Korean Journal of Family Medicine

"Educational Status"

Original Articles

Trends in Cervical Cancer Mortality by Socioeconomic Status in Korean Women between 1998 and 2009: Mi-Hyun Kim, Yun-Mi Song, Bo-Kyoung Kim, Sung-Min Park, Gwang Pyo Ko; Korean J Fam Med 2013;34(4):258-264. Published online July 24, 2013; DOI: https://doi.org/10.4082/kjfm.2013.34.4.258

Abstract
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Background

Death from uterine cervical cancer could be preventable by an active participation of women at risk in a screening program such as the Papanicolaou test. In order to examine the presence of socioeconomic disparity in preventable deaths, we evaluated the time trends of cervical cancer mortality by socioeconomic status in Korean women.

Methods

We selected level of educational attainment and marital status as surrogate indices of socioeconomic status. Using death certificate data and Korean Population and Housing Census data from Korea National Statistical office, we calculated age-standardized yearly mortality rates from cervical cancer between 1998 and 2009 according to the level of education as well as marital status.

Results

Cervical cancer mortality peaked in 2003 and then decreased gradually over time. Cervical cancer mortality was the highest in the group with the lowest level of educational attainment in all age groups and the gap between the lowest and the highest educational level has increased over time. Cervical cancer mortality was lower in married women than unmarried women in all age groups, and the degree of difference did not change over time.

Conclusion

In the Korean population, socioeconomic differential in cervical cancer mortality has persisted over time.

Citations

Citations to this article as recorded by

The participation in cervical cancer screening is not altered by the Hawthorne effect among patients of doctors participating in the randomized clinical trial PaCUDAHL
Gabrielle Lisembard, Michaël Rochoy, François Quersin, Valérie Deken, Alain Duhamel, Axel Descamps, Christophe Berkhout, Fanny Serman
BMC Research Notes.2025;[Epub] CrossRef
Income-based disparities in the risk of distant-stage cervical cancer and 5-year mortality after the introduction of a National Cancer Screening Program in Korea
Erdenetuya Bolormaa, Seung-Ah Choe, Mia Son, Myung Ki, Domyung Paek
Epidemiology and Health.2022; 44: e2022066. CrossRef
The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office
Fanny Serman, Jonathan Favre, Valérie Deken, Lydia Guittet, Claire Collins, Michaël Rochoy, Nassir Messaadi, Alain Duhamel, Ludivine Launay, Christophe Berkhout, Thibaut Raginel, Tayyab Ikram Shah
PLOS ONE.2020; 15(5): e0232814. CrossRef
Impact of marital status on receipt of brachytherapy and survival outcomes in locally advanced cervical cancer
Minh-Phuong Huynh-Le, Amy Klapheke, Rosemary Cress, Loren K. Mell, Catheryn M. Yashar, John P. Einck, Arno J. Mundt, Jyoti S. Mayadev
Brachytherapy.2019; 18(5): 612. CrossRef
Association between Socioeconomic Status and Cancer Screening in Koreans over 40 Years in Age Based on the 2010–2012 Korean National Health and Nutrition Examination Survey
Jin-Young Kim, Hee-Taik Kang
Korean Journal of Family Medicine.2016; 37(5): 287. CrossRef
Cervical cancer still presents symptomatically 20 years after the introduction of a structured national screening programme
E. Myriokefalitaki, N. Potdar, L. Barnfield, Q. Davies, E. L. Moss
Cytopathology.2016; 27(4): 229. CrossRef
Cervical Cancer Trends in Mexico: Incidence, Mortality and Research Output
Maricruz Anaya-Ruiz, Ana Karen Vincent, Martin Perez-Santos
Asian Pacific Journal of Cancer Prevention.2014; 15(20): 8689. CrossRef

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Erectile Dysfunction and Risk Factors.: Se Hoon Lee, Hong Ji Song, Jung Jin Cho, Jong Lull Yoon, Se Ra Hong, Kyung Hee Park, Young Su Ju; J Korean Acad Fam Med 2004;25(8):603-609. Published online August 10, 2004

Abstract
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Background
: Erectile dysfunction (ED) has been presented as a predictor of cardiovascular diseases. Earlier studies had revealed risk factors for erectile dysfunction, but the results are variable. We conducted this study to evaluate the association between various factors and ED.

Methods : The subjects were 403 men, over 20 years old, who visited a university hospital health promotion center from February to May 2003. They responded to 'the Korean version of 5-item International Index of Erectile Function (IIEF-5)'. The subjects were divided into ED group and normal group according to 'IIEF-5' score. We studied the association between ED and sociodemographic factors, smoking, exercise, depression, diabetes, hypertension, dyslipidemia and analysed stress and job stress in a subgroup who responded to the questionnaires.

Results : The mean age of subjects was 45.6±8.9 and 34.2% of the subjects had ED. The risk of ED increased 1.09 times per year (P＜0.01). Statistically significant association between ED and education level, income, occupation, smoking (P＜0.01), DM, and exercise (P＜0.05) was shown by univariate analysis, but not by multivariate analysis. By multivariate analysis, the risk of ED increased significantly in older age, lower educational group and severe depression (P＜0.01). Among 251 subjects who completed the Psychiatric Wellbeing Inventory- Short form, high risk of stress group wsa associated with high risk of ED by univariate analysis (P＜0.01) but this association did not exist in multivariate analysis. We could not find the association between ED and job stress.

Conclusion : The prevalence of ED was 34.2% among the subjects over 20 year-old and the risk of ED increased significantly in older age, lower educational group, and in subjects who had moderate to severe depression.