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PHRP : Osong Public Health and Research Perspectives

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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
  • 3,764 View
  • 37 Download
  • 7 Crossref
AbstractAbstract 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.

Citations

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
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
  • 4,085 View
  • 47 Download
  • 2 Crossref
AbstractAbstract 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.

Citations

Citations to this article as recorded by  
  • 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

PHRP : Osong Public Health and Research Perspectives