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- Title
Disparities in the Participation Rate of Colorectal Cancer Screening by Fecal Occult Blood Test among People with Disabilities: A National Database Study in South Korea.
- Authors
Dong Wook Shin; Dongkyung Chang; Jin Hyung Jung; Kyungdo Han; So Young Kim; Kui Son Choi; Won Chul Lee; Jong Heon Park; Jong Hyock Park
- Abstract
Purpose Implementation of screening program may lead to increased health disparity within the population if participation differs by socioeconomic status. In Korea, colorectal cancer screening is provided at no or minimal cost to all people over 50 by National Cancer Screening Program. We investigated colorectal cancer screening participation rate and its trend over the last 10 years in relation to disabilities. Materials and Methods We linked national disability registration data with National Cancer Screening Program data. Age, sex-standardized participation rates were analyzed by type and severity of disability for each year, and factors associated with colorectal cancer screening participation were examined by multivariate logistic regression. Results Age, sex-standardized participation rate in people without disability increased from 16.2 to 33.9% (change, +17.7), but it increased from 12.7% to 27.2% (change, +14.5) among people with severe disability. People with severe disabilities showed a markedly lower colorectal cancer screening participation rate than people without disability (adjusted odds ratio [aOR], 0.714; 95% confidence interval, 0.713 to 0.720). People with autism (aOR, 0.468), renal failure (aOR, 0.498), brain injury (aOR, 0.581), ostomy (aOR, 0.602), and intellectual disability (aOR, 0.610) showed the lowest participation rates. Conclusion Despite the availability of a National Cancer Screening Program and overall increase of its usage in the Korean population, a significant disparity was found in colorectal cancer screening participation, especially in people with severe disabilities and or several specific types of disabilities. Greater effort is needed to identify the barriers faced by these particularly vulnerable groups and develop targeted interventions to reduce inequality.
- Subjects
SOUTH Korea; FECAL occult blood tests; KOREANS; EARLY detection of cancer; COLORECTAL cancer; PEOPLE with disabilities; DISABILITIES; PARTICIPATION
- Publication
Cancer Research & Treatment, 2020, Vol 52, Issue 1, p60
- ISSN
1598-2998
- Publication type
Article
- DOI
10.4143/crt.2018.660