Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 1/2018

01-02-2018 | Original Paper

Cervical Cancer Screening and Its Associated Factors Among North Korean Defectors Living in South Korea

Authors: Jeongok Park, HeesSook Kim, Wonhee Yang, HaeWon Lee, Sang Min Park

Published in: Journal of Immigrant and Minority Health | Issue 1/2018

Login to get access

Abstract

North Korean defectors (NKD) have many health problems related to insufficient nutrition, trauma from escaping, and being exposed to infectious diseases, but little research exists on their cancer screening. A total of 638 NKD participated in this cross-sectional survey. South Korean natives (SKN) who participated in the Korean National Health and Nutrition Examination Survey V were selected using age matching to each NKD. Fisher’s exact tests and logistic regression were used for data analysis. The cervical cancer screening rate of NKD was significantly lower than for SKN (42 and 70 %, respectively; P < .001). The adjusted proportions of cervical cancer screening for NKD in all age groups under 60 years (P < .01) and having education beyond high school (P < .001) were significantly lower than that of SKN. NKD who had education under a high school level were more likely to have cervical cancer screening compared to NKD with education beyond a high school level (OR 1.81, 95 % CI 1.12–2.93). NKD were less likely to receive appropriate cervical cancer screening compared to SKN, especially those aged 30–39 years or married. Tailored interventions for NKD are needed to improve cervical cancer screening compliance.
Literature
2.
go back to reference Jeon W, Hong C, Lee C, et al. Correlation between traumatic events and posttraumatic stress disorder among North Korean defectors in South Korea. J Trauma Stress. 2005;18:147–54.CrossRefPubMed Jeon W, Hong C, Lee C, et al. Correlation between traumatic events and posttraumatic stress disorder among North Korean defectors in South Korea. J Trauma Stress. 2005;18:147–54.CrossRefPubMed
3.
go back to reference Lee Y, Lee MK, Chun KH, et al. Trauma experience of North Korean refugees in China. Am J Prev Med. 2001;20:225–9.CrossRefPubMed Lee Y, Lee MK, Chun KH, et al. Trauma experience of North Korean refugees in China. Am J Prev Med. 2001;20:225–9.CrossRefPubMed
4.
go back to reference Lee YS, Ku HW, Han IY. Systematic reviews of North Korean refugees: women’s distinguishable experience. Korean J Unification Aff. 2011;23:147–93. Lee YS, Ku HW, Han IY. Systematic reviews of North Korean refugees: women’s distinguishable experience. Korean J Unification Aff. 2011;23:147–93.
5.
go back to reference Burk RD, Hi GY, Beardsly L, et al. Sexual behavior and partner characteristics are the predominant risk factors for genital human papillomavirus infection in young women. J Infect Dis. 1996;174:679–89.CrossRefPubMed Burk RD, Hi GY, Beardsly L, et al. Sexual behavior and partner characteristics are the predominant risk factors for genital human papillomavirus infection in young women. J Infect Dis. 1996;174:679–89.CrossRefPubMed
6.
go back to reference Ott JJ, Ullrich A, Mascarenhas M, et al. Global cancer incidence and mortality caused by behavior and infection. J Public Health (Oxf). 2011; 33: 223–33.CrossRef Ott JJ, Ullrich A, Mascarenhas M, et al. Global cancer incidence and mortality caused by behavior and infection. J Public Health (Oxf). 2011; 33: 223–33.CrossRef
7.
go back to reference Suh M, Choi KS, Lee YY, et al. Trends in cancer screening rates among Korean men and women: results from the Korean National Cancer Screening Survey, 2004–2012. Cancer Res Treat. 2013;45:86–94.CrossRefPubMedPubMedCentral Suh M, Choi KS, Lee YY, et al. Trends in cancer screening rates among Korean men and women: results from the Korean National Cancer Screening Survey, 2004–2012. Cancer Res Treat. 2013;45:86–94.CrossRefPubMedPubMedCentral
8.
go back to reference Lin SJ. Factors influencing the uptake of screening services for breast and cervical cancer in Taiwan. J R Soc Promot Health (London). 2008;128:327–34.CrossRef Lin SJ. Factors influencing the uptake of screening services for breast and cervical cancer in Taiwan. J R Soc Promot Health (London). 2008;128:327–34.CrossRef
9.
go back to reference McDonald JT, Kennedy S. Cervical cancer screening by immigrant and minority women in Canada. J Immigr Minor Health. 2007;9:323–34.CrossRefPubMed McDonald JT, Kennedy S. Cervical cancer screening by immigrant and minority women in Canada. J Immigr Minor Health. 2007;9:323–34.CrossRefPubMed
10.
go back to reference McDonald JT, Neily J. Race, immigrant status, and cancer among women in the United States. J Immigr Minor Health. 2011;13:27–35.CrossRefPubMed McDonald JT, Neily J. Race, immigrant status, and cancer among women in the United States. J Immigr Minor Health. 2011;13:27–35.CrossRefPubMed
11.
go back to reference Yu TC, Chou CF, Johnson PJ, et al. Persistent disparities in pap test use: assessments and predictions for Asian women in the U.S., 1982–2010. J Immigr Minor Health. 2010;12:445–53.CrossRefPubMedPubMedCentral Yu TC, Chou CF, Johnson PJ, et al. Persistent disparities in pap test use: assessments and predictions for Asian women in the U.S., 1982–2010. J Immigr Minor Health. 2010;12:445–53.CrossRefPubMedPubMedCentral
12.
go back to reference Jung KW, Won YJ, Kong HJ, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat. 2015;47:127–41.CrossRefPubMedPubMedCentral Jung KW, Won YJ, Kong HJ, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat. 2015;47:127–41.CrossRefPubMedPubMedCentral
13.
go back to reference Saslow D, Solomon D, Lawson HW, et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. CA Cancer J Clin. 2012;62(3):147–72.CrossRefPubMedPubMedCentral Saslow D, Solomon D, Lawson HW, et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. CA Cancer J Clin. 2012;62(3):147–72.CrossRefPubMedPubMedCentral
16.
go back to reference Ko KD, Lee KY, Cho B, et al. Disparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions for people with disabilities: the Korean National Health and Nutrition Examination Survey. Arch Phys Med Rehabi. 2011;92:1230–7.CrossRef Ko KD, Lee KY, Cho B, et al. Disparities in health-risk behaviors, preventive health care utilizations, and chronic health conditions for people with disabilities: the Korean National Health and Nutrition Examination Survey. Arch Phys Med Rehabi. 2011;92:1230–7.CrossRef
17.
go back to reference Ko KD, Park SM, Lee K. Factors associated with the use of uterine cervical cancer screening services in Korean elderly women. Korean J Fam Med. 2012;33:174–81.CrossRefPubMedPubMedCentral Ko KD, Park SM, Lee K. Factors associated with the use of uterine cervical cancer screening services in Korean elderly women. Korean J Fam Med. 2012;33:174–81.CrossRefPubMedPubMedCentral
20.
go back to reference Tran NT, CHoe SI, Taylor R, et al. Knowledge, attitude and practice (KAP) concerning cervical cancer and screening among rural and urban women in six provinces of the Democratic People’s Republic of Korea. Asian Pac J Cancer Prev. 2011;12(11):3029–33.PubMed Tran NT, CHoe SI, Taylor R, et al. Knowledge, attitude and practice (KAP) concerning cervical cancer and screening among rural and urban women in six provinces of the Democratic People’s Republic of Korea. Asian Pac J Cancer Prev. 2011;12(11):3029–33.PubMed
21.
go back to reference Lee M, Chang HS, Park EC, et al. Factors associated with participation of Korean women in cervical cancer screening examination by age group. Asian Pac J Cancer Prev. 2011;12(6):1457–62.PubMed Lee M, Chang HS, Park EC, et al. Factors associated with participation of Korean women in cervical cancer screening examination by age group. Asian Pac J Cancer Prev. 2011;12(6):1457–62.PubMed
22.
go back to reference Jang SN, Cho SI, Hwang SS, et al. Trend of socioeconomic inequality in participation in cervical cancer screening among Korean women. J Prev Med. Public Health. 2007;40(6):505–11. Jang SN, Cho SI, Hwang SS, et al. Trend of socioeconomic inequality in participation in cervical cancer screening among Korean women. J Prev Med. Public Health. 2007;40(6):505–11.
23.
go back to reference Wang BR, Kwon YD, Jeon W, et al. Factors associated with the frequency of physician visits among North Korean defectors residing in South Korea: a cross-sectional study. BMC Health Serv Res. 2015;15:90.CrossRefPubMedPubMedCentral Wang BR, Kwon YD, Jeon W, et al. Factors associated with the frequency of physician visits among North Korean defectors residing in South Korea: a cross-sectional study. BMC Health Serv Res. 2015;15:90.CrossRefPubMedPubMedCentral
25.
go back to reference Chen Y. Rate of cervical cancer screening associated with immigration status and number of years since immigration in Ontario, Canada. J Immigr Minor Health. 2013;15:244–8.PubMed Chen Y. Rate of cervical cancer screening associated with immigration status and number of years since immigration in Ontario, Canada. J Immigr Minor Health. 2013;15:244–8.PubMed
26.
go back to reference Leung GM, Woo PP, Cowling BJ et al: Who receives, benefits from and is harmed by cervical and breast cancer screening among Hong Kong Chinese? J Public Health (Oxf). 2008;30:282–92.CrossRef Leung GM, Woo PP, Cowling BJ et al: Who receives, benefits from and is harmed by cervical and breast cancer screening among Hong Kong Chinese? J Public Health (Oxf). 2008;30:282–92.CrossRef
27.
go back to reference Kim Y, Jun JK, Choi KS, et al. Overview of the National Cancer screening programme and the cancer screening status in Korea. Asian Pac J Cancer Prev. 2011;12:725–30.PubMed Kim Y, Jun JK, Choi KS, et al. Overview of the National Cancer screening programme and the cancer screening status in Korea. Asian Pac J Cancer Prev. 2011;12:725–30.PubMed
28.
go back to reference Park MJ, Park EC, Choi KS, et al. Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005–2009. BMC Cancer. 2011;11:257.CrossRefPubMedPubMedCentral Park MJ, Park EC, Choi KS, et al. Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005–2009. BMC Cancer. 2011;11:257.CrossRefPubMedPubMedCentral
29.
go back to reference Lancuck L, Patnick J, Vessey M. A cohort effect in cervical screening coverage? J Med Screen. 2008;15:27–9.CrossRefPubMed Lancuck L, Patnick J, Vessey M. A cohort effect in cervical screening coverage? J Med Screen. 2008;15:27–9.CrossRefPubMed
30.
go back to reference Park YS, Cheung EK, Choi JS, et al. Cancer screening rates and its related factors in a rural and urban communities. J Korean Acadia Fam Med. 2006;27:21–32. Park YS, Cheung EK, Choi JS, et al. Cancer screening rates and its related factors in a rural and urban communities. J Korean Acadia Fam Med. 2006;27:21–32.
31.
go back to reference Adegboyega A, Hatcher J. Factors influencing pap screening use among African immigrant women. J Transcult Nurs 2016. Adegboyega A, Hatcher J. Factors influencing pap screening use among African immigrant women. J Transcult Nurs 2016.
32.
go back to reference Cadman L, Waller J, Ashdown-Barr L, Szarewski A. Barriers to cervical screening in women who have experienced sexual abuse: an exploratory study. J Fam Plann Reprod Health Care. 2012;38:214–20.CrossRefPubMedPubMedCentral Cadman L, Waller J, Ashdown-Barr L, Szarewski A. Barriers to cervical screening in women who have experienced sexual abuse: an exploratory study. J Fam Plann Reprod Health Care. 2012;38:214–20.CrossRefPubMedPubMedCentral
33.
go back to reference Gesink D, Mihic A, Antal J, et al. Who are the under- and never-screened for cancer in Ontario: a qualitative investigation. BMC Public Health. 2014;14:495.CrossRefPubMedPubMedCentral Gesink D, Mihic A, Antal J, et al. Who are the under- and never-screened for cancer in Ontario: a qualitative investigation. BMC Public Health. 2014;14:495.CrossRefPubMedPubMedCentral
34.
go back to reference Oscarsson MG, Wijma BE, Benzein EG. ‘I do not need to… I do not want to… I do not give it priority…’–why women choose not to attend cervical cancer screening. Health Expect. 2008;11:26–34.CrossRefPubMedPubMedCentral Oscarsson MG, Wijma BE, Benzein EG. ‘I do not need to… I do not want to… I do not give it priority…’–why women choose not to attend cervical cancer screening. Health Expect. 2008;11:26–34.CrossRefPubMedPubMedCentral
35.
go back to reference Choe MA, Yi M, Choi JA, et al. Health knowledge, health promoting behavior and factors influencing health promoting behavior of north korean defectors in South Korea. J Korean Acad Nurs. 2012;42:622–31.CrossRefPubMed Choe MA, Yi M, Choi JA, et al. Health knowledge, health promoting behavior and factors influencing health promoting behavior of north korean defectors in South Korea. J Korean Acad Nurs. 2012;42:622–31.CrossRefPubMed
36.
go back to reference Islam N, Kwon SC, Senie R, et al. Breast and cervical cancer screening among South Asian women in New York City. J Immigr Minor Health. 2006;8:211–21.CrossRefPubMed Islam N, Kwon SC, Senie R, et al. Breast and cervical cancer screening among South Asian women in New York City. J Immigr Minor Health. 2006;8:211–21.CrossRefPubMed
Metadata
Title
Cervical Cancer Screening and Its Associated Factors Among North Korean Defectors Living in South Korea
Authors
Jeongok Park
HeesSook Kim
Wonhee Yang
HaeWon Lee
Sang Min Park
Publication date
01-02-2018
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 1/2018
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-016-0510-3

Other articles of this Issue 1/2018

Journal of Immigrant and Minority Health 1/2018 Go to the issue