Purpose
This study investigated the prevalence of smoking, drinking, and physical inactivity and the associated factors of these behaviors in gastric cancer survivors.
Materials and Methods
The baseline data from the nationwide cohort study was used. Four hundred thirty-seven gastric cancer survivors who survived ≥ 2 years from diagnosis and reported completion of treatment were matched with 4,370 controls according to age, sex, education, and household income.
Results
The prevalence rates of current smoking and drinking among gastric cancer survivors were 8.7% and 38.3%, which were significantly lower than those among matched controls (p ≤ 0.001), but the prevalence rates of physical inactivity were not significantly different (55.8% vs. 59.9%, p=0.248). In gastric cancer survivors, ≥ 5 years since cancer diagnosis and current drinking contributed to more current smoking; otherwise, age increment and femalewere associatedwith lower current smoking. Thosewith household income ≥ $2,000 and current smokers were more likely to drink and female showed less drinking. Female, currently employed state, and self-rated health status were associated with more physical inactivity.
Conclusion
Although gastric cancer survivors showed better health behaviors than controls, suggesting that the diagnosis of cancer may motivate individuals towards healthy behaviors, their current prevalence rates of smoking and drinking were still high, and more than 50% of them were physically inactive. Tailored interventions to improve their health behaviors considering associated factors for the gastric cancer survivors are necessary.
Citations
Citations to this article as recorded by
Gastric Cancer Survivorship: Multidisciplinary Management, Best Practices and Opportunities Era Cobani, Mohammed Najeeb Al Hallak, Anthony F. Shields, Jordan Maier, Thomas E. Kelly, Niren Naidoo, Miguel Tobon, Steve Kim, Eliza W. Beal Journal of Gastrointestinal Cancer.2024; 55(2): 519. CrossRef
Characterizing risky alcohol use, cigarette smoking, e-cigarette use, and physical inactivity among cancer survivors in the USA—a cross-sectional study Jiyeong Kim, Theresa H. Keegan Journal of Cancer Survivorship.2023; 17(6): 1799. CrossRef
Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched Analysis Sang Jo Han, Su Jung Baik, Young Hoon Yoon, Jie Hyun Kim, Hye Sun Lee, Soyoung Jeon, Hyojin Park The Korean Journal of Gastroenterology.2023; 81(4): 154. CrossRef
Factors related to Cancer Preventive Behavior among Patients with Early Gastric Cancer who Underwent Endoscopic Submucosal Dissection Sunghye Choo, Sanghee Kim, Yong Chan Lee, Eunsung Kim Asian Oncology Nursing.2023; 23(2): 47. CrossRef
MicroRNA-4316 inhibits gastric cancer proliferation and migration via directly targeting VEGF-A Haithm Mousa, Menglang Yuan, Xinsheng Zhang, Xiaomeng Li, Abdullah Shopit, Marwan Almoiliqy, Mohammed Alshwmi, Aisha Al-Dherasi, Yue Xu, Yunfei Zuo Cancer Cell International.2020;[Epub] CrossRef
Assessment of Diet Quality and Adherence to Dietary Guidelines in Gastrointestinal Cancer Survivors: A Cross-Sectional Study Sara Moazzen, Francisco O. Cortés-Ibañez, Barbara L. van Leeuwen, Behrooz Z. Alizadeh, Geertruida H. de Bock Nutrients.2020; 12(8): 2232. CrossRef
miR-300/FA2H affects gastric cancer cell proliferation and apoptosis Bo Hong, Jie Li, Chunxiao Huang, Tao Huang, Mengpei Zhang, Lijiang Huang Open Medicine.2020; 15(1): 882. CrossRef
Association between Dietary Habits and Self-rated Health According to Sasang Constitution Kyoungsik Jeong, Hoseok Kim, Siwoo Lee, Younghwa Baek Journal of Physiology & Pathology in Korean Medicine.2020; 34(1): 53. CrossRef
Factors Associated with Health Behaviors in Thyroid Cancer Survivors Junghyun Yoon, Boyoung Park Journal of Cancer Prevention.2020; 25(3): 173. CrossRef
Discovery of potential therapeutic targets for non-small cell lung cancer using high-throughput metabolomics analysis based on liquid chromatography coupled with tandem mass spectrometry Hong-dan Xu, Wen Luo, Yuanlong Lin, Jiawen Zhang, Lijuan Zhang, Wei Zhang, Shu-ming Huang RSC Advances.2019; 9(19): 10905. CrossRef
Compliance with Multiple Health Behaviour Recommendations: A Cross-Sectional Comparison between Female Cancer Survivors and Those with no Cancer History Daniel N Tollosa, Meredith Tavener, Alexis Hure, Erica L James International Journal of Environmental Research and Public Health.2019; 16(8): 1345. CrossRef
El consumo de alcohol en los supervivientes al cáncer: estado de la cuestión y propuestas para el desarrollo de intervenciones psicológicas Francisco García-Torres, Francisco J. Alós, Rosario Castillo-Mayén Psicooncología.1970; 15(1): 65. CrossRef
Purpose
While colorectal cancer (CRC) is common in Asian countries, screening for CRC is not. Moreover, CRC screening behaviors in Asian populations remain largely unknown. The present study aimed to investigate the stages of adopting CRC screening in Korea according to screening modality.
Materials and Methods
Data were obtained from the 2014 Korean National Cancer Screening Survey, a cross-sectional survey that utilized nationally representative random sampling to investigate cancer screening rates. A total of 2,066 participants aged 50-74 years were included in this study. Chi-square test and multinomial logistic regressionwere applied to determine stages of adoption for fecal occult blood test (FOBT) and colonoscopy and factors associated with each stage.
Results
Of 1,593 participants included in an analysis of stage of adoption for FOBT, 36% were in action/maintenance stages, while 18%, 40%, and 6% were in precontemplation, contemplation, and relapse/relapse risk stages, respectively. Of 1,371 subjects included in an analysis of stage of adoption for colonoscopy, 48% were in action/maintenance stages, with 21% in precontemplation, 21% in contemplation, and 11% in relapse/relapse risk stages. Multinomial logistic regression highlighted sex, household income, place of residency, family history of cancer, having private cancer insurance, smoking status, alcohol use, and regular exercise as being associated with stages of adoption for FOBT and colonoscopy.
Conclusion
This study outlines the distributions of stages of adoption for CRC screening by screening modality. Interventions to improve screening rates should be tailored to individuals in particular stages of adoption for CRC screening by modality.
Citations
Citations to this article as recorded by
Predictors of stages of adoption of colorectal cancer screening among adults attending primary healthcare centers in Turkey Elif Dönmez, Nadire Ercan Toptaner, Elvan E. Ata, Zeynep Dülger, Onur Acar Journal of the Egyptian Public Health Association.2025;[Epub] CrossRef
Factors Affecting Adherence to National Colorectal Cancer Screening: A 12-Year Longitudinal Study Using Multi-Institutional Pooled Data in Korea Dae Sung Kim, Jeeyoung Hong, Kihyun Ryu, Sang Hyuk Lee, Hwanhyi Cho, Jehyeong Yu, Jieun Lee, Jong-Yeup Kim Journal of Korean Medical Science.2024;[Epub] CrossRef
A new TGF‐β risk score predicts clinical and immune landscape in colorectal cancer patients Bing Tang, Binggang Liu, Zhiyao Zeng Annals of Gastroenterological Surgery.2024; 8(5): 927. CrossRef
Utilization of colorectal cancer screening tests: a systematic review and time trend analysis of nationally representative data Idris Ola, Rafael Cardoso, Michael Hoffmeister, Hermann Brenner eClinicalMedicine.2024; 75: 102783. CrossRef
Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey Eunhye Lee, Sung Hoon Jeong, Chung Mo Nam, Jae Kwan Jun, Eun-Cheol Park BMC Women's Health.2023;[Epub] CrossRef
Socioeconomic inequality in organized and opportunistic screening for colorectal cancer: results from the Korean National Cancer Screening Survey, 2009-2021 Xuan Quy Luu, Kyeongmin Lee, Jae Kwan Jun, Mina Suh, Kui Son Choi Epidemiology and Health.2023; 45: e2023086. CrossRef
The risk of developing colorectal cancer in individuals aged 50-70 years and behavioral changes in high-risk individuals regarding a fecal occult blood test Renginar ÖZTÜRK DÖNMEZ, Süheyla ÖZSOY, Melek ARDAHAN Journal of Surgery and Medicine.2022; 6(1): 14. CrossRef
Using Decision Tree Aggregation with Random Forest Model to Identify Gut Microbes Associated with Colorectal Cancer Dongmei Ai, Hongfei Pan, Rongbao Han, Xiaoxin Li, Gang Liu, Li C. Xia Genes.2019; 10(2): 112. CrossRef
Colonoscopy and Sigmoidoscopy Use among the Average-Risk Population for Colorectal Cancer: A Systematic Review and Trend Analysis Rafael Cardoso, Tobias Niedermaier, Chen Chen, Michael Hoffmeister, Hermann Brenner Cancer Prevention Research.2019; 12(9): 617. CrossRef
Perceptions of colorectal cancer screening and recommendation behaviors among physicians in Korea Hye Young Shin, Mina Suh, Boyoung Park, Jae Kwan Jun, Kui Son Choi BMC Cancer.2017;[Epub] CrossRef
Purpose
Although the Korean government has implemented a universal screening program for common cancers, some individuals choose to participate in opportunistic screening programs. Therefore, this study was conducted to identify factors contributing to the selection of organized versus opportunistic screening by the Korean general population.
Materials and Methods
Data from 11,189 participants aged ≥ 40 yearswho participated in the fifth KoreanNational Health and Nutrition Examination Survey (2010-2012) were analyzed in this study.
Results
A total of 6,843 of the participants (58.6%) underwent cancer screening, of which 6,019 (51.1%) participated in organized and 824 (7.5%) participated in opportunistic screening programs. Being female, older, highly educated, in the upper quartile of income, an ex-smoker, and a light drinker as well as having supplementary private health insurance and more comorbid conditions and engaging in moderate physical activity 1-4 days per week were related to participation in both types of screening programs. Being at least a high school graduate, in the upper quartile for income, and a light drinker, as well as having more comorbid conditions and engaging in moderate physical activities 1-4 days per week had a stronger effect on those undergoing opportunistic than organized screening.
Conclusion
The results of this study suggest that socioeconomic factors such as education and income, aswell as health status factors such as health-related quality of life and number of comorbid conditions and health behaviors such as drinking and engaging in moderate physical activity 1-4 days per week had a stronger influence on participation in an opportunistic than in an organized screening program for cancer.
Citations
Citations to this article as recorded by
Temporal Trend in Uptake of the National General Health Checkups and Cancer Screening Program among Korean Women with Breast Cancer Thi Xuan Mai Tran, Soyeoun Kim, Chihwan Cha, Boyoung Park Cancer Research and Treatment.2024; 56(2): 522. CrossRef
Health screening disparities in people living with HIV; A nationwide organized screening setting Boyoung Park, Yoonyoung Jang, Taehwa Kim, Yunsu Choi, Kyoung Hwan Ahn, Jung Ho Kim, Hye Seong, Youn Jeong Kim, Jun Yong Choi, Joon Young Song, Shin-Woo Kim, Sang Il Kim Journal of Infection and Public Health.2024; 17(12): 102567. CrossRef
Impact of health disparities on national breast cancer screening participation rates in South Korea Fatima Nari, Juwon Park, Nayeon Kim, Dong Jin Kim, Jae Kwan Jun, Kui Son Choi, Mina Suh Scientific Reports.2023;[Epub] CrossRef
Knowledge, willingness, uptake and barriers of cervical cancer screening services among Chinese adult females: a national cross-sectional survey based on a large e-commerce platform Bo Zhang, Sumeng Wang, Xiyu Yang, Mingyang Chen, Wenhui Ren, Yanping Bao, Youlin Qiao BMC Women's Health.2023;[Epub] CrossRef
Effect of gastric cancer screening on long-term survival of gastric cancer patients: results of Korean national cancer screening program Xuan Quy Luu, Kyeongmin Lee, Jae Kwan Jun, Mina Suh, Kyu-Won Jung, Kui Son Choi Journal of Gastroenterology.2022; 57(7): 464. CrossRef
Organized Breast and Cervical Cancer Screening: Attendance and Determinants in Rural China Huinan Han, Xiaoyu Wang, Yimei Zhu, Yuan Liang International Journal of Environmental Research and Public Health.2022; 19(14): 8237. CrossRef
Trends in breast cancer screening rates among Korean women: results from the Korean National Cancer Screening Survey, 2005-2020 Soo Yeon Song, Yun Yeong Lee, Hye Young Shin, Bomi Park, Mina Suh, Kui Son Choi, Jae Kwan Jun Epidemiology and Health.2022; 44: e2022111. CrossRef
Trend analysis of process quality indicators for the Korean National Cervical Cancer Screening Program from 2005 to 2013 Cam Nhung Bui, Eunji Choi, Mina Suh, Jae Kwan Jun, Kyu Won Jung, Myong Cheol Lim, Kui Son Choi Journal of Gynecologic Oncology.2021;[Epub] CrossRef
Conditional Relative Survival and Competing Mortality of Patients with Prostate Cancer in Korea: A Nationwide Cohort Study Jinsung Park, Kyungdo Han, Dong Wook Shin, Sang Hyun Park, Hyun Bin Shin Cancer Epidemiology, Biomarkers & Prevention.2021; 30(2): 326. CrossRef
Disparities in Liver Cancer Surveillance Among People With Disabilities Jae Youn Seo, Dong Wook Shin, Su Jong Yu, Jin Hyung Jung, Kyungdo Han, In Young Cho, So Young Kim, Kui Son Choi, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi Journal of Clinical Gastroenterology.2021; 55(5): 439. CrossRef
Effect of Pap smear screening on cervical cancer stage at diagnosis: results from the Korean National Cancer Screening Program Cam Nhung Bui, Seri Hong, Mina Suh, Jae Kwan Jun, Kyu Won Jung, Myong Cheol Lim, Kui Son Choi Journal of Gynecologic Oncology.2021;[Epub] CrossRef
Breast cancer screening disparities between women with and without disabilities: A national database study in South Korea Dong Wook Shin, Jonghan Yu, Juhee Cho, Se Kyung Lee, Jin Hyung Jung, Kyungdo Han, So Young Kim, Jung Eun Yoo, Kyoung Eun Yeob, Yeon Yong Kim, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi Cancer.2020; 126(7): 1522. CrossRef
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 Dong Wook Shin, Dongkyung Chang, Jin Hyung Jung, Kyungdo Han, So Young Kim, Kui Son Choi, Won Chul Lee, Jong Heon Park, Jong Hyock Park Cancer Research and Treatment.2020; 52(1): 60. CrossRef
Patterns of percutaneous transthoracic needle biopsy (PTNB) of the lung and risk of PTNB-related severe pneumothorax: A nationwide population-based study Bo Ram Yang, Mi-Sook Kim, Chang Min Park, Soon Ho Yoon, Kum Ju Chae, Joongyub Lee, James West PLOS ONE.2020; 15(7): e0235599. CrossRef
Risk of Ischemic Heart Disease and Stroke in Prostate Cancer Survivors: A Nationwide Study in South Korea Dong Wook Shin, Kyungdo Han, Hyun Sik Park, Seung-Pyo Lee, Sang Hyun Park, Jinsung Park Scientific Reports.2020;[Epub] CrossRef
Incidentally detected atherosclerosis in the abdominal aorta or its major branches on computed tomography is highly associated with coronary heart disease in asymptomatic adults Beomseok Suh, Yong Sub Song, Dong Wook Shin, Jiyeon Lim, Hyunbin Kim, Sa-Hong Min, Seung-Pyo Lee, Eun-Ah Park, Whal Lee, Hyejin Lee, Jin Ho Park, BeLong Cho Journal of Cardiovascular Computed Tomography.2018; 12(4): 305. CrossRef
Health Inequality in Health Checkups Jungun Lee Korean Journal of Family Medicine.2018; 39(2): 65. CrossRef
Disparities in Cervical Cancer Screening Among Women With Disabilities: A National Database Study in South Korea Dong Wook Shin, Jeong-Won Lee, Jin Hyung Jung, Kyungdo Han, So Young Kim, Kui Son Choi, Jong Heon Park, Jong Hyock Park Journal of Clinical Oncology.2018; 36(27): 2778. CrossRef
Comparison of cervical cancer screening among women with and without hysterectomies: a nationwide population-based study in Korea Ji-Yeon Shin, Kui Son Choi, Mina Suh, Boyoung Park, Jae Kwan Jun BMC Cancer.2018;[Epub] CrossRef