Kwon Young-Min, Lim Hyung-Taek, Lee Kiheon, Cho Be-Long, Park Min-Sun, Son Ki-Young, Park Sang-Min
Department of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Jongro-Gu, Seoul, South Korea.
World J Gastroenterol. 2009 Aug 7;15(29):3653-9. doi: 10.3748/wjg.15.3653.
To identify the factors associated with participation in gastric cancer screening programs.
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.
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).
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.
确定与参与胃癌筛查项目相关的因素。
利用韩国2005年全国健康与营养检查调查（KNHANES III）的数据，这是一项韩国全国性的健康相关调查，进行了一项横断面研究，以调查至少40岁人群中与参加胃癌筛查相关的多种因素。研究人群包括4593名完成胃癌筛查问卷且既往无癌症病史的个体。四组个体层面或环境层面的协变量被视为潜在的相关因素。
利用KNHANES III数据，估计至少40岁的韩国人中31.71%遵守了胃癌筛查建议。小学毕业的受试者[调整优势比（aOR），1.66；95%置信区间：1.21 - 2.26]、初中/高中毕业的受试者（aOR，1.38；95%置信区间：1.01 - 1.89）以及大学及以上学历的受试者（aOR，1.64；95%置信区间：1.13 - 2.37）比完全未接受正规教育的人更有可能接受胃癌筛查。收入最高三分位数人群比收入最低三分位数人群参加胃癌筛查的比例更高（aOR，1.36；95%置信区间：1.06 - 1.73）。胃癌筛查也与过量饮酒呈负相关（aOR，0.71；95%置信区间：0.53 - 0.96）。对预防性医学评估持积极态度与更好地参与胃癌筛查项目显著相关（aOR，5.26；95%置信区间：4.35 - 6.35）。
需要针对弱势群体进行有针对性的干预以及开展关于预防性医学评估的公众宣传活动，以提高胃癌筛查参与率并降低胃癌死亡率。
