Gender differences in elders’ participation in the national cancer screening program

Evidence from the Korean national health and nutrition examination survey 2010–12

Yang-Hyun Kim, Kyunghee Kim, Kyung Do Han, Ji Su Kim

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Cancer-screening programs are effective in reducing cancer prevalence and mortality; however, cancer remains the leading cause of death in elderly people in Korea. The aim of this study was to identify the factors associ-ated with elders’ participation in the National Cancer Screening Program (NCSP) and differences in screening rates by gender. Methods: Original data from the Korea National Health and Nutrition and Examination Survey were analyzed by logistic regression analysis. The sample consisted of 5,505 elderly individuals over age 60. Selected demographic varia-bles, cancer screening participation, physical and psychological health status, and lifestyle were examined. Results: The NCSP participation rates decreased in both men and women as age increased. Private medical insurance (OR 95% CI: 1.04–1.78), one or more chronic disease (OR 95% CI: 1.07–1.71), and current smoker (OR 95% CI: 0.52–0.94) had the strongest associations with cancer screening participation among men after multivariate adjustment. In contrast, cancer screening participation among women was significantly associated only with living place (OR 95% CI: 1.06–2.203) after multivariate adjustment. Conclusions: Effective health promoting interventions for elders require individualized programs that address gen-der-related factors associated with elders’ participation in cancer screening programs.

Original languageEnglish
Pages (from-to)1176-1186
Number of pages11
JournalIranian Journal of Public Health
Volume44
Issue number9
Publication statusPublished - 2015 Sep 1

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Nutrition Surveys
Early Detection of Cancer
Social Adjustment
Korea
Insurance
Health Status
Life Style
Cause of Death
Neoplasms
Chronic Disease
Logistic Models
Regression Analysis
Demography
Psychology
Mortality
Health

Keywords

  • Cancer
  • National Cancer Screening Program
  • South Korea

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Gender differences in elders’ participation in the national cancer screening program : Evidence from the Korean national health and nutrition examination survey 2010–12. / Kim, Yang-Hyun; Kim, Kyunghee; Han, Kyung Do; Kim, Ji Su.

In: Iranian Journal of Public Health, Vol. 44, No. 9, 01.09.2015, p. 1176-1186.

Research output: Contribution to journalArticle

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abstract = "Background: Cancer-screening programs are effective in reducing cancer prevalence and mortality; however, cancer remains the leading cause of death in elderly people in Korea. The aim of this study was to identify the factors associ-ated with elders’ participation in the National Cancer Screening Program (NCSP) and differences in screening rates by gender. Methods: Original data from the Korea National Health and Nutrition and Examination Survey were analyzed by logistic regression analysis. The sample consisted of 5,505 elderly individuals over age 60. Selected demographic varia-bles, cancer screening participation, physical and psychological health status, and lifestyle were examined. Results: The NCSP participation rates decreased in both men and women as age increased. Private medical insurance (OR 95{\%} CI: 1.04–1.78), one or more chronic disease (OR 95{\%} CI: 1.07–1.71), and current smoker (OR 95{\%} CI: 0.52–0.94) had the strongest associations with cancer screening participation among men after multivariate adjustment. In contrast, cancer screening participation among women was significantly associated only with living place (OR 95{\%} CI: 1.06–2.203) after multivariate adjustment. Conclusions: Effective health promoting interventions for elders require individualized programs that address gen-der-related factors associated with elders’ participation in cancer screening programs.",
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