1Dongnam Institute of Radiological & Medical Sciences, Busan, Korea.
Asia Pac J Public Health. 2013 Nov;25(6):476-86. doi: 10.1177/1010539513506601. Epub 2013 Oct 22.
This study investigated factors associated with breast and cervical cancer screening using data from a nationwide community survey. A nationwide cross-sectional study was performed in all 253 administrative districts of Korea. The breast and cervical cancer screening rate was negatively associated with the obesity (β = -2.91, 95% confidence interval [CI] = -4.73 to -1.03; β = -1.93, 95% CI = -3.43 to -0.43), positively associated with the European Quality of Life-5 Dimensions scale (β =2.53, 95% CI = 0.24 to 4.81; β = 2.51, 95% CI = 0.68 to 4.34). Moreover, higher alcohol consumption rate was negatively related to screening rates for breast cancer, while areas with higher proportion of diabetes were found to have higher screening rates. Area with higher rate of osteoarthritis had a lower screening rate for cervical cancer. This study showed breast and cervical cancer screening was associated with particular area characteristics. This ecological approach is thought to be a major complement to measures of health attributes.
本研究使用全国社区调查的数据，调查了与乳腺癌和宫颈癌筛查相关的因素。在韩国的所有 253 个行政区进行了全国性的横断面研究。乳腺癌和宫颈癌筛查率与肥胖呈负相关（β=-2.91，95%置信区间[CI]为-4.73 至-1.03；β=-1.93，95%CI 为-3.43 至-0.43），与欧洲生活质量 5 维度量表呈正相关（β=2.53，95%CI 为 0.24 至 4.81；β=2.51，95%CI 为 0.68 至 4.34）。此外，较高的酒精消费率与乳腺癌筛查率呈负相关，而糖尿病比例较高的地区发现筛查率较高。骨关节炎发病率较高的地区，宫颈癌筛查率较低。本研究表明，乳腺癌和宫颈癌的筛查与特定地区的特征有关。这种生态方法被认为是对健康属性措施的重要补充。
