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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 (Cancer Research and Treatment)

Publication Topics

Cancer; California Health Interview Survey; Persons with Disabilities; Health Promotion/Disease Prevention Issues

Publication Type

CHIS Journal Article

Publication Date

2019-05-07T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1710\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1710&amp;RootFolder=*">Dong Wook Shin</a>

Author 2

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1711\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1711&amp;RootFolder=*">Dongkyung Chang</a>

Author 3

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1712\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1712&amp;RootFolder=*">Jin Hyung Jung</a>

Author 4

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1713\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1713&amp;RootFolder=*">Kyungdo Han</a>

Author 5

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1714\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1714&amp;RootFolder=*">So Young Kim</a>

Author 6

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=787\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=787&amp;RootFolder=*">Kui Son Choi</a>

Author 7

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1716\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1716&amp;RootFolder=*">Won Chul Lee</a>

Author 8

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1717\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1717&amp;RootFolder=*">Jong Heon Park</a>

Author 9

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1718\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1718&amp;RootFolder=*">Jong Hyock Park</a>

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Abstract

Summary: 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. The atuhors investigated colorectal cancer screening participation rate and its trend over the last 10 years in relation to disabilities, and briefly referenced 2005 California Health Interview Survey (CHIS) data. The authors 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.

Findings: Age, sex-standardized participation rate in people without disability increased from 16.2 to 33.9%, but it increased from 12.7% to 27.2% among people with severe disability. People with severe disabilities showed a markedly lower colorectal cancer screening participation rate than people without disability. People with autism, renal failure, brain injury, ostomy, and intellectual disability showed the lowest participation rates.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.

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CHIS Journal Article: 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

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