A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Ha, Seongjun
- Cancer Screening Findings in Korean People with Disabilities:2016-2017
Authors
1 Professor, Chungnam National University College of Medicine, Department of Rehabilitation, KR
2 Professor, Chungnam National University College of Nursing, Department of Nursing, KR
3 Associate Professor, Joongbu University, Department of Nursing, KR
4 Researchers, National Health Insurance Service, Big Data Department, KR
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1529-1532Abstract
Background/Objectives: Cancer screening programs are effective in the early detection of several cancers. This study aimed to identify the findings of cancer screenings that were conducted in 2016 and 2017.
Methods/Statistical Analysis: Sample were obtained from the National Health Insurance Service, and the cancer screening findings among both people with disabilities and those without were compared. Gastric, breast, colon, liver, and cervical cancer were analyze the findings of the screening programs. The findings were categorized as benign, suspicious of malignancy, or other categories (depending on type of cancer). Descriptive statistics and the X2-test were used to analyze the findings among the groups.
Findings: The findings were as follows: For gastric cancer screenings, 0.30% in 2016 and 0.35% in 2017 of those screened who had brain injury were found to have gastric cancer, whereas 0.16% in 2016 and 0.15% in 2017 of those screened who were non-disabled where found to have gastric cancer (p<.001). For breast cancer screenings, 0.90% in 2016 and 0.54% in 2017 of those screened who had brain injury had findings that were suspicious of malignancy. For colon cancer screenings, 4.48% in 2016 of those screened who had brain injury were found to have colon cancer, whereas 3.70% in 2016 of those who were non-disabled were found to have colon cancer (p<.001). For liver cancer screenings, people with brain injury had the most findings that were suspicious of liver cancer in 2016 (p<.001), whereas people with physical impairment had the most findings that were suspicious of liver cancer in 2017 (p<.001). The non-disabled group had the highest incidence of carcinoma in situ among groups in 2016 (p<.001) and 2017 (p<.001).
Improvements/Applications: Rigorous cancer screening programs should be implemented and expanded to include brain injury and physical impairment disabilities for the early detection of gastric, breast, colon, and liver cancer.
Keywords
Disability, Cancer, Screening, Brain Injury, Physical I.mpairment
- National Health Screening Program Non-Participation Rates Among Koreans with Brain Injury-Based Disabilities: 2016–2017
Authors
1 Professor, Chungnam National University College of Nursing, Department of Nursing, KR
2 Associate Professor, Eulji University College of Nursing, Department of Nursing, KR
3 Professor, Chungnam National University College of Medicine, Department of Rehabilitation, KR
4 Doctoral Student, Chungnam National University College of Nursing, Department of Nursing, KR
5 Researchers, National Health Insurance Service, Big Data Department, KR
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1533-1539Abstract
Background/Objectives: The National Health Screening Program is currently performed in Korea. This study compared the non-participation rates between disabilities caused by brain injury and those without disability in 2016 and 2017.
Methods/Statistical Analysis: Data were extracted from the National Health Insurance database. Among the data, chest X-ray, blood pressure, blood sugar, body mass index (BMI), auditory and visual functions, Hepatitis B virus, hemoglobin, liver function, bone mineral density, lower extremity function test, balance test, depression, and cognitive function test results were compared between the disability from brain injury and non-disability groups. Descriptive statistics were used to analyse the non-participation rates between these groups.
Findings: About 0.3% (n=42,457) of individuals had disabilities due to brain injury. In 2016, the nonparticipation rates for chest X-ray and urine cholesterol among those with disability due to brain injury were 3.8%, and 4.1%, respectively. However, the non-participation rates among those without disabilities were only 0.9% and 0.4%, respectively. The non-participation rates among disabilities due to brain injury were also significantly higher than that in those without disability population in other examination programs. In 2017, 3.3% of individuals with disabilities due to brain injury did not participate in chest X-rays, compared to 0.8% of individuals without disabilities. Similarly, the non-participation rates for urine protein test were 4.1% and 0.4%, respectively. The non-participation rate for all examination programs for health screening was higher among those with disabilities due to brain injury than that in those without disabilities. The average non-participation rates for the group of individuals with disabilities due to brain injury were 5.0% in 2016 and 4.4% in 2017, compared to 1.6% and 1.4%, respectively, for the group without disabilities.
Improvements/Applications: The National Health Screening program should be applied to all citizens regardless of disability. Policies are needed to increase participation in health screening programs among individuals with disabilities.