Asian Pacific Journal of Cancer Prevention

  • 제16권15호
  • /
  • Pages.6293-6298
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  • 2015
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  • 1513-7368(pISSN)
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  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
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Intentions to Undergo Lung Cancer Screening among Korean Men

  • Cam, Nhung Bui (Graduate School of Cancer Science and Policy) ;
  • Lee, Yoon Young (National Cancer Control Institute, National Cancer Center) ;
  • Yoon, HyoJoong (National Cancer Control Institute, National Cancer Center) ;
  • Suh, Mina (National Cancer Control Institute, National Cancer Center) ;
  • Park, Boyoung (National Cancer Control Institute, National Cancer Center) ;
  • Jun, Jae Kwan (Graduate School of Cancer Science and Policy) ;
  • Kim, Yeol (National Cancer Control Institute, National Cancer Center) ;
  • Choi, Kui Son (Graduate School of Cancer Science and Policy)
  • 발행 : 2015.10.06
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초록

Opportunistic screening for lung cancer is commonly conducted in Korea in accordance with physician recommendations and screenee's preferences. However, studies have yet to thoroughly examine the public's understanding of the risks posed by lung cancer screening. This study was conducted to assess changes in intentions to undergo lung cancer screening in response to being informed about exposure to radiation during low-dose computed tomography (LDCT) tests and to identify factors with the greatest influence thereon among Korean men. We conducted sub-group interviews among men chosen from the 2013 Korea National Cancer Screening Survey (KNCSS), a nationwide, population-based, cross-sectional survey of men aged 40 to 74 years and women aged 30 to 74 years. From 4100 participants in the KNCSS, 414 men who underwent any cancer screening test within the last 2 years were randomly selected for inclusion in this study. Via face-to-face interviews, their intentions to undergo lung cancer screening were assessed before and after being informed about exposure to radiation during LDCT testing. Of the 414 participants, 50% were current smokers. After receiving information on the benefits of the test, 95.1% stated an intention to undergo screening; this decreased to 81.6% after they received information on the harms of the test. The average decrease in intention rate was 35.3%. Smoking status, household income, and education level were not associated with lowered intentions to undergo lung cancer screening. Participants who were older than 60 years old (OR=0.56; 95% CI= 0.33-0.96) and those with less concern for radiation exposure (OR=0.56; 95% CI=0.36-0.89) were less likely to lower their screening intentions. The results of this study suggest that there is a need to educate both non-smokers and former smokers on the harms of lung cancer screening.

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참고문헌

  1. Aberle DR, Adams AM, Berg CD, et al (2011). Reduced lungcancer mortality with low-dose computed tomographic screening. N Engl J Med, 365, 395-409. https://doi.org/10.1056/NEJMoa1102873
  2. Bach PB, Mirkin JN, Oliver TK, et al (2012). Benefits and harms of CT screening for lung cancer: a systematic review. JAMA, 307, 2418-29. https://doi.org/10.1001/jama.2012.5521
  3. Berg CD, Aberle DR, Wood DE (2012). Lung cancer screening: promise and pitfalls. Am Soc Clin Oncol Educ Book, 450-7.
  4. Cho KH, Park S, Lee KS, et al (2013). A single measure of cancer burden in Korea from 1999 to 2010. Asian Pac J Cancer Prev, 14, 5249-55. https://doi.org/10.7314/APJCP.2013.14.9.5249
  5. Delmerico J, Hyland A, Celestino P, et al (2014). Patient willingness and barriers to receiving a CT scan for lung cancer screening. Lung Cancer, 84, 307-9. https://doi.org/10.1016/j.lungcan.2014.03.003
  6. Ferlay J SI, Ervik M, Dikshit R, et al (2012). Globocan 2012 v1.0 [Online]. lyon, france: international agency for research on cancer; 2013.
  7. Infante M, Cavuto S, Lutman FR, et al (2009). A randomized study of lung cancer screening with spiral computed tomography: three-year results from the DANTE trial. Am J Respir Crit Care Med, 180, 445-53. https://doi.org/10.1164/rccm.200901-0076OC
  8. Kasenda B, Raatz H, Bucher HC (2013). [Lung cancer screening - an overview about chances and risks]. Ther Umsch, 70, 237-43. https://doi.org/10.1024/0040-5930/a000395
  9. McCunney RJ, Li J (2014). Radiation risks in lung cancer screening programs: a comparison with nuclear industry workers and atomic bomb survivors. Chest, 145, 618-24. https://doi.org/10.1378/chest.13-1420
  10. Moyer VA (2014). Screening for lung cancer: u.s. preventive services task force recommendation statement. Ann Intern Med, 160, 330-8.
  11. Patz EF, Jr., Pinsky P, Gatsonis C, et al (2014). Overdiagnosis in low-dose computed tomography screening for lung cancer. JAMA Intern Med, 174, 269-74. https://doi.org/10.1001/jamainternmed.2013.12738
  12. Saghir Z, Dirksen A, Ashraf H, et al (2012). CT screening for lung cancer brings forward early disease. the randomised danish lung cancer screening trial: status after five annual screening rounds with low-dose CT. Thorax, 67, 296-301. https://doi.org/10.1136/thoraxjnl-2011-200736
  13. Schnoll RA, Bradley P, Miller SM, et al (2003). Psychological issues related to the use of spiral CT for lung cancer early detection. Lung Cancer, 39, 315-25. https://doi.org/10.1016/S0169-5002(02)00501-9
  14. Schwartz LM, Woloshin S, Fowler FJ, Jr., et al (2004). Enthusiasm for cancer screening in the United States. JAMA, 291, 71-8. https://doi.org/10.1001/jama.291.1.71
  15. Slatore CG, Baumann C, Pappas M, et al (2014). Smoking behaviors among patients receiving computed tomography for lung cancer screening. systematic review in support of the U.S. preventive services task force. Ann Am Thorac Soc, 11, 619-27. https://doi.org/10.1513/AnnalsATS.201312-460OC

피인용 문헌

  1. Beliefs and Intentions to Undergo Lung Cancer Screening among Korean Males vol.50, pp.4, 2018, https://doi.org/10.4143/crt.2017.393