Osong Public Health and Research Perspectives

Original 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; DOI: https://doi.org/10.24171/j.phrp.2017.8.4.06

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Objectives

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.

Methods

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.

Results

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.

Conclusion

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

Citations to this article as recorded by

Factors associated with late diagnosis of cervical cancer at two national referral hospitals, Kenya 2017: A case control study
Valerian Mwenda, Martin Mwangi, Gladwell Gathecha, Joseph Kibachio, Robert Too, Zeinab Gura, Marleen Temmerman
Gynecologic Oncology Reports.2024; 52: 101355. CrossRef
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; DOI: https://doi.org/10.1016/j.phrp.2015.05.004

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Abstract PDF

Objectives
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).
Methods
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.
Results
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.
Conclusion
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

Citations to this article as recorded by

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Higher risk of depression in individuals with type 2 diabetes and obesity: Results of a meta-analysis
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The Open Public Health Journal.2021; 14(1): 104. CrossRef
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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
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Journal of Diabetes Research.2020; 2020: 1. CrossRef
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The Diabetes Educator.2020; 46(1): 28. CrossRef
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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
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Endocrine Journal.2019; 66(9): 793. CrossRef
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