influence factors on cervical and breast cancers screening behavior of women in a city. J Korean Soc Health Educ Promot 2000;17(1):1-16.
39 Puig-Tintore LM, Castellsague X, Torne A, de Sanjose S, Cortes J, Roura E, et al. Coverage and factors associated with cervical cancer screening: results from the AFRODITA study: a population-based survey in Spain. J Low Genit Tract Dis 2008;12(2):82-89. DOI:https://doi.org/10.1097/LGT.0b013e3181599c16.   DOI
40 Min KJ, Lee YJ, Suh M, Yoo CW, Lim MC, Choi J, et al. The Korean guideline for cervical cancer screening. J Gynecol Oncol 2015;26(3):232-239. DOI: https://doi.org/10.3802/jgo.2015.26.3.232.   DOI
41 Nelson A. Unequal treatment: confronting racial and ethnic disparities in health care. J Natl Med Assoc 2002;94(8):666-668.
42 Swaddiwudhipong W, Chaovakiratipong C, Nguntra P, Mahasakpan P, Tatip Y, Boonmak C. A mobile unit: an effective service for cervical cancer screening among rural Thai women. Int J Epidemiol 1999;28(1):35-39. DOI: https://doi.org/10.1093/ije/28.1.35.   DOI
43 Peng Y, Chang W, Zhou H, Hu H, Liang W. Factors associated with health-seeking behavior among migrant workers in Beijing, China. BMC Health Serv Res 2010;10:69. DOI: https://doi.org/10.1186/1472-6963-10-69.   DOI
44 Organization for Economic Cooperation and Development. OECD employment outlook 2016. Paris: OECD Publishing; 2016.
45 Ministry of Health and Welfare. Health and welfare report, 2014. Sejong: Ministry of Health and Welfare; 2018.
46 Muthoni MA, Ochieng OG, Mburugu KR, Samson N, Taratisio N, Gacheri R. Socio-demographic characteristics influencing uptake of screening for cervical cancer in women aged 18-49 years in Imenti north sub-county, Meru County, Kenya. Sci J Public Health 2016;4(2):94-99. DOI: https://doi.org/10.11648/j.sjph.20160402.13.   DOI
47 Brown HK, Plourde N, Ouellette-Kuntz H, Vigod S, Cobigo V. Brief report: cervical cancer screening in women with intellectual and developmental disabilities who have had a pregnancy. J Intellect Disabil Res 2016;60(1):22-27. DOI: https://doi.org/10.1111/jir.12225.   DOI
48 Miles-Richardson S, Allen S, Claridy MD, Booker EA, Gerbi G. Factors associated with self-reported cervical cancer screening among women aged 18 years and older in the United States. J Community Health 2017;42(1):72-77. DOI: https://doi.org/10.1007/s10900-016-0231-5.   DOI
49 World Health Organization. Comprehensive cervical cancer prevention and control: a healthier future for girls and women: WHO guidance note. Geneva: World Health Organization; 2013.
50 Forouzanfar MH, Foreman KJ, Delossantos AM, Lozano R, Lopez AD, Murray CJ, et al. Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis. Lancet 2011;378(9801): 1461-1484. DOI: https://doi.org/10.1016/S0140-6736(11)61351-2.   DOI
51 Mausner JS, Kramer S, Bahn AK. Epidemiology: an introductory text. 2nd ed Philadelphia (PA): Saunders; 1985.
52 International Agency for Research on Cancer; World Health Organization. GLOBOCAN 2012: estimated cancer incidence, mortality and prevalence worldwide in 2012. Lyon: International Agency for Research on Cancer; 2013.
53 Ministry of Health and Welfare; National Cancer Center. Cancer facts and figures 2017. Sejong: Ministry of Health and Welfare, National Cancer Center; 2017.
54 Statistics Korea. Cause of death statistics 2017. Daejeon: Statistics Korea; 2017.
55 Ministry of Health and Welfare; Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2016. Sejong: Ministry of Health and Welfare; 2016.
56 World Health Organization. Estimated cancer incidence, mortality, and prevalence worldwide in 2012. Geneva: World Health Organization; 2014.
57 Seidel D, Becker N, Rohrmann S, Nimptsch K, Linseisen J. Socio-demographic characteristics of participation in the opportunistic German cervical cancer screening programme: results from the EPIC-Heidelberg cohort. J Cancer Res Clin Oncol 2009;135(4):533-541. DOI: https://doi.org/10.1007/s00432-008-0485-0.   DOI
58 Arrossi S, Ramos S, Paolino M, Sankaranarayanan R. Social inequality in Pap smear coverage: identifying under-users of cervical cancer screening in Argentina. Reprod Health Matters 2008;16(32):50-58. DOI: https://doi.org/10.1016/S0968-8080(08)32410-0.   DOI
59 Luque JS, Opoku S, Ferris DG, Guevara Condorhuaman WS. Social network characteristics and cervical cancer screening among Quechua women in Andean Peru. BMC Public Health 2016;16:181. DOI: https://doi.org/10.1186/s12889-016-2878-3.   DOI
60 Palencia L, Espelt A, Rodriguez-Sanz M, Puigpinos R, Pons-Vigues M, Pasarin MI, et al. Socio-economic inequalities in breast and cervical cancer screening practices in Europe: influence of the type of screening program. Int J Epidemiol 2010;39(3):757-765. DOI:https://doi.org/10.1093/ije/dyq003.   DOI
61 Todorova I, Baban A, Alexandrova-Karamanova A, Bradley J. Inequalities in cervical cancer screening in Eastern Europe: perspectives from Bulgaria and Romania. Int J Public Health 2009;54(4):222-232. DOI: https://doi.org/10.1007/s00038-009-8040-6.   DOI
62 Kuitto K, Pickel S, Neumann H, Jahn D, Metelmann HR. Attitudinal and socio-structural determinants of cervical cancer screening and HPV vaccination uptake: a quantitative multivariate analysis. J Public Health 2010;18(2):179-188. DOI: https://doi.org/10.1007/s10389-009-0308-z.   DOI
63 Wall KM, Rocha GM, Salinas-Martinez AM, Baraniuk S, Day RS. Modifiable barriers to cervical cancer screening adherence among working women in Mexico. J Womens Health (Larchmt) 2010;19(7):1263-1270. DOI: https://doi.org/10.1089/jwh.2009.1572.   DOI
64 Jang SN, Cho SI, Hwang SS, Jung-Choi K, Im SY, Lee JA, et al. Trend of socioeconomic inequality in participation in cervical cancer screening among Korean women. J Prev Med Public Health 2007;40(6):505-511. DOI: https://doi.org/10.3961/jpmph.2007.40.6.505.   DOI