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      Determinants of undergoing thyroid cancer screening in Korean women: a cross-sectional analysis from the K-Stori 2016

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          Abstract

          Objectives

          Thyroid cancer is the most common cancer among Korean women. Studies suggest that the incidence of thyroid cancer might be associated with overdiagnosis resulting from thyroid cancer screening. The objective of this study was to identify the determinants of participation in thyroid cancer screening in Korean women.

          Methods

          Data were obtained from the 2016 Korean Study of Women’s Health-Related Issues, a nationwide cross-sectional survey of women according to the reproductive life cycle. A total of 8697 cancer-free women of ages between 20 and 79 years were included for analysis. Multivariable logistic regression analysis was applied to analyse factors associated with adherence to thyroid cancer screening based on Andersen’s health behavioural model.

          Results

          Over the last 2 years, the rate of thyroid cancer screening was 39.2%. In multivariable models, older age, higher household income, high school education level and higher perceived risk of cancer were positively associated with thyroid cancer screening participation. Moreover, women who underwent cervical cancer screening (adjusted OR [aOR] 3.67; 95% CI 2.90 to 4.64) and breast cancer screening (aOR 10.91; 95% CI 8.41 to 14.14) had higher odds of attending thyroid cancer screening than women who did not attend cancer screening.

          Conclusions

          These findings highlight the need to increase awareness of different recommendations on screening for various cancers to improve cost-effectiveness and to prevent unnecessary treatments.

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          Most cited references20

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          Korea's thyroid-cancer "epidemic"--screening and overdiagnosis.

          Hyeong Ahn, Hyun Jung Kim, H. Welch (2014)
          Article 0 comments Cited 399 times – based on 0 reviews     Review now
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            Overview of the National Cancer screening programme and the cancer screening status in Korea.

            Yeonju Kim, Jae Jun, Kui Choi … (2011)
            Organised cancer screening in Korea began in 1999. Operating system has been stabilised, target population have expanded and participation rate has been increased throughout its ten years. Here we present an overview of the organised cancer screening system in Korea and introduce the National Cancer Screening Programme including results from 2002 to 2008. Furthermore, we present the results of the Korea National Cancer Screening Survey, a survey that is representative of the population, from 2004 to 2009. Finally, we discuss our achievements and the future challenges.
            Article 0 comments Cited 124 times – based on 0 reviews     Review now
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              Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening: a meta-analytic review.

              Maria C Katapodi, Kathy Lee, Noreen Facione … (2004)
              Perceived risk is a principal variable in theoretical models that attempt to predict the adoption of health-protective behaviors. This meta-analysis synthesizes findings from 42 studies, identified in PubMed and PsycInfo from 1985 onward. Studies examined demographic and psychological variables as predictors of perceived breast cancer risk and the relationship between perceived risk and breast cancer screening. Statistical relationships, weighted for sample size, were transformed to effect sizes and 95% CIs. Women do not have accurate perceptions of their breast cancer risk (N = 5561, g = 1.10). Overall, they have an optimistic bias about their personal risk (g = 0.99). However, having a positive family history (N = 70660, g = 0.88), recruitment site, and measurement error confounded these results. Perceived risk is weakly influenced by age (N = 38000, g = 0.13) and education (N = 1979, g = 0.16), and is moderately affected by race/culture (N = 2192, g = 0.38) and worry (N = 6090, g = 0.49). There is an association between perceived risk and mammography screening (N = 52766, g = 0.19). It is not clear whether perceived risk influences adherence to breast self-examination. Women who perceived a higher breast cancer risk were more likely to pursue genetic testing or undergo prophylactic mastectomy. Perceived breast cancer risk depends on psychological and cognitive variables and influences adherence to mammography screening guidelines.
              Article 0 comments Cited 111 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): BMJ Open
                Journal ID (iso-abbrev): BMJ Open
                Journal ID (hwp): bmjopen
                Journal ID (publisher-id): bmjopen
                Title: BMJ Open
                Publisher: BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                ISSN (Electronic): 2044-6055
                Publication date Collection: 2019
                Publication date (Electronic): 3 April 2019
                Volume: 9
                Issue: 4
                Electronic Location Identifier: e026366
                Affiliations
                [1 ] departmentGraduate School of Cancer Science and Policy , National Cancer Center , Goyang, Korea (the Republic of)
                [2 ] departmentDepartment of Endocrinology and Metabolism , Inha University College of Medicine , Incheon, Korea (the Republic of)
                [3 ] departmentCollege of Medicine , Hanyang University , Seoul, Korea (the Republic of)
                [4 ] departmentGraduate School of Public Health , Yonsei University , Seoul, Korea (the Republic of)
                [5 ] departmentDepartment of Clinical Research and Evaluation , Sungkyunkwan University , Seoul, Korea (the Republic of)
                [6 ] departmentCollege of Nursing , Yonsei University , Seoul, Korea (the Republic of)
                [7 ] departmentDivision of Silver Industry , Kangnam University , Yongin, Korea (the Republic of)
                [8 ] departmentDivision of Endocrinology, Department of Internal Medicine , Yonsei University College of Medicine , Seoul, Korea (the Republic of)
                Author notes
                [Correspondence to ] Dr Kui Son Choi; kschoi@ 123456ncc.re.kr
                Author information
                http://orcid.org/0000-0003-1902-3184
                Article
                Publisher ID: bmjopen-2018-026366
                DOI: 10.1136/bmjopen-2018-026366
                PMC ID: 6500224
                PubMed ID: 30948602
                SO-VID: 6ac44cec-3b2d-400d-893c-15315e1d25c8
                Copyright © © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
                License:

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

                History
                Date received : 29 August 2018
                Date revision received : 02 March 2019
                Date accepted : 05 March 2019
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100003645, National Cancer Center;
                Funded by: FundRef http://dx.doi.org/10.13039/501100003669, Korea Centers for Disease Control & Prevention;
                Categories
                Subject: Epidemiology
                Subject: Research
                Subject: 1506
                Subject: 1692
                Custom metadata
                special-feature unlocked

                ScienceOpen disciplines: Medicine
                Keywords: thyroid cancer,cancer screenig,health behavior
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: thyroid cancer, cancer screenig, health behavior

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