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- 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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- 49 Download
- 9 Crossref
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Abstract
PDF 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.
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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 - “I Thought It Was Better to Be Safe Than Sorry”: Factors Influencing Parental Decisions on HPV and Other Adolescent Vaccinations for Students with Intellectual Disability and/or Autism in New South Wales, Australia
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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
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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;[Epub] CrossRef - Gynecologic Care in Women With Down Syndrome
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- Factors associated with late diagnosis of cervical cancer at two national referral hospitals, Kenya 2017: A case control study
- Analysis of Factors Affecting Women of Childbearing Age to Screen Using Visual Inspection with Acetic Acid
- Sondang Sidabutar, Santi Martini, Chatarina Umbul Wahyuni
- Osong Public Health Res Perspect. 2017;8(1):61-64. Published online February 28, 2017
- DOI: https://doi.org/10.24171/j.phrp.2017.8.1.08
- 5,397 View
- 58 Download
- 3 Crossref
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Abstract
PDF
Objectives The purpose of this study was to evaluate patient factors such as knowledge, attitude, motivation, perception, socio-economic status and travel time to health facilities and assess how these factors affected patients’ decision to pursue cervical cancer screening with visual inspection with acetic acid (VIA).
Methods A total of 80 women of childbearing age who visited Kenjeran and Balongsari Public Health Centers for health assessments were involved in this study. Patients who agreed to participate in the study underwent a verbal questionnaire to evaluate various factors.
Results Bivariate analysis concluded that knowledge, attitude, motivation, perception, socioeconomic status, and travel time to health facilities were significantly different between women who received VIA screening and women who did not receive VIA screening (
p < 0.05). The factors of knowledge, attitudes, motivation, perception, socio-economic status, and the travel time to health facilities accounted for 2.920-fold, 2.043-fold, 3.704-fold, 2.965-fold, 3.198-fold and 2.386-fold possibility, respectively, of patients to pursue cervical cancer screening with VIA. Multivariate analysis showed that perception, socio-economic status, and travel time to health facilities were the most important factors influencing whether or not women pursued VIA screening.Conclusion Knowledge, attitude, motivation, perception, socio-economic status, and travel time to health facilities appears to affect women’s’ decision to pursue cervical cancer screening with VIA, with the largest intake being the motivational factor.
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Citations
Citations to this article as recorded by- Cervical Inspection With AAVI and Cryotherapy on HPV-Diagnosed Women in Windhoek, Namibia
Aune Mbadhi, Yapo Guill Aboua, Larai Aku Akai, Beauty Etinosa Omoruyi, Benjamin Ifeoluwa Okeleye, Vincent Ifeanyi Okudoh
INQUIRY: The Journal of Health Care Organization, .2024;[Epub] CrossRef - Barriers to and Facilitators of Cervical Cancer Screening among Women in Southeast Asia: A Systematic Review
Brandon Chua, Viva Ma, Caitlin Asjes, Ashley Lim, Mahsa Mohseni, Hwee Lin Wee
International Journal of Environmental Research an.2021; 18(9): 4586. CrossRef - Health Education of Visual Inspection of Acetic Acid using Audiovisual Toward Motivation of Childbearing Age Women To Do the Test : A Case Study in Jemawan Klaten
S S T Hamranani, Devi Permatasari, Indriani
Journal of Physics: Conference Series.2019; 1179(1): 012128. CrossRef
- Cervical Inspection With AAVI and Cryotherapy on HPV-Diagnosed Women in Windhoek, Namibia
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