Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Impacts of Household Income and Economic Recession on Participation in Colorectal Cancer Screening in Korea

  • Myong, Jun-Pyo (Dept. of Preventive Medicine and Catholic Industrial Medical Center, College of Medicine, The Catholic University of Korea) ;
  • Kim, Hyoung-Ryoul (Dept. of Preventive Medicine and Catholic Industrial Medical Center, College of Medicine, The Catholic University of Korea)
  • Published : 2012.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

To assess the impact of household income and economic recession on participation in CRC screening, we estimated annual participating proportions from 2007 to 2009 for different CRC screening modalities according to household income levels. A total of 8,042 subjects were derived from the fourth Korean National Health and Nutrition Examination Survey (KNHANES IV). Multivariate logistic regression analysis was used to estimate odds ratios and 95% confidence intervals for CRC screening with household income quartiles by gender in each year. People were less likely to attend a high-cost CRC screening such as a sigmoidoscopy or colonoscopy independent of the income quartile during the economic recession. Income disparities for participating in opportunistic cancer screening appear to have existed among both males and females during the three years (2007-2009), but were most distinctive in 2009. An increase in mortality of CRC can therefore be expected due to late detection in periods of economic crisis. Accordingly, the government should expand the coverage of CRC screening to prevent excess deaths by reducing related direct and indirect costs during the economic recession.

Keywords

References

  1. Center for Disease Control and Prevention (2010). Vital signs: colorectal cancer screening among adults aged 50-75 years - United States, 2008. MMWR Morb Mortal Wkly Rep, 59, 808-12.
  2. Chao A, Connell CJ, Cokkinides V, et al(2004). Underuse of screening sigmoidoscopy and colonoscopy in a large cohort of US adults. Am J Public Health, 94, 1775-81. https://doi.org/10.2105/AJPH.94.10.1775
  3. Farraye FA, Wong M, Hurwitz S, et al (2004). Barriers to endoscopic colorectal cancer screening: are women different from men? Am J Gastroenterol, 99, 341-9. https://doi.org/10.1111/j.1572-0241.2004.04045.x
  4. Frederiksen BL, Jorgensen T, Brasso K, et al (2010). Socioeconomic position and participation in colorectal cancer screening. Br J Cancer, 103, 1496-501. https://doi.org/10.1038/sj.bjc.6605962
  5. International Agency for Research on Cancer (2010). Colorectal cancer incidence and mortality worldwide in 2008 summary. Available: http://globocan.iarc.fr/factsheets/cancers/colorectal.asp [accessed March 27 2012].
  6. Jung KW, Won YJ, Park S, et al(2009). Cancer statistics in Korea: incidence, mortality and survival in 2005. J Korean Med Sci, 24, 995-1003. https://doi.org/10.3346/jkms.2009.24.6.995
  7. Kim H, Chung WJ, Song YJ, et al (2003). Changes in morbidity and medical care utilization after the recent economic crisis in the Republic of Korea. Bull WHO, 81, 567-72.
  8. Korea Center for Disease Control and Prevention (2011). Korea National Health and Nutrition Examination Survey. Available: http://knhanes.cdc.go.kr/ [accessed March 27 2012].
  9. Korea Ministry Health and Walfare (2011). The participation rate of National Cancer Screening Programme (NCSP). Available: http://www.index.go.kr/egams/stts/jsp/potal/stts/PO_STTS_IdxMain.jsp?idx_cd=1440 [accessed March 27 2012].
  10. Korea National Cancer Information Center (2011). The National Cancer Screening Program. Available: http://www.cancer.go.kr/ncic/cics_e/cics_e01/014/0141/index. html [accessed March 27 2012].
  11. Korea National Statistical Office (2011). The age-standardized incidence of colorectal cancer in Korea, 2008. Available: http://kosis.kr/nsportal/abroad/aboard_01List.jsp [accessed March 27 2012].
  12. Korean National Health Insurance Cooperation (2011). The current status of subscriber in National Medical Insurance and Medical Aids. Available: http://kosis.kr/gen_etl/start.jsp?orgid=350&tblld=TX_35001_A001&conn_path=12&path=NSI [accessed March 27 2012].
  13. Kwon SM, Jung Y, Islam A, et al (2010). The impact of the global recession on the health of the people in Asia. In: 'Poverty and sustainable development in Asia: Impacts and reposes to the global economic crisis', Eds Bauer A and Thant M. Asian Development Bank, Manila, Philippines pp 405-24.
  14. Kwon YM, Lim HT, Lee K, et al (2009). Factors associated with use of gastric cancer screening services in Korea. World J Gastroenterol, 15, 3653-9. https://doi.org/10.3748/wjg.15.3653
  15. Lemon S, Zapka J, Puleo E, et al (2001). Colorectal cancer screening participation: comparisons with mammography and prostate-specific antigen screening. Am J Public Health, 91, 1264-72. https://doi.org/10.2105/AJPH.91.8.1264
  16. Power E, Van Jaarsveld CH, McCaffery K, et al (2008). Understanding intentions and action in colorectal cancer screening. Ann Behav Med, 35, 285-94. https://doi.org/10.1007/s12160-008-9034-y
  17. Shapiro JA, Seeff LC, Nadel MR (2001). Colorectal cancerscreening tests and associated health behaviors. Am J Prev Med, 21, 132-7. https://doi.org/10.1016/S0749-3797(01)00329-4
  18. Singh SM, Paszat LF, Li C, et al (2004). Association of socioeconomic status and receipt of colorectal cancer investigations: a population-based retrospective cohort study. CMAJ, 171, 461-5. https://doi.org/10.1503/cmaj.1031921
  19. Smith RA, Cokkinides V, Brooks D, et al (2010). Cancer screening in the United States, 2010: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin, 60, 99-119. https://doi.org/10.3322/caac.20063
  20. Sung JJ, Lau JY, Young GP, et al (2008). Asia Pacific consensus recommendations for colorectal cancer screening. Gut, 57, 1166-76. https://doi.org/10.1136/gut.2007.146316
  21. U.S. Preventive Services Task Force (2008). Screening for Colorectal Cancer, Topic Page. Available: http://www.uspreventiveservicestaskforce.org/uspstf/uspscolo.htm [accessed March 27 2012].
  22. von Wagner C, Baio G, Raine R, et al (2011). Inequalities in participation in an organized national colorectal cancer screening programme: results from the first 2.6 million invitations in England. Int J Epidemiol, 40, 712-8. https://doi.org/10.1093/ije/dyr008
  23. Wardle J, McCaffery K, Nadel M, et al (2004). Socioeconomic differences in cancer screening participation: comparing cognitive and psychosocial explanations. Soc Sci Med, 59, 249-61. https://doi.org/10.1016/j.socscimed.2003.10.030
  24. Wee LE, Koh GC (2011). The effect of neighborhood, socioeconomic status and a community-based program on multi-disease health screening in an Asian population: a controlled intervention study. Prev Med, 53, 64-9. https://doi.org/10.1016/j.ypmed.2011.05.005
  25. Winawer SJ, Zauber AG, Ho MN, et al (1993). Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N Engl J Med, 329, 1977-81. https://doi.org/10.1056/NEJM199312303292701
  26. Yang BM, Prescott N, Bae EY (2001). The impact of economic crisis on health-care consumption in Korea. Health Policy Plan, 16, 372-85. https://doi.org/10.1093/heapol/16.4.372
  27. Yoo KY (2008). Cancer control activities in the Republic of Korea. Jpn J Clin Oncol, 38, 327-33. https://doi.org/10.1093/jjco/hyn026
  28. Zauber AG, Lansdorp-Vogelaar I, Knudsen AB, et al (2008). Evaluating test strategies for colorectal cancer screening: a decision analysis for the U.S. Preventive Services Task Force. Ann Intern Med, 149, 659-69. https://doi.org/10.7326/0003-4819-149-9-200811040-00244

Cited by

  1. Screening in the Era of Economic Crisis: Misperceptions and Misuse from a Longitudinal Study on Greek Women Undergoing Benign Vacuum-assisted Breast Biopsy vol.14, pp.9, 2013, https://doi.org/10.7314/APJCP.2013.14.9.5023
  2. Data on the Characteristics and the Survival of Korean Patients With Colorectal Cancer From the Korea Central Cancer Registry vol.29, pp.4, 2013, https://doi.org/10.3393/ac.2013.29.4.144
  3. Influence of Payer Source on Treatment and Outcomes in Colorectal Cancer Patients in a University Hospital in Thailand vol.15, pp.20, 2014, https://doi.org/10.7314/APJCP.2014.15.20.9015
  4. Recent declines in cancer incidence: related to the Great Recession? vol.28, pp.2, 2017, https://doi.org/10.1007/s10552-016-0846-y
  5. Factor structure and internal reliability of cultural belief scales about colorectal cancer screening among Koreans in the Republic of Korea vol.18, pp.1, 2018, https://doi.org/10.1186/s12889-018-6240-9