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Epidemiol Health > Accepted Articles
Korean Journal of Epidemiology 2017;e2017036.
DOI: https://doi.org/10.4178/epih.e2017036    [Accepted] Published online August 10, 2017.
Cancer screening rate in diabetic patients in the Korean Population; Results from Korean National Health and Nutrition Examination survey (KNHANES) 2007-2009.
Kumban Walter Chuck1  , Minji Hwang1  , Kui Son Choi1  , Mina Suh2  , Jae Kwan Jun2  , Boyoung Park1 
1Graduate School of Cancer Science and Policy,National Cancer Center, Goyang, Korea
2National Cancer Control Institute, Goyang, Korea
Correspondence  Boyoung Park ,Tel: 82-31-920-2914, Fax: 82-31-920-2759, Email: hayejine@ncc.re.kr
Submitted: January 3, 2017  Accepted after revision: August 10, 2017
Abstract
Purpose:
To investigate the screening rate for gastric, breast, and cervical cancer in people with diabetes compared with people without diabetes.
Method:
Data from the Korean National Health and Nutrition Examination survey 2007-2009 was used. Cancer-free men who were 40 years old and over and women who were 30 years old and over were included. Lifetime screening rate and regular screening rate were compared in people with and without diabetes.
Results:
People with diabetes received less cancer screening than people without diabetes in their lifetime (53.5% vs 59.5, p=0.0009 for gastric, 60.5% vs 71.5%, p<0.0001 for breast, and 49.1% vs 59.6%, p<0.0001 for cervical cancer). People with diabetes received lower recommended screening than people without diabetes in gastric (38.9% vs 42.9%, p=0.0003), breast (38.8% vs 44.6%, p<0.0001), and cervical cancer (35.1% vs 51.2%, p=<0.0001). When the sub-group analyses was done with respect to socioeconomic factors, there was a significant lower ever screening and recommended screening rate in diabetic population in most socioeconomic sub-groups. In the multivariate analysis adjusted for socioeconomic factors, people with diabetes showed less ever screening rate for gastric and cervical cancer (odds ratio [OR]=0.8, 95% confidence interval [CI]=0.7-0.9; OR=0.7, 95% CI=0.6-0.9), and lower regular screening rate in breast and cervical cancer (OR=0.7, 95% CI=0.6-0.9; OR=0.7, 95% CI=0.5-0.9).
Conclusion:
Cancer screening rate in people with diabetes was lower than in people without diabetes. Considering the higher cancer risk in people with diabetes efforts to increase screening rate in these high risk group populations should be implemented.
Keywords: cancer screening rate; diabetes; nationwide cross-sectional study


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