Cancer Research and Treatment

Original Articles

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: Dong Wook Shin, Dongkyung Chang, Jin Hyung Jung, Kyungdo Han, So Young Kim, Kui Son Choi, Won Chul Lee, Jong Heon Park, Jong Hyock Park; Cancer Res Treat. 2020;52(1):60-73. Published online May 7, 2019; DOI: https://doi.org/10.4143/crt.2018.660

Abstract PDF Supplementary Material PubReader ePub

Purpose
Implementation 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 Methods
We 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.
Results
Age, 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.
Conclusion
Despite 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.

Citations

Citations to this article as recorded by

Cervical Cancer Screening and Prevention Uptake in Females with Autism Spectrum Disorder
Yachin Chen, James Powers, Christopher J. McDougle, Nicole R. Zürcher, Robyn P. Thom
Journal of Autism and Developmental Disorders.2026; 56(1): 1. CrossRef
Colorectal Cancer Screening Among People With Intellectual Disabilities
Trine Allerslev Horsbøl, Susan Ishøy Michelsen, Trine Toft Sørensen, Knud Juel, Morten Rasmussen, Ismail Gögenur, Susanne Oksbjerg Dalton, Amina Banda, Maarten Cuypers, Lau Caspar Thygesen
JAMA Network Open.2026; 9(1): e2557013. CrossRef
Cancer screening in people with intellectual disability: a scoping review of participation, barriers, facilitators, and improvement strategies within the EUCanScreen initiative
Carmen Koko, Zining Yang, Mari Nygård, Patrick Martens, Eliane Kellen, Christoph Kowalski
International Journal for Equity in Health.2026;[Epub] CrossRef
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
Yuto Yamada, Masaki Fujiwara, Naoki Nakaya, Koji Otsuki, Taichi Shimazu, Maiko Fujimori, Shiro Hinotsu, Kiwamu Nagoshi, Yosuke Uchitomi, Masatoshi Inagaki
Psychiatry and Clinical Neurosciences Reports.2025;[Epub] CrossRef
Health inequities among persons with disabilities: a global scoping review
Emre Umucu, Andrew A. Vernon, Deyu Pan, Sang Qin, Guillermina Solis, Rebecca Campa, Beatrice Lee
Frontiers in Public Health.2025;[Epub] CrossRef
Cancer screening participation and outcomes among people with an intellectual disability in the Netherlands: a cross-sectional population-based study
Amina Banda, Maarten Cuypers, Jenneken Naaldenberg, Aura Timen, Geraline Leusink
The Lancet Public Health.2025; 10(3): e237. CrossRef
Enhancing doxorubicin's anticancer impact in colorectal cancer by targeting the Akt/Gsk3β/mTOR-SREBP1 signaling axis with an HDAC inhibitor
Huaxin Zhao, Yanling Wu, Soo Mi Kim
The Korean Journal of Physiology & Pharmacology.2025; 29(3): 321. CrossRef
Cancer inequalities experienced by people with disability: a systematic review
Yi Yang, Nina Afshar, Joanna Butchart, Alex Sully, Rebecca J. Bergin, Anne Kavanagh, George Disney
Disability and Health Journal.2025; 18(4): 101851. CrossRef
Cancer prevalence and care disparities among individuals with intellectual disabilities: a cross-sectional pan-cancer analysis
T. Sappok, M.-L. Rosenbusch, R. Hering, M. Schulz, C. Kowalski, N.T. Sibert, T. Seufferlein, A.W. Berger
ESMO Real World Data and Digital Oncology.2025; 9: 100160. CrossRef
Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review
R. Aguiar-Ibáñez, YPV. Mbous, Sugandh Sharma, R. Chakali, E. Chawla
Frontiers in Oncology.2025;[Epub] CrossRef
Disability-Related Disparities in Preventive Healthcare Access in South Korea: Insights From National Health Insurance Data
Sujin Kim, Boyoung Jeon
International Journal of Public Health.2025;[Epub] CrossRef
Long-Term Cancer Incidence Trends in Korea (2001–2020): An Age–Period–Cohort and Joinpoint Analysis with a Focus on Younger Cohorts
Hyungho Lee, Mingyu Kim, Geehyun Song, Jae Young Joung, Hokyung Seo, Jin-Ha Yoon, Jinsoo Chung
Medicina.2025; 61(12): 2179. CrossRef
Comparative analysis of genetic testing utilization rates among people with and without disabilities in South Korea from 2016 to 2019, focusing on malignant neoplasms: A national population‐based study
Gwanwook Bang, Minji Park, Jeong‐yeon Seon, So‐Youn Park
Cancer Medicine.2024;[Epub] CrossRef
Disparities in the diagnosis and treatment of colorectal cancer among patients with disabilities
Ki Bae Kim, Dong Wook Shin, Kyoung Eun Yeob, So Young Kim, Joung-Ho Han, Seon Mee Park, Jong Heon Park, Jong Hyock Park
World Journal of Gastrointestinal Oncology.2024; 16(7): 2925. CrossRef
The effect of the expansion of the Personal Assistance Service Program on the uptake of the National Health Screening in people with severe disability
Woorim Kim, Mingee Choi, Jaeyong Shin
Journal of Public Health.2024; 46(4): 537. CrossRef
Disability and Participation in Colorectal Cancer Screening: A Systematic Review and Meta-Analysis
Giovanni Emanuele Ricciardi, Rita Cuciniello, Emanuele De Ponti, Carlo Lunetti, Flavia Pennisi, Carlo Signorelli, Cristina Renzi
Current Oncology.2024; 31(11): 7023. CrossRef
Family physicians’ and trainees’ experiences regarding cancer screening with patients with intellectual disability: An interpretive description study
Genevieve Breau, Sally Thorne, Jennifer Baumbusch, T Greg Hislop, Arminee Kazanjian
Journal of Intellectual Disabilities.2023; 27(1): 250. CrossRef
Type and Severity of Mental Illness and Participation in Colorectal Cancer Screening
Benedicte Kirkøen, Paula Berstad, Geir Hoff, Tomm Bernklev, Kristin R. Randel, Øyvind Holme, Thomas de Lange, Kathryn A. Robb, Edoardo Botteri
American Journal of Preventive Medicine.2023; 64(1): 76. CrossRef
Spatial and temporal patterns of colorectal cancer in Asia, 1990–2019
Rajesh Sharma, Bijoy Rakshit
International Journal of Clinical Oncology.2023; 28(2): 255. CrossRef
Uptake patterns and predictors of colorectal cancer screening among adults resident in Spain: A population-based study from 2017 to 2020
Silvia Portero de la Cruz, Jesús Cebrino
Frontiers in Public Health.2023;[Epub] CrossRef
The Korea National Disability Registration System
Miso Kim, Wonyoung Jung, So Young Kim, Jong Hyock Park, Dong Wook Shin
Epidemiology and Health.2023; 45: e2023053. CrossRef
Assessing cancer in people with profound and multiple disabilities
Daniel Satgé, Motoi Nishi, Brigitte Trétarre
BMC Cancer.2023;[Epub] CrossRef
Cancer detection, diagnosis, and treatment for adults with disabilities
Lisa I Iezzoni
The Lancet Oncology.2022; 23(4): e164. CrossRef
Mental illness and participation in colorectal cancer screening: a scoping review
Marie D. Jørgensen, Ellen M. Mikkelsen, Rune Erichsen, Mette K. Thomsen
Scandinavian Journal of Gastroenterology.2022; 57(10): 1216. CrossRef
Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial
Yuto Yamada, Masaki Fujiwara, Taichi Shimazu, Tsuyoshi Etoh, Masafumi Kodama, Ryuhei So, Takanori Matsushita, Yusaku Yoshimura, Shigeo Horii, Maiko Fujimori, Hirokazu Takahashi, Naoki Nakaya, Tempei Miyaji, Shiro Hinotsu, Keita Harada, Hiroyuki Okada, Yos
BMJ Open.2022; 12(6): e060621. CrossRef
Disability and Participation in Breast and Cervical Cancer Screening: A Systematic Review and Meta-Analysis
Fahrin Ramadan Andiwijaya, Calum Davey, Khaoula Bessame, Abdourahmane Ndong, Hannah Kuper
International Journal of Environmental Research and Public Health.2022; 19(15): 9465. CrossRef
Inhibition of colorectal cancer tumorigenesis by ursolic acid and doxorubicin is mediated by targeting the Akt signaling pathway and activating the Hippo signaling pathway
Dan Hu, Ruo Meng, Thi Nguyen, Ok Chai, Byung Park, Ju-Seog Lee, Soo Kim
Molecular Medicine Reports.2022;[Epub] CrossRef
The Role of Disability Acceptance and Emotional Support in the Association between Negative Experiences and Depression in Disabled People with Cancer: A Moderated Mediation Model
Young Won Shin, Min Jin Jin, Myoung-Ho Hyun
STRESS.2022; 30(4): 244. CrossRef
Evaluation of health belief model-based educational intervention on colorectal cancer screening behavior at South Khorasan, Iran
Shahrbanoo Khazaei, Fatemeh Salmani, Mitra Moodi
Journal of Education and Health Promotion.2022;[Epub] CrossRef
Time trends of colorectal cancer incidence and associated lifestyle factors in South Korea
Hayeong Khil, Sung Min Kim, SungEun Hong, Hyeon Min Gil, Eugene Cheon, Dong Hoon Lee, Young Ae Kim, NaNa Keum
Scientific Reports.2021;[Epub] CrossRef
Disparities in Liver Cancer Surveillance Among People With Disabilities
Jae Youn Seo, Dong Wook Shin, Su Jong Yu, Jin Hyung Jung, Kyungdo Han, In Young Cho, So Young Kim, Kui Son Choi, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Journal of Clinical Gastroenterology.2021; 55(5): 439. CrossRef
Do cholesterol levels and continuity of statin use affect colorectal cancer incidence in older adults under 75 years of age?
Kyu-Tae Han, Seungju Kim, Antonio Palazón-Bru
PLOS ONE.2021; 16(4): e0250716. CrossRef
Disparities in prostate cancer diagnosis, treatment, and survival among men with disabilities: Retrospective cohort study in South Korea
Dong Wook Shin, Jinsung Park, Kyoung Eun Yeob, Seok Jung Yoon, Soong-nang Jang, So Young Kim, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Disability and Health Journal.2021; 14(4): 101125. CrossRef
Encouraging participation in colorectal cancer screening for people with schizophrenia: A randomized controlled trial
Masaki Fujiwara, Yuto Yamada, Taichi Shimazu, Masafumi Kodama, Ryuhei So, Takanori Matsushita, Yusaku Yoshimura, Shigeo Horii, Maiko Fujimori, Hirokazu Takahashi, Naoki Nakaya, Kyoko Kakeda, Tempei Miyaji, Shiro Hinotsu, Keita Harada, Hiroyuki Okada, Yosu
Acta Psychiatrica Scandinavica.2021; 144(4): 318. CrossRef
Population-Based Data Reveal Factors Associated with Organised and Non-Organised Colorectal Cancer Screening: An Important Step towards Improving Coverage
Thuy Ngan Tran, Guido Van Hal, Marc Peeters, Svetlana Jidkova, Harlinde De Schutter, Sarah Hoeck
International Journal of Environmental Research and Public Health.2021; 18(16): 8373. CrossRef
Disparities in the Diagnosis, Treatment, and Survival Rate of Cervical Cancer among Women with and without Disabilities
Jin Young Choi, Kyoung Eun Yeob, Seung Hwa Hong, So Young Kim, Eun-Hwan Jeong, Dong Wook Shin, Jong Heon Park, Gil-won Kang, Hak Soon Kim, Jong Hyock Park, Ichiro Kawachi
Cancer Control.2021;[Epub] CrossRef
Disparities in gastric cancer screening among people with disabilities: a national registry-linkage study in South Korea
YoungJee Kim, Dong Wook Shin, Hyoung Woo Kim, Jin Hyung Jung, Kyungdo Han, In Young Cho, So Young Kim, Kui Son Choi, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Gastric Cancer.2020; 23(3): 497. CrossRef
Disparities in the Diagnosis and Treatment of Gastric Cancer in Relation to Disabilities
Hyoung Woo Kim, Dong Wook Shin, Kyoung Eun Yeob, In Young Cho, So Young Kim, Seon Mee Park, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Clinical and Translational Gastroenterology.2020; 11(10): e00242. CrossRef
Trends in cancer screening rates among individuals with serious psychological distress: an analysis of data from 2007 to 2016 Japanese national surveys
Masaki Fujiwara, Yuji Higuchi, Naoki Nakaya, Maiko Fujimori, Yuto Yamada, Riho Wada, Tsuyoshi Etoh, Kyoko Kakeda, Yosuke Uchitomi, Tomio Nakayama, Norihito Yamada, Masatoshi Inagaki
Journal of Psychosocial Oncology Research & Practice.2020; 2(3): e025. CrossRef

13,416 View
270 Download
35 Web of Science
39 Crossref

The Effect of Disability on the Diagnosis and Treatment of Multiple Myeloma in Korea: A National Cohort Study: Jihyun Kwon, So Young Kim, Kyoung Eun Yeob, Hye Sook Han, Ki Hyeong Lee, Dong Wook Shin, Yeon-Yong Kim, Jong Heon Park, Jong Hyock Park; Cancer Res Treat. 2020;52(1):1-9. Published online April 22, 2019; DOI: https://doi.org/10.4143/crt.2018.702

Abstract PDF Supplementary Material PubReader ePub

Purpose
This study aimed to determine whether the diagnosis, treatment approach, and prognosis of multiple myeloma (MM) vary according to the presence and type of disability.
Materials and Methods
Demographic, socioeconomic, and medical data were obtained from the National Disability Database, the Korean Central Cancer Registry, and the Korean National Health Insurance claims database. An age- and sex-matched cohort was established using a 1:3 ratio constituted with 2,776,450 people with disabilities and 8,329,350 people without disabilities. Adult patients diagnosed with MM were subsequently selected from this cohort. Disabilities were categorized as physical, communication, intellectual or psychological, and affecting the major internal organs.
Results
The cohort included 4,090 patients with MM, with a significantly lower rate per 100,000 persons among people with disabilities than among people without disabilities (29.1 vs. 39.4, p < 0.001). People with disabilities were more likely to undergo dialysis treatment at the time of diagnosis (16.3% vs. 10.0%, p < 0.001), but were less likely to undergo autologous stem cell transplantation (37.5% vs. 43.7%, p=0.072). This trend was more evident among patients with intellectual or psychological disabilities. The median overall survival among patients with disabilities was significantly shorter than that among patients without disabilities (36.8 months vs. 51.2 months, p < 0.001).
Conclusion
In Korea, people with disabilities generally have a lower rate of MM diagnosis, receive less intensive treatment, and have a lower survival rate than people without disabilities.

Citations

Citations to this article as recorded by

Barriers to accessing healthcare for people with disabilities:a systematic review
M. Chimienti, G. Morlino, D. Ndreca, K. Stefanidhi, O. Zerellari, R. Shkreli, S. Gjergji, F. Leonforte, V. Nicosia, A. Mistretta, E. Buonomo, G. Liotta, L. Palombi
Frontiers in Public Health.2026;[Epub] CrossRef
A Systematic Review of Unmet Supportive Care Needs, Barriers, and Facilitators for People with Physical Disabilities and Cancer
Noreena Coyle, Aoife Crowley, Aoife McNicoll, Pamela Gallagher, Simon Dunne
Journal of Cancer Survivorship.2025;[Epub] CrossRef
Improving patient experience and enhancing access to cancer services for people with learning disabilities
Dany Bell, Michelle Richardson, Anna Rarity, Claire Taylor
Cancer Nursing Practice.2025;[Epub] CrossRef
Case report: IORT as an alternative treatment option for breast cancer patients with difficulty staying still
Fardeen Bhimani, Maureen McEvoy, Yu Chen, Anjuli Gupta, Jessica Pastoriza, Shani Fruchter, Zachary C. Bitan, Wolfgang A. Tomé, Keyur Mehta, Jana Fox, Sheldon Feldman
Frontiers in Oncology.2024;[Epub] CrossRef
The Korea National Disability Registration System
Miso Kim, Wonyoung Jung, So Young Kim, Jong Hyock Park, Dong Wook Shin
Epidemiology and Health.2023; 45: e2023053. CrossRef
Do people with disabilities experience disparities in cancer care? A systematic review
Irene Tosetti, Hannah Kuper, Sina Azadnajafabad
PLOS ONE.2023; 18(12): e0285146. CrossRef
Cancer detection, diagnosis, and treatment for adults with disabilities
Lisa I Iezzoni
The Lancet Oncology.2022; 23(4): e164. CrossRef
Disparities in All-Cause Mortality in Older Patients with Colorectal Cancer According to Disability Status: A Nationwide Analysis
Woo-Ri Lee, Kyu-Tae Han, Mingee Choi, Woorim Kim
Current Oncology.2022; 29(10): 7430. CrossRef
Disparities in prostate cancer diagnosis, treatment, and survival among men with disabilities: Retrospective cohort study in South Korea
Dong Wook Shin, Jinsung Park, Kyoung Eun Yeob, Seok Jung Yoon, Soong-nang Jang, So Young Kim, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Disability and Health Journal.2021; 14(4): 101125. CrossRef
Disparities in the Diagnosis, Treatment, and Survival Rate of Cervical Cancer among Women with and without Disabilities
Jin Young Choi, Kyoung Eun Yeob, Seung Hwa Hong, So Young Kim, Eun-Hwan Jeong, Dong Wook Shin, Jong Heon Park, Gil-won Kang, Hak Soon Kim, Jong Hyock Park, Ichiro Kawachi
Cancer Control.2021;[Epub] CrossRef
Disparities in the Diagnosis and Treatment of Gastric Cancer in Relation to Disabilities
Hyoung Woo Kim, Dong Wook Shin, Kyoung Eun Yeob, In Young Cho, So Young Kim, Seon Mee Park, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Clinical and Translational Gastroenterology.2020; 11(10): e00242. CrossRef

12,912 View
379 Download
9 Web of Science
11 Crossref

First
Prev
Page of 1
Next
Last

Search