Disparities in the Participation Rate of Colorectal Cancer Screening by Fecal Occult Blood Test among People with Disabilities: A National Database Study in South Korea.

Published on Jan 1, 2020in Cancer Research and Treatment3.761
· DOI :10.4143/CRT.2018.660
Dong Wook Shin26
Estimated H-index: 26
(SMC: Samsung Medical Center),
Dongkyung Chang1
Estimated H-index: 1
+ 6 AuthorsJong Hyock Park24
Estimated H-index: 24
Purpose: Implementation of screening program may lead to increased health disparity within the population if participation differs by socioeconomic status. In Korea, colorectal cancer screening is provided at no or minimal cost to all people over 50 by national cancer screening program. We investigated colorectal cancer screening participation rate and its trend over the last 10 years in relation to disabilities. Materials and Methods: We linked national disability registration data with national cancer screening program data. Age, sex-standardized participation rates were analyzed by type and severity of disability for each year, and factors associated with colorectal cancer screening participation were examined by multivariate logistic regression. Results: Age, sex-standardized participation rate in people without disability increased from 16.2 to 33.9% (change, +17.7), but it increased from increased from 12.7 to 27.2% (change, +14.5) among people with severe disability. People with severe disabilities showed a markedly lower CRC screening participation rate than people without disability (adjusted odds ratio [aOR], 0.714; 95% confidence interval [CI], 0.713 to 0.720). People with autism (aOR, 0.468), renal failure (aOR, 0.498), brain injury (aOR, 0.581), ostomy (aOR, 0.602), and intellectual disability (aOR, 0.610) showed the lowest participation rates. Conclusion: Despite the availability of a national cancer screening program and overall increase of its usage in the Korean population, a significant disparity was found in colorectal cancer screening participation, especially in people with severe disabilities and or several specific types of disabilities. Greater effort is needed to identify the barriers faced by these particularly vulnerable groups and develop targeted interventions to reduce inequality.
Figures & Tables
📖 Papers frequently viewed together
13 Authors (Dong Wook Shin, ..., Ichiro Kawachi)
4 Citations
11 Citations
1 Citations
#1Dong-Wook ShinH-Index: 18
#2Jeongwon LeeH-Index: 15
Last. Jong Hyock ParkH-Index: 24
view all 8 authors...
PurposeUsing the linked administrative database in Korea, we investigated (1) whether cervical cancer screening participation differed by the presence of varying degrees and types of disability; (2) trends in the cervical cancer screening rate relative to disabilities over time; and (3) factors associated with cervical cancer screening.MethodsWe linked national disability registration data with national cancer screening program data. Age-standardized participation rates were analyzed for each ye...
16 CitationsSource
#2Charles E. McCulloch (UCSF: University of California, San Francisco)H-Index: 103
Last. Kirsten L. Johansen (UCSF: University of California, San Francisco)H-Index: 72
view all 10 authors...
The American Society of Nephrology recommends against routine cancer screening among asymptomatic patients receiving maintenance dialysis on the basis of limited survival benefit. To determine the frequency of colorectal cancer screening among patients on dialysis and the extent to which screening tests were targeted toward patients at lower risk of death and higher likelihood of receiving a kidney transplant, we performed a cohort study of 469,574 Medicare beneficiaries ages ≥50 years old who r...
8 CitationsSource
#1Myung-Il Hahm (SCH: Soonchunhyang University)H-Index: 18
#2Hsueh-Fen Chen (University of North Texas Health Science Center)H-Index: 10
Last. Hoo Yeon Lee (DU: Dankook University)H-Index: 23
view all 5 authors...
PURPOSE: Although the Korean government has implemented a universal screening program for common cancers, some individuals choose to participate in opportunistic screening programs. Therefore, this study was conducted to identify factors contributing to the selection of organized versus opportunistic screening by the Korean general population. MATERIALS AND METHODS: Data from 11,189 participants aged ≥ 40 yearswho participated in the fifth Korean National Health and Nutrition Examination Survey ...
13 CitationsSource
#1Mina SuhH-Index: 13
#2Seolhee SongH-Index: 1
Last. Kui Son ChoiH-Index: 28
view all 8 authors...
PURPOSE: The National Cancer Screening Program (NCSP) in Korea supports cancer screening for stomach, liver, colorectal, breast, and cervical cancer. This study was conducted to assess trends in participation rates among Korean men and women invited to undergo screening via the NCSP as part of an effort to guide future implementation of the program in Korea. MATERIALS AND METHODS: Data from the NCSP for 2002 to 2012 were used to calculate annual participation rates with 95% confidence intervals ...
61 CitationsSource
#1Chelsea B. Deroche (MU: University of Missouri)H-Index: 8
#2Suzanne McDermott (USC: University of South Carolina)H-Index: 32
Last. James W. Hardin (USC: University of South Carolina)H-Index: 56
view all 4 authors...
Introduction Colorectal cancer (CRC) is the second leading cause of cancer mortality in the U.S.; however, if the population aged 50 years or older received routine screening, approximately 60% of these deaths could be eliminated. This study investigates whether adults, aged 50–75 years, with one of three disabilities (blind/low vision [BLV], intellectual disability [ID], spinal cord injury [SCI]) receive CRC screening at rates equivalent to adults without the three disabilities, by accounting f...
16 CitationsSource
#1CM de Klerk (UvA: University of Amsterdam)H-Index: 1
#2Satish C. Gupta (UCSD: University of California, San Diego)H-Index: 9
Last. Marie-Louise Essink-Bot (UvA: University of Amsterdam)H-Index: 70
view all 4 authors...
Objective Colorectal cancer (CRC) screening programmes can reduce CRC mortality. However, the implementation of a screening programme may create or exacerbate socioeconomic and ethnic health inequities if participation varies by subgroup. We determined which organised programmes characterise participation inequities by socioeconomic and ethnic subgroups, and assessed the variation in subgroup participation among programmes collecting group-specific data. Design Employing a literature review and ...
32 CitationsSource
#1Douglas J. Robertson (Dartmouth College)H-Index: 49
#2Jeffrey Lee (UCSF: University of California, San Francisco)H-Index: 20
Last. Douglas K. Rex (IU: Indiana University)H-Index: 116
view all 10 authors...
The use of the fecal occult blood test (FOBT) for colorectal cancer (CRC) screening is supported by randomized trials demonstrating effectiveness in cancer prevention and widely recommended by guidelines for this purpose. The fecal immunochemical test (FIT), as a direct measure of human hemoglobin in stool has a number of advantages relative to conventional FOBT and is increasingly used relative to that test. This review summarizes current evidence for FIT in colorectal neoplasia detection and t...
113 CitationsSource
Seong, Sang Cheol; Kim, Yeon-Yong; Khang, Young-Ho; Park, Jong Heon; Kang, Hee-Jin; Lee, Heeyoung; Do, Cheol-Ho; Song, Jong-Sun; Bang, Ji Hyon; Ha, Seongjun; Lee, Eun-Joo; Shin, Soon Ae.October, 2016.Data resource profile,Articles,[Wentworthville, Australia]International Epidemiological Association,6
448 CitationsSource
#1Lisa I. Iezzoni (Harvard University)H-Index: 75
#2Stephen G. KurtzH-Index: 7
Last. Sowmya R. Rao (BU: Boston University)H-Index: 13
view all 3 authors...
Abstract Background Persons with disabilities have often experienced disparities in routine cancer screening. However, with civil rights protections from the 1990 Americans with Disabilities Act, such disparities may diminish over time. Objective To examine whether disability disparities exist for colorectal cancer screening and whether these screening patterns have changed over time. Methods We analyzed National Health Interview Survey responses from civilian, non-institutionalized U.S. residen...
11 CitationsSource
#1Jennifer S Lin (KP: Kaiser Permanente)H-Index: 27
#2Margaret Piper (KP: Kaiser Permanente)H-Index: 23
Last. Evelyn P. Whitlock (KP: Kaiser Permanente)H-Index: 65
view all 8 authors...
Importance Colorectal cancer (CRC) remains a significant cause of morbidity and mortality in the United States. Objective To systematically review the effectiveness, diagnostic accuracy, and harms of screening for CRC. Data Sources Searches of MEDLINE, PubMed, and the Cochrane Central Register of Controlled Trials for relevant studies published from January 1, 2008, through December 31, 2014, with surveillance through February 23, 2016. Study Selection English-language studies conducted in asymp...
539 CitationsSource
Cited By8
#1Thuy Ngan Tran (University of Antwerp)
#2Guido Van Hal (University of Antwerp)H-Index: 20
Last. Sarah Hoeck (University of Antwerp)H-Index: 8
view all 6 authors...
We investigated factors associated with organised and non-organised colorectal cancer screening using faecal occult blood tests, based on data from 308 municipalities in Flanders (6.6 million residents, 57% of Belgium) during 2015–2017. Logistic regression with generalized estimating equations was used to assess the associations between municipal characteristics and organised and non-organised screening coverages. Factors associated negatively with both organised and non-organised screening: per...
#1Masaki Fujiwara (Okayama University)H-Index: 5
#2Yuto Yamada (Okayama University)H-Index: 1
Last. Hirokazu TakahashiH-Index: 32
view all 19 authors...
OBJECTIVE We examined the efficacy of a case management approach to improve participation in colorectal cancer screening among people with schizophrenia. METHODS This was a randomized, parallel group trial. We recruited outpatients with schizophrenia aged 40 years or over from two psychiatric hospitals in Japan. Participants were randomly assigned (1:1) to treatment as usual or case management intervention plus treatment as usual using a web-based system. Attending clinicians and participants we...
1 CitationsSource
#1Dong Wook Shin (SKKU: Sungkyunkwan University)H-Index: 26
#2Jinsung Park (Eulji University)H-Index: 13
Last. Ichiro Kawachi (Harvard University)H-Index: 173
view all 9 authors...
Abstract null null Background null Disparities in cancer care have not been well documented for individuals with disability. null null null Objective null To investigate potential disparities in the diagnosis, treatment, and survival of prostate cancer (PC) patients according to disability status. null null null Methods null A retrospective cohort study using disability registration data linked to Korean National Health Insurance and national cancer registry data. Totals of 7924 prostate cancer ...
#2Dong Wook Shin (SMC: Samsung Medical Center)H-Index: 26
Last. Ichiro Kawachi (Harvard University)H-Index: 173
view all 11 authors...
GOAL The goal of this study was to determine disparities in liver cancer surveillance among people with disabilities is the goal of this study. BACKGROUND Using the linked administrative database in Korea, we sought to investigate (1) whether there are disparities in liver cancer surveillance according to degree and type of disability and (2) temporal trends in liver cancer surveillance among people with disabilities. MATERIALS AND METHODS We linked national disability registration data with nat...
#1Hayeong Khil (Dongguk University)H-Index: 2
#2Sungmin Kim (SNU: Seoul National University)H-Index: 28
Last. NaNa Keum (Harvard University)H-Index: 29
view all 8 authors...
Worldwide, South Korea had the second highest incidence rates of colorectal cancer (CRC) in 2018. To inform public health policy to prevent CRC, we aimed to identify major modifiable lifestyle factors underlying the alarming increase in CRC incidence. We obtained information on CRC statistics from the Korea National Cancer Incidence Database and on the distribution of dietary and lifestyle factors known to modify CRC risk from the Korea National Health and Nutrition Examination Survey. To examin...
1 CitationsSource
INTRODUCTION We investigated potential disparities in the diagnosis, treatment, and survival of gastric cancer (GC) patients with and without disabilities. METHODS We linked Korean National Disability Registry data with the Korean National Health Insurance database and Korean Central Cancer Registry data. This study included a total of 16,849 people with disabilities and 58,872 age- and sex-matched control subjects in whom GC had been diagnosed. RESULTS When compared to GC patients without disab...
2 CitationsSource
#1Masaki FujiwaraH-Index: 5
#2Yuji HiguchiH-Index: 4
Last. Masatoshi InagakiH-Index: 27
view all 12 authors...
#1YoungJee Kim (SMC: Samsung Medical Center)H-Index: 1
#2Dong Wook Shin (SKKU: Sungkyunkwan University)H-Index: 26
Last. Ichiro Kawachi (Harvard University)H-Index: 173
view all 11 authors...
Background and aim Using the national disability registration linked to the cancer screening database in Korea, we examined (1) trends in the gastric cancer screening rate among people with disabilities over time, and (2) whether gastric cancer screening participation and modalities differed according to presence, severity, and type of disability.
2 CitationsSource