Adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2012

OBJECTIVES: The National Lung Screening Trial (NLST) revealed that low-dose computed tomography (LDCT) screening could reduce lung cancer mortality in heavy smokers. Lung screening with LDCT was implemented in July 2019 as part of the National Cancer Screening Program in Korea for heavy smokers who...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Eun Young, Shim, Young Sup, Kim, Young Saing, Lee, Sang Pyo, Ko, Ki Dong, Choi, Won-Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805047/
https://www.ncbi.nlm.nih.gov/pubmed/31639166
http://dx.doi.org/10.1371/journal.pone.0224224
_version_ 1783461311838945280
author Kim, Eun Young
Shim, Young Sup
Kim, Young Saing
Lee, Sang Pyo
Ko, Ki Dong
Choi, Won-Jun
author_facet Kim, Eun Young
Shim, Young Sup
Kim, Young Saing
Lee, Sang Pyo
Ko, Ki Dong
Choi, Won-Jun
author_sort Kim, Eun Young
collection PubMed
description OBJECTIVES: The National Lung Screening Trial (NLST) revealed that low-dose computed tomography (LDCT) screening could reduce lung cancer mortality in heavy smokers. Lung screening with LDCT was implemented in July 2019 as part of the National Cancer Screening Program in Korea for heavy smokers who meet NLST criteria [smokers aged 55–74 years with 30 pack-years (PY) or more, excluding former smokers with more than 15 years since smoking cessation]. This study evaluated NLST-eligible heavy smokers’ adherence to general medical checkup and cancer screening guidelines. METHODS: Using the Korea National Health and Nutrition Examination Survey (KNHANES) from 2010 to 2012, we compared adherence of Korean adults (55–74 years, n = 5,480) to general medical checkup and cancer (gastric, colorectal, breast, and cervical) screening guidelines according to self-reported smoking status. Smoking and PY data were available, but no data indicating when former smokers ceased smoking were available. Accordingly, smoking status was only classified as NLST (smokers with a history ≥ 30 PY) and non-NLST. Individuals who met NLST criteria were subdivided into current (NLST-current) and former smokers (NLST-former). Multivariable logistic regression was used to evaluate adherence to screening recommendations as a function of the study group (NLST-current, NLST-former, non-NLST) using possible covariates (sociodemographic factors, health-related behaviors, comorbidities, and self-reported health status). RESULTS: Weighted prevalence of NLST-current was 9.7%, of NLST-former was 9.6%, and of non-NLST was 80.7%. Overall screening rates were 70.7% (medical checkup), 59.1% (stomach cancer), 58.1% (colorectal cancer), 59.1% (breast cancer), and 48.9% (cervical cancer). Adherence to colorectal cancer screening and medical checkup was lower in NLST-current than non-NLST (AOR 0.59; 95% CI 0.44–0.78 for colorectal cancer; AOR 0.70; 95% CI 0.52–0.95 for medical checkup). Screening practices for other cancers were not different. CONCLUSIONS: Current heavy smokers meeting NLST criteria were less likely to have colorectal cancer screening or general medical checkup. Understanding the screening practices of this target population might enable the development of more effective plans to implement lung screening and improve screening compliance for other cancers.
format Online
Article
Text
id pubmed-6805047
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-68050472019-11-02 Adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2012 Kim, Eun Young Shim, Young Sup Kim, Young Saing Lee, Sang Pyo Ko, Ki Dong Choi, Won-Jun PLoS One Research Article OBJECTIVES: The National Lung Screening Trial (NLST) revealed that low-dose computed tomography (LDCT) screening could reduce lung cancer mortality in heavy smokers. Lung screening with LDCT was implemented in July 2019 as part of the National Cancer Screening Program in Korea for heavy smokers who meet NLST criteria [smokers aged 55–74 years with 30 pack-years (PY) or more, excluding former smokers with more than 15 years since smoking cessation]. This study evaluated NLST-eligible heavy smokers’ adherence to general medical checkup and cancer screening guidelines. METHODS: Using the Korea National Health and Nutrition Examination Survey (KNHANES) from 2010 to 2012, we compared adherence of Korean adults (55–74 years, n = 5,480) to general medical checkup and cancer (gastric, colorectal, breast, and cervical) screening guidelines according to self-reported smoking status. Smoking and PY data were available, but no data indicating when former smokers ceased smoking were available. Accordingly, smoking status was only classified as NLST (smokers with a history ≥ 30 PY) and non-NLST. Individuals who met NLST criteria were subdivided into current (NLST-current) and former smokers (NLST-former). Multivariable logistic regression was used to evaluate adherence to screening recommendations as a function of the study group (NLST-current, NLST-former, non-NLST) using possible covariates (sociodemographic factors, health-related behaviors, comorbidities, and self-reported health status). RESULTS: Weighted prevalence of NLST-current was 9.7%, of NLST-former was 9.6%, and of non-NLST was 80.7%. Overall screening rates were 70.7% (medical checkup), 59.1% (stomach cancer), 58.1% (colorectal cancer), 59.1% (breast cancer), and 48.9% (cervical cancer). Adherence to colorectal cancer screening and medical checkup was lower in NLST-current than non-NLST (AOR 0.59; 95% CI 0.44–0.78 for colorectal cancer; AOR 0.70; 95% CI 0.52–0.95 for medical checkup). Screening practices for other cancers were not different. CONCLUSIONS: Current heavy smokers meeting NLST criteria were less likely to have colorectal cancer screening or general medical checkup. Understanding the screening practices of this target population might enable the development of more effective plans to implement lung screening and improve screening compliance for other cancers. Public Library of Science 2019-10-22 /pmc/articles/PMC6805047/ /pubmed/31639166 http://dx.doi.org/10.1371/journal.pone.0224224 Text en © 2019 Kim et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kim, Eun Young
Shim, Young Sup
Kim, Young Saing
Lee, Sang Pyo
Ko, Ki Dong
Choi, Won-Jun
Adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2012
title Adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2012
title_full Adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2012
title_fullStr Adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2012
title_full_unstemmed Adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2012
title_short Adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: Korea National Health and Nutrition Examination Survey (KNHANES) 2010–2012
title_sort adherence to general medical checkup and cancer screening guidelines according to self-reported smoking status: korea national health and nutrition examination survey (knhanes) 2010–2012
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805047/
https://www.ncbi.nlm.nih.gov/pubmed/31639166
http://dx.doi.org/10.1371/journal.pone.0224224
work_keys_str_mv AT kimeunyoung adherencetogeneralmedicalcheckupandcancerscreeningguidelinesaccordingtoselfreportedsmokingstatuskoreanationalhealthandnutritionexaminationsurveyknhanes20102012
AT shimyoungsup adherencetogeneralmedicalcheckupandcancerscreeningguidelinesaccordingtoselfreportedsmokingstatuskoreanationalhealthandnutritionexaminationsurveyknhanes20102012
AT kimyoungsaing adherencetogeneralmedicalcheckupandcancerscreeningguidelinesaccordingtoselfreportedsmokingstatuskoreanationalhealthandnutritionexaminationsurveyknhanes20102012
AT leesangpyo adherencetogeneralmedicalcheckupandcancerscreeningguidelinesaccordingtoselfreportedsmokingstatuskoreanationalhealthandnutritionexaminationsurveyknhanes20102012
AT kokidong adherencetogeneralmedicalcheckupandcancerscreeningguidelinesaccordingtoselfreportedsmokingstatuskoreanationalhealthandnutritionexaminationsurveyknhanes20102012
AT choiwonjun adherencetogeneralmedicalcheckupandcancerscreeningguidelinesaccordingtoselfreportedsmokingstatuskoreanationalhealthandnutritionexaminationsurveyknhanes20102012