Han Mi Ah, Choi Kui Son, Lee Hoo-Yeon, Kim Yeonju, Jun Jae Kwan, Park Eun-Cheol
Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, Korea.
Asian Pac J Cancer Prev. 2011;12(7):1657-63.
Since 2000, thyroid cancer has been increasing most rapidly in Korea. Although the cause of the increase is not clear, thyroid cancer screening could be identified as one of its causes. The purpose of this study was to examine the screening rate of thyroid cancer and its related factors using nationwide data.
The study population was derived from the 2009 Korea National Cancer Screening Survey (KNCSS), an annual cross-sectional survey that uses a nationally representative random sampling to investigate cancer screening rates. A total of 2,000 Korean adults participated. The screening method of thyroid cancer was restricted to thyroid ultrasonography. Logistic regression was used to identify factors associated with undergoing thyroid cancer screening.
Of all participants, 13.2% (8.4% men and 16.4% women) underwent thyroid ultrasonography. On multiple analyses, age, residence, belief in cancer screening, regular health check-ups, smoking, alcohol drinking, and exercise were associated with thyroid cancer screening. Subjects who underwent other cancer screening, such as gastric, colorectal, breast, or cervical, were more likely to have had a thyroid ultrasonogram that those who did not get screened.
We presented the number and characteristics of examinees utilized ultrasonography as a thyroid screening tool in Korea. Although these results revealed that cancer screening might play a major role in the increase of thyroid cancer incidence, further research is needed to determine causes of the rapidly increasing incidence of thyroid cancer in Korea.
自2000年以来，甲状腺癌在韩国的增长最为迅速。尽管增长原因尚不清楚，但甲状腺癌筛查可能是原因之一。本研究的目的是利用全国性数据调查甲状腺癌的筛查率及其相关因素。
研究人群来自2009年韩国国家癌症筛查调查（KNCSS），这是一项年度横断面调查，采用具有全国代表性的随机抽样来调查癌症筛查率。共有2000名韩国成年人参与。甲状腺癌的筛查方法仅限于甲状腺超声检查。采用逻辑回归分析确定与接受甲状腺癌筛查相关的因素。
在所有参与者中，13.2%（男性为8.4%，女性为16.4%）接受了甲状腺超声检查。经过多因素分析，年龄、居住地、对癌症筛查的信念、定期健康检查、吸烟、饮酒和运动与甲状腺癌筛查有关。接受过其他癌症筛查（如胃癌、结直肠癌、乳腺癌或宫颈癌筛查）的受试者比未接受筛查的受试者更有可能接受过甲状腺超声检查。
我们呈现了在韩国将超声检查作为甲状腺筛查工具的受检者数量和特征。尽管这些结果表明癌症筛查可能在甲状腺癌发病率增加中起主要作用，但仍需要进一步研究以确定韩国甲状腺癌发病率迅速上升的原因。
