Abstract：
OBJECTIVE: This study aimed to explore socio-economic factors and medical conditions that affect regular stomach cancer (SC) screening among Korean adults.
METHODS: This was a retrospective observational study.
METHODS: Study subjects were 5545 adults aged ≥40 years who participated in the 2007-2012 Korean National Health and Nutrition Examination Survey and were followed up to year 2017 based on data linking to the Korean National Health Insurance Service and Korean Health Insurance Review and Assessment. Socio-economic factors included sex, age, residential area, education, occupation, marital status, disability, public and private health insurance, service through local public health organizations, history of cancer except for SC, and family history of SC. Medical factors included six gastric lesions with the possibility of facilitating SC screening, including benign gastric neoplasm, chronic atrophic gastritis, gastric polyp, Helicobacter pylori infection, intestinal metaplasia, and peptic ulcers. The outcome was adherence to SC screening, which was divided into non-adherence, irregular adherence, and regular adherence.
RESULTS: After adjusting for the effects of socio-economic factors, multivariate ordinal logistic regression revealed that participants with a history of four types of gastric lesions were more likely to regularly participate in SC screening: chronic atrophic gastritis (odds ratio [OR] 1.567; 95% confidence interval [CI] = 1.276-1.923), gastric polyps (OR 1.565; 95% CI = 1.223-2.003), H. pylori infection (OR 1.637; 95% CI = 1.338-2.003), and peptic ulcer (OR 2.226; 95% CI 1.750-2.831).
CONCLUSIONS: To improve participation in SC screening, it is necessary to implement personalized strategies for individuals at risk for gastric cancer in addition to population-based strategies for vulnerable groups.
METHODS: This was a retrospective observational study.
METHODS: Study subjects were 5545 adults aged ≥40 years who participated in the 2007-2012 Korean National Health and Nutrition Examination Survey and were followed up to year 2017 based on data linking to the Korean National Health Insurance Service and Korean Health Insurance Review and Assessment. Socio-economic factors included sex, age, residential area, education, occupation, marital status, disability, public and private health insurance, service through local public health organizations, history of cancer except for SC, and family history of SC. Medical factors included six gastric lesions with the possibility of facilitating SC screening, including benign gastric neoplasm, chronic atrophic gastritis, gastric polyp, Helicobacter pylori infection, intestinal metaplasia, and peptic ulcers. The outcome was adherence to SC screening, which was divided into non-adherence, irregular adherence, and regular adherence.
RESULTS: After adjusting for the effects of socio-economic factors, multivariate ordinal logistic regression revealed that participants with a history of four types of gastric lesions were more likely to regularly participate in SC screening: chronic atrophic gastritis (odds ratio [OR] 1.567; 95% confidence interval [CI] = 1.276-1.923), gastric polyps (OR 1.565; 95% CI = 1.223-2.003), H. pylori infection (OR 1.637; 95% CI = 1.338-2.003), and peptic ulcer (OR 2.226; 95% CI 1.750-2.831).
CONCLUSIONS: To improve participation in SC screening, it is necessary to implement personalized strategies for individuals at risk for gastric cancer in addition to population-based strategies for vulnerable groups.
摘要：
目的：本研究旨在探讨影响韩国成年人定期胃癌（SC）筛查的社会经济因素和医疗条件。
方法：这是一项回顾性观察性研究。
方法：研究对象为5545名年龄≥40岁的成年人，他们参加了2007-2012年韩国国家健康和营养调查，并根据与韩国国家健康保险服务和韩国健康保险审查和评估相关的数据进行了随访，直至2017年。社会经济因素包括性别，年龄,住宅区,教育,职业,婚姻状况,残疾,公共和私人健康保险，通过当地公共卫生组织提供服务，癌症史，除了SC，和SC的家族史。医学因素包括六个胃病变，有可能促进SC筛查，包括良性胃肿瘤,慢性萎缩性胃炎,胃息肉,幽门螺杆菌感染,肠上皮化生,和消化性溃疡.结果是坚持SC筛查，分为不遵守，不规则的坚持，和定期坚持。
结果：在调整了社会经济因素的影响后，多变量有序logistic回归显示，有四种胃部病变病史的参与者更有可能定期参加SC筛查：慢性萎缩性胃炎（比值比[OR]1.567;95％置信区间[CI]=1.276-1.923），胃息肉（OR1.565；95%CI=1.223-2.003），幽门螺杆菌感染（OR1.637；95%CI=1.338-2.003），和消化性溃疡（OR2.226；95%CI1.750-2.831）。
结论：为了提高SC筛查的参与度，除了针对弱势群体的基于人群的策略外,还需要针对胃癌风险个体实施个性化策略.
方法：这是一项回顾性观察性研究。
方法：研究对象为5545名年龄≥40岁的成年人，他们参加了2007-2012年韩国国家健康和营养调查，并根据与韩国国家健康保险服务和韩国健康保险审查和评估相关的数据进行了随访，直至2017年。社会经济因素包括性别，年龄,住宅区,教育,职业,婚姻状况,残疾,公共和私人健康保险，通过当地公共卫生组织提供服务，癌症史，除了SC，和SC的家族史。医学因素包括六个胃病变，有可能促进SC筛查，包括良性胃肿瘤,慢性萎缩性胃炎,胃息肉,幽门螺杆菌感染,肠上皮化生,和消化性溃疡.结果是坚持SC筛查，分为不遵守，不规则的坚持，和定期坚持。
结果：在调整了社会经济因素的影响后，多变量有序logistic回归显示，有四种胃部病变病史的参与者更有可能定期参加SC筛查：慢性萎缩性胃炎（比值比[OR]1.567;95％置信区间[CI]=1.276-1.923），胃息肉（OR1.565；95%CI=1.223-2.003），幽门螺杆菌感染（OR1.637；95%CI=1.338-2.003），和消化性溃疡（OR2.226；95%CI1.750-2.831）。
结论：为了提高SC筛查的参与度，除了针对弱势群体的基于人群的策略外,还需要针对胃癌风险个体实施个性化策略.
