ArticleCancer research and treatment2020
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.
Article in Cancer research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review.Frontiers in oncology · 2025Pooled it
- Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis.Current oncology (Toronto, Ont.) · 2024Pooled it
- Disability and Participation in Breast and Cervical Cancer Screening: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Trial
- Cancer screening in people with intellectual disability: a scoping review of participation, barriers, facilitators, and improvement strategies within the EUCanScreen initiative.International journal for equity in health · 2026Article
- Colorectal Cancer Screening Among People With Intellectual Disabilities.JAMA network open · 2026Article
- Long-Term Cancer Incidence Trends in Korea (2001-2020): An Age-Period-Cohort and Joinpoint Analysis with a Focus on Younger Cohorts.Medicina (Kaunas, Lithuania) · 2025Article
- Cancer prevalence and care disparities among individuals with intellectual disabilities: a cross-sectional pan-cancer analysis.ESMO real world data and digital oncology · 2025Article
- Enhancing doxorubicin's anticancer impact in colorectal cancer by targeting the Akt/Gsk3β/mTOR-SREBP1 signaling axis with an HDAC inhibitor.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2025Article
- Trends in uptake of cancer screening among people with severe mental illness before and after the COVID-19 pandemic in Japan: A repeated cross-sectional study.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Disability-Related Disparities in Preventive Healthcare Access in South Korea: Insights From National Health Insurance Data.International journal of public health · 2025Article
- Health inequities among persons with disabilities: a global scoping review.Frontiers in public health · 2025Article
- Disparities in the diagnosis and treatment of colorectal cancer among patients with disabilities.World journal of gastrointestinal oncology · 2024Article
- Article
- Assessing cancer in people with profound and multiple disabilities.BMC cancer · 2023Article
- Family physicians' and trainees' experiences regarding cancer screening with patients with intellectual disability: An interpretive description study.Journal of intellectual disabilities : JOID · 2023Article
- The Korea National Disability Registration System.Epidemiology and health · 2023Article
- Uptake patterns and predictors of colorectal cancer screening among adults resident in Spain: A population-based study from 2017 to 2020.Frontiers in public health · 2023Article
- Inhibition of colorectal cancer tumorigenesis by ursolic acid and doxorubicin is mediated by targeting the Akt signaling pathway and activating the Hippo signaling pathway.Molecular medicine reports · 2023Article
- Evaluation of health belief model-based educational intervention on colorectal cancer screening behavior at South Khorasan, Iran.Journal of education and health promotion · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeImplementation of screening program may lead to increased health disparity within the population if participation differs by socioeconomic status. In Korea, colorectal cancer screening is provided at no or minimal cost to all people over 50 by National Cancer Screening Program. We investigated colorectal cancer screening participation rate and its trend over the last 10 years in relation to disabilities. MATERIALS AND
methodsWe linked national disability registration data with National Cancer Screening Program data. Age, sex-standardized participation rates were analyzed by type and severity of disability for each year, and factors associated with colorectal cancer screening participation were examined by multivariate logistic regression.
resultsAge, sex-standardized participation rate in people without disability increased from 16.2 to 33.9% (change, +17.7), but it increased from 12.7% to 27.2% (change, +14.5) among people with severe disability. People with severe disabilities showed a markedly lower colorectal cancer screening participation rate than people without disability (adjusted odds ratio [aOR], 0.714; 95% confidence interval, 0.713 to 0.720). People with autism (aOR, 0.468), renal failure (aOR, 0.498), brain injury (aOR, 0.581), ostomy (aOR, 0.602), and intellectual disability (aOR, 0.610) showed the lowest participation rates.
conclusionDespite the availability of a National Cancer Screening Program and overall increase of its usage in the Korean population, a significant disparity was found in colorectal cancer screening participation, especially in people with severe disabilities and or several specific types of disabilities. Greater effort is needed to identify the barriers faced by these particularly vulnerable groups and develop targeted interventions to reduce inequality.
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