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So Young Kim 2 Articles
Influence of Socioeconomic Status, Comorbidity, and Disability on Late-stage Cancer Diagnosis
Bo Ram Park, So Young Kim, Dong Wook Shin, Hyung Kook Yang, Jong Hyock Park
Osong Public Health Res Perspect. 2017;8(4):264-270.   Published online August 31, 2017
  • 3,637 View
  • 35 Download
  • 7 Citations
AbstractAbstract PDF

Understanding factors affecting advanced stage at diagnosis is vital to improve cancer outcomes and overall survival. We investigated the factors affecting later-stage cancer diagnosis.


Patients completed self-reported questionnaires. We collected cancer stage data from medical records review. Logistic regression analyses were performed to identify factors associated with later stage cancer at diagnosis by gender.


In total, 1,870 cancer patients were included in the study; 55.8% were men, 31.1% had more than one comorbid condition, and 63.5% had disabilities. About half of the patients were smokers, and drank alcohol, and 58.0% were diagnosed at an advanced stage. By cancer type, lung and liver cancers (both genders), prostate (men), colorectal, cervical, and thyroid cancer (women) were more likely to be diagnosed at a later stage. After controlling for socioeconomic factors, comorbidity (odds ratio [OR], 1.48 in men) and disability (OR, 1.64 in men and 1.52 in women) remained significantly associated with late-stage diagnosis.


In this nationwide study, using combined information from patients and medical records, we found that male patients with comorbidities or disabilities, and female patients with disabilities were more likely to have advanced stage cancer at diagnosis. Targeted approaches by cancer type and health conditions are recommended.


Citations to this article as recorded by  
  • Obstacles dans le dépistage du cancer du sein chez les personnes ayant un handicap
    Sylvia Mazellier, Rajeev Ramanah, Catherine Guldenfels, Carole Mathelin
    Bulletin du Cancer.2022; 109(2): 185.     CrossRef
  • Cancer Disparities Experienced by People with Disabilities
    Rosemary B. Hughes, Susan Robinson-Whelen, Carly Knudson
    International Journal of Environmental Research an.2022; 19(15): 9187.     CrossRef
  • Prognostic factors and survival analysis of Hurthle cell carcinoma: A population-based study
    Bailey M. Humphreys, Kelvin O. Memeh, Alex Funkhouser, Tanaz M. Vaghaiwalla
    Surgery.2022; 172(5): 1379.     CrossRef
  • Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
    Seon Mee Park, So Young Kim, Kyoung Eun Yeob, Dong Wook Shin, Joung-Ho Han, Jong Heon Park, Jong Hyock Park
    International Journal of Environmental Research an.2022; 19(24): 16625.     CrossRef
  • Impact of comorbidity assessment methods to predict non-cancer mortality risk in cancer patients: a retrospective observational study using the National Health Insurance Service claims-based data in Korea
    Sanghee Lee, Yoon Jung Chang, Hyunsoon Cho
    BMC Medical Research Methodology.2021;[Epub]     CrossRef
  • Disparities in the Diagnosis, Treatment, and Survival Rate of Cervical Cancer among Women with and without Disabilities
    Jin Young Choi, Kyoung Eun Yeob, Seung Hwa Hong, So Young Kim, Eun-Hwan Jeong, Dong Wook Shin, Jong Heon Park, Gil-won Kang, Hak Soon Kim, Jong Hyock Park, Ichiro Kawachi
    Cancer Control.2021; 28: 107327482110552.     CrossRef
  • Gynecologic Care in Women With Down Syndrome
    Anna J. B. Smith, Jeremy Applebaum, Edward J. Tanner, George T. Capone
    Obstetrics & Gynecology.2020; 136(3): 518.     CrossRef
Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study
Chan Young Park, So Young Kim, Jong Won Gil, Min Hee Park, Jong-Hyock Park, Yeonjung Kim
Osong Public Health Res Perspect. 2015;6(4):224-232.   Published online August 31, 2015
  • 2,888 View
  • 12 Download
  • 22 Citations
AbstractAbstract PDF
There are an increasing number of studies being carried out on depression in patients with diabetes. Individuals with diabetes have been reported as having a higher prevalence of depression compared to those without diabetes. However, only a few studies involving Korean patients have been conducted. The aims of this study were to examine the prevalence of depression and to find various risk factors according to the degree of depression among Korean patients with Type 2 diabetes mellitus (T2DM).
An Ansan-community-based epidemiological study was conducted from 2005 to 2012. The total number of participants in this study was 3,540, from which patients with diabetes (n = 753) have been selected. The presence of depression was evaluated using the Beck Depression Inventory total score.
The prevalence of depression was 28.8%. The mean age of participants was 55.5 ± 8.2 years. We divided the participants into three groups (without-depression, moderate-depression, and severe-depression groups) to examine the depression prevalence among Korean T2DM patients. The unemployed participants had 2.40 [95% confidence interval (CI) 1.21–4.76], the low-income participants had 2.57 (95% CI 1.52–4.35), the participants using an oral diabetes medicine or insulin had 2.03 (95% CI 1.25–3.32), the participants who are currently smoking had 2.03 (95% CI 1.10–3.73), and those without regular exercise had 1.91 (95% CI 1.17–3.14) times higher odds of depression in the severe-depression group, compared with the without-depression group.
There was a significant association between depression prevalence and diabetes, and we found various risk factors according to the degree of depression in Korean patients with T2DM.


Citations to this article as recorded by  
  • Psychological Health and Diabetes Self-Management among Patients with Type 2 Diabetes during COVID-19 in the Southwest of Saudi Arabia
    Abdulrhman H. Alkhormi, Mohamed Salih Mahfouz, Najim Z. Alshahrani, Abdulrahman Hummadi, Wali A. Hakami, Doha H. Alattas, Hassan Q. Alhafaf, Leena E. Kardly, Mulook A. Mashhoor
    Medicina.2022; 58(5): 675.     CrossRef
  • Higher risk of depression in individuals with type 2 diabetes and obesity: Results of a meta-analysis
    Thelma Beatriz González-Castro, Yudy Merady Escobar-Chan, Ana Fresan, María Lilia López-Narváez, Carlos Alfonso Tovilla-Zárate, Isela Esther Juárez-Rojop, Jorge L Ble-Castillo, Alma Delia Genis-Mendoza, Pedro Iván Arias-Vázquez
    Journal of Health Psychology.2021; 26(9): 1404.     CrossRef
  • The Effects of Meditation with a Biofeedback Program on Stress and Depression Levels among People with Mild Depression Diabetes
    Ormanee Patarathipakorn, Manyat Ruchiwit, Marlaine Smith
    The Open Public Health Journal.2021; 14(1): 104.     CrossRef
  • Association between the level of adherence to dietary guidelines and depression among Korean patients with type 2 diabetes mellitus
    Seonghee Park, Kyong Park
    Journal of Psychosomatic Research.2021; 145: 110463.     CrossRef
  • Depression Among Patients with Type 2 Diabetes Mellitus: Prevalence and Associated Factors in Hue City, Vietnam
    Nhu Minh Hang Tran, Quang Ngoc Linh Nguyen, Thi Han Vo, Tran Tuan Anh Le, Ngoc Ha Ngo
    Diabetes, Metabolic Syndrome and Obesity: Targets .2021; Volume 14: 505.     CrossRef
  • Factors Associated with Depressive Symptoms in Korean Adults with Diabetes Mellitus: A Cross-Sectional Study
    Mihyun Jeong
    Healthcare.2021; 9(8): 1049.     CrossRef
  • Spiritual intelligence, mindfulness, emotional dysregulation, depression relationship with mental well-being among persons with diabetes during COVID-19 pandemic
    Wojujutari Kenni Ajele, Teslim Alabi Oladejo, Abimbola A. Akanni, Oyeyemi Bukola Babalola
    Journal of Diabetes & Metabolic Disorders.2021; 20(2): 1705.     CrossRef
  • Depression and Its Predictors among Diabetes Mellitus Patients Attending Treatment in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
    Bereket Beyene Gebre, Suzan Anand, Zebene Mekonnen Assefa
    Journal of Diabetes Research.2020; 2020: 1.     CrossRef
  • Effect of Study Design and Survey Instrument to Identify the Association Between Depressive Symptoms and Physical Activity in Type 2 Diabetes, 2000-2018: A Systematic Review
    Jusung Lee, Timothy Callaghan, Marcia Ory, Hongwei Zhao, Margaret Foster, Jane N. Bolin
    The Diabetes Educator.2020; 46(1): 28.     CrossRef
  • Genetic Overlap Between Type 2 Diabetes and Depression in a Sri Lankan Population Twin Sample
    Carol Kan, Kaushalya Jayaweera, Anushka Adikari, Sisira Siribaddana, Helena M.S. Zavos, Lisa Harber-Aschan, Athula Sumathipala, Matthew Hotopf, Khalida Ismail, Frühling Rijsdijk
    Psychosomatic Medicine.2020; 82(2): 247.     CrossRef
  • Depression in Iranian Children with Diabetes and Related Factors
    Azadeh Sayarifard, Fatemeh Sayarifard, Maryam Nazari, Morteza Nikzadian, Mona Amrollahinia, Javad Mahmoudi-Gharaei
    Iranian Journal of Pediatrics.2020;[Epub]     CrossRef
  • Prevalence of Undiagnosed Depression in Patients With Type 2 Diabetes
    Dina Siddiq Abdulhadi Alajmani, Amna Mohamad Alkaabi, Mariam Waleed Alhosani, Ayesha Abdulaziz Folad, Fawzia Ahmed Abdouli, Frederick Robert Carrick, Mahera Abdulrahman
    Frontiers in Endocrinology.2019;[Epub]     CrossRef
  • Risk and protective factors of co-morbid depression in patients with type 2 diabetes mellitus: a meta analysis
    Aidibai Simayi, Patamu Mohemaiti
    Endocrine Journal.2019; 66(9): 793.     CrossRef
  • The prevalence of comorbid depression in patients with type 2 diabetes: an updated systematic review and meta-analysis on huge number of observational studies
    Mohammad Khaledi, Fahimeh Haghighatdoost, Awat Feizi, Ashraf Aminorroaya
    Acta Diabetologica.2019; 56(6): 631.     CrossRef
  • Effect of walking and aerobic exercise on physical performance and depression in cases of type 2 diabetes mellitus
    Manal K. Youssef
    The Egyptian Journal of Internal Medicine.2019; 31(2): 142.     CrossRef
  • Premorbid risk perception, lifestyle, adherence and coping strategies of people with diabetes mellitus: A phenomenological study in the Brong Ahafo Region of Ghana
    Philip Teg-Nefaah Tabong, Vitalis Bawontuo, Doris Ningwiebe Dumah, Joseph Maaminu Kyilleh, Tolgou Yempabe, Noël C. Barengo
    PLOS ONE.2018; 13(6): e0198915.     CrossRef
  • Past and Current Status of Adult Type 2 Diabetes Mellitus Management in Korea: A National Health Insurance Service Database Analysis
    Seung-Hyun Ko, Kyungdo Han, Yong-ho Lee, Junghyun Noh, Cheol-Young Park, Dae-Jung Kim, Chang Hee Jung, Ki-Up Lee, Kyung-Soo Ko
    Diabetes & Metabolism Journal.2018; 42(2): 93.     CrossRef
  • Why Early Psychological Attention for Type 2 Diabetics Could Contribute to Metabolic Control
    Alfredo Briones-Aranda, Manuela Castellanos-Pérez, Raquel Gómez-Pliego
    Romanian Journal of Diabetes Nutrition and Metabol.2018; 25(3): 329.     CrossRef
  • Depression and Mortality in People with Type 2 Diabetes Mellitus, 2003 to 2013: A Nationwide Population-Based Cohort Study
    Jong-Hyun Jeong, Yoo Hyun Um, Seung-Hyun Ko, Jong-Heon Park, Joong-Yeol Park, Kyungdo Han, Kyung-Soo Ko
    Diabetes & Metabolism Journal.2017; 41(4): 296.     CrossRef
  • Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China
    Huanhuan Zhou, Junya Zhu, Lin Liu, Fan Li, Anne F. Fish, Tao Chen, Qingqing Lou
    Psychiatry Research.2017; 252: 45.     CrossRef
  • Comorbidity of depression and diabetes: an application of biopsychosocial model
    Tesfa Dejenie Habtewold, Md. Atiqul Islam, Yosef Tsige Radie, Balewgizie Sileshi Tegegne
    International Journal of Mental Health Systems.2016;[Epub]     CrossRef
  • Differences in depression between unknown diabetes and known diabetes: results from China health and retirement longitudinal study
    Huaqing Liu, Xiaoyue Xu, John J. Hall, Xuesen Wu, Min Zhang
    International Psychogeriatrics.2016; 28(7): 1191.     CrossRef

PHRP : Osong Public Health and Research Perspectives