Health Policy Manag.  2017 Dec;27(4):296-303. 10.4332/KJHPA.2017.27.4.296.

Regional Variation in National Gastric Cancer Screening Rate in Korea

Affiliations
  • 1Department of Health Administration, Yonsei University Graduate School, Wonju, Korea.
  • 2Department of Health Administration, Yonsei University College of Health Sciences, Wonju, Korea. planters@yonsei.ac.kr

Abstract

BACKGROUND
This study purposed to analyze regional factors related to gastric cancer screening rate provided by national cancer screening program in Korea.
METHODS
The unit of analysis was administrative districts of si∙gun∙gu level. Dependent variable was regional gastric cancer screening rate provided by national cancer screening program, and regional variables were selected to represent the regional characteristics such as demographic, health behavior and status, socioeconomic, and health resource. Tobit regression was applied for the analysis.
RESULTS
Analysis results showed that gastric cancer screening rate was varied depending on regions from 47.8% to 69.1%. Tobit regression showed that gastric cancer screening rate had negative relationships with smoking rate, financial independence rate, and National Health Insurance premium per capita. And regional gastric cancer screening rate had positive relationships with sex ratio and number of gastric cancer screening center.
CONCLUSION
Regional characteristics should be considered in establishing regional policies for increasing the gastric cancer screening rate.

Keyword

Regional analysis; National cancer screening program; Stomach neoplasms; Tobit regression

MeSH Terms

Early Detection of Cancer
Health Behavior
Health Resources
Korea*
Mass Screening*
National Health Programs
Sex Ratio
Smoke
Smoking
Social Class
Stomach Neoplasms*
Smoke
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