Department of Biomedical Informatics, Konyang University College of Medicine, Daejeon, Korea.
Department of Obstetrics and Gynecology, Konyang University College of Medicine, Daejeon, Korea.
J Gynecol Oncol. 2024 Mar;35(2):e18. doi: 10.3802/jgo.2024.35.e18. Epub 2023 Oct 16.
To assess the frequency of regular uptake of national cervical cancer screening (CCS) program and identify associated factors among Korean women.
This study is a fundamental investigation that employs openly accessible public data of Korea through secondary data analysis. A cohort of 4,663 women from the 2007-2012 Korean National Health and Nutrition Examination Survey, was followed up for up to 12 years (2007-2018) to obtain the frequency of national CCS. Compliance level with CCS was categorized, and an ordinal logistic regression model was employed to investigate the contributing factors.
The regular uptake of CCS in South Korea was low at 18.9%. The trend of regular screening showed significant association with various factors, including age (40-59 years), household income (100%-150% bracket), occupation (service workers), place of residence (small to medium sized cities), education level (middle school graduates), marital status (married), and possession of private insurance. Moreover, individuals with a history of non-cervical cancer or carcinoma in situ of the cervix, a family history of cervical cancer, or a higher frequency of general check-ups demonstrated a stronger adherence to regular CCS uptake.
Our findings revealed that regular participation in CCS in Korea was lower than anticipated, with factors such as socioeconomic status, personal history of gynecologic issue, and frequency of general health check-ups playing influential roles. However, further research, including an exploration of unexamined psychological barriers to screening, is necessary to gain a better understanding the reasons behind the reduced rates of regular CCS among Korean women.
评估韩国女性定期参加国家宫颈癌筛查（CCS）计划的频率，并确定相关因素。
本研究通过二次数据分析，利用韩国公开可获取的公共数据进行基础研究。对 2007-2012 年韩国国家健康和营养检查调查中的 4663 名女性进行了长达 12 年（2007-2018 年）的随访，以获得国家 CCS 的频率。将 CCS 的合规水平进行分类，并采用有序逻辑回归模型调查相关因素。
韩国定期接受 CCS 的比例较低，仅为 18.9%。定期筛查趋势与多种因素显著相关，包括年龄（40-59 岁）、家庭收入（100%-150%档）、职业（服务人员）、居住地（中小城市）、教育水平（中学毕业）、婚姻状况（已婚）和拥有私人保险。此外，有宫颈癌或宫颈原位癌病史、宫颈癌家族史或更频繁的一般检查的个体，更倾向于定期接受 CCS。
我们的研究结果表明，韩国女性定期参加 CCS 的比例低于预期，社会经济地位、个人妇科问题史和一般健康检查频率等因素对此有影响。然而，需要进一步研究，包括探索未检查的筛查心理障碍，以更好地了解韩国女性定期接受 CCS 率降低的原因。
