International Journal of Environmental Research and Public Health
Volume 15, Issue 11, 2018

Factors associated with cervical cancer screening among married female immigrants with korean husbands in south korea (Article) (Open Access)

Chang H.K. , Seo S.-S. , Myong J.-P.* , Koo J.-W. , Jeong J.
  • a Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 10408, South Korea
  • b Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 10408, South Korea
  • c Department of Occupational & Environmental Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 06591, South Korea
  • d Department of Occupational & Environmental Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 06591, South Korea
  • e Department of medical benefit, National Health Insurance Company, 32, Geongang-ro, Gangwon-do, Wonju-si, 26464, South Korea

Abstract

Background. The purpose of this study was to identify factors associated with the national cervical cancer screening behaviors of married female immigrants living in South Korea. Methods. The present study dataset was collected by the National Health Insurance Services in 2014–2015. A final study population of 15,935 was considered eligible for inclusion in this study if they met the criteria for participation in the national cervical cancer screening program in 2014–2015. Results. Of the 15,935 subjects, 7837 (49%) participated in cervical cancer screening. Based on the results of the logistic regression analysis of the association between cervical cancer screening behaviors and related factors, the odds ratio (OR) for participation in cervical cancer screening among individuals older than 50 years was the highest (OR: 2.13; 95% confidence interval (CI): 1.82–2.51), and the OR increased as their duration of stay in South Korea decreased. The OR of Chinese women for cervical cancer screening participation was higher than that of non-Chinese women (OR: 1.83; 95% CI: 1.69–1.99). The OR value was 29.4 (95% CI: 25.9–33.3) among those who participated in the general health screening compared with those who did not participate. Conclusions. To improve awareness about cervical cancer screening and reduce disparities in access to healthcare, appropriate programs should be developed to promote cervical cancer screening participation to socially vulnerable classes. Continuous social attention is needed to address these issues and encourage participation in general health screening to improve the rate of cervical cancer screening. © 2018, MDPI AG. All rights reserved.

Author Keywords

Cervical cancer Screening immigrants Healthcare disparities

Index Keywords

South Korea immigrant Republic of Korea mass screening population Spouses Korean (people) husband married woman national health insurance human Health Behavior middle aged Odds Ratio statistics and numerical data early cancer diagnosis Aged cancer screening Early Detection of Cancer procedures Humans migrant psychology male Emigrants and Immigrants female spouse Article major clinical study adult awareness uterine cervix cancer health care access Uterine Cervical Neoplasms uterine cervix tumor health care disparity
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85056541193&doi=10.3390%2fijerph15112528&partnerID=40&md5=370416fe449d1dc977a2aba95ea6fe99
DOI: 10.3390/ijerph15112528
ISSN: 16617827
Cited by: 2
Original Language: English