Determinants of undergoing thyroid cancer screening in Korean women

A cross-sectional analysis from the K-Stori 2016

Ha Na Cho, Eunji Choi, Da Hea Seo, Boyoung Park, Sohee Park, Juhee Cho, Sue Kim, Yeong Ran Park, Yumie Rhee, Kui Son Choi

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objectives Thyroid cancer is the most common cancer among Korean women. Studies suggest that the incidence of thyroid cancer might be associated with overdiagnosis resulting from thyroid cancer screening. The objective of this study was to identify the determinants of participation in thyroid cancer screening in Korean women. Methods Data were obtained from the 2016 Korean Study of Women's Health-Related Issues, a nationwide cross-sectional survey of women according to the reproductive life cycle. A total of 8697 cancer-free women of ages between 20 and 79 years were included for analysis. Multivariable logistic regression analysis was applied to analyse factors associated with adherence to thyroid cancer screening based on Andersen's health behavioural model. Results Over the last 2 years, the rate of thyroid cancer screening was 39.2%. In multivariable models, older age, higher household income, high school education level and higher perceived risk of cancer were positively associated with thyroid cancer screening participation. Moreover, women who underwent cervical cancer screening (adjusted OR [aOR] 3.67; 95% CI 2.90 to 4.64) and breast cancer screening (aOR 10.91; 95% CI 8.41 to 14.14) had higher odds of attending thyroid cancer screening than women who did not attend cancer screening. Conclusions These findings highlight the need to increase awareness of different recommendations on screening for various cancers to improve cost-effectiveness and to prevent unnecessary treatments.

Original languageEnglish
Article numbere026366
JournalBMJ Open
Volume9
Issue number4
DOIs
StatePublished - 2019 Apr 1

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Early Detection of Cancer
Thyroid Neoplasms
Cross-Sectional Studies
Neoplasms
Women's Health
Life Cycle Stages
Uterine Cervical Neoplasms
Statistical Factor Analysis
Cost-Benefit Analysis
Cohort Studies
Logistic Models
Regression Analysis
Breast Neoplasms
Education
Health

Keywords

  • cancer screenig
  • health behavior
  • thyroid cancer

Cite this

Cho, Ha Na ; Choi, Eunji ; Seo, Da Hea ; Park, Boyoung ; Park, Sohee ; Cho, Juhee ; Kim, Sue ; Park, Yeong Ran ; Rhee, Yumie ; Choi, Kui Son. / Determinants of undergoing thyroid cancer screening in Korean women : A cross-sectional analysis from the K-Stori 2016. In: BMJ Open. 2019 ; Vol. 9, No. 4.
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abstract = "Objectives Thyroid cancer is the most common cancer among Korean women. Studies suggest that the incidence of thyroid cancer might be associated with overdiagnosis resulting from thyroid cancer screening. The objective of this study was to identify the determinants of participation in thyroid cancer screening in Korean women. Methods Data were obtained from the 2016 Korean Study of Women's Health-Related Issues, a nationwide cross-sectional survey of women according to the reproductive life cycle. A total of 8697 cancer-free women of ages between 20 and 79 years were included for analysis. Multivariable logistic regression analysis was applied to analyse factors associated with adherence to thyroid cancer screening based on Andersen's health behavioural model. Results Over the last 2 years, the rate of thyroid cancer screening was 39.2{\%}. In multivariable models, older age, higher household income, high school education level and higher perceived risk of cancer were positively associated with thyroid cancer screening participation. Moreover, women who underwent cervical cancer screening (adjusted OR [aOR] 3.67; 95{\%} CI 2.90 to 4.64) and breast cancer screening (aOR 10.91; 95{\%} CI 8.41 to 14.14) had higher odds of attending thyroid cancer screening than women who did not attend cancer screening. Conclusions These findings highlight the need to increase awareness of different recommendations on screening for various cancers to improve cost-effectiveness and to prevent unnecessary treatments.",
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Determinants of undergoing thyroid cancer screening in Korean women : A cross-sectional analysis from the K-Stori 2016. / Cho, Ha Na; Choi, Eunji; Seo, Da Hea; Park, Boyoung; Park, Sohee; Cho, Juhee; Kim, Sue; Park, Yeong Ran; Rhee, Yumie; Choi, Kui Son.

In: BMJ Open, Vol. 9, No. 4, e026366, 01.04.2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Determinants of undergoing thyroid cancer screening in Korean women

T2 - A cross-sectional analysis from the K-Stori 2016

AU - Cho, Ha Na

AU - Choi, Eunji

AU - Seo, Da Hea

AU - Park, Boyoung

AU - Park, Sohee

AU - Cho, Juhee

AU - Kim, Sue

AU - Park, Yeong Ran

AU - Rhee, Yumie

AU - Choi, Kui Son

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Y1 - 2019/4/1

N2 - Objectives Thyroid cancer is the most common cancer among Korean women. Studies suggest that the incidence of thyroid cancer might be associated with overdiagnosis resulting from thyroid cancer screening. The objective of this study was to identify the determinants of participation in thyroid cancer screening in Korean women. Methods Data were obtained from the 2016 Korean Study of Women's Health-Related Issues, a nationwide cross-sectional survey of women according to the reproductive life cycle. A total of 8697 cancer-free women of ages between 20 and 79 years were included for analysis. Multivariable logistic regression analysis was applied to analyse factors associated with adherence to thyroid cancer screening based on Andersen's health behavioural model. Results Over the last 2 years, the rate of thyroid cancer screening was 39.2%. In multivariable models, older age, higher household income, high school education level and higher perceived risk of cancer were positively associated with thyroid cancer screening participation. Moreover, women who underwent cervical cancer screening (adjusted OR [aOR] 3.67; 95% CI 2.90 to 4.64) and breast cancer screening (aOR 10.91; 95% CI 8.41 to 14.14) had higher odds of attending thyroid cancer screening than women who did not attend cancer screening. Conclusions These findings highlight the need to increase awareness of different recommendations on screening for various cancers to improve cost-effectiveness and to prevent unnecessary treatments.

AB - Objectives Thyroid cancer is the most common cancer among Korean women. Studies suggest that the incidence of thyroid cancer might be associated with overdiagnosis resulting from thyroid cancer screening. The objective of this study was to identify the determinants of participation in thyroid cancer screening in Korean women. Methods Data were obtained from the 2016 Korean Study of Women's Health-Related Issues, a nationwide cross-sectional survey of women according to the reproductive life cycle. A total of 8697 cancer-free women of ages between 20 and 79 years were included for analysis. Multivariable logistic regression analysis was applied to analyse factors associated with adherence to thyroid cancer screening based on Andersen's health behavioural model. Results Over the last 2 years, the rate of thyroid cancer screening was 39.2%. In multivariable models, older age, higher household income, high school education level and higher perceived risk of cancer were positively associated with thyroid cancer screening participation. Moreover, women who underwent cervical cancer screening (adjusted OR [aOR] 3.67; 95% CI 2.90 to 4.64) and breast cancer screening (aOR 10.91; 95% CI 8.41 to 14.14) had higher odds of attending thyroid cancer screening than women who did not attend cancer screening. Conclusions These findings highlight the need to increase awareness of different recommendations on screening for various cancers to improve cost-effectiveness and to prevent unnecessary treatments.

KW - cancer screenig

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