Cancer Research and Treatment

Original Articles

Breast cancer

Impact of Awareness of Breast Density on Perceived Risk, Worry, and Intentions for Future Breast Cancer Screening among Korean Women: Anh Thi Ngoc Tran, Ji Hae Hwang, Eunji Choi, Yun Yeong Lee, Mina Suh, Chan Wha Lee, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2021;53(1):55-64. Published online August 18, 2020; DOI: https://doi.org/10.4143/crt.2020.495

Purpose
This study sought to examine perceived risk and concerns for breast cancer according to awareness of breast density and states thereof among Korea women and to identify the impact of such awareness on screening intentions.
Materials and Methods
This study was based on the 2017 Korean National Cancer Screening Survey of a nationally representative and randomly selected sample of Koreans. Ordinal logistic regression was conducted to examine associations for awareness of and knowledge on breast density in relation to psychological factors. Multivariate logistic regression analyses were conducted to investigate significant factors associated with intentions to undergo breast cancer screening.
Results
Among a total of 1,609 women aged 40-69 years, 62.0% were unaware of their breast density, and only 29.7% had good breast density knowledge. Awareness of one’s breast density and knowledge about breast density were positively associated with perceptions of absolute and comparative risk and cancer worry. Women aware of their breast density (adjusted odds ratio [aOR], 1.35 for women aware of having a non-dense breast; aOR, 4.17 for women aware of having a dense breast) and women with a good level of breast density knowledge (aOR, 1.65) were more likely to undergo future breast cancer screening.
Conclusion
Breast density awareness and knowledge showed positive associations with psychological factors and breast cancer screening intentions. However, the majority of Korean women were not aware of their breast density status and demonstrated poor knowledge about breast density. These results demonstrate a need for better health communication concerning breast density.

Citations

Citations to this article as recorded by

The triad of knowledge, regular medical consultation, and recommendations for enhanced breast cancer screening intention in Morocco
Nadia Ouzennou, Mohamed Aboufaras, Nezha Nacer, Hicham Mejdouli, Jaouad Chouikh, Samia Rkha
Journal of Cancer Research and Clinical Oncology.2024;[Epub] CrossRef
Awareness of Breast Cancer Risk Factors in Women with vs. Without High Breast Density
Jan Endrikat, Gilda Schmidt, Bhagyashree Oak, Viplav Shukla, Prakirti Nangia, Nicolas Schleyer, John Crocker, Ruud Pijnapppel
Patient Preference and Adherence.2024; Volume 18: 1577. CrossRef
Public awareness, specific knowledge, and worry about mpox (monkeypox): A preliminary community-based study in Shenzhen, China
Fangmei Ren, Junchao Liu, Jianping Miao, Yucheng Xu, Ruiyin Zhang, Jingjie Fan, Wei Lin
Frontiers in Public Health.2023;[Epub] CrossRef
Understanding of Dense Breast and Perception of Breast Cancer Risk of Nurses with or without Dense Breast Notification
Seon Mi Yoon, Jeong Hee Kang
Asian Oncology Nursing.2023; 23(2): 75. CrossRef
Survey of knowledge and awareness of breast density amongst Maltese Women undergoing mammography screening
S.L. Gauci, J.G. Couto, D. Mizzi
Radiography.2023; 29(5): 911. CrossRef
Anticipatory anxiety and participation in cancer screening. A systematic review
Belinda Goodwin, Laura Anderson, Katelyn Collins, Saira Sanjida, Marcos Riba, Gursharan K. Singh, Kimberley M. Campbell, Heather Green, Sana Ishaque, Alastair Kwok, Melissa J. Opozda, Amy Pearn, Joanne Shaw, Ursula M. Sansom‐Daly, Joanna M. Tsirgiotis, Mo
Psycho-Oncology.2023; 32(12): 1773. CrossRef
Implication and Influence of Multigene Panel Testing with Genetic Counseling in Korean Patients with BRCA1/2 Mutation-Negative Breast Cancer
Ji Soo Park, Saeam Shin, Yoon Jung Lee, Seung-Tae Lee, Eun Ji Nam, Jung Woo Han, Sun Hwa Lee, Tae Il Kim, Hyung Seok Park
Cancer Research and Treatment.2022; 54(4): 1099. CrossRef
Effectiveness of the Korean National Cancer Screening Program in reducing breast cancer mortality
Eunji Choi, Jae Kwan Jun, Mina Suh, Kyu-Won Jung, Boyoung Park, Kyeongmin Lee, So-Youn Jung, Eun Sook Lee, Kui Son Choi
npj Breast Cancer.2021;[Epub] CrossRef
General practitioners’ (GPs) understanding and views on breast density in Australia: a qualitative interview study
Brooke Nickel, Hankiz Dolan, Stacy Carter, Nehmat Houssami, Meagan Brennan, Jolyn Hersch, Alia Kaderbhai, Kirsten McCaffery
BMJ Open.2021; 11(8): e047513. CrossRef

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9 Crossref

Inequalities in Awareness and Attitude towards HPV and Its Vaccine between Local and Migrant Residents Who Participated in Cervical Cancer Screening in Shenzhen, China: Wei Lin, Yueyun Wang, Zhihua Liu, Bin Chen, Shixin Yuan, Bo Wu, Lin Gong; Cancer Res Treat. 2020;52(1):207-217. Published online July 1, 2019; DOI: https://doi.org/10.4143/crt.2019.053

Abstract PDF PubReader ePub

Purpose
A cross-sectional survey was conducted to evaluate the differences on awareness and attitude towards human papillomavirus (HPV) and its vaccine between local and migrant residents who participated in cervical cancer screening in Shenzhen, China.
Materials and Methods
A total of 9,855 females sampled from healthcare institutions in 20 street blocks through the Cervical Cancer Prevention Network were surveyed in this study by a self-administered questionnaire. Multivariate logistic regression was conducted to explore the role of the hukou and resident status in the willingness to receive HPV vaccination.
Results
Local residents had a relatively higher awareness of HPV (62.0% vs. 35.6% vs. 29.9%, p < 0.001) and its vaccine (35.3% vs. 15.4% vs. 14.8%, p < 0.001), as well as a higher willingness to receive HPV vaccination (68.5% vs. 62.5% vs. 56.2%, p < 0.001) than non-permanent residents and floating population. Except for age, education level, marital status, monthly income, having daughter(s), and heard of HPV and its vaccine, the hukou and resident status significantly associated with the willingness to receive HPV vaccination (local residents vs. floating population: odds ratio, 1.216; 95% confidence interval, 1.057 to 1.398). None significant difference on the associated factors was found between local residents and internal migrants (p for interactions > 0.05).
Conclusion
Inequalities in awareness and attitude towards HPV and its vaccine existed between local and migrant residents in Shenzhen. The hukou and resident status did impact on the willingness to receive HPV vaccination, therefore, it is critical to implement effective health education campaigns on HPV and its vaccine among internal migrants.

Citations

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Parental willingness of HPV vaccination in Mainland China: A meta-analysis
Sensen Tan, Sumeng Wang, Xunwen Zou, Xinhua Jia, Chenyunhao Tong, Jian Yin, Xuemei Lian, Youlin Qiao
Human Vaccines & Immunotherapeutics.2024;[Epub] CrossRef
Barriers to and Facilitators for Accessing HPV Vaccination in Migrant and Refugee Populations: A Systematic Review
Davide Graci, Nicolò Piazza, Salvatore Ardagna, Alessandra Casuccio, Anton Drobov, Federica Geraci, Angelo Immordino, Alessandra Pirrello, Vincenzo Restivo, Riccardo Rumbo, Rosalba Stefano, Roberta Virone, Elena Zarcone, Palmira Immordino
Vaccines.2024; 12(3): 256. CrossRef
Public awareness, specific knowledge, and worry about mpox (monkeypox): A preliminary community-based study in Shenzhen, China
Fangmei Ren, Junchao Liu, Jianping Miao, Yucheng Xu, Ruiyin Zhang, Jingjie Fan, Wei Lin
Frontiers in Public Health.2023;[Epub] CrossRef
Knowledge of Cervical Cancer and HPV, and Willingness to Receive HPV Vaccination Among 20–45-Year-Old Women — Six Provinces, China, 2018
Di Gao, Gengli Zhao, Jiangli Di, Xiaosong Zhang, Linhong Wang
China CDC Weekly.2023; 5(9): 201. CrossRef
Willingness to receive and recommend hypothetical mpox vaccination and associated factors in Chinese adults: a community-based survey in Shenzhen, China
F. Ren, J. Miao, J. Liu, B. Xia, Z. Chen, Y. Xu, R. Zhang, J. Fan, W. Lin
Public Health.2023; 225: 267. CrossRef
Cognition of the warning symptoms and risk factors for cancer among Chinese college students: a cross-sectional study based on a summer social practice activity
Lin-sen Feng, Qing-li Li, Qing Yang, Yu-lu Zhu, Fu-lin Yin, Qi-yao Wang, Wen-jue Zhong, Xiao-qian Wu, Ruo-yu Yan, Zheng-jiao Dong
Annals of Medicine.2023;[Epub] CrossRef
Awareness, Acceptance, and Associated Factors of Human Papillomavirus Vaccine among Parents of Daughters in Hadiya Zone, Southern Ethiopia: A Cross-Sectional Study
Yilma Markos Larebo, Legesse Tesfaye Elilo, Desta Erkalo Abame, Denebo Ersulo Akiso, Solomon Gebre Bawore, Abebe Alemu Anshebo, Natarajan Gopalan
Vaccines.2022; 10(12): 1988. CrossRef
Prevalence and genotype distribution of human papillomavirus among women with cervical lesions in Shenzhen city, China
Qingfeng Mai, Xiaohan Yang, Huan Cheng, Genghang Wu, Zikun Wu
Human Vaccines & Immunotherapeutics.2021; 17(4): 965. CrossRef
Cervical Cancer Screening Rate and Willingness among Female Migrants in Shenzhen, China: Three-Year Changes in Citywide Surveys
Wei Lin, Bin Chen, Bo Wu, Shixin Yuan, Chuyan Zhong, Weikang Huang, Haiyan Hu, Zhihua Liu, Yueyun Wang
Cancer Research and Treatment.2021; 53(1): 212. CrossRef
Inequalities in Cervical Cancer Screening Uptake Between Chinese Migrant Women and Local Women: A Cross-Sectional Study
Hunter K. Holt, Xi Zhang, Shang-Ying Hu, Fang-Hui Zhao, Jennifer S. Smith, You-Lin Qiao
Cancer Control.2021;[Epub] CrossRef
Access to Vaccination Information and Confidence/Hesitancy towards Childhood Vaccination: A Cross-Sectional Survey in China
Fanxing Du, Tracey Chantler, Mark R. Francis, Fiona Yueqian Sun, Xuan Zhang, Kaiyi Han, Lance Rodewald, Hongjie Yu, Shiyi Tu, Heidi Larson, Zhiyuan Hou
Vaccines.2021; 9(3): 201. CrossRef
The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines
Emmanuel Kwateng Drokow, Clement Yaw Effah, Clement Agboyibor, Evans Sasu, Cecilia Amponsem-Boateng, Gloria Selorm Akpabla, Hafiz Abdul Waqas Ahmed, Kai Sun
Frontiers in Public Health.2021;[Epub] CrossRef
NUP210 and MicroRNA-22 Modulate Fas to Elicit HeLa Cell Cycle Arrest
Qiao Gu, Wenjie Hou, Huan Liu, Lijuan Shi, Zonghao Zhu, Wenfeng Ye, Xiaoyuan Ni
Yonsei Medical Journal.2020; 61(5): 371. CrossRef
Awareness of Cervical Cancer and Attitude Toward Human Papillomavirus and Its Vaccine Among Ghanaians
Emmanuel Kwateng Drokow, Liu Zi, Qian Han, Clement Yaw Effah, Clement Agboyibor, Evans Sasu, Gloria Selorm Akpabla, Francis Foli, Kai Sun
Frontiers in Oncology.2020;[Epub] CrossRef

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Awareness of and Attitudes toward Human Papillomavirus Vaccination among Adults in Korea: 9-Year Changes in Nationwide Surveys: Jin-Kyoung Oh, Bo Yoon Jeong, E Hwa Yun, Min Kyung Lim; Cancer Res Treat. 2018;50(2):436-444. Published online May 10, 2017; DOI: https://doi.org/10.4143/crt.2017.174

Abstract PDF PubReader ePub

Purpose
Human papillomavirus (HPV) vaccination has been included in the National Immunization Program in Korea since 2016. We aimed to evaluate changes in the awareness of and attitudes toward HPV vaccination, among adults in Korea since the first introduction of the vaccines in 2007.
Materials and Methods
A nationwide population-based survey was conducted in 2016 for 1,200 nationally representative Korean men and women; the data obtained were compared with the data from the nationwide survey conducted in 2007.
Results
A significant increase in the awareness of HPV infection (35.8%) and vaccination (36.9%) was observed in 2016 from 13.3% and 8.6% in 2007, respectively. Willingness to be vaccinated against HPV decreased from 55.0% in 2007 to 25.8% in 2016, and the proportion of respondents expressing uncertainty increased from 28.3% in 2007 to 43.3% in 2016. Only 12.1% of men and 22.0% of women knew about the free national HPV vaccination program for girls, launched in June 2016. Younger women, with higher income level, awareness of the HPV vaccine, and perception of the seriousness of infections had a higher willingness to be vaccinated. A high education level, awareness of HPV infection and vaccination, and perception of the seriousness of infection were positively associated with the willingness of respondents to vaccinate their daughters.
Conclusion
Raising the awareness of HPV infection and vaccination with appropriate knowledge is necessary for the successful implementation of the national HPV vaccination program.

Citations

Citations to this article as recorded by

An investigation into the human papilloma virus (HPV) vaccination among undergraduate medical students (A prospective cross-sectional KAP survey)
Remah M Kamel, Aseel Alomari, Abeer Ismail, Rogayah Alballa, A’laa Almowallad, Laila Alsankari, Mona Sabsabi
Obstetrics & Gynecology International Journal.2024; 15(5): 194. CrossRef
Parental Factors Affecting Decision to Vaccinate Their Daughters against Human Papillomavirus
Yoon Park, Moran Ki, Hyunju Lee, Jae-Kwan Lee, Jin-Kyoung Oh
Cancer Prevention Research.2023; 16(3): 133. CrossRef
Parental intention to vaccinate daughters with the human papillomavirus vaccine in Korea: a nationwide cross-sectional survey
Yejin Ha, Kyeongmin Lee, Bomi Park, Mina Suh, Jae Kwan Jun, Kui Son Choi
Epidemiology and Health.2023; : e2023076. CrossRef
ARE WOMEN AWARE OF THE VACCINE AGAINST HUMAN PAPILLOMAVIRUS? A HOSPITAL-FOCUSED CROSS-SECTIONAL STUDY
Ülkü Ayşe TÜRKER, Binali ÇATAK
SDÜ Tıp Fakültesi Dergisi.2022; 29(2): 249. CrossRef
Trends in cervical cancer screening rates among Korean women: results of the Korean National Cancer Screening Survey, 2005–2020
Hye Young Shin, Yun Yeong Lee, Soo Yeon Song, Bomi Park, Mina Suh, Kui Son Choi, Jae Kwan Jun
Journal of Gynecologic Oncology.2022;[Epub] CrossRef
Perception of human papilloma virus (HPV) vaccination during the COVID-19 pandemic
Ye Won Jung, Soo Youn Song, Won Kyo Shin, Su Min Chung, Ji Won Park, Heon Jong Yoo
Medicine.2022; 101(43): e31389. CrossRef
Awareness of and practice toward cancer prevention recommendations: results of the Korean National Cancer Prevention Awareness and Practice Survey in 2021
Jin-Kyoung Oh, Eunjung Park, Byungmi Kim, Yoon-Jung Choi, E Hwa Yun, Min Kyung Lim, Jeong-Soo Im, Eun Young Park
Epidemiology and Health.2022; 44: e2022068. CrossRef
The emergence of oral cavity cancer and the stabilization of oropharyngeal cancer: Recent contrasting epidemics in the South Korean population
Yuh‐Seog Jung, Jungirl Seok, Seri Hong, Chang Hwan Ryu, Junsun Ryu, Kyu‐Won Jung
Cancer.2021; 127(10): 1638. CrossRef
Enhanced disease progression due to persistent HPV-16/58 infections in Korean women: a systematic review and the Korea HPV cohort study
Jaehyun Seong, Sangmi Ryou, JeongGyu Lee, Myeongsu Yoo, Sooyoung Hur, Byeong-Sun Choi
Virology Journal.2021;[Epub] CrossRef
Factors Associated with the HPV Vaccination among Korean Americans and Koreans: A Systematic Review
Soojung Jo, Soo-Yeon Han, Connor A. Walters
International Journal of Environmental Research and Public Health.2021; 19(1): 51. CrossRef
Inequalities in Awareness and Attitude towards HPV and Its Vaccine between Local and Migrant Residents Who Participated in Cervical Cancer Screening in Shenzhen, China
Wei Lin, Yueyun Wang, Zhihua Liu, Bin Chen, Shixin Yuan, Bo Wu, Lin Gong
Cancer Research and Treatment.2020; 52(1): 207. CrossRef
Multidimensional social and cultural norms influencing HPV vaccine hesitancy in Asia
Li Ping Wong, Pooi-Fong Wong, Megat Mohamad Amirul Amzar Megat Hashim, Liyuan Han, Yulan Lin, Zhijian Hu, Qinjian Zhao, Gregory D. Zimet
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Tingting Cui, Guoping Yang, Lili Ji, Lin Zhu, Shiqi Zhen, Naiyang Shi, Yan Xu, Hui Jin
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Hae Won Kim, Hyang Yuol Lee, Seong Eun Kim, Hye Young Ahn, Yeon Hee Kim, Young Jin Lee, Italo Francesco Angelillo
PLOS ONE.2019; 14(2): e0211475. CrossRef
Current knowledge of and attitudes toward human papillomavirus‐related disease prevention among Japanese: A large‐scale questionnaire study
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High-Risk Human Papillomavirus Infection and the Risk of Cardiovascular Disease in Korean Women
Eun-Jeong Joo, Yoosoo Chang, Min-Jung Kwon, Ara Cho, Hae Suk Cheong, Seungho Ryu
Circulation Research.2019; 124(5): 747. CrossRef
Awareness and attitude towards human papillomavirus and its vaccine among females with and without daughter(s) who participated in cervical cancer screening in Shenzhen, China
Wei Lin, Yueyun Wang, Zhihua Liu, Bin Chen, Shixin Yuan, Bo Wu, Lin Gong
Tropical Medicine & International Health.2019; 24(9): 1054. CrossRef

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Korean Cancer Patients’ Awareness of Clinical Trials, Perceptions on the Benefit and Willingness to Participate: Yoojoo Lim, Jee Min Lim, Won Jae Jeong, Kyung-Hun Lee, Bhumsuk Keam, Tae-Yong Kim, Tae Min Kim, Sae-Won Han, Do Youn Oh, Dong-Wan Kim, Tae-You Kim, Dae Seog Heo, Yung-Jue Bang, Seock-Ah Im; Cancer Res Treat. 2017;49(4):1033-1043. Published online April 7, 2017; DOI: https://doi.org/10.4143/crt.2016.413

Abstract PDF PubReader ePub

Purpose
The purpose of this study was to assess current levels of awareness of clinical trials (CTs), perceptions regarding their benefits and willingness to participate to CTs among Korean cancer patients.
Materials and Methods
From December 2012 to August 2015, we distributed questionnaires to cancer patients receiving systemic anti-cancer therapy at Seoul National University Hospital, Seoul, Korea.
Results
A total of 397 out of 520 requested patients (76.3%) responded to the survey. Among the 397 patients, 62.5% were female and the median age was 52 years. Overall, 97.4% (387/397) answered that they have at least heard of CTs. When asked about their level of awareness, 23.8% (92/387) answered that they could more than roughly explain about CTs. The average visual analogue scale score of CT benefit in all patients was 6.43 (standard deviation, 2.20). Patients who were only familiar with the term without detailed knowledge of the contents had the least expectation of benefit from CTs (p=0.015). When asked about their willingness to participate in CTs, 56.7% (225/397) answered positively. Patients with higher levels of awareness of CTs showed higher willingness to participate (p < 0.001). Heavily treated patients and patients with previous experience regarding CTs also showed a higher willingness to participate (p < 0.001). The perceived benefit of CTs was higher in the group willing to participate (p=0.026).
Conclusion
The patient’s level of awareness regarding CTs was positively related to the positive perception and willingness to participate. Although the general awareness of CTs was high, a relatively large proportion of patients did not have accurate knowledge; therefore, proper and accurate patient education is necessary.

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