IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0068315.html
   My bibliography  Save this article

Factors Associated with Compliance with Recommendations for Liver Cancer Screening in Korea: A Nationwide Survey in Korea

Author

Listed:
  • Boyoung Park
  • Kui Son Choi
  • Mina Suh
  • Ji-Yeon Shin
  • Jae Kwan Jun

Abstract

To investigate the factors associated with compliance with recommendations regarding liver cancer screening intervals and methods among individuals at high-risk for liver cancer in the Republic of Korea. We used data from the fourth Korean National Health and Nutrition Examination Survey (KNHANES IV), a representative cross-sectional nationwide survey conducted between 2007 and 2009. The liver cancer screening rate and factors associated with compliance with recommended screening intervals (6 months) and methods (both abdominal ultrasonography and serum alpha-fetoprotein testing) among individuals at high risk for liver cancer such as hepatitis B virus (HBV) carriers were investigated. Out of 24,871 KNHANES IV participants, 604 HBV carriers aged ≥20 years were included in our analysis. 39.6% of our study sample reported attending liver cancer screening at least once in their lifetime, 12.3% had attended within the previous 6 months, and 14.6% were screened using both recommended methods. Older age was associated with increased compliance with screening intervals (P-trend 0.011) and methods (40–49 year: OR = 3.25, 95% CI: 1.62–6.51; 50–59 years: OR = 3.09, 95% CI: 1.44–6.66; 60–69 years: OR = 3.17, 95% CI: 1.28–7.82). Unawareness of HBV infection status was negatively related to compliance with screening intervals and methods (OR = 0.30, 95% CI: 0.17–0.53; OR = 0.45, 95% CI: 0.26–0.79). Female sex (OR = 0.45, 95% CI: 0.25–0.78), lower household income (P-trend 0.011), and routine and manual occupations (OR = 0.46, 95% CI: 0.22–0.97) were associated with decreased compliance with screening methods. The liver cancer screening rate among high-risk individuals is much less suboptimal. Considering that those unaware of their HBV infection status got regular and complete liver cancer screening much less often, efforts should be made not only to decrease sociodemographic disparities, but also to better identify the high-risk population.

Suggested Citation

  • Boyoung Park & Kui Son Choi & Mina Suh & Ji-Yeon Shin & Jae Kwan Jun, 2013. "Factors Associated with Compliance with Recommendations for Liver Cancer Screening in Korea: A Nationwide Survey in Korea," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-8, June.
    • Handle: RePEc:plo:pone00:0068315
    DOI: 10.1371/journal.pone.0068315
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0068315
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0068315&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0068315?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Selvin, E. & Brett, K.M., 2003. "Breast and cervical cancer screening: Sociodemographic predictors among White, Black, and Hispanic women," American Journal of Public Health, American Public Health Association, vol. 93(4), pages 618-623.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Huei-Ju Chen & Nicole Huang & Long-Sheng Chen & Yiing-Jenq Chou & Chung-Pin Li & Chen-Yi Wu & Yu-Chia Chang, 2016. "Does Pay-For-Performance Program Increase Providers Adherence to Guidelines for Managing Hepatitis B and Hepatitis C Virus Infection in Taiwan?," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-12, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Daniel Bremer & Daniel Lüdecke & Olaf von dem Knesebeck, 2019. "Social Relationships, Age and the Use of Preventive Health Services: Findings from the German Ageing Survey," IJERPH, MDPI, vol. 16(21), pages 1-14, November.
    2. Tracy MacIntosh & Mayur M Desai & Tene T Lewis & Beth A Jones & Marcella Nunez-Smith, 2013. "Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-7, May.
    3. Frank J Penedo & Betina Yanez & Sheila F Castañeda & Linda Gallo & Katy Wortman & Natalia Gouskova & Melissa Simon & William Arguelles & Maria Llabre & Lisa Sanchez-Johnsen & Carrie Brintz & Patricia , 2016. "Self-Reported Cancer Prevalence among Hispanics in the US: Results from the Hispanic Community Health Study/Study of Latinos," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-11, January.
    4. Margaret A. Brunton, 2009. "The Role of Effective Communication to Enhance Participation in Screening Mammography: A New Zealand Case," IJERPH, MDPI, vol. 6(2), pages 1-18, February.
    5. Sabates, Ricardo & Feinstein, Leon, 2006. "The role of education in the uptake of preventative health care: The case of cervical screening in Britain," Social Science & Medicine, Elsevier, vol. 62(12), pages 2998-3010, June.
    6. Coughlin, Steven S. & Leadbetter, Steven & Richards, Thomas & Sabatino, Susan A., 2008. "Contextual analysis of breast and cervical cancer screening and factors associated with health care access among United States women, 2002," Social Science & Medicine, Elsevier, vol. 66(2), pages 260-275, January.
    7. Franz Hackl & Martin Halla & Michael Hummer & Gerald J. Pruckner, 2015. "The Effectiveness of Health Screening," Health Economics, John Wiley & Sons, Ltd., vol. 24(8), pages 913-935, August.
    8. Hale Koç & Owen O’Donnell & Tom Van Ourti, 2018. "What Explains Education Disparities in Screening Mammography in the United States? A Comparison with The Netherlands," IJERPH, MDPI, vol. 15(9), pages 1-13, September.
    9. Alexa L. Solazzo & Bridget K. Gorman & Justin T. Denney, 2017. "Cancer Screening Utilization Among U.S. Women: How Mammogram and Pap Test Use Varies Among Heterosexual, Lesbian, and Bisexual Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(3), pages 357-377, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0068315. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.